Mindray Passport 12 Passport 8 Patient Monitor Ope

Passport 12/Passport 8

Patient Monitor

Operator’s Manual

© Copyright 2014 - 2016 Shenzhen Mindray Bio-Medical Electronics Co., Ltd. All rights reserved.

 Release time:

 Revision:

2016-06

3.0

WARNING



Federal Law (USA) restricts this device to sale by or on the order of a physician or other practitioner

licensed by U.S. state law to use or order the use of this device.

Intellectual Property Statement

SHENZHEN MINDRAY BIO-MEDICAL ELECTRONICS CO., LTD. (hereinafter called Mindray) owns the intellectual property

rights to this Mindray product and this manual. This manual may refer to information protected by copyrights or patents

and does not convey any license under the patent rights of Mindray, nor the rights of others.

Mindray intends to maintain the contents of this manual as confidential information. Disclosure of the information in

this manual in any manner whatsoever without the written permission of Mindray is strictly forbidden.

Release, amendment, reproduction, distribution, rental, adaption and translation of this manual in any manner

whatsoever without the written permission of Mindray is strictly forbidden.

, , and are the registered trademarks or trademarks owned by Mindray in China

and other countries. All other trademarks that appear in this manual are used only for editorial purposes without the

intention of improperly using them. They are the property of their respective owners.

Passport 12/Passport 8 Operator’s Manual I

Manufacturer’s Responsibility

Contents of this manual are subject to changes without prior notice.

All information contained in this manual is believed to be correct. Mindray is not liable for errors contained herein nor for

incidental or consequential damages in connection with the furnishing, performance, or use of this manual.

Mindray is responsible for the effects on safety, reliability and performance of this product, only if:

 all installation operations, expansions, changes, modifications and repairs of this product are conducted by Mindray

authorized personnel;

 the electrical installation of the relevant room complies with the applicable national and local requirements;

 the product is used in accordance with the instructions for use.

WARNING





Only skilled/trained clinical professionals should operate this equipment.

It is important for the hospital or organization that uses this equipment to perform a recommended

service/maintenance plan. Neglect of this may result in machine breakdown or personal injury.

Warranty

Mindray warrants that components within its products will be free from defects in workmanship and materials for a

period of one year from the date of purchase except that disposable or one-time use products are warranted to be free

from defects in workmanship and materials up to a date one year from the date of purchase or the date of first use,

whichever is sooner.

This warranty does not cover consumable items such as, but not limited to, batteries, external cables, and sensors.

Mindray shall not be liable for any incidental, special, or consequential loss, damage, or expense directly or indirectly

arising from the use of its products. Liability under this warranty and the buyer’s exclusive remedy under this warranty is

limited to servicing or replacing the affected products, at Mindray option, at the factory or at an authorized distributor,

for any product which shall under normal use and service appear to Mindray to have been defective in material or

workmanship. Recommended preventative maintenance, as prescribed in the service manual, is the responsibility of the

user and is not covered by this warranty.

No agent, employee, or representative of Mindray has any authority to bind Mindray to any affirmation, representation,

or warranty concerning its products, and any affirmation, representation or warranty made by any agent, employee, or

representative shall not be enforceable by buyer or user.

THIS WARRANTY IS EXPRESSLY IN LIEU OF, AND MINDRAY EXPRESSLY DISCLAIMS, ANY OTHER EXPRESS OR IMPLIED

WARRANTIES, INCLUDING ANY IMPLIED WARRANTY OF MERCHANTABILITY, NON-INFRINGEMENT, OR FITNESS FOR A

PARTICULAR PURPOSE, AND OF ANY OTHER OBLIGATION ON THE PART OF MINDRAY.

II Passport 12/Passport 8 Operator’s Manual

Damage to any product or parts through misuse, neglect, accident, or by affixing any non-standard accessory

attachments, or by any customer modification voids this warranty. Mindray makes no warranty whatsoever in regard to

trade accessories, such being subject to the warranty of their respective manufacturers.

A condition of this warranty is that the equipment or accessories which are claimed to be defective be returned when

authorized, freight prepaid to Mindray DS USA, Inc., Mahwah, New Jersey 07430 or its authorized representative.

Mindray shall not have any responsibility in the event of loss or damage in transit.

Exemptions

Mindray's obligation or liability under this warranty does not include any transportation or other charges or liability for

direct, indirect or consequential damages or delay resulting from the improper use or application of the product or the

use of parts or accessories not approved by Mindray or repairs by people other than Mindray authorized personnel.

This warranty does not extend to

 Malfunction or damage caused by improper use or man-made failure.

 Malfunction or damage caused by unstable or out-of-range power input.

 Malfunction or damage caused by force majeure events, such as (i) flood, fire and earthquake or other similar

elements of nature or acts of God; (ii) riots, war, civil disorders, rebellions, or revolutions in any country; or (iii) any

other cause beyond the reasonable control of Mindray.

 Malfunction or damage caused by improper operation or repair by unqualified or unauthorized service people.

 Malfunction of the instrument or part whose serial number is not legible.

 Others not caused by instrument or part itself.

Service

Mindray maintains a network of service representatives and factory-trained distributors. Prior to requesting service,

perform a complete operational check of the instrument to verify proper control settings. If operational problems

continue to exist,

In North America contact the Service Department at (800) 288-2121, ext: 8116 for Technical Support or (201) 995-8000

for assistance in determining the nearest field service location.

Please include the instrument model number, the serial number, and a description of the problem with all requests for

service.

Any questions regarding the warranty should be directed to your local sales or service representative.

NOTE



Upon request, Mindray provides circuit diagrams, component part lists, descriptions, calibration

instructions, or other information which assist the user’s appropriately qualified technical personnel to

repair those parts of the equipment which are designated by Mindray DS USA, Inc. as repairable.

Passport 12/Passport 8 Operator’s Manual III

Company Contact

Manufacturer:

Address:

Shenzhen Mindray Bio-Medical Electronics Co., Ltd.

Mindray Building, Keji 12th Road South, Hi-tech industrial park, Nanshan,

Shenzhen 518057,

Website:

E-mail Address:

Tel:

Fax:

Distributor:

Address:

*******************+86 755 81888998

+86 755 26582680

Mindray DS USA, Inc.

800 MacArthur Boulevard, Mahwah, New Jersey, 07430 USA

Tel: 1.800.288.2121, 1.201.995.8000

Website:

IV Passport 12/Passport 8 Operator’s Manual

Preface

Manual Purpose

This manual contains the instructions necessary to operate the product safely and in accordance with its function and

intended use. Observance of this manual is a prerequisite for proper product performance and correct operation and

ensures patient and operator safety.

This manual is based on the maximum configuration and therefore some contents may not apply to your product. If you

have any questions, please contact Mindray.

This manual is an integral part of the product. It should always be kept close to the equipment so that it can be

conveniently referenced when needed.

Intended Audience

This manual is intended for clinical professionals who are expected to have a working knowledge of medical procedures,

practices and terminology as required for monitoring of patients.

Illustrations

All illustrations in this manual serve as examples only. They may not necessarily reflect the setup or data displayed on

your monitor.

Manual Conventions

 Italic text is used to quote the referenced chapters or sections.

 [ ] is used to enclose screen text.



→ is used to indicate operational procedures.

Passport 12/Passport 8 Operator’s Manual V

FOR YOUR NOTES

VI Passport 12/Passport 8 Operator’s Manual

Contents

1 Safety ................................................................................................................................................................................. 1-1 1.1 Safety Information .......................................................................................................................................................................................... 1-1 1.1.1 Warnings .............................................................................................................................................................................................. 1-1 1.1.2 Cautions ............................................................................................................................................................................................... 1-2 1.1.3 Notes ..................................................................................................................................................................................................... 1-3 1.2 Equipment Symbols ....................................................................................................................................................................................... 1-3 2 The Basics ........................................................................................................................................................................... 2-1 2.1 Intended Use .................................................................................................................................................................................................... 2-1 2.2 Applied Parts .................................................................................................................................................................................................... 2-1 2.3 Main Unit ........................................................................................................................................................................................................... 2-2 2.3.1 Front View ............................................................................................................................................................................................ 2-2 2.3.2 Side View .............................................................................................................................................................................................. 2-4 2.3.3 Rear View .............................................................................................................................................................................................. 2-6 2.4 Modules .............................................................................................................................................................................................................. 2-8 2.5 Display Screen .................................................................................................................................................................................................. 2-9 2.6 QuickKeys ........................................................................................................................................................................................................2-11 3 Basic Operations ................................................................................................................................................................ 3-1 3.1 Installation ......................................................................................................................................................................................................... 3-1 3.1.1 Unpacking and Checking .............................................................................................................................................................. 3-1 3.1.2 Environmental Requirements ...................................................................................................................................................... 3-2 3.2 Getting Started ................................................................................................................................................................................................ 3-2 3.2.1 Connecting to Power Source ........................................................................................................................................................ 3-2 3.2.2 Turning Power On ............................................................................................................................................................................. 3-3 3.2.3 Starting Monitoring ......................................................................................................................................................................... 3-3 3.3 Turning Off the Monitor ............................................................................................................................................................................... 3-4 3.4 Using the Knob ................................................................................................................................................................................................ 3-4 3.5 Using Keys ......................................................................................................................................................................................................... 3-4 3.6 Using the Touchscreen .................................................................................................................................................................................. 3-5 3.7 Using the On-screen Keyboard .................................................................................................................................................................. 3-5 3.8 Using the Main Menu .................................................................................................................................................................................... 3-5 3.9 Setting the Screen .......................................................................................................................................................................................... 3-6 3.10 Displaying the Timer ................................................................................................................................................................................... 3-7 3.11 Changing General Settings ....................................................................................................................................................................... 3-7 3.11.1 Setting up a Monitor ..................................................................................................................................................................... 3-7 3.11.2 Changing Language ...................................................................................................................................................................... 3-8 3.11.3 Adjusting the Screen Brightness .............................................................................................................................................. 3-8 3.11.4 Showing/Hiding Help Text .......................................................................................................................................................... 3-8 3.11.5 Setting the Date and Time .......................................................................................................................................................... 3-8 3.11.6 Adjusting Volume ........................................................................................................................................................................... 3-9 3.12 Setting Parameters ...................................................................................................................................................................................... 3-9 3.12.1 Switching the Parameters On/Off ............................................................................................................................................ 3-9 Passport 12/Passport 8 Operator’s Manual 1

3.12.2 Accessing the Parameters Menu .............................................................................................................................................. 3-9 3.13 Operating Modes ....................................................................................................................................................................................... 3-10 3.13.1 Monitoring Mode ......................................................................................................................................................................... 3-10 3.13.2 Night Mode .................................................................................................................................................................................... 3-10 3.13.3 Privacy Mode ................................................................................................................................................................................. 3-10 3.13.4 Standby Mode ............................................................................................................................................................................... 3-11 4 Managing Patients ............................................................................................................................................................ 4-1 4.1 Admitting a Patient ........................................................................................................................................................................................ 4-1 4.2 Quick Admitting a Patient ........................................................................................................................................................................... 4-2 4.3 Querying and Obtaining Patient Information ..................................................................................................................................... 4-2 4.4 Associating Patient Information ............................................................................................................................................................... 4-3 4.5 Editing Patient Information ........................................................................................................................................................................ 4-3 4.6 Discharging a Patient .................................................................................................................................................................................... 4-3 4.7 Transferring Patient Data ............................................................................................................................................................................. 4-3 4.7.1 Transferring Data from the Monitor to a USB Drive ............................................................................................................. 4-4 4.7.2 Transferring Data from a USB Drive to the Monitor ............................................................................................................. 4-4 4.8 Connecting to a CMS .................................................................................................................................................................................... 4-5 5 Managing Configurations ................................................................................................................................................. 5-1 5.1 Introduction ..................................................................................................................................................................................................... 5-1 5.2 Entering the [Manage Configuration] Menu ........................................................................................................................................ 5-2 5.3 Changing Department ................................................................................................................................................................................. 5-2 5.4 Setting Default Configuration ................................................................................................................................................................... 5-3 5.5 Saving Current Settings ............................................................................................................................................................................... 5-3 5.6 5-4 5.7 Deleting a Configuration ............................................................................................................................................................................. 5-5 5.8 Transferring a Configuration ...................................................................................................................................................................... 5-5 5.9 Loading a Configuration .............................................................................................................................................................................. 5-6 5.10 Restoring the Latest Configuration Automatically .......................................................................................................................... 5-6 5.11 Modifying Password .................................................................................................................................................................................... 5-6 6 User Screens ....................................................................................................................................................................... 6-1 6.1 Configuring Your Screens ............................................................................................................................................................................ 6-1 6.1.1 Changing the Waveform Line Size ............................................................................................................................................. 6-1 6.1.2 Changing Measurement Colors .................................................................................................................................................. 6-1 6.1.3 Changing Screen Layout ................................................................................................................................................................ 6-1 6.2 Viewing Minitrends ........................................................................................................................................................................................ 6-2 6.2.1 Having a Split-Screen View of Minitrends ............................................................................................................................... 6-2 6.2.2 Setting Minitrends ........................................................................................................................................................................... 6-2 6.3 Viewing OxyCRG ............................................................................................................................................................................................. 6-3 6.4 Viewing Other Patients ................................................................................................................................................................................. 6-4 6.4.1 Care Group .......................................................................................................................................................................................... 6-4 6.4.2 Viewing the Care Group Overview Bar ..................................................................................................................................... 6-4 6.4.3 Understanding the View Other Patient Window ................................................................................................................... 6-5 6.5 Understanding the Big Numerics Screen .............................................................................................................................................. 6-6 2 Passport 12/Passport 8 Operator’s Manual

7 Alarms ................................................................................................................................................................................ 7-1 7.1 Alarm Categories ............................................................................................................................................................................................ 7-1 7.2 Alarm Levels ...................................................................................................................................................................................................... 7-2 7.3 Alarm Indicators .............................................................................................................................................................................................. 7-2 7.3.1 Alarm Lamp ......................................................................................................................................................................................... 7-2 7.3.2 Alarm Messages ................................................................................................................................................................................ 7-2 7.3.3 Flashing Numeric .............................................................................................................................................................................. 7-3 7.3.4 Audible Alarm Tones ........................................................................................................................................................................ 7-3 7.3.5 Alarm Status Symbols ..................................................................................................................................................................... 7-3 7.4 Alarm Tone Configuration ........................................................................................................................................................................... 7-4 7.4.1 Setting the Minimum Alarm Volume ......................................................................................................................................... 7-4 7.4.2 Changing the Alarm Volume ........................................................................................................................................................ 7-4 7.4.3 Setting the Interval Between Alarm Sounds .......................................................................................................................... 7-4 7.4.4 Changing the Alarm Tone Pattern .............................................................................................................................................. 7-5 7.4.5 Setting the Reminder Tones .......................................................................................................................................................... 7-5 7.5 Understanding the Alarm Setup Menu .................................................................................................................................................. 7-6 7.5.1 Setting Alarm Properties for All Parameters ........................................................................................................................... 7-6 7.5.2 Adjusting Alarm Limits Automatically ...................................................................................................................................... 7-7 7.5.3 Setting Alarm Delay Time .............................................................................................................................................................. 7-9 7.5.4 Setting SpO2 Technical Alarm Delay ........................................................................................................................................7-10 7.5.5 Setting Recording Length ............................................................................................................................................................7-10 7.5.6 Entering CPB Mode (Cardiopulmonary Bypass Mode) .....................................................................................................7-10 7.6 Pausing Alarms ..............................................................................................................................................................................................7-10 7.7 Switching Off All Alarms .............................................................................................................................................................................7-11 7.8 Resetting Alarms ...........................................................................................................................................................................................7-11 7.9 Latching Alarms .............................................................................................................................................................................................7-12 7.10 Testing Alarms .............................................................................................................................................................................................7-13 7.11 Using Care Group Alarms ........................................................................................................................................................................7-13 7.11.1 Care Group Auto Alarms ............................................................................................................................................................7-13 7.11.2 Setting Care Group Alert Tone .................................................................................................................................................7-13 7.11.3 Resetting Care Group Alarms ...................................................................................................................................................7-13 8 Monitoring ECG ................................................................................................................................................................. 8-1 8.1 Introduction ...................................................................................................................................................................................................... 8-1 8.2 Safety ................................................................................................................................................................................................................... 8-1 8.3 Preparing to Monitor ECG ............................................................................................................................................................................ 8-2 8.3.1 Preparing the Patient and Placing the Electrodes ................................................................................................................ 8-2 8.3.2 Choosing AHA or IEC Lead Placement ...................................................................................................................................... 8-2 8.3.3 ECG Lead Placements ...................................................................................................................................................................... 8-2 8.3.4 Checking Paced Status .................................................................................................................................................................... 8-4 8.4 Understanding the ECG Display ................................................................................................................................................................ 8-5 8.5 Changing ECG Settings ................................................................................................................................................................................. 8-5 8.5.1 Accessing ECG Menus ..................................................................................................................................................................... 8-5 8.5.2 Setting Pacemaker Rate (For Mortara ECG algorithm only) .............................................................................................. 8-5 8.5.3 Choosing the Alarm Source .......................................................................................................................................................... 8-6 8.5.4 Changing ECG Wave Settings ....................................................................................................................................................... 8-6 Passport 12/Passport 8 Operator’s Manual 3

8.5.5 Changing the ECG Filter Settings ............................................................................................................................................... 8-6 8.5.6 Setting Pacemaker Rate (For Mortara only) ............................................................................................................................ 8-7 8.5.7 Setting the ECG Lead Set ............................................................................................................................................................... 8-7 8.5.8 Choosing an ECG Display Screen ................................................................................................................................................ 8-7 8.5.9 Setting the Notch Filter .................................................................................................................................................................. 8-7 8.5.10 Changing the Pacer Reject Settings ........................................................................................................................................ 8-8 8.5.11 Enabling Smart Lead Off ............................................................................................................................................................. 8-8 8.5.12 Setting the Alarm Level for ECG Lead 8-8 8.5.13 Adjusting QRS Volume ................................................................................................................................................................. 8-8 8.5.14 Adjusting the Minimum QRS Detection Threshold (For Mindray ECG Algorithm Only) ...................................... 8-8 8.5.15 About the Defibrillator Synchronization ............................................................................................................................... 8-9 8.6 About 8-9 8.6.1 Switching ST Monitoring On and Off ...................................................................................................................................... 8-10 8.6.2 Changing ST Filter Settings ......................................................................................................................................................... 8-10 8.6.3 Understanding the ST Display ................................................................................................................................................... 8-10 8.6.4 Saving the Current ST Segment as Reference ...................................................................................................................... 8-11 8.6.5 Changing the Reference Segment ........................................................................................................................................... 8-11 8.6.6 Deleting a Reference Segment .................................................................................................................................................. 8-11 8.6.7 Recording the ST Segment ......................................................................................................................................................... 8-11 8.6.8 Changing the ST Alarm Limits ................................................................................................................................................... 8-11 8.6.9 Setting the ST Alarm Delay Time .............................................................................................................................................. 8-12 8.6.10 Adjusting ST Measurement Points ......................................................................................................................................... 8-12 8.7 QT/QTc Interval Monitoring (For Mindray Algorithm Only) .......................................................................................................... 8-13 8.7.1 QT/QTc Monitoring Limitations ................................................................................................................................................. 8-14 8.7.2 Enabling QT/QTc Monitoring ..................................................................................................................................................... 8-14 8.7.3 Displaying QT/QTc Parameters and Waveform .................................................................................................................... 8-15 8.7.4 Accessing the QT View .................................................................................................................................................................. 8-15 8.7.5 Changing QT Settings ................................................................................................................................................................... 8-16 8.8 About Arrhythmia Monitoring ................................................................................................................................................................ 8-17 8.8.1 Understanding the Arrhythmia Events ................................................................................................................................... 8-18 8.8.2 Changing Arrhythmia Alarm Settings ..................................................................................................................................... 8-19 8.8.3 Changing Arrhythmia Threshold Settings ............................................................................................................................. 8-20 8.8.4 Setting the Extended Arrhythmia (For Mindray ECG Algorithm Only) ....................................................................... 8-21 8.8.5 Reviewing Arrhythmia Events .................................................................................................................................................... 8-21 8.9 ECG Relearning .............................................................................................................................................................................................. 8-21 8.9.1 Initiating an ECG Relearning Manually ................................................................................................................................... 8-21 8.9.2 Automatic ECG Relearning .......................................................................................................................................................... 8-22 8.10 Troubleshooting ......................................................................................................................................................................................... 8-22 9 Monitoring Respiration (Resp) ......................................................................................................................................... 9-1 9.1 Introduction ..................................................................................................................................................................................................... 9-1 9.2 Safety Information ......................................................................................................................................................................................... 9-1 9.3 Understanding the Resp Display .............................................................................................................................................................. 9-1 9.4 Placing Resp Electrodes ............................................................................................................................................................................... 9-2 9.4.1 Optimizing Lead Placement for Resp ........................................................................................................................................ 9-2 9.4.2 Cardiac Overlay ................................................................................................................................................................................. 9-2 4 Passport 12/Passport 8 Operator’s Manual

9.4.3 Abdominal Breathing ...................................................................................................................................................................... 9-3 9.4.4 Lateral Chest Expansion ................................................................................................................................................................. 9-3 9.5 Choosing the Respiration Lead .................................................................................................................................................................. 9-3 9.6 Changing the Apnea Alarm Delay ............................................................................................................................................................ 9-3 9.7 Changing Resp Detection Mode ............................................................................................................................................................... 9-3 9.8 Changing Resp Wave Settings ................................................................................................................................................................... 9-4 9.9 Setting Respiration Rate Source ................................................................................................................................................................ 9-4 9.10 Setting Alarm Properties ........................................................................................................................................................................... 9-5 10 Monitoring PR ............................................................................................................................................................... 10-1 10.1 Introduction .................................................................................................................................................................................................10-1 10.2 Setting the PR Source ...............................................................................................................................................................................10-1 10.3 Selecting the Active Alarm Source .......................................................................................................................................................10-2 10.4 QRS Tone ........................................................................................................................................................................................................10-2 11 . 11-1 11.1 Introduction .................................................................................................................................................................................................11-1 11.2 Safety ..............................................................................................................................................................................................................11-2 11.3 Identifying SpO2 Modules .......................................................................................................................................................................11-2 11.4 Applying the Sensor ..................................................................................................................................................................................11-2 11.5 Changing SpO2 Settings ..........................................................................................................................................................................11-3 11.5.1 Accessing SpO2 Menus ...............................................................................................................................................................11-3 11.5.2 Adjusting the Desat Alarm ........................................................................................................................................................11-3 11.5.3 Setting SpO2 Sensitivity .............................................................................................................................................................11-3 11.5.4 Changing Averaging Time ........................................................................................................................................................11-3 11.5.5 Monitoring SpO2 and NIBP Simultaneously .......................................................................................................................11-3 11.5.6 Sat-Seconds Alarm Management ...........................................................................................................................................11-4 11.5.7 Changing the Speed of the Pleth Wave ...............................................................................................................................11-5 11.5.8 Zooming PI Value .........................................................................................................................................................................11-5 11.5.9 Setting the Alarm Level for SpO2 Sensor Off Alarm .........................................................................................................11-5 11.5.10 Setting the SpO2 Tone Mode .................................................................................................................................................11-5 11.6 Measurement Limitations .......................................................................................................................................................................11-6 11.7 Masimo Information ..................................................................................................................................................................................11-6 11.8 Nellcor Information ...................................................................................................................................................................................11-7 11.9 Troubleshooting .........................................................................................................................................................................................11-7 12 Monitoring NIBP ............................................................................................................................................................ 12-1 12.1 Introduction .................................................................................................................................................................................................12-1 12.2 Safety ..............................................................................................................................................................................................................12-2 12.3 Measurement Limitations .......................................................................................................................................................................12-2 12.4 Measurement Methods ............................................................................................................................................................................12-2 12.5 Setting Up the NIBP Measurement ......................................................................................................................................................12-3 12.5.1 Preparing the Patient ..................................................................................................................................................................12-3 12.5.2 Preparing to Measure NIBP .......................................................................................................................................................12-3 12.5.3 Starting and Stopping Measurements .................................................................................................................................12-4 12.5.4 Correcting the Measurement if Limb is not at Heart Level ...........................................................................................12-4 Passport 12/Passport 8 Operator’s Manual 5

12.5.5 Enabling NIBP Auto Cycling and Setting the Interval ..................................................................................................... 12-4 12.5.6 Enabling Measurement on Clock ........................................................................................................................................... 12-4 12.5.7 Starting a STAT Measurement ................................................................................................................................................. 12-5 12.6 Understanding the NIBP Numerics ..................................................................................................................................................... 12-5 12.7 Changing 12-6 12.7.1 Setting the Initial Cuff Inflation Pressure ............................................................................................................................. 12-6 12.7.2 Setting NIBP Alarm Properties ................................................................................................................................................ 12-6 12.7.3 Displaying 12-6 12.7.4 Setting the Pressure Unit .......................................................................................................................................................... 12-6 12.7.5 Switching On NIBP End Tone ................................................................................................................................................... 12-6 12.8 Assisting Venous Puncture ..................................................................................................................................................................... 12-7 13 Monitoring Temp ........................................................................................................................................................... 13-1 13.1 Introduction ................................................................................................................................................................................................. 13-1 13.2 Safety .............................................................................................................................................................................................................. 13-1 13.3 Making a Temp Measurement ............................................................................................................................................................... 13-1 13.4 Understanding the Temp Display ........................................................................................................................................................ 13-1 13.5 Setting the Temperature Unit ................................................................................................................................................................ 13-2 14 Monitoring IBP .............................................................................................................................................................. 14-1 14.1 Introduction ................................................................................................................................................................................................. 14-1 14.2 Safety .............................................................................................................................................................................................................. 14-1 14.3 Zeroing the Transducer ............................................................................................................................................................................ 14-1 14.4 Setting Up the Pressure Measurement .............................................................................................................................................. 14-2 14.5 Understanding the IBP Display ............................................................................................................................................................. 14-3 14.6 Changing IBP Settings .............................................................................................................................................................................. 14-4 14.6.1 Changing a Pressure for Monitoring ..................................................................................................................................... 14-4 14.6.2 Setting Alarm Properties ........................................................................................................................................................... 14-5 14.6.3 Changing Averaging Time ........................................................................................................................................................ 14-5 14.6.4 Setting Up the IBP Wave ............................................................................................................................................................ 14-5 14.6.5 Setting the Pressure Unit .......................................................................................................................................................... 14-5 14.6.6 Enabling PPV Measurement and Setting PPV Source ..................................................................................................... 14-5 14.7 Overlapping IBP Waveforms .................................................................................................................................................................. 14-6 14.8 Measuring PAWP ........................................................................................................................................................................................ 14-7 14.8.1 Preparing to Measure PAWP ..................................................................................................................................................... 14-8 14.8.2 Setting Up the PAWP Measurement ...................................................................................................................................... 14-8 14.8.3 Understanding the PAWP Setup Menu ................................................................................................................................ 14-9 14.9 Troubleshooting ......................................................................................................................................................................................... 14-9 15 Monitoring Cardiac Output .......................................................................................................................................... 15-1 15.1 Introduction ................................................................................................................................................................................................. 15-1 15.2 Understanding the C.O. Display ........................................................................................................................................................... 15-1 15.3 Influencing Factors .................................................................................................................................................................................... 15-2 15.4 Setting Up the C.O. Measurement ....................................................................................................................................................... 15-2 15.5 Measuring the Blood Temperature ...................................................................................................................................................... 15-5 15.6 Changing C.O. Settings ............................................................................................................................................................................ 15-6 6 Passport 12/Passport 8 Operator’s Manual

15.6.1 Setting the Temperature Unit ..................................................................................................................................................15-6 15.6.2 Setting Alarm Properties ...........................................................................................................................................................15-6 16 16-1 16.1 Introduction .................................................................................................................................................................................................16-1 16.2 16-2 16.3 Preparing to 16-2 16.3.1 Making a Sidestream CO2 Measurement .............................................................................................................................16-3 16.3.2 Making a Microstream CO2 Measurement ..........................................................................................................................16-4 16.4 Changing CO2 Settings .............................................................................................................................................................................16-4 16.4.1 Accessing CO2 Menus .................................................................................................................................................................16-4 16.4.2 Entering the Standby Mode .....................................................................................................................................................16-4 16.4.3 Setting the CO2 Unit ....................................................................................................................................................................16-5 16.4.4 Setting up Gas Compensations ...............................................................................................................................................16-5 16.4.5 Setting up Humidity Compensation .....................................................................................................................................16-5 16.4.6 Setting the Apnea Alarm Delay ...............................................................................................................................................16-6 16.4.7 Choosing a Time Interval for Peak-Picking ..........................................................................................................................16-6 16.4.8 Setting the Flow Rate ..................................................................................................................................................................16-6 16.4.9 Setting up the CO2 Wave ............................................................................................................................................................16-7 16.5 Setting RR Source .......................................................................................................................................................................................16-7 16.6 Barometric Pressure Compensation ....................................................................................................................................................16-7 16.7 Measurement Limitations .......................................................................................................................................................................16-8 16.8 Leakage test .................................................................................................................................................................................................16-8 16.9 Troubleshooting the Sidestream CO2 Sampling System ..............................................................................................................16-8 16.10 Removing Exhaust Gases from the System ....................................................................................................................................16-9 16.11 Zeroing the Sensor ..................................................................................................................................................................................16-9 16.12 Calibrating the Sensor ......................................................................................................................................................................... 16-10 16.13 Oridion Information ............................................................................................................................................................................. 16-10 17 Monitoring AG ............................................................................................................................................................... 17-1 17.1 Introduction .................................................................................................................................................................................................17-1 17.2 Understanding the AG Display ..............................................................................................................................................................17-2 17.3 MAC Values ...................................................................................................................................................................................................17-3 17.4 Preparing to Measure AG ........................................................................................................................................................................17-4 17.5 Changing AG Settings ..............................................................................................................................................................................17-5 17.5.1 Setting Gas Unit ............................................................................................................................................................................17-5 17.5.2 Setting the Apnea Alarm Delay ...............................................................................................................................................17-5 17.5.3 Changing the Sample Flow Rate ............................................................................................................................................17-5 17.5.4 Setting up the O2 Compensation ...........................................................................................................................................17-5 17.5.5 Entering the Standby Mode .....................................................................................................................................................17-6 17.5.6 Setting up the AG Wave .............................................................................................................................................................17-6 17.5.7 Setting RR Source .........................................................................................................................................................................17-6 17.6 Changing the Anesthetic Agent ...........................................................................................................................................................17-6 17.7 Measurement Limitations .......................................................................................................................................................................17-7 17.8 Troubleshooting .........................................................................................................................................................................................17-7 17.8.1 When the Gas Inlet is Blocked ..................................................................................................................................................17-7 Passport 12/Passport 8 Operator’s Manual 7

17.8.2 When an Internal Occlusion Occurs ...................................................................................................................................... 17-7 17.9 Removing Exhaust Gases from the System ...................................................................................................................................... 17-7 18 Freezing Waveforms ...................................................................................................................................................... 18-1 18.1 Freezing Waveforms .................................................................................................................................................................................. 18-1 18.2 Viewing Frozen Waveforms .................................................................................................................................................................... 18-1 18.3 Unfreezing Waveforms ............................................................................................................................................................................. 18-2 18.4 Recording Frozen Waveforms ................................................................................................................................................................ 18-2 19 Review ............................................................................................................................................................................ 19-1 19.1 Accessing Respective Review Windows ............................................................................................................................................ 19-1 19.2 Reviewing Graphic Trends ...................................................................................................................................................................... 19-1 19.3 Reviewing Tabular Trends ....................................................................................................................................................................... 19-2 19.4 Reviewing Events ....................................................................................................................................................................................... 19-3 19.4.1 Marking Events ............................................................................................................................................................................. 19-3 19.4.2 Reviewing Events ......................................................................................................................................................................... 19-4 19.5 Reviewing Waveforms .............................................................................................................................................................................. 19-6 20 Calculations ................................................................................................................................................................... 20-1 20.1 Introduction ................................................................................................................................................................................................. 20-1 20.2 Dose Calculations ...................................................................................................................................................................................... 20-2 20.2.1 Performing Calculations ............................................................................................................................................................ 20-2 20.2.2 Selecting the Proper Drug Unit ............................................................................................................................................... 20-2 20.2.3 Titration Table ................................................................................................................................................................................ 20-3 20.2.4 Drug Calculation Formulas ....................................................................................................................................................... 20-3 20.3 Oxygenation Calculations ....................................................................................................................................................................... 20-3 20.3.1 Performing Calculations ............................................................................................................................................................ 20-3 20.3.2 Entered Parameters ..................................................................................................................................................................... 20-4 20.3.3 Calculated Parameters and Formulas ................................................................................................................................... 20-4 20.4 Ventilation Calculations ........................................................................................................................................................................... 20-5 20.4.1 Performing Calculations ............................................................................................................................................................ 20-5 20.4.2 Entered Parameters ..................................................................................................................................................................... 20-5 20.4.3 Calculated Parameters and Formulas ................................................................................................................................... 20-6 20.5 Hemodynamic Calculations ................................................................................................................................................................... 20-6 20.5.1 Performing Calculations ............................................................................................................................................................ 20-6 20.5.2 Entered Parameters ..................................................................................................................................................................... 20-7 20.5.3 Calculated Parameters and Formulas ................................................................................................................................... 20-7 20.6 20-8 20.6.1 Performing Calculations ............................................................................................................................................................ 20-8 20.6.2 Entered Parameters ..................................................................................................................................................................... 20-8 20.6.3 Calculated Parameters and Formulas ................................................................................................................................... 20-9 20.7 Understanding the Review Window ................................................................................................................................................... 20-9 21 Recording ....................................................................................................................................................................... 21-1 21.1 Using a Recorder ........................................................................................................................................................................................ 21-1 21.2 Overview of Recording Types ................................................................................................................................................................ 21-1 8 Passport 12/Passport 8 Operator’s Manual

21.3 Starting and Stopping Recordings ......................................................................................................................................................21-2 21.4 Setting up the Recorder ...........................................................................................................................................................................21-2 21.4.1 Accessing the Record Setup Menu ........................................................................................................................................21-2 21.4.2 Selecting Waveforms for Recording ......................................................................................................................................21-2 21.4.3 Setting the Realtime Recording Length ...............................................................................................................................21-3 21.4.4 Setting the Interval between Timed Recordings ..............................................................................................................21-3 21.4.5 Changing the Recording Speed ..............................................................................................................................................21-3 21.4.6 Clearing Recording Tasks ...........................................................................................................................................................21-3 21.5 Loading Paper ..............................................................................................................................................................................................21-3 21.6 Removing Paper Jam ................................................................................................................................................................................21-4 21.7 Cleaning the Recorder Printhead .........................................................................................................................................................21-4 22 Printing .......................................................................................................................................................................... 22-1 22.1 Printer .............................................................................................................................................................................................................22-1 22.2 Connecting a printer .................................................................................................................................................................................22-1 22.3 Setting Up the Printer ...............................................................................................................................................................................22-2 22.4 Starting Report Printouts ........................................................................................................................................................................22-2 22.5 Stopping Report Printouts ......................................................................................................................................................................22-3 22.6 Setting Up Reports ....................................................................................................................................................................................22-3 22.6.1 Setting Up ECG Reports .............................................................................................................................................................22-3 22.6.2 Setting Up Tabular Trends Reports ........................................................................................................................................22-3 22.6.3 Setting Up Graphic Trends Reports .......................................................................................................................................22-4 22.6.4 Setting Up Realtime Reports ....................................................................................................................................................22-4 22.7 End Case Reports ........................................................................................................................................................................................22-4 22.8 Printer Statuses ...........................................................................................................................................................................................22-4 22.8.1 Printer Out of Paper .....................................................................................................................................................................22-4 22.8.2 Printer Status Messages .............................................................................................................................................................22-4 23 Other Functions ............................................................................................................................................................. 23-1 23.1 23-1 23.2 Setting DIAP Baud Rate ............................................................................................................................................................................23-1 23.3 Exporting the Log ......................................................................................................................................................................................23-1 23.4 Transferring Data ........................................................................................................................................................................................23-1 23.4.1 Data Export System .....................................................................................................................................................................23-2 23.4.2 Transferring Data by Different Means ...................................................................................................................................23-2 23.5 Nurse Call ......................................................................................................................................................................................................23-3 23.6 Network Setup ............................................................................................................................................................................................23-4 23.6.1 Setting the Network Type ..........................................................................................................................................................23-4 23.6.2 Wireless Network Connection .................................................................................................................................................23-4 23.6.3 Certificates Maintenance ...........................................................................................................................................................23-6 23.6.4 Setting the 23-6 23.6.5 Setting the Network Service Quality Level .........................................................................................................................23-7 23.6.6 Setting the Multicast Parameters ...........................................................................................................................................23-7 24 Batteries ......................................................................................................................................................................... 24-1 24.1 Overview .......................................................................................................................................................................................................24-1 Passport 12/Passport 8 Operator’s Manual 9

24.2 Safety .............................................................................................................................................................................................................. 24-2 24.3 Battery Guidelines ..................................................................................................................................................................................... 24-2 24.4 Installing or Replacing a Battery ........................................................................................................................................................... 24-3 24.5 Charging a Battery ..................................................................................................................................................................................... 24-3 24.6 Conditioning a Battery ............................................................................................................................................................................. 24-4 24.7 Checking Battery Performance ............................................................................................................................................................. 24-5 24.8 Storing a Battery ......................................................................................................................................................................................... 24-5 24.9 Recycling a Battery .................................................................................................................................................................................... 24-6 25 Care and Cleaning ......................................................................................................................................................... 25-1 25.1 General Points ............................................................................................................................................................................................. 25-1 25.2 Cleaning ........................................................................................................................................................................................................ 25-2 25.3 Disinfecting .................................................................................................................................................................................................. 25-3 25.4 Sterilization .................................................................................................................................................................................................. 25-3 26 User Maintenance ......................................................................................................................................................... 26-1 26.1 General Inspection .................................................................................................................................................................................... 26-1 26.2 Maintenance and Testing Schedule .................................................................................................................................................... 26-2 26.3 Checking Monitor and Module Information .................................................................................................................................... 26-3 26.4 ECG Verification .......................................................................................................................................................................................... 26-3 26.5 NIBP Leakage Test ...................................................................................................................................................................................... 26-3 26.6 CO2 Leakage Test ........................................................................................................................................................................................ 26-4 26.7 26-5 26.7.1 AG Leakage Test ............................................................................................................................................................................ 26-5 26.8 Calibrating the Touchscreen .................................................................................................................................................................. 26-5 26.9 Entering/Exiting Demo Mode ............................................................................................................................................................... 26-5 27 Accessories ..................................................................................................................................................................... 27-1 27.1 ECG Accessories .......................................................................................................................................................................................... 27-1 27.2 SpO2 Accessories ........................................................................................................................................................................................ 27-4 27.3 NIBP Accessories ......................................................................................................................................................................................... 27-4 27.4 Temp Accessories ....................................................................................................................................................................................... 27-5 27.5 IBP/ 27-6 27.6 C.O. Accessories .......................................................................................................................................................................................... 27-7 27.7 27-7 27.8 AG Accessories (for Passport 12 only) ................................................................................................................................................. 27-8 27.9 Micellaneous Accessories ....................................................................................................................................................................... 27-8 A Product Specifications ...................................................................................................................................................... A-1 A.1 Monitor Safety Specifications .................................................................................................................................................................... A-1 A.2 Power Supply Specifications ...................................................................................................................................................................... A-2 A.3 Physical Specifications ................................................................................................................................................................................. A-2 A.4 Hardware Specifications .............................................................................................................................................................................. A-3 A.5 Data Storage .................................................................................................................................................................................................... A-5 A.6 Wireless Network ............................................................................................................................................................................................ A-5 A.7 Measurement Specifications ..................................................................................................................................................................... A-6 10 Passport 12/Passport 8 Operator’s Manual

B EMC and Radio Regulatory Compliance .......................................................................................................................... B-1 B.1 EMC ...................................................................................................................................................................................................................... B-1 B.2 Radio Regulatory Compliance ................................................................................................................................................................... B-5 C Default Configurations ..................................................................................................................................................... C-1 C.1 Parameters Configuration ........................................................................................................................................................................... C-1 C.2 Routine Configuration ............................................................................................................................................................................... C-12 C.3 User Maintenance Items ........................................................................................................................................................................... C-16 D Alarm Messages ............................................................................................................................................................... D-1 D.1 Physiological Alarm Messages ................................................................................................................................................................. D-1 D.2 Technical Alarm Messages ......................................................................................................................................................................... D-3 E Symbols and Abbreviations ............................................................................................................................................. E-1 E.1 Symbols .............................................................................................................................................................................................................. E-1 E.2 Abbreviations ................................................................................................................................................................................................... E-2

Passport 12/Passport 8 Operator’s Manual 11

FOR YOUR NOTES

12 Passport 12/Passport 8 Operator’s Manual

1

Safety

1.1 Safety Information

WARNING



Indicates a potential hazard or unsafe practice that, if not avoided, could result in death or serious injury.

CAUTION



Indicates a potential hazard or unsafe practice that, if not avoided, could result in minor personal injury or

product/property damage.

NOTE



Provides application tips or other useful information to ensure that you get the most from your product.

1.1.1 Warnings

WARNINGS



Before putting the system into operation, the operator must verify that the equipment, connecting cables

and accessories are in correct working order and operating condition.



To avoid risk of electric shock, this equipment must only be connected to a supply mains with protective

earth. If a properly grounded power outlet is not available, operate the monitor on battery power.





The equipment is not intended to be used within the Magnetic Resonance (MR) environment.

To avoid an explosion hazard, do not use the equipment in the presence of oxygen-rich atmospheres,

flammable anesthetics, or other flammable agents (such as gasoline).



Before connecting the equipment to the power line, check that the voltage and frequency ratings of the

power line are the same as those indicated on the equipment’s label or in this manual.



Do not open the equipment housings. All servicing or future upgrades must be carried out by Mindray

trained and authorized personnel.





Do not come into contact with patients during defibrillation. Otherwise serious injury or death could result.

Do not rely exclusively on the audible alarm system for patient monitoring. Adjustment of alarm volume to

a low level or off may result in a hazard to the patient. Remember that alarm settings should be customized

according to different patient situations and always keeping the patient under close surveillance is the most

reliable way for safe patient monitoring.

Passport 12/Passport 8 Operator’s Manual 1-1

WARNINGS



PATIENTS WITH A PACEMAKER – On ventricular paced patients, episodes of Ventricular Tachycardia may not

always be detected. Do not rely entirely upon the system’s automated arrhythmia detection algorithm.

Keep pacemaker patients under close surveillance.



The physiological data and alarm messages displayed on the equipment should be reviewed by a clinician

before being used for diagnostic interpretation and treatment.



To avoid inadvertent disconnection, route all cables in a way to prevent a stumbling hazard. Wrap and

secure excess cabling to reduce risk of entanglement by patients or personnel.



Do not touch the equipment’s metal parts or connectors when in contact with the patient; otherwise patient

injury may result.



Never mix patient electrode types or brands. Dissimilar metals or other incompatibilities may cause

considerable baseline drift and may increase trace recovery time after defibrillation.



To reduce the hazard of burns during high-frequency surgical procedure, ensure that the monitor’s cables

and transducers never come into contact with the electro-surgery unit (ESU).



The neutral electrode of the electro-surgery unit (ESU) shall properly contact the patient. Otherwise, burns

may result.



Magnetic and electrical fields are capable of interfering with the proper performance of the equipment. For

this reason make sure that all external devices operated in the vicinity of the equipment comply with the

relevant EMC requirements. Mobile phone, X-ray equipment or MRI devices are a possible source of

interference as they may emit higher levels of electromagnetic radiation.

1.1.2 Cautions

CAUTIONS





Only use parts and accessories specified in this manual.

Disposable accessories are not designed to be reused. Reuse may cause a risk of contamination and affect

the measurement accuracy.



Always install or carry the equipment properly to avoid damage caused by drop, impact, strong vibration or

other mechanical force.





Dry the equipment immediately in case of rain or water spray.

Ensure that the patient monitor is supplied with continuous electric power during work. Sudden power

failure may lead to data loss.





This equipment is intended for single patient use.

Store and use the equipment in specified environmental condition. The monitor and accessories may not

meet the performance specification due to aging, stored or used outside the specified temperature and

humidity range.

1-2 Passport 12/Passport 8 Operator’s Manual

1.1.3 Notes

NOTES







Put the equipment in a location where you can easily view and operate the equipment.

During normal use, the operator is expected to face the front of the equipment.

The equipment uses a mains plug as a means of isolation to the mains power supply. Do not position the

equipment in a place difficult to operate the mains plug.







Remove the battery before shipping the monitor or if it will not be used for an extended period of time.

Keep this manual in the vicinity of the equipment so that it can be conveniently referenced when needed.

The software was developed in compliance with IEC60601-1-4. The possibility of hazards arising from

software errors is minimized.



This manual describes all features and options. Your equipment may not have all of them. They are not

available in all geographies.



At the end of its service life, the equipment, as well as its accessories, must be disposed of in compliance

with the guidelines regulating the disposal of such products. If you have any questions concerning disposal

of the equipment, please contact Mindray.



When disposing of the packaging material, be sure to observe the applicable waste control regulations and

keep it out of children’s reach.

1.2 Equipment Symbols

Some symbols may not appear on your equipment.

Caution

Refer to instruction manual/ booklet

Power ON/OFF (for a part of the

equipment)

Alternating current

Battery indicator

VGA output

Equipotentiality

USB connector

Graphical record

Network connector

Input/Output

Calibrate key

Inserted direction

Serial number

Zero key

Check sensor

Measure/standby

Gas outlet

Passport 12/Passport 8 Operator’s Manual 1-3

DATE OF MANUAFACTURE

Catalog number

Symbol for “MANUFACTURER”

Protected against vertically falling

water drops per IEC 60529

Electrostatic sensitive devices

DEFIBRILLATION-PROOF TYPE CF APPLIED PART

DEFIBRILLATION-PROOF TYPE BF APPLIED PART

The presence of this label indicates the machine was certified by ETL with the statement:

Conforms to AAMI Std ES 60601-1, IEC Std 60601-1-6, IEC Std 60601-1-8, IEC Std 60601-2-25, IEC Std

60601-2-26, IEC Std 60601-2-27, IEC Std 60601-2-34, IEC Std 60601-2-49, IEC Std 80601-2-30, ISO Std

80601-2-55, ISO Std 80601-2-56, ISO Std 80601-2-61

Certified to CSA Std C22.2 NO. 60601-1, NO. 60601-6, NO. 60601-1-8, NO. 60601-2-25, NO.

60601-2-26,NO. 60601-2-27, NO. 60601-2-34, NO. 60601-2-49, NO. 80601-2-30, NO. 80601-2-55, NO.

80601-2-56, NO. 80601-2-61

1-4 Passport 12/Passport 8 Operator’s Manual

2

The Basics

2.1 Intended Use

The Passport Series Patient Monitor ( Passport 8 and Passport 12) are intended to be used for monitoring, displaying,

reviewing, storing and alarming of multiple physiological parameters including ECG (3-lead, or 5-lead, or 12-lead

selectable), arrhythmia detection and ST Segment analysis, QT analysis, heart rate (HR), respiration (Resp), temperature

(Temp), pulse oxygen saturation (SpO2), pulse rate (PR), non-invasive blood pressure (NIBP), invasive blood pressure

(IBP), cardiac output (C.O.), carbon dioxide (CO2), and anesthetic gas (AG).

All the parameters can be applied to single adult, pediatric or neonatal patients with the exception of the following:



C.O. monitoring is restricted to adult patients only;



PAWP monitoring is not intended for neonatal patients;



The Mortara ECG Algorithm arrhythmia detection and ST Segment analysis is intended for adult and

pediatric patients. The Mindray ECG Algorithm arrhythmia detection is intended for adult and pediatric

patients, and the Mindray ECG Algorithm ST Segment analysis is intended for adult patients only.



12-lead monitoring and AG monitoring are available for Passport 12 Patient Monitor only.

The monitors are to be used in healthcare facilities by clinical physicians or appropriate medical staff under the

direction of physicians.

2.2 Applied Parts

The applied parts of the Passport 8/12 patient monitors are:

 ECG electrodes and leadwires,

 SpO2 sensor

 NIBP cuff

 Temp probes

 IBP transducer

 C.O. sensor

 CO2 sampling line/nasal sampling cannula, and water trap

 AG sampling line, water trap, and airway adapter

Passport 12/Passport 8 Operator’s Manual 2-1

2.3 Main Unit

2.3.1 Front View

1

2

3

4

5

6

7

8

9101112

1. Alarm lamp

When a physiological alarm or technical alarm occurs, this lamp flashes as defined below.



High level alarms:



Medium level alarms:



Low level alarms:

the lamp quickly flashes red.

the lamp slowly flashes yellow.

the lamp lights yellow without flashing.

2. Display Screen

3. AC power LED

2-2 Passport 12/Passport 8 Operator’s Manual

4. Power On/Off Switch



Pressing this switch turns the monitor on.



When the monitor is on, pressing and holding this switch turns the monitor off.

An indicator is built into this switch. It turns on when the monitor is on and turns off when the monitor is off.

5. Battery LED



On:



Off:

when the battery is installed and the AC source is connected.

when no battery is installed or the installed battery is malfunctioning, or no AC source is connected

when the monitor is powered off.



Flashing: when the monitor operates on battery power.

6.

7.

8.

9.

Alarm Reset: Press to reset the alarms.

Alarm Pause: Press to pause or restore alarms.

Freeze: Press to freeze or unfreeze waveforms.

Record: Press to start or stop recordings.

10. NIBP: Press to start or stop NIBP measurements.

11. Menu:

If no menu is currently displayed on the screen, pressing it enters the main menu. If a menu is currently displayed

on the screen, pressing it closes that menu.

12. Knob



Rotate the knob clockwise or counter-clockwise to move the cursor.



Press the knob to select one item, such as accessing a menu or confirming the selection.

Passport 12/Passport 8 Operator’s Manual 2-3

2.3.2 Side View

Passport 12

1

1

4

3

2

75

86

910

1.

3.

5.

Handle

Recorder

2.

4.

6.

Battery compartment

Parameter module slot

Temp probe 2 connector Temp probe 1 connector

7. IBP cable connector 8. SpO2 cable connector

9. ECG cable connector 10. NIBP cuff connector

2-4 Passport 12/Passport 8 Operator’s Manual

Passport 8

1

1

4

3

2

75

86

9

1.

3.

5.

Handle

Recorder

2.

4.

6.

Battery compartment

Parameter module slot

Temp probe 2 connector Temp probe 1 connector

7. SpO2 cable connector for 8. ECG cable connector

9.

NIBP cuff connector

Passport 12/Passport 8 Operator’s Manual 2-5

2.3.3 Rear View

Passport 12

3

1 24

65

7

1.

2.

AC Power Input

Equipotential Grounding Terminal

When using the monitor together with other devices, connect their equipotential grounding terminals together

to eliminate the potential differences between them.

3.

Parameter Module Slot

Used for connecting the parameter modules.

4. USB Connectors

Connects a USB drive for data or configuration transfer.

5. Multifunctional Connector:



Connects the monitor to external devices and outputs defibrillator synchronization signals, nurse call signals,

analog output signals, measurement numerics, and alarm limits of parameter modules.



Communicates with external devices via Datascope Improved ASCII Protocol (DIAP) protocol.2-6 Passport 12/Passport 8 Operator’s Manual

6. Network Connector

A standard RJ45 connector which connects the monitor to the central station (CMS) or other monitor for remote

viewing. It also connects the monitor to a PC for a system upgrade.

7. VGA Connector

Connects a secondary display, which extends the display capability of your monitor. The contents displayed on

the secondary display screen matches what displays on the monitor screen.

Passport 8

3

12

564

7

1. Equipotential Grounding Terminal

When using the monitor together with other devices, connect their equipotential grounding terminals together

to eliminate the potential differences between them.

2.

3.

AC Power Input

Parameter Module Slot

Used for connecting the parameter modules.

Passport 12/Passport 8 Operator’s Manual 2-7

4. Multifunctional Connector



Connects the monitor to external devices and outputs defibrillator synchronization signals, nurse call signals,

analog output signals, measurement numerics, and alarm limits of parameter modules.



Communicates with external devices via Datascope Improved ASCII Protocol (DIAP) protocol.

5. USB Connectors

Connects a USB disk for data or configuration transfer.

6. Network Connector

A standard RJ45 connector which connects the monitor to CMS or other monitor for remote view. It also connects

the monitor to PC for system upgrade.

7. VGA Connector

Connects a secondary display, which extends the display capability of your monitor. The contents displayed on

the secondary display screen accords with those displayed on the monitor screen.

2.4 Modules

1 2 3 4 5 6

1. IBP module: contains IBP cable connector

contains CO2 watertrap connector, and CO2 gas outlet.

contains IBP cable connector and C.O. cable connector.

contains IBP cable connector, C.O. cable connector, CO2 watertrap

connector, and CO2 gas outlet.

5.

6.

IBP+C.O. + microstream CO2 module:

IBP+C.O.+AG module (with O2):

contains IBP cable connector, C.O. cable connector, CO2 sampling

line connector, and CO2 gas outlet.

contains IBP cable connector, C.O. cable connector, AG watertrap

slot, and AG gas outlet. This module is for Passport 12 only.

2. Sidestream CO2 module:

3.

4.

IBP+C.O. module:

IBP+C.O. + sidestream CO2 module:

NOTE



The above modules with IBP connectors support two invasive blood pressures through an IBP extended

cable (PN: 040-001029-00).

2-8 Passport 12/Passport 8 Operator’s Manual

2.5 Display Screen

This patient monitor adopts a high-resolution LED screen to display patient parameters and waveforms. A typical

display screen is shown below.

1

234

5

67

1. Patient Information Area



This area shows date, time, and the patient information such as department, bed number, patient name and

8

9

indicates that no patient is admitted or the patient information is incomplete. If no patient category.

patient is admitted, selecting this area enters the [Patient Setup] menu. For admitted patients, selecting

this area enters the [Patient Demographics] menu.

2. Alarm Symbols



indicates alarms are paused.



indicates alarms are reset.



indicates alarm sounds are turned off.



indicates the system is in alarm off rt 12/Passport 8 Operator’s Manual 2-9

3. Technical Alarm Area

This area shows technical alarm messages and prompt messages. When multiple messages occur, the messages

scroll. Select this area and the technical alarm list displays.

4. Physiological Alarm Area

This area shows physiological alarm messages. When multiple alarms occur, the messages scroll. Select this area

and the physiological alarm list displays.

5. Waveform Area

This area shows measurement waveforms. The waveform name displays at the upper left corner of the waveform.

Select this area and the corresponding measurement setup menu displays.

6. Parameter Area A

This area shows measurement parameters. Each monitored parameter has a parameter window and the

parameter name displays at the upper left corner. The corresponding waveform of each parameter displays in the

same row in the waveform area. Select this area and the corresponding measurement setup menu displays.

7. Parameter Area B

For the digital parameters displayed in this area, their corresponding waveforms are not displayed.

8. Prompt Message Area

This area shows the current configuration name, prompt messages, network status icons, and battery status icons,

etc. For details about battery status symbols, refer to chapter 24 Batteries.

indicates the monitor is successfully connected to a wired network.





indicates the monitor has failed to connect to a wired network.



indicates the wireless function (optional) is working.



indicates the wireless function (optional) is not working.



indicates a USB drive is inserted.

9. QuickKeys Area

This area contains QuickKeys that provide quick access to functions.

2-10 Passport 12/Passport 8 Operator’s Manual

2.6 QuickKeys

A QuickKey is a configurable graphical key, located at the bottom of the main screen. They give you fast access to

functions. Their availability, and the order in which they appear on your screen, depend on your monitor

configuration.

The following QuickKeys are available:

Display more QuickKeys

Hide the QuickKeys

[Main Menu] QuickKey

Enter the [Main Menu]

[Standby] QuickKey

Enter Standby mode

[Alarm Setup] QuickKey

Change alarm settings

[Review] QuickKey

Review the patient’s data

[NIBP Measure] QuickKey

Enter the [NIBP Measurement] menu

[Stop All] QuickKey

Stop all NIBP Measurements

[Zero IBP] QuickKey

Zero IBP

[Realtime Print] QuickKey

Start the realtime print

[Print Setup] QuickKey

Print Setup

[Alarm Reset] QuickKey

Reset the alarms

[Alarm Pause] QuickKey

Pause or restore alarms

[Screens]

Change screen

[Patient Setup] QuickKey

Enter the [Patient Setup] menu

[Manual Event] QuickKey

Trigger a manual event

[Minitrends] QuickKey

Have a split-screen view of minitrends

[Volume Setup] QuickKey

Enter the [Volume Setup] menu

Passport 12/Passport 8 Operator’s Manual 2-11

[Load Config.] QuickKey

You can configure up to four QuickKeys on the screen. To select your desired QuickKeys:

1. Select [Main Menu]→[Maintenance >>]→[Manage Configuration >>]→enter the required password→[Ok].

2.

3.

4.

5.

In the [Manage Configuration] menu, select [Edit Config.>>].

In the pop-up menu, select the desired configuration and then select [Edit].

In the pop-up menu, select [Screen Setup >>].

Select the [Select QuickKeys] tab, and then configure your desired QuickKeys and the order of them.

Default configurations

[Start C.O.] QuickKey

Start cardiac output procedure

[Calculations] QuickKey

Perform calculations

[Others] QuickKey

Have a split-screen view of another patient’s conditions

[OxyCRG] QuickKey

Have a split-screen view of OxyCRG trends

[7-Lead ECG] QuickKey

Enter the full-screen 7-lead ECG screen

[Parameters] QuickKey

Enter the [Parameters] menu

[NIBP STAT] QuickKey

Start NIBP STAT measurement

[Unit Setup] QuickKey

Enter the [Unit Setup] menu

[PAWP] QuickKey

Enter the PAWP measurement screen

[CPB Mode] QuickKey

Enter the CPB mode

[Privacy Mode] QuickKey

Enter the Privacy mode

[Night Mode] QuickKey

Enter the Night mode

2-12 Passport 12/Passport 8 Operator’s Manual

3

Basic Operations

3.1 Installation

WARNING



Connect only approved devices to this equipment. Devices connected to the equipment must meet the

requirements of the applicable IEC standards (e.g. IEC 60950 safety standards for information technology

equipment and IEC 60601-1 safety standards for medical electrical equipment). The system configuration

must meet the requirements of the IEC 60601-1 medical electrical systems standard. Any personnel who

connect devices to the equipment’s signal input/output port is responsible for providing evidence that the

safety certification of the devices has been performed in accordance to the IEC 60601-1. If you have any

questions, please contact Mindray.



If it is not evident from the equipment specifications whether a particular combination with other devices is

hazardous, for example, due to summation of leakage currents, please consult the manufacturers or else an

expert in the field, to ensure the necessary safety of patients and all devices concerned will not be impaired

by the proposed combination.

CAUTION



The equipment should be installed by authorized Mindray personnel.

NOTE



The software equipment copyright is solely owned by Mindray. No organization or individual shall resort to

modifying, copying, or exchanging it or to any other infringement on it in any form or by any means without

due permission.

3.1.1 Unpacking and Checking

Before unpacking, examine the packing case carefully for signs of damage. If any damage is detected, contact the

carrier or Mindray.

If the packing case is intact, open the package and remove the equipment and accessories carefully. Check all

materials against the packing list and check for any mechanical damage. Contact Mindray in case of any problem.

CAUTION



When disposing of the packaging material, be sure to observe the applicable waste control regulations and

keep it out of children’s reach.



Before use, please verify whether the packages are intact, especially the packages of single use accessories.

In case of any damage, do not apply it to patients.

Passport 12/Passport 8 Operator’s Manual 3-1

NOTE



Save the packing case and packaging material as they can be used if the equipment must be reshipped.

3.1.2 Environmental Requirements

The equipment operating environment must meet the requirements specified in this manual.

The equipment operating environment should be reasonably free from noises, vibration, dust, corrosive, flammable

and explosive substances. To maintain good ventilation, the equipment should be at least 2 inches (5 cm) away from

surrounding objects.

When the equipment is moved from one place to another, condensation may occur as a result of temperature or

humidity difference. In this case, never start the system before the condensation disappears.

CAUTION



Make sure that the equipment operating environment meets the specific requirements. Otherwise

unexpected consequences, e.g. damage to the equipment, could result.



Put the equipment in a location where you can easily see the screen, access the operating controls, and

disconnect the equipment from AC power.

3.2 Getting Started

3.2.1 Connecting to Power Source

Using AC Power Source

To use the AC power source, connect one end of the power cord with the AC power input on the equipment’s back

panel and the other end with a wall AC mains outlet.

WARNING





Always use the accompanying power cord with the monitor.

Use the battery if the integrity of the protective earth conductor or the protective earthing system in the

installation is in doubt.

Using a Battery

This monitor can be equipped with rechargeable lithium-ion battery. If a battery is installed, the monitor system

automatically switches to the battery for power if AC power is interrupted.

NOTE



When a battery has been stored for a long time, or the battery is depleted, recharge the battery at once.

Otherwise, the low battery may not be sufficient to power the monitor if the AC power is unavailable.

Refer to Chapter 24 Batteries for detail.

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Connecting Accessories

Insert the connector of accessory cables necessary for the measurements to be performed by your monitor to the

corresponding connector on the monitor. For details about the parameter connectors, refer to 2.3.2 Side View

3.2.2 Turning Power On

Once the monitor is installed, before beginning measurements:

1. Check the monitor and plug-in modules for any mechanical damage, and make sure that all external cables,

plug-ins and accessories are properly connected.

2. Check the power supply specification is met if mains power is used. Only use a power outlet that is properly

grounded.

3. Plug the power cord into the AC power source. If you run the monitor on battery power, ensure that the battery

is sufficiently charged.

4.

The monitor will perform alarm system self-test during start-up. After pressing the power on/off button, the system

shows a “Loading…” screen, sounds a beep and the alarm lamp simultaneously turns yellow, then red, and then turns

off, followed by the start-up screen being shown. Then the start-up screen disappears. The alarm system self-test

succeeds. The monitor enters the normal monitoring screen.

Press the power on/off switch on the monitor’s front panel.

NOTE



Carefully check if the system performs the self-test as described above. Contact your service personnel or

Mindray if the self-test is abnormal.

WARNING



Do not use the monitor on a patient if you suspect it is not working properly, or if it is mechanically

damaged. Contact your service personnel or Mindray.

3.2.3 Starting Monitoring

1.

2.

3.

4.

5.

Decide which measurements you want to take.

Connect the required modules, patient cables and sensors.

Make sure that the patient cables and sensors are correctly connected.

Make sure that the patient settings, such as [Patient Cat.], [Paced], etc, are appropriate for your patient.

Refer to the appropriate measurement section for details of how to perform the measurements you require.

Passport 12/Passport 8 Operator’s Manual 3-3

3.3 Turning Off the Monitor

Before turning off the monitor,:

1.

2.

3.

4.

Ensure that the monitoring of the patient has been completed. .

Disconnect the cables and sensors from the patient.

Make sure to save or clear the patient monitoring data as required.

Press and hold the power on/off switch for more than 2seconds to turn off the monitor. “System is shutting

down…” is displayed on the screen and then the monitor shuts down.

CAUTION



Press and hold the power on/off switch for 10 seconds to forcibly shut down the monitor if it could not be

shut down normally. This may cause loss of patient data.



The monitor restores the latest configuration if it restarts within 60 seconds after a power failure. The

monitor restores the default configuration, rather than the latest configuration, if it restarts 120 seconds

after a power failure. The monitor may load either the latest configuration or the default configuration if it

restarts from 60-120 seconds after a power failure.



Power failure may cause data corruption on the SD card. It is recommended to turn off the monitor

according to the normal procedures. Do not directly unplug the power cord, unless a charged battery is

installed, or remove the battery before shutting down the monitor.

NOTE



To completely disconnect the power supply, unplug the power cord.

3.4 Using the Knob

 Rotate the knob clockwise or counterclockwise to move the cursor.

 Press the knob to select one item, such as accessing a menu or confirming the selection.

3.5 Using Keys

The monitor has three types of keys:

 Softkey: A softkey is a graphic key on the screen, giving you fast access to certain menus or functions. The

monitor has two types of softkeys:



Parameter keys: Each parameter area can be seen as a softkey. You can enter a parameter setup menu by

selecting its corresponding parameter or waveform area.



QuickKeys: QuickKeys are configurable graphical keys, located at the bottom of the main screen. For details,

refer to the section 2.6 QuickKeys.

 Hardkeys: A hardkey is a physical key on a monitoring device, such as the [Main Menu] hardkey on the monitor’s

front panel.

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 Pop-up Keys: Pop-up keys are task-related keys that appear automatically on the monitor screen when needed.

For example, the Confirm pop-up key appears only when you need to confirm a change.

3.6 Using the Touchscreen

Select screen items by pressing them directly on the monitor’s screen. You can enable or disable touchscreen

operation by pressing and holding the [Main Menu] QuickKey for 3 seconds. A padlock symbol

touchscreen operation is disabled.

displays if

3.7 Using the On-screen Keyboard

The on-screen keyboard enables you to enter information.

 Use the

 Use the

 Select

 Select

 Select

key to delete the previously entered character.

key to toggle between uppercase and lowercase letters.

to confirm what you have entered and close the on-screen keyboard.

to access the symbol keyboard.

to exit the symbol keyboard.

3.8 Using the Main Menu

To enter the [Main Menu], select the [Main Menu] on-screen QuickKey or the [Menu] hardkey on the monitor’s front

panel. Most of monitor operations and settings can be performed through this [Main Menu].

14

2

3

Passport 12/Passport 8 Operator’s Manual 3-5

Other menus are similar to the [Main Menu] and contain the following parts:

1.

2.

Heading: displays the title for the current menu.

Main body: displays options, buttons, prompt messages, etc. The menu buttons with “>>’’ open a secondary

window to reveal more options or information.

3.

4.

Online help area: displays help information for the highlighted menu item.

: select to exit the current menu. If changes are made in the menu, they take effect after selecting this button.

3.9 Setting the Screen

You can enter the [Screen Setup] window as shown below by selecting [Main Menu] → [Screen Setup] →

[Screen Layout >>]. In this window, you can arrange the positions of the parameters and waveforms. Unselected

parameters or waveforms will not display.

Area A

Area C

Area B

The ECG parameter and the first ECG waveform always display in the first row. The configurable areas can be classified

as Area A, Area B, and Area C.

 In Area A, you can choose to display the parameter windows and their waveforms (if one exists). Each parameter

and the associated waveform are displayed in the same row.

 In Area B, you can choose to display the parameter windows. But if all parameters in area C are set to [Off], both

the parameter and waveform selected in the first row of area B will be displayed.

 In Area C, you can choose to display the timer and any parameters without associated waveforms.

The screen automatically adjusts to ensure the best view based on your screen setup.

If no corresponding parameter or waveform displays after the module is inserted, perform the following inspections:

 Check the connection between the module and lead, cable, sensor, or external device.

 Enter the [Screen Setup] window for the desired display configuration by selecting [Main Menu] → [Screen

Setup] → [Screen Layout >>].

 Check that the parameter is turned on in [Parameters Switch] window.

3-6 Passport 12/Passport 8 Operator’s Manual

CAUTION



Unallocated parameters in the [Screen Setup] window will not display. However, the monitor still sounds

alarms for these parameters.

3.10 Displaying the Timer

To display the timer in the main screen:

1. Select [Main Menu]→[Screen Setup>>]→[Screen Layout >>] to access the [Screens] window.

2. Select [Screen Setup] tab.

3. In Area C, select [Timer] from the drop-down list of the desired parameter area. Refer to section 3.9 Setting the

Screen.

4. Select to exit the window. The main screen will display the timer.

 Select [Start] or [Pause] to start or pause timing.

 Select [Clear] to clear current timing result.

 Select [Setup] to access the [Timer Setup] window, in which you can set the [Direction] to [Up] or [Down]. If you

select [Down], you should set:



[Run Time(h:min:s)]: The available time range is 0 to 100 hours, and the default time is 5 minutes.



[Reminder Vol]: During the last 10 seconds of the countdown, the system issues reminder tone. The

available volume range is 0 to 10. 0 means off, and 10 the maximum volume.

3.11 Changing General Settings

This chapter covers only general settings such as language, brightness, date and time, etc. Refer to measurement and

other settings in their respective sections.

3.11.1 Setting up a Monitor

To install a monitor or change its location:

1. Select [Main Menu]→[Maintenance >>]→[User Maintenance >>]→enter the required password.

2.

Passport 12/Passport 8 Operator’s Manual 3-7

In the [User Maintenance] menu, set [Monitor Name], [Department] and [Bed No.], or edit their settings.

3.11.2 Changing Language

To change the language:

1. Select [Main Menu]→[Maintenance >>]→[User Maintenance >>]→enter the required password.

2.

3.

In the [User Maintenance] menu, select [Language] and then select the desired language.

Restart the monitor.

NOTE



The changed language is applied only after the monitor is restarted.

3.11.3 Adjusting the Screen Brightness

To adjust the screen brightness:

1.

2.

Select the [Main Menu]→[Screen Setup >>]→[Brightness].

Select the appropriate setting for the screen brightness. 10 is the brightest, and 1 is the dimmest.

If the monitor operates on battery power, setting a dimmer screen brightness will prolong the battery operating time.

When the monitor enters Standby mode, the screen automatically changes to the dimmest setting.

3.11.4 Showing/Hiding Help Text

The monitor provides online help information. The user can display or hide the help text as needed.

1. Select [Main Menu]→[Screen Setup >>].

2. Select [Help] and select either [On] or [Off].

3.11.5 Setting the Date and Time

To set the date and time:

1. Select [Main Menu] →[Maintenance >>]→[System Time >>].

2. Set the date and time.

3. Select [Date Format] and select either [yyyy-mm-dd], [mm-dd-yyyy] or [dd-mm-yyyy].

4. Select [Time Format] and select either [24h] or [12h].

If your monitor is connected to a central station (CMS), the date and time are automatically synchronized to that CMS.

In that case, you cannot change the date and time settings on your monitor.

CAUTION



Changing date and time affects the storage of trends and events and may cause data loss. Save or record

any needed data prior to changing the date and time.

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3.11.6 Adjusting Volume

Alarm Volume

To adjust the alarm volume:

1. Select the [Volume Setup] QuickKey, or [Main Menu]→[Alarm Setup >>]→ [Others].

2. Select [Alm Volume] and then select the appropriate volume: X-10, in which X is the minimum volume,

depending on the set minimum alarm volume (refer to the chapter Alarm), and 10 is the maximum volume.

Key Volume

When you press the navigation knob, the touchscreen, or the hardkeys on the panel, the monitor prompts you by

making a sound of the key volume you have set.

To adjust the key volume:

1. Select the [Volume Setup] QuickKey, or [Main Menu]→[Screen Setup >>].

2. Select [Key Volume] and then select the appropriate volume. 0 means off, and 10 is the maximum volume.

QRS Volume

The QRS tone is derived from either the HR or PR, depending on which is currently selected as the alarm source in

[ECG Setup] or [SpO2 Setup]. When monitoring SpO2, there is a variable pitch tone which changes as the patient’s

saturation level changes. The tone pitch rises as the saturation level increases and falls as the saturation level

decreases. The tone volume is user adjustable.

To adjust the QRS volume

1. Select the [Volume Setup] QuickKey, or the ECG parameter window→[Others >>], or the SpO2 parameter

window.

2. Select [QRS Volume] or [Beat Vol] and then select the appropriate volume. 0 means off, and 10 is the maximum

volume.

3.12 Setting Parameters

3.12.1 Switching the Parameters On/Off

To switch the parameters on or off, select [Main Menu]→[Screen Setup >>]→[Screen Layout >>]→[Parameters

Switch]. When a parameter is switched off, its corresponding parameter module stops working, and its parameter

value and waveform are not shown on the monitor display.

NOTE



ECG is always selected, and you can not switch it off.

3.12.2 Accessing the Parameters Menu

Select [Parameters >>] from the [Main Menu] or select corresponding parameter area or waveform area to access a

parameter setup menu.

Passport 12/Passport 8 Operator’s Manual 3-9

3.13 Operating Modes

Your monitor has different operating modes. Some are password protected. This section lists the major operating

modes.

3.13.1 Monitoring Mode

This is the normal, everyday working mode that you use for monitoring patients. Your monitor automatically enters

the Monitoring mode after being turned on.

3.13.2 Night Mode

To avoid disturbing the patient, Night mode may be used.

To activate the Night mode:

1.

2.

Select the [Night Mode] QuickKey or [Main Menu]→[Screen Setup >>]→[Night Mode >>].

In the pop-up menu, set the desired brightness, alarm volume, QRS volume, key volume, NIBP end tone, or

whether to stop NIBP measurements or not. When [Stop NIBP] is selected, all the NIBP measurements terminate

after entering the Night mode.

3.

To cancel the Night mode:

1. Select the [Night Mode] QuickKey or [Main Menu]→[Screen Setup >>]→[Night Mode >>].

Select the [Enter Night Mode] button.

2. Select [Ok] in the pop-up.

CAUTION



Before entering Night mode, confirm the brightness settings, alarm volume, QRS volume, and key volume.

Consider the potential risk when the setting value is low.

3.13.3 Privacy Mode

Privacy mode is only available when an admitted patient at a monitor is also monitored by the CMS.

To activate the Privacy mode, select [Main Menu]→[Screen Setup >>]→[Privacy Mode].

The monitor does the following after activating Privacy mode:

 The screen turns blank and the message [Under monitoring. Press any key to exit the privacy mode.] displays.

 Monitoring and data storing continue but patient data is only visible at the CMS.

 Alarms can still be triggered. But all audible alarms are suppressed and the alarm light is deactivated at the

monitor.

 All system sounds are suppressed, including heart beat tone, pulse tone, all prompt tones, etc.

3-10 Passport 12/Passport 8 Operator’s Manual

To cancel the Privacy mode, press any key.

The monitor exits the Privacy mode automatically in any of the following situations:

 The monitor disconnects from the CMS.

 The alarm [Battery Too Low] or [System will shut down soon. Please replace the batteries or use the

external power.] is presented.

The touchscreen is locked automatically in the Privacy mode.

WARNING



In Privacy Mode, all audible alarms are suppressed and the alarm light is deactivated at the monitor. Alarms

sound only at the CMS.

NOTE



The Privacy mode can be used only when the monitor is connected to a CMS.

3.13.4 Standby Mode

In Standby mode, you can temporarily stop patient monitoring without turning off the monitor. To enter the Standby

mode, select the [Standby] QuickKey .

Passport 12/Passport 8 Operator’s Manual 3-11

FOR YOUR NOTES

3-12 Passport 12/Passport 8 Operator’s Manual

4

Managing Patients

4.1 Admitting a Patient

The monitor displays physiological data and stores it in trends as soon as a patient is connected. This allows you to

monitor a patient that is not admitted yet. However, it is recommended that you admit a patient so that you can clearly

identify them on recordings, reports and networking devices.

To admit a patient:

1. Select the [Patient Setup] QuickKey, or [Main Menu]→[Patient Setup >>].

2. Select [Discharge Patient] to clear any previous patient data. If you do not erase data from the previous patient,

the new patient’s data is combined with the previous patient’s data. The monitor makes no distinction between the

old and the new patient data.

3. If [Discharge Patient] button appears dimmed, directly select [Admit Patient] and then select:



[Yes] to apply the data saved in the monitor to the new patient, or



[No] to clear the data saved in the monitor.

4. In the [Patient Demographics] menu, enter the demographic details, of which:



[Patient Cat.] allows the user to select patient size (Neo, Ped, Adu) which will determine the way your monitor

processes and calculates some measurements, and what safety and alarm limits are applied for your patient.



[Paced] determines whether to show pace pulse marks on the ECG waveform. When the [Paced] is set to [No],

pace pulse marks are not shown in the ECG waveform.

5. Select [Ok].

WARNING



The [Patient Cat.] and [Paced] fields always contain a value, regardless of whether the patient is fully

admitted or not. If you do not specify settings for these fields, the monitor uses the default settings from the

current configuration, which might not be correct for your patient.



For paced patients, you must set [Paced] to [Yes]. If it is incorrectly set to [No], the monitor could mistake a

pace pulse for a QRS and fail to alarm when the ECG signal is too weak.



For non-paced patients, you must set [Paced] to [No].

Passport 12/Passport 8 Operator’s Manual 4-1