mercury user manual for ver 8.0.10
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CONTENT
C O N T E N T. . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . .2
C H A P T E R 1 I N T R O D U C T IO N. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . .5
1.1 About the Manual .......................................................5
1.2 Safety Information ............................................................................................................ 5
1.3 Explanation of Symbols ................................................................................................... 7
1.4 Description of Abbreviation .............................................................................................. 9
C H A P T E R 2 O V E R V I E W O F M O N I T O R. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . .1 0
2.1 General Information ...................................................................................................... 10
2.2 Special Feature .............................................................................................................. 10
2.3 Appearance of Monitor ................................................................................................... 11
............................................................................................................................................. 11
2.3.1 Screen display ............................................................................................................. 112.3.2 Function buttons .................................................................................................................13
......................................................................................................................................................16
2.3.5 Rear panel ...........................................................................................................................16
2.4 Specification ................................................................................................................... 16
C H A P T E R 3 P A T I E N T S A F E T Y. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . .2 2
3.1 Environment................................................................................................................... 22
3.2 Condensation ................................................................................................................. 23
3.3 Grounding ..................................................................................................................... 23
C H A P T E R 4 G E T T IN G S T A R T E D. . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . .2 3
4.1 Unpacking and Inspection .............................................................................................. 23
4.2 Connect the Power Cables ............................................................................................ 24
4.3 Power on the Monitor ..................................................................................................... 24
4.4 Connecting Patient Sensors ........................................................................................... 24
4.5 Check the recorder ......................................................................................................... 24
C H A P T E R 5 M E N U T R E E O F O P E R A T I O N. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2 5
C H A P T E R 6 S Y S T E M M E N U. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . .3 6
6.1 Time ............................................................................................................................... 37
6.2 Volume ........................................................................................................................... 37
6.3 Printer ............................................................................................................................. 376.4 Color ............................................................................................................................... 39
6.5 Mode .............................................................................................................................. 39
6.6 Extend ............................................................................................................................ 41
C H A P T E R 7 T A B L E & T R E N D. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . .4 5
7.1 Table .............................................................................................................................. 46
7.2 BP table .......................................................................................................................... 47
7.3 GRAPH ......................................................................................................................... 47
7.3.1 HR ............................................................................................................................... 48
7.3.2 NIBP ............................................................................................................................ 48
7.3.3 SpO2 ........................................................................................................................... 49
7.3.4 ST ................................................................................................................................ 49
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7.3.5 CO2 ............................................................................................................................. 50
7.3.6 TEMP .......................................................................................................................... 50
7.4 OxyCRG ........................................................................................................................ 51
7.5 ALARM ........................................................................................................................... 51
7.6 Time ............................................................................................................................... 52
C H A P T E R 8 A L A R M a n d S IL E N C E. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . .5 3
8.1 Alarm Mode .................................................................................................................... 53
8.2 Alarm Setup ................................................................................................................... 53
8.3 Common Method of Alarm Setup ................................................................................... 54
8.4 Silence .......................................................................................................................... 55
C H A P T E R 9 E C G M O N I T O R I N G. . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .5 6
9.1 What is ECG MONITORING .......................................................................................... 56
9.2 Precautions during ECG Monitoring ..............................................................................56
9.3 Monitoring Procedure ..................................................................................................... 56
9.4 ECG Screen .................................................................................................................. 61
9.4.1 ECG displaying area ...........................................................................................................61
9.4.2 ECG waveform ...................................................................................................................61
9.5 ECG Menu ..................................................................................................................... 61
9.5.1 AMPLITUDE .....................................................................................................................62
9.5.2 ALARM .............................................................................................................................62
9.5.3 ECG ANALYSE and REPLAY ........................................................................................62
NOTE ........................................................................................................................................... 62
9.5.4 CASCADE or LEAD: ........................................................................................................67
The Mercury Patient Monitor adopts the standard 5-lead to detect the patients
electrocardiogram. When the ECG is 5-lead, the selectable leads are
aVL aVF aVR V1-V6, AUTO CASCADE When you select the STANDARD,
GRAPH EXT or IBP EXT mode in the MODE of SYSTEM SETUP, the cascade item is
available and be displayed in the ECG menu. ............................................................................67
9.5.5 SWEEP SPEED ..................................................................................................................68
9.5.6 OTHER ...............................................................................................................................68
9.6 Maintenance and Cleaning ............................................................................................ 69
C H A P T E R 1 0 N IB P M O N IT O R IN G. . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .6 9
10.1 Introduction .................................................................................................................. 69
10.2 Preparation for Cuff...................................................................................................... 70
10.3 NIBP Displaying Area .................................................................................................. 71
10.4 Operation of NIBP Monitoring ...................................................................................... 71
10.4.1 BP TYPE ............................................................................................................................71
10.4.2 ALARM ............................................................................................................................71
10.4.3 UNIT .................................................................................................................................72
10.4.4 CYCLE .............................................................................................................................72
10.4.5 MODE ...............................................................................................................................72
10.4.6 None-stop (STAT) ............................................................................................................73
10.5 Pressure Safety Protection .......................................................................................... 74
10.6 Maintenance and Cleaning .......................................................................................... 74
C H A P T E R 1 1 S P O 2 M O N IT O R I N G. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . .7 5
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11.1 What Is SpO2 Monitoring ............................................................................................. 75
11.2 Precautions during SpO2/Pulse Monitoring ................................................................. 75
11.3 Monitoring Procedure ................................................................................................... 76
11.4 SpO2 Displaying Area .................................................................................................. 77
11.5 Operation of SpO2 Monitoring ..................................................................................... 77
11.6 Maintenance and Cleaning .......................................................................................... 78
C H A P T E R 1 2 R E S P M O N IT O R I N G. . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . .7 9
12.1 How to Measure RESP ................................................................................................ 79
12.2 Setting up RESP Measurement................................................................................... 79
12.3 Procedures of RESP Measurement............................................................................. 79
12.4 RESP Displaying Area ................................................................................................. 80
12.5 Operation of RESP Monitoring ..................................................................................... 80
12.6 Maintenance and Cleaning .......................................................................................... 81
C H A P T E R 1 3 T E M P M O N I T O R IN G. . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . .8 2
13.1 Procedure of TEMP Measurement.............................................................................. 82
13.2 TEMP Displaying Area ................................................................................................. 82
13.3 Operation of TEMP Monitoring ....................................................................................82
13.4 Maintenance and Cleaning .......................................................................................... 83
C H A P T E R 1 4 IB P M O N IT O R IN G. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .8 4
14.1 Introduction .................................................................................................................. 84
14.2 Precautions during IBP Monitoring ............................................................................... 84
14.3 Monitoring Procedure ................................................................................................... 84
14.4 IBP Displaying Area ..................................................................................................... 85
14.5 Operation of IBP Monitoring ........................................................................................ 85
14.6 Maintenance and Cleaning .......................................................................................... 89
C H A P T E R 1 5 E t - C O 2 M O N I T O R IN G. . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . .9 0
15.1 Assembling the patient sampling circuit....................................................................... 91
15.2 Operation of Et-CO2 Monitoring ..................................................................................95
15.3 ET-CO2 calibration module ........................................................................................ 96
C H A P T E R 1 6 M A I N T E N A N C E A N D T R O U B L E S H O O T I N G. . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . .9 8
16.1 Maintenance ................................................................................................................. 98
16.2 Troubleshooting ......................................................................................................... 100
16.3 Warranty and Repair .................................................................................................. 100
16.3.1 Warranty and repair content .................................................................................... 100
16.4 Storage and Transportation .......................................................................................101
A p p e n d i x. . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . .1 0 1
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CHAPTER 1 INTRODUCTION
1.1 About the Manual
This manual explains how to set up and use the Mercury Patient Monitor. Important safety
information relating to general use of the Mercury Patient Monitor appears before this
manual. Other important safety information is located throughout the text where appropriate.
Before the use of the Mercury Patient Monitor, the user must carefully read this manual so
that the user can operate the Mercury Patient Monitor properly and make it reach the
specific safety standard and performance index.
1.2 Safety Information
The Mercury Patient Monitor is to be operated by qualified personnel only. Before use,
carefully read this manual, directions for use of any accessories, all precautions, and all
specifications. The user must check that the equipment functions safely and ensure that
it is in proper working condition before being used.
The Mercury Patient Monitor is intended for use only as an adjunct in patient
assessment. It must be used in conjunction with clinical signs and symptoms.
To avoid an electrical hazard, never immerse the unit in any fluid or attempt to clean it
with liquid cleaning agents. Always disconnect monitor from AC Main Power before
performing cleaning of maintenance.
If monitor becomes accidentally wet during use, discontinue operation of the monitor
until all affected components have been cleaned and permitted to dry completely.
Contact our local representative if additional information is required.
Connect the monitor to a three-wire, grounded, hospital-grade receptacle.
By replacing the fuse, please use the safety device of the same type and rated fuse.
Before use the equipment, inspect whether all the cables are in good condition, the
damaged cables and connectors must be replaced. Operator should examine whether
the system is in correct working state and operating condition.
As with all medical equipment, carefully route patient cabling to reduce the possibility of
patient entanglement or strangulation.
To avoid monitor fall, secure monitor on the shelf or bracket prior to use.
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Be sure to use defi-protected electrodes and ECG cable if the monitor is used with
defibrillation equipment.
If any parameters displayed on monitor and working station are not accurate, adopt the
other methods to diagnosis patient.
The medical equipment must be manipulated by personnel who have already got
relative training of operation.
For safe and accurate operation, use only our company recommended patient cable,
lead wires, cuffs, hose, sensors, tubing, etc. Request for the special children or infant
accessories when monitor infant.
Single use devices should never be reused.
Do not use the monitor in the presence of a flammable anesthetic mixture with air or with
oxygen or nitrous oxide.
The system may not conform to all performance specifications if stored or used outside
the environmental specification identified in specification.
If the accuracy of any measurement does not seem reasonable, first check the patients
vital signs by alternate means and then check the Mercury Patient Monitor for proper
functioning.
Alarm must be set up according to different situation of individual patient. Make sure that
audio sound can be activated when alarm occurs.
When an X appears in the Alarm Bell symbol, the audible alarm tone will not sound for
any reason.
Do not only depend on the alarm system, the doctor and nurse will not draw attention
when an alarm turn down or turn off.
When connecting the monitor to any instrument, verify proper operation before clinical
use. Refer to the other devices manual for full instructions. Accessory equipment
connected to the monitors data interface must be certified according to IEC Standard
60601-1 for electro medical equipment. All combinations of equipment must be in
compliance with IEC Standard 61601-1-1 systems requirements. To avoid potentially
hazardous leakage currents, always check the summation of leakage currents when
several item of equipment are interconnected.
For proper equipment maintenance, perform the service procedures at therecommended intervals as described in the manual.
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If the Mercury Patient Monitor needs to be used continuously long-term, please note to
connect the Mercury Patient Monitor with the main power supply by the alarm of battery,
otherwise, the Mercury Patient Monitor will automatically shut down, which leads to the
break-off of the monitoring.
Do not use the Mercury Patient Monitor during Magnetic Resonance Imaging (MRI)
scanning. Induced current could potentially cause burns. The Mercury Patient Monitor
may affect the MRI image, and the MRI unit may affect the accuracy of the Mercury
Patient Monitor measurements.
Do not place the monitor in any position that might cause it to fall on the patient. Do not
lift the monitor by the power supply cord or patient connections.
The monitor can monitor only one patient synchronously.
As to the other points for attention, please carefully read the relevant chapter in this
instruction.
1.3 Explanation of Symbols
AttentionRefer to the relevant theprompt.
Class II Equipment
Resistant defibrillator
BF type equipmentHeart Beat Detected
Power on/off Rotated knobCounter-clockwiseand clockwise
Alarm on Alarm off
Sound on Silence
System setup menu Trend menu
Equi-potential grounding
terminal
AC
50/60 HZ
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Fuse
This symbol indicates that the instrument is IEC 60601-1 Type CF equipment. Theunit displaying this symbol contains an F-type isolated (floating) patient applied part
providing a high degree of degree of protection against shock, and is suitable for use
during defibrillation.
This item is compliant with Medical Device Directive 93/42/EEC of 14 June 1993,
a directive of the European Economic Community.
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1.4 Description of Abbreviation
HR:
ECG:
heart rate
2-channel or 7-channel ECG waveform
SPO2: arterial oxygen saturation
SpO2 Plethysmogram
NIBP: non-invasive blood pressure
IBP: invasive blood pressure
IBP1 SYS, DIA, MAP
IBP2 SYS, DIA, MAP
Dual-IBP waveforms
S: Systolic
M: mean blood pressure
D: Diastolic
PR: pulse rate
RR: respiration rate
Respiration Waveform
TEMP: temperature channel 1
temperature channel 2
Temperature Difference between two
channels (TD)
Et CO2: end-tidal CO2 concentration
Ins CO2 Inspired Minimum CO2
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CHAPTER 2 OVERVIEW OF MONITOR
2.1 General Information
The Mercury Patient Monitor is a portable Mercury Patient Monitor that has abundant
monitoring functions and is used for the clinical monitoring of adult, pediatric and neonate. In
addition, the user may select the different parameter configuration according to different
requirements.
The Mercury Patient Monitor can be connected to the central monitoring system via our
companys network so as to form a network monitoring system.
2.2 Special Feature
10.4 active matrix TFT, CRT can be connected simultaneously
Portable, compact, AC power and internal rechargeable battery
Anti-high-frequency electrosurgical equipment
Optional inner printer with 3 channels wave or external printer
13 kinds of Arrhythmia analysis, S-T segment and HRV analysis
300 seconds ECG waveforms review,100 items alarm event records
72-hour Trend for NIBP, SPO2, HR, ST and 72-hour data records
Display 9 waveforms maximum in the screen
Display 7-lead ECG waveforms in one screen simultaneously
3-level audible and visual alarm
The Drug dose Calculation
Adjust volume more accurately by digital system
Menu design adopts Huffman decode, operating more effectively
Support Ethernet, wireless LAN and could connect with Central monitoring system
Multi-language version: English, Spanish, Turkish, German, Polish, etc.
Optional Dual-IBP, Et-CO2, Built-in thermal recorder
Application from adult to neonate
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2.3 Appearance of Monitor
Fig.2-1
2.3.1 Screen display
The display of Mercury Patient Monitor is TFT LCD, which displays the patient parameters,
waveforms, historical data and monitor status.
The screen is divided into six areas: (1) monitor status, (2) waveforms, (3) the table of historical
data, (4) parameters (5) menu (6) frame of menu status.
Monitoring status frame
Fig. 2-2
Bed No.: Indicates the bed number of the patient being monitored when the Mercury Patient
Monitor is connected with the Central Monitoring System Workstation.
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2 3
4
5
6
8
9
1
12
14
13
15161718
19
7
1
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DEMO: indicates the device is in DEMO monitoring mode now. In clinical application, this
function is not recommended because the DEMO will mislead the hospital workers to treat
the waveform and parameter as actual data of the patient, which may result in delay of
treatment or mistreatment.
Start time: indicates the time powered on the monitor, it shows in 13:14.
Current time: indicates the date and the current time, it shows in 11/17/2005, 13:40:20
Graphic displaying area
The graphic area can maximally display 4 or 6 or 9 waveforms. The displaying order of the
waveforms on the screen can be adjusted. The colour of waveforms matches with the
parameters on the right of the screen. For the maximum configuration, the waveforms
provided by the system for selection are (from up to down):
2 -lead or 7-lead ECG waveforms
2-lead :when you select the STANDARD mode, it will display 2-channal ECG waveforms.
The two channels of ECG waveforms show different leads, lead selection is
III III aVL aVRaVFV1-V6 ,you can set it as you like, the lead status of showing
waveform displays on the left of ECG waveform.
7-lead: when you select the ECG EXT(ECG extension) mode, it will display 7-channal
ECG waveforms. The seven channels of ECG waveforms show different leads, the lead
status of showing waveform displays on the left of ECG waveform. Please refer to chapter 6
Display Mode
SpO2 waveform
RESP waveform
There are two ways to gain RESP waveform, trans-thoracic impedance and Et-CO2
(optional).If operator selects Et-CO2 (side stream) to monitor the patients respiration, the
CO2 waveform will instead of the RESP waveform acquired by Trans-thoracic impedance.The detailed operation please refer to Chapter14 Et-CO2 Monitoring
2 IBP waveforms(option)
If operator selects IBP operation, the table of historical data will be instead of 2 IBP waveforms.
The detailed operation, please refer to Chapter 13 IBP monitoring.
Numeric displaying area
The numeric area lies on the right side of the graphic area, which includes:
ECG: heart rate (uni t: beats/minute)
NIBP: from left to right, there are Systolic pressure, Mean pressure and Diastolic pressure (unit: mmHg or kPa)
IBP: the BP of channel 1 and 2. From left to right, there are Systolic pressure, Mean pressure
and Diastolic pressure (unit: mmHg or kPa)
SpO2: SpO2(unit: %)
Pulse rate (unit: beats/minute)
RESP: respiration rate (unit: breaths/minute)
TEMP: temperature of channel 1 and 2 (unit: or )
Et-CO2: unit: mmHg or kPa
Menu
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The menu always occupies the fixed position on the bottom of the screen; user can set the
system and perform operation.
Frame of menu status Silence on/off: shows the status of silence on or off the detailed
Operation please refers to Chapter 8 Alarm and Silence.
Alarm on/off: shows the status of alarm on or off , the detailed operation please
refer to Chapter 8 Alarm and Silence.
Table&Trend: the function is for operator observing the patients latest 72 hours change,
including historical data table, HR, NIBP, SpO2, ST,TEMP,CO2, the detailed operation
please refer to Chapter 7 Table&Trend.
System setup: you can configure various aspects of the monitor, including system time,
simulation, print setup, color, display wave mode, language, etc., The detailed operation
please refers to Chapter 6 System Menu.
Menu bar: it shows the different menus of every operation, the detailed operationplease refer
to Chapter 6 to Chapter 14.
2.3.2 Function buttons
Fig.2-3
1 Alarm
ALARM button, pressing the button will prohibit all the technically audio alarm and
physically audio alarm for 3 minutes. The audio alarm function will be restoredautomatically after 3 minutes or be activated when new alarm occurs. As pressing the
button, the icon in menu status shows which indicates all the audio alarms have
been shut off. And there will be the information of 180s count down for alarm on the top of
the screen
NOTE
When mark appears, the system can not give the audio alarm prompt.
Therefore, the operator should use this function carefully.
2Silence
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SILENCE button, when pressing the button, this mark appears in the menu status,
indicating that all kinds of sound including the audio alarm and heart beep have been
manually muted until the button has been pressed again, the system will immediately
restore the normal status, and the icon shows as
3FreezeFREEZE button, pressing the button can freeze the waveform of ECG. The screen
displays two traces of ECG waveform. When one trace is active, pressing the FREEZE
button will freeze another trace. Pressing FREEZE button again will restore the normal
monitor status. In ECG EXT, 7-leads ECG waveforms are frozen once you press
FREEZE button.
4Start/Cancel (NIBP)
START/CANCEL (NIBP) BP measuring button, pressing the button will inflate the cuff to
start a new NIBP measurement. When measuring, press to cancel the measurement and
deflate the cuff, including the CYCLE and STAT (NOT STOP) measuring mode.
5Print
PRINT button, pressing this button will motivate the recorder or desktop printer to output
the results if the monitor is equipped with them.
(6) Menu (Refresh)
Main MENU button, pressing the button will exit the submenu and refresh the screen.
7Rotary Knob
The method of using the knob to execute the operation:
Rotary knob is just like the cursor of computer. When operator rotates the knob on the icon
where the operation is wanted, the icon will be automatic highlight. Then pressing the knob,
operator will open the setup menu of the corresponding parameter so as to set up themenu.
(8) Power Supply Indicator
Indicating the power supplying state of the monitor
Orange: 220VAC main power supplying
Orange and flash: 220VAC main power supplying and battery being charged
Green: internal battery power supplying and 50% power has been consumed.
2.3.3. Side Panel
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The operator uses the rotary knob to select the menuitem and modify the setup. It can be rotated
clockwise or counter-clockwise and pressed like
other buttons. The operator uses the knob to realize
the operations.
Fig. 2-4
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Fig.2-5
(1) ECG socketconnect ECG 5-lead wire with 6 PIN connector
(2) NIBP socketconnect NIBP cuff with extension tube
(3)(4) IBP (IBP1, IBP2) socket: Single, Dual-channel (optional)
(5)(6) Temperature socket: connecting the TEMP probe
(7)SPO2 socketconnect the SpO2 sensor with 5 PIN extension cable
2.3.4 Recorder
Fig. 2-6
A thermal array recorder with standard 50mm (+1/-1) wide printout paper is used forMMED6000DP portable Mercury Patient Monitor. Detailed information please refers to Section
6.3 Printer Setup.
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NOTE
The thermal array recorder should be installed by the adequate technician.
240/1, Periyacolony, Athipet,Ambattur, Chennai-600058.www.akasmedical.com
AKAS Medical
Model No. :S.No. : L08091258
FORSUPPORT
Fig.2-7
2.3.5 Rear panel
(1) Power switch
(2) NET: network access point: connecting with the central monitoring system through the
standard RJ-45.
(3) CRT: exteriorly connecting screen and standard VGA.
(4) Printer: this connector is reserved now.(5) DC SOCKET: 15V
(6) Equivalent electric ground access for connecting with the hospitals grounding system.
2.4 Specification
Environment
The operation environment should comply with the following conditions:
Operating Temperature: 5 to 45
Relative Humidity: 0 to 80%, non-condensing
Height of sea level: -500m ~ 4600m
The transport and storage environment should comply with the following conditions:Storage Temperature: -20 to 70
Relative Humidity: 0 to 93%, non-condensing
Height of sea level: -500 m~ 13100m
Display
Type: 640X480 pixel color TFT
Screen Size: 10.4 inch diagonal
Displayed Parameters
Time: Battery-backed quartz crystal clockAlarms: High and low limits selectable on patient parameters
ECG: ECG Waveform Scale
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Heart Rate: Derived from ECG or SPO2
NIBP: Pressure (systolic, mean and diastolic)
Pulse Oximeter: Pulse Rate, Pulse waveform, and percent saturation.
Respiration Rate: Respiration rate derived from ECG.
Trends: HR,RR,NIBP, ST,TEMP ,CO2 and SpO2
Temperatures: Two channelsTrace Freeze Traces A or B
ECG
Protected against defibrillator and electro surgery potentials
Standard Lead I, II, III, AVL, AVR, AVF, Vx
Display Gain Scales 2.5mm/mV,5mm/mV,7mm/mV,10mm/mV,15mm/mV,
20mm/mV, 25mm/mV
Sweep Speed 6.25 mm/s,12.5mm/s, 25mm/s, 50mm/s
Input Resistance > 5M Ohm (at 10 Hz, not including patient cable)
Frequency Response 0.05Hz-100Hz (3dB)CMRR >80dB
Electrode Offset potential Maximum 0.3V
Baseline Recovery
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Technique Oscillometric method (with inflatable cuff)
Determines systolic, diastolic and mean arterial pressures.
Patient Types Adult, Pediatric and Neonatal
Cuff Inflation Time 3-15 seconds depending on cuff size.
Cuff Inflation Pressure Adult/Pediatric/Neonatal, Subsequent inflation pressures
determined by last measured systolic pressure.Measurement Modes Manual: Immediate upon operator command
AUTO: Determinations automatically made with selectable
intervals
STAT: Determinations continues in 5 minutes
First Inflation Measurement Adult/Pediatric/Neonatal
Measurement Interval Time 1-240min
Step:1min(1-10min),5min(10-30min),10min(30-90min),
30min(90-240min)
Measurement Range Adult
Systolic 30-255mmHgDiastolic 15-220mmHg
Mean Arterial 20-235mmHg
Measurement Range Infant
Systolic 30-135mmHg
Diastolic 15-110mmHg
Mean Arterial 20-125mmHg
Pressure Resolution 1mmHg
Accuracy Cuff Pressure Range: 0 to 275mmHg
Pressure Span Accuracy: 3mmHg
Mean difference: 5mmHg
Standard deviation: 8mmHg
Determination Time Typically 25seconds.Varies with patients pulse rate, pulse
pressure and amount of artifact present.
Overpressure Valve
Adult/Neonate
Automatically releases cuff pressure if inflation pressure
exceeds 280mmHg/150mmHg
Overtime Protection
Adult/Neonate
Stop determinates if the measurement time exceeds
120s/90s.
Alarm delay Pressure high and low limits alarm delay
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CO2 (Optional)
Sensor Operating
Principle
Infrared Spectroscopy
CO2 Range 0% to 13%
CO2 Accuracy 2 mmHg @ < 5.0% CO 2 (at ATPS)
< 10% of reading @ > 5.0% CO 2 (at ATPS)
Breath Rate 2 - 150 bpm
Response Time Detector
28 mSec (typical)
System 100 mSec ( typical)
(Dependent Upon Implementation, Pneumatics and WaterSeparation Technique)
Flow adjustable 50ml/min100ml/min
150ml/min
IBP (Optional)
Power Requirements
Alarm Range
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Technique Resistance
Channel 2 (T1 and T2)
Scales F. Or C.
Probes Resistive; recta and skin (reusable and disposable)
YSI 400 Series types
Range 0-50Revolution 0.1
Accuracy 0.1
Alarm delay Body temperature high and low limits alarm delay
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Parameter HR
(bpm)
Systolic
(kPa)
(mmHg)
Diastolic
(kPa)
(mmHg)
Mean
Arterial (kPa)
(mmHg)
SPO2
(%)
RR
rpm
TEM
F
CO2
(mmHg)
PR
(bpm)
High Range 40-300 12.0-34.0
90-255
8.0-29.3
60-220
4.6-29.3
35-220
80-100 10-120 25.5-45
77.9-113
20-75 30-300
Low Range 20-160 8.0-29.3
60-220
4.0-24.0
30-180
4-26.6
30-200
70-99 5-80 25-44.5
77-112.1
5-70 15-290
Default Alarm Setup
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CHAPTER 3 PATIENT SAFETY
The portable Mercury Patient Monitor is designed to comply with the International Safetyrequirements for medical electrical equipment. This device has floating inputs and is protected
against the effects of defibrillation and electro surgery. If the correct electrodes and ECG cable
are used and applied in accordance with the manufacturer instructions, the screen display will
recover within 10 seconds after defibrillation.
3.1 Environment
Follow the instructions below to ensure a completely sage electrical installation. The
environment where the Mercury Patient Monitor Portable Mercury Patient Monitor will be used
should be asonably free from vibration, dust, corrosive or explosive gases, extremes of
temperature, humidity, and so on. For a cabinet mounted installation, allow sufficient room at the
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Parameter HR
(bpm)
Systolic
(kPa)
(mmHg)
Diastoli
c (kPa)
(mmHg
)
Mean
Arterial
(kPa)
(mmHg)
SPO2
(%)
RR
rpm
TEM
F
CO2
(mmH
g)
PR
(bpm)
High Range 120 21.3160
12.695
14.6110
100 20 39.5103.1
50 140
Low Range 50 12.0
90
8.0
60
8.0
60
80 5 36
96.8
20 60
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front for operation and sufficient room at the rear for servicing with the cabinet access door
open.
The Mercury Patient Monitor operates within specifications at ambient temperatures between
0 and 40 . Ambient temperatures that exceed these limits could affect the accuracy of the
instrument and cause damage to the modules and circuits. Allow at least 2 inches (5cms) spacearound the instrument for proper air circulation.
3.2 Condensation
Make sure that during operation, the instrument is free of condensation. Condensation can form
when equipment is moved from one building to another, thus being exposed to moisture and
differences in temperature.
3.3 Grounding
To protect the patient and hospital personnel, the cabinet of The Portable Mercury Patient
Monitor must be grounded. Accordingly, The Portable Mercury Patient Monitor is equipped with
a detachable 3-wire cable which grounds the instrument to the power line ground (protective
earth) when plugged into an appropriate 3-wire receptacle. If a 3-wire receptacle is not available,
consult the hospital electrician. If the capacity of the protective grounding wires is in doubt, the
equipment must be operated with internal power supply.
CHAPTER 4 GETTING STARTED
NOTE
To ensure that the monitor works properly, please read Chapter 3, and follow the steps
before using the monitor.
4.1 Unpacking and Inspection
Open the package and take out the monitor and accessories carefully. Keep the package for
possible future transportation or storage. Check the components according to the packing list.
Check for any mechanical damage.
Check all the cables, modules and accessories.
If there is any problem, contact the distributor immediately.
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4.2 Connect the Power Cables
Connection procedure of the AC power line:
Make sure the AC power supply complies with following specification: 100-240 (VAC), 50/60
(Hz)
Apply the power line provided with the monitor. Plug the power line to the power socket on the
rear panel (Socket (5)).
Connect the other end of the power line to a grounded 3-phase power output.
NOTE
Connect the power line to the jack special for hospital usage.
The battery needs to be charged after transportation or storage. If the power
supply is not properly connected before turning on the monitor, it may not work
properly because of insufficient power. Connect the power supply to charge the
battery.
4.3 Power on the Monitor
Press POWER (on the rear panel) to power on the monitor. Then a beep will be heard and the
self-test will last for about 10 seconds. When the system will enter monitoring status, then you
can perform normal monitoring.
NOTE
Check all the functions that may be used to monitor and make sure that the monitor
is in good status.
The battery must be recharged to the full electricity after each use of monitoring soas to reserve sufficient power in battery.
WARNING
If any sign of damage is detected, or the monitors display some error message, do
not use it on any patient. Contact the biomedical engineer in the hospital or the
distributor immediately.
NOTE
The interval between twice presses of POWER should be more than 1 minute.
4.4 Connecting Patient Sensors
Connect all the necessary patient sensors between the monitor and the patient.
NOTE
For information on correct connection, refer to related Chapter.
4.5 Check the recorder
If your monitor is equipped with a recorder, open the recorder door to check if paper is properly
installed in the output slot. If no papers present, do not press PRINT function button.
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CHAPTER 5 MENU TREE OF OPERATION
For giving operators a succinct direction about operations, the following MENUTREE shows the
overview of all the settings, it can guide you to operate the system simply.
To get more information for each setting, you can refer to each Chapter.
For the monitor working properly, you should pay attention to the following NOTE.
PROMPT
Color: there are 15 colors for each parameters, the clockwise sequence is: red, purple,
brown, light blue, blue, peak green, aqua, rosiness, pink, yellow, white, black, sky blue,
green, cyan. Youd better keep the background color to black for getting the better view.
SYSTEM: the function is set by manufacturer, please keeps them constant.
NIBP mode: if the inflating pressure is selected between 70~120mmHg, the monitoringpatient should be neonate; if the inflating pressure is selected between 140~180mmHg, the
monitoring patient is adult.
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MENU TREE:
DAY
MENU
SYSTEM
SETUP
TIME
MONTH
YEAR
HOUR
MINUTE
SECOND
VOLUME
1-7
PRINT SETUP TYPE
CS-TR48
GRID ON
OFF
TIME 5SECONDS
10SECONDS
15SECONDS
20SECONDS
25SECONDS
30SECONDS
ALARM PRINT ON
OFF
CYCLE OFF
1--480MIN
PRINT WAVE
NONE
ECG
SPO2
COLOR NIBP RESP
SPO2 ECG+SPO2
RESP ECG+RESP
TEMP SPO2+RESP
ECG 3 CHANNELS
BACKGROUD
MODE STANDARD
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GRAPH EXT
IBP EXT
ECG EXT
LARGE FONT
EXTEND
SYSTEM
DEMO
MESSAGENAME
SEX
AGE
SWITCH
FANALARM
HIGH
SETUPSEND
RECEIVE
SPFC
BED
RETURN
TABLE&TREND
TABLE>> .>> CHART
BP TABLE>> .>> CHART
GRAPH
HR
NIBP
SPO2
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ST
CO2
TEMP
OxyCRG>> .>> CHART
ALARM>> .>> CHART
ERASE? >> >> Erased
TIME 8h
24h
72h
ALARM
HR
HIGH
LOW
ALARM OFF
High
Medium
Low
LEADOFF ALARM ON
OFF
NIBP
SYSTOLIC
HIGH
LOW
MEAN HIGH
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LOW
DIASTOLIC
HIGH
LOW
ALARM OFF
HIGH
MEDIUM
LOW
CALIBRATE
SPO2
PR ALARM PR HIGH
PR LOW
ALARM ON
OFF
PROBEOFFALARM
ON
OFF
HIGH
LOW
ALARM OFF
HIGH
MEDIUM
RESP
HIGH LOW
LOW
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ALARM OFF
HIGH
MEDIUM
LOW
APNEAON
OFF
TEMP
HIGH
LOW
ALARM OFF
HIGH
MEDIUM
LOW
DIFFERENT_LIMIT 0.0--20.0
OFF
CO2
HIGH
LOW
ALARM OFF
HIGH
MEDIUM
LOW
SOUND
2.5mm/mV
5mm/mV
7mm/mV
10mm/mV
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15mm/mV
ECG
AMPLITUDE 20mm/mV
25mm/mV
ALARM
HIGH
LOW
ALARM OFF
HIGH
MEDIUM
LOW
LEADOFF ALARM ON
OFF
ANALYSIS& REPLAY
ST SETUP
POSITIVE
NEGATIVE
ALARM
REPLAY QUICK
NORMAL
SLOW
TIME
HR V>> >> CHART
ANA ON
OFF
HR A FAST
SLOW
ANALYSIS
NIBP CTR
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CASCADE(STANDARD)
ON
OFF
LEAD(ECG EXT)
---Vx
SPEED 6.25mm/s
12.5mm/s
25mm/s
50mm/s
OTHER FILTER OPERATION
MONITOR
DIAGNOSIS
OFF
BEEPON
OFF
HR FROMECG
SPO2
BP
TYPE BP
(IBP EXT)
NIBP
IBP1
IBP2
ALARM
SYS
HIGH
LOW
MEAN
HIGH
LOW
DIAS
HIGH
LOW
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ALARM OFF
High
Medium
Low
CALIBRATE
UNIT
mmHg
kPa
CYCLE MANUAL
1-240m
MODE AUTO
70-180 mmHg
STAT(NON-STOP) ON
OFF
SPO2
AMPLITUDE
1-5
AVERAGE 4
8
16
PR SOUND ON
OFF
ALARM
PR ALARM
PR HIGH
PR LOW
ALARM
PROBEOFFALARM
ON
OFF
HIGH
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LOW
ALARM OFF
HIGH
MEDIUM
LOW
WAVEFORM FILL
LINE
RESP
AMPLITUDE
1-12
TYPE
IMPEDAN
CO2
ALARM
HIGH
LOW
ALARM OFF
HIGH
MEDIUM
LOW
APNEA OFF
5-90 SECONDS
CO2 SETUP
HIGH
LOW
ALARM OFF
HIGH
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MEDIUM
LOW
INSCO2 ON
OFF
PUMP MODE90ml/min
150ml/min
200ml/min
OFF
UNIT mmHg
%
TEMP
ALARM
HIGH
LOW
ALARM OFF
HIGH
MEDIUM
LOW
DIFFERENT_LIMIT OFF
0-20
UNIT C
F
IBP
BP TYPE IBP1
IBP2
ALARM
SYS HIGH
LOW
MEAN HIGH
LOW
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DIAS
HIGH
LOW
ALARM OFF
HIGH
MEDIUM
LOW
CALIBRATE ZERO
ADJUST
UNIT mmHg
KPa
BASELINE
0-50
SCALE 20, 40 mmHg/cm
60 ,80mmHg/cm
100,200mmHg/cm
LABEL ABP
PAP
CVP
CHAPTER 6 SYSTEM MENU
The Portable Mercury Patient Monitor features flexible configurations. You can configure various
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aspects of the monitor, including TIME, PRINTER, COLOR, DISPLAY WAVEFORM and other
extending functions.
In monitoring status, rotate the knob to highlight the MENU icon, and then press the
knob, the menu bar of system setup appears on the bottom of screen.
Fig.6-1
The system setup menu includes 6 items. Rotating and pressing the knob to select the menu
to be set. Having finished the setup, just press RETURN, the system will return to the previous
menu. All the settings will be stored automatically when powering off the monitor.
6.1 Time
Select TIME item in SYSTEM SETUP menu to access the sub-menu of TIME as shown
below Fig.6-2:
Fig.6-2
System time is in format of day, month, year, hour, minute and second. Pick the item you wish to
modify and turn the knob, the figure will increase or decrease by 1 at each switch. Then select
Return to the previous menu.
6.2 Volume
User may select different level of volume as per clinical requirement. There are 30 levels for you
to select. Along with the number increasing, the volume will be loud.
6.3 Printer
6.3.1 Performance of the recorder
It can record up to 3 waveforms.
Output with grid selectable
The real-time recording and waveform are user-configurable.
Auto recording interval is set by the user, the waveform is in accordance with the real timerecording.
The alarm recording waveform is automatically selected by the monitor.
6.3.2 Printing paper
Record paper requirement
Only standard 50(+0/-1) mm thermosensitive record paper can be used, otherwise the recorder may
not function, the recording quality may be poor, and the thermosensitive printhead may be
damaged.
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NOTE
When the recorder is working, the record paper goes out steadily. Do not pull the
paper, or the recorder will be damaged.
Do not operate the recorder without record paper.
Inserting paper
Open the recorder catch. Print the button on the top right of the recorder. The cassette will
be pop-up.
Insert a new roll of paper into the paper cassette .
When the paper is inserted into cassette completely, pull it out. Ensure proper position and
tidy margin.
Give out the paper from the recorder outlet.
Close the recorder catch.
6.3.3 Operation of the recorder menu
Select PRNSETUP in SYSTEM SETUP menu to call up the following menus:
Fig.6-3
(1)TYPE: set the type of thermal recorder, please keep CS_TR48 remained.
(2)GRID select whether the grid is shown on printing paper or not. Pressing ON item, the
grid will appear on the paper, which is for doctor to have more facility for observe the patients
status. Pressing OFF, there will be only printed waveforms on the paper.
TIME represents the length of the printing time, 6 selections are available :
5s10s15s20s25s30s. It means that the recorder will last to print the waveform for
the length of time you chosen.
ALARM PRINT: select ON for this item, the printer will print alarm event when it occurs.
TIMING: represent time interval between two times of timing recording. OFF and 1Min
~480Min are available to select. It means the system will activate the recording operation
according to the selected time interval. The length of printing time is in accordance with the
setup in TIME item.
NOTE
If you select OFF item in this menu, the real-time recording will be performed.
(6) Print Wave user may select the waveforms to be output in this item. 8 selections are
available None, ECG, SpO2, ECG+SpO2, Resp, ECG+ Resp, SpO2+ReSP, Three Chn
ECG: the ECG waveform on the screen (if no ECG waveform is currently displayed on the
screen, the waveform will be printed as beeline on the paper.)
SpO2: SpO2 plethysmogram (if there is no SpO2waveform being currently displayed on the
screen, the waveform will be printed as beeline on the paper.)
RESP: respiration waveform (if no RESP waveform is currently displayed on the screen, the
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waveform will be printed as beeline on the paper. If Et CO2 module is working, CO2 waveform
will be printed instead of RESP waveform. )
Three Channel: including ECG waveform, SpO2 waveform, RESP waveform will be entirely
printed.
None: none waveforms will be printed on the paper.
6.3.4 Printed content by the build-in recorder
Fig.6-4The printed-paper is shown as Fig.6-4:
Bed No.
The printed data and time, they are shown as 07/28/2004 15:17:36.
Waveforms: waveforms will be printed as per you selected. When recorder prints 3
waveforms, they would be overlapped.
Parameters: parameters are recorded on the bottom of the printing paper, the contents are:
RR, HR,SpO2, ECG lead, sweep speed, PR, TEMP.6.4 Color
The item is used to define the color of the waveform and parameters displayed on the screen.
Rotate the knob to select the COLOR item to access the sub-menu shown in the Fig. 6-5.There are 15 colors for each parameters, clockwise rotating the knob, the sequence is: red,
purple, brown, light blue, blue, peak green, aqua, rosiness, pink, yellow, white, black, sky blue,
green, cyan. Youd better keep the background color to black for getting the better view.
Fig.6-56.5 ModeIt is for defining how many waveforms will be represented on the screen. Rotate the knob to
select the MODE item, then choose STANDARD ,GRAPH EXT IBP EXT and ECGEXT to display as your requirement.
STANDARD mode indicates that there are 4 waveforms and data table displayed on thescreen, including: two traces of ECG waveform, SpO2 waveform, RESP waveform and onetable (shown as Fig.6-6). Rotate the knob to make the cursor be on the type of lead in the ECGframe, then press and rotate the knob to select the ECG waveforms of various leads displayedon the screen.
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Fig.6-6
GRAPH EXT mode indicates that there are 4 waveforms, data table and trend graphs
displayed in the screen, including: two traces of ECG waveform, SpO2 waveform, RESP
waveform and one-hour trends of ECG,NIBP,SPO2,RESP (shown as Fig.6-7).
Fig.6-8
IBP EXT mode indicates that there are 6 waveforms on the display screen, including: two
traces of ECG waveform, SpO2 waveform, RESP waveform and two traces of IBP waveform
(shown as Fig.6-8).
Fig.6-9
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Trend graph
IBP waveforms
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ECG EXT mode indicates there are 9 waveforms displayed on the screen, including:
7 channels of ECG waveforms, SpO2 waveform, RESP waveform without IBP waveform.
(Shown as Fig.6-9).
Fig.6-10
NOTE
If operator selects Et-CO2 (side stream) to monitor the patients respiration, the CO2
waveform will instead of the RESP waveform acquired by Trans-thoracic impedance to
display on the screen.
6.6 Extend
Rotate the knob and select EXTEND item to access the sub-menu shown as below Fig.6-10
Fig.6-11
1 SYSTEM: this function is set by the distributor, please keep them unchanged.
2 DEMO: Turn on or turn off the demo mode.
3 FAN : Rotate the knob and select FAN item to access the sub-menu shown as below:
Fig: 6-12
SWITCH: By this menu you can select ON, OFF or AUTO. AUTO mode, the fan will
automatically be opened when the monitor inner temperature is higher than the fan-on limit (the
default setting is 65 C) and will automatically be closed when the monitor inner temperature
reaches the fan off limit (the default setting is 55 C).
ALARM: if you set ALARM beep sounds with high level mode, and the temperature value will
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turn red and flash when the monitor inner temperature is higher than the temperature alarm
limit.
HIGH: You can set the temperature alarm limit by this item, when the monitor inner
temperature higher than the temperature alarm limit, the alarm function will be triggered.
NOTE
The monitor inner temperature limits for fan on or fan-off can not be set by user.
4) Setup: By this item you can realize communication with the 808 module.
Fig: 6-13
SEND: Select the send item and confirm, you will see the following menu.
Fig: 6-14
CHANNEL: The channel from which the heart rate is computed
LEAD SEL: The type of lead. (when type is LEAD III, the heart rate is only can be
computed from the channel I.)
ECG From: The screen only can display one channels wave form. You can set which
channels wave form is displayed.
PACE SEL: You can set the information that if the patient using the pace maker.
808 ID: Read the ID number from the 808module.
RECEIVE: By this menu you can see the following message.
Fig: 6-15
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SPFC : Switch for defibrillation synchronization output.
(5) BED: Indicates the bed number of the patient being monitored when the patient monitor is
connected with the workstation, it always shows on the top left corner in the monitor status
frame.
NOTE
The item EXTEND is useful to the engineers and technicians to adjust the monitors
configurations. But for the doctors we do not propose them to use this item. As for the
detail of the items usage please refer to the SERVICE MANUAL correspondingly.
Fig.6-14
CHANGE U:
This function is set by the user to change the unit of drug. The user could choose four
options, Does/MINDoes/HRDoes/WT/MINDoes/WT/HR.
When you choose the Does/MIN option, the monitor will auto to add the drug per minute.
The other three options are similar to the Does/MIN.
CHANGE V:
This function is set by the user to change the value of drug. The value consists of amount,
volume, weight and so on. There is a range for these values. When the value is beyond of
range, the value will be displayed as ---.-
TYPE:
The user could set this option to choose the type of drug. There are five options could be
chose, but the user only could select one type once.
NOTE: the A, B, C, D is not the name of drug, just is the code.
CALCULATE:
The user could get the result of calculation according to expressions like below:
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The consistence of drug = the quantity of drug / the volume of drug
The injection speed = does / the quantity of drug
The whole volume of drug = the injection speed * duration
The whole volume of drug = the volume of drug * duration
TABLE:
This option is the titration table as below,
Fig.6-13
1. R-STEP:
This is the speed pace option. The user could change the injection speed pace throughthis option. There are blank, 1, 2, 3, 4, and 5 six options could be selected. The default
value is 2.
2. D-STEP:
This is the option for the pace of the drug volume speed. The user could change the
pace of the drug volume speed through this option. There are blank, 1~10 eleven
options could be selected. The default value is 5mg/min.
3. R-DISP:
This is the fresh button for displaying the R-STEP. The user could get the result after
setting,
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4. D-DISP:
This is the fresh button for displaying the R-STEP. The user could get the result after
setting.
5. PAGE:
The user could change the display page through this button.
Fig.6-14
4 BED indicates the bed number of the patient being monitored when the Mercury
Patient Monitor is connected with the workstation; it always shows on the top left corner
in the monitor status frame.
NOTE
The item EXTEND is useful to the engineers and technicians to adjust the monitors
configurations. But for the doctors we do not propose them to use this item. As for the
details of the items usage please refer to the SERVICE MANUAL correspondingly.
CHAPTER 7 TABLE&TREND
The Mercury Patient Monitor provides 72-hour trend data of parameters and 72-hour table data.
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Table &Trend Setup
In monitoring status, rotate the knob to highlight the TABLE icon, and then press the
knob, the menu bar of Trend setup appears on the bottom of screen.
Fig.7-1
7.1 Table
Please select the TABLE to enter into the submenu, and then pick the record item to callup the following chart shown as Fig.7-2:
Fig.7-2
The latest 72-hour data table can be displayed at every 1 minute. The first column shows the
items of the parameters. The first and the second line of the table indicate the date and time of
measurement respectively. The left column of the table always shows the latest measurement.
Rotate the knob to turn pages. The page number is displayed on the bottom right corner. When
END appears, it indicates this is the last page of records.
When the interface shown as Fig.7-2, press SILENCE function key to enter the set page.
Rotate the knob to set the passing pages at each switch. Press SILENCE again to exit thepage setand then rotate the knob to turn the pages you want.
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7.2 BP table
Pick BP TABLE in the TREND MENU to call up the following chart as Fig.7-3:
Fig: 7-3
In the menu, when you press the start (NIBP) button which on the front panel, you will call up
the following chart:
Fig: 7.3a
7.3 GRAPH
Pick GRAPH in the TREND MENU to call up the following chart as Fig.7-4
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Fig.7-4
7.3.1 HR
Pick HR in the GRAPH MENU to call up the following chart as Fig.7-5:
Fig.7-5
7.3.2 NIBP
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Pick NIBP in the GRAPH MENU to call up the following chart as Fig.7-6:
Fig.7-6
7.3.3 SpO2
Pick SpO2 in the GRAPH MENU to call up the following chart as Fig.7-7:
Fig.7-7
7.3.4 ST
Pick ST in the GRAPH MENU to call up the following chart as Fig.7-8:
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Fig.7-8
7.3.5 CO2
Pick CO2 in the GRAPH MENU to call up the following chart as Fig.7-9:
Fig.7-9
7.3.6 TEMP
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Pick TEMP in the GRAPH MENU to call up the following chart as Fig.7-10:
Fig.7-10
7.4 OxyCRG
Pick OxyCRG in the TABLE MENU to call up the following chart as Fig.7-11:
OxyCRG show HR trendSPO2 trendRR trend in one screen. The first one is HR trend, the
second one is SPO2 trend, and the third one is RR trend.
Fig.7-11
7.5 ALARM
Pick the ALARM item to enter the setup of alarm event storage shown as Fig.7-12:
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100 alarm events can be totally recorded in the system.
Fig.7-12
7.6 Time
Four selections are available: 8hour, 24hour or 72 hour and ERASE. Rotate the knob to select
the item you want to set for TIME item. The length of trend of every parameter is accordance
with the time length you set in this sub-menu. ERASE indicates deleting all the stored data.
NOTE: having pressed ERASED button, you should power the monitor off and on again,
the data will be erased.
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CHAPTER 8 ALARM and SILENCE
This chapter gives the general information about the alarm function and corresponding remedies.
Alarm setup and prompt messages are provided in respective parameter setup sections.
8.1 Alarm Mode
When alarm occurs, The Mercury Patient Monitor may raise the users attention in two ways,
which are audio prompt and visual prompt. Physiological and technical alarms are displayed in
the displaying areas of the relative parameters.
ALARM function button on the front panel of the monitor, pressing the button will prohibit all the
technically and physically audio alarm for 3 minutes. The audio alarm will restore automatically
after 3 minutes or be activated when new alarm event occurs. As pressing the button, the icon in
menu status shows which indicates all the audio alarms have been shut off.
Alarm level and different soundThe high/medium/low-level alarms can be set according to the users setup in following different
audio ways, Level 1 is the most serious warning, level 2 is the serious warning and level 3 is the
general warning.
Alarm level Audio prompt
High(Level 1) Mode is DO-DO-DO---, the audio alarm is sent out continuously.Medium(Level 2) Mode is DODO-DODO-DODO, which is triggered once every 24
seconds.
Low(Level 3) Mode is DODO, which is triggered once every 24 seconds.
Alarm level Visual prompt
High(Level 1) the background of the parameter will turn red and flash
continuously
Medium(Level 2) the background of the parameter will turn blue and flash
continuously
Low(Level 3) the background of the parameter will turn white and flash
continuously
8.2 Alarm Setup
In monitoring status, rotate the knob to highlight the icon, and then press the knob, the
menu of alarm setup appears on the bottom of screen as shown below Fig.8-1:
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Fig.8-1
PROMPTThere are two methods to set the alarm of each parameter, one of which is setting all
alarms of every parameter when you press the icon, another is setting
ALARM in the individual menu of each parameter setup.
8.3 Common Method of Alarm Setup
In ALARM SETUP menu, you can set the alarm information of following parameters: HR,
NIBP, SpO2, RESP, TEMP, and ST. For example:
The methodto set up alarm information of ECG-HR:
Select ECG-HR in alarm menu to call up the sub-menu shown as below Fig. 8-2:
Fig. 8-2
Four items are available for the user to set up, which are HIGH (high limit), LOW (low limit),
and ALARM (OFF, HIGH, MEDIUM, and LOW). LEADOFF ALM (alarm of the leadoff).When
use the knob to select each item and press the knob, a pull-down list appears for the user to
choose his desired selection.
Fig.8-3
NOTE
Selecting ONOFF item for ON in sub-menu of the parameter only prohibits the
alarm of the relevant parameter individually.
If you select ONOFF item in sub-menu for OFF, even if the alarm icon is on,showing as the alarm will not be activated.
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Triggering the alarm function should simultaneously satisfy the three requests:
(1) Rotate knob and highlight in the frame of menu status to call up alarm
sub-menu of each parameter, keep ON/OFF items be ON. OR
enter the each parameter menu to keep ON/OFF item to be ON to open the alarmfunction of the monitor.
(2) Make SILENCE icon in the frame of menu status showing as
(3) Make ALARM icon in the frame of menu status showing as
Only when the user finished the three steps the monitor can alarm orderly when the alarm event
happens to the patient. The method for setting the alarm information of other parameters is the
same as HR.
8.4 Silence
PROMPT
The function is the same as the SILENCE function button on the front panel.
In monitoring status, rotate and press the knob on the icon it will change into,
indicating that all kinds of sound including the audio alarm and heart beep have been
manually muted until the button has been pressed again; the system will immediately
restore the normal status, and the icon shows
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CHAPTER 9 ECG MONITORING
9.1 What is ECG MONITORING
Monitoring the ECG produces a continuous waveform of the patients cardiac electric activity to
enable an accurate assessment of his current physiological state. Only proper connection of the
ECG cables can ensure satisfactory measurement. The Mercury Patient Monitor can display the
Heart Rate (HR), ST segment and Arrhythmia analysis. The ECG waveforms are showing on
the top of graphic area.
9.2 Precautions during ECG Monitoring
WARNING:
Do not touch the patient, table nearby, or the equipment during defibrillation.
Use only the original The Mercury Patient Monitor ECG cable for monitoring.
When connecting the cables and electrodes, make sure no conductive part is in
contact with the ground. Verify that all ECG electrodes, including neutral electrodes,
are securely attached to the patient.
9.3 Monitoring Procedure
9.3.1 Precondition
For patients skin is not in a good condition, which need to be preconditioned before placingelectrode in order to make the leads connect to skin tightly.
a)Washing skin completely using soap and water. Ether and pure alcohol is prohibited
because they can increase skins impedance.
b) Shave body hair on where electrodes are placed, if necessary.
c) Rub skin briskly to increase capillary flood flow in the tissues and remove skin scurf and
grease.
d) If electrodes without conducting cream are used, conducting cream should be smeared on
skin before placement.
Attach clip or snap to electrodes prior to placement.
Put the electrodes on the patient. Before attaching, apply some conductive jelly on the
electrodes if the electrodes are not electrolyte self-supplied.
Connect the electrode lead to the patients cable.
Make sure the monitor is ready with power supply.
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WARNING
Check everyday whether there is skin irritation resulted from the ECG electrodes. If
so, replace electrodes every 24 hours or change their sites.
Verify lead fault detection prior to the start of monitoring phase. Unplug the ECG
cable from the socket, the screen will display the error message LEAD OFF and the
audible alarm is activated.
9.3.2 Placing the electrodes for ECG monitoring
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For 5-lead set, attach the electrodes to the positions as below Fig.9-1
Fig.9-1
Color Coding:
AHA IEC Position on body surface
Electrode
Identifier
Colour
Code
Electrode
Identifier
Colour
Code
Right arm (RA) White R Red Right arm
Left arm (LA) Black L Green Left arm
Left leg (LL) Red F Yellow Left leg
Right leg (RL) Green N Black Right leg (neutral electrode)
Chest (C) Brown C White Signal movable Chest electrode
Electrode placement for 5-lead set as Fig.9-1:
Red(R) electrode: be placed near the right shoulder, directly below the clavicle.
Yellow (L) electrode: be placed near the left shoulder, directly below the clavicle.
Black (N) electrode: be placed on the right hypogastrium.
Green (F) electrode: be placed on the left hypogastrium.
White(C) electrode: be placed on the chest as illustrated in the Fig.9-2.
NOTE
To ensure patient safety, all leads must be attached to the patient.
For 5-lead set, attach the C- electrode to one of the indicated positions as below Fig.9-2:
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Fig.9-2 Placement of chest electrode
V1: the 4th intercostal space on the right sternum side
V2: the 4th intercostal space on the left sternum side
V3: center of the line connecting v2 and v4
V4: node of the left 5th intercostal space and the mid-clavicle line
V5: node with the left anterior axillary line at the same height with V4V6: node with the left mid-axillary line at the same height with V4
WARNING
When using electro surgery equipment, leads should be placed in a position in equal
distance from electro surgery electro tome and the grounding plate to avoid cautery.
Electro surgery equipment wire and ECG cable must not be tangled up.
The placing of ECG electrodes placement is depended on the type of operation. For example,
electrode can be placed in back or flank of chest for operation of opening chest. Sometime ECG
wave can be influenced with artificial because of using ES in operation room. In this case, placeelectrodes at left and right shoulder close with left and right side of abdomen and chest lead at
left side of internal in chest to avoid placing in upper arm, which will lead ECG wave smaller.
WARNING
When using electro surgery equipment, never place an electrode near the grounding
plate of the electro surgery device, otherwise there will be a great deal of interference
with the ECG signal.
ATTENTION For the movement of the lead cable will result in the inaccurate HR value, try to avoid theinterference. The Mercury Patient Monitor can detect ECG signal when at least standard three ECGleads are properly attached to the patient. Should one or more of the leads come off (or lose
good electrical contact), after the monitor has established that all related leads are attached,
a low-priority Lead Off alarm will be issued, alerting the caregiver to remedy the problem. When the leads are unattached from patients skin, LDOFF technical alarm will bedisplayed in the ECG displaying area.
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Mercury AKAS Portable Patient Monitor Manual ECG ERROR indicates ECG board with trouble. Please stop ECG monitoring at once andcontact with the distributor or Customer Service Dept.
9.4 ECG Screen
9.4.1 ECG displaying area
All the information related to ECG is displayed at ECG display area on the right upper of the
screen.
Fig.9-3
HR: Heart rate value.
ST mm: The height of ST segment.
LEAD: The lead of showing ECG waveform
ECG ERROR: Technical alarm of ECG module. It means that the module is in trouble.
LDOFF: Technical alarm means lead off, please check the connector of lead cable and
electrodes connection.
Analysis results
PROMPT
By picking ECG, the monitor prompts HR and activates HR beep. By picking SpO2, the
monitor prompts PULSE and activates pulse beep. Both mode display HR and PR
simultaneously, when this item is picked, PR parameter is displayed to the right side of
SpO2. As for the sound of HR or PR, HR is given the priority, i.e., if HR is available,
whose sound will be sent out, but if HR is not available, then the sound will be for PR.
9.4.2 ECG waveform
The ECG waveform shows on the left of the ECG numeric display area, whose color matcheswith the color of ECG parameter. A scale bar is displayed to the right side of ECG waveform asFig.9-4.
Fig.9-4
9.5 ECG Menu
In monitoring status, rotate the knob to highlight the ECG icon in the ECG displaying area, andthen press the knob, the menu of ECG setup appears on the bottom of screen as shown belowFig.9-5.
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Scale bar
ST segment
Heart rate
ECG lead
Analysis result
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This menu is available on the condition that you select DIA-MODE for FILTER MODE,
the relevant operation of FILTER MODE please refer to 9.5.6 instruction.
Pick ST setup item to call up the sub-menu as below Fig.9-8:
Fig.9-8
It defines the alarm setup of ST segment. There are three items are available for the user,
which are POSITIVE, NEGATIVE and ALARM.When using the knob to select each item and
press the knob, a pull-down list appears for the user to choose.
NOTE
If you select OFF for alarm item, the alarm will not be activated when alarm eventoccurs
(2) Press REPLAY item to call up the sub-menu shown as below Fig. 9-9:
Fig. 9-9
Having selected REPLAY item, the first trace of ECG waveform goes on showing the real-timepatients status, the second trace will replay the previous ECG waveform shows as Fig.9-10:
Fig.9-10
The menu defines the speed and length of replaying waveform.
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QUICK: replay the ECG waveform in the quick speed.
NORMAL: replay the ECG waveform in the normal speed.
SLOW: replay the ECG waveform in the slow speed.
TIME: 10 selections are available for the length of replaying waveform:
30s, 60s, 90s, 120s, 150s, 180s, 210s, 240s, 270s, 300s
(3) Pick HR V item to call up the analyzing chart of heart rate variation as Fig. 9-11:
Fig.9-11
LORENZE chart
LORENZE chart is a kind of way to analyze HR V by statistical method. The X axis of the
LORENZE chart is the n times RR interphase value (RR interphase is another way to denote the
HR value, it represents the time between the twice of R wave, if the HR value is 60