Home

INSTALLATION & OPERATOR`S MANUAL

1. INTRODUCTION YM9000 Central Monitoring System CMS Overview The YM9000 Central Monitoring System CMS represents a significant advance in patient monitoring through the integration of a wide range of functionality into a single standard Microsoft Windows 2000 professional version based Personal Computer The YM9000 Central Monitoring System CMS combines the features of a central monitor multi patient waveform and parameter display alarm annunciation with the YM9000 Central Monitoring System CMS patient data review of a clinical review station to meet the diverse needs of today s clinical environment The YM9000 Central Monitoring System CMS also represents advances in monitoring convenience flexibility and ease of use Display formats monitoring controls alarm response and patient data presentation are easily configured to suit user preferences and optimize user performance The YM9000 Central Monitoring System CMS will be referred to as the YM9000 CMS throughout this manual Intended use The intended use of the YM9000 CMS is to display physiologic waves parameters and trends format data for strip chart recordings and printings and provide the annunciation of alarms from other networked medical devices at a centralized location The YM9000 CMS provides for the retrospective review of alarms physiologic waves and parameters from its database Features The YM9000 CMS includes a wide range of features that can
2. NIBP mmHg CMS OPERATION amp SERVICE MANUAL 39 15 14 20 12 14 30 15 14 4C Operation Be AS AS AS AS AS PALETA EAT AADI ise TBeail Michael Jinl Birth ane faye Genas EELEE l Commnt Figure 40 Alarm Review Report 200211422436 B 1 Michael Jm Blrh ane fags Gemas L datezz Poste Figure 41 Wave Review Report 40 CMS OPERATION amp SERVICE MANUAL Operation Menu Trees Alarm From YM9000 CMS to Patient Monitor Alarm Silence Enable Disable From Patient Monitor to YM9000 CMS Alarm Silence Enable Disable From Patient Monitor to YM9000 CMS Alarm Suspend Enable Disable From YM9000 CMS to Patient Monitor Not function CMS has a function of Suspend Enable Disable Status Indication Silence Suspend Record E Thermal Recorder One shot printout 10 20 30sec Patient Window a A CMS OPERATION 8 SERVICE MANUAL 41 Operation Setup Window os Setup window 42 Wave Wave Position change Sweep speed Curent Monitor Status AT Hl Patient Information Recording Current Date Time ECG Lead I Il III 3 Leads Lead I II Ill C aVR aVL aVF 5 Leads SpO2 Resp Change Bed Position on the display 25mm s 12 5mm s Wavel Wave2 Wave3 ECG sweep speed SpO2 sweep speed RR sweep speed ECG size Pacer Detect Filter mode RR size Just displays Patient Information
3. There is a problem with the CMS computer AC power cord connection s are loose at the CMS The Lock key connection is loose at the CMS Possible Cause s Corrective Action s Check LAN cable connections at the CMS Reconnect cable as needed Check that Adaptor is plugged into the hub and the wall receptacle Reconnect adaptor as needed Contact your facility clinical engineer or the Mediana Technical Services Department to replace the rear board of the bedside monitor Contact your facility clinical engineer or the Mediana Technical Services Department Check that the power cord is plugged into the Isolation transformer the wall receptacle the computer and the monitor Plug in power cords as needed Check that the bedside monitor is installed with the latest software note the software for the YM5500 monitors should be 1 05 32 1 05 33 or more Contact your facility clinical engineer or the Mediana Technical Services Department to update the software and to replace the rear board of the bedside monitor Wait over 5 minutes and then run the CMS Contact your facility clinical engineer or the Mediana Technical Services Department Check that the power cord is plugged into the Isolation transformer the wall receptacle the computer and the monitor Plug in power cords as needed Check that the Lock key is inserted into the parallel port at the back of the computer and tighten the screws securely
4. Similar to reviewing the tabular trend list the corresponding alarm event is displayed when you select the data area by accessing the mouse pointer To begin reviewing an individual alarm event first move the mouse pointer on the waveform in the graphical trend area click and hold the left mouse button and then drag the mouse pointer to data point you want to see When you select the data area on the waveform Alarm event is displayed in the Event list As you move the mouse pointer the event list will change correspondingly When you no longer want to see the selected data area click the number of listing 1 2 3 remove the selected data area on the waveform areas CMS OPERATION amp SERVICE MANUAL Operation Wave Review Current Date 2003 06 23 Current Time 23 10 05 Select Parameters PRINT L Normal L Low E Medium EZ High EJ Connect ME Disconnect 15 23 30 15 23 40 15 23 50 15 24 00 15 24 10 Figure 36 Wave Review Display The Wave Review Window allows you to view continuous waves that have been stored for a patient All waveforms can be stored for each patient The Wave Review Window contains two components the actual full disclosure waves in the top part and navigation in the bottom part You can use the navigation area to select a focus for the waves Under each waveform the event bar is displayed The event bar is color coded as associated with the priority of the alarm an
5. and alarm see Figure 34 36 and 37 29 CMS OPERATION amp SERVICE MANUAL Setup Window Operation When the mouse pointer is in the sector on the main screen the sector is outlined Click the Setup window button of the patient you want to display on the setup window The setup window is used to select the wave that displays on the main screen place the Patient Sector in another position on the display or select sweep speed This window is also used for checking the monitor status current date time and patient information This window also provides access to other windows for setting system configuration and patient management Mane ECG Lead i ECG Lead ih Patient Information Wave 2 Position Change C ECG Led h es E Co ECG Lead Ih o m D D K a gt ECG Lead C di CF Sy a ENEE BIBIE same OOOO First HaTe Birth date TS O e CCS ns Commet Wave Settings Current Monitor Stabs Wawel Wawa Wwe o ii WW m ECG Sweep 5p 02 Sweep Speed d RR Sweep Speed kA Sahl OH pE ECG Ste Pacer Detect Filter biade Ez JE ls Oy Waver Recording tire CH ses D Ale CH ee Figure 26 Setup Window Display Setup ndo Date ZO03 COP ITE VERSION 1000 Wave 1 2 setting menus allow you to select waves to be displayed Each 9 waves can be selected as shown in Figure 26 If the same waves are selected in wav
6. click the Main Screen button If you would like to review patient s trend data click the Trend review button LEAD II LEAD II LEAD II LEAD II Figure 33 Patient Window Display CMS OPERATION amp SERVICE MANUAL BED5 Geena Lee HR 60l SpO2 99 BED6 Jay You HR 60 SpO2 99 BED7 Alex Hong HR 60 SpO2 99 BED8 Niel Young HR 60 SpO2 99 BED1 Michael Jin HR 60 SpO2 99 PULSE 60 NIBP 120 80 100 RR 20 T1 C 36 5 T2 C 36 5 MAIN 29 Operation Patient Data Review Window Patient data storage begins when the patient is connected to a bedside monitor The YM9000 CMS provides review windows that allow you to display a patient s physiological parameters and alarm events that have been collected from a bedside monitor and stored over time in the System In the Main screen click the Patient data button to display the Trend review window Trend Review urrent Date Tlme 06 23 03 15 51 30 Trend Review C BED1 ST Michael Bolton C Low EM High ES Connect MS Disconnect 15 14 20 15 14 30 15 14 50 15 14 40 WEN 0 ALARM EVENT LIST TABULAR TREND LIST a aa 1 15 14 20 20 ECG High Limit Violation 15 14 20 180 36 5 36 5 lt q P SCH 15 14 30 180 99 36 5 36 5 lt q xy Scale 40sec Tabular Trend aj lt Main Screen Figure 34 Trend Review Display The Trend Review Window displays graphs of a patient s physiological parameters collected over time f
7. 14 Pe ECUTE E EE 15 Feme dnsads C omP E 15 Figure 18 Installation of Data access objects WINDOW uta tb as dl ee 15 Urea LOS el Tes EE UUs TIES DION a A AAN ias 16 Fine 20 E CARS NA EE 16 Figure 21 RGSS WOrd Window vcr Rai 17 route 22 Imaal installation WAT OW lt a TAS a 17 EE 19 ELA E ISILON dla 20 PU CUTE 23 MATAS TEENS DI ARA A AAA AAA A A RC a 21 Eeue 2 Os SUP WINDOWS Dl dd dd dd dd 23 Figure 27 Patient Management Access Window Display arrieiro e nE EEEE ONE 24 E Pahent Management Window Dis PIO aii 24 Figure 29 System Configuration Access Window Dis oa 26 Fieure 30 System Conn euration Window DIS DI GY AA A A ON Ue 26 Fine OL DIT Time MICS SAC LS PON EE EE 27 a Shutdown Restart Message Display a AAA A AAA AS 28 a WOW RN 29 TU CUTS o TRC VVC TDS AA PA is Sater gcc a wea eek veo Git abate DEE 30 Figure 35 NIBP Graphical Trend Display Format 31 FU OUTE RA 33 ETC AL OTI REV eW DIS DUI A A A A A EEN 35 FU QUITE 3S ONE SNOT TINTOUT oai e ais T EEE a 38 FE IT E EE 39 EE Alarm COVA COTA AAA AAA SAA A ERS 40 TECHIE A 1 WAVE REVIEW TED ONL a AAA AAA SAS AAA AAN 40 Eleure 22 Replacement of Recorder EAD ET dd dd 50 TADIC TCO SOU EE 9 Table zx Display COren l OON ee A A E ba a E 22 PADI EDs EMS CMS CONTO aa 22 Tabled Trouble hoolin E ea SAN A AS A AA 51 TADES EE 53 CMS OPERATION amp SERVICE MANUAL vii Contents This page is intentionally left blank viii CMS OPERATION 8 SERVICE MANUAL Introduction
8. CMS OPERATION amp SERVICE MANUAL Maintenance amp Troubleshooting Error and Status Messages There are a number of system conditions that can be identified by YM9000 software during routine system assessments If these conditions occur the system will immediately display the appropriate error and status message box in the middle of the Main Screen Table 5 Error Messages Possible Cause s Corrective Action s Recorder Error Message Recorder Link Error No Recorder is in Recorder Insert Recorder in Recorder Rack Rack Reseat Recorder in Recorder Rack Recorder is inoperable Replace Recorder in Recorder Rack Recorder door is open Close Recorder door connected connected printer Check printer configuration Window of Check printer Printer has a paper jam Remove paper jam for problems out of paper Add paper to printer Window of System error Operation of System has failed System will reboot If problem persists contact Mediana s Technical Service Department Bed number LAN cable is disconnected Check LAN cable connections communication link is Power to the Hub 1s lost Check that Adaptor is plugged lost or offline into the Hub CMS OPERATION amp SERVICE MANUAL 53 Maintenance amp Troubleshooting This page is intentionally left blank 54 CMS OPERATION amp SERVICE MANUAL Specification amp Accessories SPECIFICATIONS amp ACCESSORIES Specifications Display
9. No selectable menu Print On Alarm ON OFF None Wave Wave2 Wavel Wave2 Select Waves Recording Time CMS OPERATION amp SERVICE MANUAL Operation Patient A Configuration Management PASSWORD Admit New patient Update Old patient Discharge Transfer System Configuration AX PASSWORD Volume control Alarm volume Date amp Time Setup Date Format mm dd yy dd mm yy yy mm dd A WARNING Date Time setup Shutdown Device VAN Normal Shutdown WARNING Normal Shutdown amp Restart Desktop CMS OPERATION amp SERVICE MANUAL 43 Operation Patient Data Window Patient Select Bed BED1 BED2 BED3 BED4 Data Review BED5 BED6 BED7 BED8 Move to Trend review PRINT Select Parameters HR PULSE SpO2 RR NIBP T1 T2 Scroll Page Scale 40sec 10sec 1hour 15min 6hour 90min 12hour 3hour 24hour 6hour 48hour 12hour Scale 40sec 1hour 6hour 12hour 24hour 48hour Current Date Time Select Bed BED1 BED2 BED3 BED4 BED5 BED6 BED7 BED8 Move to Trend review Select Waves ECG LEAD ECG LEAD II ECG LEAD III ECG LEAD C ECG LEAD aVR ECG LEAD aVL ECG LEAD aVF SpO2 RESP Scroll Page ao Tmin 60sec PRINT Current Date Time 44 CMS OPERATION amp SERVICE MANUAL Operation Alarm Review Select Bed BED1 BED2 BED3 BED4 BED5 BED6 BED7 BED8 Move to Trend review Select Waves ECG LEAD
10. Only a trained clinician should be allowed to change CMS settings e CAUTION The System Configuration service password is mn1123 It should ONLY be released to authorized personnel JV You are about to enter the System Configuration of this Central Monitor product This mode should ONLY be used by trained support personnel Activation of these programs may affect the opearation of your Central Monitor Figure 29 System Configuration Access Window Display 2003 06 2 3 4 5 6 7 9 10 11 12 13 14 16 17 18 19 20 21 23 24 25 26 27 28 mm dd yy 0 Volume Control 100 Figure 30 System Configuration Window Display Setting System Alarm Volume levels System Alarm Volume can be changed by using a scroll bar in the System configuration window 1 If you select System Configuration the Prompt Access Message Window will display 2 Enter the password then click OK button see Figure 29 3 The System Configuration Window will display see Figure 30 4 Click the volume setting slider and drag the level indicator to obtain the desired volume level 5 Click OK button e CAUTION If the Audible volume of the CMS is set to 0 an alarm suspend symbol is always be displayed on the CMS screen op CMS OPERATION amp SERVICE MANUAL Operation Setting System Date and time You can set a desired date format mm dd yy dd mm yy or yy mm dd and change current date time i WARNING If the time and date are set for
11. Review click the Trend Review button Alarm Review To display the Alarm Review click the Alarm Review button Main Screen To remove the Wave review window click the Main Screen button CMS OPERATION 8 SERVICE MANUAL Operation Alarm Review A 15 14 30 M 14 35 Figure 37 Alarm Review Display The Alarm Review Window allows you to view up to 100 stored alarms and saved waves Stored alarms are alarms that are automatically added to alarm history when the alarm is generated 15 14 2C 15 14 3C 15 144C The waveform is displayed on the top area in the alarm review window In the waveform area four waveforms are displayed at one tinal LARM EMENT Li dform that the waveform area displays ECG Lead I II II C aVR aVL and YA SpO2 and Respiration waves uration Event type Time HR SpO2 The Tabular trend listas on the lower right side o l e this list shows trend dat OOOO vo SSG CRE o Limit Vaton TEA 00 ZO oe 2 13 10 30 2 35 SpQ2 ae Limit Violation 15 14 10 120 99 The Event list amp onlM AQwsOleft side QQhe A Pap Loic Vislaticnowd fil dion of 480 99 alarm event andfalarfi pvpadt B e The mecen aAA Egel Frith Gola montos S 4e ppeart 80 99 the top of the list You can display the event s corresponding trend data by double chigks g Othe evegh 99 number in the list The waveform area and the tabular trends area will adjust to display the trend corresponding to the event you selected 15 14 5 d ER 9
12. SpO2 99 KE PULSE 60 PULSE 60 NIBP 120 80 NIBP 120 80 m I 5 NI spon T2 C 36 5 SpO2 T2 C 36 5 SpO2 SpO2 99 99 PULSE 60 LEAD II PULSE 60 NIBP 120 80 NIBP 120 80 100 RR 20 T1 C 36 5 T2 C 36 5 N SpO2 Figure 25 Main Screen Display CMS OPERATION 8 SERVICE MANUAL 21 Operation Display Configuration Patient data waveforms and numeric data can also be color coded for easy identification Colors for waves and parameters are the same as those colors from the patient monitor Patient Sectors in alarm are also highlighted in color for immediate recognition of alarm conditions and their severity Patient data color identification 1s shown in Table 2 Table 2 Display Color Identification Function ECG Heart Rate NIBP Orange Temperature Light Blue High Priority Alarm Flashing Red Symbols and Controls There are 5 buttons available to you from the patient sector Table 3 YM9000 CMS Controls Buttons Description Alarm button temporarily silences the audible alarm Indicates Alarm Silence or Suspended status Record button records patient s data through the recorder 10 or 20 or 30 second one shot recording Setup Window button displays Setup Window see Figure 26 Patient Window button displays Patient Window see Figure 33 Patient Data Review button displays trend data in 3 reviews patient trend wave
13. be easily configured to suit the needs and preferences of specific clinical applications Access to these features is made with a point and click mouse Simply move the mouse pointer to a labeled application button and click The button s application is immediately displayed on the screen A keyboard is also provided for entering and changing patient data and other information The Center Monitoring System provides real time waveform monitoring for up to 16 patients being monitored by patient monitor on the system s Local Area Network LAN The standard Center Monitoring System includes the following features The CMS for viewing real time patient data and annunciation of alarms from bedside patient monitor The CMS can review for up to 48 hours for stored patient monitoring data waveforms and alarm events Main Screen for displaying real time waves and parameters for up to 8 or 16 patients and separate Patient Window for viewing detailed real time or stored data for individual patients lt YM9000 CMS Window Display Capability gt Main Screen Up to 8 beds or up to 16 beds Patient Window selectable monitor with 4 waveforms shown Patient Data Review Window Trend Review Wave Review Alarm Review bed selectable data recording wave selectable scroll capability trend scale time interval user selectable event list tabular trend list Setup Window wave setting position setting wave sweep speed setting current m
14. being monitored The CMS is to be used for patient monitoring only WARNING The YM9000 CMS is intended to monitor patients It is not a diagnostic device Any alarm or abnormal indication displayed at the CMS should be reviewed by qualified medical personnel WARNING System default date and time settings are selected and set by the system administrator For optimal patient safety system default date and time settings should be reviewed periodically WARNING know the audible alarm silence duration before temporarily silencing any audible alarm at the CMS Do not silence audible alarms at the CMS or at the bedside monitor or decrease their volume if patient safety could be compromised WARNING When turning off or restarting the PC you must follow proper shut down instruction refer to Operation section If the PC abnormally shuts down the YM9000 database may be lost and the system would not perform properly gt E EE EE EE E CMS OPERATION amp SERVICE MANUAL 3 Safety Information Cautions K 20 CAUTION Do not immerse any component of the CMS in liquid or use caustic or abrasive cleaners Do not spray or pour any liquid on the CMS or its accessories Do not allow any liquid to come in contact with the power connector controls or switches Do not allow any liquid to penetrate connectors or openings in the chassis CAUTION Do not put the computer inside a cabinet or other closed space where air c
15. gt Cancel Figure 13 Data Access Components License Agreement Window CMS OPERATION 8 SERVICE MANUAL 13 Installation 13 Click Finish to begin the installation of MS data access components Microsoft Data Access Components 2 8 Setup 3 x Installing the Software Setup will now install Microsoft Data Access Components 2 8 Click Finish to begin Installations lt Back Finish Cancel Figure 14 MS Data Access Components Install Window 14 Click Close to complete the installation of MS data access components Microsoft Data Access Components 2 8 Setup E J ES x Setup i Complete Setup has completed successtully Microsoft Data Access Components 2 8 has been successfully installed on this system Click Close to eut setup Close Lance Figure 15 MS Data Access Components Install Window 14 CMS OPERATION 8 SERVICE MANUAL Installation 15 After the software installation process is completed the Restart window appears Click Yes Y to complete the software installation successfully Installation of YM9000 ver 1 200 x i gt To complete installation system must be restarted gt Restart system now eT Figure 16 System Restart Window CAUTION After CMS installation is completed in the CMS turn off the bedside monitor monitors Then turn on every monitor one by one while making sure that the connection is valid in CMS 16 After the
16. processing unit for the primary video display For 16 bed CMS with dual displays a second video card is required This is installed in the factory if the dual display option is a purchased option but must be installed by a Mediana customer engineer if it is an upgrade option 8 CMS OPERATION amp SERVICE MANUAL Installation Beside Station Settings Connect the LAN cable to LAN connector of the patient monitor and connect the other side of the cable to the HUB The patient monitor s setting for the CMS You should set the monitor to the CMS via the Set up menu of the patient monitor 1 Enter the Set up Menu of the patient monitor 2 Select the Service Menu to connect with the CMS and then enter a bed setting code 3 Enter an appropriate bed setting code as follows Table 1 Bed Setting Codes BED No 3 digit ra codes 5 digit setting codes BED 15 915 TEINS BED 16 916 77716 NOTE Ifthe bed number is set to 900 or 77700 the connection will be stopped Set a proper code to the patient monitor NOTE CMS bed setting codes should be entered with all digits in order from top to bottom If not the monitor will not be set to a proper CMS bed setting code 4 Then the patient monitor will display the CMS indicating dot and the bed number on the screen of the patient monitor 5 When the CMS is on the CMS indicating dot will appear green When CMS is off the CMS indicating dot will appear red CMS OPERA
17. s third party suppliers may protect their rights in the event of any violation of these License Terms Copies and Adaptations You may not disassemble or decompile the Software for archival purpose or when copying or adaptation is an essential step in the authorized Use of the Software You must reproduce all copyright notices in the original Software on all copies or adaptations You may not copy the Software onto any public network No Disassembly or Decryption You may not disassemble or decompile the Software unless Mediana Co Ltd s prior written consents are obtained In some jurisdictions Mediana Co Ltd s consent may not be required for limited disassembly or decompilation Upon request you will provide Mediana Co Ltd with reasonably detailed information regarding any disassembly or decompilation You may not decrypt the Software unless decryption is a necessary part of the operation of the Software Transfer Your license will automatically terminate upon transfer of the Software Upon transfer you must deliver the Software including any copies and related documentation to the transferee The transfers must accept these License Terms as a condition to the transfer Termination Mediana Co Ltd may terminate your license upon notice for failure to comply with any of these License Terms Upon termination you must immediately destroy the Software together with all copies adaptations and merged portion in any form Export
18. setting After successful completion of the initial setting click OK to display Initial Display i anta 19d 2 SEES 181 3 Hedside Sinton detected Dora the number of bedelde gtatinge Noted aber real thee number al otra Italic e E Mate H thp namber ef bedukde sisone dors pretenda lick an Figure 22 Initial Installation Window NOTE Ifthe number of bedside monitors listed and bedside monitors installed is not equal click Refresh If it still is not equal check the connection of the power supply and the network line of the installed bedside monitors 5 With the completion of Initial Installation all necessary installation procedures of YM9000 are finished and it displays as shown Figure 22 Click the button that indicates the proper number of bedside monitors installed The program will automatically run CMS OPERATION amp SERVICE MANUAL 17 Installation This page is intentionally left blank 18 CMS OPERATION amp SERVICE MANUAL Operation OPERATION In the typical operation of the YM9000 CMS you will primarily use any one of the following CMS operating screens the Main screen the Patient window the Trend review screen the Alarm review screen the Wave review screen A general description of each of these screens is provided in the Operation section Start up WARNING Patient safety could be compromised if the YM9000 CMS is used for other A personal computer app
19. to the bedside monitors Also this connecting disconnecting may repeat 1 or 2 times when CMS program does not install initial setup However this is normal while the program is checking the related database 28 CMS OPERATION amp SERVICE MANUAL Patient Window Operation Additional data for each patient can be obtained in a more detailed Patient Window Clicking on the Patient Window button in the Main screen brings up the Patient Window for that patient For 8 beds monitoring with a single display or 16 beds monitoring with dual displays all patient sectors resize to display wave 1 partial patient data and 2 buttons Alarm Recorder available as shown in Figure 33 For 16 beds monitoring with a single display the upper 8 bed patient sectors display wave 1 partial patient data and I button Alarm The lower 8 bed patient sectors are erased to display the patient window The Patient Window can display up to 4 waves and all patient numeric data for a single patient Buttons for accessing additional information and changing monitoring parameters are also provided at the bottom of the Patient Window LEAD II LEAD II LEAD II LEAD II LEAD II BED1 Michael Jin HR 60 SpO2 99 BED2 John Lee nm 60 SpO2 99 BED3 Kevin Jang HR DU A SpO2 99 BED4 Simon Kim HR DU A SpO2 99 If you would like to select waves and set sweep speed click the Setup button To remove the application window
20. up the My Computer window 4 Double click on the CD ROM drive icon to bring up the CD ROM drive window 5 Click on the Install icon to bring up the Installation of YM9000 Exit all Windows programs before running this setup program NOTE You may install the CMS application software with using the Start button on the taskbar Using the Run command type in D install and click OK If the drive letter for the CD ROM is other than D then substitute the correct drive letter in the Run command for example E install 6 Follow all the procedures to bring up the Setup window as shown in order to complete the application software installation successfully 7 Click Next to install the YM9000 application software program A Installation of YM9000 ver 1 200 2101 x This will install 49000 ver 1 200 op your computer It is recommended that you exit all other programs before proceed with installation Click Next gt to continue installation Or click Cancel to cancel installation d Cancel Figure 7 Installation Window 10 CMS OPERATION amp SERVICE MANUAL Installation 8 Click Browse to select a desired folder and then click Install to begin the installation A Installation of YM3000 ver 1 200 10 x 49000 ver 1 200 will be installed to following folder Click lt Install gt to begin installation to following folder Space needed 230 43K Bytes Install fold
21. 0GHz or faster minimum 512Mbyte RAM 20 Gbyte Hard disk drive or more minimum 10Gbyte Hard disk space available Resolution 1280x1024 Graphic Card External Speaker Sound Card Mouse PS 2 or USB Keyboard CD ROM drive for 16 bed CMS with Windows 2000 professional version O S Xeon 2 4GHz or faster minimum 1Gyte RAM 30Gbyte Hard disk drive or more minimum 15Gbyte Hard disk space available Resolution 1280x1024 Graphic Card External Speaker Sound Card Mouse PS 2 or USB Keyboard CD ROM drive Monitor 17 display or Flat panel PC monitor Resolution 1280x1024 65 536 colors 16 bit Dual Display Option for the YM9000 Center Monitoring System provides real time waveform monitoring at a hallway location for 16 patients being monitored by Patient monitor on the LAN Second display for each of the monitor with 8 patient sectors LAN Cable Category 5 UTP cable with straight Through connection Maximum LAN cable length is 100m 328 ft NOTE NOTE Accessory equipments connected to the CMS must be certified according to IEC 60950 or IEC 60601 1 All combination of the system must be in compliance with IEC 60601 1 1 This system complies with the requirements of electromagnetic compatibility system standard IEC 60601 1 2 2001 CMS OPERATION amp SERVICE MANUAL 57 Specificaations amp Accessories List of Accessories Available 58 Description YM9000 CMS Application Software CD YM9000 CMS Application Soft
22. 9 15 15 00 120 99 06 23 02 15 14 20 HR 180 SpO2 99 Pulse 180 NIBP 120 80 100 RESP 20 TEMP1 36 5 TEMF CMS OPERATION 8 SERVICE MANUAL 35 15 14 20 15 14 30 15 14 40 Operation The timeline area contains three components 40 seconds scale for timeline 1 hour scale of timeline 48 hours scale of timeline You can use the Timeline at the bottom of the window to navigate The Event bar is displayed on the timeline area with the color associated with the priority of the alarm You can display the Events and look at waves for events of interest By clicking in the event area moving the window displays the waves for that event In the middle right side of the Alarm review window the list shows the color code of event bar 36 Bed selection Click Y you can select a desired bed to view Trends Select Waves Click Select Waves button then Select Waves window prompts You can select ECG Lead I II HI C aVR aVL and aVF SpO2 and Respiration waves Scroll Page Click the Left single Arrow and the Right single Arrow button to move the displayed waveform window backward or forward in time each by 10 seconds time scale Click the Left double Arrow and the Right double Arrow button to move the displayed waveform window backward or forward in time each by 40 seconds time scale Print To print a report with the alarm review click the Print button on the right of the window A report of the alarm review you are viewing is
23. I ECG LEAD II ECG LEAD III ECG LEAD C ECG LEAD aVR ECG LEAD aVL ECG LEAD aVF SpO2 RESP PRINT Current Date Time Scroll Page in Time bar 2 Y CMS OPERATION amp SERVICE MANUAL 45 Operation 46 This page is intentionally left blank CMS OPERATION amp SERVICE MANUAL Quick Installation amp Start Up Guide QUICK INSTALLATION amp START UP GUIDE Hardware installation 1 For the CMS installation connect the keyboard the mouse the Lock key the Laser printer cable and the video cable at the back of the computer Connect the power cord to AC power through the Isolation transformer Refer to the Computer in the CMS setting section 2 For the External Thermal Recorder installation connect the RS 232 serial data cable at the rear panel of the recorder and connect the other end of the serial data cable to the PC Connect a power cord to AC power through the Isolation transformer 3 Connect the LAN cable to the Ethernet adaptor at the back of the computer Connect the other end of the LAN cable to the any one port at the rear panel of the hub 4 Connect the LAN cable to the Network connector of the patient monitor and connect the other end of the LAN cable to any port at the rear panel of the hub 5 For the Hub installation connect the DC adaptor to the adaptor jack at the rear panel of the hub Verify that the power led is lit at the front panel of the hub 6 For the bedside m
24. Installation Click Next It is running a set of self test routines Please wait BED 1 Data Pass BED 2 Data Pass BED 3 Data Pass BED 4 Data Pass BED 5 Data Pass BED 6 Data Pass BED 7 Data Pass BED 8 Data Pass BED 9 Data Pass BED 10 Data Pass BED 11 Data Pass BED 12 Data Pass BED 13 Data Pass BED 14 Data Pass BED 15 Data Pass BED 16 Data Pass System Data Pass Patient Information Data Pass Figure 19 Self Test Finish Display 2 It displays as shown in Figure 20 Click Initial Installation 8 Bed 16 Beds with a single display 16 Beds with dual displays Initial Installation GIMEDIANA Figure 20 Program Initial Display 16 CMS OPERATION amp SERVICE MANUAL Installation 3 Enter a password mn1018 to proceed with Initial Installation Then click OK E IR pn are adaut io enter the Ins Lota lla af thie Central Mosher poderi This mode should DR be uret bay perconnel Activetian of thew programe may srci fer operation el your Cental Kantor es ws 16 Beds with dual displays Initial Installation ana Fl tights rare rr Ver 11000 9 MEDIA VEH TUBE CATER PE Figure 21 Password Window for Initial Installation 4 Check if the number of between the bedside monitors listed and the bedside monitors installed is equal If it is equal click OK to proceed with initial
25. MS includes the following standard components YM9000 CMS application software CD Lock key for Application software External Thermal Recorder Operation amp Service Manual The following optional components are also available HUB e g 16port 24port Isolation Transformer LAN Cable PC e g HP Pavilion t1 12k or Intel Xeon 2 0GHz with Window 2000 professional version O S PC Monitor Size 17 inch or more Resolution 1280x1024 Laser Printer e g HP Laser Printer NOTE For more information about components and accessories available refer to the Specification amp Accessories section and contact your local Mediana sales representative NOTE The components of the CMS must comply with electrical safety reliability and electromagnetic compatibility as intended as a whole system according to the safety and regulatory requirements in the country of use The following components for the CMS configuration may be obtained from local suppliers provided that the components conform to electrical safety reliability and or electromagnetic compatibility a personal computer a laser printer a HUB a LAN cable and or an isolation transformer NOTE The YM9000 CMS shall be installed on PC supporting resolution of 1280x1024 and 17 inch or more size PC monitor Environmental Facility The environment where the YM9000 CMS will be used should be reasonably free from vibration dust corrosive or explosive gases and extremes of
26. OPERATION amp SERVICE MANUAL Model YM9000 Central Monitoring System CMS Mediana Co Ltd Wonju Medical Industry Park 1650 1 Donghwa ri Munmak eup Wonju si Gangwon do Korea Tel 82 33 742 5407 Fax 82 33 742 5483 YM9000 Operation amp Service Manual Part Number Revision A7035 0 1205 Printed in Korea Copyright O 2003 2005 Mediana All rights reserved LE ABOUT THIS MANUAL Notice This document contains proprietary information which is protected by copyright All Rights Reserved Reproduction adaptation or translation without prior written permission is prohibited except as allowed under the copyright laws Warranty The information contained in this document is subject to change without notice Mediana makes no warranty of any kind with regard to this material including but not limited to the implied warranties or merchantability and fitness for a particular purpose Mediana shall not be liable for errors contained herein or for incidental or consequential damages in connection with the furnishing performance or use of this material Copyright Copyright MEDIANA Co Ltd 2003 2005 Revision Printing History New editions of this document incorporate all material updated since the previous edition Update packages may be issued between editions and contain replacement and additional pages to be merged by a revision date at the bottom of the page Pages that are rearranged due to changes on a prev
27. Power Source Requirements Environment Monitor Display type CRT color or Flat panel PC monitor e Resolution 1280 x 1024 Size 17 inch or more Software Up to 16 patient sectors with up to 32 waveforms per screen single display or dual displays Sweep speed is 23mm s and 12 5mm s depending on configuration Display formats are 8 patients 8 x 1 16 patients 8 x 2 Dual displays 16 x 1 Single display Waveforms are about 4 seconds in length in a dual column format and about 10 seconds in length in a single column format Number of waves in Patient Window 4 Number of parameters in Patient Window 7 AC mains from the Isolation transformer 100Vac to 240Vac 50 Hz 60 Hz 1kW Fuse q ty 2 10 0 A 250 volts slow blow IEC 5x20 mm AC output voltages are electrically isolated from ac input voltages through the Isolation transformer e To protect hospital personnel the YM9000 CMS must be grounded Accordingly the hardware is equipped with detachable 3 wire cables which ground the instrument to the power line ground protective earth when plugged into appropriate 3 wire receptacles If an adequate number of 3 wire receptacles are not available consult the hospital electrician The YM9000 CMS operates within specifications at ambient temperatures between 15 C and 40 C relative humidity between 15 and 95 and altitude between 700 to 1060 hPa Allow at least 2 inches 5cm clearance around the i
28. Requirements You may not export or re export the Software or any copy or adaptation in violation of any applicable laws or regulation CMS OPERATION amp SERVICE MANUAL iii This page is intentionally left blank CMS OPERATION amp SERVICE MANUAL Contents CONTENTS ABOU EE Nee il SOETWARE LICENSE TERMS ee iii INTRODUCTION iii E A AAA E E T da 1 YM9000 Central Monitoring System CMS Overiew l tee l AR l SAEUL EE 2 SA EE PY INFORMA TION eccriene ot 3 TAE ON o 3 IAS o illo idos 3 Ee aa 4 INSTALA TITO EE 5 LITO ENEE e lll 5 Environmental Racial tin tits T tas 5 System Instala ar tada 6 Central SEMA a E A E E 6 Beside EEN 9 SOKO dle MIS E Et E 10 Applications SOL wate Te EE 10 tere Ru E EE 15 OPERA TION oiin D L E id 19 O E 19 Matices ds 21 Display Conf AUTO A AS A A A acta cee ees 22 Sy MOIS A E o e E tahoe Mea cnasa sabes 22 SETUP WAN OW eet 23 WAVE ELM ad 23 POSTON SCAM Oe cht A E E teint 23 A A A EE 23 Current Montor SUS sinaloa T 24 Patene Orna MOM tr a 24 RECON Seines ads 24 COnN OU OM ee 24 Patent EE 29 Patient Data Review WMA e eege Deeg 30 EE eegene 30 KE A o A ec N a reel Naan aed 33 Alar indicado eegen cir ir rra tee 37 Alarte dt E 37 Alar Pda A A A Sd do 37 a e A A Cnr ronee 38 Er DE 41 RECO iio 41 CMS OPERATION 8 SERVICE MANUAL y Contents Patent WV VNC OV ebe 41 STEEN 42 Panent Data EE 44 QUICK INSTALLATION amp START UP GUIDE ssessssssssssssccccecsece
29. TION amp SERVICE MANUAL 9 Installation Software Installation When the YM9000 CMS arrives at the customer site all system software should be properly installed and customer purchased functionality fully operational Therefore this section can generally be skipped for new installations If software functionality is lost however either by unexpected electrical conditions or a system failure this section describes procedures for reinstalling software When the Windows 2000 professional version is operational the YM9000 CMS application software can be installed This section describes the procedure for installing YM9000 CMS application A WARNING The PC that supports hyper threading must be turned the function off for proper installation Set the bios to turn off the hyper threading function before boot Follow the instructions in the PC manual how to set the bios CAUTION PC requirements for running the CMS application software e 1 Microsoft Windows 2000 professional version installed in PC 2 Microsoft Windows 2000 Service Pack 4 or higher must be installed Applications Software Installation The installation procedure is given in the following steps 1 Insert the YM9000 CMS application software CD into the CD ROM drive of the PC 2 With the CD ROM inserted the YM9000 CMS application software can be installed from the Windows 2000 Main Menu 3 Double click on the My Computer icon in the Windows 2000 Main Menu to bring
30. annot freely flow around these components CAUTION The CMS is not to be used in mobile environments Do not use any components of the YM9000 CMS that are damaged CAUTION The CMS displays the waveforms and numeric data of the patient monitor At setup of a bedside monitor with the patient monitor verify the monitor is set to the desired operation before using the bedside monitor for patient monitoring CAUTION CMS is to be operated by qualified personnel only Before use carefully read this manual all precautionary information and specifications for the patient monitor and accessories The user must check that the equipment functions safely and see that it is in proper working condition before being used CMS OPERATION amp SERVICE MANUAL Installation INSTALLATION The YM9000 CMS consists of medical software executing on a standard Personal Computer running the Windows 2000 professional version Operating System A WARNING The PC that supports hyper threading must be turned the function off for proper installation Set the bios to turn off the hyper threading function before boot Follow the instructions in the PC manual how to set the bios h WARNING Installation and setup must be performed by a Mediana service representative or service personnel in user s institute e CAUTION The YM9000 CMS is not suitable for installation in the Patient Care Vicinity Patient Environment List of Components Each YM9000 C
31. applicatid Current Operating System System Platform windows 2000 Sustern Path u NAT sustenar Driver Status KEE Pres GEN elt E hi fr La LUNET A gt with same ver have Patel divers vith same version have Figure 11 Lock key Driver Installation Window 12 CMS OPERATION amp SERVICE MANUAL Installation 11 Click Exit to finish installation of the Lock key driver after the driver installed successfully Softbog Windows S amp ME NT 2R 4P driver installation applicatia_ E Current 0 perating Syst em SoftDoa Figure 12 Lock key Driver Installation Complete Window 12 This is End User License Agreement of MS data access components Check the box and then click Next Microsoft Data Access Components 2 5 Setup 8 EI End User License Agreement Please read the following license agreement Press the PAGE DOWN key to see the rest of the agreement ou must accept this agreement to install this software MICROSOFT CORPORATION END USER LICENSE AGREEMENT Microsoft Data Access Components 2 0 IMPORTANT RE AD CAREFULLY This End User License Agreement EULA is a legal agreement between you either an individual or a Single entity and Microsoft Corporation for the Microsoft software product identified above which includes computer software and may include associated media printed K FT accept all of the terms of the preceding license agreement e Newt
32. arm Suspend WARNING If an alarm condition occurs while in the Alarm Suspend state the only alarm indication at the CMS will be visual displays related to the alarm condition An alarm is suspended at the CMS when it is suspended at the bedside monitor For all beds if Patient alarms at the CMS have Audible volume set to 0 an alarm suspend symbol is always displayed on the Alarm button whether or not there is an active alarm at the bedside monitor CAUTION When an individual bed side monitor is set to alarm suspend you may not control this alarm suspend from the CMS CMS OPERATION amp SERVICE MANUAL 37 Operation Recording and Report The intended use of the Recorder is to provide hardcopy of text and wave data for the YM9000 CMS Recording Recordings can be automatically generated by alarm events or you can manually request them The one shot recording contains the primary and secondary waves selected on the Setup window A one shot recording is a non continuous timed recording that shows waves prior to your record request along with a few seconds of waveforms after your request A one shot recording has a 30 10 20 second print recording real time graphical and numeric information beginning 15 seconds before the print initiation and ending 15 seconds after that event When you want to record patient s data through the recorder click the Record button The Recorder printout begins with the standard header p
33. aveform storage for all waveforms per patient Up to 16 waveforms can be displayed in dual columns and Up to 16 waveforms can be displayed in single column YM9000 can review for up to 48 hours for stored patient monitoring data waveforms and alarm events Main screen for displaying real time waves and parameters for up 8 16 patients and Patient Window for viewing detailed real time data for individual patients Simultaneous display of trend plots 4 trend plots Trends displayed in 40seconds 1 6 12 24 and 48 hours time scales Options Options for the YM9000 Center Monitoring System include Local Supply HUB 16 port for 8 bed CMS 24 port for 16 bed CMS Isolation Transformer 100Vac to 240Vac 50 Hz 60 Hz 24W Internal power fuse 10 0A 250 volts slow blow IEC 5x20 mm Dimension 20cm x 34cm x 18cm W x D x H Laser Printer The YM9000 CMS supports printers that are both HPGL 2 and PCL5 compatible with a minimum of 2 megabytes of printer memory such as the Hewlett Packard LaserJet models 4 4SI 4L 5 SSI and 5L printers 56 CMS OPERATION amp SERVICE MANUAL Options Specifications amp Accessories Laser Printer The YM9000 CMS supports printers that are both HPGL 2 and PCL5 compatible with a minimum of 2 megabytes of printer memory such as the Hewlett Packard LaserJet models 4 4SI 4L 5 SSI and 5L printers PC for 8 bed CMS with Windows 2000 professional version O S Pentium 4 2
34. be recorded when you click the Record button Selection Recording Time This menu allows you to select recording time to printout when you click the Record button Configuration PATIENT MANAGEMENT This allows a clinician to enter or change patient information When a patient is to be monitored at the CMS patient data must be entered Patient discharge and transfer are also accomplished using the patient management window If patient data needs to be changed use the same procedures as when admitting the patient e CAUTION The Patient management service password is mn7306 It should ONLY be released to authorized personnel AN You are about to enter the Patient Management ofthis Central Monitor product This mode should ONLY be used by trained support personnel Activation of these programs may affect the opearation of your Central Monitor Figure 27 Patient Management Access Window Display atient I j Transfer LastName CS Bed13 neg e Gender CS ss SS Figure 28 Patient Management Window Display 24 CMS OPERATION amp SERVICE MANUAL Operation Admitting a patient You must admit a patient to the YM9000 CMS in order for the name to appear on the display recordings or reports You admit a patient by using the Patient Management Window 1 Click the Setup button to display the Patient setup window 2 If you select Patient Management the Prompt Access Message Window will display 3 Enter the passwo
35. d the length of an event bar reflects the length of the event In the middle right side of the Wave review window the list shows the color code of the event bar The entire window contains waves You can use the Timeline at the bottom of the window to navigate The initial time period corresponds to the amount of storage available 48 hours The timeline contains two components 1 hour scale of timeline and 48 hours scale of timeline You can display the Events and look at waves for events of interest By clicking in the event area and moving the window you can displays the waves for that event CMS OPERATION 8 SERVICE MANUAL 33 Operation 34 Bed selection Click Y to select a desired bed to view Trends Select Waves Click Select Waves button then Select Waves window prompts You can select ECG Lead I II HI C aVR aVL and aVF SpO2 and Respiration waves Scroll Page Click the Left single Arrow and the Right single Arrow button to move the displayed wave window backward or forward in time by 1 minute time scale Click the Left double Arrow and the Right double Arrow button to move the displayed wave window backward or forward in time by 10 minutes time scale Print To print a report with the wave review click the Print button on the right side of the wave window A report of the wave review you are viewing is printed on a laser printer connected to the CMS computer Trend Review To display the Trend
36. door To ensure that the paper is aligned in the slot and has not been pinched in the door pull the loose edge until a few inches of paper is showing If the paper will not move open the door and return to alignment step 5 3MEDIANA b l Figure 42 Replacement of Recorder Paper CAUTION Restart the External Thermal Recorder after the PC is rebooted Otherwise the External Thermal Recorder does not properly operate hecking Software Version To display the version of the installed software click the Setup button to display the Setup window Refer to Figure 36 Check the version of the installed software at the bottom right of the Setup window 50 CMS OPERATION amp SERVICE MANUAL Maintenance amp Troubleshooting Troubleshooting For technical information and assistance or to order the YM9000 CMS Service Manual call Mediana s Technical Services Department or your local Mediana representative The service manual includes information required by qualified service personnel when servicing the YM9000 CMS Service Manual Qualified service personnel in the user s institution should perform periodic inspections of the monitor in accordance with the YM9000 CMS Service Manual If service is necessary contact qualified service personnel or your local Mediana representative WARNING Failure on the part of the responsible individual hospital or institution A employing the use of this equip
37. e 1 and wave 2 sectors it will display a cascaded wave NOTE Position Change When 3 lead ECG is measuring in the patient monitor you should not select ECG Lead C aVR aVL aVF in the Wave 1 2 settings The Position Change menu allows you to place the Patient Sector in another position on the display 1 The current position button appears as if it has been pressed down in the position change menu 2 Click another position button where you want to display the Patient sector on the main screen 3 If you click a position that is already in use the position button is not selected In this case click another position button Sweep Speed In this menu you can select the sweep speed 25mm s or 12 5mm s of the waves to be displayed CMS OPERATION amp SERVICE MANUAL 23 Operation Current Monitor Status Current Monitor Status shows the current settings of the patient monitor Patient Information Patient information shows the patient name birth date age gender address and comments You can change patient information in the Patient management menu Recording Settings Recording setting menu allows you to set recorder options Print On Alarm If set to On this causes the recorder to print automatically when an alarm occurs Each time a high or medium priority alarm condition occurs a 10 or 20 or 30 second One Shot printout is made automatically Selection Waves This menu allows you to selects waves to
38. ean blood pressure measurement NIBP mmHg ss Systolic Pressure pn EEN Mean Pressure SU Sr nates Diastolic Pressure Figure 35 NIBP Graphical Trend Display Format Bed selection Click Y to select a desired bed to view Trends Print To print a report with the trends click the Print button on the right side of the window A report of the trends you are viewing is printed on a laser printer connected to the CMS computer Select Parameters Click the Select Parameters button then Select Parameters window prompts You can select heart rate pulse rate SpO2 NIBP temperature and respiration rate measurements in the parameter window Scroll Page Click the Left single Arrow and the Right single Arrow button to move the displayed graphical trend window backward or forward in time by one fourth of the selected time scale Click the Left double Arrow and the Right double Arrow button to move the displayed graphical trend window backward or forward in time by the selected time scale When 48 hours is the displayed time scale the graphical window does not move Scale When the Trend Data screen is initially displayed a time scale of 1 hour is the selected time scale for the graphical trend displays The time scale of the trend display is selectable to 40 seconds 1 hour 6 hours 12 hours 24 hours and 48 hours CMS OPERATION amp SERVICE MANUAL 31 Operation 32 Wave Review To display the Wave Revie
39. em administrator or other qualified personnel and only when patient safety will not be compromised If you select System Configuration the Prompt Access Message Window will display Enter the password then click OK button see Figure 29 System Configuration Window will display see Figure 30 Click one of the Shutdown device buttons to shutdown Normal Shutdown Normal shutdown shuts the YM9000 system down normally and prepares it to be turned off Windows 2000 messages follow describing the shutdown condition CMS OPERATION amp SERVICE MANUAL 27 Operation Normal Shutdown amp Restart Normal shutdown and Restart shuts the YM9000 system down normally and automatically restarts system software to bring up all YM9000 applications and all stored patient data Desktop Desktop shuts down the YM9000 system and brings up the Windows 2000 Desktop main menu A complete reboot of the computer is required to bring up YM9000 application software and return to central monitoring 5 Shutdown Restart message window will display then click OK button see Figure 32 You are about to enter the Shutdown Restart mode of this product JW All Central Monitoring will be DEACTIVATED No Central Alarms will be generated or annunciated Do you want to continue Figure 32 Shutdown Restart Message Display CAUTION When running the CMS program after rebooting the PC it may take a e few minutes to connect the CMS
40. er C Program Files tre M9000 Browse Figure 8 Select Install Folder Window 9 Display windows similar to Figure 9 and Figure 10 will be shown while the software installation is proceeding E Installation of YM39000 ver 1 200 Installing M9000 ver 1 200 Click lt Abort gt to abort installation Installing to E Program Files y M3000 Installing item DBWEEDIO exe Progress Figure 9 Installation Proceeding Window CMS OPERATION amp SERVICE MANUAL 11 Installation C HProgram FllesUUN9UBERDE naue MA bed WA VOTE MAN KT Ci Program Files HM BB0RDB move bed8 exe TE bed exe Ci Program Files N OHQWDR move bed exe bed itthed exe Ci Program Files HM BB0RDB move bediB exe bedi Ottthed16 exe C HProgram Filest N HHOHDR move bedii exe bedili thedii exe C PProgram FilestHMH BBB0RDBE gt move hedi2 exe bedi2WHhedl2 exe C MProgram Files MI000YDE gt move bedid ALZip SFX iol x C Program Files Nd KS TIET WOU KT UTC THREE L age eet C WProgram FilesW M9G GWDB gt move bedi5 CAH Program FiesWYMS000WDB Whe Browse E Gvenante without canimmatian Cancel About C HProgram FilesiHM BB60RDB gt move bedi6 C HProgram Filest YN HHOHDR cd bedi CoNProgram Filest NET KOU Ed TE gt hedi ex Figure 10 Database Initialization Proceeding Window 10 Click Install Driver to install the Lock key driver R SoftDog Windows OX ME NTS2KS4P driver installation
41. esscessssocococoesecesessssssssoocscecececeseessssssssocsosesessssssso 47 Hardware installation ocios 47 Sofware msala eege ee ee 47 SEAN OPETI EE 47 MAINTENANCE amp TROUBLESHOOTING s cssssssesssssssccsssossesssosssesssconscosnsossssssssssssssssssosstsesscssesssscosssossesssosssesssssss 49 Mantenne Cin Soa eid wi iat ata tard 49 CIC AMIN G ee EE 49 Periodic Salcty C NECKS AAA o o e o PE E E 49 Replacement or Recorder EE 50 Check ino SOLAS EIERE 50 SA E 51 Operator Iron e e E 51 Bi or and Status EE 52 SPECIFICA TIONS S ACCESSORIES cuina ena a da EE EEEE ERE 55 DPC OIC ALOIS di E SA A A ences tenuis 55 Listor Accessories A Valla Dl cae 58 vi CMS OPERATION amp SERVICE MANUAL Figures Tables Contents FUT ed VM 9000 e OV CIV TOW eisai A EE ENE 2 Fiure 2 CMS COMPUTCl A PESIS EE 6 Fetes AUD LO DORE FTON EE 7 Pome 2 FATS 10 DO Rear PGI ly AA eda 7 a Dc LSOLGUON TELAS OL MEF SATA aaa 8 FUOUPEO rE NICINGL TNETINAL Re cor DO OS AAA AA 8 Feuer E 10 Fomes selci asal Folder WhadOW NAAA AAN T O AARAA 11 Fiene 9 Installation Frioceedino WINDOW io Il Figure 10 Database Initialization Procede sees cee tutu ai inacteead ees aa ee a Aa 12 Figure 1 Lock key Driver Installation WING OW a A ES 12 Figure 12 Lock key Driver Installation Complete Wide 13 Figure 13 Data Access Components License Agreement Wind 13 Figure 14 MS Data Access Components Install Wind 14 Fieure 13 MS Data Access Components Install WINdOW dei
42. heck the Isolation transformer Isolation transformer is turned power switch is turned on Turn On off if necessary Communication link is lost or Power to the bedside monitor is Check that AC power cord is Intermittent between a lost or intermittent securely plugged into the wall bedside monitor and the CMS receptacle and that power is available at the receptacle Plug in power cord as needed Check that power cord is securely connected to the bedside monitor Reconnect power supply as needed LAN cable is disconnected at the Check LAN cable connections at bedside monitor the bedside monitor Reconnect cable as needed CMS OPERATION amp SERVICE MANUAL 51 Maintenance amp Troubleshooting 52 The CMS resets and restarts unexpectedly The CMS is abnormally disconnected during the operation and cannot be reconnected Some bedside monitors are not connected after the initial installation The CMS resets and restarts unexpectedly YM9000 application software does not access LAN cable is disconnected at the CMS Power to the Hub 1s lost or intermittent The TCP IP module may be defected as all the connections are secured There is a problem with the CMS computer AC power cord connection s are loose at the CMS The software and TCP IP module that are appropriate to the bedside monitor are not installed The first trial to connect the CMS will take over 5 minutes after the initial installation
43. ious page are not considered revised The documentation printing date and part number indicate its current edition The printing date changes when a new edition is printed Minor corrections and updates that are incorporated at reprint do not cause the date to change The document part number changes when extensive technical changes are incorporated CMS OPERATION amp SERVICE MANUAL SOFTWARE LICENSE TERMS ATTENTION USE OF THE SOFTWARE IS SUBJECT TO THE Mediana Co Ltd SOFTWARE LICENCE TERMS SET FORTH BELOW USING SOFTWARE INDICATES YOUR ACCEPTANCE OF THESE LICENSE TERMS IF YOU DO NOT ACCEPT THESE LICENSE TERMS YOU MAY RETURN THE SOFTWARE FOR A FULL REFUND The following License Terms govern your use of the accompanying Software unless you have a separate signed agreement with Mediana Co Ltd License Grant Mediana Co Ltd grants you a license to Use one copy of the software Use means storing loading installing executing or displaying the Software You may not modify the Software or disable any licensing or control feature of the Software If the Software is licensed for concurrent use you may not allow than the maximum number of authorized users to Use the Software concurrently Ownership The Software is owned and copyrighted by Mediana Co Ltd or its third party suppliers Your license confers no title to or ownership in the Software and is not a sale of any rights in the Software Mediana Co Ltd
44. lications The YM9000 CMS is to be used for patient monitoring only T WARNING Explosion hazard Do not use the YM9000 CMS or the patient monitor bedside monitor monitors in the presence of flammable anesthetics To turn on the YM9000 CMS press the power switch on the YM9000 CMS computer The YM9000 CMS is loaded automatically After it is turned on the PC monitor automatically runs a set of self test routines If the test routines are successfully completed the PC displays messages as shown in Figure 23 Self Test is a test that verifies the Y M9000 system itself For example it detects and recovers database errors After Self Test is finished click Next to display the normal initial screen If an error is detected it will automatically recover the database Then click Next to display the normal initial screen Itis running a set of selftest routines Please wait BED 1 Data Pass BED 2 Data Pass BED 3 Data Pass BED 4 Data Pass BED 5 Data Pass BED 6 Data Pass BED 7 Data Pasa BED 6 Data Pass BED 9 Data Pass BED 10 Data Pass BED 11 Data Pass BED 12 Data Pass BED 13 Data Pass BED 14 Data Pass BED 15 Data Pass BED 16 Data Pass system Data Pass Patient Information Data Pass Figure 23 Self Test Finish Display CMS OPERATION amp SERVICE MANUAL 19 Operation Normal initial screen Figure 24 shows bed selection b
45. ment to implement a satisfactory maintenance schedule may cause undue equipment failure and possible health hazards WARNING When turning off or restarting the PC you must follow proper shut A down instruction refer to Operation section If the PC abnormally shuts down the YM9000 database may be lost and the system would not perform properly NOTE Mediana will make availability on the request in English only of component part lists descriptions calibration instructions or other information which will assist the user s appropriate qualified service personnel to repair those parts of the equipment which are classified by Mediana to be repairable Operator Troubleshooting In the event of technical difficulties operator troubleshooting is limited to the activities listed in Table A This table presents typical problems probable causes and suggested actions to correct the problems For any problems not listed in Table 9 contact your system administrator or your facility clinical engineer or the Mediana Technical Services Department Table 4 Troubleshooting Possible Cause s Corrective Action s CMS does not turn on or has AC power cord is unplugged or Check that power cord is plugged shut off unexpectedly disconnected from the Isolation into the Isolation transformer the Transformer the computer or the wall receptacle the computer and monitor the monitor Plug in power cords as needed The power switch on the C
46. n SAFETY INFORMATION Text Conventions The following conventions for Notes Cautions and Warnings are used in this manual NOTE NOTE A Note calls attention to an important point in the text e CAUTION A Caution calls attention to a condition or possible situation that could damage or destroy the product or the user s work n WARNING A Warning calls attention to a condition or possible situation that could cause injury to the user and or patient Warnings A WARNING The PC that supports hyper threading must be turned the function off for proper installation Set the bios to turn off the hyper threading function before boot Follow the instructions in the PC manual how to set the bios WARNING Explosion hazard Do not use the CMS or the bedside monitor in the presence of flammable anesthetics WARNING Electric shock hazard External covers and panels are to be removed only by qualified service personnel There are no user serviceable parts inside WARNING The components of the YM9000 CMS are intended only as an adjunct in patient assessment The system must be used in conjunction with clinical signs and symptoms WARNING Do not expose any components of the YM9000 CMS to extreme moisture levels such as rain Such exposure may cause incorrect or inaccurate performance or device failure during or after exposure WARNING Patient safety could be compromised if the CMS is used as a personal computer while patients are
47. nstallation amp Start Up Guide This page is intentionally left blank 48 CMS OPERATION 8 SERVICE MANUAL Maintenance amp Troubleshooting MAINTENANCE amp TROUBLESHOOTING Maintenance Before using the CMS to monitor patients Check for any mechanical damage Check all the external leads input data connections and accessories Check all the functions of the instrument which will be needed to monitor the patient and ensure that the instrument is in good working order Do not use the YM9000 CMS for any monitoring procedure on a patient if you identify impaired functioning of the instrument Contact the hospital biomedical engineer or the Mediana service engineer If liquid is accidentally spilled on the YM9000 CMS clean and dry thoroughly before reuse If in doubt about the YM9000 CMS safety refer the unit to qualified service personnel Cleaning The equipment should be kept clean and dry This section describes several routine maintenance procedures The Recorder has mechanical and optical components that require regular cleaning for dependable operation This includes cleaning the paper out sensor and the paper roller to prevent paper slippage and keep recordings clear and clean Cleaning the paper out sensor and interior of the Recorder can be done with a container of compressed air The exterior surfaces of the YM9000 CMS components should be regularly cleaned of dust lint and dirt To clean equi
48. nstrument for proper air circulation 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 The environment where the YM9000 CMS will be used should be reasonably free from vibration dust corrosive or explosive gases extremes of temperature humidity and so on CMS OPERATION amp SERVICE MANUAL 55 Specificaations amp Accessories Features The YM9000 CMS provides real time waveform monitoring at a hallway location for up to 16 patients being monitored by Patient monitor on the LAN The standard YM9000 CMS includes the following features PC O S Windows 2000 professional version with 43 cm 17 display keyboard speaker and mouse External Thermal Recorder 100Vac to 240Vac 50 Hz 60 Hz 24kW Fuse q ty 2 10 0 A 250 volts slow blow IEC 5x20 mm 200 dpi Resolution Recorder paper width 50mm Dimension 10 2cm x 16cm x 12cm W x D x H Application Software Lock key Dimension 5 5cm x 4 5cm x 1 5cm W x D x H Displays up to 16 patients who are monitored by Patient monitor on the LAN Up to 16 waveforms on Main Screen display Alarm silencing Accesses real time waveforms and parameters accesses data stored by Database 30 seconds alarm records all waveforms per event ECG lead I IT II C aVR aVL aVF C SpO2 Respiration 48 hours w
49. nt data from the bedside monitors is processed by the computer for display on the monitor The computer also contains a Lock key for the YM9000 CMS operation Refer to the Specification section for computer recommendation Connect all the necessary cables into the rear panel of the PC as shown in Figure 2 AC line connector Power selector sich Ps Mouse ID Keyboad Ji USB Mouse 0 D External Terme E Recorder Bi E Display Monitor Figure 2 CMS Computer PC Settings 6 CMS OPERATION amp SERVICE MANUAL Installation Refer to Figure 3 CMS Computer components using the following procedures Verify that the power selector switch is set to your facility s wall plug voltage Connect the mouse to the connector PS 2 or USB at the back of the computer Connect the keyboard to the connector at the back of the computer Connect the other end of the video cable to the video drive connector at the back of the computer Connect the other end of the serial data cable to the serial port at the back of the computer Connect the other end of the LAN cable to the Ethernet adaptor at the back of the computer Connect the Lock key into the parallel port at the back of the computer and tighten the screws securely 8 Connect the Laser printer cable to the other side of the Lock key NYHA Uu kh WN ra HUB Network cabling between the PC and the monitors at the bed station provides communications links t
50. o the monitors connected to the PC The Hub is connected to the 10BaseT 100BaseTX Ethernet connection on the rear of the CMS computer Up to 8 or optionally 16 patient monitors can be connected Plug one end of the LAN cable into any one port of the Hub Plug the other end of this cable into the RJ 45 connector of the Ethernet adapter in the CMS computer or the Network connector in the patient monitor Refer to Figure 3 and 4 Connect the Hub and the device CMS Computer and Patient monitor using the following procedures 1 Connect the DC adaptor to the adaptor jack at the rear panel of the hub 2 Verify that the power led is lit at the front panel of the hub 3 Connect the other end of the LAN cable to any one port at the rear panel of the hub 4 If the other end of the LAN cable is connected to a device that is powered on verify that the Link Act led is lit at the front panel of the hub The LAN cable length between Hub and connecting the devices CMS computer and Patient monitor should not exceed 100 m 328 ft HUB 12345 67 8910 111213141516 0000000000000000 0000000000000000 0000000000000000O0 O POWER Figure 3 HUB 16 port Front panel 8 il SEN es SE y El 0 00 A Figure 4 HUB 16 port Rear panel m Ol L CO CO OC CMS OPERATION amp SERVICE MANUAL 7 Installation Isolation Transformer An Isolation Transformer is used to provide isolated voltage for the computer the monito
51. onitor monitor setting set the patient monitor for the CMS Refer to the Bedside monitor settings section Software installation 7 Insert the CD Install the CMS application software Refer to the Software installation section Start up amp Operation 8 Verify that the Link Act led is lit at the front panel of the hub when the other end of the LAN cable is connected to a monitor that is powered on 9 After turning on the computer verify that the monitor displays a copyright screen 10 You may click bed selection buttons in correspondence with your CMS options 8 or 16 beds with a single display and 16 beds with dual displays 11 Verify that the patient sector with bed number is displayed in the Main screen 12 Verify that CMS indicating dot appears green in the bedside monitor 13 Set the date and time in the System Configuration window Refer to the System Configuration in the Setup window section 14 Admit a patient in the Patient Management window Refer to the Patient Management in the Setup window section After a patient is admitted patient data is stored in the YM9000 CMS 15 Click the Setup window button in the Main screen then verify that the current date and time is set correctly and the patient information 1s displayed as you entered 16 Click the Recorder button in the Main screen Verify that the Recorder prints out a 10 or 20 or 30 second one shot recording CMS OPERATION amp SERVICE MANUAL 47 Quick I
52. onitor settings date time setting patient information recording setting and system configuration access CMS OPERATION amp SERVICE MANUAL 4 Introduction System Configuration lt YM9000 CMS configuration gt ias Isolation Transformer Operation Application Software amp Service Manual Lock Key MEDIANA LAN cable Laser Printer External Thermal Recorder Patient Monitors Figure 1 YM9000 CMS Overview The YM9000 CMS consists of YM9000 CMS application software CD Lock key for Application software YM9000 Recorder System External thermal recorder Option Hub 16port for connecting up to 8 monitors to a single CMS Option Hub 24port for connecting up to 16 monitors to a CMS Option LAN cables Option PC for 8 bed CMS with Windows 2000 professional version minimum Pentium 4 2 0GHz minimum RAM 512Mbyte 1280x1024 Graphic Card External Speaker Sound card Option PC for 16 bed CMS with Windows 2000 professional version minimum Xeon 2 4GHz minimum RAM 1 G byte 1280x1024 Graphic Card External Speaker Sound Card Option Isolation Transformer Option Flat panel PC monitor or CRT monitor minimum 17 inches Option LaserJet printer 9 CMS OPERATION amp SERVICE MANUAL Safety Informatio
53. pment surfaces use a lint free cloth or sponge moistened with soap and water a dilute non caustic detergent solution NOTE Refer to the cleaning instructions in the directions for use for such local supplies as a PC or a PC monitor Periodic Safety Checks We recommend that full performance checks be done by qualified service personnel every 6 to 12 months and after every repair or upgrade See your YM9000 CMS Service Manual for additional information All checks which require the instrument to be opened must be made by qualified service personnel Safety and maintenance checks can also be made by Mediana qualified service personnel Your local Mediana office will be glad to give you information about service contracts CMS OPERATION amp SERVICE MANUAL 49 Maintenance amp Troubleshooting Replacement of Recorder Paper l STH MN E W C Open the door by pushing both sides of a and b of the recorder slightly and pulling the door out The door should tilt open Reach in and remove the depleted paper core by pulling it towards you gently with your thumb on top and your forefinger and or index finger underneath it Place a new paper roll between the paper holder Orient the paper roll Unroll the paper towards you until approximately 2 inches 5 08 cm of paper have been unrolled Align the paper with the pinch roller attached to the recorder door Holding the paper against the roller close the recorder
54. printed on a laser printer connected to the CMS computer Trend Review To display the Trend Review click the Trend Review button Wave Review To display the Wave Review click the Wave Review button Main Screen To remove the Alarm review window click the Main Screen button CMS OPERATION 8 SERVICE MANUAL Operation Alarm Indications The CMS provides indications of physiological and technical alarms When a monitored patient parameter exceeds a limit set at the bedside monitor or when a technical condition occurs an alarm is indicated visually and audibly at the CMS Physiological and technical alarms are categorized as high red flash medium yellow flash and low priority yellow constant Each alarm has unique visual and audible characteristics An alarm message is also displayed on the Patient sector as for an individual bed For the detailed alarm conditions indications and messages refer to the Alarms and limits section of the operation amp service manual for each patient monitor Alarm Silence An alarm is silenced at the CMS using the Alarm button or an alarm is silenced at the CMS when it is silenced at the bedside monitor The alarm is silenced at the CMS for an alarm silence period as Silence period setting at bedside monitor If an alarm has been silenced the alarm silence period for that alarm has elapsed and the same alarm condition still exists the audible alarm sounds again Al
55. r an external thermal recorder and a laser printer in order to ensure the safety Connect each equipment power cord e g the PC an external thermal recorder and a laser printer as shown in Figure 5 Power cord connector Figure 5 Isolation Transformer Settings External Thermal Recorder An optional thermal recorder can be installed in the computer to provide printouts of patient data and system status data Refer to the rear panel of the external thermal recorder Connect the RS 232 serial data cable to the connector as shown in Figure 6 then connect the other end of the serial data cable to the PC serial port COM1 Connect a power cord to AC power through the Isolation transformer To Isolation RS 232 Transformer Connector Figure 6 External Thermal Recorder Settings Laser Printer An optional laser printer can be connected to the computer to provide printouts of patient data and system status data The CMS is not supplied with a printer The printer must be provided by the facility See the Specifications section for recommendation of a laser printer For printer operation refer to the instruction manual for that printer Video Card for dual displays Option Dual Display Option provides for additional viewing area With two displays the 8 Patient Sectors of the Main Screen appear on the first display and others 8 Patient Sectors of the Main Screen appear on the second display A standard video card is provided in the
56. rd then click OK button see Figure 27 The Patient Management Window will display see Figure 28 You may now enter or change patient information such as name age gender and address 4 To admit a patient enter patient information name age gender address and etc 5 Click Admit button NOTE Click Cancel to quit and make no changes the patient information Changing patient data 1 Click the Setup button to display the Patient setup window 2 If you select Patient Management the Prompt Access Message Window will display 3 Enter the password then click OK button see Figure 27 The Patient Management Window will display see Figure 28 4 Now you can enter or change patient information such as name age gender address 5 Make changes as desired 6 Click Update button NOTE Click Cancel to quit and make no changes the patient information Discharging a patient Since data collection starts when a patient is admitted to the CMS it is very important to perform a discharge prior to admitting a new patient This ensures that data from a previous patient is not mixed with the data from the new patient 1 Click the Setup button to display the Patient setup window 2 If you select Patient Management the Prompt Access Message Window will display 3 Enter the password then click OK button see Figure 27 The Patient Management Window will display see Figure 28 Now you are ready
57. rinting date and time followed by current numeric values Heart rate HR respiration rate blood pressures Sys Dia MAP oxygen saturation SpO2 Pulse rate and temperature T1 T2 If there is no measurement at the moment of the printing for example blood pressure dashes will be presented After printing parameters real time waveforms are printed out on the display in the Main screen You can select the number of printout waveform in the Setup window Time is printed along the top of the paper followed by real time waveforms including waveform information sweep speed size and lead configuration I II HI aVR aVL aVF or C The recorder speed is configured at 25 mm s 20 28 16 RARE PARAR AAA AE 2005 05 03 20 46 Michael Jin ECG HAT ATI BED 1 A Y HR 80bpm A SpO2 90 LA YALE T N LLAN PRA WNI N Al ECKE Aaa Pulse 80bpm NIBP mmHg Resp Rate 19 min T1 36 7 C T2 37 0 C FAL TT TaN Tt TY LHS HHEN EE Wa Feb WS WS WS SE SN GN MEDIANA PLETE EET ee ete te ET ETE EE ET TT Tt Figure 38 One Shot Printout When the Print on alarm is set to On a 30 10 20 second one shot printout is made automatically each time a high or medium priority out of limits alarm condition occurs The Print on alarm operation is selected in the Setup window 38 CMS OPERATION amp SERVICE MANUAL Operation Report You can print a report on an optional laser printer connected to the CMS compu
58. rom a bedside monitor Trend data is available for up to the last 48 hours It also shows the Event List and Tabular Trend List All parameters that are stored can also be trended The Graphical trend is displayed on the top area in the trend review window In the graphical trend area four trend graphs are presented at one time The Graphical Trends screen contains graphical trend plots of heart rate pulse rate SpO2 NIBP Temperature and respiration rate measurements The vertical scale on each graphical trend display shows the values of the measured parameter The selected time scale is displayed horizontally on each graphical display The beginning time of the time displayed is shown on the left and the ending time of the time scale is shown on the right 30 CMS OPERATION amp SERVICE MANUAL Operation The Event bar is displayed under the each graphical trend section with the color associated with the priority of the alarm The length of an event bar reflects the length of the event In the middle right side of the Trend review window the list shows the color code of the event bar For each blood pressure measurement the NIBP graphical trend display shows a vertical bar with a horizontal bar on top and bottom and between these horizontal bars The top horizontal bar is the systolic blood pressure measurement The bottom horizontal bar is the diastolic blood pressure measurement The horizontal bar in the middle of vertical bar is the m
59. system is restarted the Installation complete window appears to indicate the Installation of YM9000 application software completed message After the Installation complete window appears the entire YM9000 CMS application software installation is finished 4 Installation of M9000 ver 1 200 xl Installation of 149000 ver 1 200 completed Figure 17 Installation Complete Window 17 When the software installation process is complete the Installation of Data access objects window appears to indicate Installation of Data access objects DAO for the YM9000 CMS application set eee E Setup le preparing the InstallShield Wizard which Will guide pon through the application setup process Please wait 30 2 Figure 18 Installation of Data access objects Window NOTE After the YM9000 CMS application software installation is finished the IP address and the DNS server address are automatically set CMS OPERATION amp SERVICE MANUAL 15 Installation Initial Installation Initial Installation must proceed after the program has been successfully installed NOTE You must click Initial Installation when you first install monitors or add additional monitors or replace monitors 1 Self Test is a test that verifies the YM9000 system itself If the test routines are successfully completed the PC displays messages as shown in Figure 19 In order to complete the Initial
60. temperature and humidity If a hardware device is in a cabinet installation allow sufficient room at the front for operation and sufficient room at the rear for servicing with the cabinet access door open The YM9000 CMS operates within specifications at ambient temperatures between 15 C and 40 C Allow at least 2 inches 5cm clearance around the instrument for proper air circulation CMS OPERATION amp SERVICE MANUAL 5 Installation To protect hospital personnel the cabinets or hardware of the YM9000 CMS must be grounded Accordingly the hardware is equipped with detachable 3 wire cables which ground the instrument to the power line ground protective earth when plugged into appropriate 3 wire receptacles If an adequate number of 3 wire receptacles are not available consult the hospital electrician 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 System Installation After the YM9000 CMS components have been positioned in their locations they can be interconnected using proper equipment cables References for plug connections to the processing unit and references for the total system including options are provided Refer to Figure for connection information Central System Setting Computer The computer is the primary component of the YM9000 CMS operation Patie
61. ter To print a patient trend review report click the Print function button in the Trend review window The First part of the patient trend report contains patient information The second part contains graphic trends of heart rate SpO2 NIBP temperature and respiration rate measurements The vertical scale on each graphical trend shows the values of the measured parameter The time scale selected in system setup is displayed horizontally on each graphical display For each blood pressure measurement the NIBP graphical display appears in the printout as it does on the Graphical Trends screen The third part of the patient trend report contains a tabular trend list and an event list HR bpm 15 14 20 Figure 39 Trend Review Report To print an alarm review report click the Print function button in the Alarm review window The first part of th dfatth review report contains patient information The second part contains wavefdrnis of ECG SpO2 MR p ation rate The time scale is displayed horizontally on each graphical display The third part of the patie R Um ER contains a tabular trend list and an event list To print a wave review report click the Print function button in the wave review The first part of the wave review report contains patient information The second part contains waveforms of ECG SpO2 and respiration rate dhatgelected in the review window The tyme sgale is displayed horizontally on eachs 44 ac graphical display
62. to discharge a patient 4 Discharge patient and patient information name age gender address and etc 5 Click Discharge button WARNING When the Discharge function is initiated at the CMS all patient A information and all trend data for the patient stored in the CMS is permanently deleted Transferring a patient to a different bed 1 Click the Setup button to display the Patient setup window 2 If you select Patient Management the Prompt Access Message Window will display 3 Enter the password then click OK button see Figure 27 The Patient Management Window will display see Figure 28 Now you are ready to transfer patient information name age gender address and etc 4 If a patient needs to move click a desired bed position through Transfer NOTE The bed into which the patient is being transferred must have had the discharge function performed on it and the CMS should not be receiving data from the bedside monitor 5 Click Change button NOTE Click Cancel to quit and do not transfer a patient CMS OPERATION 8 SERVICE MANUAL 25 Operation NOTE Ifthe patient transfer from one monitor to another is required both of the bedside monitors must be restarted after changing a patient transfer is set to the CMS For example if a patient needs transferring from Bed 1 to Bed 3 both Bed 1 and Bed 3 must be turned off after choosing Bed 3 and clicking the Change button SYSTEM CONFIGURATION
63. uttons You may click one of the buttons to correspond with your CMS options 8 or 16 beds with a single display and 16 beds with dual displays 8 Bed 16 Beds with a single display 16 Beds with dual displays Copyright 2003 Mediana All rights reserved Vor 1 000 E E DI VENTURE ENTERPRISE Figure 24 Program Initial Display Then the PC monitor displays the typical Main screen 20 CMS OPERATION amp SERVICE MANUAL Operation Main Screen The Main Screen of the CMS is the primary patient monitoring screen All bedside monitor monitors that the CMS has established communication with are displayed on the Main screen It can display up to 8 patients optional 16 patients and 2 waves per patient with a maximum of 16 waves per screen 32 waves with dual displays Each of these bedside monitor monitors presents a patient sector with a label which includes the bed number on the Main screen When the YM9000 operates in 16 bed monitoring with a single display only the Alarm button is shown in the Main screen When you click the Alarm button then all patient sector buttons appear in the Main screen BED1 BED5 Michael Jin Geena Lee HR HR 60 SpO2 SpO2 99 PULSE PULSE 60 E NIBP NIBP 120 80 RR T1 C T2 C John Lee a You HR 60 PULSE en ES PULSE 60 NIBP 120 80 NIBP 120 80 RR O RR T1 C T2 C 36 5 T2 C Kevin Jang Alex Hong HR 60 HR 60 SpO2 99
64. w click the Wave Review button Alarm Review To display the Alarm Review click the Alarm Review button Main Screen To remove the Trend review window click the Main Screen button Tabular Trend The Tabular trend list is on the lower right side of the Trend review window This list shows trend data by 10 seconds time scale The Trend review allows you to review individual data and their corresponding information associated with that time When the time interval selected contains more individual trend data than can be displayed the corresponding tabular trend data is displayed when you access the mouse pointer To begin reviewing individual data for tabular trend first move the mouse pointer on the waveform in the graphical trend area click and hold the left mouse button and then drag the mouse pointer to the data point you want to see When you select the data area on the waveform tabular trend data is displayed in the tabular trend list As you move the mouse pointer the tabular trend list will change correspondingly When you no longer want to see the selected data area click the number of listing 1 2 3 to remove the selected data area on the waveform areas Event List The Event list is on the lower left side of the Trend review window This list shows the duration of the alarm event and alarm status message The most recent alarm detected by the CMS monitoring system appears at the top of the list
65. ward or backward by more than 1 minute Ae GO EA ri ON NN the YM9000 CMS will automatically reflect the new time and there will be loss of data for the period of time that the time was set forward or backward atient j Transfer LastName sd Bed13 sws SSCS Figure 31 Date Time Message Display If you select System Configuration the Prompt Access Message Window will display Enter the password then click OK button see Figure 29 The System Configuration Window will display see Figure 30 Click Data Format sidebar Then you can set a desired date format mm dd yy dd mm yy or yy mm dd Click Month Day Year Hour and Minute field to set the current date time Click Date amp Time Change button After the Warning message window displays click OK button see Figure 31 NOTE Click OK to save changes you have made or click No to quit and make no change to the data and time in the warning message window Shutdown l SE gt 4 System configuration menu provides controls for shutting CMS and Windows 2000 software down and for accessing the Windows 2000 main menu WARNING Patient safety could be compromised if the Shutdown function is used while patients are being monitored While patient monitoring continues at the bedside monitors the Shutdown function stops all display of bedside monitor status and alarms at the CMS The Shutdown function should only be used by the syst
66. ware Lock key YM9000 CMS Operation amp Service Manual External Thermal Recorder for the YM9000 CMS Thermal Recorder Paper 2 inches Serial data cable for Recorder Power code for Recorder HUB 16port for 8 bed CMS HUB 24port for 16 bed CMS Isolation Transformer PC for 8 bed CMS Pentium 4 2 0GHz PC for 16 bed CMS Intel Xeon 2 4GHz Monitor 17 for CMS Laser printer for CMS HP Laser Printer LAN cable for CMS Remark Standard Standard Standard Standard Standard Standard Standard Option Option Option Option Option Option Option Option CMS OPERATION 8 SERVICE MANUAL Part Code M9005 M4017 A7035 AD110 A0062 A0073 A0085 AD308 AD316 AD210 AD308 AD316 AD302 AD301 AD305

INSTALLATION & OPERATOR`S MANUAL

Contents

Download Pdf Manuals

Related Search

Related Contents

INSTALLATION &amp; OPERATOR`S MANUAL

Contents

Download Pdf Manuals

Related Search

Related Contents

INSTALLATION & OPERATOR`S MANUAL