Terms Used in this Manual

This guide is designed to give key concepts on safety precautions.

WARNING
A WARNING label advises against certain actions or situations that could result in personal
injury or death.
CAUTION
A CAUTION label advises against actions or situations that could damage equipment, produce
inaccurate data, or invalidate a procedure.
NOTE
A NOTE provides useful information regarding a function or a procedure.

I
 Table of Contents
1 Intended Use and Safety Guidance ............................................................................................ 1
1.1 Intended Use/Indications for Use ........................................................................................ 1
1.2 Safety Guidance .................................................................................................................. 1
1.3 Explanation of Symbols ...................................................................................................... 4
2 Introduction ................................................................................................................................. 5
2.1 General ................................................................................................................................ 5
2.2 Network Structure ............................................................................................................... 6
2.3 System Functions ................................................................................................................ 7
2.4 Mouse Operation ................................................................................................................. 8
3 Display Screens of the MFM-CMS ............................................................................................ 9
3.1 Overview ............................................................................................................................. 9
3.2 Main Screen ........................................................................................................................ 9
3.2.1 System Information Area ........................................................................................ 10
3.2.2 Patient Sectors ......................................................................................................... 10
3.2.3 Quick Control Area ................................................................................................. 11
3.3 Auxiliary Screen ................................................................................................................ 13
3.4 Large Font Display ............................................................................................................ 15
3.5 Layout of Patient Sectors .................................................................................................. 16
4 Switching on/off the MFM-CMS ............................................................................................. 17
4.1 Starting monitoring ........................................................................................................... 17
4.2 Shutting down the System ................................................................................................. 17
5 Patient Management ................................................................................................................. 19
5.1 Admitting a Patient ............................................................................................................ 19
5.2 Changing Patient Information ........................................................................................... 19
5.3 Switching Patient sector .................................................................................................... 20
5.4 Discharging a Patient ........................................................................................................ 20
5.5 Setting Idle Bed ................................................................................................................. 20
5.6 Transferring a Patient ........................................................................................................ 21
5.7 Monitoring Statistics ......................................................................................................... 21
5.8 Nurse Call / Patient Call .................................................................................................... 21
6 Patient Sector ............................................................................................................................. 23
6.1 Overview ........................................................................................................................... 23
6.2 Networked Monitoring Display ........................................................................................ 23
6.3 Menu in the Patient Sector ................................................................................................ 25
6.4 Parameter/ Waveform Setup .............................................................................................. 25
6.4.1 Setting Waveforms ...................................................................................................... 25
6.4.2 Setting Parameters ................................................................................................... 26
6.5 Freeze ................................................................................................................................ 26
6.6 Real-Time Printing ............................................................................................................ 26
6.7 Alarm Reset ....................................................................................................................... 27

III
7 Viewing Single Bed .................................................................................................................... 28
7.1 Display of Single Bed ....................................................................................................... 28
7.2 Hiding/Showing Multi-Lead Waveform .............................................................................. 29
7.3 Short Trend Review. ......................................................................................................... 29
7.4 OxyCRG ............................................................................................................................ 30
7.5 Freeze ................................................................................................................................ 30
8 Setting Monitors via the MFM-CMS ...................................................................................... 31
8.1 Changing Patient Information ........................................................................................... 31
8.2 Setting Parameters ............................................................................................................. 31
8.2.1 Configuring NIBP Measurement Settings ............................................................... 31
8.2.2 Parameters Alarm Setting ........................................................................................ 32
8.2.3 Physiological Parameter Attribute and Configuration ............................................ 32
9 Review ........................................................................................................................................ 33
9.1 Patient List ........................................................................................................................ 33
9.1.1 Patient Review ........................................................................................................ 33
9.1.2 History Patient Review ........................................................................................... 33
9.1.3 Backup Patient Review ........................................................................................... 34
9.2 Wave Review ..................................................................................................................... 34
9.2.1 Reviewing Normal Waveforms .................................................................................. 34
9.2.2 Reviewing Compressed Waveforms .......................................................................... 34
9.2.3 Setting Wave Speed ................................................................................................. 35
9.2.4 Refreshing Waveform ................................................................................................. 35
9.2.5 Selecting Waveform .................................................................................................... 35
9.2.6 Time Setup .............................................................................................................. 35
9.2.7 Print ......................................................................................................................... 35
9.3 Alarm Review.................................................................................................................... 35
9.3.1 Locking and Unlocking Alarm Information ............................................................ 36
9.3.2 Printing Alarm Information ..................................................................................... 36
9.3.3 Sequencing the Alarm List ...................................................................................... 36
9.3.4 Annotating Alarm .................................................................................................... 36
9.3.5 Filtering Alarm Events ............................................................................................ 37
9.4 Trend Review .................................................................................................................... 37
9.4.1 Setting Resolution ................................................................................................... 37
9.4.2 Viewing Parameters selectively............................................................................... 37
9.4.3 Refreshing Data ....................................................................................................... 37
9.4.4 Printing Trend Review ............................................................................................ 37
9.4.5 Selecting Trend Table, Trend Graph ....................................................................... 38
9.5 NIBP Review..................................................................................................................... 38
9.6 12-Lead Review ................................................................................................................ 38
9.7 C.O. Measure Review ....................................................................................................... 38
9.8 Quick Temp Review .......................................................................................................... 39
9.9 PAWP Review ................................................................................................................... 39

IV
10 System Setup ............................................................................................................................ 40
10.1 Common Setup ................................................................................................................ 40
10.1.1 Parameter Unit Setup ............................................................................................ 40
10.1.2 Color Setup............................................................................................................ 40
10.1.3 Display Setup ........................................................................................................ 40
10.1.4 Telemetry Module Switch Setup ........................................................................... 41
10.1.5 Help ....................................................................................................................... 41
10.2 User Maintain .................................................................................................................. 41
10.2.1 Monitor Batch Settings ......................................................................................... 41
10.2.2 Telemetry Alarm Latch Setup................................................................................ 42
10.2.3 Date/Time Setup.................................................................................................... 42
10.2.4 Alarm Setup for MFM-CMS ................................................................................. 42
10.2.5 Changing Language .............................................................................................. 43
10.2.6 HL7 ....................................................................................................................... 43
10.2.7 Database Maintain ................................................................................................. 43
10.2.8 Other Setups .......................................................................................................... 44
10.2.9 User Password Setting........................................................................................... 44
10.2.10 Operation Log ..................................................................................................... 44
10.2.11 About ................................................................................................................... 44
11 Alarm Management ................................................................................................................. 45
11.1 Overview ......................................................................................................................... 45
11.1.1 Physiological Information Alarm .......................................................................... 45
11.1.2 Technical Alarm .................................................................................................... 45
11.2 Alarm Level of the Monitors ........................................................................................... 46
11.3 Alarm Mute...................................................................................................................... 46
11.4 Audio Pause ..................................................................................................................... 46
11.5 Alarm Prompt/Response .................................................................................................. 46
11.6 Alarms for Networking Status ......................................................................................... 47
12 Printing..................................................................................................................................... 48
12.1 Printing Report with a Printer ......................................................................................... 48
12.2 Printing Preview/ Printing Settings ................................................................................. 48
12.2.1 Printing Preview .................................................................................................... 48
12.2.2 Printing Settings .................................................................................................... 48
12.3 Exporting the PDF File ................................................................................................... 49
13 Database Management............................................................................................................ 50
13.1 Database Backup ............................................................................................................. 50
13.2 Reviewing Backup Database........................................................................................... 50
14 Calculation and Titration Table ..................................................................................................... 51
14.1 General ............................................................................................................................ 51
14.2 Drug Calculation ............................................................................................................. 51
14.2.1 Drug Calculation Formula..................................................................................... 52
14.2.2 Calculation of Titration Table ...................................................................................... 53

V
 14.3 Hemodynamic Calculation .............................................................................................. 53
14.3.1 Input Parameters.................................................................................................... 53
14.3.2 Output Parameters ................................................................................................. 54
14.4 Renal Function Calculation ............................................................................................. 54
14.4.1 Input Parameters.................................................................................................... 54
14.4.2 Output Parameters ................................................................................................. 55
14.5 Oxygenation Calculation ................................................................................................. 55
14.5.1 Input Parameters.................................................................................................... 55
14.5.2 Output Parameters ................................................................................................. 56
14.6 Ventilation Calculation .................................................................................................... 57
14.6.1 Input Parameters.................................................................................................... 57
14.6.2 Output Parameters ................................................................................................. 57
15 CMS-WEB Observer .............................................................................................................. 58
15.1 General ............................................................................................................................ 58
15.2 Typical Screens of the CMS-WEB.................................................................................. 58
15.3 Starting/ Shutting Down the System ............................................................................... 60
15.3.1 Starting the System ............................................................................................... 60
15.3.2 Shutting Down the System .................................................................................... 61
15.4 System Setup ................................................................................................................... 61
15.4.1 Common Setup ...................................................................................................... 61
15.4.2 Administrator Setup .............................................................................................. 63
15.5 Viewing Single Bed ......................................................................................................... 64
15.5.1 Patient Information................................................................................................ 64
15.5.2 Single Bed View............................................................................................................. 65
15.5.3 Waveform Review ................................................................................................. 65
15.5.4 Alarm Review........................................................................................................ 65
15.5.5 Trend Review ........................................................................................................ 65
15.5.6 NIBP Review......................................................................................................... 66
16 Safety ........................................................................................................................................ 67
16.1 Control and Safety Index ................................................................................................ 67
16.2 Characteristics ................................................................................................................. 67
17 Service ...................................................................................................................................... 68
Appendix I Specifications ............................................................................................................ 69
A1.1 Recommended Hardware Configuration ........................................................................ 69
A1.2 Software Performance .................................................................................................... 70
Appendix II MFM-CMS System Alarms and Prompts ............................................................ 72
A2.1 Alarms ............................................................................................................................ 72
A2.2 Prompts........................................................................................................................... 73
Appendix III Abbreviation .......................................................................................................... 74

VI
MFM-CMS Central Monitoring System User Manual Intended Use and Safety Guidance

1 Intended Use and Safety Guidance

1.1 Intended Use/Indications for Use
MFM-CMS provides centralized monitoring and critical care management for patients monitored
by DIXION bedside monitors. From MFM-CMS, clinicians can gain access to patient information
for patients on the Network. MFM-CMS displays waveforms, parameters and alarm status of
DIXION bedside monitors for up to 32 patients on a single screen or up to 64 patients using two
screens.

1.2 Safety Guidance

WARNING
1 The system should be installed by a qualified service engineer. Do not switch on
power until all cables have been properly connected and verified.
2 The user of this system should get professional training and read this manual
thoroughly before using it.
3 Do not use it in the presence of flammable anesthetic due to explosion risk.
4 To avoid the risk of electric shock, do not remove the unit covers.
5 Do not move the main unit and computer monitor while powering on the system.
6 Only the accessories supplied or recommended by the manufacturer can be
connected to the system.
7 Please refer to MFM-CMS Central Monitoring System Installation Guide for detailed
information of installation and uninstallation.
8 Accessory equipment connected to the analog and digital interfaces must be certified
according to the respective IEC/EN standards (e.g. IEC/EN 60950 for data
processing equipment and IEC/EN 60601-1 for medical equipment). Furthermore all
configurations shall comply with the valid version of the standard IEC/EN 60601-1.
Therefore anybody, who connects additional equipment to the signal input or output
connector to configure a medical system, must make sure that it complies with the
requirements of the valid version of the system standard IEC/EN60601-1. If in doubt,
consult our technical service department or your local distributor.
9 Ensure that the environment in which the system is operated is not subject to any
sources of strong electromagnetic interference, such as radio transmitters, mobile
telephones, etc. Keep them far away.
10 This equipment must be used by or under the guide of physician. This equipment is
not intended for home use.

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MFM-CMS Central Monitoring System User Manual Intended Use and Safety Guidance

WARNING
11 MFM-CMS system can only collect, supervise, record, store and display the
information from Multi-parameter patient monitor but cannot replace the monitoring
function of the Multi-parameter patient monitor.
12 The wireless monitors and MFM-CMS form a wireless local area network (WLAN),
and two-way transmission of data between them is by radio. Its RF emissions may
cause interference in nearby electronic equipment. So the RF device must comply
with the local standards and certification requirements.
13 The wireless monitors and MFM-CMS form a WLAN and two-way transmission of
data between them is by radio. A loss of transmission data between a wireless
monitor and MFM-CMS can occur due to interference caused by other RF signals.
14 The telemetry device and MFM-CMS form a WLAN via Wi-Fi, and two-way
transmission of data between them is by radio. A loss of transmission data between a
telemetry device and MFM-CMS can occur due to interference caused by other RF
signals.
15 Ensure that the system can meet the requirements of standard IEC/EN 60601-1
before other devices are connected to the system. Other equipments connected to
the interfaces of PC station must comply with the respective IEC/EN standards (e.g.
IEC/EN 60950 for data processing equipment and IEC/EN 60601-1 for medical
equipment). Furthermore, all configurations should comply with the valid version of
the system standard IEC/EN 60601-1. Everybody who connects additional
equipment to the signal input connector or signal output connector configures a
medical system, and is therefore responsible for the system complying with the
requirements of the valid version of the system standard IEC/EN 60601-1. If in doubt,
consult our technical service department or your local distributor.
16 The MFM-CMS can only be installed on the device recommended by DIXION.
17 Only use operating systems that are approved by DIXION, such as Windows 7.
Using operating systems that are not approved by DIXION may compromise the
system performance and cause a potential hazard.
18 Do not rely on the information displayed on MFM-CMS to make therapeutic and
diagnostic decisions. Please follow hospital guidelines and best clinical practices.
19 Clinical decision making based on the output of the device is left to the discretion of
the provider.
20 Prior to intervening based on data displayed on the Central Monitoring System,
providers must verify this data with the corresponding bedside monitor.
21 Additional multiple socket-outlet or extension cord be connected to the system.
22 The appliance coupler or mains plug is used as isolation means from supply mains.
Position the MFM-CMS in a location where the operator can easily access the
disconnection device.

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MFM-CMS Central Monitoring System User Manual Intended Use and Safety Guidance

WARNING
23 No modification of this equipment is allowed without authorization of the
manufacturer. If this equipment is modified, appropriate inspection and testing must
be conducted to ensure continued safe operation.
24 The system settings must be configured by the authorized hospital personnel.
25 Restart MFM-CMS host once the prompt System running time is too long, please
restart appears. According to the practical situation, restart cycle is 3 to 6 months.

CAUTION
1 The system should be used within temperature from +5 to +40 (41 ~104 ).
2 Keep the environment clean. Avoid vibration. Keep it far from corrosive reagents,
dust areas, high-temperature and humid environment.
3 The user must check that the equipment, cables and transducers do not have visible
evidence of damage that may affect patient safety or monitoring capability before use.
The recommended inspection interval is one week or less. If damage is evident,
replacement is recommended before using it.
4 Turn off the system power before connecting or disconnecting any accessory to the
system.
5 Please do not operate the system if it is not operating normally or requires service.
6 Turn off the system power and remove the power cable before maintaining the
system.
7 Preventive maintenance of the system including periodic cleaning and appearance
checking can be finished by the user because this maintenance does not touch the
interior.
8 Avoid using attrite material to clean. Removing all dust from the exterior surface of
the equipment with a soft brush or cloth or with a soft cloth, slightly dampened with a
mild detergent solution or cool disinfector. Especially the tie-in and panel edge should
be noticed.
9 Avoid pouring liquids on the equipment while cleaning, and do not immerse any parts
of the equipment into any liquids.
10 The system data will be delayed for no more than 5 seconds.

NOTE:
The illustrations in this manual are for reference only.

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MFM-CMS Central Monitoring System User Manual Intended Use and Safety Guidance

1.3 Explanation of Symbols

1 Operating instructions

2 SERIAL NUMBER

3 CE marking
CE0483

AUTHORISED REPRESENTATIVE IN THE EUROPEAN

4 COMMUNITY

5 Date of manufacture

6 MANUFACTURER

7 Part Number

8 Disposal method

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MFM-CMS Central Monitoring System User Manual Introduction

2 Introduction
2.1 General
MFM-CMS Central Monitoring System is a medical information device widely applied in clinical
monitoring field. A monitoring network system is constructed by connecting multiple monitors.
Being the center of the monitoring network, the system realizes central monitoring by collecting,
processing, and analyzing the physiological information from multiple bedside monitors. The
central system frees the doctors and nurses from multifarious clinical monitoring work and
greatly improves monitoring quality.
This MFM-CMS is capable of connecting up to 64 bedside monitors/ telemetry devices that
comply with the manufacturer network protocol.
This MFM-CMS connects bedside monitors via network and displays physiological information
of the patients being monitored by bedside monitors/ telemetry devices. This system can
simultaneously display the information from up to 64 bedside monitors/ telemetry devices.
Physiological waveforms of each bedside monitor that can be displayed on the MFM-CMS
include:
2 ECG waveforms (up to 7 ECG waveforms for telemetry device and up to 12 ECG
waveforms for non-telemetry device in multi-lead interface of Single Bed View sub-
window)
1 RESP waveform
1 PLETH waveform
8 IBP waveforms
1 CO2 waveform
4 AG waveforms for CO2, O2, N2O and AA
3 RM waveforms
1 CO2 (RM) waveforms
1 ICG waveform
1 BIS waveform
Physiological parameters of each bedside monitor that can be displayed on the MFM-CMS
include:
ECG: HR, ST value, PVCs
RESP: RR
NIBP: SYS, DIA, MAP
SpO2: SpO2, PR, PI, SpO2 bar graph
IBP: ART, PA, CVP, RAP, ICP, LAP, P1, P2, CPP (only IBP supported by the
monitor will be displayed)

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MFM-CMS Central Monitoring System User Manual Introduction

CO2: EtCO2, FiCO2, AwRR

TEMP: T1, T2, TD
Quick TEMP
AG: EtCO2, FiCO2, AwRR; EtO2, FiO2; EtN2O, FiN2O; HAL/ISO/ENF/SEV/DES:
Et, Fi, MAC
C.O.: C.O., TB
RM: PEEP PIP Pplat Pmean AwRR PIF PEF MVe MVi TVe TVi
Only those parameters used in Respiratory Loop cannot be stored.
CO2 (RM) EtCO2 FiCO2
ICG: CI CO SVR DO2I SV SVRI HR SI TFC QI
BIS: BIS EMG SQI SR SEF TP BC
PAWP
This MFM-CMS can also make notification in both audio and visual ways for the alarm

can be dealt with accurately in time.

The MFM-CMS supports various kinds of peripheral devices such as printer that can output
monitoring report.

2.2 Network Structure

The typical central monitoring system network is shown in Figure 2-1.
The MFM-CMS is connected to the switch via the network cable, and the switch is also
connected with the monitors which have not been configured with Wi-Fi module.
The MFM-CMS is connected to the wireless AP via the network cable, and the wireless AP
is connected via Wi-Fi with the monitors or telemetry devices that are configured with Wi-Fi
module.
Monitoring data collected by the MFM-CMS are available to the CMS-WEB Observer via
the hospital local area network.

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MFM-CMS Central Monitoring System User Manual Introduction

Figure 2-1 A Typical Central Monitoring System Network

2.3 System Functions

The MFM-CMS can realize the following system functions:
Connecting of up to 64 bedside monitors simultaneously
Alarm management of parameter alarms from bedside monitors
Up to 240-hour of trend data storage and review for each bedside monitor
Up to 240-hour physiological waveforms
Storage and review of up to 720 alarm events for each bedside monitor
Up to 12-hour short trend review for each bedside monitor
Review of 720 pieces of NIBP measurements
Review of 720 pieces of 12-lead analysis results
Review of 720 pieces of C.O. measurements
Review of 720 pieces of Quick TEMP measurements
Review of 720 pieces of PAWP measurements
Displaying multi-lead ECG
Monitoring reports of review and alarm records can be output in a certain format
Displaying single bed information for one bedside monitor
data
Comprehensive system help function
Power-off storage function available for all kinds of review information
Calculation of drug doses and titration tables

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MFM-CMS Central Monitoring System User Manual Introduction

Hemodynamic Calculation
Oxygenation Calculation
Renal Function Calculation
Ventilation Calculation
Various alarm indicating methods
Supporting wired connected and wireless connected monitor
Web observation in the hospital local area network
Set patient information as well as alarm configuration and perform the NIBP measuring
function via the MFM-CMS
HL7
For the telemetry devices: storing 100 groups of nurse call records and 100 groups of patient
call records
For the telemetry devices: set the physiological parameter configuration of telemetry device
via the MFM-CMS

2.4 Mouse Operation

Usually, we use the following terms to describe mouse operation:
Left-key:
1. Click: move mouse to the target, then quickly press left-key once and release it.
2. Double-click: move mouse to the target, then quickly press left-key twice and release it.
3. Drag: move mouse to the target, press left-key and move to the destination and then release it.
Right-key:
1. Click: move mouse to the target, then quickly press right-key once and release it.
2. Double-click: move mouse to the target, then quickly press right-key twice and release it.

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MFM-CMS Central Monitoring System User Manual Display Screens of the MFM-CMS

3 Display Screens of the MFM-CMS

3.1 Overview
The MFM-CMS can display the monitoring data using a single display or using dual displays.
The main screen and the auxiliary screen are the main operation screens. The main screen and
auxiliary screen on a single display are different from those on dual displays.
The patient sectors can be displayed in two modes: the general display mode with waveforms and
physiological parameter values displaying on the screen and the large font display mode with
only parameter values displaying on the screen. The number of patient sectors which you can
simultaneously view on the main screen and the size of the patient sectors are depended on the
layout of the patient sectors.

3.2 Main Screen

If a single display is used, the MFM-CMS system will enter the main screen for the single display
(shown as Figure 3-1) after the system starts up. If dual displays are used, it will enter the main
screen for dual displays (shown as Figure 3-2).

Figure 3-1 Main Screen on a Single Display

1: System information area 2: Patient sectors 3: Quick control area

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MFM-CMS Central Monitoring System User Manual Display Screens of the MFM-CMS

xxx xx xx xx xx xxx xx xx xx xx xxx xx xx xx xx xxx xx xx xx xx

xxx
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60 99 60 99 60 99 60 99
xxx xxx xxx xxx

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xxx
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60 99

Figure 3-2 Main Screen on Dual Displays

3.2.1 System Information Area

The following information will be displayed in this area:
The hospital and department information.

Alarm sound pause indicator and alarm mute indicator .

When connecting with the telemetry devices: nurse call indicator and patient call
indicator .
Alarm information and prompts of the MFM-CMS. If more than one piece of message
occurs, they will be displayed circularly. Refer to Appendix II for all system alarms and
prompts.
The system time.

3.2.2 Patient Sectors

A patient is monitored by a monitor. This monitor will occupy a patient sector when it is
connected to the MFM-CMS; meanwhile, the monitoring data will be displayed in this patient
sector. The MFM-CMS supports 64 monitors connected to the system; therefore, a total of 64
patient sectors are available in the MFM-CMS. The layout of patient sectors may cause some
patient sectors temporarily invisible (refer to 3.5).
The patient sector has four types of state:
Network Disconnected: The black background with the white font Disconnected in a patient
sector indicates no device is assigned to this patient sector or this patient sector has been set
to idle status (refer to 5.5).
Patient discharged: The black background with bed No. at top left corner in patient sector
indicates patient has been discharged.
Improper Offline: If the system is connected with non-telemetry device, patient information
and the message Monitor is offline with yellow background are displayed in the patient

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MFM-CMS Central Monitoring System User Manual Display Screens of the MFM-CMS

sector and accompany with low level alarm sound. If the system is connected with telemetry
device, patient information, the name of telemetry device, and the message Telemetry No
Signal with yellow background are displayed in the patient sector and accompany with
medium level alarm sound. Improper Offline indicates the patient in this sector has been
admitted but is offline. The alarm sound for improper offline will be given out only once.
Networked Monitoring: Display of patient information, waveforms, trend data and alarm
information indicates the patient in this sector has been admitted and is properly networked
and under observation.
Refer to Chapter 6 for more information about the patient sectors in networked monitoring state.

3.2.3 Quick Control Area

Function Buttons
The quick control area contains the following function buttons:
Button Button Label Function

Main Screen Click on it to return to the main screen.

Click on this symbol to make the alarm pause and the

symbol appears in place of the . And click
on the symbol to disable the pause function and the
Audio Pause
symbol appears in place of the symbol . When the
alarm sound pauses, the symbol as well as the related
prompt will be displayed in the system information area.
Click on it to enter the review interface, including patient
information review, waveform review, alarm review, trend
Review
review, NIBP review, 12-lead diagnosis review, C.O.
measurement review and Quick TMEP review.

System Setup Click on it to enter the system setup menu.

Click on it to shut down the MFM-CMS and the operating

Shut Down
system.

Admission Click on it to open the patient admission window.

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MFM-CMS Central Monitoring System User Manual Display Screens of the MFM-CMS

Click on it, and the volume adjustor icon appears.

Select the Mute check box, and then enter the password
ABC in the text box on the pop-up window; the entire
system become mute, and the symbol appears. To
System Volume
disable the silence function, tick the Mute check box again
Adjustor
and the symbol appears. Additionally, the user can drag
the volume adjustor to your desired volume.
NOTE:
MFM-CMS will keep mute as soon as mute check box
break
mute status and will keep mute until mute check box is
ticked again. Please use it with caution.
Review physiological alarms, nurse call events and patient
events for all patients online.
Events Review interface includes Bed No., Events
name, events level (that is at the same level with
alarms), Time (the events is triggered), Length (30 min,
60min, 120 min and 240 min are optional. Default value
is 30 min.) and Refresh (Click refresh for data
refreshing. Review time starts from the click action.
Review period is the length you have chosen. Events
order remains unchanged).

Events Review Events get new order by clicking areas where Bed No.,
Events, or Time is. Time order is the default.
To exit events review, you can click the exit button in
the top right corner, or double-click any events to enter
into alarm review interface for single patient.
NOTE:
1. Length means review time starting from clicking
events review symbol, or starting from the action of
changing Length.
2. Events review interface will display nothing if there
are no patients online.

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MFM-CMS Central Monitoring System User Manual Display Screens of the MFM-CMS

Networked State

The networked state window has 64 panes (shown as Figure 3-3) representing the 64 monitors
that can be supported and connected to the MFM-CMS. The pane only displays the bed number.
You can access the single bed interface by clicking on the pane.

Figure 3-3 Networked State

The pane has the several types of state:

Blank: Network disconnected (refer to Section 3.2.2).

With grey background and white bed number: Improper offline or patient discharged (refer
to Section 3.2.2).

With green background: Networked monitoring (refer to Section 3.2.2); without

physiological alarm.

With yellow background: Networked monitoring (refer to Section 3.2.2); with medium or
low level physiological alarm.

With red background: Networked monitoring (refer to Section 3.2.2); with high level
physiological alarm.

3.3 Auxiliary Screen

If the patient sector is in the state either of improper offline or networked monitoring, you can
access the auxiliary screen by clicking the waveform area or parameter area (except for NIBP
parameter area) on the patient sector. The auxiliary screen on a single display is shown as Figure
3-4, and the one on dual displays is shown as Figure 3-5.

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MFM-CMS Central Monitoring System User Manual Display Screens of the MFM-CMS

1
xxx xx xx xx xx xxx xx xx xx xx
xxx 60 99 xxx 60 99
xxx xx xx xx xx xxx xx xx xx xx
xxx 60 99 xxx 60 99
2 xxx xx xx xx xx xxx xx xx xx xx
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xxx 60 99 xxx 60 99
3

Figure 3-4 Auxiliary Screen on a Single Display

1: System information area 2: Patient sectors 3: Switch and setup area for sub-window
4: Sub-window of auxiliary screen 5: Quick control area

xxx xx xx xx xx xxx xx xx xx xx

60 99
xxx xxx
60 99
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xxx
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xxx xx xx xx xx xxx xx xx xx xx

60 99 60 99
xxx xxx

xxx xx xx xx xx xxx xx xx xx xx

60 99
xxx
60 99
xxx

Figure 3-5 Auxiliary Screen on Dual Displays

1: System information area 2: Patient sectors 3: Quick control area 4:

Switch and setup area for sub-window 5: Sub-window of auxiliary screen
The auxiliary screen contains a group of sub-windows including Single Bed View, Patient
Mgmt, Wave Review, Alarm Review, Trend Review, NIBP Review, Parameter/Waveform
Setup, 12-L Review, C.O. measure review, Quick TEMP Review, PAWP Review and
Calculation. The sub-window of Single Bed View will be displayed by default when you access
the auxiliary screen.
In the switch and setup area for the sub-window, you can:
Click a tag to switch the current sub-window to another sub-window.

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MFM-CMS Central Monitoring System User Manual Display Screens of the MFM-CMS

Click to scroll leftward and click to scroll rightward in the tag bar.

Click to open the drop-down list in which you can set the tags to show/hide.

Click to exit the auxiliary screen and enter the main screen.
Drag a tag to adjust its location.

Click or to switch between full screen display mode and half screen display
mode for the auxiliary screen when using a single display.

3.4 Large Font Display

Choose Display the window in large font from the menu in the patient sector (refer to Section
6.3), and this sector will be displayed in the large font display mode shown as Figure 3-6. Choose
Display the window in large font again, and the sector will be displayed in the general display
mode. In the large font display mode, parameter values are displayed in the patient sector, but no
waveform is shown.

xx xx xx xx xx xx xx xx
xxx xx xx xx xx
1 5
xxx

xxx xx xx xx xx xxx xx xx xx xx
2 6
xxx xxx

xxx xx xx xx xx xxx xx xx xx xx
3 7
xxx xxx

xxx xx xx xx xx xxx xx xx xx xx
4 8
xxx xxx

Figure 3-6 Viewing One Patient Sector in Large Font Display Mode
1: Large font display mode 2-8: General Display Mode
Choose Display all windows in large font from the menu in the patient sector, and all sectors
will be displayed in the large font display mode shown as Figure 3-7. Choose Display all
windows in large font again, and all sectors will be displayed in the general display mode.

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MFM-CMS Central Monitoring System User Manual Display Screens of the MFM-CMS

xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx

xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx

xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx

xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx

Figure 3-7 Viewing All Patient Sectors in Large Font Display Mode

3.5 Layout of Patient Sectors

The number of patients you can view on the screen and the size of each patient sector depend on
the layout of the patient sectors. If 64 monitors are connected to the MFM-CMS and the number
of patient sectors displayed on the main screen is set to 32, the screen will only display 32 patient
sectors and the other 32 sectors are invisible. You may:
Switch between the visible and invisible patient sectors (refer to Section 5.3).
Click bed number to view the 64 patient sectors in the networked state window (refer to
Section 3.2.3).
Refer to Section 10.1.3 for more information about setting the layout of the patient sectors.

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MFM-CMS Central Monitoring System User Manual Switching on/off the MFM-CMS

4 Switching on/off the MFM-CMS

4.1 Starting Monitoring
NOTE:
1. Before starting the system, please verify that the dongle has been installed.
Otherwise, you may fail to access the system.
2. Dongle will give out alarm sound if system gets blocked till resuming normal status.
When all of its components are correctly connected, press the power button on the front panel of
the device. The power indicator on the front panel lights up and the device performs hardware
self-test. If the device works normally, the main screen appears. If the device detects abnormity
during self-test, it beeps to show alarm and displays error information on the screen. In this case,
you should record the error information, shut down the device and contact technical
representative of DIXION. After the system self-test is completed, you will access the MFM-
CMS system interface and the system will also finish the environment self-test automatically.
Meanwhile, the system will sound Do-Do-Do, a test sound. The user should set the volume
system and confirm that the volume of the system can be heard clearly.

CAUTION
1 Ensure that the sound equipment is always in a state of activation.
2 The audio adapter and network adapter should be correctly installed, or you may not
access the MFM-CMS.

NOTE:
Ensure that the MFM-CMS system can give the test sound after startup.

4.2 Shutting down the System

It is important to shut down the system properly. Follow this simple procedure to properly shut
down your system. This prevents inadvertent errors from occurring during system shut down.
The MFM-CMS can work continuously for a long time. You do not need to shut it down in order
to achieve a longer working life.
You should follow the procedure to shut down the MFM-CMS.
Method 1:
Select Shut Down on the main menu and enter the password of user maintain (the password of
user maintain refers to 10.2 User Maintain). Confirm the password by clicking OK, and the
MFM-CMS as well as the operating system will be shut down.

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MFM-CMS Central Monitoring System User Manual Switching on/off the MFM-CMS

Method 2:
Select System Setup > User Maintain, and enter the password of user maintain (the password of
user maintain refers to 10.2 User Maintain); select Other Setup.
Select Shut Down: the MFM-CMS as well as the operating system will be shut down.
Select Return to Windows: you will exit from MFM-CMS, but the operating system will
not be shut down.

WARNING
1 Shut down the system by strictly observing the shutdown procedure to avoid serious
result.
2 Although UPS is an optional configuration of this system, if you really force to turn off
the UPS, it results in system failure and hence affects the operation of next time.
3 If power cut-off occurs, turn off the system before the UPS exhausts its electricity.

CAUTION
Hospitals without a stable power source should use a UPS to provide power to the MFM-
CMS. The UPS must not be turned off. When there is a power failure, the system should
be shut down by following the specified shutdown procedure before the UPS is
exhausted. If the system has a sudden power failure, system failure may occur and
consequently the system may not work correctly next time or even has a serious result.

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MFM-CMS Central Monitoring System User Manual Patient Management

5 Patient Management
5.1 Admitting a Patient
Once MFM-CMS starts up and the monitor is properly connected with MFM-CMS, the system
will prompt the user to admit patients by displaying the number of pending patients at the
information area.
Click Admission in the quick control area to display a window of Pending patient list. Select
the patients you want to admit from the left list in the window, and enter the patient information
in the right area of the window. Click the Admission button at the bottom of the window to
complete patient admission.
After being admitted, a patient will occupy a patient sector. The MFM-CMS displays the real-
time monitoring data which will also be stored in the database.
For the monitor that has been offline due to network problems and is networked with MFM-CMS
later, you need not readmit the patient of this monitor. This monitor will be automatically online
in the patient sector which it has occupied.

WARNING
1. For those bedside monitors that have been networked with MFM-CMS for the first
time, you have to complete patient admission by using the methods mentioned above,
which enables the monitors to be online and observed by MFM-CMS. Otherwise, the
monitors will not be online on MFM-CMS, and the monitoring data will not be saved
by MFM-CMS.
2. Before accepting a new patient, no matter the former one on patient sector is in
networked monitoring status or improper offline status, the operation of discharging
the former one is needed.

5.2 Changing Patient Information

You can change the patient information on MFM-CMS when you find the information incorrect.
To modify the patient information, choose Single Bed View > Patient Mgmt, enter the correct
information in the appropriate fields and click Update Monitor.
There are two ways to modify the patient information:
Modify the patient information via the monitor. For more information, refer to the user
manual of the monitor.
Modify patient information via the MFM-CMS.
In the patient management window, the user can modify the patient information, such as Serial
No., Patient Name, Type, Gender, Bed No., Date of Birth and so on. After editing the
information, click on the Update Monitor button to update the changes on the monitor. The
patient information can be printed when the user click on Print.

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MFM-CMS Central Monitoring System User Manual Patient Management

NOTE:
If you have changed the patient type via the MFM-CMS, the patient type on the monitor
will be changed accordingly.

5.3 Switching Patient sector

For a disconnected patient sector (refer to Section 3.2.2), click anywhere in it and choose a
patient to be assigned to this sector from the patient list.
For a patient sector which is patient discharged or improper offline or networked monitoring
(refer to Section 3.2.2), select Show from the list on the patient sector (refer to Section 6.3),
and choose another bedside monitor from the patient list; the chosen bedside monitor will be
displayed in this patient sector.

5.4 Discharging a Patient

When the monitoring on a patient is completed, you need to discharge this patient by any of the
following methods:
Choose Discharge Patient from the menu in the patient sector (refer to Section 6.3).
Choose Patient Mgmt > Discharge Patient on the auxiliary screen.
Discharge the patient via the Review window. Refer to Section 9.1.1.
The operation of discharging a patient will cause the patient offline from the MFM-CMS, and
there will be no patient admitted in the related patient sector. The discharged patient will be
shown in the history patient list (refer to Section 9.1.2).
After discharging patient, open patient sector menu by clicking on patient information area (refer
to 6.2). You can set this patient sector to idle status by clicking Set Idle Bed and switch patient
sector by clicking Show.

5.5 Setting Idle Bed

A patient sector displays monitoring information for one monitoring device only. Setting idle bed
will discharge monitoring device from the patient sector.
You can set idle bed by following methods:
Method 1: After discharging patient, click Set Idle Bed in patient sector menu;
Method 2: Select System Setup > Common Setup > Display Setup, and click the area which
displays bed No., and then click Set Idle Bed. Or you can drag the area to change monitoring

NOTE:
1. Because the number of beds to be viewed on the screen is optional (refer to 10.1.3),
the moni order, that is,
from top to bottom and then left to right.
2.
and will not influence each other.

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MFM-CMS Central Monitoring System User Manual Patient Management

5.6 Transferring a Patient

Select Patient Mgmt >Transfer on the auxiliary screen, and you will see a list of online patients.
From this list, select a patient whose bed will be considered as the destination bed and click OK,
and then the current patient will be transferred to the destination bed.
NOTE:
1. Transferring a patient to the destination bed will at the same time discharge the
selected patient on the destination bed.
2. Bed No. is mandatory for telemetry device.

5.7 Monitoring Statistics

The monitoring statistics of the selected patients will be shown in the patient management
window. The monitoring statistics covers the total monitoring time for waveforms and trends, the
number of alarm events, the number of NIBP measuring, the number of C.O. measuring, the
number of 12-lead analysis, the number of Quick TEMP measuring and the number of PAWP
measuring.
Click Analysis, the system will:
Analyze the number of high and low limit alarms for each physiological parameter and
analyze the percentage of the limit alarms of the parameter in all limit alarms.
Analyze the number of arrhythmia events for each type of arrhythmia and analyze the
percentage of a certain type of arrhythmia.
Analyze the average value, maximum/minimum value, and measure time of the
maximum/minimum value for the trend values.

5.8 Nurse Call / Patient Call

For the telemetry devices connected to network, you can use the functions of nurse call and
patient call.
The MFM-CMS will response to the nurse call once the patient presses the nurse call button on
the telemetry device.

The nurse call indicator will be displayed in the system information area on the main
screen. You can cancel nurse call by clicking the indicator.

The nurse call symbol will appear in the patient sector and cover the waveforms. You
can cancel nurse call by clicking the symbol.

The nurse call indicator will be displayed in the indicator area in the single bed
window.
The nurse call tune will sound.

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MFM-CMS Central Monitoring System User Manual Patient Management

The patient call tune will sound from the telemetry device when patient call is triggered. Patient

Call Symbol will also appear in the system information area on the main screen. You can
perform or cancel the patient call via the MFM-CMS as follows:
Choose Call Patients from the menu in the patient sector (refer to Section 6.3) to trigger,
and choose Cancel Patient Calling to cancel.
Select the tag Patient Mgmt of auxiliary screen and access the Patient Mgmt window.
Click Call Patients in this window to trigger and click Cancel Patient Calling to cancel.

After calling patients, you can also click Patient Call Symbol in the system information
area on the main screen to cancel.

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MFM-CMS Central Monitoring System User Manual Patient Sector

6 Patient Sector
6.1 Overview
Refer to Section 3.2.2 for information about the three types of state of the patient sector. Refer to
Section 3.4 for information about the large font display mode in the patient sector. Refer to
Section 3.3 for information about the layout of patient sectors.
When the patient sector is in the improper offline state or in the networked monitoring state, you
can open a menu by clicking on the patient information area. Refer to Section 6.3 for more
information about the menu.
When the patient sector is in the improper offline state or in the networked monitoring state, you
can access the auxiliary screen by clicking on the waveform area or parameter area (expect for
NIBP parameter area) in the patient sector.
When the patient sector is in the networked monitoring state, you can start a NIBP measurement
by clicking on the NIBP parameter area.
When the patient sector is in the disconnected state, you can switch between patient sectors by
clicking on the patient sector. Refer to Section 5.3 for more information.
When the patient sector is in the patient discharged state, you can click patient information area,
and choose Set Idle Bed to discharge monitoring device or choose Show to switch patient sector.

6.2 Networked Monitoring Display

The display of patient sector which is networked is shown as Figure 6-1.

Figure 6-1 Display of the Networked Patient Sector

1: Waveform area 2: Parameter area 3: Patient information area
4: Technical alarm/ Prompts/ indicator area 5: Physiological alarm area
Waveform area and parameter area: It displays some of real-time monitoring waveforms and
parameter values. Refer to Section 6.4.
Patient information area: It displays the bed number and patient name. For telemetry device,
it displays the bed number, device name and patient name.
Technical alarm/ Prompts/ Indicator area: It displays the technical alarm messages when a

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MFM-CMS Central Monitoring System User Manual Patient Sector

technical alarm occurs (refer to Section 11.1.2). Click on the technical alarm message, and
the list for the current technical alarms will be displayed. When no technical alarms and no
prompts occur, it displays the indicators (shown as Table 6-1) indicating the state of the
monitors.

Indicator Description

Pace on

Pace off

Alarm mute of the monitor

Alarm pause of the monitor

Battery power of the telemeter device:
Level 4
Battery power of the telemeter device:
Level 3
Battery power of the telemeter device:
Level 2
Battery power of the telemeter device:
Level 1
Battery power of the telemeter device:
Level 0
Wi-Fi signal intensity of the telemeter
device: Level 4
Wi-Fi signal intensity of the telemeter
device: Level 3
Wi-Fi signal intensity of the telemeter
device: Level 2
Wi-Fi signal intensity of the telemeter
device: Level 1
Table 6-1 Monitors / Telemetry Devices State Indicators
Physiological alarm area: It displays the physiological alarm messages (refer to Section
11.1.1). Click on the physiological alarm message, and the list for the current physiological
alarms will be displayed.
NOTE:
1 Due to the delay of network transmission, data viewed at the MFM-CMS has a delay
of 5 seconds compared with data generated at the corresponding bedside monitor.
2 Due to the operating system schedule, the waveform scan of the MFM-CMS might be
suspended for about 20 milliseconds in very few occasions. After the suspension,
waveform scan will go back to normal status. The quality of patient monitoring during
the suspension will not be affected.

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MFM-CMS Central Monitoring System User Manual Patient Sector

6.3 Menu in the Patient Sector

When the patient sector is in the improper offline state or in the networked monitoring state, you
can open a menu by clicking on the patient information area. The available items in this menu
are:
Display the window in large font: Switch between the large font display mode and the
general display mode for the current patient sector. Refer to Section 3.4.
Display all windows in large font: Switch between the large font display mode and the
general display mode for all patient sectors. Refer to Section 3.4.
Parameter/Waveform Setup: Switch to the Parameter/Waveform Setup window on the
auxiliary screen. Refer to Section 6.4.
Monitor Parameter Setup: Switch to Monitor Parameter Setup window on the auxiliary
screen. Refer to Section 8.2.
NIBP MEASURE: Start a NIBP measurement.
Discharge Patient: Discharge the patient in the current patient sector. Refer to Section 5.4.
Freeze: Freeze/ unfreeze the waveform in the current patient sector. Refer to Section 6.5.
Print: Print the monitoring data in the current patient sector. Refer to Section 6.6.
Call Patients: For telemetry devices only. Refer to Section 5.8.
Show: Switch between patient sectors. Refer to Section 5.3.
Alarm Reset: Activate alarm reset function. Refer to Section 6.7.

6.4 Parameter/ Waveform Setup

Due to the limited display space of the patient sector, the numbers of waveforms and parameters
to be displayed depends on the numbers of monitors displayed on patient sector which can be set
by users (refer to 10.1.3). Six waveforms and four parameters to be displayed on patient sector
are the maximum. You can set the displayed waveforms and parameters by setting configuration
in the Parameter/Waveform Setup window. You may access this window by either of the two
methods below:
Choose Parameter/ Waveform Setup from the menu on the patient sector.
Click the tag Parameter/ Waveform Setup on the auxiliary screen.

6.4.1 Setting Waveforms

Select or deselect the check box before a Wave Name to display or not display the waveform.
Click Update Wave Setup to confirm the configuration. The patient sector will only display the
selected waveforms.
Choose Speed and set the desired sweep speed for the waveform. Click Update Wave Setup to
confirm the configuration. The waveform will be displayed according to the speed you have set.

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MFM-CMS Central Monitoring System User Manual Patient Sector

6.4.2 Setting Parameters

Adding a parameter to be displayed
To add a new parameter to be displayed, select the desired parameter name in Available Params
and click on Add to add it into Current Params, and then click on Refresh ParamGroup to
update the parameters displayed on the patient sector.
Removing a parameter displayed
To remove a parameter displayed, select the parameter in the Current Params box, and click on
Remove and Refresh ParamGroup.
Setting Parameter Order for Display
To adjust the display position of the parameter, select the parameter name in the Current Params
box, and click on Move UP or Move Down. To make the change valid, click on Refresh
ParamGroup.
NOTE:
Due to the limited display space, the displayed waveforms and parameters of each
patient sector will decrease as the displayed patient sectors increase. If you want more
waveforms and parameters to be displayed in one patient sector, modify the display
layout by reducing the patient sectors displayed on the main screen.

6.5 Freeze
Choose Freeze from the menu in the patient sector, you can freeze the waveform displayed in this
patient sector. And the item name Freeze is changed into Unfreeze. You can unfreeze the
waveform by choosing Unfreeze. And then the item name will resume Freeze.
The wave stop scanning during freeze. The freeze time and a timeline will also be displayed in
the window. You can use the arrow buttons and beside the timeline or drag the pointer on
the freeze wave to review more details.
You can review a frozen waveform of 3-minute period in length.

6.6 Real-Time Printing

To print real-time data from MFM-CMS, click Print from the menu in the patient sector or click
the Print button in the single bed window.
After you select Print, MFM-CMS starts to collect data for printing and the system will indicate
at the top of the main screen. After the system completes 11-second data
collecting, a dialog box for printing setup will appear. The printout includes the 11-second
waveform data starting from the time chosen as the beginning time for printing, data of all
physiological parameters at the time you select Print and the latest NIBP measurement which is
the nearest from the time finishing collecting.

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MFM-CMS Central Monitoring System User Manual Patient Sector

6.7 Alarm Reset

Choose Alarm Reset from the menu in the patient sector to activate the alarm reset function.
During the alarm reset status, MFM-CMS will do the followings:
The audio alarm is turned off, and no alarms are sounding.
The visual alarm indications are still displayed.
Clear all the latched alarms.
Alarm reset on MFM-CMS will not influence alarm status on bedside monitors.
NOTE:
If a new alarm occurs during the alarm reset period, the new alarm on MFM-CMS will
recover normal. That is, the new alarm will be sounded and displayed.

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MFM-CMS Central Monitoring System User Manual Viewing Single Bed

7 Viewing Single Bed

7.1 Display of Single Bed
The Single Bed View sub-window (shown as Figure 7-1) will be displayed by default when you
access the auxiliary screen.

Figure 7-1 Single Bed View Sub-Window

1: Patient information area 2: Toolbar 3: Indicator area
4: Technical alarm area/ Prompts area 5: Physiological alarm area 6: Short trend area
7: Waveform area 8: Parameter area 9: Scroll bar
Patient information area: It displays the bed No., patient name, gender and patient type. For
telemetry device, it also displays the device name.
You can perform the following functions via the toolbar:
Freezing or unfreezing the waveforms displayed in the Single Bed View sub-window.
Real-time printing (refer to Section 6.6).
Display setup: choosing the multi-lead waveform of ECG to be hided or shown (refer to
Section 7.2); setting the short trend display to on or off; choosing the OxyCRG window to
be opened or closed.
Indicator area: It displays indicators indicating the state of the monitors (refer to Table 6-1).

Nurse Call indicator will also be displayed here once the patient presses the nurse call
button on the telemetry device.
Technical alarm area/ Prompts area: It displays technical alarm messages consistent with the
messages displayed in the patient sector. The mouse operation here of technical alarm is the
same as the one in patient sector (refer to Section 6.2).

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MFM-CMS Central Monitoring System User Manual Viewing Single Bed

Physiological alarm area: It displays physiological alarm messages consistent with the
messages displayed in the patient sector. The mouse operation here of physiological alarm is
the same as the one in patient sector (refer to Section 6.2).
Short trend area: When the short trend display is on, the short trend will be displayed in this
area. When the short trend display is off, waveforms will be displayed in this area.
Waveform area: It displays all waveforms from the networked monitor.
Parameter area: It displays all parameters from the networked monitor.
Scroll bar: You can drag the scroll bar to view more waveforms and parameters in this
window.

7.2 Hiding/Showing Multi-Lead Waveform

Choose View Selection > Multi-lead on the toolbar in the Single Bed View sub-window. The
waveform area can display multi-lead waveforms for ECG (shown as Figure 7-2). Choose View
Selection > Multi-lead again, and the multi-lead waveform display for ECG will become
unavailable. When 3-lead is used, multi-lead waveform display is unavailable.

Figure 7-2 Multi-Lead Waveforms for ECG

7.3 Short Trend Review

After entering the single bed view interface, choose View Selection > Trend Screen on the
toolbar and the short trend will be displayed on the left of the interface. Click short trend area and
a dialog box of short trend settings will pop up. You can set the display mode of the short trend

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MFM-CMS Central Monitoring System User Manual Viewing Single Bed

with the optional items in Param Select and Interval. You may select the desired parameters
needed to be displayed from the drop-down list of Param Select. Also, you can set the interval of
the short trend by choosing from 1h, 2h, 4h, 8h and 12h in the drop-down list of Interval.

7.4 OxyCRG
In the Single Bed View window, choose View Selection > OxyCRG on the toolbar, and the
OxyCRG window will be open. You can switch the display between respiratory rate and
respiratory waveform by clicking RR and RESP. You can also set the interval of the OxyCRG to
1 minute, 2 minutes or 4 minutes.

7.5 Freeze
You can freeze the waveform displayed in this window by choosing Freeze on the toolbar and
unfreeze the waveform by choosing Unfreeze.
The display of freezing waveform in the Single Bed View sub-window is consistent with the one
in the patient sector. Refer to Section 6.5 for more information.

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MFM-CMS Central Monitoring System User Manual Setting Monitors via the MFM-CMS

8 Setting Monitors via the MFM-CMS

8.1 Changing Patient Information
Refer to Section 5.2 for more information.

8.2 Setting Parameters

You can open the parameter setup window by two methods:
Method 1: Choose Monitor Parameter Setup in the patient sector.
Method 2: Select the parameter area in the single bed interface, and click on the chosen parameter
area.

Figure 8-1 The Layout of the Parameter Setup Window

1: Physiological parameter list; 2: Alarm display and configuration list;
3: Physiological parameter attribute and configuration; 4: Update Monitor button;
5: Button for closing the window
The layout of the parameter setup window is shown as Figure 8-1.
The physiological parameter list shows all the available physiological parameter module of the
networked monitor. Choose a parameter, the relevant alarm settings and parameter attribute will
be respectively displayed in Area 2 and Area 3. You can configure the alarm settings (including
alarm level, alarm switch, alarm upper and lower limits) and modify parameter attributes, after
which you click Update Monitor to update the relevant settings of the monitor.
Clicking button 5 can close parameter setup window.

8.2.1 Configuring NIBP Measurement Settings

Choose NIBP in the parameter list on the parameter setup window, and you can configure the
NIBP measurement settings on the physiological parameter attribute and configuration area. You
can modify the measurement mode and measurement interval of NIBP. The operation steps are
shown as follows:

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MFM-CMS Central Monitoring System User Manual Setting Monitors via the MFM-CMS

1. Choose a measurement mode.

2. If you have chosen the automatic measurement mode, you also need to set the measurement
interval.
3. Click Update Monitor to bring the configuration into effect.
4. If you want a continual measurement, click Continual.

8.2.2 Parameters Alarm Setting

You can configure the alarm setting via the alarm display and configuration list on the parameter
setup window. You can configure the alarm switch, alarm level, alarm upper and lower limits.
The operation steps are shown as follows:
1. Choose a parameter from the physiological parameter list.
2. Configure the alarm settings in the alarm display and configuration list.
3. Click Update Monitor to bring the configuration into effect.

WARNING
1 Prior to monitoring, make sure that the alarm limit settings are appropriate for your
patient.
2 When the alarm is set to OFF, MFM-

function cautiously.
3 Setting alarm limits to extreme values may cause alarm system to become ineffective.
It is recommended to use the default settings.

8.2.3 Physiological Parameter Attribute and Configuration

For non-telemetry device, you can only configure the NIBP settings (Section 8.2.1) and Alarm
settings (Section 8.2.2). For the telemetry devices, the MFM-CMS can display the parameter
attributes of ECG, SpO2 and RESP whose settings can also be configured.
You can configure the following items for the parameter ECG of the telemetry devices: lead type,
Calc. lead, pace, alarm source, filter, ECG Gain, ST Analysis, ARR Analysis, Smart LeadOff,
Hum Filter and electrode setup.
You can configure the following items for the parameter SpO2 of the telemetry devices:
Sensitivity and Alarm Source (when choose PR).
You can configure the following items for the parameter RESP of the telemetry devices: RESP
Lead, Apnea Time and ECG Gain.

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MFM-CMS Central Monitoring System User Manual Review

9 Review
Via the MFM-CMS, you can review the history data of patients, which includes the list
containing all patients, patient management, trend, alarm, wave, NIBP, 12-lead diagnosis, C.O.
measure, PAWP and Quick Temp. By clicking on the review button in quick control area of main
screen, you can enter the review interface.

9.1 Patient List

Clicking review button in quick control area of main screen and you will access the review
interface. It displays the Patient List by default. By respectively selecting the items from the
drop-down list shown at the top left corner, you can review the list of patients who have been
admitted by the MFM-CMS, the list of patients who have been discharged, and the list of patients
saved in the backup database.
You can select a patient from the list and click the Patient Mgmt tab to review detailed
information of this patient. Also, you can double click the patient name in the list to open the
patient management window. Choose Trend Review, Alarm Review, Wave Review, NIBP
Review, 12-L Review, C.O. measure review, Quick TEMP Review, PAWP Review, you can
review relevant monitoring data of the patient.
There is a query column and a small inverted triangular black indicator on the top right corner of

from the drop- Query. If

the patient information is saved, the corresponding information is displayed on the screen.

9.1.1 Patient Review

By default, the Patient List displays the patients who have been admitted by the MFM-CMS
after entering the review interface. And also, the default items from the drop-down lists shown at
the top left corner will be Online Database Source and Patient Review.
Select a patient and click Discharge Patient, and this patient will be discharged. The discharged
patients will be transferred to the History Patient Review list. Refer to Section 9.1.2 for more
information.

9.1.2 History Patient Review

Respectively select Online Database Source and History Patient Review from the drop-down
lists shown at the top left corner, and you can review the list of patients who have been
discharged.
To delete patients, please: Select a patient > click Delete > input password ABC in popup
window > click OK to finish deleting. The patients deleted will be completely deleted from the
MFM-CMS.

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MFM-CMS Central Monitoring System User Manual Review

CAUTION
If you delete a patient from the History Patient Review list, his or her data will be
completely removed from the system.

9.1.3 Backup Patient Review

Select Offline Database Source from the drop-down list shown at the top left corner, and you
can review the backup patient data. Refer to Section 13.2 for more information.

9.2 Wave Review

The MFM-CMS can review the change process of the physiological waveform of one patient in
the latest 240 hour. Select User Maintain > Database Maintain > Waveform Storage, and there
are 96 hour and 240 hour for selection. 96 hour is the default selection.
To use waveform review, please click on Main Screen > Review > Wave Review or access the
auxiliary screen and choose Wave Review. On this screen, you can:
Review normal waveforms or compressed waveforms
Set wave speed
Select waveform
Set start time and end time
Refresh waveform
Print

9.2.1 Reviewing Normal Waveforms

Normal waveform review is available to all parameter waveforms. In the normal waveform
review window, the waveform is displayed with the same altitude and speed of the real-time
waveform.
You can select Show parameters/Hide parameters. If you select Show parameters, the related
parameter value will also be displayed accompanying the waveform you choose.
In this window, waveforms can also be presented by automatically sliding forward.

9.2.2 Reviewing Compressed Waveforms

Compressed waveform review is only available to ECG waveforms. In the compressed waveform
review window, the altitude of the ECG waveform will be compressed so that you can review the
waveform containing longer time of data.

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MFM-CMS Central Monitoring System User Manual Review

9.2.3 Setting Wave Speed

By clicking on the Sweep button, you can set the width of waveforms displayed in the waveform
area. Available options are 6.25 mm/s, 12.5 mm/s, 25 mm/s and 50 mm/s. Changing wave speed
will affect the time length of the waveform area.

9.2.4 Refreshing Waveform

Waveform will not update automatically. Therefore, if you want to view up-to-date waveform,
you have to refresh them manually. Clicking on the Refresh button will refresh the waveform.

9.2.5 Selecting Waveform

Click on the Select Wave button, and a list of available waveforms will be shown. By default, all
waveforms are selected. You can deselect a waveform by ticking its check box.
NOTE:
The 240-hour full disclosure waveform storage will occupy a lot of hard disc. Therefore,
the user shall be cautious to add additional waveform to the selecting waveform setup.

9.2.6 Time Setup

Click Time Setup button, set Start Time in pop-up dialog box, and click OK to finish.

9.2.7 Print
To print the waveform displayed on the current screen, please select Print on the screen to print it
by the laser printer.

9.3 Alarm Review

Alarm table and waveform will be generated when the MFM-CMS makes physiological alarm
notification. Alarm review helps the clinician observe the details of the monitoring information.
Alarm information can be stored by the user and thus become important alarm event.
If telemetry device is connected, the alarm strip in alarm review is a 16-second waveform. If non-
telemetry device is connected, the alarm strip in alarm review is consistent with the setup of the
device connected which has three selections, 8 s & 16 s & 32 s.
NOTE:
A maximum of 720 alarm information can be stored. If the storage space is full and there
are new alarms occurring, the earliest alarm information will disappear.

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MFM-CMS Central Monitoring System User Manual Review

9.3.1 Locking and Unlocking Alarm Information

When the user thinks that an alarm is very important, he/she can save it by locking the alarm

on this interface when the alarm is locked. The locked alarm cannot be deleted automatically. You

9.3.2 Printing Alarm Information

If the user wants to print alarm table, he/ she can click on Print on the interface to print it by a
laser printer.
NOTE:
1 The important alarm events can be deleted but not automatically .The non-important
alarm events can be automatically replaced by new alarm events when they have
accumulated to a certain amount.
2 The alarm stripe displays the physiological waveform at 25mm/s when an alarm
takes place.

9.3.3 Sequencing the Alarm List

You can sequence all alarms ascendingly or descendingly by clicking on the heading of any
column:
Alarm Time: Clicking on it will sequence all alarms ascendingly or descendingly by
time.
Alarm Level: Clicking on it will sequence all alarms ascendingly or descendingly by
level.
At the same time, one of the following symbols will appear on the bottom of the heading:
and
The symbol indicates descending sequence.

9.3.4 Annotating Alarm

You can add notes to illuminate an alarm. To annotate an alarm, select a certain alarm stripe and
you will see the title Alarm Note on the bottom of the alarm review interface. Move the cursor
1cm left to the title Alarm Note and a pop-up input box in which you can input detailed
information for the alarm will appear. After you complete your notes, move the cursor out of the
area of the input box, and MFM-CMS will automatically save the input information.
NOTE:
Input characters are limited to 256.

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MFM-CMS Central Monitoring System User Manual Review

9.3.5 Filtering Alarm Events

You can filter alarm events by selecting or clearing the check boxes before the items in the
Alarm Level list and in the Param Select list. The Alarm Review window will only display the
alarm events whose alarm level /levels has/have be selected and the alarm events of selected
parameters.

9.4 Trend Review

Choose Main Screen > Review > Trend Review or choose Trend Review on the auxiliary
screen, and you will enter the trend review interface, through which you can store and review up
to 240 hours of trend data. Change of trends can be observed through trend table and trend graph.
On this interface, you can:
set the resolution
view parameters selectively
refresh the data
print
Time Setup, can set the starting and ending time for review.

9.4.1 Setting Resolution

You can select a time period as the resolution for viewing the graph and table as required.
Options are 1s, 5s, 1m, 5m, 15m, 30m, 60m, Display Time Points for NIBP Measurements
and Display Time Points for Quick TEMP Measurements. To change the resolution, select
Resolution Setting on the interface and select the desired option from the list.

9.4.2 Viewing Parameters selectively

In the parameter list of Param Select, you can select modules or parameters by ticking their
check boxes as required. Only the selected parameters are displayed in the graph or table.
When a parameter module is selected or unselected, all of its parameters will be selected or
unselected accordingly.

9.4.3 Refreshing Data

Trend data will not update automatically. Therefore, if you want to view up-to-date trend data,
you have to refresh them manually. Click on the Refresh button to refresh the data to up-to date.
After refreshing them, the status selected and order of parameters remain unchanged.

9.4.4 Printing Trend Review

Clicking on Trend Review > Print > Print Trend Table/ Print Trend Graph, you can print the
trend table or the trend graph. By default, the system will print the latest data.

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MFM-CMS Central Monitoring System User Manual Review

9.4.5 Selecting Trend Table, Trend Graph

Select Trend table to review the trend table only. Select Trend Graph to review the trend graph
only. Select Trend Table, Trend Graph to review the trend table and trend graph at the same
time.

9.5 NIBP Review

Results of four latest NIBP measurements are displayed in the NIBP area in the Single Bed View
window.
To review earlier NIBP measurement results, choose Main Screen > Review > NIBP Review or
choose NIBP Review on the auxiliary screen to enter the NIBP review interface, through which
you can view up to 720 groups of NIBP measurements of a patient.
The NIBP review window displays Serial No., Measure Time, SYS, DIA, MAP and PR for
each measurement. Additionally, in this window you can:
Click Show parameters, and the measurement values of all physiological parameters at the
measure time specified in the selected item will be shown in the lower portion of the window.
If you click Hide parameters, these measurements values will not be displayed.
Refresh
Print out the current page
Print out all pages

9.6 12-Lead Review

Choose Main Screen > Review > 12-L Review or choose 12-L Review on the auxiliary screen,
and you can review up to 720 groups of 12-lead analysis results of the current patient in this
window.
In the 12-L Review window, the following data is available: HR, PR Interval, QRS Duration,
QT/QTC Interval, P/QRS/T, RV5/SV1, the value of RV5+SV1 and Diagnosis Result.
Select a diagnosis result from the list and select Waveform on the toolbar, the related 12-lead
ECG waveform will be shown.
You can choose User Maintain > Other Setups to set 12-lead Wave Print Template.

9.7 C.O. Measure Review

Choose Main Screen > Review >C.O. Measure Review or choose C.O. Measure Review on
the auxiliary screen, and you can review up to 720 groups of C.O. measurement of the current
patient in this window.
In the C.O. Measure Review window, measure results are arranged chronologically on the left.
Select a measure result and the measure value as well as the curve will be displayed on the right.
A maximum of six groups of measure results can be displayed simultaneously.

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MFM-CMS Central Monitoring System User Manual Review

At the lower part of the window, the average values of C.O and CI of the selected measure results
are displayed.
You can print the selected measure results.

9.8 Quick Temp Review

Choose Main Screen > Review > Quick TEMP Review or choose Quick TEMP Review on the
auxiliary screen, and you can review up to 720 groups of Quick TEMP measurement in this
window. The Quick TEMP measure result and measure time are available. You can also print the
Quick TEMP measurement list.

9.9 PAWP Review

Choose Main Screen > Review > PAWP Review or choose PAWP Review on the auxiliary
screen, and you can review up to 720 groups of PAWP measurement in this window. You can also
print the PAWP measurement list.
If bedside monitors have no CVP or HR, MFM- ---

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MFM-CMS Central Monitoring System User Manual System Setup

10 System Setup
The System Setup function is used to modify the display information at the patient sector
according to the real requirements. By using this function, you can observe the waveform,
parameter, and the parameter list as your desire. There are Common Setup, User Maintain, and
Factory Maintain to be set.

10.1 Common Setup

It is mainly used to make some conventional monitoring settings, such as Param Unit Setup,
Color Settings, Display Setup, Help and Telemetry Module Switch Setup.

10.1.1 Parameter Unit Setup

The user can change the unit of IBP, NIBP, CO2, (AG) CO2, (AG) O2, C.O. (TB), (RM) CO2
and TEMP. For example, to change the unit of IBP, please select Main Screen > System Setup
> Common Setup > Param Unit Setup, and select the desired unit among mmHg, kpa and
cmH2O from the pull-down list at the right of IBP.

10.1.2 Color Setup

The user can change the display color of all parameters and the other information of the
parameter is displayed as the same color. And the information includes waveform name, gain and
filter, real-time value (upper limit and lower limit), review waveform and so on. To change the
color of the parameter:
1. Please select Main Screen > System Setup > Common Setup > Color Setup. Click on the
Param Select to choose desired parameter, then choose desired color from the left color area
or input desired RGB values of red, green, blue directly.
2. After this, click on OK to confirm.
After setting, the color displayed on Color Setup column is the successfully chosen color. The
color on Initial Color column is set by default.
To get the default color, choose desired parameter from Param Select and click Default Settings,
and then click OK to confirm.

10.1.3 Display Setup

The user can set the number of beds to be viewed on the screen. To change the display to be
viewed, please select Main Screen > System Setup > Common Setup > Display Setup >
Display Bed Number and choose the desired bed number 3, 4, 6, 8, 10, 12, 14, 16, 32, 64 from
the drop-down list of display bed.
You can also click the area which displays bed No., and then click Set Idle Bed. Or you can drag

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MFM-CMS Central Monitoring System User Manual System Setup

NOTE:
Two screens are needed if you want to simultaneously display the information of 64
bedside monitors.

10.1.4 Telemetry Module Switch Setup

You can configure the module switch setting of the telemetry device via the MFM-CMS. Choose
Main Screen > System Setup > Common Setup > Telemetry Module Switch Setup.
From the Telemetry Device List on the left of the setup window, choose the telemetry device for
which you want to configure the module switch setting. On the right of the setup window,
configure the setting as required.

10.1.5 Help
Help information is available on this interface.

10.2 User Maintain

To access the settings interface of user maintain, you have to input a user password. The default
password is ABC.

10.2.1 Monitor Batch Settings

You can configure the alarm limit, alarm switch and alarm level for a group of monitors. You
need to choose a patient type from Adult, Pediat or Neonat before you configure the alarm
settings in Templet of Alarm Limit Adjusting Range. Choose the monitors needing to be
configured in the right pane in which you may see a list of monitors, and click Config. The
configuration in the left templet pane will be applied to the chosen monitors.
Besides, from the right pane, you can choose a monitor whose alarm settings will serve as the
source of batch settings for other monitors. Select one monitor in the right pane and click Obtain
Monitor Configuration to obtain its parameter alarm settings. The obtained configuration will
be displayed in the left templet pane. Choose the monitors needing to be configured in the right
pane and click Config to complete batch settings.
NOTE:
1 The function of batch setting is not available for all monitors. If the monitor is labeled
as Not Supported in the Compatibility column in the right pane, this function is not
available for this monitor.
2 If the patient type set in Templet of Alarm Limit Adjusting Range is different from
the one set on the bedside monitor to be configured, the system may fail to set the
configuration for the monitor.
3 The prompt message Success only indicates success in setting the configuration for
current activated parameters on the monitor.

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MFM-CMS Central Monitoring System User Manual System Setup

10.2.2 Telemetry Alarm Latch Setup

You can configure the alarm latching setting of the telemetry device via the MFM-CMS. Choose
Main Screen > System Setup > User Maintain > Telemetry Alarm Latch Setup.
From the Telemetry Device List on the left of the setup window, choose the telemetry device for
which you want to configure the latching setting. On the right of the setup window, configure the
setting as required.
The latching alarm setting of the telemetry device is off by default. For telemetry device which
has been offline and then online and in which the patient is admitted again, the latching alarm
configuration remains the same as the last configuration used by the telemetry device.
To clear the alarms latched, please choose Alarm Reset from the menu in the patient sector.
Refer to 6.3 Menu in the Patient Sector for details.

10.2.3 Date/Time Setup

The user can set the correct date and time and their desired format. There are three kinds of date
format: yyyy-MM-dd, dd-MM-yyyy, MM-dd-yyyy, two kinds of time format: HH-mm-ss (24
hours) and hh-mm-ss tt (12 hours), and three date separator: /, - and. To change the date and time
setup, please select Main Screen > System Setup > User Maintain > Date /Time Setup, and
select the desired settings from the menu. The time and date displayed on the main screen will
also change after change the date and time setup and their format.
NOTE:
The user must restart the system to make the change effective.

WARNING
During patient monitoring, a change in date and time will influence the storage of trend
data.

10.2.4 Alarm Setup for MFM-CMS

Choose Main Screen > System Setup > User Maintain > Alarm Setup
You can configure the alarm setting for MFM-CMS.
You can set the duration in drop-down list of Audio Pause to 1 minute, 2 minute, 3 minute or
Permanent.
When the option is 1 minute, 2 minute or 3 minute, you can click audio pause symbol in main
interface to activate Audio Pause. System can exit the audio pause status automatically when the
duration time is out, or user can click audio pause symbol again to exit.
When the option is Permanent, you can click audio pause symbol in main interface to activate

Alarm Mute. The icon is displayed at the top area of the screen. Clicking audio pause
symbol again can be used to exit alarm mute status only.

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MFM-CMS Central Monitoring System User Manual System Setup

You can set alarm sound intervals for MFM-CMS.

You can set alarm sound intervals by choosing the desired intervals from the drop-down list of
High Alarm Interval (s), Med Alarm Interval (s) and Low Alarm Interval(s).
You can set alarm ringtone for MFM-CMS.
You can choose different alarm ringtone as desired from the drop-down list of Alarm Tone. Click
Play to confirm. Standard and Mode 1 are optional. The default option is standard.
You can set VFIB/VTAC alarm function to On or Off (available when telemetry device is
connected).
When VFIB/VTAC alarm function is set to On in user maintain window, VFIB/VTAC Alarm
Switch in Parameter setup window can be used. In Parameter setup window, if:
a) Alarm Switch is Off, the prompt of VFIB/VTAC OFF will be displayed in Technical alarm
area/ Prompts area;
b) Alarm Switch is On, MFM-CMS will give out alarm normally when patient has
VFIB/VTAC.
When VFIB/VTAC alarm function is set to Off in user maintain window, VFIB/VTAC Alarm
Switch in Parameter setup window cannot be used.
NOTE:
In audio pause or alarm mute status, though a new alarm occurs, system will not give out
alarm sound.

10.2.5 Changing Language

To change the display language, please select Main Screen > System Setup > User Maintain,
and input the correct password. Select Language Setup and select the desired language from the
drop-down list.
NOTE:
The user must restart the system to make the change effective.

10.2.6 HL7
In User Maintain window, users can set the interval for HL7 data to be sent and set the format of
HL7 data package sent by MFM-CMS. The interval can be set to 1 to 120 minutes. HL7 data is
sent in the format of HL7 Lower Level Protocol by default. If the item XML is selected, the data
sent by MFM-CMS will be packed in the XML format.
NOTE:
HL7 data is sent via the port 9100 by default.

10.2.7 Database Maintain

Refer to Section 13.1 for more information about database backup.

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MFM-CMS Central Monitoring System User Manual System Setup

10.2.8 Other Setups

On this interface, you can:
Set Hospital Info. and Department. The hospital information and department will be
displayed at the top left corner on the main screen.
Choose to display or conceal the grid in the View window by selecting or clearing the check
box of Display Grid on View.
Set Electrode Setup to AHA or IEC. This setting is only applicable to the telemetry device.
Set 12-Lead Wave Print Template.
Return to Windows.
Switch off the system.

10.2.9 User Password Setting

To modify the password, enter the old password in the Old Password field and a new one in the
New Password field, after which you have to Confirm new password to complete the
modification.
NOTE:
If you forget the password, please contact the technical representative of DIXION.

10.2.10 Operation Log

In User Maintain window, user can scan All operation contents which include Modify Patient
Info. (The modifications finished on monitoring device and MFM-CMS can be scanned), Clear
Database, Delete Patient Info., Discharge, Transfer and Backup. You also can select one of
operation contents to scan. Clicking Export can export operation contents.

10.2.11 About
It offers information about the software compiling time and software version.

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MFM-CMS Central Monitoring System User Manual Alarm Management

11 Alarm Management
11.1 Overview
Alarms, triggered by a physiological sign that appears abnormal or by technical problems of the
monitor, are sent to the MFM-CMS by the monitors and then indicated to the users by the MFM-
CMS. Alarms coming from the monitors are displayed in the patient sectors and in the single bed
view window.
The alarm and prompts coming from the MFM-CMS system are displayed in the system
information area on the upper screen.
NOTE:
The alarm signal will be delayed for no more than 5 seconds.

11.1.1 Physiological Information Alarm

It includes parameter alarm and arrhythmia alarm.

methods specified in harmonized international standard. Visual method is realized basically by

the way of lightening or flicking of the color light. Audible method is realized by the sound for
different levels.
Physiological alarms are implemented by alarm limits, which define a range in which a certain
physiological parameter is considered to be in the normal status. When a parameter value is
beyond the range, the system will consider it to be in an abnormal status and consequently give
an alarm.

11.1.2 Technical Alarm

Technical alarms refer to the technical alarms of bedside monitor/ telemetry device. Technical
alarms of bedside monitor/ telemetry device refer to alarms other than physiological alarms,
including hardware failure, communication error, lead off, etc. For these technical alarms, the
system presents four different types of audible and visual prompts.
When a group of technical alarms (for example, transducer falls off) produced by multi-parameter
monitors/ telemetry device, a piece of alarm prompt information in scrolling mode will appear on
the main screen of MFM-CMS. In addition, the MFM-CMS will sound corresponding alarm
(high, medium or low level alarm). The corresponding bedside monitor status indicator will also
show corresponding signal color (high, medium or low level alarm signal color).

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MFM-CMS Central Monitoring System User Manual Alarm Management

11.2 Alarm Level of the Monitors

Alarm level reflects the severity of an alarm. The alarms have three groups regarding the alarm
levels.
High level alarm
Medium level alarm
Low level alarm

11.3 Alarm Mute

For information about how to set alarm mute, refer to Section 10.2.4. Alarm mute means that
when an alarm occurs, the system will not give an alarm sound but only maintain a visual prompt.
NOTE:
The alarm mute function is only valid for MFM-CMS itself. MFM-CMS cannot silence the

11.4 Audio Pause

Audio Pause means that during a period of time, when an alarm occurs, the system will not give
alarm announcement. The duration setting is introduced in Section 10.2.4. By click the Audio
Pause button on the main screen, you can activate or deactivate the audio pause function.
When the duration of alarm pause has lasted for the preset-time, the system will stop the status of
alarm pause and resume normal alarm automatically.
NOTE:
The alarm pause function is only valid for MFM-CMS itself. MFM-CMS cannot pause the

11.5 Alarm Prompt/Response

Alarm information can be prompted by means of visual and audible methods. Because the alarm
information is very important and timely response to the alarm information is highly required, the
MFM-CMS provides the following methods to indicate to the user the occurrence of the alarm.
The alarm message will be displayed in the technical area or physiological area of the patient
sector and of the single bed view window.
High level alarm: displayed with red background
Medium level alarm: displayed with yellow background
Low level alarm: displayed with yellow background
An asterisk or more will be displayed before the physiological alarm message to indicate the
alarm level.
High level alarm: ***

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MFM-CMS Central Monitoring System User Manual Alarm Management

Medium level alarm: **

Low level alarm: *
For limit alarms of the parameter, the relevant parameter value and parameter alarm limit
will be respectively displayed with the color alternating between the parameter color and the
alarm color.
Alarm sound
If the system mute, alarm mute or alarm pause setup is deactivated, the system will warn the
user about the alarm with the alarm sound.
The alarm sound can be:
High level alarm: sound "DO-DO-DO DO-DO DO-DO-DO DO-DO";
Medium level alarm: sound "DO-DO-DO";
Low level alarm: sound "DO- ".

11.6 Alarms for Networking Status

When the monitor/telemetry device is online, the system will indicate it with low level alarm
sound.
If the monitor/telemetry device is offline without being discharged (that is improper offline),
system will indicate it respectively with low level/medium level alarm sound. The alarm sound
for improper offline will be given out only once.
NOTE:
In good network status, if there are no patients online, MFM-CMS will give out a high level
alarm sound with intervals of 20 s.

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MFM-CMS Central Monitoring System User Manual Printing

12 Printing
12.1 Printing Report with a Printer
MFM-CMS can output the reports by equipped with a laser printer. HP LaserJet Series printers
are recommended. The laser printer working with the MFM-CMS is independent of the
mainframe. The printer has its independent power supply. It is connected to the mainframe via a
USB interface or a network (wired or wireless).
The laser printer generates the following types of printing:
Waveform review printing
Alarm wave printing
Alarm table printing
Trend graph printing
Trend table printing
NIBP review printing
Printing for drug calculation, hemodynamic calculation, oxygenation calculation, renal
function calculation and ventilation calculation
Patient information printing
12-lead analysis result printing
C.O. review printing
Quick TEMP review printing
PAWP review printing
NOTE:
MFM-CMS only supports printing on A4 paper.

12.2 Printing Preview/ Printing Settings

12.2.1 Printing Preview

Before the reports are printed, you can preview them on the screen. You will access the preview
interface after you select the function of printing. If a report consists of more than one page, you
may select a certain page to preview by turning to the page you want. Besides, you can adjust the
zoom setting by choosing a certain option from the drop-down list of the SIZE.

12.2.2 Printing Settings

Click on Print on the preview interface, and in the Print setup menu select the printer, the print
range and the number of copies in demand and then click on OK to confirm it.

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MFM-CMS Central Monitoring System User Manual Printing

12.3 Exporting the PDF File

MFM-CMS can export the PDF file by installing a PDF printer software. The software
PDFCreator is recommended. You can obtain the installation version of PDFCreator in the MFM-
CMS installation disk. Also, you may download it from the website
http://www.pdfforge.org/pdfcreator.
To export the PDF file, choose a PDF printer (for instance, PDFCreator) from the drop-down list
when you select the printers, and then confirm it by clicking on OK.

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MFM-CMS Central Monitoring System User Manual Database Management

13 Database Management
MFM-CMS provides database backup and review, which allows you to conveniently manage and
maintain data.

13.1 Database Backup

To backup database, please select Main Screen > System Setup > User Maintain, and input the
correct password. Select Database Maintain and click on the button Browse to choose a
directory for backup file storage. Then click on Backup Database to start database backup.
NOTE:
1 During database backup, MFM-CMS automatically stops its patient monitoring.
2 is
ticked, MFM-CMS will empty the local database after database backup is completed;
then, user needs to restart system manually. If the check box is not ticked, MFM-
CMS will restart automatically.
3 Regular data backup operations are recommended.

13.2 Reviewing Backup Database

MFM-CMS allows you to review the backup data at any time.
To review backup data, select Main Screen > Review > Patient List, and select the directory for
storing backup file from the drop-down list of Offline Database Source. For more information
about review, refer to Chapter 9.
NOTE:
1 It takes about 3 to 10 seconds for MFM-CMS to load the backup data.
2 During reviewing backup data, discharging or deleting patients is unavailable.

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MFM-CMS Central Monitoring System User Manual Calculation and Titration Table

14 Calculation and Titration Table

14.1 General
MFM-CMS provides functions including drug calculation and titration table, hemodynamic
calculation, oxygenation calculation, renal function calculation and ventilation calculation; the
calculation results can be printed out. Click on Calculation in the status of single bed view to
access the drug calculation screen.
MFM-CMS is able to save a maximum of 100 groups of results for every type of calculation. In
the calculation window, you can use the Save button to save the calculation results and use
Calculation Result List to review each calculation result.

14.2 Drug Calculation

From the Drug drop-down list, you can select one to calculate its amount, liquid volume,
concentration, etc.
Drug A EPINEPHRINE
Drug B HEPARIN
Drug C ISUPREL
Drug D LIDOCAINE
Drug E NIPRIDE
AMINOPHYLLINE NITROGLYCERIN
DOBUTAMINE PITOCIN
DOPAMINE
NOTE:
Drug A, Drug B, Drug C, Drug D and Drug E are user-defined drugs.
The calculation procedure is listed below:
1. Confirm whether the patient type is correct and the weight is entered.
2. Select a drug to be calculated from the drug list.
3. Input correct parameter values under the direction of a doctor.
4. Select Basic, Dose Type and Step for titration table.
5. Click on the Calc button, the calculation result will be displayed in the drug parameter area
and titration table.

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MFM-CMS Central Monitoring System User Manual Calculation and Titration Table

WARNING
1 Be sure to input correct parameter values. The user must verify the correctness of
the calculations displayed on the screen before using them.
2 The calculations in the titration table are subject to the drug calculations, therefore,
the correctness of the drug calculations must be ensured. Besides, the basic, step
and dose type should be ensured correct.
3 We assume no responsibility for the results arising from incorrect inputs and
operations.

14.2.1 Drug Calculation Formula

Formulas for drug calculation are:
Concentration = amount / volume
Flow rate = dose / concentration
Total dose = dose × duration
Total volume = flow rate × duration

WARNING
Prior to performing drug calculation, you must confirm that the above formulas are what
you need. Our company will not be liable for any consequence resulted from using
inappropriate formulas.

Relationship between calculation units:

1 g = 1000 mg
1 mg = 1000 mcg
1 K unit = 1000 units
1 M unit = 1000 K units

WARNING
You must enter correct drug unit. Our company will not be liable for any consequence
resulted from incorrect input.

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MFM-CMS Central Monitoring System User Manual Calculation and Titration Table

14.2.2 Calculation of Titration Table

Calculation of titration table is included on the screen of drug calculation. The titration table is
located at the lower part of the drug calculation screen. The method for calculation of titration
table is:
1. The core method for the calculation of titration table is: concentration = dose / flow rate. The
calculating method of titration table is to keep the fixed concentration, change the dose to
calculate the flow rate or change the flow rate to calculate the dose. Concentration here is
obtained from drug calculation.
2. The titration table can be displayed by way of dose and rate. You can enter the rate step from
1-10. There are four options available for dose unit: mg/hour, mg/min, mg/Kg/hour and
mg/Kg/min, among which mg will vary with the unit changes in drug calculation.
3. The calculating result of titration table is displayed in the list. You can click on the scroll bar to
browse more calculating results.

WARNING
The calculating result of titration table depends on the calculating result of drug. First of
all, the calculating result of drug should be accurate. And then, the calculating result of
titration is concerned with the input titration control parameters and the calculating
formula. Therefore, you must ensure the correctness of all these mentioned operations.
Our company will not be liable for any consequence resulted from improper operations.

14.3 Hemodynamic Calculation

14.3.1 Input Parameters

Abbreviation English Full Name/Description

PAWP Pulmonary artery wedge pressure
CVP Central venous pressure
HR Heart rate
AP MAP Mean Artery Pressure
LV_D Left Ventricular Diameter
PA MAP Pulmonary artery mean pressure
HT Height
WT Weight

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MFM-CMS Central Monitoring System User Manual Calculation and Titration Table

14.3.2 Output Parameters

Abbreviation English Full Name/Description

BSA Body surface area
SV Stroke volume
SVI Stroke volume index
SVR Systemic vascular resistance
SVRI Systemic vascular resistance index
PVR Pulmonary vascular resistance
PVRI Pulmonary vascular resistance index
LCW Left cardiac work
LCWI Left cardiac work index
RCW Right cardiac work
RCWI Right cardiac work index
LVSW Left ventricular stroke work
LVSWI Left ventricular stroke work index
RVSW Right ventricular stroke work
RVSWI Right ventricular stroke work index
EF Ejection fraction

14.4 Renal Function Calculation

14.4.1 Input Parameters

Abbreviation English Full Name/Description

HT Height
WT Weight
URK Urine potassium
Posm Plasm osmolality
SCr Serum creatinine
URNa Urinary sodium
Uosm Urine osmolality
UCr Urine creatinine
UUN Urine urea nitrogen
Urine Urine

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MFM-CMS Central Monitoring System User Manual Calculation and Titration Table

SerNa Serum sodium

BUN Blood urea nitrogen

14.4.2 Output Parameters

Abbreviation English Full Name/Description

URNaEx Urine sodium excretion
CNa Clearance of sodium
FENa Fractional excretion of sodium
CH2O Free water clearance
URKEx Urine potassium excretion
CCr Creatinine clearance rate
FEUr Fractional Excretion of Urea
Na/K Sodium potassium ratio
CUUN Urine urea nitrogen clearance rate
Cosm Osmolar clearance
U/P osm Urine to plasma osmolality ratio
BUN/SCr Blood urea nitrogen creatinine ratio
U/SCr Urine-serum creatinine ratio

14.5 Oxygenation Calculation

14.5.1 Input Parameters

Abbreviation English Full Name/Description

HT Height
WT Weight
C.O. Cardiac output
FiO2 Percentage fraction of inspired oxygen
PaO2 Partial pressure of oxygen in the arteries
PaCO2 Partial pressure of carbon dioxide in the arteries
SaO2 Arterial oxygen saturation
PvO2 Partial pressure of oxygen in venous blood
SvO2 Venous oxygen saturation
Hb Hemoglobin

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MFM-CMS Central Monitoring System User Manual Calculation and Titration Table

CaO2 Arterial oxygen content

CvO2 Venous oxygen content
VO2 Oxygen consumption
RQ Respiratory quotient
ATMP Atmospheric pressure

14.5.2 Output Parameters

Abbreviation English Full Name/Description

BSA Body surface area
VO2calc Calculated oxygen consumption
C(a-v)O2 Arterial venous oxygen content difference
O2ER Oxygen extraction ratio
DO2 Oxygen transport
PAO2 Partial pressure of oxygen in the alveoli
AaDO2 Alveolar-arterial oxygen difference
CcO2 Capillary oxygen content
Qs/Qt Venous admixture
C.O. calc Calculated cardiac output
Pa/FiO2 PaO2/FiO2
AaDO2/PaO2 AaDO2/PaO2
Pa/AO2 PaO2/PAO2
DO2I Oxygen Delivery Index
VO2I Oxygen Consumption Index
CaO2 calc Calculated Arterial oxygen content
CvO2 calc Calculated Venous oxygen content

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MFM-CMS Central Monitoring System User Manual Calculation and Titration Table

14.6 Ventilation Calculation

14.6.1 Input Parameters

Abbreviation English Full Name/Description

FiO2 Percentage fraction of inspired oxygen
RR Respiration rate
PeCO2 Partial pressure of mixed expiratory CO2
PaCO2 Partial pressure of carbon dioxide in the arteries
PaO2 Partial pressure of oxygen in the arteries
VT Tidal volume
RQ Respiratory quotient
ATMP Atmospheric pressure
PIP Peak Inspiratory Pressure
PEEP Positive End-Expiratory Pressure

14.6.2 Output Parameters

Abbreviation English Full Name/Description

Cdyn Compliance dynamic
PAO2 Partial pressure of oxygen in the alveoli
AaDO2 Alveolar-arterial oxygen difference
Pa/FiO2 PaO2/FiO2
AaDO2/PaO2 AaDO2/PaO2
Pa/AO2 PaO2/PAO2
MV Minute volume
VD Volume of physiological dead space
VD/VT Physiological dead space in percent of tidal
volume
VA Alveolar volume

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MFM-CMS Central Monitoring System User Manual CMS-WEB Observer

15 CMS-WEB Observer
15.1 General
The CMS-WEB Observer system is a medical information device applied in clinical monitoring
field. It realizes remote monitoring by reviewing real-time and history data from central
monitoring system through web page. A CMS-WEB network system is constructed by connecting
multiple monitors and MFM-CMS central monitoring systems. Being the center of the monitoring
network, the system realizes remote monitoring by collecting, processing, and analyzing the
physiological information from the central monitoring systems. Medical staff can obtain patient
information by visiting the server of MFM-CMS via the browser.
The CMS- -
CMS central monitoring system. The system displays information of up to 32 bedside monitors
from the MFM-CMS.
NOTE:
1. The CMS-WEB Observer is only available via the hospital local area network.
2. MFM-CMS supports the maximum of 6 accounts at the same time.

15.2 Typical Screens of the CMS-WEB

The CMS-WEB shares similar screen features with the MFM-CMS. The main screen of the
CMS-WEB has three areas. At the top of the screen is the area displaying the system prompt
information. The middle part is the main monitoring area. The bottom part is the system menu
area. Figure 15-1 shows the main screen of the CMS-WEB.

Figure 15-1 Main Screen of CMS-WEB

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MFM-CMS Central Monitoring System User Manual CMS-WEB Observer

Structure of the main screen:

1. Information area
Displaying the hospital name and current system time.
2. Main monitoring screen
Indicating the current status of each bedside monitor:
The onscreen bedside monitors are networked.
The red color in the alarm area of the patient sector indicates the bedside monitor has high
priority alarm.
The yellow color in the alarm area of the patient sector indicates the bedside monitor has a
medium or low priority alarm.
When four or less than four bedside monitors are networked, the layout of patient sectors will be
of single row as Figure 15-2 shows:

Figure 15-2

When over four bedside monitors are networked, the screen displays patient sectors as shown in
Figure 15-1 with a maximum of eight bedside monitors.
NOTE:
The number of displayed waveforms on each patient sector will vary with the resolution of
your computer monitor. The maximum number of waveforms displayed on each patient
sector is four. It is recommended to use computer monitors with the resolution of 1028
1024 or 1440 900.

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MFM-CMS Central Monitoring System User Manual CMS-WEB Observer

3. Main menu
The main menu (Figure 15-3) is at the bottom of the screen. Click on it to access corresponding
windows or perform corresponding functions.

Figure 15-3
If one patient sector is selected for single bed reviewing, the button Return Main Screen will
appear at the bottom left corner, selecting which can return to the main screen.

4. Control icons
Control icon area includes the following icons:
Icons Operating method

Click on it to return to the main screen.

Click on it to enter the system setup menu.

Click on it to log out of the system.

Click on it, the volume adjustor icon appears.

Tick the Mute check box, the entire system become mute
until a new alarm occurs. To deselect the silence
function, tick the Mute check box again. Additionally,
the user can drag the volume adjustor to your desired
volume.

15.3 Starting/ Shutting Down the System

NOTE:
Before starting the system, make sure the MFM-CMS has been installed in the computer.
Otherwise, you cannot use the CMS-WEB.

15.3.1 Starting the System

Before starting the system, make sure the computer in which the CMS-WEB Observer server is
installed has been installed with the IIS (Internet Information System) groupware as well. Assume
that the IP address of the server is 192.168.11.138; to start the CMS-WEB, you should enter
http://192.168.11.138/MFM-CMS/ into the address bar of the browser and input user name as
well as password in the login window to access the system.

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MFM-CMS Central Monitoring System User Manual CMS-WEB Observer

NOTE:
1 You
can change the user name and password after accessing the system.
2 The administrator is able to create other administrators and users. The default
password for creating new users is

15.3.2 Shutting Down the System

You can shut down the system via either of the following two methods:
Method 1: Click on the Logout button at the bottom right corner onscreen.

Method 2: Click on the button at the top right corner onscreen.

15.4 System Setup

You can access the system setup menu by clicking on System Setup and configure the following
items: Common Setup and Administrators Setup.

NOTE:

authority. Both Common Setup and Administrators Setup are available for the
administrator while only Common Setup is available for general users.

15.4.1 Common Setup

15.4.1.1 Setting User Information

Select System Setup > Common Setup > Personal Infor., and you can change the user name,
name, gender, department, and so on.

15.4.1.2 Setting Password

Select System Setup > Common Setup > Password Change; you can change the login
password.

15.4.1.3 Setting Parameter Unit

Select System Setup > Common Setup > Unit Setup; you can change the units of IBP, NIBP,
CO2, AG CO2, AG O2, C.O.TB and TEMP.

15.4.1.4 Setting Multi-Bed Waveform

Select System Setup > Common Setup > Wave In Multi-bed; you can set the physiological
waveforms displayed on the patient sectors. In this window, the left column displays the
waveform names from which you can choose; the right column displays the waveform names
which have been selected.

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MFM-CMS Central Monitoring System User Manual CMS-WEB Observer

Adding a waveform to be displayed:

To add a displayed waveform, choose one from the left column and click on Add so that it can be
added to the right column.
Deleting a displayed waveform
To delete a displayed waveform, choose one from the right column and click on Remove so that
it can be deleted from the waveform display area.

NOTE:
1 You can only select a maximum of 6 waveforms to be displayed on each patient
sector. Also, the number of displayed waveforms is subject to the computer
resolution.
2 You can only add or delete one waveform one time.

15.4.1.5 Setting Multi-Bed Parameter

Select System Setup > Common Setup > Para In Multi-bed; you can set the physiological
parameters displayed onscreen. In this window, the left column displays the parameter names
from which you can choose; the right column displays the parameter names which have been
selected.
Adding a parameter to be displayed
To add a displayed parameter, choose one from the left column and click on Add so that it can be
added to the right column.
Deleting a displayed parameter
To delete a displayed parameter, choose one from the right column and click on Remove so that it
can be deleted from the screen.

NOTE:
1 You can only select a maximum of four parameters to be displayed on each patient
sector.
2 You can only add or delete one parameter one time.

15.4.1.6 Setting Wave Speed

Select System Setup > Common Setup > WaveSpeed; you can set the speed for a selected
waveform. Choose one waveform from the Wave Name list and the chosen one will be
highlighted as shown in Figure 15-4; then select a speed from the drop-down list of New Speed.

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MFM-CMS Central Monitoring System User Manual CMS-WEB Observer

Figure 15-4 Wave Speed Setup

15.4.1.7 Setting Language

Select System Setup > Common Setup > Language, click on and select a language from
the drop-down list.
NOTE:
To ensure the normal display of CMS-WEB, restart the system after you finish the
language configuration.

15.4.2 Administrator Setup

15.4.2.1 User Management

Select System Setup > Administrators Setup > User Manage; the administrator can set the user
access authority.
Creating a user
In the User Manage window, input the User Name, Name, User Type, Gender, Department
and so on, click on Insert and a new user will be created. The default password for creating users
is 123456.

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MFM-CMS Central Monitoring System User Manual CMS-WEB Observer

Deleting a user
Select a user to be deleted from the user list, click on Delete and the user will be removed.
Modifying user information
Select a user whose information is to be modified and enter new information for the user; then
click on Modify to complete the modification.
NOTE:
The administrator cannot modify his/her information here. Refer to the section 15.4.1.1
for details.
Resetting user password
Select a user whose password is to be reset and click on Reset password; confirm it by clicking
on Confirm on the pop-up dialog box. The password will be reset to the default password.

15.4.2.2 Setting Date/Time Format

Select System Setup > Administrators Setup > TimeFormat, click on the button beside
Date Format or Time Format and select a format from the drop-down lists.

15.4.2.3 Setting Waveform Refresh Type

Select System Setup > Administrators Setup > Refresh Type; you can set the refresh type of
the real-time waveforms. Two options are available: Pen Mode and Move Mode. Click on the
button and select one mode from the drop-down list.

15.5 Viewing Single Bed

Via the function of viewing single bed, you can check information of a patient. Click on any area
of the patient sector and you will access the single bed window. Available items including Patient
Infor, Single Bed View, Wave Review, Alarm Review, Trend Review and NIBP Review will
be displayed onscreen.

15.5.1 Patient Information

You may check patient information via Patient Infor window. CMS-WEB Observer displays the
patient information collected by the MFM-CMS. You can only view the patient information via
CMS-WEB but not modify them. The readings of Height and Weight will vary with the unit
selection. Click on Print if you need to output the patient information.

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MFM-CMS Central Monitoring System User Manual CMS-WEB Observer

15.5.2 Single Bed View

Multi-waveform display
Click on Multi-lead in the window so that you can view multiple channels of waveforms
displayed onscreen. Click on it again to switch to single waveform display mode.
Freezing waveform
Click on Freeze in the window so that you can freeze the waveform displayed onscreen, which
may help you analyze the waveform of interest. Click on Freeze again to unfreeze the waveform.

15.5.3 Waveform Review

In the Wave Review window, you can:
Select waveforms;
Set wave speed;
Refresh waveforms;
Set the starting time for printing;
Print waveforms.
The system allows you to print the waveform with a maximum time of two minutes. If you have
not set the starting time, the system will output the latest data by default. If you have set the
starting time, the system will start to output data at the point of the set time.
NOTE:
The set starting time for printing will be invalid after the data is output.
For more details about waveform review, refer to relevant content for MFM-CMS in Section 9.2.

15.5.4 Alarm Review

In the Alarm Review window, you can:
Refresh alarm information;
Print alarm list;
Print alarm strip.
For more details about alarm review, refer to relevant content for MFM-CMS in Section 9.3.

15.5.5 Trend Review

In the Trend Review window, you can:
Review trend data;
Set resolution;

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MFM-CMS Central Monitoring System User Manual CMS-WEB Observer

Select parameters to be reviewed;

Refresh data;
Print trend graph and trend list;
Set the display mode of the trend review window;
Set the starting time for printing.
Printing trend graph: If you have not set the starting time, the system will output the latest data by
default. If you have set the starting time, the system will start to output data at the point of the set
time. The system allows you to output a maximum of 600 pieces of data.
Printing trend list: If you have not set the starting time, the system will output the latest data by
default. If you have set the starting time, the system will start to output data at the point of the set
time. The system allows you to output a maximum of 720 pieces of data.
NOTE:
The set starting time for printing will be invalid after the data is output.
For more details about trend review, refer to relevant content for MFM-CMS in Section 9.4.

15.5.6 NIBP Review

In the NIBP Review window, you can view up to 720 groups of NIBP measurements of an online
patient.
The NIBP review window displays Serial No., Measure Time, SYS, DIA, MAP and PR for
each measurement. Additionally, you can:
Refresh;
Print.
NOTE:
1 Make sure a PDF reader has been installed in your computer, which enables you to
preview and open the printing document.
2 CMS-WEB only supports printing on A4 paper. Make sure you have set the paper
size to A4 in the printing setup.
3 If the main menu is not displayed onscreen after clicking on the print button and
return to the CMS-WEB screen, check your browser setup. For Firefox browser,
select Tools > Options > Tabs, and tick the check box of Always show the tab bar.

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MFM-CMS Central Monitoring System User Manual Safety

16 Safety
16.1 Control and Safety Index
Windows 8/ Windows XP/ Windows 7 workstation, printer, UPS (optional), Keyboard, display
and mouse should accord with the corresponding safety requirements. They are not suitable for

16.2 Characteristics
The standard MFM-CMS includes the following characteristics:
Up to 240 hours of trend data storage and review
y data
240-hour full disclosure physiological waveforms
12-lead ECG display
12-hour short trend data
Printing report
Monitoring 64 patients simultaneously
Connect patient monitor: Dixion Storm 5300, Dixion Storm 5500, Dixion Storm 5800
Transfer waveforms, parameters, alarms, etc.

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MFM-CMS Central Monitoring System User Manual Service

17 Service
If you have any question about maintenance, technical specifications or malfunctions of devices,
contact DIXION.

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MFM-CMS Central Monitoring System User Manual Specifications

Appendix I Specifications
A1.1 Recommended Hardware Configuration
The minimum requirements of hardware configuration for the MFM-CMS are shown as below.
Components Requirements
System Meet the IEC/EN control requirements for ITE device
PC workstation CPU: Dual Intel Core i3 3.0 Ghz or above
Memory: 4G or above
Hard disk: 500GB or above
Display interface: 2
LAN port: 1 or above
USB port: more than one
OS: Windows XP 32 bit
Windows 7 Pro 32/64 bit
Windows 8 Pro 32/64 bit
Keyboard PS/2 or USB keyboard with CE mark
Mouse PS/2 or USB mouse with CE mark
Display
Specifications:
Dimensions (inch) Resolution (pixel)
19(widescreen) 1440X900
*19 (regular-screen) 1280X1024
17 (regular-screen) 1280X1024
*Recommended

Quantity:
For 1 to32 bedside monitors/ telemetry devices: one display
For 33 to 64 bedside monitors/ telemetry devices: two displays
Printer LaserJet
UPS 1000 W

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MFM-CMS Central Monitoring System User Manual Specifications

Network device Structure Ethernet 802.3

specifications
Device Network switch
Transmission rate 10M, 100M
Transmitted information Waveforms, parameters and
alarms of all networked bedside
monitors
Compatible monitors/ telemetry Patient monitors/ telemetry
devices devices complying with DIXION
network protocol
Maximum number of networked 64
monitors/ telemetry devices
Speaker Built-in speaker is recommended.

CAUTION
Ensure that the computer hardware can meet the requirements of the software installation
and running. Also, the video adapter, the audio adapter, the network adapter and their
respective drivers should been installed well in the computer; otherwise, the software may
not run normally.

NOTE:
1 The hardware specifications require the use of PC that complies with IEC/EN
requirements for ITE equipment.
2 The configuration mentioned above is for reference and not permanent. DIXION
preserves the right to change and upgrade system settings.

A1.2 Software Performance

Trend 240-hour trend review for each bedside monitor/ telemetry
device;
12-hour short trend dynamic display for each bedside monitor/
telemetry device;
Alarm events 720 pieces of parameter alarm events for each bedside monitor/
telemetry device
Alarm type Physiological Alarm
Technical Alarm
Alarm mode 3 levels of audible and visual alarms

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MFM-CMS Central Monitoring System User Manual Specifications

Nurse call records Store 100 groups

(from the telemetry devices
are stored by MFM-CMS)
Patient call records Store 100 groups
(from the telemetry devices
are stored by MFM-CMS)
Waveform storage and Up to 240-hour waveform for each bedside monitor/telemetry
review device; 96-hour is the default selection.
NIBP measurement storage 720 pieces of NIBP measurement for each bedside monitor
and review
12-lead analysis results 720 pieces of 12-lead analysis results for each bedside monitor
C.O. measurements 720 pieces of C.O. measurement for each bedside monitor
Quick TEMP 720 pieces of Quick TEMP measurement for each bedside
measurements monitor
PAWP measurements 720 pieces of PAWP measurement for each bedside monitor

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MFM-CMS Central Monitoring System User Manual MFM-CMS System Alarms and Prompts

Appendix II MFM-CMS System Alarms and Prompts

A2.1 Alarms
Alarms Display Cause Solution
Color

Database is full, it Red Less than 2G space is left in Refer to Section 9.1.2 and
can't store new data, the disk for data store. delete the out-of-date
please discharge or patient data. Or refer to
delete patient. Section 13.1 to back up the
data in another disk and
delete the data in the
current database.

Network is The host in which the Check the connection of

disconnected! MFM-CMS software is the network cable and
installed is not connected ensure the cable is well
with the network cable. connected to the host.

Alarm Mute The MFM-CMS is in the Refer to Section 11.3 for

status of alarm mute. information about alarm
mute.

No Audio card! The audio adapter driver is Log out of the MFM-CMS
not installed in the host. and install the audio
adapter driver.

No Video card! The video adapter driver is Log out of the MFM-CMS
not installed in the host. and install the video
adapter driver.

Audio Pause The MFM-CMS is in the Refer to Section 11.4 for

status of alarm pause. information about alarm
pause.

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MFM-CMS Central Monitoring System User Manual MFM-CMS System Alarms and Prompts

A2.2 Prompts
Prompts Display Cause Solution
Color

Database is full, White Less than 10G space is left Refer to Section 9.1.2 and
please discharge or in the disk for data store. delete the out-of-date
delete patient. patient data. Or refer to
Section 13.1 to back up the
data in another disk and
delete the data in the
current database.

Collecting Data Real-time printing /

Number of pending Remind the user to admit Refer to Section 5.1 for
patients: the patients who has been information about
connected to the admitting patients.
MFM-CMS but has not
been admitted.

No bed is online. No monitor is connected to Check if the cable is well

Please check the the MFM-CMS because no connected with the monitor
network connecting monitor is connected to the and with the switch.
network or the network
setup is incorrect.

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MFM-CMS Central Monitoring System User Manual Abbreviation

Appendix III Abbreviation

Abbr English Full Name/Description

AG Anaesthesia gas

Art Arterial

AwRR Airway respiration rate

BP Blood pressure

CMS Central monitoring system

CO2 Carbon dioxide

CVP Central venous pressure

Des Desflurane

Dia Diastolic

ECG Electrocardiogram

Enf Enflurane

Et End-tidal

EtCO2 End-tidal carbon dioxide

EtN2O End-tidal nitrous oxide

EtO2 End-tidal oxygen

Fi Fraction of inspired

FiCO2 Fraction of inspired carbon dioxide

FiN2O Fraction of inspired nitrous oxide

FiO2 Fraction of inspired oxygen

Hal Halothane

Hb Hemoglobin

HR Heart rate

IBP Invasive blood pressure

ICP Intracranial pressure

IEC International Electrotechnical Commission

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MFM-CMS Central Monitoring System User Manual Abbreviation

Abbr English Full Name/Description

Iso Isoflurane

LAP Left atrial pressure

MAP Mean arterial pressure

N2O Nitrous oxide

NIBP Non-invasive blood pressure

O2 Oxygen

PA Pulmonary artery

PAWP Pulmonary artery wedge pressure

Pleth Plethysmogram

PR Pulse rate

PVC Premature ventricular complex

RAP Right atrial pressure

Resp Respiration

RR Respiration Rate

Sev Sevoflurane

SpO2 Oxygen saturation of arterial blood

SYS Systolic pressure

TB Blood Temperature

TD Temperature difference

TEMP Temperature

USB Universal serial bus

BIS Bispectral index

ICG Impedance cardiography

RM Respiration mechanics

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DIXION VERTRIEB MEDIZINISCHER GERÄTE GMBH
Couvenstr.6, 40211, Dusseldorf, Germany
Tel: +4921138838868, Fax: +4921138838697