CMS user manual

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 Welcome to use central systeming system. The computer with color display adopts
above Pentium 4 CPU and outstanding hardware & software technology，therefore
doctors and nurses can gain the patient’s vital sign immediately without visiting the wards.
The CMS has broken former analog signal transmitting mode, takes the lead in
achieving full bi-directional communication,which makes paramedic view the entire
information of the bedside system on the workstation conveniently, meanwhile the
bedside system can be set and measured the patients via the workstation. For user
convenience, we optimized our software design of workstation, which makes user just use
mouse to accomplish all the operation. Each workstation is capable of systeming up to
32 patients according to user’s demand and extends to 256 sets, the sixteen of which can
be displayed in one screen synchronously. Before using the system, the user must
carefully read this manual.

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 INDEX
Chapter1 Introduction --------------------------------------------------4
Chapter2 System Installation -------------------------------------------5
Chapter3 Menu ------------------------------------------------------------7
Chapter4 View--------------------------------------------------------------8
Chapter5 display set------------------------------------------------------9
Chapter6 patient info-----------------------------------------------------10
Chapter7 Alarm set-------------------------------------------------------11
Chapter8 Trend graph----------------------------------------------------12
Chapter9 Patient query---------------------------------------------------13
Chapter10Patientsafety---------------------------------------------------14
Chapter11 Maintenance and cleaning ----------------------------------17

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 Chapter1 Introduction
1、central systeming system uses AC power，the power is 100~250 (V)AC, 50/60 (Hz)
2、Tinder, metal and liquid should not be dropped into the computer, they would damage
the equipment. In this situation, you should cut off the power and stop working promptly.
3、Using computer, ensure well aeration to make equipment eliminate heat. Ban to put the
equipment on textile and soft cloth, which perhaps affects the fan to work orderly and
induces air-logged.
4、Do not make the magnetic object touch the display.
5、Keep the package and wrapper properly. If transporting the equipment long distance,
pack it completely.
6、Do not put the system near the heating source.
7、The software and hardware of system only use in central workstation system, ban to
privately change hardware configuration of workstation and install other application
program (including game), otherwise it will cause system work disorderly.

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 Chapter2 System Installation
1. The central station is consisted of PC, system, mouse, printer, routers and cables. It
can receive the systeming data from portable systems through the wireless or wired
network, then display, store and print out the all data.
The recommended PC configurations for systeming system:
Operating system: Windows98/2000/XP compatible;
CPU processor: Intel Pentium III 500 MHz and above;
RAM memory: 128M or more;
Hard disc: 10G or more;
Networking card: required;
USB port: at least one;
Series port: at least one
Display: 17” TFT display is commended，support 1024 X 768 solution, recommend 16:9
Other 15” or 17” SVGA
The list of components
Computer (keyboard, mouse,cables) 1 set
Display 1 unit
Laser printer 1 unit
Softdog 1 piece
Hub 1 unit
Router 1 unit
Portable system 1 unit
Net cable 1 unit
Installing CD 1 piece
2. Connect the patient system to hub ,and the PC ansl connect to hub.
3.change the pc IP address ,200.200.200.100 sub is 255.255.255.0 pls look Fig1

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 Fig1
install center.exe,the program will run
note: must set patient system bed number,pls look the system user manual

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 Chapter3 Menu
When you open the center.exe ,the PC will display in Fig2

Fig2

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 Chapter4 View
If you like look one bed detail information .please look Fig3

Fig3

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 Chapter5 display set
If you like set ECG parameter,RESP parameter,NIBP parameter, TEMP parameter,please
look Fig 4

Fig 4

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 Chapter6 patient info
If you like set patient information ,please look Fig 5

Fig 5

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 Chapter7 Alarm set
If you like set Alarm ，please look Fig 6

Fig 6

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 Chapter8 Trend graph
If you like look Trend graph ,please look Fig 7

Fig 7

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 Chapter9 Patient query
If you like find patientquery .please look Fig 8

Fig 8

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 Chapter10 Patient safety
The Portable Patient System is designed to comply with the International National
Safety requirements for MEDICAL INSTRUMENT electrical equipment. This device has
floating inputs and is protected against the effects of defibrillation and electrosurgery. If the
correct electrodes are used and applied in accordance with the manufacturer instructions,
the screen display will recover within 10 seconds after defibrillation.

This symbol indicates that the instrument is IEC60601-1 Type CF equipment. The unit
displaying this symbol contains an F-Type isolated (floating) patient applied part providing
a high degree of protection against shock, and is suitable for use during defibrillation.

Warning

Do not touch the patient, bed or instrument during defibrillation.

Environment

Follow the instructions below to ensure a completely safe electrical installation.

The environment where the Portable Patient System will be used should be
reasonably free from vibration, dust, corrosive or explosive gases, extremes of
temperature, humidity, and so on. For a cabinet mounted installation, allow
sufficient room at the front for operation and sufficient room at the rear for
servicing with the cabinet access door open.

The Portable Patient System operates within specifications at ambient temperatures

between 0℃ and 40℃. Ambient temperatures that exceed these limits could affect the
accuracy of the instrument and cause damage to the modules and circuits. Allow at least 2
inches (5cm) clearance around the instrument for proper air circulation.

Grounding the Portable Patient System

To protect the patient and hospital personnel, the cabinet of the Portable Patient System
must be grounded. Accordingly, the Portable Patient System is equipped with a
detachable 3-wire cable which grounds the instrument to the power line ground (protective
earth) when plugged into an appropriate 3-wire receptacle. If a 3-wire receptacle is not
available, consult the hospital electrician. If completeness of the protective grounding wire
is in doubt, the equipment must be operated with internal power supply.

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 Warning

Do not use a 3-wire to 2-wire adapter with this instrument.

Connect the grounding wire to the equipotential grounding terminal on the main system. If
it is not evident from the instrument specifications whether a particular instrument
combination is hazardous or not, for example due to summation of leakage currents, the
user should consult the manufacturers concerned or else an expert in the field, to ensure
that the necessary safety of all instruments concerned will not be impaired by the
proposed combination.

Equipotential Grounding

Protection class 1 instruments are already included in the protective grounding (protective
earth) system of the room by way of grounding contacts in the power plug. For internal
examinations on the heart or the brain, the Portable Patient System must have a
separate connection to the equipotential grounding system. One end of the equipotential
grounding cable (potential equalization conductor) is connected to the equipotential
grounding terminal on the instrument rear panel and the other end to one point of the
equipotential grounding system. The equipotential grounding system assumes the safety
function of the protective grounding conductor if ever there is a break in the protective
grounding system. Examinations in or on the heart (or brain) should only be carried out in
MEDICAL INSTRUMENTly used rooms incorporating an equipotential grounding system.
Check each time before use that the instrument is in perfect working order. The cable
connecting the patient to the instrument must be free of electrolyte.

Warning

If the protective grounding (protective earth) system is doubtful, the system must
be supplied by inner power only.

Condensation

Make sure that during operation, the instrument is free of condensation. Condensation
can form when equipment is moved from one building to another, thus being exposed to
moisture and differences in temperature.

Warning

Possible explosion hazard if used in the presence of flammable anesthetics.

Explanation of Symbols in the System

This symbol means 'BE CAREFUL '. Refer to the manual.

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This symbol indicates that the instrument is IEC60601-1 Type CF equipment. The unit
displaying this symbol contains an F-Type isolated (floating) patient applied part providing
a high degree of protection against shock, and is suitable for use during defibrillation.

Equipotential grounding system

Protective earth ground

Partial On/Off

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 Chapter11 Maintenance and cleaning
System Check

Before using the System , do the following:

■ check if there is any mechanical damage;

■ check all the outer cables, inserted modules and accessories;
■ check all the functions of the system to make sure that the system is in good
condition.

If you find any damage on the system, stop using the system on patient, and contact the
bioMEDICAL INSTRUMENT engineer of the hospital or our Customer Service
immediately.

The overall check of the system, including the safety check, should be performed only by
qualified personnel once every 6 to 12 month, and each time after fix up.

You should check the synchronism of the defibrillator in the frequency described in the
hospital regulations. At least every 3 months, it should be checked by a qualified customer
service technician.

All the checks that need to open the system should be performed by qualified customer
service technician. The safety and maintenance check can be conducted by persons from
our company. You can obtain the material about the customer service contract from the
local office.

The circuits diagrams, parts lists and calibration instructions of the system can be
provided by the manufacturer.

Warning

If the hospital or agency that is responding to using the system does not follow a
satisfactory maintenance schedule, the system may become invalid, and the
human health may be endangered.

Note

To ensure maximum battery life, it is recommended that, at least once a month, the
system be run on battery until it turns itself off and then recharged.

Warning

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Refer the battery replacement only to our service technician.

1.General Cleaning

Warning

Before cleaning the system or the sensor, make sure that the equipment is
switched off and disconnected from the power line.

The System must be kept dust-free.

Regular cleaning of the system shell and the screen is strongly recommended. Use only
non-caustic detergents such as soap and water to clean the system shell.

Note

Please pay special attention to the following items:

1. Avoid using ammonia-based or acetone-based cleaners such as acetone.
2. Most cleaning agents must be diluted before use. Follow the manufacturer's
directions carefully to avoid damaging the system.
3. Don't use the grinding material, such as steel wool etc.
4. Don't let the cleaning agent enter into the chassis of the system.
5. Don't leave the cleaning agents at any part of the equipment.

2.Cleaning Agents

Examples of disinfectants that can be used on the instrument casing are listed below:

■ Diluted Ammonia Water

■ Diluted Sodium Hyoichlo (Bleaching agent).

Note

The diluted sodium hyoichlo from 500ppm(1:100 diluted bleaching agent) to

5000ppm (1:10 bleaching agents) is very effective. The concentration of the diluted
sodium hyocihlo depends on how many organisms (blood, mucus) on the surface
of the chassis to be cleaned.

■ Diluted Formaldehyde 35% -- 37%

■ Hydrogen Peroxide 3%
■ Alcohol
■ Isopropanol

Note

the system and sensor surface can be cleaned with hospital-grade ethanol and

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dried in air or with crisp and clean cloth.

Note

our company has no responsibility for the effectiveness of controlling infectious

disease using these chemical agents. Please contact infectious disease experts in
your hospital for details.

3.Sterilization

To avoid extended damage to the equipment, sterilization is only recommended when

stipulated as necessary in the Hospital Maintenance Schedule. Sterilization facilities
should be cleaned first.
Recommended sterilization material: Ethylate, and Acetaldehyde.

Caution

 Follow the manufacturer’s instruction to dilute the solution, or adopt the lowest
possible density.
 Do not let liquid enter the system.
 No part of this system can be subjected to immersion in liquid.
 Do not pour liquid onto the system during sterilization.
 Use a moistened cloth to wipe up any agent remained on the system.

4.Disinfection

To avoid extended damage to the equipment, disinfection is only recommended when

stipulated as necessary in the Hospital Maintenance Schedule. Disinfection facilities
should be cleaned first.

Caution

Do not use EtO gas or formaldehyde to disinfect the system.

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