STAR8800 Central Monitoring System User Manual

Copyright
Shenzhen Comen Medical Instruments Co.,Ltd
Edition: A

Date: 2014/03

Part No: 040-000551-00

Product Name: Central Monitoring System

Product Model: STAR8800

Registered Address: South of Floor 7, Block 5 & Floor 6, Block4 , 4th Industrial Area of Nanyou, Nanshan
District, Shenzhen, Guangdong, P.R. China

Production Address: South of Floor 6, Block4 , 4th Industrial Area of Nanyou, Nanshan District, Shenzhen,
Guangdong, P.R. China

Statement
Shenzhen Comen Medical Instruments Co., Ltd (“ Comen” or “Comen Company”) possesses the copyright
of the non-published Instruction Manual, and has the right to handle it as confidential data.This Instruction
Manual is only used as the reference data for the operation, maintenance and servicing of Comen products.

The others have no right to disclose the content of this Instruction Manual to any third person.

This manual contains the proprietary information which is protected by copyright law. With copyright
reserved, any person shall not photocopy or duplicate any part of this manual or translate it into any other
language without the prior written permission of Comen Company.

Comen Company shall not assume responsibility for the incidental or consequential damages resulting
from the errors in this manual or from the provision, actual performance and use of this manual. Comen
Company shall not provide the proprietary right vested by patent law to any third party. Comen Company
shall not assume legal responsibility for the legal consequences resulting from violating the patent law and
the rights of any third party.

The content in this manual may be subject to change without further notice.

Guarantee
Under the following conditions, Comen Company shall be responsible for the safety, reliability and
performance of the product:

● The product shall be used according to the Instruction Manual.

The installation, maintenance and upgrading of the product shall be conducted by the personnel recognized
or authorized by Comen Company.

● The storage environment, working environment and electrical environment of the product comply
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 STAR8800 Central Monitoring System User Manual

with the product specifications.

● The serial number tag or manufacturing mark of the product shall be clear and identifiable. It is
verified through the appraisal of Comen Company that this product is manufactured by Comen Company.

● The damages are caused by non-human factors (e.g. accidental fall and deliberate destruction).

The products that are under the warranty service regulations of Comen Company shall enjoy free service.
As for the products that are beyond the warranty service regulations, Comen Company shall charge for the
service. If the products are transported to Comen Company for maintenance, the user shall bear the freight
(including the customs expenses).

Return of products
If the products need to be returned to Comen Company, please follow the following steps:

Acquisition of the right to return the goods: Contact the after-sales department of Comen Company, tell it
the number of the instrument made by Comen; this number was printed on the equipment nameplate; if this
instrument number is not legible, the goods returned shall not be accepted. Please specify the instrument
number and production date, and briefly describe the reason for returning the goods.

After-sales Service Unit

Name: After-sales Service Department of Shenzhen Comen Medical Instrument Co., Ltd
Address: South of Floor 6, Block4 , 4th Industrial Area of Nanyou, Nanshan District, Shenzhen,
Guangdong, P.R. China

Tel.: 0755－26431236

Fax: 0755－26431232

Customer Service Hotline: 4007009488

Postal Code: 518052

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 STAR8800 Central Monitoring System User Manual

Foreword
This manual details the performance, operation methods and other safety information of the
STAR8800 central monitoring system. This is the best starting point for new users to start using the central
monitoring system.

Note
 This product is not for household use.
 It must be connected to the Internet during operation.

Product performance, structure and components

The central monitoring system is composed of the PC, monitor, serial communication part and the
application software.

Scope of application
This manual applies to the central monitoring system (hereinafter referred to as the System), which
provides centralized monitoring of vital signs from the bedside monitoring equipment and/or telemetry
monitoring equipment manufactured by Shenzhen Comen Medical Equipment Co., Ltd. through a wired or
wireless local area network. It can provide centralized monitoring of the patient's ECG, pulse rate, oxygen
saturation, respiration rate, body temperature, NIBP, IBP, CO2, anesthetic gases, pleural fluid composition,
blood temperature, depth of anesthesia, as well as heart rates, fetal movements, TOCO and other
physiological parameters for the obstetrics. It can be used in the operating room, ICU ward, CCU ward,
monitoring centers, emergency centers and other venues requiring patient monitoring.

Applicable object
This manual is intended for professional health care staff or experienced personnel in terms of
monitoring equipment, the reader should have the knowledge and experience of medical procedures,
practices and terms necessary for patient monitoring.

Figures
All illustrations in this manual are provided for informational purposes only, the menus, settings, and
parameters in the illustrations may be not entirely consistent with what you see on the instrument.

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STAR8800 Central Monitoring System User Manual

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 STAR8800 Central Monitoring System User Manual

Contens
Chapter 1 Overview ...................................................................................................................................... 1-1

1.1 Safety Information ............................................................................................................................ 1-1

1.2 Description of Symbols ..................................................................................................................... 1-3
1.3 Overview of the central monitoring system ...................................................................................... 1-3
1.4 The primary characteristics of the central monitoring system........................................................... 1-4
1.5 Performance indicators of the central monitoring system ................................................................. 1-5
1.6 Work principle of the system............................................................................................................. 1-5
1.7 Packaging and transportation ............................................................................................................ 1-6

Chapter 2 Installation of the Central Monitoring System ......................................................................... 2-1

2.1 Unpacking and checking ................................................................................................................... 2-1

2.2 Configuration .................................................................................................................................... 2-1
2.3 Connect the AC power cord .............................................................................................................. 2-2
2.4 Power on ........................................................................................................................................... 2-2
2.5 Installation instructions of dual-screen display ................................................................................. 2-2
2.6 Installation system ............................................................................................................................. 2-4
2.6.1 Installing the operation system .......................................................................................................... 2-4
2.6.2 Install the central unit system ............................................................................................................ 2-7
2.6.3 Set the network bed numbers of the bedside monitors .................................................................... 2-10
2.6.4 Use of dongle .................................................................................................................................. 2-10
2.6.5 Install an external printer................................................................................................................. 2-10
2.7 Backup and restore the central unit system ......................................................................................2-11
2.7.1 System backup .................................................................................................................................2-11
2.7.2 Systems recovery .............................................................................................................................2-11

Chapter 3 Main Menu .................................................................................................................................. 3-1

3.1 Single-screen main interface (multi-bed monitoring) ....................................................................... 3-1

3.1.1 System information zone ................................................................................................................... 3-2
3.1.2 Patient on-site bed zone..................................................................................................................... 3-2
3.1.3 Button and icon zone ......................................................................................................................... 3-2
3.2 Single-screen auxiliary interface ....................................................................................................... 3-4
3.3 Dual-screen main interface (multi-bed monitoring) .......................................................................... 3-5
3.4 Dual-screen auxiliary interface ......................................................................................................... 3-5
3.5 Quad-screen main interface ............................................................................................................... 3-6

Chapter 4 Multi-bed Observation ............................................................................................................... 4-1

4.1 Overview ........................................................................................................................................... 4-1

4.1.1 On-site bed zone ................................................................................................................................ 4-2
4.1.2 Off-site bed zone ............................................................................................................................... 4-2
4.2 The on-site bed under monitoring state ............................................................................................. 4-3
4.2.1 Telemetry icon ................................................................................................................................... 4-4
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 STAR8800 Central Monitoring System User Manual

4.2.2 Drop-down menu .............................................................................................................................. 4-5

4.3 Intensive monitoring (real time monitoring) interface ...................................................................... 4-6
4.3.1 Button zone ....................................................................................................................................... 4-8
4.3.2 Display settings ............................................................................................................................... 4-14

Chapter 5 Patient management ................................................................................................................... 5-1

5.1 Changing Patient Information ........................................................................................................... 5-2

5.1.1 Enter and modify the patient information ......................................................................................... 5-2
5.1.2 Release patient .................................................................................................................................. 5-3
5.1.3 Patient transfer .................................................................................................................................. 5-4
5.1.4 Switch patient .................................................................................................................................... 5-4
5.2 Patient management .......................................................................................................................... 5-5
5.2.1 Online Patient Information ................................................................................................................ 5-6
5.2.2 Offline Patient information ............................................................................................................... 5-6
5.2.3 No attribution patients ....................................................................................................................... 5-7
5.2.4 Delete ................................................................................................................................................ 5-7
5.2.5 Refresh .............................................................................................................................................. 5-8

Chapter 6 Data review and management .................................................................................................... 6-1

6.1 Online Review................................................................................................................................... 6-1

6.1.1 Dynamic short-time trends ................................................................................................................ 6-1
6.1.2 Waveform Review ............................................................................................................................. 6-2
6.1.3 Alarm Review ................................................................................................................................... 6-7
6.1.4 Trend Review .................................................................................................................................... 6-8
6.2 History Review................................................................................................................................ 6-10
6.2.1 All patients ...................................................................................................................................... 6-10
6.2.2 Patient information .......................................................................................................................... 6-12
6.3 Data Management ........................................................................................................................... 6-12

Chapter 7 Calculation ................................................................................................................................... 7-1

7.1 Drug calculation ................................................................................................................................ 7-1

7.1.1 Operation methods ............................................................................................................................ 7-2
7.1.2 Titration table .................................................................................................................................... 7-3
7.2 Hemodynamic calculation ................................................................................................................. 7-4
7.2.1 Calculation steps ............................................................................................................................... 7-4
7.3 Ventilation calculation ....................................................................................................................... 7-5
7.4 Oxygenation calculation .................................................................................................................... 7-5
7.5 Renal function calculation ................................................................................................................. 7-6

Chapter 8 Alarm ........................................................................................................................................... 8-1

8.1 Alarm type ......................................................................................................................................... 8-1

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 STAR8800 Central Monitoring System User Manual

8.2 Alarm level ........................................................................................................................................ 8-1

8.3 Alarm mode ....................................................................................................................................... 8-2
8.4 Sound alarm ...................................................................................................................................... 8-2
8.5 Alarm information ............................................................................................................................. 8-3
8.6 Alarm parameter flashing .................................................................................................................. 8-3
8.7 Alarm state icon ................................................................................................................................ 8-3
8.8 System volume .................................................................................................................................. 8-4
8.9 Alarm setting ..................................................................................................................................... 8-4
8.10 Alarm suspended ............................................................................................................................... 8-6
8.11 Alarm Silent ...................................................................................................................................... 8-6
8.12 Mute .................................................................................................................................................. 8-6

Chapter 9 Print and Record ......................................................................................................................... 9-1

9.1 Print ................................................................................................................................................... 9-1

9.1.1 Printing page ..................................................................................................................................... 9-1
9.1.2 Print operation ................................................................................................................................... 9-2
9.2 Record ............................................................................................................................................... 9-3

Chapter 10 System setting ............................................................................................................................ 10-1

10.1 Common setting .............................................................................................................................. 10-1

10.2 User Setting ..................................................................................................................................... 10-2

Chapter 11 System assistance........................................................................................................................11-1

11.1 Overview ..........................................................................................................................................11-1

Chapter 12 Equipment service and maintenance ....................................................................................... 12-1

12.1 Maintenance check .......................................................................................................................... 12-1

12.2 System’s general cleaning ............................................................................................................... 12-1
12.3 Maintain the security of the central monitoring system. ................................................................. 12-2

Appendix I Appendix ....................................................................................................................................... I-1

Appendix II Common Failures Analysis and Solutions ................................................................................ II-1

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VIII
 Chapter 1 Overview

1.1 Safety Information

Warning

 To warn you the potential serious consequences, adverse events or circumstances that
endanger security. Failure to follow these instructions can result in serious injury or death of
the operator or the patient.

Caution
 To point out potential hazards or unsafe practices which, if not avoided, could result in minor
personal injury, product failures, damages or property losses. It may also lead to more serious
injuries in the future.

Note
 To emphasize the important considerations and to provide a description or explanation in
order to use the product more effectively.

Warning
 Before using it, the user should verify that the system and its accessories can operate properly
and safely.
 Set the alarm volume and the upper and lower limits of alarm for different patients. When
monitoring a patient, do not rely only on the voice alarm system for monitoring. The alarm
may malfunction if the alarm volume setting is too low or completely shut off, which will
endanger the safety of patient. The most reliable way of patient monitoring is to pay close
attention to the actual clinical conditions of the patient.
 When dealing with packaging materials, one should comply with the local laws and regulations
or the hospital rules for waste disposal. The packaging materials must be placed out of reach of
children.
 The physiological waveforms, parameters and alarm information are intended to be used by
doctor s for reference purposes only; they cannot be used directly as a basis for clinical
treatment.

1-1
 Overview

 The instrument can only be used as a central monitoring system, the failures of the central unit
caused by the operator using it for other purposes without authorization (such as the Internet,
office, installs additional software, etc.) are not covered by the scope of our after-sales service,
the company reserves the right to refuse free services in this situation.
 Do not use the monitoring system in places with combustible gases or explosion possibilities.
 The power supply of the central unit must be grounded properly when the system is running.
 Do not open the housing of the instrument in order to avoid a possible shock hazard. Any
repairs and upgrades of the central monitoring system must be done by trained and authorized
service personnel of the Comen Company.
 The central unit cannot be used after accidental falls, the user is recommended to send the
instrument back to us for a detailed examination of safety and performance indicators, the
instrument can only be used after its eligibility being confirmed.
 Disconnect the power supply before maintaining the equipment of this system.
 The system is a professional medical instrument system intended to be operated and used by
qualified professionals only.
 Disposal of the equipment and its fittings in this system should comply with local laws and
regulations.
 Do not move the central unit when the system is running.

Caution
 Please make sure the power supply used meets supply voltage and frequency requirements
specified by the instrument nameplate labels or the User Manual before plugging the
equipment in.
 Set the system time before putting the central monitoring system into use. Changing the system
time during use may lead to loss of data already stored and interruption of the network
connection of the central monitoring system and monitor.
 Do not access or use the desktop functions of Windows; and never install or use other support
software or accessories other than those provided Comen in the system; for the support
software or add-ons that haven't be validated by the tests of Comen may affect the stabilization
of the system

Note
 The product description in this manual is based on the most complete configurations, and it's
possible that the product you purchase don't have some of the options or functions.
 Please place the User Manual in the vicinity of the instrument for easy and timely access when
necessary.
 The bedside monitor that interconnected with the central monitoring system must be monitors
produced by our company. Please read the User Manual carefully before using the central
monitoring system and monitors.

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 Overview

1.2 Description of Symbols

(1) Instrument Symbol

Name Description Name Description
This symbol indicates: Applied Production Date Mark
parts of type B
The environmental service life of
electronic equipment (10 years)
Note: Symbols on the equipment such as computers and monitors will not be described here, please
refer to its accompanying User Manual.
(2) Packaging Symbols
Name Description Name Description
Upwards Stacking limits

Fragile goods Rainproof required

1.3 Overview of the central monitoring system

The central monitoring system is connected to the bedside monitors or telemetry monitors
(hereinafter referred to as bedside monitors) by wired and wireless LAN connections. It can be connected
to at most 128 monitors and monitor the physiological parameters of 128 patients such as ECG, pulse
oxygen saturation, respiration, biphasic body temperature, noninvasive blood pressure, pulse rate,
double-invasive blood pressure, end-tidal carbon dioxide, the fetal heart rate, TOCO and fetal movements.
It can also display the waveforms of the patient's ECG, respiration, and pulse oximetry. With the central
monitoring system, the operator can put a certain patient into intensive monitoring, observe the trends of
the physiological parameters of this patient and realize actual bidirectional operation to operate the bedside
monitors, such as measuring the patient's blood pressure, sending medical records and setting parameters.
Stored information of specific cases can provide basis and references for future treatments. The system has
audible and visual alarms. It can review and print the medical histories of the current and past patients in
custody, such as the output waveforms of the real-time monitoring, reviews of various parameter trends,
alarm lists and recalled waveforms.

Note
 To support 128 bedside monitors, you must separately order a graphics card that can support 4
displays independently, a main unit with better performance and a switchboard with higher
speed.

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 Overview

1.4 The primary characteristics of the central monitoring system

The central monitoring system consists of advanced system software and high-performance computer.
It can be connected with monitors such as multi-parameter monitors, telemetry monitors and fetal/mother
monitors to form a network to collect, process, analyze and output networked patient care information,
enabling centralized monitoring of multiple patients as well as significant improvement of the efficiency
and quality of monitoring.
The main features of central monitoring system are as follows:
(1) Stable network connection using TCP/IP protocol and it can be connected with at most 128
bedside monitors.
(2) Complete LAN networking approach.
(3) Capabilities to support a variety of networking modes. A central monitoring system can support
networking of both fetal monitor series and multi-parameter monitor series, and it can directly
control every bedside monitor to start and stop the blood pressure measurement.
(4) It supports multi-screen display: single-, dual-and quad-screen; the single-screen display can
show patient care information of up to 32 beds, while it's 64 for dual-screen, and 128 for
quad-screen display.
(5) It can be set to display information of 2 to 32 beds per screen on basis of actual number of beds
under monitoring.
(6) It can display the waveforms of ECG, respiration, pulse oximetry and fetal cardiac waves, TOCO
and various measurement data distinctively in different color.
(7) It provides calculations of medicine, titration table, blood dynamics, oxygenation, ventilation and
renal function.
(8) It can be connected to multiple sets of telemetry monitors and receive information from a
number of transmitter boxes.
(9) Highly humanized operation interfaces that are easy to use.
(10) Bi-directional remote control of the central unit and bedside monitors, enabling two-way control
of patient information between central unit and bedside monitors, such as blood pressure
parameters, ECG parameters and parameter settings (e.g. alarm range), which makes the
operation more time-saving, more effective and more convenient.
(11) It can display all alarm functions of bedside monitors and send prompts according to alarm
priority.
(12) Convenient and simple alarm settings, such as upper/lower alarm limit settings, intelligent alarm
settings, alarm levels and alarm switch,
(13) Functions of waveform frozen and automatic visual/audio alarms.
(14) It can display physiological parameters of mother/fetus and other patients.
1-4
 Overview

(15) According to clinical need, you can choose a wired network, wireless network or hybrid
network.
(16) It supports multiple languages.
(17) Multi-condition query function, which allows query by medical record number, patient name and
other terms.
(18) Mass storage.
(19) It can replay and print out stored waveform data.
(20) It can observe up to 12 waveforms and oxyCRG dynamically refreshed interface.
(21) It can be equipped with built-in printer or a laser printer. The laser printer can print the patient
reports; while a built-in printer can print waveforms, multiple parameters and patient
information.

1.5 Performance indicators of the central monitoring system

Safety specifications
 Comply with the standard GB9706.1-2007
Work environment
 Ambient temperature: 5°C～40°C
 Relative humidity: ≤ 80%
 Atmospheric pressure: 86kPa ~ 106kPa
Power environment
 AC input voltage: a.c. 220V ±22V
 AC input frequency: 50Hz ±1Hz

Warning

 Before the doctor makes decisions on medical treatment, be sure to go to the corresponding
bedside monitor to confirm the results observed in the central monitoring system.

1.6 Work principle of the system

The central monitoring system collect and transfer the bedside monitoring data through a wired or
wireless network, provide a centralized display of all patient care information from the bedside monitors
and telemetry monitors, and save the ECG, oxygen saturation and other trend information for analysis and
processing.
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 Overview

1.7 Packaging and transportation

1) Packaging of the central unit

High quality carton box with shock-absorbing sponge inside to protect the central unit from damages
during normal handling.
2) Transportation
Shipment can be made by land, air or sea. Check the contract requirements for further information. Handle
the system gently and prevent it from the sun and rain during transportation.
3) Storage
Equipment should be stored in a well-ventilated room with no corrosive gases where the ambient
temperature is between -10°C and +40°C and the relative humidity is less than 80%.

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 Chapter 2 Installation of the Central
Monitoring System

Note
 To ensure proper operation of the central monitoring system, please read this chapter and
Chapter 12 Equipment Maintenance and Service and install the system as required before using
it.

2.1 Unpacking and checking

Carefully take out the main unit and accessories from the cartons, and save the packing materials for
future transportation or preservation purposes. Please check the accessories according to the packing list
for mechanical damage, and please contact our sales department or agency immediately if there is any
problem.

Note
 Specific content shall comply with the packing list. Please check carefully to see if all
accessories are in the box, and contact the sales department of Comen Medical Equipment Co.,
Ltd. of Shenzhen City or your local sales representative promptly if there's anything missing.

2.2 Configuration

Minimum configuration:
(1) Operation system: limited to Windows XP, Windows 7(32 bit), and Windows 7(64 bit).
(2) Display: 17-inch, 19-inch, 21-inch color CRT or LCD monitor.
(3) Resolution: 1024 x 768 pixels or above, with aspect ratio of 4:3, 5:4, 16:10.
(4) PC with integrated 10M/100M adaptive Ethernet NIC.
(5) Graphics card: 256M or above independent video memory.
(6) CPU: 2.8GHz or above Intel dual-core CPU.
(7) Memory: 2G or above.
(8) Hard disk: 500G or above.

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 Installation of the Central Monitoring System

Note
 The above configuration is for reference only; the Company may at any time change it due to
product upgrades.
 The central monitoring system can display information from 128 bedside monitors which needs
higher computer performance. It's necessary to order a graphics card that can support 4
displays independently, a PC with better performances and a switchboard with higher speed
separately.

2.3 Connect the AC power cord

Make sure the AC power supply meets the following specifications:

 AC input voltage: a.c. 220V ±22V
 AC input frequency: 50Hz ±1Hz
(1) Use the equipped power cord of the machine. Plug the power cord into the AC power connector
on the rear panel of the PC and put the other end into a grounded three-phase power output.
(2) Please connect the ground wire.

2.4 Power on

Press the power switch to turn on the computer, and wait for about one minute before entering the
Windows screen, now you can enter the central monitoring system to see if it's monitoring properly. Refer
to Section 2.6.4 of this Chapter.
If you find any sign of damage on the central monitoring system that will put the machinery out of
service, please contact our service engineers.

2.5 Installation instructions of dual-screen display

1) Connecting the display

Connecting a dual-screen display must be done in the way specified by the manufacturer: connect
Display 1 (VGA interface) with the port on the right side corresponding to the main screen, and connect
Display 2 (DVI Interface) with the port on the left side corresponding to the second screen, as shown
below:

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 Installation of the Central Monitoring System

Secondary display Primary display

To display 2 To display 1

White DVI port to the second

screen

Blue VGA port to the main screen

Fig. 2-1 Installation of the dual-screen display

2) Setting up the display

When configured as a dual-screen monitoring system, the display mode must be set in the computer:
Right-click on “Desktop"  select "NVIDIA Control Panel", select "Display" in the pop-up menu 
then "Set up multiple displays" , and select "1 and 2 display mode (U)" in the new pop-up dialog box,
then select "Apply" directly, as shown below:

Fig. 2-2 Display operation mode settings

Note
 When configured as a single-screen system, the display can bet set as the usual setup of the
computer.

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 Installation of the Central Monitoring System

2.6 Installation system

2.6.1 Installing the operation system

(1) Install the operation system (Windows XP) properly.

(2) Install the network card and its driver properly.
(3) The computer automatically boots the system and enters Windows after being turned on.
(4) Dual-screen graphics card settings
Configuring dual-screen central monitoring system requires to adjust the graphics card settings of
the display mode: Right-click on “Desktop"  select "NVIDIA Control Panel", select
"Display" in the pop-up menu  then "Set up multiple displays" , and select " 1 and 2 display
mode (U)" in the new pop-up dialog box, then select "Apply" directly, as shown below:

Fig. 2-3 Dual-screen graphics card settings

(5) Set the display resolution

The display resolution is set to 1280 × 1024 as follows: right click on “Desktop"  select " Screen
resolution " in the pop-up dialog box, set the " Resolution" to "1280 × 1024"(standard PC) OK,
as shown below:

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 Installation of the Central Monitoring System

Fig. 2-4 Set the display resolution

Note
 1280 ×1024 is the corresponding to the standard display. If using a third-party display, you
need to set it to appropriate resolution.

(6) Close Windows firewall

Operation method: Right click on the “ Network”, select "Properties"  "Windows Firewall",
and select "Turn Windows Firewall on or off" , select " Turn Windows Firewall(not recommended)
" in the pop-up dialog boxOK (shown here as a red icon):

Fig. 2-5 Firewall Settings

(7) Hybrid networks (including wired and wireless) connection as shown below
The system adopts LAN network using TCP/IP protocol. Bedside monitors are TCP Client for and the
main unit is TCP SERVER. Network topology is as follows:

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 Installation of the Central Monitoring System

STAR8800 Host

Monitor 5
Internal LAN ports Monitor 6

Switch

Monitor 1 Monitor 4

Monitor 3
Monitor 2

Fig. 2-6 LAN central monitoring system

(8) Network Settings

Network settings of central unit
a) Set the IP address of the central unit: 200.200.200.100, subnet mask is: 255.255.255.0, methods
of operation: Right click “Network" icon on the desktop"Properties “Local Area
Connection"  Right click "Properties" select “Internet Protocol Version(TCP/IPv4)" in
"General " attribute (shown read marker in the figure below)

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 Installation of the Central Monitoring System

Fig. 2-7 IP address setup

b) A wireless connection needs additional IP readdress: 172.16.8.100, Subnet Mask: 255.255.0.0;

setting method: right click “Network" icon on the "Desktop""Properties" right click
"Local Area Connection""Properties" double click “Internet protocol Version
4(TCP/IPv4)” , "General ""Advanced" "Add" TCP/IP address

Fig. 2-8 Wireless connection

2.6.2 Install the central unit system

Step one: put the CD-ROM containing STAR8800 installation software into your computer's DVD drive,
wait for about 30 sec when the drive is reading data, and then the installation procedure will start
automatically
Step two: Follow the installation wizard to complete the installation of the dongle drive: Sentinel HASP
Run-time Setup.
Step three: Install STAR8800 software following the installation wizard, as shown below

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 Installation of the Central Monitoring System

Fig. 2-9 Installation wizard

Fig. 2-10 Installation wizard

Drop-down "Select Monitor Drop-down "Select database
Mode" type", and select the local
database without setting the
database

(1) Select local database: (ACCES2000)

Fig. 2-11 Select local database

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 Installation of the Central Monitoring System

Set database information:

network database IP address,
user name, password
(2) Select the network database: (SQL, ORACLE)

Fig. 2-12 Select the network database

(3) Installation

Fig. 2-13 Installation wizard

Fig. 2-14 Installation wizard

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 Installation of the Central Monitoring System

2.6.3 Set the network bed numbers of the bedside monitors

a) Monitor network bed number setting ( take C80 model as example)

b) Click on “ " icon in the menu bar of the bedside monitor and enter "Network bed number"
settings menu, you can select 1-128 beds, and click OK to exit.
For settings of numbers of other bedside monitors, please refer to their user instructions.

Note
 The bed number shall be unique in one network, or the bedside monitor cannot connect with
the central monitoring system because of IP conflict; in which case, please unplug the network
cable and repeat the setting procedures above.

2.6.4 Use of dongle

Insert the dongle into the computer, as shown below:

Fig. 2-15 Dongle

Note
 Do not remove the dongle from the computer when running the central monitoring program;
otherwise the central monitoring program will not work properly.

2.6.5 Install an external printer

Firstly, connect the printer cable to the PC. Then put the CD-ROM containing the printer driver into
the CD-ROM drive, wait for a few seconds until the printer driver installation wizard appears. Follow the
instructions of the wizard to complete installation. Restart the computer after the installation is completed.
At this point, you go to "START"  double-click " Devices and Printers ", and see the installed

printer icon with a green check mark ( ). Double-click the icon, a printer monitoring dialog box will pop

up indicating the printer is installed successfully.

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 Installation of the Central Monitoring System

Fig. 2-16 Install the Pinter

2.7 Backup and restore the central unit system

2.7.1 System backup

Backup the computer system after installing programs to the central unit:
(1) When the PC is in booting interface, press and hold "F2" key on the upper left corner of the
keyboard or "Shift + B", there will be an OneKey Backup screen.
(2) Click "System Backup", simply press "Next".
(3) After clicking “Start" to begin backup, the system will carry out backup automatically; wait until
the progress bar indicates the backup is completed.
(4) Finally, click “Done”  "Restart" button.

2.7.2 Systems recovery

The system can be restored if it has a backup:

Warning
 If the database is installed in the C drive, restoring system will erase the original data in the
monitoring system, so the monitoring data must be stored before restoring the system.
 The central monitoring system is generally installed in the D drive, so restoring the system will
not cause data loss.

(1) After the backup of the computer system, the system can be restored after crashes. The operations
of restoring the system is similar to backup: When the PC is in booting interface, press and hold
"F2" key or "Shift + B", and select "System Recovery" in the One Key Recovery screen.

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 Installation of the Central Monitoring System

(2) Cicking “System Recovery”, please press "Start" directly to begin restoring the system and do not
shutdown the computer in the restoring procedure.
(3) Finally, click “Done”  "Restart" button.

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 Chapter 3 Main Menu

3.1 Single-screen main interface (multi-bed monitoring)

The central monitoring system supports single-screen display, dual-screen display and four-screen
display. Under single-screen display mode, the system can observe at most 32 bedside monitors. The figure
below is the main interface of single-screen display mode; the single screen can display 32 beds in 8 lines
and 4 columns.

Fig. 3-1 Single-screen main interface

1 is system information zone

2 is on-site patient bed zone
3 is button and icon zone

Note
 If the number of bedside monitors connected to the central monitoring system is more than 32
and less than 64, the dual-screen display mode is suggested.

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 Main Menu

 If the number of bedside monitors connected to the central monitoring system is more than 64
and less than 128, the quad-screen display mode is suggested.

3.1.1 System information zone

System information zone may display following information:

1. Hospital information: display the hospital and department where the central monitoring system is
placed
2. System alarm information icon zone: display system mute icon , and disable all sound of the system.
3. System clock: display the current time. For specific settings, refer to Chapter 10 "System Clock"
4. System alarm information zone: display prompt messages and alarm messages of the system, when
there are multiple pieces of messages, they will displayed one by one in scrolling pattern, such as "***
NetWork Disruption", "*** REC NOT AVAILABLE" Refer to System Alarm Information in the
appendix.

3.1.2 Patient on-site bed zone

For detailed information, refer to Chapter 4 "Multi-bed Observation".

3.1.3 Button and icon zone

3.1.3.1 System buttons

1. Mute: Turn off all sounds of the central monitoring system. The system sounds include: alarm sound,
nurse call and other sounds.
2. Patient management: To open the [Patient] (Patient management) page. Refer to "Patient
Management" in Chapter 5.
3. History review: To open the [History] (History Review) page. Refer to "History Review" in Chapter 6.
4. Data management: To open the [DataMgr] (Data Management) page. Refer to "Data Management" in
Chapter 6.
5. System Settings: To open the [SysSet] (System Settings) page. Refer to "System Settings" in Chapter
10.
6. Home screen: To close auxiliary interfaces and return to the main interface.
7. Exit: To exit the system. This requires a password. Click on [Exit] button to pop up the [Please input
the password!] window, enter the password 5188, and then click [OK] button.

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 Main Menu

Warning
 In order to avoid affecting the monitoring of the patient or delaying the diagnosis and
treatment of disease, it is recommended not to use the mute feature.

3.1.3.2 Icon Zone

Icon zone only shows the current conditions of network, printer and logger, enabling the users to find
out the current state of each peripheral device in the central monitoring system. It does not have the
operating functions.

No. Icon name Icon Description

The network connection is normal

Network
1
status The network connection is interrupted

Logger is normal

2 Logger status Logger is connected but has a problem

No logger installed

Printer is normal

3 Printer status Printer is connected but has a problem

No printer installed

Table 3-1 Icon Zone

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 Main Menu

3.2 Single-screen auxiliary interface

In the single-screen mode, the auxiliary interface can be opened by clicking the patient's on-site bed,
off-site bed or system buttons. As shown below:

Auxiliary

interface

Fig. 3-2 Single-screen auxiliary interface

The single-screen auxiliary interface occupies the lower half or the right half of the main interface
(excluding the system buttons and icon zone); Refer to "System settings" in Chapter 10 for specific settings.
And the system will adjust the size of the patient on-site bed zone automatically.
There are different types of auxiliary interfaces:
 Click on any of the patient bed in the bed observation window to open the multi-interface of
"Real-time monitoring interface", now the auxiliary interface has become the intensive
monitoring interface. Refer to "Intensive monitoring (real time monitoring)" interface in Chapter
4.
 Click [Patient] button to open the patient management interface. Refer to "Patient Management"
in Chapter 5.
 Click [History]button to open multiple interfaces. Refer to "History Review" in Chapter 6.
 Click [DataMgr] button and enter the password to open the data management interface. Refer to
"Data Management" in Chapter 6.

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 Main Menu

 Click [SysSet] button to open multiple interfaces. Refer to "System Settings" in Chapter 10.

Note
 Multiple-page is a collection of single pages where a user can easily switch between the various
pages by clicking the page tabs.
 When the bed shows no network connection, clicking on the bed will not pop up the auxiliary
interface.

3.3 Dual-screen main interface (multi-bed monitoring)

For the central monitoring system supporting dual-screen display, connect both displays with the PC
as the primary display and the secondary display separately. The figure below shows the main interface of
dual-screen display mode, the left part is the interface of primary display and the right part is the interface
of secondary display. System button and icon zone are showed on the secondary display. At most 64
bedside monitors can be observed on this interface.

Fig. 3-3 Dual-screen main interface

3.4 Dual-screen auxiliary interface

The figure below shows the auxiliary interface of dual-screen mode which occupies the entire screen
of secondary display. Compared with the single-screen auxiliary interface, you can easily observe more
contents on the secondary display.

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 Main Menu

Fig. 3-4 Dual-screen auxiliary interface Auxiliary interface

3.5 Quad-screen main interface

Quad-screen display is similar to dual-screen display. Connect four displays with the PC with the last
display as the secondary display. System button and icon zone are showed on the secondary display. At
most 128 bedside monitors can be observed on this interface.

Note
 If the number of bedside monitors connected to the central monitoring system is larger than
the number of patient on-site beds displayed on the screen, some bedside monitors will be
displayed in the off-site bed zone window. This window can only display the alarm status of the
bedside monitors without waveforms and parameters. You can switch a patient under
monitoring from the off-site observation window to on-site observation window through the
pull-down menu of the on-site observation window, or right click an off-site bed to switch it to
real time observation.

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 Chapter 4 Multi-bed Observation

4.1 Overview

Under the single-screen mode, the central monitoring system can display at most 32 on-site beds and
carry out on-site observation of 32 patients; it can also display information selectively. The number of
on-site beds displayed on the screen depends on the arrangement of the beds in the observation window set
by the user. For detailed arrangement, refer to "Beds Setting" in Chapter 10.

On-site bed

Off-site bed zone

Fig. 4-1 Multi-bed Observation Screen

When the number of the bedside monitors connected to the central monitoring system is less than or
equal to the number of on-site beds, all of the on-site beds can be used to put the patient under on-site
observation; when the number of the bedside monitors connected to the central monitoring system is larger
than the number of on-site beds, the display area for the last on-site bed will be used as the off-site bed
zone to display the status of all the off-site observation monitors.
For the convenience of description, the zone used for on-site observation of patients is defined as the
on-site bed zone; the bed number corresponding to the on-site observation window is defined as the on-site

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 Multi-bed Observation

observation bed number, and the corresponding patient as the on-site patient. The zone used to display the
status of all the off-site observation monitors is defined as the off-site bed zone; the bed number displayed
in this window is defined as off-site observation bed number, and the corresponding patient as the off-site
patient.

4.1.1 On-site bed zone

In the course of monitoring, the on-site bed zone may be in one of the following states:
 In the disconnected status: it prompts "Empty bed, no network connection". Clicking bed now
will not pop up auxiliary interface.
 Under monitoring status: display waveforms and parameters of the corresponding monitor.

4.1.2 Off-site bed zone

Each box in the off-site bed zone shows the bed number, monitoring status and connections of an
off-site monitor.

Fig. 4-2 Off-site bed zone

The following table describes the status of off-site beds and the manifestation of the box.
Offsite bed state Manifestation of the box
Normal network status The background is gray
Intermediate or low-level alarm occurs The background is flashing yellow
High-level alarm occurs The background is flashing red
Disconnected The background is black or white
Standby Only for the telemetry Monitor
Nurse call Only for the telemetry Monitor

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 Multi-bed Observation

Note
 Off-site bed zone cannot display waveforms or parameter information, so the window cannot
be used for on-site observation of the patient.
 You can switch a patient under monitoring from the off-site bed zone to on-site bed zone in
order to carry out real time observation of this patient.

4.2 The on-site bed under monitoring state

The on-site bed under monitoring state can display real time monitoring data from monitors, including
at most 4 waveforms and 5 parameters, as shown below. The number of waveforms, parameter information
and layout displayed by a single on-site bed depend on the bed arrangement of the system set by the user.

⑧⑦ ⑥ ⑤

① ④

② ③

Fig. 4-3 On-site bed information

No. Description Description

① Bed No. "5" is a bed ID indicating that the current bed under monitoring is the 5th
bed.
② Waveform zone To display the waveform of the patient in this bed from the bedside
monitor.
③ Parameter Zone To display the parameter information of this patient; by clicking any
parameter in the parameter zone, you can set the upper/lower alarm limits
directly; and by clicking parameter "NIBP", you can set the upper/lower
alarm limit s as well as choose to start/stop blood pressure measurement.
④ Alarm (On the left is the technical alarm information zone and on the right is the
information zone physiological alarm information zone) When the patient in this bed triggers
physiological alarm, an alarm message will appear, such as "** HR too
low", and when a technical alarm is triggered, the message will show

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 Multi-bed Observation

prompts such as "** ECG Lead Off"

⑤ Alarm icon zone
" ": Indicates the alarm is muted, and the alarm of bedside monitor is in
a soundless state.
" ": Indicates the alarm is paused, and the alarm of bedside monitor is
postponed. There is no alarm message.

" ": Indicates mute, and the bedside monitor is in a soundless state.
None: indicates the system sound of the monitor is in a normal state.
⑥ Patient Display the name of the patient
information
⑦ Telemetry icon It shows only when a telemetry monitor from Comen is connected. Refer to
the User Manual of the telemetry monitor.
⑧ Drop-down menu In the drop-down menu, you can perform various operations on the patient
monitoring of this bed; refer to the content of "Drop-down menu".

4.2.1 Telemetry icon

The following icons only appear after connecting a telemetry monitor from Comen.
Icon name Icon Function description
Battery To indicate the remaining battery power of the transmitter box and the
status energy indicator changes accordingly to the remaining battery power.
Received To indicate the intensity of the received signal from the corresponding
signal channel. The signal indicator varies with the received signal intensity
intensity accordingly. The received signal is the strongest when there are four bars.

Nurse call When the "Nurse call" key on the transmitter box is pressed, this sign will
appear on the on-site bed.

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 Multi-bed Observation

4.2.2 Drop-down menu

You can perform the following operations by clicking the drop-down menu button:

Fig. 4-4 Drop-down menu button

 Select one item from [Patient Info] (patient information), [Real Monit] (real-time monitoring), [Wave
View] (waveform review), [Trend View] (trend review), [Alarm View] (alarm review), [Display Set]
(display settings) and [Alarm Set] (alarm settings), open the intensive monitoring interface on the
main interface and set the patient in this bed as the subject of real-time monitoring, which means
performing intensive monitoring.
 [Big Font] (Large font interface): large font interface only shows values of each parameter; when
selected, a "" prompt will appears before the option. In large font interface, click the drop-down
menu and select "Large Fonts Interface" again, "" will be removed and the bed will be displayed
with waveform and parameters.
 [AlmPause] (Alarm Suspended): Under the normal state, it will suspend all alarms of the current
patient for some time; the suspended time can be set in the monitor and the "Display Settings" (the
default time is 2 minutes); under the suspended state, you can resume alarm.
 [AlmMute] (Alarm Silent): The alarm sounds of the bedside monitor are turned off. The alarms of the
corresponding bed monitoring are also mute.
 [Mute]: Under the normal state, all the sounds of the current bedside monitor will be turned off,
including the heartbeat sound and the alarm sound; when all sounds of the bedside monitor are closed,
you can enable the voice prompts again.
 [Record]: Perform real-time recording, or freeze the waveform record. This item is invalid if no
logger is connected.

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 Multi-bed Observation

 [Transfer]: Patient transferring means moving the patient from one bed (original bed) to another one
(specified bed) during the course of patient monitoring. Refer to "Patient transfer" in Chapter 5.
 [Switch to]: To switch the current bed to any targeted bed and the bed number changes accordingly.
Refer to Chapter 5 "Patient switching".
 [Release]: To cancel patient operations. Refer to "Release patient" in Chapter 5.

Note
 Mute, Alarm Suspended and Alarm Silent will put the corresponding on-site bed of the central
monitoring system into a soundless state or alarm suspended state.
 When transferring a patient, the post-transfer monitor must ensure that the medical record
number of the patient is transferred correctly; otherwise the transferred patient will be filed as
a historical patient and cannot merge with the current patient.

4.3 Intensive monitoring (real time monitoring) interface

Intensive monitoring interface is to perform real-time monitoring for a single patient. It can be opened
in one of the following ways:
 For patients of on-site bed zone, click the area of on-site bed requiring intensive monitoring to
open the page of "Real-time monitoring".
 For patients of off-site bed zone, click the bed number requiring observation to open the page of
"Real-time monitoring".
When the page of "Real-time monitoring" is opened, you can click the drop-down button on the
upper left corner to switch to intensive monitoring of another on-site bed or off-site bed at will.

Note
 Under the single-screen mode, the central monitoring system uses the lower half or the right
half of the screen as the auxiliary interface to show the "Intensive monitoring" page.
 Under the dual-screen mode, the central monitoring system uses the secondary display to show
the "Intensive monitoring" page.

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 Multi-bed Observation

⑩ ⑨ ⑧ ⑦

⑥
①
⑤

④
②

Fig. 4-5 Real-time monitoring

No. Description Description

① Bed No. To indicate the bed number of the current patient under monitoring.
② Waveform zone To display the waveform information of the patient in this bed from
the bedside monitor.
③ Parameter Zone To display the parameter information of the patient in this bed.
④ Vertical scroll bar To facilitate the observation of more parameters and waveforms of the
patient.
⑤ Button zone To display different contents of the intensive monitoring page.
⑥ Multiple pages It can switch the various settings of the current patient freely
⑦ Alarm message zone The display zone of alarm messages when a physiological alarm or
technical alarm is triggered.
⑧ Patient information To display the patient's name and type
⑨ Alarm icon zone To display the alarm status of the current bed
⑩ Drop-down menu It can switch the bed number to a different one

Waveform zone
Right click on the waveform of each channel, and then you can switch the positions and set the speed
of this waveform. You can only switch display of the leads of the ECG waveforms.
Parameter Zone
In the parameter zone, you can set the upper/lower alarm limits of the parameter by left-clicking it. If
the upper/lower alarm limits settings dialog box is opened, it will close automatically after 15s without any
setting operation.
In the parameter zone, the position switching box will only appear for 4 parameters with no waveform
(TEMP, NIBP, PR, and C.O.) after right clicking the mouse, and you can switch the positions among the
four parameters.

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 Multi-bed Observation

4.3.1 Button zone

The buttons in the button zone are not valid for all monitors. For different monitors, clicking a certain
button will not necessarily enable an operation.

Icon Icon name Function Description Monitors not applicable

Alarm Silent To enter or exit the state of silent Protocol I monitor
alarm
Alarm suspended To enter or exit the state of alarm Protocol I monitor
suspended where the suspended time
can be set on the monitor or in
display settings
Mute To enter or exit the system muted None
state
Waveform frozen To perform the functions of freezing Multi-parameter monitor for
and unfreezing the waveforms mother/fetus/patient
To hide the upper and To display and hide the upper and None
lower limits lower limits of parameter alarm
Standard To display multiple-standard Multi-parameter monitor for
interface mother/fetus/patient
12-lead ECG To display the 12-lead ECG interface Multi-parameter monitor for
mother/fetus/patient
7-lead ECG To display the 7-lead ECG interface Multi-parameter monitor for
mother/fetus/patient
Dynamic short-time To display and hide the dynamic Multi-parameter monitor for
trends short-time trends mother/fetus/patient
Oxy-cardiorespirography To open and close the Multi-parameter monitor for
Oxy-cardiorespirography mother/fetus/patient
NIBP measurement To start/stop the NIBP measurement Telemetry monitors
of the current patient
IOC extension To display and hide the IOC Telemetry
extension monitor/mother/fetus/patient
multi-parameter monitor
Print To open the [Print] dialog box None
Record To open the "Record" dialog box None
Standby To enter or exit the standby mode; All monitors except telemetry
this feature is only available on
Comen’s telemetry products

4.3.1.1 Alarm Silent

By clicking the Alarm Silent icon " ", you can put the bedside monitor or the telemetry transmitter
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 Multi-bed Observation

box into alarm silent status along with the corresponding bed in the central monitoring system. You can

exit the alarm silent status by clicking the icon " "Again.

4.3.1.2 Alarm suspended

By clicking the Alarm Suspended icon " ", you can suspend the alarm of the current patient. The
suspended time can be set in the item [Alarm Pause Time] of the "Display settings" page, and the
suspended time of the telemetry transmitter box alarm is fixed to 2 min. The system will reactivate the

alarm after the suspended time and you can also exit the alarm suspended state by clicking the icon " "
again. Refer to Section 4.3.2 "Display settings" for the information on setting the alarm suspended time.

4.3.1.3 Mute

Clicking the alarm silent icon " " can disable all sounds of the bedside monitor. You can exit the

alarm silent status by clicking the icon " " again.

4.3.1.4 Waveform frozen

Clicking " " can freeze all dynamic waveforms in the waveform zone and review the waveforms

stored in the past 240s.

Fig. 4-6 Freeze the waveform review time

The time of the reviewed waveform is showed on the top of the waveform zone. Click “ " or

" " and the waveform will move to the right/left by one page at a time (the number of seconds

corresponding to the movement is dependent on the number of the waveforms displayed in the window).

By clicking " " or " ", you can review the start or end point of the waveform to examine the reviewed

waveform.

In the frozen state, you can unfreeze all frozen waveforms by clicking " " to resume the dynamic

refreshing state.

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 Multi-bed Observation

4.3.1.5 To hide the upper and lower limits

Clicking " " can display or hide all the upper/lower limits of the physiological parameter alarm

settings. The upper/lower limits of the parameters are displayed to the left of each parameter measurement
in the parameter zone: the value on the top is the upper limit and the value at the bottom is the lower limit,
as shown below:
Parameter

measurements
Upper limit

Lower limit

Parameter

Upper limit
measurements

Lower limit

Fig. 4-7 Show the upper and lower limits of the parameters

4.3.1.6 Standard, 12-lead ECG, 7-lead ECG display interface

Click “ " to open the standard display. The standard waveform interface displays the waveforms of

all parameters sent by the bedside monitor. If the interface window cannot display all parameters at the
same time, you can drag the vertical scroll bar to choose the parameter you want to observe. You can
aggregate the parameters requiring observation in the same screen by right clicking a waveform in the
waveform zone, selecting [Switch to] and then selecting in the pop-up list box.

Fig. 4-8 Standard display interface

If the bedside monitor supports 12-lead, the ECG waveforms of the 12-lead can be displayed by

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 Multi-bed Observation

clicking “ " button. If the bedside monitor supports only 3-lead or 5-lead, the other lead will have no

waveform except the baseline. Now you can choose 7-lead ECG display.

The 7-lead ECG display interface can be opened by clicking “ " button.
 In the three interfaces, the [Speed] can be adjusted by right clicking the ECG waveform. It can
be adjusted to 6.25mm/s (this speed is only for bedside monitors using protocol 2, and the
"Speed" adjustment can be applied to waveforms of all the monitoring parameters from the
bedside monitors adopting protocol 2), 12.5mm/s, 25mm/s, 50mm/s.
 In the standard interface, you can switch the display of 12-lead by right clicking the ECG
waveform.

Note
 Waveforms in the 7-lead ECG and 12-lead ECG interfaces cannot be switched.
 Click "Freeze" in the 7-lead ECG and 12-lead ECG interfaces, the system will exit the interface
automatically, return to the standard interface and freeze the waveforms of the standard
interface.
 For the bedside monitors adopting protocol 1, only the speed of the ECG waveform can be
adjusted. For the bedside monitors adopting protocol 2, all speeds of the monitoring parameter
waveforms can be adjusted.

Caution
 Before monitoring the patient's ECG, make sure the placement of the electrodes is correct.
Please refer to the corresponding ECG chapters, graphics and descriptions of the User Manual
of the bedside monitor. The respective alarm will be triggered if the lead falls off. The monitor
will send corresponding sound, light and text alarm prompts.

Fig. 4-9 7-lead ECG display interface

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 Multi-bed Observation

4.3.1.7 Dynamic short-time trend and oxygen cardiorespirography

The operation of dynamic short-time trend and oxygen cardiorespirography will be effective only if
the bedside monitor is a multi-parameter or telemetry monitor and the interface is the real-time monitoring
of the standard interface.

Clicking " " can display or hide the dynamic short-time trend chart of each physiological parameter.

The dynamic short-time trend displays the dynamic trend of waveforms. You can find out the recent
trend of a series of parameters on the figure of dynamic short-time trend. There is a trend name on the top
of each trend chart, the scale of the trend is showed on the left and the time is showed below.
The position of the dynamic short-time trend charts is not fixed; the users can choose their own trend
charts according to their needs. Take HR dynamic short-time trend for example. The method is:
Right click the dynamic short-time trend of HR and select [SPO2] in the pop-up list box. The trend
chart is changed to the dynamic short-time trend of SPO2.

Clicking " " can display or hide the oxygen cardiorespirography.

The oxygen cardiorespirography is displayed in the lower half of the waveform zone. The oxygen
cardiorespirography displays the trends of HR, SPO2and RR or RESP, among which the RR and RESP
displays share the same position. The switching can be achieved by the [RR] and [RESP] buttons.
The oxygen cardiorespirography can be shown on the same interface along with dynamic short-time
trend, as shown in the figure below. The trend chart is displayed on the left part of the waveform zone,
while the oxygen cardiorespirography is displayed on the lower part of the waveform zone between
parameter zone and dynamic short-time trend zone.

Dynamic Breathing
short-time trend oxygenation
figure figure
Fig. 4-10 Dynamic short-time trend and oxygen cardiorespirography interface

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 Multi-bed Observation

Note
 The operations of the dynamic short-time trend and the oxygen cardiorespirography are only
valid for multi-parameter monitors and telemetry monitors in the standard interface.

4.3.1.8 NIBP measurement

By clicking “ " button, you can start or stop the NIBP measurement of the current patient, which
means the corresponding bedside monitor will carry out a single NIBP measurement for the current patient
under monitoring.

Note
 Before the central monitoring system starts NIBP measurement of the bedside monitor, make
sure the patient type is set correctly on the bedside monitor and check if the cuff used by the
patient is suitable.

4.3.1.9 IOC extension

Click " ", you can open IOC extension in the IOC waveform channel of the waveform zone. The

IOC extension displays the IOC dynamic trend of a certain period. The trend period can be set by right
clicking the waveform and select 6 min, 12 min, 30 min or 60 min in the pop-up [Trend Time] dialog box.
The button is only available when the IOC waveforms are shown on the screen; otherwise it cannot be
used.

Fig. 4-11 IOC extension

4.3.1.10 Print

Click " " to open the interface of "Print preview" and click [Print] button in this interface, then you

can print out the reports. Refer to "Printing Operation" in Chapter 9.

 Printing 12-lead ECG
When the 12-lead ECG display is selected in the intensive monitoring interface, click [Print] button
and the "Print preview" interface will show "Real-time waveform report (12-lead ECG)", displaying the
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 Multi-bed Observation

12-lead ECG waveforms.

 Printing 7-lead ECG
When the 7-lead ECG display is selected in the intensive monitoring interface, click [Print] button and
the "Print preview" interface will show "Real-time waveform report (7-lead ECG)", displaying the 7-lead
ECG waveforms.
 Printing real-time waveforms
When the intensive monitoring interface is under real-time monitoring state, click [Print] button and
the "Print preview" interface will show [Realtime Wave Report] or [Real Time Featal Wave Report],
displaying the waveforms of real-time monitoring.

4.3.1.11 Record (invalid)

Click “ " button to pop up the "Record" dialog box, in which you can choose at most two waveforms to

be recorded. If the logger is unavailable, the button will be invalid. In the state of "Waveform frozen", the
waveforms and parameters recorded are those at the time of freezing instead of the real-time waveforms
and parameters. Refer to "Recording" in Chapter 10.

4.3.1.12 Standby (only for telemetry monitors)

The standby icon " " only applies to telemetry monitors. Clicking this icon can set the telemetry

transmitter box to standby mode; clicking it again can exit the standby mode. For details of the standby
mode, please refer to the User Manual of the telemetry monitor.

4.3.2 Display settings

Click an on-site bed to open multiple pages and click the tab [Display Set] (Display settings) to set the
waveforms of intensive monitoring and the parameters of multi-bed monitoring for the patient
corresponding to the current bed.

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 Multi-bed Observation

Fig. 4-12 Display settings

4.3.2.1 Waveform settings of intensive monitoring

On the left of "Display settings", the users can set the waveforms of the bed corresponding to the
current bed displayed in the on-site bed zone and the display order. According to the prompts on the screen,
at most 12 waveforms can be selected. The first few waveforms will be shown in the multi-bed monitoring
mode; you can use the 'Up' and 'Down' buttons to adjust the order of waveforms, or drag the waveform
name by the mouse to move it".
 Clicking the check box in front of a waveform name can select/unselect this waveform. Only the
waveforms selected can be displayed in the on-site observation window of the current bed.
 You can select a waveform on the right of the waveform setting zone and drag it by the mouse to
move it, or you can change the display order of the waveforms by the "Up" and "Down" buttons.
After the setting is completed, click [OK] key.

4.3.2.2 Parameter settings of multi-bed monitoring

On the right of "Display settings", the users can set the waveforms of the bed corresponding to the
current bed displayed in the on-site bed zone and the display order. According to the prompts on the screen,
the number of parameters selected must be the same of the number of the parameter grids in the Preview
pane; you can change the parameter position by buttons or by dragging its name.
 On the left of the [Para Set for MB] (Parameter settings of multi-bed monitoring) zone, click the
check box to the left of a parameter to select/unselect the parameter while display it in the
Preview pane. At most 5 parameters can be selected.
 Click a parameter in the Preview pane, change its position by the "Up" and "Down" buttons and

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 Multi-bed Observation

then click [OK] key.

 Set the filtering mode

Set the filtering mode by the radio button in front of [Diag] (Diagnosis), [Monitor] (Monitoring),
[Surgery] and [Extend] (Extension). After the setting is completed, click [OK] key. This feature is only
available for ECG.

You can get a cleaner or more accurate waveform by filtering. There four kinds of filtering modes.
The [Diag] method shows unfiltered ECG wave; the [Monitor] method may filter out the artifacts which
may trigger false alarms; the [Surgery] method can reduce the artifacts and interferes from electrical
surgery equipment in the surgery room.

The [Extend] filtering mode is intended to perform more accurate ST segment measurement for the
patient. The frequency response range of this mode is 0.05Hz-40hz, the good expansibility of low
frequency band ensures the undistorted reflection of the measured ST segment, and the effective filtering
of high-frequency interfering signals above 40hz including the power frequency interference. In this mode,
the users can get more accurate ST segment results of the patient by adjusting the position of the ST
segment analysis point.

When the bedside monitor is a Protocol 1 monitor, the "Extension" option will become gray and
inactive; when the bedside monitor is a telemetry monitor, the "Diagnosis" option will become grey and
inactive. For Protocol 2 monitor, the four options are all available.

 [NOTCH] (Power frequency notch filter)

Notch filter is intended to suppress the 50/60 Hz signals in the collected signals. When there are many
waveform jittering (e.g. the waveform has burrs), set it to 50Hz and 60Hz to perform filtering at the power
supply frequency. Set it to OFF to disable filtering. It cannot be set to "OFF" for the telemetry monitor.
 [Gain Set] (Gain settings)
Intended for amplitude adjustment of the ECG waveform, it can be set to × 0.25, × 0.5, × 1, and × 2. This
feature is only available for ECG.
 [NIBP Measure Mode]
There are manual mode and auto mode: the time intervals for auto mode are 1 min, 2 min, 3 min, 4 min, 5
min, 10 min, 15 min, 30 min, 60 min, 90 min, 120 min, 180 min, 240 min and 480 min. After the setting is
completed, click [OK] key.
 [Alarm Pause Time]
Set the Alarm Pause Time of the current monitor: Always, 1 to 10 min. After the setting is completed, click
[OK] key.

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Note
 The filtering mode, power frequency notch and gain settings are all intended for the ECG, and
the power frequency notch only applies to telemetry monitor or protocol 2 monitor.

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 Chapter 5 Patient management

After the bedside monitor is connected to the central monitoring system network properly, the central
monitoring system will receive information from the bedside monitor automatically. If there is no patient
under monitoring for the time being, there will be no patient information displayed; if the bedside monitor
starts to monitor the patient, then the on-site bed zone of the central monitoring system will display the
relevant information of the patient automatically, such as waveforms and parameters. Click the on-site bed
to open real-time monitoring window, in which the basic information of the patient will be shown in the
multi-page [Patient Info] (Patient information), while in the [Patients] (Patient management) interface, the
patient information will be displayed in the patient list of the "Online monitoring" page automatically.
The patient management interface consists of Online, Offline and No Attribution pages.
Our monitors are using two network protocols. Some monitors use protocol 1, and others use protocol
2. The central monitoring system is fully compatible with both protocols.
 Protocol 1: There is no waiting to admit the patient, the central unit can display the waveforms
and parameters of the patient as soon as the monitor starts monitoring the patient and it will
merge the patient with the offline patient with the same network bed number while replacing the
offline patient information with the current received information.
 Protocol 2: After the monitor is connected successfully with the central unit network, the central
unit can only display the monitoring waveforms and parameters of the patient after admitting this
patient. If no patient is admitted, the central unit will prompt "The network is connected, please
admit the patient" in the bed zone and enter the "Waiting for admitting" status. In the course of
admitting patient, if both the medical record number of this patient and that of the offline patient
are not empty, the two numbers will be compared: if they are equal, treat the patient as the same
patient with a different monitoring period, otherwise the offline patient will be released
automatically and the system will connect the network again; if the two numbers are all empty,
the system will find out whether the name of this patient and that of the offline patient are empty:
if the answer is Yes, the offline patient will be released and the system will connect the network
again; if one of them is not empty, the patient shall be treated as the same person if the two
names are the same, otherwise the offline patient will be released and the system will connect the
network again. That is, when admitting a patient, the system will judge whether the patient is the
same person as the former one according to the patient's medical record number and then the
patient name. The information will be merged if the patients are the same; otherwise the former
patient will be released automatically before this patient is put under monitoring.

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5.1 Changing Patient Information

There are two ways of changing patient information:

 Change it on the bedside monitor; please refer to the User Manual of the monitor for detailed
information;
 Change it in the central monitoring system and click [Save] button.
When the network connection is normal, if the patient information is changed on the bedside monitor
or in the central monitoring system, the other side will be notified to change the information at the same
time in order to ensure that the patient information on the central monitoring system and the monitor are
consistent.

5.1.1 Enter and modify the patient information

To select a patient, for the patient in the on-site bed zone, click the on-site bed corresponding to the
patient; for patient in the off-site bed zone, click the bed number. Click [Patient Info] page in the pop-up
multiple pages.
In this page, you can input or change the following patient information:
 Medical record number: The medical record number of the patient;
 Surname: The patient's last name;
 Name: The patient's name;
 Gender: Male or female;
 Blood Type: Unknown, A, B, AB, O;
 Date of Birth: Click the drop-down button, and select the date in the pop-up schedules;
 Age: The age of the patient;
 Height: The patient's height;
 Weight: The weight of the patient;
 Patient Type: Adult, child, newborn;
 Date of Admission: Click the drop-down button, and select the date in the pop-up schedules;
 Departments: The department where the patient is admitted;
 Ward No.: The number of the ward where patient is admitted;
 Bed No.: The number of the patient's bed;
 Attending doctor: Name of the attending doctor;
 Telephone: The telephone number of the patient;
 Postal Code: Postal code of the patient's address;
 Email: Email address of the patient;
 Address: The patient's contact address;
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 Patient management

 Result of diagnosis: The diagnostic results of the patient;

 Physician Order: The doctor's advices for the patient.
After modifying the patient information, click [Save] button and the central monitoring system will
notify the bedside monitor to make the appropriate changes.
If the bedside monitor is not connected to the network, the central monitoring system will not notify
the monitor to make the appropriate changes after modifying the patient information, and the changes will
be directly stored in the offline temporary patient list of the "Patient management" screen. When the
bedside monitor is connected to the central monitoring system again, the patient information on the bedside
monitor will be directly uploaded to the central monitoring system, and the patient information modified in
the central monitoring system will not be in conflict with the information in the bedside monitor.

Note
 When the patient information is changed in the central monitoring system, the patient
information in the bedside monitor will be changed as well.
 The corresponding parameter threshold varies for different patient types. The user must
confirm the patient type before admitting a patient. For the parameter ranges for different
patient types, please refer to the User Manual of the corresponding bedside monitor.
 Confirm the height and weight of the patient before modifying the patient information in the
central monitoring system.

5.1.2 Release patient

Releasing the patient is to end the monitoring of a certain patient to admit a new patient, and the
patient information in the bedside monitor adopting protocol 1 will be cleared after the central monitoring
system releasing the patient, the bedside monitor adopting protocol 2 will release the patient at the same
time.
For the telemetry monitor, releasing the patient can only be done in the central monitoring system.
The procedure of releasing the patient:
 Click the bed in the on-site bed zone or bed number in the off-site bed zone to enter the real-time
monitoring page. Click [Patient Info] page in the real-time monitoring screen, or click the
drop-down menu on the upper left corner of the on-site bed zone directly to enter the "Patient
information" page.
 Click [Release] button directly.
 You can also click [Release] in the drop-down menu of the on-site bed zone, or right click the
off-site bed and select [Release] in the pop-up dialog box.

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 Patient management

5.1.3 Patient transfer

Patient transferring means moving the patient from one bed (original bed) to another one (specified
bed) during the course of patient monitoring. As the monitoring will be temperately interrupted, the central
monitoring system provides the "Patient transfer" function to directly transfer the patient information and
monitoring data in order to ensure the patient data continuity between the specified bed and the original
bed. Specific steps are as follows:
a) If the patient on the original bed is not released, click the drop-down menu in the on-site bed
zone and select [Transfer], or right click the off-site bed to select [Transfer] in the pop-up list
box;
b) Select the specified bed number to transfer to;
c) The system prompts "Sure to transfer the patient?";
Select [Yes], then it prompts "The current operation is going to interrupt the monitoring",
 Select [OK]: for a protocol 2 monitor used as the bedside monitor, the transfer will
begin and the original bed goes into the status of waiting for a patient; the target bed
will display the patient name. When the patient is admitted into the target bed if the
bedside monitor is connected to the central unit, the patient information will be merged
if the current medical record number and name are consistent with those of the
transferred patient; if not, the information will be filed to the "Historical patient" and a
new medical record will be generated. For the protocol 1 monitor used as the bedside
monitor, the patient information will be merged directly.
 [Cancel], it will return to the original status;
Select [No], it will return to the original status.

Note
 Make sure the patient information and medical record numbers of the original bed and the
specified bed are the same before merging the data; otherwise the system will file the patient of
the specified bed to "Historical patient" automatically and then admit the new patient.

5.1.4 Switch patient

"Switch patient" is to switch the active bed number to another specified bed number. Specific steps are as
follows:
 For the patients in the on-site bed area, click [Switch to] in the menu bar and select the specified
bed number;

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 Patient management

 For the patients in the off-site bed area, right click the bed number to pop up the list box, select
[Switch to] and then choose the specified bed number.

5.2 Patient management

Click [Patients] (Patient management) button in the central monitoring system to enter the "Patient
management" screen, which occupies the entire auxiliary screen. The purpose of "Patient management" is
to facilitate the observation of all patient information. The patient information can only be updated and
deleted in "Patient management".
The "Patient management" screen consists of online, offline and no-attribution pages. Among which
the "Online patient" page does not support deletion of patient information. In the three pages, click any
parameter in the patient list and the corresponding patient monitoring period list will display the periods of
patient monitoring.

Disconnected (admitted)
Wait for admission Original status
Connected
Admit the patient
Connected (admitted)
On-line patients

Admit the patient Admit the patient

(complete patient (incomplete patient
Disconnect the
information) Reconnected information)
network

Offline patients
Release the patient No-attribution
Release the patient (incomplete patient
History
(complete patient information) patients
patient review information)

Fill out the patient information

Fig. 5-1 Patient Status Switching

When the monitor starts to monitor the patient, it will refresh the online patient list to display the
patient information. Click the patient information and the patient monitor period will be displayed.
 If the patient information is complete when the patient is released, he/she will become historical
patient. If you need to review the patient information, please search the "History review".
 If the medical record number, surname and name of the patient are empty when he/she is
released, the patient will be filed to the no-attribution page. Fill out the information in the
no-attribution page, and the patient will become a historical patient.
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 Patient management

 If the monitor does not release the patient, once the monitor is disconnected from the network or
restarted, the patient's information will be automatically saved to the offline page. When
re-monitoring the patients, protocol 1 bedside monitor will incorporate the offline information
into the same patient's of online monitoring list; if you click the patient's information, you can
see information about the monitoring time periods; When protocol 2 bedside monitor starts
monitoring patients, the system will compare the medical record numbers and patient name to
judge whether they are the same; if yes, it will merge the information, otherwise it will
automatically release the offline patient and begin monitoring the new patient.
 Among patients in the offline page, if one's information is incomplete (without medical record no.
and patient name), his file will be archived to no-attribution page when releasing the patient.

5.2.1 Online Patient Information

Online patient information cannot be deleted. Patients list in the online page can be automatically
received by the central monitoring system. Click [Refresh] button and the current online patient
information will be displayed in the patient list.
If one patient has several monitoring time periods before releasing, directly click on the online patient
and the information of the monitoring time periods will be displayed in monitoring period list. When the
patient is released, the system directly enters the history review zone. The same patient will have the same
pieces of information in the history review zone as he/she does in monitoring period list.

Note
 Online patient’s information cannot be deleted. To delete such information, it must either be
disconnected, or archived to the offline patient list or no-attribution patients. In addition, you
need to input password to delete patient information.

5.2.2 Offline Patient information

In case that the online patient is not yet released and the bedside monitor is disconnected with the
network or powered off, the patient information will be automatically saved in patient list in the offline
page. It will prompt "Patient Disconnected" for this on-site bed in the central monitoring system. When
patient monitoring is resumed, the information in the offline page will be automatically merged to the
patient information in the online page, but different time periods will be displayed. In the offline page, you
can delete patient information but you will be required to input the password.

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 Patient management

Note
 To prevent accidentally deleting the patient information, this central monitoring system sets up
a password for protection. When you need to delete the patient information, enter the correct
password and click [OK]. Consult the manufacturer for the password.

5.2.3 No attribution patients

When releasing a patient, if the patient's medical record number, last name or first name are not filled
in, this patient will enter the no-attribution page. If one of the three attributes is not empty, this patient will
enter the review list of historical patients.
Users can make waveform review, alarm review and trend review of the no attribution patients as well
as confirm and modify patient information so as to change the no attribution patients to historical patients.
Just filling in any one of the patient's medical record number, last name and first name, you can
change a no attribution patient to a historical patient. In case of no modification to these three attributes,
patient information will be saved but will not enter the historical patients. Specific steps are as follows:
 Click [Patients] button, and select the no attribution page;
 In the list of no attribution patients, double-click a patient to go to the [Patient Info]. Fill in one
of the medical record number, last name and first name;
 Click [Save], and a prompt box of "Save Successful. Archive it to historical patients?" will pop
up.
 Select [OK], the patient will be archived to historical patients; Select [Cancel], the patient will
remain in the page of no attribution patients.

Note
 In the page of patient management, regardless of online patients, offline patients or no
attribution patients, you can review the patients’ data, like the waveform, alarms and trends
after you click the patient information.

5.2.4 Delete

In the patient management of the central monitoring system, you can delete patient information in the
offline page and no attribution page. When patient information is deleted, all the monitoring information
including the waveform, alarm information, measured data of this patient will be erased as well. Therefore,
the user shall delete the patient information with great care.
Specific Steps:

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 In the patient list of the offline page or no attribution page, select the patient information to be
deleted.
 Click [Delete] button, the password input window will pop up. Input the password to finish this
operation.

Note
 To prevent accidentally deleting the patient information, this central monitoring system sets up
a password for protection. When you need to delete the patient information, enter the correct
password and click [OK]. Consult the manufacturer for the password
 Online patient’s information cannot be deleted. To delete such information, it must either be
disconnected, or archived to the offline patient list or no-attribution patients.

5.2.5 Refresh

Click [Refresh] button to refresh all patient lists.

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 Chapter 6 Data review and management

6.1 Online Review

Online review refers to the dynamic short-time trend, waveform review, alarm review and trend
review of the patient currently monitored by the central monitoring system.

6.1.1 Dynamic short-time trends

In the intensive monitoring window, click " " button to display the corresponding dynamic

short-time trend chart of each parameter module. The displaying order and color of the dynamic short-time
trend is consistent with the corresponding parameter module.

Fig. 6-1 Dynamic short-time trend

Dynamic short-time trend updates automatically every minute. The total displaying time is 2 hours.
One time ruler is shown under each short-time trend chart (-2h and -1h). Every scale represents a 30-min
interval.
The position of the dynamic short-time trend chart of each parameter is not fixed. The users can locate
their own trend charts according to their needs. Taking the HR dynamic short-time trend for example, the
method is as follows:
Right click the dynamic short-time trend of HR and select [SPO2] in the pop-up list box. The HR
dynamic short-time trend is changed into the dynamic short-time trend of SPO2.

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 Data review and management

6.1.2 Waveform Review

6.1.2.1 Multi-parameter Monitoring Waveform Review

Click the page tab [Wave View] (Wave Review) and open the interface shown below. Review the
compressed waveform or the normal waveform as necessary.
Waveform Type
Open the interface of the waveform review to display the waveform of all the time periods of a certain
parameter. Users can select the parameter waveform in the list box [WaveType] (Waveform Type) as
necessary.
Waveform Description Zone
In the waveform description zone, users can view the basic information of the waveform displayed,
such as the [WaveName], [Start] (Start time), [Length] (Duration), [Speed] and [Printing duration]. The
start time varies with the cursor's movement.
Time scale
Display the length corresponding to 1-min waveform on the compressed waveform. Under all modes,
one page can display a 20-min time scale. When the time of the waveform exceeds 20 min, users can
observe it by clicking the [Next] button. Click the [Previous] button to go back to the previous page.
Non-compressed Waveform Zone
Display the compressed waveform at the location of the cursor in the normal waveform width.
Print
Use the mouse to select the range of the waveform you want to print in the compressed waveform
zone and then click [Print] button to enter the print window. If you do not select the range of the waveform,
it only prints the waveform on the cursor. Please refer to the "Printing" section for the printing instructions.
Cursor Non-compressed Compressed
Time scale Cursor
Moment Waveform Zone Waveform
Zone
Waveform
Description
Zone

Functional
Buttons

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 Data review and management

Fig. 6-2 Waveform review

Users can choose to display the parameter waveform within the specified time period as necessary.
Specify the [Start Time] and [END] (End Time) in the year, month, day, hour, minute and second fields

using to change the value, click [OK], and then the compressed waveform zone of the interface will

show the waveform within the specified time period.

6.1.2.2 Fetal Monitoring Waveform Review

Click the page tab [Wave View], and open the interface shown below. Review the compressed
waveform or the normal waveform as necessary.
Compared with the multi-parameter monitoring waveform review, the fetal monitoring waveform review
has an additional scoring result table.

Non-compressed

Waveform Zone
Compressed
Waveform
Description Waveform Zone

Zone

Scoring zone

Fig. 6-3 Fetal monitoring waveform review (auxiliary interface is arranged on the right)

Waveform Description Zone

Waveform description zone mainly describes the color of the parameter waveform and the
information of waveform displaying length.
For example: "5 min 20 sec/20 min, 1/4" indicates: the waveform duration in the non-compressed
waveform zone on this page/ the total duration selected in the waveform zone/ the current page number/the
number of total pages.

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 Data review and management

Compressed Waveform Zone

In the compressed waveform zone, each line can display 10-min waveform and one page can display

one-hour waveform. When the monitoring time is more than one hour, use buttons to move up/

down. Use or to jump to the initial or last page. Below the waveform in each line, there is

indication of the monitoring time and the waveform number.

Non-compressed Waveform Zone
In the non-compressed waveform zone, user can observe the size of the waveform through the [Speed]
(Speed option).
 [1cm/min]: 1 cm of the grid displays 1-min waveform;
 [2cm/min]: 2cm of the grid displays 1-min waveform;
 [3cm/min]: 3 cm of the grid displays 1-min waveform; this waveform is the largest.
 [Self Adapt]: It indicates that the waveform selected in the compressed waveform zone is
shown in one page, and the page turning function will be disabled.
Scoring zone
In the scoring zone, it mainly functions to automatically diagnose and score the waveform selected in
the compressed waveform zone and the scoring results will be displayed in the standard list on the left of
the scoring zone. Where
[Score Type] (Scoring Type) is to select from scoring FHR1, FHR2 or both;
[Criteria] (Scoring Standard)" is to select from the standards to be adopted when scoring, i.e. KREBS,
Fisher, Enhanced Fisher and NST;
Doctors select [Test type], [NST Test Result] and [OCT/CST Test Result] according to the scoring
results and clinical practice requirements. The results are described in the clinic report of fetal monitoring.
Scoring description is shown below the scoring results, including the start time, duration, and total scores.
Print
Select fetal monitoring waveform in the compressed wave zone, click [Print] button to enter the [Fetal
Wave Review Report] window, and directly select the print button to finish the operation.
When you need to print the scoring report, select the radio button [Print Score], click [Print] button to enter
the [Fetal Wave Review Report] window, and directly select the print button to finish the operation.

Note
 Scoring on this interface is automatically. Simply selecting a certain time period's waveform in
the compressed waveform zone, the system will automatically score it according to the "Scoring
standard" and "Scoring type". The results are for doctors’ reference only. Doctors should
make the diagnosis on the basis of the actual clinic circumstance.
 "Test type" and "Test results" are selected by doctors according to the clinical practice
requirements before printing the fetal monitoring reports.
 Because there may be a time difference between the central monitoring system and the bedside

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 Data review and management

monitor, the scoring results may vary when waveforms at a specified time are selected for
scoring diagnosis.

 Test type: NST, OCT, CST and No test. If the test type is of [No test], the [NST test result] and
[OCT/CST test results] should be of no test result. NST test results include three patterns:
reactive pattern, non-reactive pattern and suspicious pattern. OCT/CST test results have three
patterns: negative pattern, positive pattern and suspicious pattern.
 NST
NST: In the absence of uterine contraction or other external load stress, the observation and records of
the fetal heart rate monitoring is called the Non-Stress Test (NST). So far, it is widely accepted that NST is
a rather ideal method for determining fetal placenta's functional state.
NST results have three patterns: reactive pattern, non-reactive pattern and suspicious pattern.
Reactive pattern: Within 20 min of the recording time, if the fetal heart rate baseline is 120bpm ~
160bpm and the fine amplitude variation is above 6bpm, when there are more than four times of fetal heart
rate acceleration accompanying fetal movement, it can be regarded as NST reactive pattern. It means that
fetal movement is well. Check one week later in case of no special circumstance.
Non-reactive pattern: The non-reactive pattern requires the monitoring lasting at least 40-min. If the
fetal heart rate baseline is 120bpm ~ 160bpm and the fine amplitude variation less than 6bpm, if there is no
fetal movement, or there is no FHR acceleration accompanying fetal movement (the fetal heart rate raised
by less than 15bpm, or reached 15bpm but lasted less than 15 sec), it can be regarded as NST non-reactive
pattern.
Suspicious pattern includes combined pattern and sinusoidal pattern.
Combined pattern: there are the characteristics of both reactive pattern and non-reactive pattern on the
monitoring charts at the same time. Its main diagnostic basis is that the FHR acceleration times
accompanying fetal movement reach the standard of the reactive pattern. The fetus may be in a status
between reactive pattern and non-reactive pattern, namely, maybe there is hypoxia, but not serious.
Sometimes it is called the suspicious fetal placental dysfunction.
Sinusoidal pattern: Generally speaking, the chart of sinusoidal pattern features a baseline rate
swinging within a normal range while there is no fetal movement; its amplitude variation is generally
5bpm~10bpm with a cycle period of 2cpm~5cpm; STV disappears and its baseline remains smooth and
consistent. These are the phenomena of severe fetal hypoxia, occurring with anemia or nuclear
polycythemia caused by RH factor of the fetus. But sinusoidal pattern are relatively rare.

 OCT/CST test results can be negative, positive or suspicious.

 OCT
When fetal placenta is dysfunctional during pregnancy (such as high-risk pregnancy), the fetus may be

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 Data review and management

in the status of hypoxia because of decline in placental gas exchange function. Such cases are generally
identified with late deceleration accompanying uterine contractions. Oxytocin Challenge Test (OCT) is to
use the oxytocin to artificially trigger uterine contraction so as to observe the variations in fetal heart rate
and speculate the state of the placental function.
Test Methods and Precautions:
Implementing methods: ○
1 Give NST for 20 min to 40 min. Once the monitoring result has a score
above 6, it can trigger uterine contraction. ○
2 2.5 units of oxytocin, added into 500 ml of 5% glucose
solution and administrated intravenously. ○
3 The initial infusion speed is 5 drops/min. Add 2 drops every
5 min until there are three times of uterine contraction every 40 min (each lasting for 40 sec to 60 sec).
Keep the final infusion speed. ○
4 After the establishment of normal uterine contraction, if there is no
serious deceleration, the monitoring should last for at least 40 min. ○
5 After the test, stop infusing
oxytocin and monitor the patient until uterine contraction disappears.
Pay attention to the following during OCT: ○
1 It must be carried out during hospitalization with the
preparations for fetal distress in place. ○
2 In case of extraordinary strong uterine contraction, immediately
slow down the dripping speed or stop the administration. ○
3 If late deceleration occurs continuously, the
patient should be carefully observed and treated in order to avoid any damage to the fetus. ○
4 Have the
oxygen supply equipment and uterine contraction inhibitors in place.
Criteria of the Test Results:
Negative: If the fetal heart rate baseline and its fine variation are both within the normal range and
there is no late deceleration during more than 40-min continuous monitoring or any significant change in
early-onset deceleration or variable deceleration, it can be regarded as OCT negative.
Positive: Late decelerations occur continuously and all three uterine contractions have been observed,
or multiple severe variable decelerations occur.
Suspicious: Sporadic late deceleration, relatively obvious sporadic severe variable deceleration or
frequent early-onset deceleration occurs.
 CST
CST: Intrapartum monitor is to observe the fetus’ response of the uterine contraction, also known as the
contraction stress test (CST). Its judgment indicators and criteria are basically the same as the oxytocin
challenge test mentioned above.

Note
 Diagnostic criteria of the test results are for reference only.

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6.1.3 Alarm Review

Click the page tab [Alarm View] (Alarm Review), and open the interface shown below.
Users can select the alarm list to display the alarm review content through the four options: [AlmType]
(Alarm Type), [ALM LEV] (Alarm Level), [Start] (Start Time), and [End] (End Time). Users can click on
[Print List] button to print the alarm review list.
 Alarm List Zone: It displays the alarm time, event descriptions and levels. Alarm list arranges
alarm information according to the time sequence of the alarms.
 Alarm Parameter zone: It displays the measured values of all parameters during the occurrence
of alarms. Central monitoring system indicates the occurrence of the parameter alarms with
different background colors. The background color of the parameter is displayed only when the
user clicks on the corresponding alarm event in the alarm list.
 Red: High-level Alarm Occurs
 Yellow: Intermediate or Low Level Alarm Occurs
 Alarm Waveform Zone: Waveform zone displays the waveform of all alarm parameters 16 sec
before and after the alarm. Users can observe the parameter waveform by moving the scroll bar.
In the alarm list, select the alarm information and you can observe the corresponding parameter values
and waveform in the alarm parameter zone and the alarm waveform zone. Only after selecting alarm
information in the alarm list, will the alarm parameter zone switch to the corresponding parameters and
parameter values.

Alarm Selection Zone Alarm Waveform zone

Alarm List Zone Alarm Parameter Zone

Fig. 6-4 Alarm Review

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 Data review and management

Print List
This function is to directly print all the alarm information in the print list. Click “Print List" button,
enter the printing page and click the print icon to finish this operation.
Print Waveform Report
This function is to print the parameter waveform 16 sec before and after the alarm. Click “Print
Waveform Report" button to enter the printing page. Click the print icon on the printing page to finish this
operation.

6.1.4 Trend Review

Click the page tab [Trend View] (Trend Review) and open the interface shown below. Changes of the
trends can be displayed through the [Trend Graph] and [Trend Table] buttons. Clicking either will switch to
the other.

Fig. 6-5 Trend chart review

In the window of trend review, you can set the [RES.] (Resolution) and [Trend group selection], as
well as [Refresh] the data and print the trend.
 Set the time period of trend review: Set the specified time period in [Start] (Start Time) and [End]
(End Time).
 Set the Resolution: In trend chart and trend table, user can set certain time interval as the
resolution to display trend chart and trend table according to the requirements. Selectable
resolutions can be 1 sec, 5 sec, 10 sec, 15 sec, 30 sec, 1 min and 5 min.
 Trend group selection: It is used to select the trend groups. The system includes default trend
groups and customized trend groups. The default trend group is clarified as All, Standard, ECG,
Hemodynamic, Anesthetic gases, IOC, Invasive Blood Pressure List, Non-Invasive Blood
Pressure List. The customized trend group is clarified as Customized 1, Customized 2,
Customized 3, and Customized Setting. The default trend group cannot do any editing. In the
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 Data review and management

default trend group, Non-Invasive Blood Pressure List has its value displayed only in the trend
chart, but other trend groups have their values displayed in either trend chart or the trend table.
User can customize the Custom 1, 2 and 3 settings. Specific steps are as follows:
 Click the list box of parameter selection, and select [User Set] (Customized Settings) to pop
up the window of "Customized setting";
 In the upper left corner of the setting window, select the trend groups to be set and then it
will display the names of the trend boxes in the trend group's name box;
 For the parameters from the "Box of the Parameters for Selecting" on the window's left
frame, the parameters with the front check boxes checked will be displayed in the right
"Parameter box";
 After selecting the parameters, click [OK] to finish this operation.

Note
 When select different trend groups in the trend chart and trend table, the observed trend
parameters may vary.

 Observe the parameter values at certain time period: Click the mouse in certain position in the
trend chart to locate the cursor at this position. The parameter values corresponding to this cursor
will show up. In the trend table, the cursor will also move to the column of the corresponding
time period. When select certain line in the trend table, the cursor will also move to the
corresponding time period in the trend chart.
Introduction of the usage of the symbols in the interface

Symbol Description

Move the cursor to the left or to the right of one-resolution length of time and
view along the trend-data timeline.

Turn a page to the left or to the right, and view other parameter trend chart which
is not in the current view.

Jump to the First Page or Last Page of the trend chart review to check the
stored trend information of furthest (earliest) or nearest (latest).
 Refresh: Trend data does not automatically update, so that if you need to check the latest data,
you must manually refresh the data. Directly click the [Refresh] button to finish this operation.
No matter how long the time period is displayed for the trend data, every time you refresh, the
trend review will display all trend data from the initial time of monitoring to the current time.
 Print: Click on [Print] in the trend chart, enter the unit page, and print the trend chart review
report. Click on [Print] in the trend table, enter the [Print] page, and print the trend table review
report. Parameters in trend chart review report and trend table review report are determined by
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 Data review and management

the trend group in "Parameter selection".

6.2 History Review

History Review makes it possible to inquire and review historical patients which were monitored by
the central monitoring system, including patient information, waveform review, alarm review and trend
review. Besides, information of specified part can also be viewed. Click the [History] button and you can
enter multiple pages. There are five page tabs on this page:

 [All patients]
 [Patient info]
 [Wave View] (Waveform Review)
 [Alarm View] (Alarm Review)
 [Trend View] (Trend Review)

Note
 Patient information, waveform review, alarm review and trend review of Historical Patients
are generally similar to online patient. Refer to 6.1 "Online Review".

Patient list box Fig. 6-6 History review (Patient list page) Patient monitoring period

list box
6.2.1 All patients

On the [All Patients] page, you can view two types of patient lists, the Historical Patient list and the
patient list with specified path. In the patient list, the patient list box displays the basic information of
all patients. The patient monitoring period list box displays a list of all of a patient monitoring period
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 Data review and management

list. For example, if a patient has three monitoring period lists, select this patient from the patient list
box. Correspondingly, there will be three records in the patient monitoring period list box. Select
certain period and the relevant information can be reviewed.

Historical Patient list:

The patient list box lists the basic information of all Historical Patients. Each row corresponds to one
Historical Patient record. User can find the specified patient with the [Select] function in the patient list.
Double-click the found patient and user can review the patient information, waveforms, alarms and trends.

Central monitoring system supports fuzzy inquiry. With fuzzy inquiry, the specified patient can be
found as long as one of the listed patient information is offered: [SURNAME], [FIRSTNAME], [PAT NO]
(Medical Record No.), [ADMIT] (Admission Date), [Age], [Blood] (Blood Type), [PAT TYPE] (Patient
Type), [Telephone], [Doctor] (Attending Physician), [Ward No] and [Bed No].

Specific steps:
1) In the drop down menu of "Lookup Field", select the fields you want to find. Lookup fields
include [SURNAME], [FIRSTNAME], [PAT NO] (Medical Record No.), [ADMIT] (Admission
Date), [Age], [Blood] (Blood Type), [PAT TYPE] (Patient Type), [Telephone], [Doctor]
(Attending Physician), [Ward No] and [Bed No]. Click and select one of them. For example,
select the [SURNAME].
2) Select the [Match] (Match Condition) in the "Find What". The "Match Condition" includes
[Fuzzy Match] and [Exact Match]. For example, select [Exact Match].
3) Enter the content in the input box of the "Find What", e.g. entering "Huang".
4) Click on [Find] button. Matched patients will be displayed in the patient list box. If there is no
matched patient, the list will be empty. Click on [All Patients], the patient list box will display a
list of all the patients.
5) In the patient monitoring period list box, select the specified time period.
Specify the path:
The patient list with specified path is convenient for user to observe the Historical Patient data that
has been exported (without the need to import).
Specific steps:
Select the check box of [Assign Path], and the path-selection window pops up. Select the specified
path. Find the specified patient by the "Find" function. View the relevant information of this patient.

Note
 After selecting one Historical Patient on the [All Patients] page, you can choose other pages to
review.

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 Data review and management

6.2.2 Patient information

There is a one-to-one correspondence between patient information and patient list. Select one patient
in the patient list, and click on “Patient Information" page, and then the patient information, corresponding
waveform review, alarm review and trend review of this patient will be displayed.
In addition to the above method to check patient's relevant information, you can also right-click and
select the option to review from the drop-down menu, including the patient information, waveform review,
alarm review and trend review.

6.3 Data Management

Data Management of this system is mainly to import/export information (including patient

information, waveform and alarm, etc.) of all Historical Patients who have been monitored. The export
formats include Excel and Access, and the import/export locations can be anywhere on the U disk or PC
hard disk. For the relevant information of one patient contains much content and the data import/export is
time consuming, the Data Management is password-protected.
Specific steps are as follows: Click the [DataMgr] (Data Management) menu on the main screen, and
enter the password in the pop-up window. Then you can enter the data management page. The major
operations of this page are import and export.
Import: just click on Import, and select the path to import.
Export: Export all patient information once a time.

Fig. 6-7 Data management window

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 Data review and management

Note
 As there is so much information to save to the central monitoring system, user should export
the case data regularly to prevent the hard disk space shortage. Export the case data about
once a month.
 As the import/export operation is time consuming, all other operation functions of this system
will be disabled until the import/export operation is completed. Therefore, user should carry
out import/export during the idle time of the central monitoring system.

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 Chapter 7 Calculation

The calculation function is provided by the central monitoring system. The calculated values are not
directly measured patient data, but calculated by the central monitoring system based on the appropriate
user-supplied data.
The following items can be calculated by the central monitoring system:
 Drug calculation
 Hemodynamic calculation
 Ventilation calculation
 Oxygenation calculation
 Renal function calculation
Click the calculation page needed to be calculated on the multiple pages.

Note
 Calculation is independent of the other functions of the central monitoring system, and the
calculation object is not restricted to the patient under monitoring. Calculation operation does
not affect the patient under monitoring.

Warning
 The correctness of the input parameters and the suitability of the results should be verified
while calculating. The Company is not responsible for any loss as the result of input error or
improper manipulation.

7.1 Drug calculation

During real-time observation, click the [Drug Cal] (Drug Calculation) tab on the multiple pages to
open the [Drug Cal] page as shown below:

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 Calculation

Fig. 7-1 Drug calculation

The central monitoring system provides the calculation for 15 kinds of drugs and the function of
titration table display.
In the drop-down list of [Drug Name], user can select one of the following 15 drugs, to calculate total
dosage, liquid volume, drug concentration and other parameters.
The drugs include: Drug A, B, C, D and E to instead any kind of drug flexibly, AMINOPHYLLINE,
DOBUTAMINE, DOPAMINE, EPINEPHRINE, HEPARIN, ISUPREL, LIDOCAINE, NIPRIDE,
NITROGLYCERIN, and PITOCIN.
The drug dosage is calculated according to the following formula:
Drug concentration = total dosage/liquid volume
Infusion speed = drug dosage/concentration
Duration = total dosage/drug dosage

Note
 A, B, C, D and E is not really a drug name but just a drug code. Units of these five drugs are
fixed. The operator can select appropriate units according to the conventions of drug usage.
Presentation rules of units are as follows:
 Unit series of Drug A, B and C: g (grams), mg (milligram), mcg (micrograms).
 Unit series of drug D: unit, k unit (thousand units), m unit (million units).
 Unit of Drug E: mEq (milliequivalent).

7.1.1 Operation methods

On drug calculation page, user can select [Drug Name], confirm the patient weight, and enter other
known values. The system calculates the related results automatically and displays them at appropriate
location. The value of each calculation item has a range limit. If the result is out of range, it will display
"---".
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 Calculation

After calculation, click [Save] and the results will be saved. You can find the stored results in the list
of calculation results. The list shows the time when drug calculation takes place. When user want to view
the results, they can select one directly, and the related values will be displayed in the drug calculation
table.

Note
 During this drug calculation, the values can be input into other menu items only after entering
the patient weight and the drug name. Firstly, the system just generates a set of random initial
values, and the operator should not use them as the calculation standards, but must re-enter
values suitable for the patient based on the doctor's advice.

 Each drug has a fixed unit or unit series. The operator must select the appropriate units based
on doctor's advice. Within the same unit series, the conversion of unit will be automatically
adjusted against the current input value. When a value is beyond the range that the unit can
express, the system will display "0".

Patient weight: this menu is gray and unchangeable. This menu displays the value set in [Weight] of
the [Patient Info] when the patient is admitted.

Note

 This function of drug calculation is only a drug calculator. Values in the table may not be
related to the patient under monitoring. Therefore, the patient weight in this menu and that in
the system are two different values. When updating patient data in the system, the value in this
menu item will not be affected.

7.1.2 Titration table

Select [TITRATION] (Titration Table) in [Drug Cal] menu and enter the titration table interface.
"Titration Table" interface in drug calculation is shown as below:

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 Calculation

Fig. 7-2 Titration table

Specific steps are as follows:

1) In the titration table, click [BASIC] (Benchmark Item) and select the required item. [Dose] and
[Inf Rate] (Infusion Speed) are two optional items.

2) Click [Step], and choose step size. It ranges from 1 to 10.

3) Click [Dose Type], and press the knob to select the dosage unit from [Dose/min], ]Dose/h],
[Dose/Kg/min] and [Dose/Kg/h].

4) Click [First Page], [PRE PAGE], [Next Page] and [Last Page] to view the previous or next page
of the table.

5) Select [Ret Drug Cal] (Return to Drug Calculation) to return to the [Drug Cal] menu.

7.2 Hemodynamic calculation

7.2.1 Calculation steps

During real-time observation, click [Hemodynamic calculation] tab in the multiple pages to open the
[Hemodynamic Calculation] page, as shown below:
（1） Input values to be calculated into [Input] box, and click [Calculation] button, then the results will
be acquired in the output box.
As for the output values beyond the reasonable range, it shows "---".
（2） Click [Save] and the result will be saved in the result list box.
（3） Click any time icon in the result list, and then the calculated results can be reviewed. User can
delete the calculated results in the result list. Select one calculated result and click the [Delete]
key.

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 Calculation

Fig. 7-3 Hemodynamic calculation

Note
 Parameters are requisite in the hemodynamic calculation. Lack of them, there won’t be
corresponding results.
 After calculating the output value, it should be saved first before "Calculation Review" is
available.
 Before doing the hemodynamic calculation, confirm the patient's height and weight.

7.3 Ventilation calculation

During real-time observation, click [VENTILATION] tab on the multiple pages to open the
"Ventilation calculation" page, as shown below:
1) Input values to be calculated into [Input] box, and click [Calculation] button, then the results will
be acquired in the output box.
As for the output values beyond the reasonable range, it shows "---".
2) Click [Save] and the result will be saved in the result list box.
3) Click any time icon in the result list, and then the calculated results can be reviewed. User can
delete the calculated results in the result list. Select one calculated result and click the [Delete]
key.

Fig. 7-4 Ventilation calculation

7.4 Oxygenation calculation

During real-time observation, click [OXYGENATION] tab on the multiple pages to open the
"Oxygenation calculation" page, as shown below:
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 Calculation

1) Input values to be calculated into [Input] box, and click [Calculation] button, then the results will be
acquired in the output box.
As for the output values beyond the reasonable range, it shows "---".
2) Click [Save] and the result will be saved in the result list box.
3) Click any time in the result list, and then the calculated results can be reviewed. User can delete the
calculated results in the result list. Select one calculated result and click the [Delete] key.

Fig. 7-5 Oxygenation calculation

7.5 Renal function calculation

During real-time observation, click [RENAL] (Kidney function calculation) tab in the multiple pages
to open the "Kidney function calculation" page, as shown below:
1) Input values to be calculated into [Input] box, and click [Calculation] button, then the results will be
acquired in the output box.
As for the output values beyond the reasonable range, it shows "---".
2) Click [Save] and the result will be saved in the result list box.
3) Click any time icon in the result list, and then the calculated results can be reviewed. User can delete
the calculated results in the result list. Select one calculated result and click [Delete] key.

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 Calculation

Fig. 7-6 Renal function calculation

7-7
 Chapter 8 Alarm

8.1 Alarm type

According to the nature of the alarms, the alarms in this system can be divided into physiological
alarm, technical alarm and prompt.
1) Physiological alarm

Physiology alarm occurs when a certain physiological parameter of patient isn’t in the normal level or
patient has physiological abnormalities. The alarm information of physiological alarm is displayed in the
physiological alarm zone on the top of the screen.

2) Technical alarm

Technical alarm, also known as systematic error message, occurs when certain system is unable to
function correctly or test results are wrong, because of improper use and operation or system failure. The
alarm information of technical alarm is displayed in the technical alarm zone on the top of the screen.

3) Prompt

Strictly speaking, the prompts don’t belong to alarm. It is the information related to system state
displayed by the system in addition to the physiological alarms and technical alarms. Generally, it is not
involved with the patient's vital signs. Prompt is displayed in the system prompt zone.

8.2 Alarm level

According to the severity of alarm, the physiological alarm in this system can be graded as high-level,
intermediate and low-level alarms.
(1) High-level alarm
Patients, in critical condition or in danger of life, must be rescued immediately.
(2) Intermediate alarm
Patients, with abnormal physiological signs, should be taken care of with appropriate measures or be
rescued at once.
(3) Low-level alarm

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 Alarm

Patients, with abnormal physiological signs, might need to be taken care of with appropriate measures
or be rescued.

The levels of all technical alarms and some physiological alarms have been set before the system
leaves the factory. User cannot modify them. However, some physiological alarms’ levels can be modified.

8.3 Alarm mode

When an alarm occurs, the system uses the following audible and visual alarm modes to warn the
user:

 Sound alarm

 Alarm information

 Parameter flashing

Wherein, the light signal, sound alarm and alarm information distinguish the levels of alarm in
different ways.

8.4 Sound alarm

Sound alarm means that when an alarm occurs, the system uses different tonal characteristics to
indicate different levels of alarm.

 High-level alarm: beep - beep - beep - beep - beep.

 Intermediate alarm: beep - beep - beep.

 Low-level alarm: beep.

Warning
 Both bedside monitor and the central monitoring system have the function of sound alarm.
 Although bedside monitor has the same alarm levels and the same upper and lower limits of
alarm with central monitoring system, when central monitoring system, connected with the
bedside monitor, gives an alarm, bedside monitor isn’t certain to do that simultaneously,
because the sub-machine's alarm system has alarm time delay function.

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 Alarm

8.5 Alarm information

Alarm information refers to the corresponding alarm information which is displayed in systematic
physiological alarm zone or technical alarm zone when an alarm occurs. System uses different
backgrounds to distinguish the levels of alarm information:

 High-level alarm: Red

 Intermediate alarm: Yellow

 Low-level alarm: Yellow

Put following signs in front of the alarm information to distinguish the levels of alarm information:

 High-level alarm: ***

 Intermediate alarm: **

 Low-level alarm: *

8.6 Alarm parameter flashing

When patient's certain physiological parameter gives an alarm, the parameter in the parameter zone
flashes once per sec to warn the user. In addition, if the upper and lower limits of the parameter are
displayed in the intense monitoring window, the parameter's upper limit or lower limits will flash,
indicating parameter below the lower limit or over the upper limit.

8.7 Alarm state icon

In addition to the above alarm modes, the screen also displays the following alarm state icons to
indicate the different states of the alarms.

 : Indicating mute.

 : Indicating Alarm Suspended.

 : Indicating alarm mute

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 Alarm

8.8 System volume

Click the menu [SysSet] (System setting), go to the [Comm] (Common Setting) page, and adjust the
[SysVolume] (System volume). Central monitoring system has 10 grades of alarm volume. The volume
rises progressively from 1  10 with 0 indicating volume off. Users can set it as necessary. Drag the
volume control button t to the desired position, and the sound of corresponding volume can be played.

8.9 Alarm setting

Alarm setting can be used to set the upper and lower alarm limits and alarm levels of the parameters.
When setting this function, operators must note that the alarm parameters in the central monitoring system
should remain synchronous control with bedside monitor's sub-machine setting parameters, for example, as
bedside monitor has HR function, they should set HR's upper and lower alarm limits in the central
monitoring system accordingly. As for the parameters that bedside monitor doesn’t have, there is no need
for the central monitoring system to do that.
In the real-time monitor window, click [Alarm Set] (Alarm setting) multiple page, and the upper and
lower alarm limits, alarm level and alarm switch setting of all parameters and arrhythmias can be set.
Setting methods are as followed: adjust the upper and lower alarm limits, alarm levels and alarm
switch of specified parameters directly. And click on [Save] when finished. If the settings are not desired
to be modified, just click on [Cancel] button.

Fig. 8-1 Alarm settings

[Default]: central monitoring system provides function to restore the default alarm settings. In order to
prevent users from restoring the default parameter alarm limits by mistake, the central monitoring system
have password to protect that. Click [Default] button, and [Enter password] window will pop up. The
password is 5188.
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 Alarm

[Apply to ALL] (Applied to all bed): If all patients monitored are of the same type, in order to spare
the users of setting every monitor, after setting up a bedside monitor, select [Apply to ALL].

After setting a bed's alarm limits, click and select a specified bed, and alarm limits will be

applied to that bed.

[Smart Alarm]: As for intelligent alarm, there is no need to set the alarm levels; in the alarm settings,
the limits are set as high, intermediate and low limits. Specific step:
 Click [Smart Alarm] and there will pop up intelligent alarm window;
 In the parameter list box, select the parameters to be set;
 Set the upper and lower limits for the high, intermediate and low levels.
 Click [OK] button. Click [Default] to apply the default values to those alarm limits. Click
[Cancel] and those limits set will be canceled.

Fig. 8-2 Intelligent alarm

Note
 Parameter alarm switches are unilaterally controlled. If a parameter's alarm switch is set as
"Off", the alarm switch on the corresponding monitor will also be set as "Off".
 Before changing the monitor's alarm limits through central monitoring system, make sure the
upper and lower limits are suitable for the patient.
 In order to prevent users from restoring the default parameters of alarm limits by mistake, the
central monitoring system have password. When determined to restore the default alarm
settings, you need to input the correct password.
 In the event that a monitor using protocol 1 serves as the bedside monitor, the alarm setting
may be invalid for the bedside monitor. The protocol 1 may also have intelligent alarms.

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 Alarm

8.10 Alarm suspended

By clicking the Alarm Suspended icon" ", you can suspend the alarm of the current patient for a

while. The suspended time can be set in the item [Alarm Pause Time] of the [Display Set] (Display settings)
page, and the suspended time of the telemetry transmitter box alarm is fixed to 2 min. The system will
reactivate the alarm after the suspended time and you can also exit the alarm suspended state by clicking

the icon " " again.

8.11 Alarm Silent

By clicking the Alarm Silent icon " ", you can put the bedside monitor or the telemetry transmitter

box, along with the corresponding bed of the central monitoring system, into alarm silent status. You can

exit the alarm silent status by clicking the icon " " again.

8.12 Mute

Clicking the alarm Mute icon " " will turn off all sounds of the bedside monitor. You can exit the

alarm Mute status by clicking the icon " " again.

Note
 Alarm Suspended and Alarm Mute settings are mutually controlled. If one bed is set as Alarm
Mute or Alarm Suspended, the alarm in the corresponding monitor will be suspended or be
muted.
 Not all the monitors from our company are able to operate alarm suspended and alarm mute
and mute function. If the monitor does not have these three functions, when the central
monitoring system operates the three functions, the monitor will not make the corresponding
operations.

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 Chapter 9 Print and Record

9.1 Print

The central monitoring system supports many kinds of printers.

Items to be printed include real-time waveform print, such as 12-lead ECG printing, 7-lead ECG
printing, alarm list printing, alarm waveform printing, trend chart printing and trend table printing.
Wherein, the print of the real-time monitoring waveform review, alarm review and trend review has the
same operational steps with the print of historical review.

9.1.1 Printing page

On the printing page, you can operate as follows:

 Print: " " Click the print button and print the contents on the" Print Preview page" directly.

 Save as: Click “ ", and the contents on the print preview page can be saved in bmp format.

 Save: Click “ " and save paper orientation of the print preview page.

 Zoom display: Click “ " to magnify or minify the view so that user can
better observe the "Print preview page".

 Print page's lateral and longitudinal adjustment: Click “ " button and adjust the paper

orientation. When the orientation of the paper changed, the display of the contents in print
preview will change with it.
 Close: Click “ " and the print preview page will be closed.

Note
 The printer applies the same paper orientation by default. If the orientation need to be
changed, save it after proper setting.

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 Print and record

9.1.2 Print operation

Real-time print
 Enter the [Real Monit] (Real-time monitor) page, regardless of the frozen or normal monitoring
status;
 Click [Print] button to enter the print preview page, where the report is named as "Real-time
waveform report";
 Click the print icon " ".
Printing 12-lead ECG
 Enter the [12-lead ECG] page;
 Click [Print] button to enter the print preview page, where the report is named as "Real-time
waveform report (12-lead ECG)";
 Click the print icon " ".
Printing 7-lead ECG
 Enter the [7-lead ECG] page;
 Click [Print] button to enter the print preview page, where the report is named as "Real-time
waveform report (7-lead ECG)";
 Click the print icon " ".
General monitoring waveform review print
 Enter the [Waveform View] page;
 In the compressed waveform zone, left-click to select the waveform range to be printed, then
click [Print] button to enter the print preview page, where the report is named as [Waveform
review report];
 Click the print icon " ".
Fetal monitoring waveform review print
 Enter the [Waveform View] page,
 In the compressed waveform zone, left-click to select the waveform range to be printed, Click
[Print] button to enter the print preview page, where report is named as "Fetal monitor waveform
review report". If score report is needed to be printed, click [Print] button, after selecting the
[Print Score] radio box.
 Click the print icon " ".
Print alarm list
 Enter the [Alarm View] page;
 Input the information needed by users into "[ AlmType] (Alarm type), [ALM LEV] (Alarm level),
[Start] (Start time) and [End] (End Time) to select the display of alarm list, and then click [Print
list] button to enter the print preview page, where the report is named as [Alarm event review
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 Print and record

report];
 Click the print icon " ".
Print alarm waveform list
 Enter the [Alarm View] page;
 After choosing the alarm events in alarm list, which are displayed in alarm review waveform
zone and parameter zone, click [Print Wave] (Print the waveform report) button and enter the
print preview page, where the report is named as [Alarm Wave Review Report]. The items to be
printed include the parameter values in alarm parameter zone and the waveform in alarm
waveform zone;
 Click the print icon " ".
Trend chart review print
 Enter the [Trend View] page and select [Trend Graph];
 Choose the parameter of the trend group and the resolution, and then click [Print] button to enter
the print preview page, where report is named as [Trend Table Review Report]. The contents of
the report are consistent with those displayed on the trend chart page;
 Click the print icon " ".
Trend chart review print
 Enter the "Trend review" page and select "Trend table";
 Choose the parameter of the trend group and the resolution, and then click [Print] button to enter
the print preview page, where report is named as "Trend chart review report". The contents of the
report are consistent with those displayed on the trend table page;
 Click the print icon " ".

9.2 Record

The central monitoring system in the current version does not support the Record function, which will
be available in the future version.

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 Chapter 10 System setting

10.1 Common setting

Click [Comm] (Common Setting) menu to enter the common setting page.
The System Setting in the central monitoring system is restricted by permission. Common setting and
user settings are set by user, but user settings are password protected. Factory setting can only be operated
by staffs specified by the Company, so this User Manual will not describe it.

Fig. 10-1 System setting

The following items can be set in the common setting:

 System Volume: The System provides 10 volume settings, and you can set it as necessary.
 Waveform ploting mode: System provides three waveform ploting modes, i.e. filling mode, line mode
and boldface mode.
 Filling mode: Fill the waveform from the baseline to the curvature of the waveform, which looks
like ink-splashing.
 Line mode: Use original line form.
 Boldface mode: Overstrike the waveform curvature.
 Temperature unit: °C (Celsius) or ℉ (Fahrenheit).
 Blood pressure unit: mmHg (millimeter of mercury) or kPa (kilopascal).
 The upper and lower limit settings: Hide or unhide the upper and lower alarm limits. Set to make
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 System setting

them applicable to all beds simultaneously.

 Color setting: Set the color of all kinds of physiological parameters’ waveforms and data values, the
patient's name and waking label. On the screen of the central monitoring system, the information
related to the same parameter is displayed in the same color.
 When the color of a parameter needs to be set, such as the RESP parameter, click the RESP
parameter and "RESP color setting" window will pop up, and then select a color and click
"Acknowledgement". As it returns to the "Common setting" page, click [OK].

Note
 When setting the color of the parameter waveform, user needs to notice that the color is not the
same as or similar to the color of the system background in case the parameters and waveforms
are illegible.

10.2 User Setting

In the [Comm] page, click [User interface], and the system will pop up the [Enter password] dialog
box. After entering the password, click [OK] to enter the user settings interface.

Fig. 10-2 User settings

User settings include:

10.2.1.1 Hospital information

Set the name and departments of the hospital. The name and departments of the hospital inputted will
be displayed on the system information page, i.e. the top left corner of the main interface.

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 System setting

10.2.1.2 Network settings

Set the central monitoring system’s IP address and base port. When there is only one central
monitoring system in a hospital, the default value for the base port is 5000 and the default value for the IP
address must be 200.200.200.100.

10.2.1.3 System clock

Set the central monitoring system’s display time according to the local time. The setup results will be
displayed in the System information zone of the central monitoring system.

Note
 When central monitoring system is operating, changing system time will cause the online beds
disconnected. Please use this function with caution.

10.2.1.4 Language setting

Set the language of the central monitoring system.

10.2.1.5 System demonstration

Turn on or off the system's demo mode. Click the check box in front of the demo mode directly and
the system will enter the demonstration mode.

Warning
 Demonstration waveform is a simulative demo waveform set by factory to display the
machine’s function and help to train users. In the practical clinical use, demonstration
waveform is prohibited, because the medical staffs may mistake it with patient’s waveforms
and parameters under monitoring, which will affect patient monitoring and delay diagnosis
and treatment.

10.2.1.6 Main visual zone features

There are black and white backgrounds for the setup of the central monitoring system’s background.
User can select a different background color as necessary.

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 System setting

10.2.1.7 Bed setting

User can select the hospital bed zone’s window layout according to the demands of real-time
visualization. [BedsPerScreen] is no more than 32, when the beds are displayed in a single screen. For the
[Row*Col] (Row and column setting) displayed in each screen, the row range is from 2 to 8, while the
column range is from 1 to 4. After selecting the [BedsPerScreen] and [Row*Col], click [OK], and then the
display layout setting in the main visual zone comes into effect.

10.2.1.8 Print Settings

Print settings include setting the printer’s name, paper type, title prefix, company name and patient
information. Wherein, the title prefix is displayed over the print report and can display the hospital’s name.
Company name is displayed on the footer section of the print report. It helps user to distinguish general
print reports.

10.2.1.9 Single-screen auxiliary interface docking

Single-screen auxiliary interface docking refers to setting the docking position of the auxiliary
interface when the central monitoring system uses a single screen. There are two options: [Dock to
bottom] and [Dock to right].
"Dock at the bottom": It means the auxiliary interface located in the lower half of the main screen
(excluding the system buttons and icon zone).
[Dock to right]: It means the auxiliary interface located in the right half of the main screen (excluding
the system buttons and icon zone).

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 Chapter 11 System assistance

11.1 Overview

Central monitoring system based on Web technology provides users with online help about the
product’s use, including how to master its operations step by step and how to understand some of those
operations’ concepts. In addition, the central monitoring system also provides some concepts and specific
operations on clinic to for users’ reference and application in the practical experiences.
Specific operation steps: click [SysSet] (System setting) and select [Help] to open the "Central
monitoring system online help" interface.
In the top left corner of the interface, there are five icons:

: Page forward.

: Page backward.

: Back to the home page of the online help.

: Enter the system copyright information page where software version, copyright information and

database copyright information are displayed.

: Exit the online help page to return to the system setting interface.

Note
 Central monitoring system’s online help is not confined to the central monitoring system itself,
but is also involved with the contents related to monitoring.

In the "Central monitoring system online help" page, you can select the following three links to enter the
corresponding help content:
 System introduction: Introduce briefly the central monitoring system and its configuration.
 Operation guideline: Introduce central monitoring system’s various operations, such as: multi-bed
observation, data review and so on.
 Medical knowledge: Introduce different parameters’ description, such as: ECG, SPO2 monitor and so
on.

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 Chapter 12 Equipment service and
maintenance

Warning
 Before maintaining and cleaning central monitoring system, make sure that the device is
turned off and the power cable is disconnected.

12.1 Maintenance check

Before maintaining and cleaning

 Check for any mechanical damages.
 Check all exposed wires, pins and accessories.
 After a year or every repair, a comprehensive examination must be done by professionals on
central monitoring system; function, performance, and security examinations are included. The apparatus
should be guaranteed that it works in good condition.
 If finding that the instrument functions have signs of damage, please contact our service
engineer.
After-sales service unit: Shenzhen Comen Medical Equipment Co., Ltd.

12.2 System’s general cleaning

Central monitoring system should be kept free of dust. It is recommended to clean the outer surface of
the chassis and the display screen. Use soap to clean the chassis, or with non-corrosive cleaning fluid
diluted.

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 Equipment service and maintenance

Note
Prevent central monitoring system from any damage:
 Do not use strong solvents.
 Most of the detergent must be diluted before being used.
 Do not use abrasive materials.
 Do not allow any liquid to enter the chassis.
 When cleaning, only wipe the connectors’ exterior, and do not wipe its interior.
 Do not immerse any part of the instrument in liquid.

Warning
 Make sure that there is no magnetic field disturbance in the vicinity of the central unit and that
there is no switching operation of heavy current devices nearby.
 When the central system is working, power supply cannot be disconnected.
 The hospital that uses the central monitoring system should be able to implement a satisfactory
maintenance and repair program, or it may lead to functional failure of the central monitoring
system, and in some severe cases, it may endanger personal safety.
 There is no part that can be repaired by users inside the equipment. So unauthorized, users
should not open the chassis to prevent undue failure, which will affect the normal use of the
central monitoring system.

12.3 Maintain the security of the central monitoring system.

1) Turn on/off
When turning on the machine, first, connect the external devices to the mains supply and switch them
on, then, connect the central monitor to the mains supply and switch it on.
Before turning off the machine, turn off the central unit monitoring system first, and then turn off the
external devices.

Note
 Notes are intended to emphasize the important considerations and to provide a description or
explanation in order to use the product more effectively.
 After the mains supply connected, do not move the equipment randomly and do not plug or
unplug any interface card.
 All kinds of signal cables must be connected/ disconnected when the machine is turned off. The
intervals between boot and shutdown, or between shutdown and boot should not be less than 3
minutes, otherwise the central unit will be easily damaged.

2) Hard disk maintenance

Hard disk has large capacity and high speed. Data will not be lost after the shutdown and a lot of large
files can be accessed directly through the hard disk. Although the hard disk’s failure rate is very low, it is
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 Equipment service and maintenance

still possible to break down. So, pay attention to its maintenance. The structure of the hard disk’s drive is
rather complex, whose platters and read-and-write heads are sealed in a chamber, so non-professional
maintenance staffs must not disassemble and replace it by themselves. Users need to protect it and do not
let dust enter the chamber, or it will damage the disk’s surface so that the disk cannot work normally.

Warning
 Users cannot change or replace the central monitoring system’s software, hard disks and other
configurations.
 This instrument can only be used as a central monitoring system. Other usages without
authorization are strictly prohibited (such as surfing the Internet, handling official business,
installing additional software, etc.).

Note
 Backup the important data.

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 Appendix IAppendix

(1) Central monitoring system’s standard checklist:

Standard
No. Name Remarks
number
1 STAR8800 central unit software CD 1
2 Dongle 1
(2) Central monitoring system’s optional (single screen) checklist:
Standard
No. Name Remarks
number
1 PC 1
2 Monitor 1
3 Driver CD 1
4 Keyboard/ mouse 1
5 Power cable 1
6 Display’s power cable 1
7 Display’s data cable 1
8 Active speaker 1 pair
9 External printer 1
Network engineering accessories depend on the actual layout:
1 Exchanger plus power adapter Several
2 Wireless AP plus power adapter Several
3 Crossover network cable Several
(3) Central monitoring system optional (dual screens) list (added on the basis of the original single-screen
boxing list’s optional accessories):
Standard
No. Name Remarks
number
1 DVI to VGA adapter 1
2 Monitor 1
3 Display’s power cable 1
4 Display’s data cable 1
(4) Central monitoring system optional (quad-screens) list (added on the basis of the original dual-screen
boxing list’s optional accessories)
Standard
No. Name Remarks
number
1 Frequency divider plus power adapter 2
2 Monitor 2
3 Display’s power cable 2

I-1
 Appendix

4 Display’s data cable 2

5 VGA cable 2
Note:
Wired network accessories and wireless network accessories are opted according to the customers’
requirements.
The network cables are configured according to the customers’ requirements, such as: If the system
has one central unit and eight sub-monitor, nine cables are necessary to be configured.

Note
 Specific content shall comply with the packing list. Please check carefully to see if all
accessories are in the box, and contact the sales department of Comen Medical Equipment Co.,
Ltd. of Shenzhen City or your local sales representative promptly if there's anything missing.
 The central monitoring system can display information from 128 bedside monitors which needs
higher computer configuration. It's necessary to order a graphics card that can support 4
displays independently, a PC with better performances and a switchboard with higher speed
separately.

I-2
 Appendix II Common Failures Analysis and
Solutions

(I) System failure analysis and solutions

Failure
No. Category Cause analysis Solution
phenomenon
1. After re-plugging the power cable, if
the display’s power light is off, replace
When the 1. The display's power
the power cable after making sure the
machine cable is not
power cable is not in good condition;
started, connected well;
2. If the problem is not resolved after
nothing is 2. Signal cable
re-plugging signal cable , the display’s
1 displayed in between the PC and
outlet or signal cable may have been
the display, display is not
broken;
while the PC connected well;
3. If the failure is not resolved, the
starts 3. The display has a
problem may be confirmed to be the
normally. problems;
display’s failure. So, failure will be
resolved by replacing the display.
1. If the PC gives a
1. Remove the graphics card, use the
long and two short
eraser to clean "Gold finger", and
beeps, it is the
Computer reinsert it. If it still makes a long and
graphics card’s
black two short beeps, replace the graphics
The display problem;
screen card;
displays 2. If the PC gives long
2. Remove the memory bank, use the
2 nothing and beeps, it is the
eraser to clean "Gold finger" and
the PC cannot memory’s problem;
reinsert it. If it still makes long beeps,
be started 3. If the PC buzzer
replace the memory bank;
give no sound, it is
3. After re-plugging CPU, if the problem
the CPU’s or the
remains, replace the motherboard after
motherboard’s
confirming that CPU is intact.
problem;
After operated
1. Screen saver
for a period of 1. Open the "Display attribute" window
program has been
time, if screen and set the "Screen saver program" as
set;
3 goes black, no to close the screen saver;
2. "Power
move the 2. Set all options in "Power management
Management" is not
mouse to plan" as "Never".
set correctly;
resume
Display 1. Set the display color as “highest 32 bit";
1. Color setting;
Display displays color, 2. Set the screen resolution as "1280 ×
4 2. Resolution setting;
unclear size, font and 1024 pixels";
3. Font setting;
other issues 3. Set the appearance plan program as
 Appendix

"Windows standard."
1. The display’s 1. Adjust the display’s refresh rate at
There is a
refresh rate is too 70Hz;
slight flicker
5 low 2. If the problem is not resolved, it must
in the display
2. Display’s hardware be hardware failure. Please replace the
interface
failure display.
Central 1. Set the screen resolution as "1280 ×
1. Resolution setting;
6 system is 1024 pixels";
2. Taskbar setting;
incomplete 2. Set Taskbar attribute as "Auto hide."
1. Use antivirus software to check / kill
It takes a long 1. It is affected by viruses (which happens, usually
Start-up
time to enter virus; because the users installed the software
7 time is
the "Welcome 2. The hard disk has beyond the central system);
too long
screen". broken sectors; 2. After confirming that the hard disk has
broken sectors, replace the hard disk.
1. It is affected by
After running virus; 1. Please reference solution 1 in number
for some time, 2. The hard disk has 7;
the system broken sectors; 2. Please reference solution 2 in number
8
slows down 3. Driver has 7;
until it problems; 3. Re-install the driver;
crashes 4. Disk’s room is 4. Clear up the disk to make room.
insufficient ;
Crash (such 1. Replace the mouse or keyboard;
1. Mouse or keyboard
as printer) 2. Re-install the printer driver. If the
Computer has problem
caused by the problem is still not solved, replace the
9 crash 2. The printer has
use of printer;
problem;
external 3. The aged power supply has to be
3. Power supply ages;
equipment. replaced.

It crashes 1. Please reference solution 1 in number

1. It is affected by
suddenly or 7;
virus;
restarts 2. If the CPU fan does not works, replace
10 2. CPU is overheating;
Windows it;
3. The graphics card’s
after running 3. If the graphics card's fan does not turn,
chip is overheating;
for some time. replace it.

There has no
waveform
1. Waveform setting Exit the central system, re-run the
displayed, but
11 off; configuration program and select the
Central has
2. Setting error; default setting.
system parameters
displays displayed.
nothing 1. Replace the network cable;
No waveform 1. Bedside monitor
2. Confirm the bedside monitor's network
12 or parameter cannot be
setting (refer to the User Manual);
displayed networked;
3. If the above are ineffective, it must be

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 Appendix

the bedside monitor’s problems.

(II) System prompt:

NO. PROMPT REASON PROCESSING SCHEME

1 The bedside monitor is shut down

Patients are not connected or gets offline while the patients are Recheck bedside monitor
with network. under monitoring or not released networking condition.
yet.

2 Please receive the patients as Network connection has been Operate on the bedside
the network has been successfully connected, waiting to monitor or the central unit
successful connected. receive patients. to receive patients.

3 Depending on the actual

conditions, if the bedside
monitor runs offline,
Empty bed, no network Bedside monitor is not connected processing is unnecessary,
connection with the central computer network. or otherwise the bedside
monitor will be turned on
and arranged to receive the
patient.

(III) System alarm information:

ALARM PROCESSING
NO. PROMPT REASON
LEVEL SCHEME

The network connection is Central machine is not Connect it with bedside

1 interrupted High connected with any bedside monitor and check the
monitor. network connection.

Recorder failure High Check the recorder, or

2 Recorder malfunctions
restart the recorder

3 No logger installed High No logger installed Reinstall the recorder

4 Printer failure High Printer malfunctions Restart the printer

5 No printer installed High No printer installed Reinstall the printer

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