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8-1
8 Alarm Control
8.1 Alarm Structure
Alarms, triggered by a vital sign that appears abnormal or by technical problems of the
monitor, are sent to the CMS by the monitors and then indicated to the users by the CMS.
Most of the alarms originally come from the monitors. The alarms coming from the CMS
itself are displayed in the patient window’s technical alarm area or system alarm area on the
upper screen. Please refer to Appendix B Central Monitoring System Alarms for the alarm
messages.
By nature, the alarms are classified into two categories:
Physiological alarms, and
Technical alarms.
By severity, the alarms are classified into:
High priority alarms,
Medium priority alarms, and
Low priority alarms
NOTE
z For details on alarms, refer to the monitor’s operation manual.
8.2 Alarm Mode
The CMS gives audible and visual alarms in compliance with international standards.
WARNING
z The audible and visual alarms given by the CMS comply with the 60601-1-8
standard. The hospital or institution employing the use of the CMS should give
adequate training to the operators.
- Operator’s Manual 1
- WARNING 3
- Warranty 6
- Exemptions 7
- Company Contact 8
- Preface 9
- Contents 11
- 1 Safety 17
- 1.1.1 Dangers 18
- 1.1.2 Warnings 18
- 1.1.3 Cautions 19
- CAUTION 19
- 1.1.4 Notes 20
- 1.2 Equipment Symbols 21
- 2 The Basics 23
- 2.3 Contraindications 24
- 2.4 Functions 24
- 2.5 Components 26
- 2.6 Networking Mode 27
- 2.7 Controls 28
- 2.7.2 Keyboard 29
- 2.7.3 Controls 29
- Radio Buttons 30
- Command Buttons 30
- Check Boxes 30
- List Box 31
- Drop-down List Box 31
- Tab sheet 31
- Installation and Maintenance 33
- 3.2 Installation 34
- 3.2.2 Power Requirements 35
- 3.2.3 Installation 35
- Receiver 36
- 3.3 Starting the System 37
- 3.4 Shutting down the System 38
- 3.5 Maintenance 39
- 3.5.2 General Cleaning 40
- 4 Display 43
- System Information Area 44
- Patient Window Area 44
- 4.3 Dual-Screen Mode 47
- 4.4 Multi-Screen Mode 49
- 4.5 Display Format 49
- 5 Patient Management 51
- 5.1.3 Auto Waveform Storage 54
- 5.4.1 Modify Procedure 56
- 5.5 Discharging a Patient 57
- 5.7 Changing to Idle Sector 58
- 5.8 Transferring a Patient 59
- 6 Multibed Screen 61
- 6.2 Patient Window 62
- 6.2.2 Spot Patient Windows 63
- 6.2.3.1 Bed Mark 64
- 6.2.3.3 Alarm Icons 66
- 6.2.3.6 Waveform Area 67
- 6.2.3.7 Parameter Area 68
- 6.2.3.8 Telemetry Icons 68
- 6.3 Display Setup 69
- 6.3.2 Multibed Numeric Setup 70
- 7 Viewbed 71
- 7.2 ViewBed Screen 72
- 7.2.1 Button Area 73
- 7.2.2 Waveform Area 73
- 7.3 Parameter Setup 74
- 7.4 Basic Operations 75
- 7.4.6 STANDBY 76
- 7.4.8 NIBP Measurement 76
- 7.4.12 Parameter Order 78
- 7.4.13 Record 78
- 7.4.14 Print 79
- 7.4.16 Show/Hide OxyCRG 81
- 7.4.17 Show/Hide NIBP Groups 81
- 7.4.20 Display ST Segments 83
- 8 Alarm Control 85
- 8.2.1 Audible Alarms 86
- 8.3 Alarm Volume 87
- 8.4 Alarm Setup 88
- 8.4.2 Alarm Setup Tab Sheet 89
- 8.5 Pausing Alarms 90
- 8.6 Silencing Alarms 90
- 8.8 Silencing the Monitors 92
- 8.9 Latching Alarms 92
- 8.10 CMS System Silence 93
- 8.11 CMS Audio Alarm Off 94
- 9 Review 95
- 9.1.2 Trend Review 96
- Selecting Trend Group 97
- 9.1.3 Waveform Review 98
- Normal Waveform Operation 103
- 9.1.4 C.O. Review 105
- 9.1.5 Event Review 106
- 9.1.5.2 Operation 107
- Sequencing the Event List 107
- Making Selection 108
- Locking and Unlocking Event 108
- Deleting Event 108
- 9.1.6 ST Review 109
- 9.2 Discharged Patients 111
- 9.2.1 All Patients 112
- Deleting Discharged Patient 113
- Refreshing Data 113
- FOR YOUR NOTES 114
- 10 Calculation 115
- Calculate 116
- Procedure 116
- WARNING 117
- 10.3 Oxygenation Calculation 119
- 10.4 Ventilation Calculation 121
- 10.5 Renal Calculation 122
- 11 Record, Print and Save as 125
- Installing Procedure 127
- 11.1.2 Recorder Operations 128
- Recording Normal Waveforms 129
- Recording Events 129
- 11.1.3 Recording Control 131
- 11.2 Print 132
- 11.2.3 Printing Operations 133
- Printing Renal Calculations 134
- Printing Graphic or Tabular 134
- Printing Normal Waveforms 135
- Printing ECG Report 135
- Printing Event Table 136
- Printing an Event 136
- Printing C.O. Measurements 136
- Printing ST Segment Waveform 136
- Printing in Real-time 137
- Printing 12-lead ECG 137
- Printing Multi-lead ECG 137
- Printing EEG Waveforms 137
- 11.2.4 Printing Control 139
- 11.3 Save as 140
- Graphic Trends 141
- Tabular Trends 141
- Normal Waveform Review 141
- Compressed Waveform Review 141
- C.O. Review 142
- Alarm Table Review 142
- Event Review 142
- Drug Calculation 142
- Hemodynamics Calculation 143
- Oxygenation Calculation 143
- Ventilation Calculation 143
- Renal Calculation 143
- DSA Graph 143
- 12 System Setup 145
- 12.2 Admin Setup 147
- 12.2.2 Display Setup 148
- Multibed Display 149
- Name Displaying Hotkey 149
- Multibed View Window Layout 149
- Auxiliary Window Setup 149
- 12.2.3 Alarm 150
- 12.2.4 Trend Group 151
- 12.2.5 Monitor List 152
- 12.2.6 Log 153
- 12.2.7 Telemetry 154
- Frequency Setup 155
- Discharge a patient 155
- Settings of Lethal Arrh. OFF 155
- 12.2.8 Other 156
- Change Hospital Name 158
- Auto Shrink Database 158
- Remote Control Settings 161
- 13 Remote CMS 163
- 13.2.1 Beds List 164
- 13.2.3 Technical Alarm Area 164
- 13.3 Remote CMS Review 165
- 13.4.1 IP Address Setup 166
- 13.4.3 Authorization 167
- Database Backup and Recovery 169
- 14.2 Backup Database 170
- 14.3 Recover Database 171
- 14.4 Rebuild Database 172
- 14.5 Shrink Database 172
- 15 System Help 173
- A Technical Specifications 175
- A.2 Recorder 176
- A.3 Wire Network 176
- A.4 Wireless Network 176
- A.5 Review 176
- A.6 Calculation 177
- A.7 Save as 177
- A.8 Print 177
- A.9 Record 177
- C Units, Symbols and Terms 181
- C.2 Symbols 182
- C.3 Abbreviations 182
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