Page 1 Operating Instructions Passport ® 0070-01-0704-02_PPV ops color.indd 1 2/17/11 4:23 PM...
Page 2 Operating Instructions Passport ® 0070-02-0704-02_PPV ops b_w.indd 1 2/17/11 4:32 PM...
Page 3 Velcro is a trademark or registered trademark of Velcro Industries B.V. Copyright © Mindray DS USA, Inc., 2009-2015. All rights reserved. Contents of this publication may not be reproduced in any form without permission of Mindray DS USA, Inc. 0070-00-0704-02...
Page 4: Table Of Contents
ST Menu ..............................4 - 10 ECG Sizes Menu .............................4 - 12 ECG Setup Menu ...........................4 - 12 Preparation and Lead Placement........................4 - 15 Skin Preparation............................4 - 15 Electrode Patch Location ...........................4 - 15 Lead Placement .............................4 - 16 Passport V Operating Instructions 0070- 0-0704-02...
Page 5 Respiration and CO Troubleshooting .......................5 - 5 Monitoring....................... 6 - 1 Description ..............................6 - 1 Screens ..............................6 - 2 Numeric Tile: SpO ..........................6 - 2 Waveform: SpO ............................6 - 2 Menu ..............................6 - 3 0070- 0-0704-02 Passport V Operating Instructions...
Page 6 Recommendations for Automatic Blood Pressure Measurements ..............7 - 11 Cuff Size ..............................7 - 11 Other Factors ............................7 - 11 User Verification of Passport V Blood Pressure Measurements ..............7 - 11 Newborn NIBP Technique ........................7 - 11 NIBP List Tile ............................7 - 12 Adaptive Inflation Pressure ........................7 - 12...
Page 7 RESP Alert Message ..........................14 - 4 TEMP Alert Message ..........................14 - 5 Alert Message..........................14 - 5 NIBP Alert Message ..........................14 - 5 IBP Alert Message..........................14 - 6 Alert Message ..........................14 - 6 GAS Alert Message ..........................14 - 6 0070- 0-0704-02 Passport V Operating Instructions...
Page 8 Remote/Local Printer Troubleshooting.......................16 - 4 User Maintenance ......................17 - 1 Description..............................17 - 1 Care and Disinfection of the Passport V Monitor....................17 - 2 Care and Cleaning of SpO Sensors.......................17 - 3 Care and Cleaning of Reusable Temperature Probes ..................17 - 3 Care and Cleaning of Reusable Cuffs......................17 - 4...
Page 9 Safety Performance Index ........................19 - 31 Electromagnetic Capability ..........................19 - 34 EMC Safety ............................19 - 34 Passport V............................19 - 35 Radio Regulatory Compliance........................19 - 39 Gas Module 3 ............................19 - 41 Warranty Statements ............................ 19 - 45 Customer Service ............................
Page 10: Foreword
NOTE: Do not operate this monitor before reading these instructions. Information for servicing this instrument is contained in the Passport V Service Manual, part number 0070-00-0705. For additional information or assistance, please contact an authorized service representative in your area.
Page 11: Warnings
Introduction Warnings Warnings WARNING: Use of the Passport V is restricted to one patient at a time. WARNING: This device is not intended for direct cardiac application. WARNING: Internal Electrical Shock Hazard - This unit does not contain any user-serviceable parts. Do not remove instrument covers. Refer Servicing to qualified personnel.
Page 12 Warnings Introduction WARNING: To ensure that alarms can sound if the Gas Module/Passport V loses power, at least one charged battery must be installed in the Passport V at all times. WARNING: Do not put MPSO (Multiple Portable Socket Outlets, i.e. Multiple outlet extension cords) used with the Passport V or its accessories on the floor.
Page 13 Introduction Warnings WARNING: Due to physiologic differences in the patient population, the Passport V may occasionally not alarm or may sound a false alarm for some arrhythmia patterns. The arrhythmia analysis feature is intended to detect ventricular rhythms only. High-risk patients should be kept under close surveillance.
Page 14 Warnings Introduction WARNING: Use of the Passport V in the vicinity of explosive anesthetics and in the presence of electromagnetic interference or power overloads caused by electrosurgical or diathermy instruments could create a potential hazard or could damage the monitor.
Page 15: Precautions
Always place the monitor on a rigid, flat surface or on approved mounts. Do not block ventilation or speaker vents. CAUTION: Do not carry the Passport V using the integrated grip handle if the unit is mounted to another item (e.g., a rolling stand or Gas Module 3).
Page 16 Carefully read the sensor directions for use, the Passport V Operating Instructions, and all precautionary information before use.
Page 17 CAUTION: Vacuum (negative pressure) should not exceed 1 mmHg at the Passport V Pump Exhaust fitting. Excessive scavenge vacuum may result in an Occlusion message or damage to the Passport V’s internal pump. The scavenging system must be on during calibration.
Page 18 The Gas Module exhaust output should be connected to a medical gas-scavenging system. CAUTION: The Passport V monitor is not compatible with 700 Series temperature probes. CAUTION: Do not unplug the storage device from any of the SB ports on the Passport V while transferring data, as indicated on the menu or prompt areas of the monitor.
Page 19: Notes
IntroductionAvoid simultaneous contact with the patient and the SP1 and SP2 ports on the Passport V to avoid excessive leakage current. CAUTION: Devices connected to the Passport V must meet the requirements of the applicable IEC standards (e.g., IEC 60950 safety standards for information technology equipment and IEC 60601-1 safety standards for medical electrical equipment).
Page 20: Intended Use
Introduction Intended Use The Passport V monitor is intended for intra hospital use under the direct supervision of a licensed healthcare practitioner. The indications for use for the Passport V monitor include the monitoring of the following human physiological parameters: •...
Page 21: Symbols And Descriptions
No Battery Present Chart Local Printer Output Battery Charging Video Output NIBP Connection Manufacturer Separate treatment from general waste at Interference may occur in the vicinity of end of life equipment marked with this symbol xviii 0070- 0-0704-02 Passport V Operating Instructions...
Page 22 IEC 60601-2-25, IEC 60601-2-27, IEC 60601-2-30, IEC 60601-2-34, IEC 60601-2-49. The wireless status icon indicates that the CS1 Port Connection 2.4 GHz radio is activated. SB Storage Device Connection Wireless Enabled and not communicating Passport V Operating Instructions 0070- 0-0704-02...
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Page 24: General Product Description
General Product Description FIGURE 1-1 The Passport V Patient Monitor Passport V Operating Instructions 0070- 0-0704-02 1 - 1...
Page 25: General Product Description
The Passport V is a vital signs monitor intended for intrahospital use on human patients. The Passport V is a three (3) to eight (8) trace monitor. The unit has many features and functions, yet is easy to use through an integrated keypad, Navigator Knob and an intuitive menu system.
Page 26: Key Features
Defibrillator sync, Ethernet network Calculation IV drug calculations Other Soft Grip Handle Mounting kits Navigator Knob Patient and monitor data transfer Dedicated keys Multi-language English, French, German, Italian, supported Spanish, Brazilian-Portuguese, interface Russian,Dutch Passport V Operating Instructions 0070- 0-0704-02 1 - 3...
Page 27: Keys And Front Panel
Press this key to stop any NIBP measurement. If the interval mode is activated, pressing this key disables the interval mode measurements. An NIBP: Idle message displays until the interval mode is restarted. 1 - 4 0070- 0-0704-02 Passport V Operating Instructions...
Page 28 Press this key again to abort printing. The first three ECG waveforms displayed on the screen are printed continuously in real-time. If only one or two ECG waveforms are displayed on the screen, they will be printed. Passport V Operating Instructions 0070- 0-0704-02 1 - 5...
Page 29 14. Standby Press this key to place the Passport V into a STANDBY mode. While in STANDBY mode, monitoring is discontinued and the alarms are in permanent suspension, interval NIBP measurements are placed in idle mode, CO pump is shut off, and the display shuts down.
Page 30 AC to battery power. 21. AC Power LED A green LED located above the AC present icon is used to indicate that the unit is connected to the AC power. Passport V Operating Instructions 0070- 0-0704-02 1 - 7...
Page 31: Display
The Passport V includes a display setup function that allows customization of the display. Preferred setup details can be programmed and saved. The operator of the Passport V should be positioned in front of the monitor at a comfortable distance to view all displayed waveforms and text.
Page 32 Display 2. Main Menus The Main Menus of the Passport V are always displayed in the upper area of the screen and are accessed using the Navigator Knob. The Main Menu headings are Patient, Monitor Setup, Print Setup, Parameters, and Functions. These menus enable the user to enter patient specific data, customize the monitor, setup printing or transfer patient data.
Page 33 This area displays an Alarm Off icon if any alarm for a monitored parameter has been set to Off. This area will display an Alarm Silence icon if an alarm has been silenced. 1 - 10 0070- 0-0704-02 Passport V Operating Instructions...
Page 34: Physical Views
Displays all waveforms and numeric data. 4. Alarm Light Indicates that an alarm has been activated.Alarm Light (not shown). The WARNING (or Priority 1) LED is red. The CAUTION (or Priority 2) LED is yellow. Passport V Operating Instructions 0070- 0-0704-02 1 - 11...
Page 35: Rear View
• RD1: Allows duplicate display of the main display on an SVGA-compatible monitor. • CS1: Allows connectivity via an RJ45-based network. • SP1, SP2: Allows connectivity to Gas Module 3 and DIAP. 1 - 12 0070- 0-0704-02 Passport V Operating Instructions...
Page 36: Left Side Panel
4. ECG/EKG Connector 5. SpO Connector (Masimo or Nellcor shown in figure) 6. NIBP Rectus Connector 7. Battery Compartment 8. CO Input (Optional DPM CO shown in figure) 9. CO Exhaust Connector Passport V Operating Instructions 0070- 0-0704-02 1 - 13...
Page 37: Right Side Panel
Press the top of the switch once to turn the unit ON. Press the top of the switch again to turn the unit OFF. 2. Local Printer (optional) A thermal strip chart local printer with integral paper spool. 1 - 14 0070- 0-0704-02 Passport V Operating Instructions...
Page 38: Top View
1. Soft Grip Module Handle This integrated grip handle is used for carrying the Passport V. WARNING: Do not carry the Passport V using the integrated grip handle if the unit is mounted to another item (e.g., a rolling stand or Gas Module 3).
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Page 40: System Configuration
Installation Menu The Installation Menu allows the user to change and save default configuration settings for the Passport V, such as date format, time format, and temperature units. All the hard keys are disabled (except the Navigator Knob) in Installation Mode.
Page 41 4. Set each item as necessary using the Navigator Knob. 5. To save all of the chosen settings, choose “Save Current” before leaving this menu. 6. To return to normal operating mode, cycle power to the Passport V monitor. The following table describes the Installation Menu structure:...
Page 42 Restore factory Select to restore factory defaults defaults Advanced Installation Select to access Advanced Setup Installation Setup Menu. Change Password Select to change password. Options Select to add/view options. Passport V Operating Instructions 0070- 0-0704-02 2 - 3...
Page 43: Advanced Installation Setup Menu (Network)
6. To save all of the chosen settings, select Previous Menu Save Current. 7. To return to normal operating mode, cycle power to the Passport V monitor. The following table describes the Advanced Installation Setup Menu structure: 2 - 4...
Page 44 Select Printer Select to change the target printer already found. Paper Size Select to change the printer paper size. Device ID Set at the factory. Not user- selectable. Passport V Operating Instructions 0070- 0-0704-02 2 - 5...
Page 45: Monitor Setup Menu
FIGURE 2-3 Monitor Setup Menu To access the Monitor Setup Menu: 1. Power up the Passport V. The normal screen is displayed. 2. Rotate the Navigator Knob to Monitor Setup. Press the knob to select it. 3. Configure the settings as desired.
Page 46: Advanced Setup
Select the Advanced Setup to configure date, time and other settings. FIGURE 2-4 Advanced Setup To access the Advanced Setup: 1. Power up the Passport V. The normal screen is displayed. 〉 2. Rotate the Navigator Knob to Monitor Setup Advanced Setup.
Page 47: How To Set The Clock/Date And Time
2.4.2 Transferring Monitor Default Settings When installing several Passport V monitors with identical display and alarm settings it is not necessary to set each unit separately. A DPM storage device may be used to copy the settings from monitor to monitor.
Page 48: Configuration Management
• If the monitor is restarted after 60 but before 120 seconds, the settings restored may be either the latest user-settings or the user-saved settings. • If the monitor is restarted after 120 seconds, the user-saved configurations will be restored. Passport V Operating Instructions 0070- 0-0704-02 2 - 9...
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Page 50: Patient Management
Patient Management Description The Passport V comes with default factory settings which enable you to begin monitoring without setting any of the waveforms, parameters, alarms, or functions. However, all of these settings can be changed for specific patient or departmental needs.
Page 51: Setting-Up Patients
2. Connect the patient to the monitor, apply appropriate accessories such as ECG electrodes, blood pressure cuff, etc. 3. Enter patient information into the Passport V via the Patient Menu, check patient size. 4. If desired, press the START key to initiate a non-invasive blood pressure measurement.
Page 52 NOTE: Since Remote View requires selecting a “Bed #”, a unique number for each bed should be used. The following standard format for this demographic is recommended: Passport V Operating Instructions 0070- 0-0704-02 3 - 3...
Page 53: Discharging A Patient
On the normal screen: 〉 Select Patient Discharge Discharging a patient from the Passport V clears the following: • Patient information (except Patient Size and Bed No.) • Physiological alarms and technical alarms • Prompt messages irrelevent with the patient management •...
Page 54: Data Transfer
3.4.1 Transferring User Configuration Patient configuration and data can be transferred to and from the Passport V via a DPM storage device inserted into the SB1 or SB2 port, located in the back of the unit. The maximum time of data download or upload is about 1 min.
Page 55: Remote View
The “Enable Network” option in Installation Menu Advanced Installation Setup Menu must be set to “Wired” or “Wireless” for Remote View capability to be available. Only Passport V monitors on an approved hardwired or wireless network can be viewed remotely. NOTE:...
Page 56 2. Select Beds — this selection opens the Select Beds menu from which beds may be selected to be included in the care group. All networked beds will be in que but only 8 can be selected. Passport V Operating Instructions 0070- 0-0704-02 3 - 7...
Page 57 Select to choose duration of Remote Silence All. All For 1 min 2 min (default) 3 min* 5 min* 10 min* These selections will not be available if the language chosen in the Installation Menu is French. 3 - 8 0070- 0-0704-02 Passport V Operating Instructions...
Page 58 Print Setup menu of the remote monitor. NOTE: When a Remote Print is requested, there is no indication that the printout was completed as requested. The user should verify the successful print at the printer. Passport V Operating Instructions 0070- 0-0704-02 3 - 9...
Page 59 • If Apnea is detected, the message “Apnea” is displayed. • If CVA is detected, the message “CVA” is displayed. • Remote View displays Technological Alarm messages and Physiological Alarm messages. 3 - 10 0070- 0-0704-02 Passport V Operating Instructions...
Page 60: Monitor/Display Troubleshooting
Done when finished. Incorrect Date or Time Data not entered or entered Follow instructions from “How incorrectly. to Set the Clock / Date and Time”. Passport V Operating Instructions 0070- 0-0704-02 3 - 11...
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Page 62: Ecg Monitoring
ECG with excellent base line stability, recovery from defibrillation and minimum artifact from patient movement. With the Passport V, ECG can be obtained by using a 3- or 5-lead ECG cable in conjunction with a 3- or 5-lead set and skin electrodes. For best performance and safety, inspect the ECG cables and electrodes daily.
Page 63: Ecg Screens
FIGURE 4-1 ECG numeric tile without ST displayed ECG Label HR Measured Value HR Unit High Alarm Limit ST Unit Low Alarm Limit HR Source PVCs Measured Value ST Values FIGURE 4-2 ECG numeric tile with ST displayed 4 - 2 0070- 0-0704-02 Passport V Operating Instructions...
Page 64: Waveform: Ecg
Other ECG prompt messages are displayed in the middle top of ECG1 waveform area. FIGURE 4-3 ECG waveform, 3-lead normal monitoring (cascade is turned on) FIGURE 4-4 ECG waveform, 5-lead normal monitoring (2 channel) Passport V Operating Instructions 0070- 0-0704-02 4 - 3...
Page 65 ECG Screens ECG Monitoring FIGURE 4-5 ECG waveform, 1mV scale overrange 4 - 4 0070- 0-0704-02 Passport V Operating Instructions...
Page 66: Front Panel: Ecg Keys
Press this key repeatedly to toggle between multi-lead view, large numeric display, and normal screen. When returning to Normal Screen from All ECG View, the order of the ECG waveforms is displayed as configured in the ECG Menu. Passport V Operating Instructions 0070- 0-0704-02 4 - 5...
Page 67: Menus: Ecg Main And Submenus
Press the Normal Screen key to return to the normal screen. 2. On the normal screen: 〉 Select Parameters Select the ECG tile. 3. To exit, press the Normal Screen key on the front panel. 4 - 6 0070- 0-0704-02 Passport V Operating Instructions...
Page 68 • ECG lead wires are reconnected to the patient. • Analysis lead is changed. • Patient size is changed. • Arrhythmia analysis is turned on. • Module is turned on. • Exiting Standby mode. Passport V Operating Instructions 0070- 0-0704-02 4 - 7...
Page 69: Arrhythmia Menu (Optional)
Select to open the Respiration Menu. See section 4.4.5 (pg. 4-12) "ECG Setup Menu". 4.4.2 Arrhythmia Menu (optional) FIGURE 4-7 Arrhythmia Menu NOTE: The Arrhythmia Menu is disabled if Patient Size = Neonate. 4 - 8 0070- 0-0704-02 Passport V Operating Instructions...
Page 70 • Exiting Standby mode. PVC/min 1 to 30 Select to change the High PVC/min alarm rate limit. default = 10 The PVC/min parameter is displayed when PVC/min arrhythmia alarm is set to On. Passport V Operating Instructions 0070- 0-0704-02 4 - 9...
Page 71: St Menu
= 3 in a continuous sequence before V-Tach is detected and labeled. 4.4.3 ST Menu FIGURE 4-8 ST Menu NOTE: The ST Menu is disabled if Patient Size = Neonate. 4 - 10 0070- 0-0704-02 Passport V Operating Instructions...
Page 72 • Patient size is changed. • Arrhythmia analysis is turned on. • Module is turned on. • Exiting Standby mode. -200 to -4 msec Select to adjust isoelectric point. Adjustable in 8 msec increments. Passport V Operating Instructions 0070- 0-0704-02 4 - 11...
Page 73: Ecg Sizes Menu
ECG Sizes Menu 〉 Select the ECG tile ECG Sizes Menu. 3. To exit, press the Normal Screen key on the front panel. 4.4.5 ECG Setup Menu FIGURE 4-10 ECG Setup Menu 4 - 12 0070- 0-0704-02 Passport V Operating Instructions...
Page 74 Select to turn pacer enhancement on or off. Enhancement Off (default) On: If there is pacing pulse, a short, straight vertical line is used on all ECG waveforms to mark pacing pulse. Off: Pacing pulse is not rejected Passport V Operating Instructions 0070- 0-0704-02 4 - 13...
Page 75 WARNING: Ensure that the conductive parts of ECG electrodes do not contact other conductive parts, including earth ground. CAUTION: To avoid possible damage to the Passport V, and to provide protection against the effect of the discharge of a cardiac defibrillator and against burns, use only approved ECG cables and approved accessories listed in the Accessories chapter.
Page 76: Preparation And Lead Placement
If the gel medium is not moist, do not use the electrode patch. Dry electrode patches are not conductive. NOTE: If using the snap type electrode wires, attach the electrode patch to the lead wire before placing patch on the patient. Passport V Operating Instructions 0070- 0-0704-02 4 - 15...
Page 77: Lead Placement
This manual presents lead placement according to the guidelines of the American Heart Association (AHA) and the International Electro-Technical Commission (IEC). LEAD NAMING STANDARDS LEAD POSITION CHEST LEFT LEG RIGHT LEG LEFT ARM RIGHT ARM 4 - 16 0070- 0-0704-02 Passport V Operating Instructions...
Page 78: Lead Placement: Standard 3-Wire Lead Sets
ECG Monitoring Preparation and Lead Placement The Passport V provides two lead naming standards in the Installation Menu: IEC and AHA. To set the lead naming standard on the Passport V: 1. Press and hold the Discharge key on the front panel.
Page 79: Lead Placement: Standard 5-Wire Lead Sets
• Place the C (white) electrode in one of the V-lead positions (V1 – V6) depicted the C-lead (C1 – C6) positions depicted in the following section. in the following section. 4 - 18 0070- 0-0704-02 Passport V Operating Instructions...
Page 80: Lead Placement: Lead Ii Monitoring
Select ECG Lead II on the monitor. Lead II is the direct electrical line between the RA the direct electrical line between the R (red) (white) electrode and the LL (red) electrode. electrode and the F (green) electrode. Passport V Operating Instructions 0070- 0-0704-02 4 - 19...
Page 81: Lead Placement: Modified Chest Lead (Mcl) Monitoring
Lead II is the direct electrical line between Lead II is the direct electrical line between the RA (white) electrode and the LL (red) the L (red) electrode and the F (green) electrode. electrode. 4 - 20 0070- 0-0704-02 Passport V Operating Instructions...
Page 82: Lead Placement: Neonates
• Place the LL (red) electrode on the • Place the F (green) electrode on the patient’s lower left abdomen within the patient’s lower left abdomen within the rib cage frame. rib cage frame. Passport V Operating Instructions 0070- 0-0704-02 4 - 21...
Page 83: Lead Placement: Pacemaker Patients
See the Appendix section of this manual for disclosure of the pacemaker pulse rejection capability of this instrument. CAUTION: Some pacemakers may contain a respiratory sensor that may produce artifact on an ECG waveform. 4 - 22 0070- 0-0704-02 Passport V Operating Instructions...
Page 84: Arrhythmia Algorithm
Arrhythmia Algorithm Arrhythmia Algorithm The Passport V uses an arrhythmia algorithm to monitor ECG waveform data. The algorithm creates ECG waveform templates based on a patient’s normal ECG data and uses them to analyze newly received data. The algorithm verifies that data is free from noise and artifact, and that it does not deviate from the patient’s normal ECG rhythms.
Page 85: Filtering Pacer Signals
R wave positive and negative amplitudes. This process uses multiple leads when available. • A scoring algorithm is then applied to those measurements to determine whether or not a beat is ectopic. 4 - 24 0070- 0-0704-02 Passport V Operating Instructions...
Page 86: Arrhythmia Alarms (Optional)
The V-FIB alarm is a Priority 1 alarm event that produces: • Alarm Priority 1 visual and audio alarm indicators. • A V-FIB text message above the ECG1 waveform area. Passport V Operating Instructions 0070- 0-0704-02 4 - 25...
Page 87: Ventricular Tachycardia (V-Tach) Alarm
The Couplet alarm is activated when two consecutive PVCs are detected between normal beats. The Couplet alarm is an alarm event that produces: • Alarm visual and audio alarm indicators. • A COUPLET text message above the ECG1 waveform area. 4 - 26 0070- 0-0704-02 Passport V Operating Instructions...
Page 88: Irregular Heart Rate Alarm
V-Tach Rate. The V-Rhythm alarm is an alarm event that produces: • Alarm visual and audio alarm indicators. • A VENTRICULAR RHYTHM text message above the ECG1 waveform area. Passport V Operating Instructions 0070- 0-0704-02 4 - 27...
Page 89: Arrhythmia Analysis (Optional)
High-risk patients should be kept under close surveillance. The Passport V is capable of identifying ventricular arrhythmia patterns in Adult and Pediatric size patients. Arrhythmia analysis may be enabled or disabled via the Arrhythmia Menu. By default, arrhythmia analysis is enabled if the option is installed.
Page 90: Arrhythmia Analysis Setup
"V-Tach PVC" threshold, which is judged as one V-Tach event. Brady Brady Low When HR is 10% less than the HR low alarm limit , it is judged as one Bradycardia event. Passport V Operating Instructions 0070- 0-0704-02 4 - 29...
Page 91: St Analysis (Optional)
ST data is updated approximately every 10 seconds. NOTE: The ST algorithm has been tested for accuracy of the ST segment data. The significance of the ST segment changes must be determined by a clinician. 4 - 30 0070- 0-0704-02 Passport V Operating Instructions...
Page 92: Numeric Tile: St
5-lead leadset, ST Analysis is performed on all seven leads. To display ST data in a separate tile, set a waveform to display any ECG wave (i.e., ECG2, ECG3, etc.), then set Combine ST/HR to OFF. FIGURE 4-29 ST Menu Passport V Operating Instructions 0070- 0-0704-02 4 - 31...
Page 93: Adjusting The Iso And J/St Point
ST Menu can also be accessed through the ECG Menu. 2. Ensure the ST Analysis selection in the ST Menu is On. The Passport V will learn the patient's QRS complexes (one for a 3-lead leadset or 3 for a 5-lead leadset). These learned complexes will appear in the ST Menu with the monitor-selected ISO and J/ST points displayed.
Page 94: Relearning St Or Arrhythmia Analysis
Relearning ST or Arrhythmia Analysis 4.10 Relearning ST or Arrhythmia Analysis Automatic Relearning The Passport V initiates the learning process for ST measurements or Arrhythmia analysis after one of the following: • Unit Power-Up • Return to normal monitoring from Standby mode •...
Page 95: Ecg Troubleshooting
Readjust as required - (Set via the SIZE key). Lead wires and patient cable Check for proper insertion. not fully or properly inserted. Cable or lead wires damaged. Check with lead continuity tester. 4 - 34 0070- 0-0704-02 Passport V Operating Instructions...
Page 96 Re-prep skin and apply fresh, moist electrodes. Static build up around patient. Check with local biomedical personnel. ECG Filter set to “ST” or Set ECG Filter to “Monitor” “Diagnostic” mode. mode. Passport V Operating Instructions 0070- 0-0704-02 4 - 35...
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Page 98: Respiration Monitoring
CO or via the external Gas Module. Section 5.3.1 discusses the monitoring of CO with thoracic impedance. Chapter 10.0 discusses the monitoring of CO with Sidestream and Microstream capnography. Passport V Operating Instructions 0070- 0-0704-02 5 - 1...
Page 99: Resp Screens
High Alarm Limit Low Alarm Limit FIGURE 5-1 Resp Numeric Tile 5.2.2 Waveform: Resp • The Resp waveform tile displays the following: Resp waveform • Waveform size FIGURE 5-2 Resp Waveform Tile 5 - 2 0070- 0-0704-02 Passport V Operating Instructions...
Page 100: Resp Menu
Select to turn respiration on or off. On: Opens the Resp Module to start respiratory measurement. Off: Closes the Resp Module to stop respiratory measurement. Displays "OFF" in Resp numeric tile. Passport V Operating Instructions 0070- 0-0704-02 5 - 3...
Page 101: Thoracic Impedance
5.3.1 Thoracic Impedance The Passport V monitor presents a small electrical signal across the RA and LA ECG limb leads. This signal changes as the patient’s chest wall rises and falls during the breath cycle. The advantage of the thoracic impedance method is that respiration is obtained non- invasively.
Page 102: Respiration And Co Troubleshooting
Clean and abrade skin before applying electrodes. “CVA” Message Can be caused by shallow Check the patient. breathing or an apnea event. Patient HR and respiratory Adjust scales or leads if rate identical. necessary. Passport V Operating Instructions 0070- 0-0704-02 5 - 5...
Page 103 (Electrode to lead, lead to Electrodes dry or loose. cable, cable to monitor). Cable or lead wires damaged. Re-prep skin and apply fresh, moist electrodes. Check with continuity tester 5 - 6 0070- 0-0704-02 Passport V Operating Instructions...
Page 104: Spo 2 Monitoring
Monitoring Description The Passport V supports the following SpO modules: • Masimo SpO Module • DPM SpO module • Nellcor SpO module measurement provides two parameters (SpO and PR) and one waveform (Pleth). Passport V Operating Instructions 0070- 0-0704-02 6 - 1...
Page 105: Spo Screens
FIGURE 6-2 SpO Pleth Waveform NOTE: Wave speed: The Passport V does not provide a separate Pleth speed setting. ECG speed setting is valid for both Pleth and ECG waveforms. After ECG waveform speed is changed, the Pleth shall be refreshed as the speed setting.
Page 106: Spo 2 Menu
Press the Normal Screen key to return to the normal screen. 2. On the normal screen: 〉 Select Parameters Select the SpO tile The Passport V displays different SpO menus according to the SpO module type. FIGURE 6-3 SpO Menu (Nellcor SpO Menu...
Page 107 (i) represents each SpO value that violates the alarm limit. (lim) represents the corresponding high or low alarm limit. t (i) is the time that SpO (i) lasts, and the unit is s. 6 - 4 0070- 0-0704-02 Passport V Operating Instructions...
Page 108: Spo Pulse Oximetry
Carefully read the sensor directions for use, the Passport V Operating Instructions, and all precautionary information before use. CAUTION: Inaccurate SpO2 measurements may be caused by: •...
Page 109: Masimo Set Spo
® 6.4.1 Masimo SET Passport V monitors equipped with Masimo SET SpO allow the user to adjust Sensitivity and SpO Average Time. The user should choose the sensitivity mode depending upon signal quality and patient motion. In most cases, the normal setting is appropriate.
Page 110: Nellcor Spo
NOTE: Only Nellcor oxygen transducers should be used with the ® Passport V monitors with Nellcor OxiMax pulse oximetry. Sat-Seconds Alarm Management With traditional alarm management, high and low alarm limits are set for monitoring oxygen saturation. During monitoring, as soon as an alarm limit is violated, an audible alarm immediately sounds.
Page 111 During such fluctuation, the monitor integrates the number of %SpO points, both positive and negative, until either the Sat-Seconds limit is reached, or the patient %SpO re-enters the non-alarm range and remains there. 6 - 8 0070- 0-0704-02 Passport V Operating Instructions...
Page 112: Dpm Spo
4. Align the key slot on the connector on the end of the SpO extension cable with the receptacle on the right side panel of the Passport V. Push the connector into the receptacle until a “click” is heard. The SpO measurement displays when the Passport V detects that the sensor is connected to the patient.
Page 113 5. Check sensor site frequently. If the sensor is too tight it may cause venous pulsation and therefore result in inaccurate measurement. Perform frequent site checks to verify skin integrity is not compromised. 6 - 10 0070- 0-0704-02 Passport V Operating Instructions...
Page 114 NOTE: If the supply mains has been interrupted during SpO monitoring, the Passport V will switch power to battery backup if at least one battery has been installed and charged. If power has been completely interrupted, SpO...
Page 115: Spo 2 Troubleshooting And Spo 2 Menu Performance Considerations
Data is below maximum value. Parameter is not available. Lead or sensor is off. Refer to Chapter 14.0 Messages for Physiological Alarm Messages, Technical Alarm Messages, and Prompt Messages. 6 - 12 0070- 0-0704-02 Passport V Operating Instructions...
Page 116: Nibp Monitoring
NIBP Description Intended patient types: adult, pediatric, neonatal. The Passport V calculates NIBP values using the oscillometric method of noninvasive blood pressure measurement. The NIBP measurement includes Systolic (Sys), Diastolic (Dia) and Mean Blood Pressure. These measurements correspond to comparisons with auscultatory values, measured using the fifth Korotkoff sound within ANSI/AAMI SP10 standards for accuracy.
Page 117: Measurement Modes
7.1.3 Measurement Modes The Passport V Provides three measurement modes: Manual, Automatic, STAT modes. Manual mode: When NIBP Interval is set to off, then the NIBP is in manual mode and "Off" appears in the NIBP numeric tile, the message "NIBP: Manual Mode" is displayed in message area B.
Page 118: Nibp Screens
• Alarm limits for Sys, Dia, and Mean BP NIBP Label Systolic Value Diastolic Value Unit of Pressure Time Elapsed From Last Valid Measurement Measurement Interval Mean Value FIGURE 7-1 NIBP Numeric Tile Passport V Operating Instructions 0070- 0-0704-02 7 - 3...
Page 119: Nibp List Display
• Interval Time • Unit of measure • Time measurement was completed. NIBP Label Systolic Value Unit of Pressure Diastolic Value Time Mean Value Measurement Interval FIGURE 7-2 NIBP List Display 7 - 4 0070- 0-0704-02 Passport V Operating Instructions...
Page 120: Nibp Menu
Pediatric: 60 to 180 (default = 140) The Set Start Pressure cannot be changed during an NIBP measurement or the five minutes STAT Neonate: 40 to 120 measurement. (default = 100) Passport V Operating Instructions 0070- 0-0704-02 7 - 5...
Page 121 The NIBP End Tone does not sound if the user stops the measurement by pressing the NIBP STOP key. NIBP End Tone audio volume is controlled by the alarm audio volume. 7 - 6 0070- 0-0704-02 Passport V Operating Instructions...
Page 122: Nibp Measurements
For example, an IV catheter or an SpO sensor. 4. If not already selected, select the Patient Size through the Patient Menu. Choices are Adult, Pediatric or Neonate. Passport V Operating Instructions 0070- 0-0704-02 7 - 7...
Page 123: Automatic Interval Nibp Measurements
7. The cuff begins to inflate to the selected cuff pressure. After reaching the selected value the cuff begins to slowly deflate and the Passport V collects oscillometric pulsations. 8. If the initial cuff inflation is found to be inadequate, the unit retries with a higher inflation pressure (+50 mmHg in adult or pediatric mode;...
Page 124: Suspension Of Nibp Measurements
When the module resets, the prompt message "NIBP: Resetting..." is displayed in the message area B. 7.4.6 NIBP Pressure Limit Fail Safe If the cuff is over-pressurized, the cuff will automatically vent to atmosphere. Passport V Operating Instructions 0070- 0-0704-02 7 - 9...
Page 125: Cuff Inflation Timeout
When the patient is supine, on a flat surface, the arm is near enough to the heart level that no adjustment of the NIBP readings is necessary. 7 - 10 0070- 0-0704-02 Passport V Operating Instructions...
Page 126: Recommendations For Automatic Blood Pressure Measurements
Irregular cardiac rhythm changes the stroke volume from beat to beat. This changing stroke volume may increase the time it takes the Passport V to take a measurement. The Passport V makes up to four successive attempts to obtain a measurement.
Page 127: Nibp List Tile
+50 mmHg in the adult mode, +50 mmHg in the pediatric mode, and +40 mmHg in the neonate mode. If a manual measurement is taken between interval readings, the manual measurement uses Adaptive Inflation because the unit is in Interval Mode. 7 - 12 0070- 0-0704-02 Passport V Operating Instructions...
Page 128: Nibp Troubleshooting
NOTE: The presence of an arrhythmia may increase the time required to complete a measurement and may cause measurement cycle to extend beyond a point where a measurement can be completed. Passport V Operating Instructions 0070- 0-0704-02 7 - 13...
Page 129 NIBP Troubleshooting NIBP Monitoring This page intentionally left blank. 7 - 14 0070- 0-0704-02 Passport V Operating Instructions...
Page 130: Temperature Monitoring
Description Intended patient types: Adult, Pediatric, Neonate. The temperature measurement function of the Passport V is designed to take a continuous temperature reading from 400 series or compatible probes. Temp units of " C" and " F" are available. The temperature units can be adjusted in the Installation Menu.
Page 131: Temperature Screens
"- - -" are displayed in the Temp numeric tile. If a cable is not plugged into the T1 port, the Temp numeric tile is not displayed at all. 8 - 2 0070- 0-0704-02 Passport V Operating Instructions...
Page 132: Temperature Probes
Temperature Monitoring Temperature Probes Temperature Probes CAUTION: The Passport V monitor is not compatible with 700 Series temperature probes. 8.3.1 Skin Temperature Sensor with 400 Series Thermistor Description (0206-03-0300-02) Monitoring of skin surface temperature is a well accepted procedure for the detection of hypothermic and hyper thermic conditions.
Page 133: Esophageal Stethoscope With 400 Series Thermistor Temperature Sensor
To interconnect the probe with the instrument, use cable part number 0012-00-0975. Electrical leakage current of the device (sensor and esophageal stethoscope) when used with monitor and cable, comply with IEC 601-1/EN 60601-1. 8 - 4 0070- 0-0704-02 Passport V Operating Instructions...
Page 134 WARNING: Sterile unless unit container is opened or damaged. CAUTION: Single use. Destroy after single use. Do not resterilize. Federal (U.S.A.) law restricts this device to sale by or on the order of a physician. Passport V Operating Instructions 0070- 0-0704-02 8 - 5...
Page 135: Esophageal/Rectal Temperature Probe With 400 Series Thermistor
Adverse reactions reported during applications of these sensors include: accidental tracheal or bronchial intubation accompanied with airway obstruction, esophageal or rectal abrasion and/or perforation, pharyngeal abrasions and tissue burns due to aberrant electro-cautery radio-frequency current pathways. 8 - 6 0070- 0-0704-02 Passport V Operating Instructions...
Page 136: Reusable Dpm Temperature Probes
Federal (U.S.A.) law restricts this device to sale by or on the order of a physician. 8.3.4 Reusable DPM Temperature Probes WARNING: SpO2 sensors, SpO2 accessories, and temperature probes should be disposed of in accordance with local regulations. Passport V Operating Instructions 0070- 0-0704-02 8 - 7...
Page 137: Temperature Troubleshooting
Reposition or apply thermoconductive gel. Temperature not displayed Improper display setup Check Display Setup in Monitor Setup Menu and change as desired. Cable not plugged in Check the cable. 8 - 8 0070- 0-0704-02 Passport V Operating Instructions...
Page 138: Ibp Monitoring (Optional)
(Dia), and Mean blood pressures. Up to two Invasive Blood Pressure channels are available. Invasive Blood Pressure measurement is an option for the Passport V. The Passport V supports the measurements of two invasive blood pressures. It provides systolic pressure, diastolic pressure and mean pressure values.
Page 139 Measure Pressure selection in the IBP Menu. If “Pulsatile” is selected, the measured systolic (SYS/DIA (MEAN)) is displayed. If “Mean” is selected, the measured mean pressure value (MEAN (SYS/DIA)) is displayed. 9 - 2 0070- 0-0704-02 Passport V Operating Instructions...
Page 140: Ibp Screens
FIGURE 9-1 Arterial Pressure Numeric Tile (Art) Central Venous Pressure Label Unit of Pressure Systolic Value Mean Value Diastolic Value Mean Alarm Limits Systolic Alarm Limits Diastolic Alarm Limits FIGURE 9-2 Central Venous Pressure Numeric Tile (CVP) Passport V Operating Instructions 0070- 0-0704-02 9 - 3...
Page 141: Ibp Waveform
Intracranial Pressure Label Unit of Pressure ICP Value Cerebral Perfusion Pressure Alarm Limits CePP Value FIGURE 9-3 ICP Numeric tile (with Cepp parameter) 9.2.2 IBP Waveform FIGURE 9-4 IBP waveform tile (Art) 9 - 4 0070- 0-0704-02 Passport V Operating Instructions...
Page 142: Ibp Menu
Select to change measure pressures for P1/P2. Mean Available when pressure channel is labeled P1 or Speed 12.5 mm/s Select to change invasive pressure trace speed. 25 mm/s (default) Adjustments affect both IBP channels. Passport V Operating Instructions 0070- 0-0704-02 9 - 5...
Page 143 IBP menu. The zero key is disabled until zeroing is completed. In some conditions, zeroing can not be completed, and message shall be displayed. • Pulsatile Pressure. Cannot Zero! • Pressure Overrange. Cannot Zero! 9 - 6 0070- 0-0704-02 Passport V Operating Instructions...
Page 144: Measuring Ibp
6. Select the desired pressure scale in the IBP Menu. 7. Zero and flush the pressure line at regular intervals per standard hospital procedure. NOTE: Pressure transducers are protected against the effects of defibrillation and electrocautery. Passport V Operating Instructions 0070- 0-0704-02 9 - 7...
Page 145: Ibp Troubleshooting
CVP, LA, RA, and ICP. Abnormally High or Low Transducer too HIGH or to LOW. Check patient adjust transducer readings rezero. Unable to Zero Stopcock not open to Check transducer. atmosphere. 9 - 8 0070- 0-0704-02 Passport V Operating Instructions...
Page 146: Co 2 Monitoring (Optional)
Monitoring (optional) 10.0 10.1 Description Intended patient types: Adult, Pediatric, Neonatal. The Passport V supports the following modules: • Sidestream--DPM CO module (M02B) • Microstream--Oridion Medical miniMediCO module The Passport V provides three parameters (ET CO , InspCO , and awRR) and a CO waveform for CO measurement.
Page 147: Co Screens
GM) FIGURE 10-1 CO Numeric Tile 10.2.2 Waveform: CO The CO waveform tile displays the following: • Waveform • Waveform scale values • Unit of measurement FIGURE 10-2 Resp Waveform Tile 10 - 2 0070- 0-0704-02 Passport V Operating Instructions...
Page 148 1. On the front panel: Press the Normal Screen key to return to the normal screen. 2. On the normal screen: 〉 Select Parameters Select the CO tile. FIGURE 10-3 CO Menu (DPM Sidestream CO Passport V Operating Instructions 0070- 0-0704-02 10 - 3...
Page 149: Co 2 Menu
Internal CO Module Module option shall be disabled and appear grey. No matter if the source Module is ON or OFF, the selection status of the preference source shall not change. 10 - 4 0070- 0-0704-02 Passport V Operating Instructions...
Page 150 The watertrap collects water drops condensed in the sampling line and therefore prevents them from entering the module. It is important to periodically drain the watertrap to avoid water blocking the airway. Passport V Operating Instructions 0070- 0-0704-02 10 - 5...
Page 151: Co 2 Setup Menu (Dpm Sidestream Only)
0 (default) to 100% Select the O level used for O compensation. Compensation Note: The sum of compensation values input for oxygen, nitrous oxide and desflurane must not be greater than 100%. 10 - 6 0070- 0-0704-02 Passport V Operating Instructions...
Page 152: Microstream ® Co 2 Monitoring (Optional)
WARNING: When monitoring an anesthesized patient in an operating room environment, connection from the exhaust port of the Passport V to the hospital’s waste gas scavenging system is recommended to prevent exposure of hospital personnel to the patient’s respiratory sample.
Page 153: Co 2 Troubleshooting
Troubleshooting Monitoring (optional) 10.4 Troubleshooting Refer to Chapter 14.0 Messages for Physiological Alarm Messages, Technical Alarm Messages, and Prompt Messages. 10 - 8 0070- 0-0704-02 Passport V Operating Instructions...
Page 154: Gas Monitoring (Optional)
Operating Room (OR), post anesthesia care units (PACU), and equivalent. Refer to the Gas Module Operating Instructions (0070-00-0696-XX) for further operation and performance specifications. The Passport V supports the Artema Gas Module-3. Anesthetic gases are identified automatically. • Passport V The following parameters are measured: •...
Page 155 (altitude & barometric effects), patient age, patient core temperature or any other individual factors influencing the effect of volatile anesthetic agents. NOTE: If mixed agents are detected, the MAC value is invalidated (displayed as dashes). 11 - 2 0070- 0-0704-02 Passport V Operating Instructions...
Page 156: Gas Screens
• Insp and Exp labels for Agent, O , and N • Units of measurement for Agent, O , and N • Measured Values for Agent, O , and N • MAC Label • Measured value of MAC Passport V Operating Instructions 0070- 0-0704-02 11 - 3...
Page 157: Gas Waveform
FIGURE 11-2 Gas Numeric Tile 11.2.3 Gas Waveform The CO , or Anesthetic Agent waveform tile displays the following: • Waveform • Scale Values • Unit of measurement FIGURE 11-3 Gas waveform (CO 11 - 4 0070- 0-0704-02 Passport V Operating Instructions...
Page 158: Gas Menu
Select to change O2 scale. The lower limit of all of the O waveform scales is 100% (default) fixed to "0". The upper limit of the O waveform scale is user adjustable. Passport V Operating Instructions 0070- 0-0704-02 11 - 5...
Page 159: Measure Unit
Module 3 with a neonatal water trap). This device should not be used on patients whose breathing could be impaired by this vacuum flow rate. NOTE: The Gas Module 3 is equipped with automatic barometric pressure compensation. 11 - 6 0070- 0-0704-02 Passport V Operating Instructions...
Page 160 The Gas Module exhaust output should be connected to a medical gas-scavenging system. 8. Check for a clean water trap. 9. Observe the capnogram on the monitor’s display. On Passport V powerup, O , Agent and N O numbers will display. CO numbers will be displayed when a valid breath is detected.
Page 161: Gas Module 3 Pre-Use Test
5. Sample room air for 30 seconds and verify that the monitor oxygen output is 21% (± sensor inaccuracy). 11.4 Gas Module Troubleshooting Refer to Chapter 14.0 Messages for Physiological Alarm Messages, Technical Alarm Messages, and Prompt Messages. 11 - 8 0070- 0-0704-02 Passport V Operating Instructions...
Page 162: Drug Calculations
IV medications. 12.1.1 Drug Calculations The Passport V has the ability to calculate and display IV drug infusion rate and concentration based upon patient weight and/or drug dosage. Drug calculations may also be accessed through the Patient Menu. Drug calculations are only available if the Patient Size is set to Adult.
Page 163: Drug Calculations
Unspecified Select to enter or change 1 to 500 kg patient weight. When any one of the menu items marked with an asterisk (*) is changed, the others are automatically updated. 12 - 2 0070- 0-0704-02 Passport V Operating Instructions...
Page 164 When any one of the menu items marked with an asterisk (*) is changed, the others are automatically updated. Passport V Operating Instructions 0070- 0-0704-02 12 - 3...
Page 165 Print Units. Print Table Select to print Drug Calculation data. When any one of the menu items marked with an asterisk (*) is changed, the others are automatically updated. 12 - 4 0070- 0-0704-02 Passport V Operating Instructions...
Page 166 250 units Gahart B and Nazareno A. 2002 Intravenous Medications. St. Louis: Mosby, 2001. Algozzine G, Algozzine R, and Lilly D. Critical Care Intravenous Infusion Drug Handbook. St. Louis: Mosby, 2002. Passport V Operating Instructions 0070- 0-0704-02 12 - 5...
Page 167 Description Drug Calculations This page intentionally left blank. 12 - 6 0070- 0-0704-02 Passport V Operating Instructions...
Page 168: Alarms
Alarms 13.0 13.1 Alarms The Passport V monitor provides a broad range of alarm settings. FIGURE 13-1 Alarm Settings Menu 13.1.1 Adjusting Alarms WARNING: The user should check that the current alarm settings on the Passport V monitor are appropriate prior to use on each patient.
Page 169 Off (default) Select to control audio alarm at central activated On (default) by Silence key. These selections will not be available if the language chosen in the Installation Menu is French. 13 - 2 0070- 0-0704-02 Passport V Operating Instructions...
Page 170: Alarm Limits
A separate table of alarm limit settings is maintained for each patient size. When the patient size is changed, the corresponding selections are automatically used. See table below for alarm ranges. Default settings appear in bold text FIGURE 13-3 Alarm Settings Menu - Set Limits Passport V Operating Instructions 0070- 0-0704-02 13 - 3...
Page 171 8.0, Off, 8.0, Off, 8.0, Off, Off, Off, Off, 2.0-10.0 2.0-10.0 2.0-10.0 1.0-6.0 1.0-6.0 1.0-6.0 Insp CO (mmHg) — — — Off, 5-30 Off, 5-30 Off, 5-30 Default values in bold. 13 - 4 0070- 0-0704-02 Passport V Operating Instructions...
Page 172: Auto Set Alarms
• +/- 3.0% of the value for: Temperature When Auto Set is chosen from the Alarm Settings Menu, a Confirmation Dialog is displayed. Choosing Yes will initiate the alarm Auto Set. Passport V Operating Instructions 0070- 0-0704-02 13 - 5...
Page 173: Alarm Violations
Alarms Alarms 13.1.4 Alarm Violations Passport V alarm violations are classified by severity: For priority 1 “Warning” alarms, • The red alarm light flashes. • The data in violation of the alarm flashes over a red background. • The priority 1 audio alarm sounds. The priority 1 audio alarm is a pattern of 10 tones repeated every 10 seconds.
Page 174 The Invalid Heart Rate Alarm occurs if the selected heart rate source is no longer able to detect a heart rate. The Passport V may display a message to help identify the cause of the alarm (e.g., “Lead Off”, “Sensor Off”). The Invalid Heart Rate Alarm is a priority 1 alarm.
Page 175: Verifying Alarm Functionality
The time period for Silence and Silence All is adjustable via the Alarm Setup menu. 13.1.5 Verifying Alarm Functionality Self-Test of Alarm System The alarm system will perform a self-test of alarm tones and alarm lights after the Passport V monitor has been powered on. 13 - 8 0070- 0-0704-02 Passport V Operating Instructions...
Page 176: Alarm Troubleshooting
Alarms Alarms Alarms also can be verified by creating an alarm condition on the Passport V and verifying the corresponding alarm indicators are present on the monitor. Alarm Delay • Apnea Alarm Delay settings are: Adult/Pedatric: 10/15/20/25/30/35/40/45/50/ 55 seconds, 1 min Neonate: 10/15/20 sec •...
Page 177 Alarms Alarms This page intentionally left blank. 13 - 10 0070- 0-0704-02 Passport V Operating Instructions...
Page 178: Messages
Occurs when Arrhythmia analysis is ON, and PVC/min high alarm limit is not set to Off. 14.1.2 Arrhythmia ARRHYTHMIA MESSAGE PRIORITY COMMENTS Asystole V-Tach V-Fib Bigeminy options: 1,2 Trigeminy options: 1,2 Couplet options: 1,2 Passport V Operating Instructions 0070- 0-0704-02 14 - 1...
Page 179: Resp
COMMENTS High NIBP Diastolic options: 1,2 Low NIBP Diastolic options: 1,2 High NIBP Mean options: 1,2 Low NIBP Mean options: 1,2 High NIBP Systolic options: 1,2 Low NIBP Systolic options: 1,2 14 - 2 0070- 0-0704-02 Passport V Operating Instructions...
Page 180: Ibp
Occurs when more than one anesthetic agent is detected by the system. Message will disappear when a single agent is detected again. MAC > 3 Occurs when a single agent is detected and MAC > 3. Passport V Operating Instructions 0070- 0-0704-02 14 - 3...
Page 181: Technical Alarm Messages
RESP Alert Message ALARM MESSAGE PRIORITY REASON SOLUTION Can be caused by Check the patient. shallow breathing or an apnea event. Adjust scales or leads if necessary. Patient HR and respiratory rate identical. 14 - 4 0070- 0-0704-02 Passport V Operating Instructions...
Page 182: Temp Alert Message
NIBP: Mean Overrange NIBP mean pressure Check Patient. exceeds the Ensure that the measured measurement range. pressure label is within the measurement range. Passport V Operating Instructions 0070- 0-0704-02 14 - 5...
Page 183: Ibp Alert Message
Ensure Gas Module is turned GM: Disconnected Appears when the Passport V cannot on and interface cable is detect signals being properly connected. If sent by the Gas problem persists, contact Module. Technical Support. 14 - 6 0070- 0-0704-02 Passport V Operating Instructions...
Page 184: System Level
Contact Technical Support. internal voltage finds that 3.3V voltage is too high. 3.3V Too Low The monitoring of the Contact Technical Support. internal voltage finds that 3.3V voltage is too low. Passport V Operating Instructions 0070- 0-0704-02 14 - 7...
Page 185: Prompt Messages
Resp: Communication Error System can't communicate Restart the monitor.If the error correctly with Resp module,and still appears,please contact receive the error data packets. Technical Support. 14 - 8 0070- 0-0704-02 Passport V Operating Instructions...
Page 186: Spo Prompt Message
Cover sensor site or Masimo interfering with reposition sensor signal : Unrecognized The sensor is not Replace the sensor Masimo Sensor recognized by with a recommended the Monitor. sensor. Contact Technical Support Passport V Operating Instructions 0070- 0-0704-02 14 - 9...
Page 187: Temp Prompt Message
Temp: Calibration Error A calibration failed. Restart the monitor. Contact Technical Support. Temp: Initialization Error During the Temperature module Contact Technical Support. power-on,as the Temperature module communication stops,system fails to communicate with module. 14 - 10 0070- 0-0704-02 Passport V Operating Instructions...
Page 188: Nibp Prompt Message
Change timer to OFF to stop timer. NIBP: Measuring Displayed during a Press STOP to suspend a measurement. measurement and deflate the Cuff pressure is also displayed. cuff. Passport V Operating Instructions 0070- 0-0704-02 14 - 11...
Page 189 Occurs when NIBP module is Wait until calibration is calibrating. completed Calibration Failed During calibration, departure Repeat calibration occurs between the procedure. measurement pressure and reference pressure due to improper operation or measurement error. 14 - 12 0070- 0-0704-02 Passport V Operating Instructions...
Page 190: Ibp Prompt Message
— Oridion removed. : Purge Sample line is Wait several seconds. Oridion blocked or kinked The Passport V will microstream return to monitoring, or display the message: “CO : Occlusion”. If message is displayed: Check sample line. Clear blockage or kink or replace with a new sample line.
Page 191 Module has Restart the monitor. problems. Contact Technical Support. : No Watertrap Not water trap on Make sure to plug-in module water trap, and make sure it is firmly connected and fastened. 14 - 14 0070- 0-0704-02 Passport V Operating Instructions...
Page 192 Caused by no gas or wrong No gas or wrong gas Check the gas Oridion gas concentration concentration. connections or gas concentration . Repeat calibration procedure. If problem persists, contact Technical Support. Passport V Operating Instructions 0070- 0-0704-02 14 - 15...
Page 193: Gas Prompt Message
GM: N O Zero Error Appears when the system has Manually start zeroing the been unable to successfully zero system again. If problem the N O sensor. persists, contact Mindray Technical Support. 14 - 16 0070- 0-0704-02 Passport V Operating Instructions...
Page 194 If problem the O sensor. persists, contact Mindray Technical Support. GM: Cannot Zero...Retrying Appears when the Passport V Allow system to retry without requests Zeroing (either on the intervention. If problem persist, automatic cycle or by a user contact Mindray Technical...
Page 195: Main Control System
Resp module,and still appears,please contact receive the error data packets. Technical Support. GM: Disconnected Appears when the Passport V Ensure Gas Module is turned cannot detect signals being sent on and interface cable is by the Gas Module.
Page 196: Power Supply
Remain in the state of patient No handling needed. data uploading. Patient data download Patient data downloading No handling needed. complete. finishes. Patient data upload Patient data uploading finishes. No handling needed. complete. Exported Logs Passport V Operating Instructions 0070- 0-0704-02 14 - 19...
Page 197: Configuration Management
Change the IP address of the is same with that set in other monitor. monitors covered in the same network. Viewed Monitor is Currently Viewed bed is in demo mode. No handling needed. in Demo Mode. 14 - 20 0070- 0-0704-02 Passport V Operating Instructions...
Page 198: Print
Local Printer Communication Local Printer communication is Error interrupted. Remote Printer Not Available This message is displayed in the Fix the printer. case of a printer error. Printing Complete The printing is completed. Passport V Operating Instructions 0070- 0-0704-02 14 - 21...
Page 199: Alarm Troubleshooting
SILENCE Check Patient. No Alarm printout with Print on Alarm is set to Go to Print Menu and set Print Alarm violation Suspend. on Alarm to Active. 14 - 22 0070- 0-0704-02 Passport V Operating Instructions...
Page 200: Trends
15.1 Description Four types of trend displays are available with the Passport V: Quick Trend, List Trend, Graphic Trend, and OxyCRG (if patient is neonate). All trends are accessed via the TRENDS key and can be printed via the local printer.
Page 201: Quick Trends
The Quick Trend display does not automatically time-out and must be manually removed to return to the normal waveform display. To remove the Quick Trend display, choose Normal Screen from the menu, or press the NORMAL SCREEN key. 15 - 2 0070- 0-0704-02 Passport V Operating Instructions...
Page 202: List Trends
If data for a parameter is not available at the time of the trend entry, the data field will be dashed. If an NIBP reading could not be obtained or an invasive pressure channel was not zeroed at the time of the trend entry, the data field will contain “XXX”. Passport V Operating Instructions 0070- 0-0704-02 15 - 3...
Page 203 Monitors List and Graphic Trend data, along with patient name and demographics may be transferred between Passport V monitors with a DPM storage device. Clearing Trend Data To manually clear all trend data, including Graphic Trends, choose Clear Trends from the menu.
Page 204: Graphic Trends
1 alarms, yellow for priority 2 alarms, and green if initiated by pressing the MARK EVENT key. Clock adjusted events and data transfer event will be marked as well. Passport V Operating Instructions 0070- 0-0704-02 15 - 5...
Page 205 (If data is not available for time period, it appears as a gap in the Graphic Trend.) Refer to the previous section (List Trend) for modification of trend entry conditions. Transferring Graphic Trend Data Between Different Passport V Monitors Graphic Trend data is transferred together with List Trend and patient name and demographics.
Page 206: Oxycrg
Wave, Temp, and IBP1. The time marker is one second. Trended data includes the Time marker, Parameter value, and Event type. OxyCRG screen displays the trend graph, parameter values, and events. The rules for displaying trend graph are as follows: Passport V Operating Instructions 0070- 0-0704-02 15 - 7...
Page 207 • If the user accesses OxyCRG trends by pressing the OxyCRG button in the Graph Trend screen, the cursor time of OxyCRG trends is accurate to minute of the time to which the cursor point in the Graph Trends. 15 - 8 0070- 0-0704-02 Passport V Operating Instructions...
Page 208 • The graphic trends are blank corresponding to the state of standby. • For clock adjusted event, the time tag of old trend entry shall be synchronized with new time start. Passport V Operating Instructions 0070- 0-0704-02 15 - 9...
Page 209: Trends Troubleshooting
Go to the Monitor Setup Menu and set NIBP Trend, Trend Interval or Alarm Trend as desired Trend page is scrolled Use scroll arrows in Trend Menu to scroll to top of Trend Menu 15 - 10 0070- 0-0704-02 Passport V Operating Instructions...
Page 210: Printing
Printing 16.0 16.1 Description Passport V data and waveforms may be printed to the following destinations: local printer, remote printer, or remote central station. 16.2 Print Setup Menu FIGURE 16-1 Print Setup Menu Printing of Waveform Data The Print Setup Menu allows the user to set up waveforms for printing and gives the user the ability to change the print destination.
Page 211: Local Printer (Optional)
16.2.1 Local Printer (Optional) The Passport V local printer can provide a printed record of all patient parameters. It is a three-trace thermal strip chart local printer with an integral paper spool. The local printer uses plain white thermal paper, 5 cm wide.
Page 212 Quick Trend and List Trend print digital data information while Graphic Trend print graphic representations of the data in the respective menus. Quick Trend entries are only recorded upon NIBP readings. FIGURE 16-2 Graphic Trend Format FIGURE 16-3 List Trend Format Passport V Operating Instructions 0070- 0-0704-02 16 - 3...
Page 213: Remote/Local Printer Troubleshooting
Press PRINT TREND when trend window is open. No Trends displayed. Use scroll feature to scroll to the top of the trend then press PRINT TREND. No paper. Check / Replace paper. 16 - 4 0070- 0-0704-02 Passport V Operating Instructions...
Page 214: User Maintenance
Description This section of the manual outlines routine user maintenance guidelines. The Passport V monitor is designed for stable operation over long periods of time. Under normal circumstances the monitor should not require technical maintenance beyond that described in this section. However, routine maintenance, calibration and safety checks are recommended at least once a year or more often as required by local statutory or hospital administration practice.
Page 215: Care And Disinfection Of The Passport V Monitor
Care and Disinfection of the Passport V Monitor User Maintenance 17.2 Care and Disinfection of the Passport V Monitor WARNING: Shut down the monitor and disconnect all power cords from the outlet before cleaning. The equipment should be cleaned regularly. Please consult your hospital’s policy for the recommended frequency for cleaning and disinfecting equipment.
Page 216: Care And Cleaning Of Spo 2 Sensors
• Probes should be cleaned before and after each new patient. • Wipe the patient contact area using a soft cloth with mild soap and water solution or isopropyl alcohol. • Allow the probe to completely dry before using. Passport V Operating Instructions 0070- 0-0704-02 17 - 3...
Page 217: Care And Cleaning Of Reusable Cuffs
Do not press the cuff with a hot iron. Do not use detergent and disinfectant other than than 70% ethanol or 70% isopropanol. Clean and disinfect the cuff according to the instructions. 17 - 4 0070- 0-0704-02 Passport V Operating Instructions...
Page 218: Reusable Bladderless Cuffs
Antimicrobial Definition Bladderless cuffs are treated with an antimicrobial coating. Antimicrobial technology effectively controls a broad spectrum of bacteria, fungi, algae and yeasts on a wide variety of treated substrates. Passport V Operating Instructions 0070- 0-0704-02 17 - 5...
Page 219: Battery Replacement And Maintenance
The batteries may be subject to local regulations regarding disposal. At the end of the battery life, dispose of the batteries in accordance with any local regulations. NOTE: Passport V batteries may only be charged within a Passport V monitor. Do not attempt to use commercial rechargers. Lithium-Ion Storage of the lithium-ion batteries depends on temperature, time period and the degree of cell charging state.
Page 220: Local Printer Paper Replacement
We recommend that if long term archives are required, make a photocopy of the recordings as back-up. Under normal office filing conditions the recordings should retain acceptable image quality for about 5 years. Passport V Operating Instructions 0070- 0-0704-02 17 - 7...
Page 221: Care And Cleaning Of 3- And 5-Lead Ecg Cables And Lead Wires
Do not autoclave, radiation or steam sterilize ECG cables or lead wires. NOTE: Extended exposure to Ethylene Oxide gas may shorten life of the ECG cables and lead wires, leading to poor signal quality. 17 - 8 0070- 0-0704-02 Passport V Operating Instructions...
Page 222: Accessories
ECG Cable, 3/5 lead, 20’ (6.1 m), Reusable 0012-00-1745-02 ECG Cable, 3/5 lead, ESIS, 10’ (3.1 m), Reusable 0012-00-1745-03 ECG Cable, 3/5 lead, ESIS, 20’ (6.1 m), Reusable 0012-00-1745-04 Neonatal ECG Patient Cable, 10’ (3.1 m), Reusable 040-000072-00 Passport V Operating Instructions 0070- 0-0704-02 18 - 1...
Page 223: Ecg Leadsets
ECG Lead Wires, 3 lead, Snap, 18" (45.7 cm), IEC, Reusable 0012-00-1503-13 ECG Lead Wires, 3 lead, Snap, 24" (61.0 cm), IEC, Reusable 0012-00-1503-14 ECG Lead Wires, 3 lead, Snap, 36" (101.6 cm), IEC, Reusable 0012-00-1503-15 18 - 2 0070- 0-0704-02 Passport V Operating Instructions...
Page 224: Spo
LNOP® DCIP-Pediatric/Slender Digit Reusable Finger Sensor, patient weight 0600-00-0063 range 10 to 50 kg LNOP® TCI Reusable Tip-Clip Ear Sensor, patient weight range > 30 kg 0600-00-0110 Ear Clip, Reusable 0600-00-0086 Ear Hanger (pkg of 5), Reusable 0600-00-0087 Passport V Operating Instructions 0070- 0-0704-02 18 - 3...
Page 225 (two neonatal and two preterm 0020-00-0123-02 neonatal Y single patient adhesive sensors and one 3.66 m./12’ cable) Clothing Clips (pkg of 5) 0600-00-0084 Adhesive squares, Disposable, 12 cards (12 squares per card) 0600-00-0085 18 - 4 0070- 0-0704-02 Passport V Operating Instructions...
Page 226: Nellcor Spo 2 Module
520I Single patient use sensor, Infant, 3 to 20 kg, 20 pcs/box 520I-30-64301 DPM SpO 520N Single patient use sensor, Neonatal, <3kg, 20 pcs/box 520N-30-64401 DPM SpO 520P Single patient use sensor, Pediatric, 10 to 50 kg, 520P-30-64201 20 pcs/box Passport V Operating Instructions 0070- 0-0704-02 18 - 5...
Page 227: Nibp
Neonatal Size 5: limb circumference 12 – 17 cm, Box of 10 0683-23-0005-01 NIBP Hose, 5' (1.5 m), Quick Connect to Quick Connect 0683-04-0003 NIBP Hose, 10’ (3.5 m), Quick Connect to Quick Connect 0683-04-0004 18 - 6 0070- 0-0704-02 Passport V Operating Instructions...
Page 228: Temperature
Disposable DPM Temperature Probes DESCRIPTION PART NUMBER Reusable Instrument cable for MR411, MR412 disposable probes 040-000224-00 MR411 Disposable Temp probe, Adult/Pediatric/Neonatal, Esophageal/ 0011-30-90446 Rectal, 2-pin MR412 Disposable Temp probe, Adult/Pediatric/Neonatal, Skin, 2-pin 0011-30-90447 Passport V Operating Instructions 0070- 0-0704-02 18 - 7...
Page 229: Ibp
DESCRIPTION PART NUMBER IBP Cable, BD P10EZ-1, P23XL-1, DTX/Plus, 12ft 040-000053-00 IBP Cable, Edwards Life Sciences TruWave PX, 12ft 040-000054-00 IBP Cable, Hospira Transpac IV, 12ft 040-000052-00 IBP Cable Adapter 040-000096-00 18 - 8 0070- 0-0704-02 Passport V Operating Instructions...
Page 230: Oridion Microstream Co 2 Module
DPM Sidestream CO Kit, Neonate (Includes 2 Airway Adapters, straight 6800-30-50467 (2 Sampling Line. DRYLINE,Neonate,2.5m,60-15300-00), 2 neonate watetraps, (60-13200-00), 2 Sample Cannula, InfantNasal CO , with 7'line, Sidestream CO Accessory Specifications Passport V Operating Instructions 0070- 0-0704-02 18 - 9...
Page 231: Gas Module 3 Accessories
Cable, Serial Port to Gas Module, 72” (182.88 cm) 0012-00-1276-02 Power Cord, 120 Volt 0012-00-1081-01 Kit, Acc, Gas Mod / Passport V, 110V 0020-00-0119-10 Kit, Acc, Gas Mod / Passport V, 120V 0020-00-0119-11 Kit, Acc, Gas Mod / Passport V, 240V...
Page 232: Mounting Kits, Rolling Stands, And Accessories
PASSVVHMMT VHM Wall Mount with Quick Release Mount PASSVVHMMTQR Wall Mount with Mounting Plate PASSVWALLMT Wall Mount with Quick Release Mount PASSVWALLMTQR Mount Kit, Passport V to Gas Module 3 0020-00-0202-01 Passport V Operating Instructions 0070- 0-0704-02 18 - 11...
Page 233: Cables And Networking
*Networking Installation charge (6-11 beds) 0006-CC-0011 * The Networking Installation charge includes appropriate interface cables, jacks, wall plates, certification and labor for a certified contractor. Does not include remote printer, hub or comm-ports. 18 - 12 0070- 0-0704-02 Passport V Operating Instructions...
Page 234: Battery And Miscellaneous
Power Cord, 110 Volt 0012-25-0001 Power Cord, 220 Volt 0012-25-0002 Power Cord, 240 Volt (UK) 0012-25-0003 Power Cord, 250 Volt (Brazil) 009-001075-00 SB Storage Device 0992-00-0295-001 Paper, Thermal Strip Local Printer, 12 rolls 0683-00-0505-02 Passport V Operating Instructions 0070- 0-0704-02 18 - 13...
Page 235 Battery and Miscellaneous Accessories This page intentionally left blank. 18 - 14 0070- 0-0704-02 Passport V Operating Instructions...
Page 236: Appendix
10ºC to 40ºC Non-operating (storage): -40ºC to 70ºC Humidity range Operating: 10% to 95 %, non-condensing Non-operating (storage): 5% to 100 %, condensing Altitude range Operating: Sea Level to 8,000 feet (2438m) Passport V Operating Instructions 0070- 0-0704-02 19 - 1...
Page 237 • Conditions: NIBP pump and valves not operational, local printer not operational, CO not operational. • SPL range does not include patient heartbeat tone, key-pressing tone and alarm tone. 19 - 2 0070- 0-0704-02 Passport V Operating Instructions...
Page 238: Power Specifications
• AC power: 100 - 240VAC (±10%) • Current: 1.2 - 0.6 Amps • AC input power frequency: 50 Hz/60 Hz Internal User-Removable Battery • Lithium-ion battery (M05-010001-06, Mindray) • Number of batteries: 2 (maximum), one battery operation supported Lithium Battery Index • Voltage: 11.1VDC •...
Page 239: Clock
< 11 lb. (5.0kg) (standard configuration, including one battery, local printer) 19.5 Display Specifications Display Type Color anti-glare TFT display Rated display Resolution 800×600(Pixels) Rated display size 12.1” (246 x 184.4 mm) Data Update Frequency ≥ 60Hz Accuracy:+/-2Hz 19 - 4 0070- 0-0704-02 Passport V Operating Instructions...
Page 240: Sound
• Provides Pitch Tone based on the SpO value 19.7 Marking Marking complies with the requirements of the following standards: • UL 969:2006 • 21 CFR 801.1:2007 • ISO 15223:2000+A1:2001+A2:2004 • ISO 7000:2004 Passport V Operating Instructions 0070- 0-0704-02 19 - 5...
Page 241: Performance Characteristics
Because of the sampling characteris- tics and the asynchronism between sample rate and signal rate, the Passport V may produce a noticeable modulating effect from one cycle to the next, particularly in pediatric recordings. * Heart Rate Meter Accu- racy and Response to Irregular Rhythm: Ventricular bigeminy: 80 bpm;...
Page 242 • Surgical mode: From 1 to 20 Hz • Monitor mode: From 0.5 to 40 Hz • ST Mode: From 0.05 to 40 Hz • Diagnostic mode: From 0.05 to 150 Hz Passport V Operating Instructions 0070- 0-0704-02 19 - 7...
Page 243 ESU pulses at a rate > 50 Hz or > 50 spikes per second. ESU detection shall stop the surgical mode filter if the ESU detection measures ESU pulses at a rate < 10 Hz or < 10 spikes per second. • Off: ESU filter is off. 19 - 8 0070- 0-0704-02 Passport V Operating Instructions...
Page 244 • If 4 beat average is less than 48 BPM, then the 4 beat average is displayed. • If the 4 beat average is greater than or equal to 48 BPM then the 16 beat average is displayed. • Displayed HR value is refreshed every 1 second. Passport V Operating Instructions 0070- 0-0704-02 19 - 9...
Page 245 • Scope: Arrhythmia analysis is available for Adult and Pediatric patients only. • Arrhythmia Type: 11 kinds of Arrhythmia events are included: ASYSTOLE, V-FIB, V-TACH, VRHYTHM, COUPLET, RUN, BIGEMINY, TRIGEMINY, IRREGULAR HR, BRADY, PVCs per minute 19 - 10 0070- 0-0704-02 Passport V Operating Instructions...
Page 246 • PVCs • ST for 3-lead, ST one value of I, II or III is stored. • For 5-lead, ST values of I, II, III, aVL, aVR, aVF and V are stored. Passport V Operating Instructions 0070- 0-0704-02 19 - 11...
Page 247: Resp
Screen Display and UI Element RESP Normal Display • Waveform Display • Respiration waveform (thoracic impedance) • Waveform label • Waveform gain • Lead selected • RR Source Data Storage • Respiration Rate 19 - 12 0070- 0-0704-02 Passport V Operating Instructions...
Page 248: Ibp
• RA, LA, ICP: From -10 to 40 (mmHg) • LV: From 0 to 60 (mmHg) • P1~P2: From -50 to 300 (mmHg) (Accuracy: 2% or 1mmHg, whichever is greater (excluding errors caused by a transducer); Resolution:1 mmHg) Passport V Operating Instructions 0070- 0-0704-02 19 - 13...
Page 249: Nibp Performance And Functional Characteristics
± 8 mmHg. Range: Adult Mode 30 to 200 mmHg Pediatric Mode 30 to 150 mmHg Neonatal Mode 20 to 100 mmHg Static Pressure Measurement Range: 0-300 mmHg Static Accuracy: ± 3 mmHg 19 - 14 0070- 0-0704-02 Passport V Operating Instructions...
Page 250 145 mmHg Cuff Inflation The Passport V is capable of supplying sufficient air to bring a volume of at least 200 cc (12 cubic inches) to a pressure of 300 mmHg in no more than 10 seconds, unless otherwise stated. (ANSI/AAMI SP10A-1996) If the cuff is not inflated to the desired pressure within 60 seconds then the cuff is vented and a retry cycle is initiated, up to 3 times.
Page 251: Masimo Set Spo Performance Requirements
PR Measurement Range From 1% to 100% Accuracy A functional tester or patient simulator not used to assess the accuracy of the pulse oximeter probe or a pulse oximeter monitor. 19 - 16 0070- 0-0704-02 Passport V Operating Instructions...
Page 252 60 to 95% at 75 bpm. Post averaging time is set at 8 seconds. Sensitivity Normal and high sensitivity modes are optional. The sensitivity mode affects the measurement of dim signals. Passport V Operating Instructions 0070- 0-0704-02 19 - 17...
Page 253 0.02% and a % transmission of greater than 5% for saturation's ranging from 70 to 100%. This variation equals plus or minus one standard deviation. Plus or minus on standard deviation encompasses 68% of the population. 19 - 18 0070- 0-0704-02 Passport V Operating Instructions...
Page 254: Dpm Spo
Pulse Rate Range and Accuracy ACCURACY PATIENT SIZE PULSE RATE RANGE (NO MOTION CONDITIONS) Adult / Pediatric / Neonate 20 to 254 bpm ± 3 digits Resolution Sensitivity High, medium and low sensitivity are provided. Passport V Operating Instructions 0070- 0-0704-02 19 - 19...
Page 255: Nellcor Spo
18 mW. This information may be useful to clinicians, such as those performing photodynamic therapy. 19.8.7 Nellcor SpO Measurement Range From 0 to 100% 19 - 20 0070- 0-0704-02 Passport V Operating Instructions...
Page 256: Co 2 Performance Characteristics
DPM Sidestream capnography module, or an Oridion miniMediCO capnography module. The Passport V is equipped with automatic barometric pressure compensation. The CO function is in accordance with the requirements of ISO 21647. Passport V Operating Instructions...
Page 257 10 seconds at a rate which limits the total time consumed by SFMs to less than 2% of the time in which active measurements are taken. Following the first hour 19 - 22 0070- 0-0704-02 Passport V Operating Instructions...
Page 258 (max 180 seconds). At full accuracy when value appears. DPM CO measurement range: 0-99 mmHg Measurement accuracy: ±2mmHg (0-40mmHg) ±5% of reading (41-76mmHg) ±10% of reading (77-99mmHg) Resolution: 1mmHg Sampling rate: 50Hz Passport V Operating Instructions 0070- 0-0704-02 19 - 23...
Page 259 Response Time <3s@150ml/min <3s@120ml/min <3.5s@100ml/min <4s@70ml/min Measurement conditions: use a neonatal watertrap and 2.5m neonatal sampling line. <4.5s@150ml/min <5.5s@120ml/min <5.5s@100ml/min <7s@70ml/min Measurement conditions: use an adult watertrap and 2.5m adult sampling line. 19 - 24 0070- 0-0704-02 Passport V Operating Instructions...
Page 260: Temperature Performance Characteristics
Flowrate Accuracy: ±15% or ±15ml/min, whichever is greater 19.8.9 Temperature Performance Characteristics The Passport V is capable of providing temperature measurements from one channel for 400 series probe. Measuring range: 0 - 50°C (32 -122°F) Resolution: 0.1°C (0.1°F) Scale: °C, °F...
Page 261: Gas Module Performance Characteristics
Rise times (t10–90%) • CO 250 ms (fall time 200 ms) • N @200 ml/min 250 ms • O 500 ms • HAL, ISO, SEV, DES 300 ms • ENF 350 ms 19 - 26 0070- 0-0704-02 Passport V Operating Instructions...
Page 262 DRYLINE• Sampling Line, Neonate 2.5 m) and for 200 ml/min sample flow (using DRYLINE• Water Trap, Adult/Pediatric and DRYLINE• Sampling Line, Adult/Pediatric 2.5 m). For HAL, add 0.1% ABS to threshold values. Passport V Operating Instructions 0070- 0-0704-02 19 - 27...
Page 263: Input/Output Communications
1 mA output current; Low level: <0.5V, receiving a maximum of 5 mA input current. 100 ms ±10 % Pulse Width: Output Impedance: 50Ω Limited Current: 15mA rating Rising and Falling Time: <2ms 19 - 28 0070- 0-0704-02 Passport V Operating Instructions...
Page 264: Communication Protocols
The Passport V supports the Gas Module Communication Protocol (0084-00-0025). Alarm Delay Time to Remote Equipment The alarm delay time from the Passport V to remote equipment is ≤ 2 seconds, measured at the Passport V signal output connector. 19.11...
Page 265: Printing
• ISO 21647:2004+COR.1-2005 • UL 2601-1 • UL 60601-1 • The Passport V has been tested for functionality following ESU (Electrosurgery Unit Interference) energy exposure as described in the draft Amendment A1 to IEC 60601-2- 19 - 30 0070- 0-0704-02...
Page 266: Safety Designations
• Complies with the requirements of IEC60068-2-6:1995, sinusoidal vibration. Drop • Main Unit Drop • Complies with the requirements of ECRI PB-296 892:1979, section AIII 3.3. • Packaging Drop • Complies with the requirements specified in ISTA 2A:2006. Passport V Operating Instructions 0070- 0-0704-02 19 - 31...
Page 267 Complies with the requirements of IEC 60601-1: 1997, clause 52.5.5 Durability of Markings Complies with the requirements of IEC60601-1: 1997, clause 6.1. Leakage Current Complies with the requirements of CSA C22.2 No.601.1 M90:2003 19 - 32 0070- 0-0704-02 Passport V Operating Instructions...
Page 268 Complies with the requirements of IEC60601-1: 1997, clause 7.1. Limitation of Voltage and (or) Energy Complies with the requirements of IEC60601-1: 1997, clause 1.5. Defibrillation-proof Applied Part Complies with the requirements of IEC60601-1: 1997, clause 17.h. Passport V Operating Instructions 0070- 0-0704-02 19 - 33...
Page 269: Electromagnetic Capability
EMC information in this Instructions For Use. Portable and mobile RF communications equipment can affect the Passport V monitor.The Passport V is suitable for use in all establishments other than domestic establishments and those directly connected to the public low-voltage power supply network that supplies buildings used for domestic purposes.
Page 270: Passport V
GUIDANCE AND DECLARATION - ELECTROMAGNETIC EMISSIONS The Passport V is intended for use in the electromagnetic environment specified below. The customer or the user of the Passport V should assure that it is used in such an environment. EMISSIONS TEST...
Page 271 GUIDANCE AND DECLARATION - ELECTROMAGNETIC IMMUNITY The Passport V is intended for use in the electromagnetic environment specified below. The customer or the user of the Passport V should assure that it is used in such an environment. IMMUNITY IEC 60601...
Page 272 If the measured field strength in the location in which the Passport V is used exceeds the applicable RF compliance level above, the Passport V should be observed to ver- ify normal operation. If abnormal performance is observed, additional measures may be necessary, such as reorienting or relocating the Passport V.
Page 273 RECOMMENDED SEPARATION DISTANCES BETWEEN PORTABLE AND MOBILE RF COMMUNICATIONS EQUIPMENT AND THE PASSPORT V The Passport V is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled. The customer or the user of the Passport V can help prevent...
Page 274: Radio Regulatory Compliance
Canadian Depertment of Communications Industry Canada Notice (Canada only) This Class B digital apparatus complies with Canadian ICES-003. Cet appareil numérique de la classe B est conforme à la norme NMB-003 du Canada. Passport V Operating Instructions 0070- 0-0704-02 19 - 39...
Page 275 20 cm ou plus entre le dispositif rayonnant et le corps (à l’exception des extrémités : mains, poignets, pieds et chevilles). WARNING: Keep a distance of at least 20cm away from the monitor when Wi-Fi function is in use. 19 - 40 0070- 0-0704-02 Passport V Operating Instructions...
Page 276: Gas Module 3
Harmonic Class A supply network that supplies buildings used for domestic emissions IEC purposes. 61000-3-2 Voltage Complies fluctuations/ Flicker emissions IEC 61000-3-3 Passport V Operating Instructions 0070- 0-0704-02 19 - 41...
Page 277 IEC 61000-4-8 or hospital environment. is the A.C. mains voltage prior to application of the test level. 19 - 42 0070- 0-0704-02 Passport V Operating Instructions...
Page 278 If abnormal performance is observed, additional measures may be necessary, such as reorienting or relocating the or Gas Module 3. Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 3 V/m. Passport V Operating Instructions 0070- 0-0704-02 19 - 43...
Page 279 At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies. NOTE: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures, objects and people. 19 - 44 0070- 0-0704-02 Passport V Operating Instructions...
Page 280: Warranty Statements
Under this extended warranty, Mindray DS USA, Inc./Shenzhen Mindray Bio-Medical Electronics Co., Ltd. will repair or replace any defective component at no charge for labor and/or materials.
Page 281 Mindray DS USA, Inc./Shenzhen Mindray Bio-Medical Electronics Co., Ltd.’s option at the factory or at an authorized Distributor, any product which shall under normal use and service appear to the Company to have been defective in material or workmanship.
Page 282: Customer Service
Please include the instrument model number, the serial number, and a description of the problem with all requests for service. Any questions regarding the warranty should be directed to the nearest Mindray DS USA, Inc. location. A list of international offices, along with their phone numbers, is provided at the end of this manual.
Page 283 Manufacturer's Responsibility Appendix This page intentionally left blank. 19 - 48 0070- 0-0704-02 Passport V Operating Instructions...
Page 284: Glossary
Heart rate. Number of heartbeats per minute Intracranial pressure - label for invasive blood pressure Invasive Blood pressure Insp Inspiratory Isoelectric point - reference point on ECG waveform for ST analysis International Organization for Standardization Isoflurane Passport V Operating Instructions 0070- 0-0704-02 20 - 1...
Page 285 Premature Ventricular Contractions Right Atrium - label for invasive blood pressure Sevoflurane Oxygen Saturation ST segment value, indicating the condition of myocardial ischemia Umbilical Artery - label for invasive blood pressure 20 - 2 0070- 0-0704-02 Passport V Operating Instructions...
Page 286 This page intentionally left blank.
Page 287 March, 2015 0070-00-0704-02 Rev 13.0...
Page 288 Hoevelaken • The Netherlands • Tel: +31 33 25 44 911 • Fax: +31 33 25 37 621 Mindray (UK) Limited • 3 Percy Road • St. John’s Park • Huntingdon • Cambridgeshire PE29 6SZ • United Kingdom • Tel: 01480 416840 • Fax: 01480 436588 Mindray Medical France SARL •...

Mindray Passport V Operating Instructions Manual

General Product Description

System Configuration

Patient Management

ECG Monitoring

Respiration Monitoring

Spo 2 Monitoring

NIBP Monitoring

Temperature Monitoring

IBP Monitoring (Optional)

CO 2 Monitoring (Optional)

Gas Monitoring (Optional)

Drug Calculations

Alarms

Messages

Trends

Printing

User Maintenance

Accessories

Appendix

Quick Links

Troubleshooting

Need help?

Questions and answers

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Summary of Contents for Mindray Passport V