Medical History and Alarm Settings

Central Monitoring System (CS110) User Manual

• The CS110 user manual is for clinical medical professionals with working knowledge of medical procedures, practices, and terminology.

Change History

• Version 1: Initial release
• Version 2: Changes not specified
• Version 3: European Authorized Representative was changed
• Version 4: European Authorized Representative was changed (again)
• Version 5: Arabic warnings were added (released on 2023/04/16)

User Manual Contents

• The manual covers the basics of the CS110, including product overview, intended use, components, and network connection.
• It also covers installation, display screen, bed view, alarm control, CMS menu, manage patient menu, disclosure, graphical trend, numeric trend, alarm list, NIBP list, event recall, bed setup, multi-lead, and setting.

Other Important Sections

• Troubleshooting (section 22)
• Technical Specification (section 23)
• Alarms and Messages (section 24)
• System Defaults (section 25)
• Patient Safety (section 26)
• Preventive Maintenance (PM) Checklist (section 27)### General Warnings and Precautions
• The Central Monitoring System (CMS) is intended for use as an adjunct in patient assessment and must be used in conjunction with clinical signs and symptoms.
• Read all parts of the user manual before using the CMS.
• URUK Company is responsible for safety, reliability, and performance of the product only if used according to the user manual.
• All installation, development, changes, modifications, repairs, transportation, and disassembly of the product should be conducted by URUK trained and experienced personnel.
• All cleaning operations should be conducted by trained personnel.
• The CMS software is designed to minimize the probability of risks arising from software errors.
• Compliance with maintenance and transportation requirements is necessary.
• Check all system components for mechanical damage during transport, installation, storage, and use.
• Contact customer service in case of any problem.

Product Overview

• The Central Monitoring System (CMS) is powerful software that constructs a monitoring network by connecting bedsides.
• The CMS is capable of providing centralized monitoring for all patients, promoting efficiency and quality of monitoring.
• The CMS stores, processes, analyzes, and displays bedside information.
• The CMS can monitor 32 bedsides, review 48 hours of disclosure data, and review 96 hours of trend data.

Intended Use

• The CMS is intended for use in hospitals or medical institutions to conduct centralized monitoring of vital signs information from multiple monitors.
• The CMS is not intended for home use.
• The CMS only supports bedsides manufactured by URUK company.

Components

• The CMS consists of a main device, second display screen, input/output devices, recorder/printer, and network equipment.
• The main device in the CS110 model consists of a display and a PC.

Network Connection

• The CMS communicates with bedsides via a wired/wireless network, providing centralized monitoring.
• A typical network model of the CMS includes a network connection between the CMS and bedsides.

Installation

• Unpacking and inspecting the CMS should be done with caution.
• Installation should be done by the manufacturer's personnel.
• The CMS should not be placed near strong noisy fields or devices that are sensitive to noise.
• Using the CMS in the presence of flammable gases produces an explosion risk.

Starting the System

• Before using the CMS, ensure that the touch screens have been calibrated and the network cable has been connected.
• Check the connection of CMS components before monitoring, otherwise, some components may fail to function properly.

Display Screen

• The CMS displays up to 32 patient windows on two screens simultaneously.
• Each patient window on the CMS represents one Bedside, displaying patient information and vital signs.
• Patient windows can be in offline status, indicating disconnection between the CMS and Bedside.
• In monitoring status, patient windows display real-time patient data transmitted from the Bedside.

Patient Window

• Each patient window displays patient information, alarm area, waveforms area, parameter area, and NIBP start button.
• The alarm area displays visual alarms.
• The waveforms area displays waveforms transmitted from the Bedside.
• The parameter area displays parameter values transmitted from the Bedside.
• The NIBP start button sends measurement requests to the Bedside.
• Nurse Call button allows responding to nurse call warnings.### Central Monitoring System (CMS)
• The CMS enables freezing and unfreezing of Bed View waveforms by clicking on the second display.
• Freezing Bed View waveforms has no effect on patient window waveforms and vice versa.

Taskbar

• The taskbar has six buttons: SILENCE, HOME, SETTING, HISTORY, PACS View, and Bed View.
• The SILENCE button toggles audio alarm on or off.
• The HOME button displays the main screen.
• The SETTING button performs CMS settings.
• The HISTORY button calls up a page with three tabs: History-Patient List, History-Alarm Setting List, and History-Nurse Call List.
• The PACS View button opens a browser page for connection to the PACS server and displaying DICOM files on the second screen.

Bed View

• The Bed View screen displays one bed in enlarged mode on the second display.
• The patient data can be monitored more closely.
• The Bed View button is inactive in the view modes with structure A×B Beds + A×B Beds.

Bed View Screen

• The Bed View screen consists of four areas:
  • Patient Information Area: displays bed number and patient name.
  • Waveforms Area: displays waveforms transmitted from the Bedsides.
  • Parameter Area: displays parameter values transmitted from the Bedsides.
  • Alarm Area: displays visual alarms.

Alarm Control

• Alarms are triggered by abnormal vital signs, technical problems, or CMS software issues.
• Alarms are classified into three categories: Physiological, Technical, and Systemic alarms.
• Alarms are classified into three levels of priority: High, Medium, and Low.
• Audible alarms use different tones to indicate different alarm levels.
• Visual alarms are displayed with colors indicating different alarm levels.

Alarm Structure

• Physiological alarms: triggered by abnormal vital signs.
• Technical alarms: triggered by technical problems of the Bedside.
• Systemic alarms: triggered by CMS software issues.

###Alarm Settings

• Alarm limits can be set in the Bedside and transmitted to the CMS.
• Alarm sound can be set with regard to patient and environment conditions.

CMS Menu

• The CMS menu consists of several tabs.
• Settings of a tab are exclusively related to a bed.
• The menu items patient name, bed number, and ID are displayed above the menu.
• The bed number can be set by selecting "Bed Offset".

Controls

• Tooltip: a hover box with information about an item appears when the cursor is hovered over an icon or image.
• High-level accessibility: some capabilities of the Admin tab are intended only for trained and authorized personnel.
• On-screen keyboard: an on-screen keyboard pops up to enter data when clicking on text fields.
• Date & Time: sets time and date.
• Save: saves settings and leaves the menu.

Manage Patient Menu

• Modifying patient information: modifies patient information, such as name, gender, height, and blood type.
• Saving patient information: saves data and leaves the menu.
• Discharging a patient: terminates monitoring of a patient.

Disclosure

• Reviews up to 48 hours of ECG waveform and numeric parameters.
• Functions available in the Disclosure page:
  • Review ECG waveforms and numeric parameters
  • Options (selecting waveform and parameters)
  • Scroll through pages
  • Capture an image of the screen data
  • Search
  • Record/print