I seem to remember, back in the dim and distant past when I was working for one of the big patient monitoring companies, that we had the ability to define the number and type of manuals that would be supplied when a new install was being done. From the OEMs point of view this simply meant that manuals were not packed in each monitor box but rather supplied as a separate item so we could ask the factory to provide a specific number and type (user or service) as agreed with our client. This saved a lot of waste.
The alternative in today's world is of course to provide on-line access, including "user cheat sheets" so that the customers can print what they feel they need post in-service completion.
