Agilent M1165, M1166, M1167, M1175, M1176 User reference manual (Vol.1)

...

Agilent M1165/66/67/75/76/77A Component Monitoring System and Agilent M1205A V24 & V26

User’s Reference Manual Volume 1 System Information

Part Number M1046-900 1L Printed 06/2000 First Edition

Notice

This document contains proprietary information which is protected by copyright. All Rights Reserved. Reproduction, adaptation, or translation without prior w rit ten permission is prohibited, except as a llowed under the copyright laws.

Agilent Technologies 3000 Minuteman Road Andover, MA 01810-1085 (978) 687-1501

Publication number M1046-9001L

Warranty

The information contained in this document is subject to change without n otice. Agilent Technologies ma kes no warranty of any kind with regard to this material, including,

but not limited to, the implied warranties or merchantability and fitness for a particular purpose.

Agilent Technologies shall no t be liable for errors contained herein or for incidental or consequential damages in connection with the furnishing, performance, or use of this material.

Printing History

0366

0123

New editions of this document will incorporate all material updated since the previous edition. Update packages may be issued bet ween editions and contain replac ement and additional pages to be merged by a re vision date at the bottom of the pa ge. Note that pages which are rearranged due to ch anges on a previous page are not considered revised.

The documentation printing date and part number indicate its current edition. The printing date changes when a new edition is printed. (Minor corrections and updates which are incorporated at reprint do not cause the date to change.) The document part number changes when extensive technical ch anges are incorporated.

First Edition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . June 2000

Important

United States federal law restricts these devices to sale by or on the order of a physician. The M1165/66/75/76A Systems comply with UL544, CSA 22.2-125, IEC 601-1, EN 60601-1, and

EN 60601-1-2 and car r ies Marking to Counci l Dir ec ti ve 93/ 4 2/ EEC, E ur opean Medical Device Directive (MDD).

The M1167/77A Systems comply with UL2601-1, CSA 22.2 No. 601.1-M90, IEC 601-1, EN 60601-1, and EN 60601-1-2 and carries Marking to Council Directive 93/42/EEC,

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European Medical Device Directive (MDD). The M1205A Systems comply with UL2601, IEC 601-1, CSA C22.2 no. 601-1, EN60601-1, and

EN60601-1-2 and carries Marking to Council Directive 93/42/EEC, European Medical Device Directive (MDD).

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Electromagnetic Interference

Anomalies due to electromagnetic interference are not unique to the M1165/66/67/75/76/77A or the M1205A but are chara cteristic of patient monitors in use today. This performance is due to the very sensitive high gain front end amplifiers used to display the physiological signals. Among the many similarly performing monitors already in use by customers, interference from electromagnetic sources is rarely a problem in actual use.

Avoiding Electromagnetic Interference

When electromagnetic interference (EMI) is encountered there are a number of actions that can be taken to mitigate the problem.

• Eliminate the source. Possible sources of EMI can be turned off or moved away to reduce their strength.

• Attenuate the coupling. If the coupling path is through the patient leads, the interference may be reduced by moving and/or rearranging the leads. If the coupling is through the power cord, plugging the monitor into a dif ferent circuit may help.

• Reduce the sensitivity of th e syst em . In all o f th e EM C t esti n g the m oni to r wa s adju ste d to maximum sensitivity. For the ECG amplifier the gain was four times what is normally required. By reducing the gain of the system receiving the EMI, the interference can often be eliminated.

• Add external attenuat ors. I f E MI becomes an unusually difficult problem external devices such as an isolation transf ormer or a transient suppressor ma y be of help. An Agilent Customer Engineer can be of help in determining the need for external devices.

Intended Use

Description

The Agilent M1165/66/67/75/76/77A Component Monitoring System and the Agilent M1205A V24 and V26 Monitors are ne tw ork connectable bedside patient monitoring devices.

The Agilent M1205A Models V24CT and V26 CT may powered by either AC line power or by battery power.

Purpose

The Agilent M1165/66/67/75/76/77A Component Monitoring System and the Agilent M1205A V24 and V26 monitors measure and display multiple ph ysiological parameters and w aves, and generate alarms and recordings. They exchange information with compatible devices. The Agilent M1165/66/67 /75/76/77A Component Monitoring System and the Agile nt M1205A V24 and V26 monitors are not therapeutic devices.

Patient Population

The Agilent M1165/66/67/75/76/77A Component Monitoring System and the Agilent M1205A V24 and V26 monitors are intended to be used on adult, pediatric, an d neonatal patients.

Environment

The Agilent M1165/66/67/75/76/77A Component Monitoring System and the Agilent M1205A V24 and V26 monitors are intended to be used in a clinical environment by trained healthcare professionals. They are not intended for home use.

They communicate with de vices such as a central station through network interface ports and a serial I/O port.

The Agilent M1165/66/67/75/76/77A Component Monitoring System and the Agilent M1205A

V24 and V26 Monitors are pres cription devices and will carry the following label, “United States Federal law restricts this device to sale by or on the order of a physic ian.”

Indications for Use

Condition

The Agilent M1165/66/6 7/75/76/77A Component Monitoring System and the Agilent M1205A V24 and V26 Monitors are generally indicated when the clinician decides there is a need to measure and display multiple physiological parameters and waves, to generate alarms and recordings of adult, pediatric, or neonatal patie nts.

Part of Body or Type of Tissue with Which the Device Interacts

The Agilent M1165/66/6 7/75/76/77A Component Monitoring System and the Agilent M1205A V24 and V26 monitors do no t c ontact the body or tissue of the patient. Signals are obtain ed from accessory electrode, transducer, and sensor devices.

Frequency of Use

The Agilent M1165/66/6 7/75/76/77A Component Monitoring System and the Agilent M1205A V24 and V26 monitors ar e indicated for use when presc ribed by a clinician.

Physiological Purpose

The Agilent M1165/66/6 7/75/76/77A Component Monitoring System and the Agilent M1205A V24 and V26 Monitors are indicated when the purpose is to gain information for treatment, to assess adequacy of treatment, or to rule out causes of symptoms. The Agilent M1165/66/67/ 75/76/77A Compon e nt Mo n it or i n g Syste m an d the Agi le n t M120 5A V24 an d V26 mo n itors are well suited for patient m onitoring.

Patient Population

Adult, pediatric, and neonatal non-ambulatory patients.

Indications for Use

Prescription Versus Over-the-Counter

The Agilent M1165/66/67/75/76/77A Component Monitoring System and the Agilent M1205A V24 and V26 Monitors are prescription devices.

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Indications for Use

Warnings, Cautions, and Notes

Warnings, cautions, and notes are us ed throughout this User’s Manual to give you additional information about the Agilent M1165/66/67/75/76/77A Component Monitoring System and the Agilent M1205A V24 and V26 monitors. The warnings and cautions included in this safety section refer to the equipment in general.

WarningWarning

A “warning” calls attention to the user of imminent hazard to people if proper procedures are not followed.

• For continued safe use of this equipment, it is necessary that the listed instructions are followed. Instructions in this manual in no way supersede established medical procedures.

• Explosion Hazard- Do n ot u se th i s equipment in the pre s en ce o f fl am ma bl e an esth etics.

• Alarms - Do not rely exclusively on the audible alarm system for patient monitoring. Adjustment of alarm volume to a low level or off during patient monit oring may result in patient jeopardy. Remember that the most relia ble method of patient monitoring combines close persona l surveillance with correct operation of m onitoring equipment.

• This equipment is only intende d fo r use in healthcare facilities by trained healthcare professionals.

• The product is not intended for outside hospital use such as a helicopt ers or ambulances.

• This product is not intended for home use.

• To reduce the risk of elect ric al shock, do NOT remove any cover. Refer servicing to qualified personnel.

• This equipment may interfere with ultrasound imaging equipment by causi ng interference on the ultrasound display. Try to keep the instruments as far apart as possible.

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Indications for Use

• Exposure of electrical contacts or connections to saline or other liquids and gels is dangerous. Electrical contacts and connections such as cable connectors, power supplies, parameter module plu g-in connections and rack connec tions must be kept clean and dry. Thoroughly dry any electrical connections that become contaminated with liquids. If additional decontamination is required please contact your biomedical department or Agilent Tech nologies Response Center.

• Although this equipment is shielded against Electromagnetic Interference (EMI), it is recommended to avoid the use of electrically radiating devices in close proximity to this equipment.

• Connecting the Agilent monitoring network (SDN) cable when the product is powered on is not supported. Error c odes and Agilent monitoring network (SDN) interface lockup may occur. Power cycling the product will recover the product. No permanent damage will result. To prevent unintentional disruption in monitoring, be sure th e SDN interface cable is properly secured at both ends when c onnecting to the Agilent monitoring network (SDN).

• Do not connect a second rack by a cable when using a module rack docked to the back of the Agilent V24CT or V26CT. Using a second rack connected by a cable may disrupt module communication.

Caution

A “caution” calls attention to a c ondition or possible situation that co uld cause injury to the user.

• Ventilation Requirements - Failure to meet ventilation requirements may cause equipment failure an d, in turn, jeopardize the functions of automated monitoring. Do not locate equipment in an enclosed ar ea which could restrict heat dissipation.

• Maintenance - Failure on the part of the responsible individual, hospital, or institution employing the use of this equipment to implement a satisfactory maintenance schedule may cause undue equipment failure and possible healt h hazards.

• Do not spray cleaning solut ions directly onto the monitor. Moisture droplets may enter the internal components and cause equipment mal function or failure. Cleaning solutions should be applied to a cloth and the cloth used to wipe the monitor clea n. The monitor should be turned off during cleaning.

Indications for Use

• Replacement Parts - It is highly recommended that only Agilent Technologies recommended parts and a ccessories be used with this equipment. Failure to do so may result in the degradation of performance. Accessorie s and parts for individual modules and components are listed at the back of the appropriate section in th is manual.

Note—

A note gives special instructions to highlight an operating procedure or practice. Notes

may precede or follow the applicable text. At this time, Agilent Technologies will ma ke available on request, and in E nglish only, such

circuit diagrams, component part lists, descriptions, calibration instructions, or other information which wil l assist the user’s appropriate qualified technical pers onnel to repair those parts of the equipment which are classified by Agilent Technologies to be repairable. A list of Agilent Sales and Support Of fices is provided at the end of this manual.

Indications for Use

Using This Manual

To enable you to find information easily, there is a contents list at the front of the guide and a comprehensive index at the back.

The User’s Reference Manual is separated into two parts; the core document and the parameter module guides.

The Core Document

This section of the guide contains al l the general information about the sy stem. It is a good place for new users to start because it gives an introd uction to the system and the way it works, and shows you how to get start ed. Here is a list of the major sections:

• Introducing the Agilent M1165/66/67/75/76/77A Component Monitoring System and the Agilent M1205A V24 and V2 6 monitors

• Getting Started

• Configuring the System

• Other Patients

• Alarm Functions

• Recording Functions

• Trends and Data Management

• Installation and Patient Safety

• Care and Cleaning

Indications for Use

Monitor Setup

Parameter Module Sections

These sections each contain information for one parameter module. This covers setting-up, monitoring, and problem solving if you encounter difficulty. Each section is separ at ed with a white tab which has the title of the section.

Note—

The User’s Reference Manual contains information for all the parameter modules available for the system. This means, of course, that depending on the model and number of modules you have ordered, the screens w ill not always apply to your system. However, the information for the param eters and functions is valid for all the system s.

Note—

The screenshots displayed in this manual were generated in demo mode and may therefore differ from what actually appears on your screen during patient monitoring.

Notice to the User

Although there may be products in your area that look similar to the Agilent M1165/66/67/75/ 76/77A Component Monitoring System and the Agilent M1205A V24 and V26 monitors, their functionality may not be the same. This User’s Reference Manual is intende d t o be used with the Agilent M1165 / 66/67/75/76/77A Component Monitoring System, the M1026A Anest hetic Gas Module and the Agilent M1205A V24 and V26 monitors only.

This Manual is only applicable for Release C.0 versions of the monitors listed above. A Release C.0 monitor can be identified by:

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a. the Release C.0 label on the monitor, or b. the suffix of the EPROMpack part number. To view this number, press

→ → .

Monitor Revision Show SW Rev

The suffix of the EPROMpack part number on a Release C.0 Agilent CMS is A. The Software R evision of a Releas e C.0 Agilent V24 or V26 monitor is L.xx.xx

Responsibility of the Manufacturer

Agilent Technologies only considers itself responsible for any effects on safety, reliability and performance of the equipment if:

assembly operations, extensions, re-adjustments, modifications or repairs are carried out by persons authorized by Agilent , and

the electrical installation of t he relevant room complies with nationa l standards, and the instrument is used in accordance with the instructions for use.

To ensure optimum usage, we recommend that Agilent parts and accessories are used in conjunction with the Agilent M1165/66/67/75/76/77A Co mponent Monitoring System, the Agilent M1026A Anesthetic Gas Module and the Agilent M120 5A V24 and V26 Monitors, wherever available. If non-Agilent parts are used, Agilent Technologies is not liable for any damage that these parts may cause to the Agilent equipment.

Manufacturer´s Address

For South America, North America and Canada:

Agilent Technologies, Inc. 3000 Minuteman Road Andover MA 01810-1099

For all other countries:

Agilent Technologies GmbH Herrenberger Str. 130

71034 Böblingen Germany

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Responsibility of the Manufacturer

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Contents

Intended Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .v

Description. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .v

Purpose. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .v

Patient Population . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .v

Environment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .v

Indications for Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . vi

Condition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . vi

Part of Body or Type of Tissue with Which the Device Interacts. . . . . . . . . . . . . . . . . . . . . . vi

Frequency of Use. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . vi

Physiological Purpose . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . vi

Patient Population . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . vi

Prescription Versus Over-the-Counter. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . vii

Responsibility of the Manufacturer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xiii

Manufacturer´s Address. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xiii

The Agilent CMS, V24 and V26 Monitors 1-1

Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2

CMS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-2

Agilent V24 and V26. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-7

Control Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-8

The Handheld Keypad . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-10

External Alarm Device. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-11

Hardkey Functions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-12

Agilent V26CT/V24CT Power Supply. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-14

Battery Power Supply . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-14

Parameter Modules . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-16

Operating Levels. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-19

Main Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-20

Selection Window . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-22

Task Window. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-23

Getting into the Operating Levels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-24

Touch or Mouse/Trackball Operation (CMS only). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-26

Main Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-26

Control Panel Task Window . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-27

General Touch/Mouse/Trackball Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-27

Disabling Touch/Mouse/Trackball Operation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-30

Contents-1

The CMS Computer Modules. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-31

M1046A Computer Module. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-31

M1046B Computer Module. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-32

ECG Output and Defibrillator Marker Input . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1 -32

The Agilent V24 and V26 Parameter Module Rack. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-33

Operating Rules to Remember . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-34

Performance Specifications of the Agilent Displays. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-35

M1095A Flatscreen Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-35

M1094A/B and M1092A CRT Display. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-35

M1097A #A02 XGA Flatscreen Display. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-35

Using an ITE Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-36

Safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-36

EMC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-37

Performance Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-37

Getting Started 2-1

Setting up the Monitor (Agilent V24 and V26 only) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-2

Setting up the Parameter Modules . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-5

Attaching the Patient. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-6

Adjusting Screen Contrast . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-7

Starting Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-8

Screen Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-8

Reserving a Channel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-9

Power Failure. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2 -10

Patient Information Center. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-10

Monitor Standby . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-10

Setting up your Monitor 3-1

Changing Display Screens . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-2

Selecting a Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-3

Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-3

Freezing Waves (Agilent CMS only) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-4

What you Can Configure. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-5

Changes to the Configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-6

Making Changes to the Main Display. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-7

Assigning Waves to Screen Channels. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-8

Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-9

Selecting a Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-10

Contents-2

Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-10

Selecting Screen Labels for Realtime Display Screens. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-11

Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-11

Selecting the Number of Waves. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-13

Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-13

Changing the Wave Overlap . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-14

Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-14

Selecting Realtime Wave Speeds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-15

Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-15

Numerics On/Off . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-17

Additional Information. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-19

Selecting an Application Window . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-20

Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-20

Displaying Split Screen Trends . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-22

oxyCRG Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-25

Notes on oxyCRG. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-26

CSA Display (Agilent CMS only). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-28

Notes on CSA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-29

Wave Replace . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-30

Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-30

Trace Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-31

Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-31

Configuring a Second Independent Display (Agilent CMS only). . . . . . . . . . . . . . . . . . . . . . . .3-32

Other Functions You Can Configure. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-33

Adjusting the Volume Control. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-35

Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-35

Adjusting the Date and Time. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-37

Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-37

Selecting Waves for Central Recorders. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-39

Configuring Module, Bedside and Central Recordings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-40

Other Patients Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-41

The Status Log Function . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-42

The Monitor Revision Function. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-43

Changing Default Settings and Patient Category. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-44

Changing the Patient Category . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-45

NBP. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-47

NBP Examples . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-47

ECG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-49

Heart Rate (HR) / Pulse . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-51

Contents-3

RESP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-51

Pressure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-51

SpO2. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-51

Changing the Configuration Set . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-53

Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-54

Changing Operating Modes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-55

Returning to Monitoring Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-56

Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-57

The Test Signals Function. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-58

Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-59

Analog Output (CMS only) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-59

Parameter Settings Transfer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-61

Parameter Settings Transfer Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-63

Other Patients 4-1

Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-2

Agilent Patient Care System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-3

The Other Patients Selection Window. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-3

Automatic Alarm Other Patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-4

Configuring the Other Patients Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-7

Using Agilent Patient Care System with an Arrhythmia Computer . . . . . . . . . . . . . . . . . . . . . . .4-8

Extended Overview (Agilent CMS only) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-15

To View an Extended Other Patients Bed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-16

Alert Notification. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-17

Alarm Functions 5-1

Alarm Display. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-2

Alarm Functions on the Control Panel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-2

Suspending Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-3

Silencing and Resetting Alarms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-4

Alarm Priorities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-8

Individual Parameter Alarms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5 -10

When an Alarm Occurs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-11

Alarm Setup. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-12

Getting into the Alarms Selection Window. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-12

Changing the Alarm Limits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-13

Setting the Volume Control. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-14

The Nurse Call Relay. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-15

Contents-4

Recording Functions 6-1

General Recorder Information. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-2

Recorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-2

Controls and Indicators on the Plug-In Recorder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-3

Controls and Indicators on the 4-Channel Recorder (Agilent CMS only) . . . . . . . . . . . . . . .6-4

Recorder Capabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-5

Types of Recordings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-7

Delayed Recording. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-8

Definitions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-8

Configuring Delayed Recordings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-9

Making Delayed Recordings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-11

Alarm Recording . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-12

Configuring Alarm Recordings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-13

Alarm Recording Priorities. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-14

Procedure Recordings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-16

Configuring Procedure Recordings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-16

Making Procedure Recordings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-17

ST Recordings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-18

Realtime Wave Recordings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-20

Definitions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-20

Configuring Preset Recording Modes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-21

Making Preset Recordings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-22

Making Non-Preset Recordings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-22

Making Calibrated ECG Recordings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-23

If the Recorder is Busy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-23

Realtime Vital Signs / Blood Recordings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-25

Definitions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-25

Making a Single Vital Signs/Blood Recording. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-27

Making Timed Sequences of Vital Signs/Blood Recordings. . . . . . . . . . . . . . . . . . . . . . . .6-27

Trended Vital Signs Recordings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-29

Header Information. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-29

Trend Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-30

Making Trended Vital Signs Recordings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-32

Neonatal Event Review Recordings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-33

Tabular Neonatal Event Recordings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-33

oxyCRG Episode Recordings for Neonatal Events . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-34

oxyCRG Recordings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-36

oxyCRG Alarm Recording . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-38

Additional Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-39

Contents-5

Annotations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-39

Changing the Recording Length . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-42

Changing the Recorder Speed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-43

Changing the Recorder. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-43

Continuing a Timed Recording . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-43

Inserting a Calibration Signal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-44

Recording Layouts. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-44

Recording Status Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-46

Loading Paper . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-48

Central Recorders. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-48

Loading Paper into the Plug-In Recorder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-48

To Replace Paper in the Plug-In Recorder. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-49

Cleaning the Printhead in the Plug-In Recorder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-51

Loading Paper into the Four Channel (M1117A) Recorder (Agilent CMS only). . . . . . . .6-52

Cleaning the Roller on the Four Channel (M1117A) Recorder. . . . . . . . . . . . . . . . . . . . . .6-54

Admit/Discharge/End Case 7-1

Admitting a Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-2

Changing Patient Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-5

Discharging a Patient/Ending a Case. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-9

Trends and Calculations 8-1

Introduction to Trends & Calculations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-2

Viewing Patient Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-3

Trending Priority . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-5

Viewing Blood Measure-ments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-5

Viewing Vital Signs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-9

Selecting Parameters for Graph Trends. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-12

Viewing Graph Trends. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-13

Performing and Reviewing Calculations. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-20

Performing Calculations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-21

Changing or Entering an Input Value . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-25

Reviewing Calculations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-25

Printing Reports. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8 -26

Printing Task Window Reports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-26

Printing Scheduled Reports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-26

What to Do If Your Report Does Not Print. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-30

Drug Calculator. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-32

Contents-6

Neonatal Event Review 9-1

Introduction to Neonatal Event Review . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-2

Viewing Neonatal Events. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-3

Manual Event Storage. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-4

Graphical Details . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-5

Operating Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-12

Viewing oxyCRG Episodes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-14

Operating Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-16

Adjusting Neonatal Event Review Settings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-18

Event Criteria . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-19

Operating Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-21

Data Transfer 10-1

Data Transfer Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-2

What is Transferred . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-5

Types of Transfer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-7

To Module. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-7

To Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-10

TransferringBlood Analysis Data. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-11

Combining Data. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-14

Time Conversion. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-14

Database Conversion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-14

Vital Signs, Blood Review and Graphs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-17

Time Stamp. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-17

Reports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-18

Troubleshooting. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-19

Performance Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-20

Data Transfer Module. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-20

Monitor Installation and Patient Safety 11-1

Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-2

Installation Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-5

Power Source Require-ments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-5

Grounding the System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-5

Combining Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-8

Environment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-9

Conden-sation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-11

Explanation of Symbols used . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-12

Contents-7

Maintenance Checks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-14

Patient Cables and Leads . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-16

Controls and Connectors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-17

The Front Panel of the M1046A Computer Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-17

The Front Panel of the M1046B Computer Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-19

The Rear Panel of the M1046A/B Computer Modules . . . . . . . . . . . . . . . . . . . . . . . . . . .11-21

The Rear Panel of the Display Modules . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-23

The Rear Panel of the M1109A External Alarm Device . . . . . . . . . . . . . . . . . . . . . . . . . . 11-29

The Rear Panel of the M1026A Anesthetic Gas Module. . . . . . . . . . . . . . . . . . . . . . . . . . 11-30

Assembling the System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-31

The V24 and V26 Monitor Connectors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-34

Assembling the V24 and V26 monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-36

Accessories and Ordering Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-37

Battery Information (Agilent V24 and V26 only) 12-1

AC and DC (Battery) Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12-2

Operating Instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12-3

Battery Indicator and Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12-6

External Battery Charger. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-8

Battery Care and Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12-9

Storage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12-9

Care and Handling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12-10

Accessories and Ordering Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-11

Maintenance 13-1

General cleaning of the System. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13-2

General Disinfecting of the System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-4

Monitor Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13-6

Inspect the System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13-8

Perform a Start-up Sequence Test of the System. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-9

Verify the Integrity of the Display. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1 3-9

Perform a System Self-Test. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13-10

Performance Assurance Checks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13-11

Performance Assurance Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13-11

Functional Testing Procedures. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-13

Performing the ECG Module and ECG/RESP Self-Test. . . . . . . . . . . . . . . . . . . . . . . . . .13-15

Performing the Invasive. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13-16

Pressure Module Self-Test. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13-16

Contents-8

Performing the NBP Module Self-Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13-17

Performing the SpO2/Pleth Module Self-Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13-17

Performing the Cardiac Output Module Self-Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13-17

Performing the tcpO2/tcpCO2 Module Self-Test. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13-18

Performing the CO2 Module Self-Test. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13-19

Performing the Temperature Module Self-Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13-19

Performing the Blood Analysis Module Self-Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13-20

Performing the Recorder Module Self-Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13-20

Performing the Data Management Database Self-Test. . . . . . . . . . . . . . . . . . . . . . . . . . . .13-20

Tests for Vuelink Module and Anesthetic Gas Module . . . . . . . . . . . . . . . . . . . . . . . . . . .13-21

Contents-9

Contents-10

The Agilent CMS, V24 and V26

Monitors

This chapter provides an overview of the Agilent CMS, V24 and

Monitors. It includes the following sections:

V26

• Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2

• Parameter Modules. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-16

• Agilent V26CT/V24CT Power Supply . . . . . . . . . . . . . . . . 1-14

• Operating Levels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-19

• Touch or Mouse/Trackball Operation (CMS only) . . . . . 1-26

• The CMS Computer Modules. . . . . . . . . . . . . . . . . . . . . . . 1-31

• The Agilent V24 and V26 Parameter Module Rack . . . . . 1-33

• Operating Rules to Remember. . . . . . . . . . . . . . . . . . . . . . 1-34

The Agilent CMS, V24 and V26 Monitors 1-1

Introduction

and V26 Monitors

The Agilent CMS, V24

The Agilent M1165/66/67/75/76/77 CMS and the Agilent M1205A V24 and V26 Monitors, hereafter referred to as the “monitor”, are modular patient

monitors with networking and data management capabilities. All the systems can have modules added or removed at a later time as need ed, or you can interchange the modules between systems in your unit.

Note—

Some features expla ined in this manual are not availa ble for both

the Agilent CMS, V24 and V26 Monitors. The respective sections are

marked throughout the manual with either “Agilent CMS only” or “Agilent V24 and V26 only”.

The following system types are available:

CMS The Agilent CMS is available as a choice of three system types. Each

system consists of three individual parts; a display module, a computer module and param et er modules:

1. M1167/77A Color Flatscreen Display and Computer Module with Satellite Module Rack

Note—

This system is also available with an External Alarm Device and an XGA compatible display controller to drive commercially available ITE (Information Technology Equipment) displays (XGA Type).

2. M1165/75A Monochr ome CRT Display and Computer Module w ith Integral Module Rack

3. M1166/76A color CRT Display and Computer Module with Integral Module Rack

1-2 The Agilent CMS, V24 and V26 Monitors

M1167/77A System

Display Module M1095A 10.4” Flatsc reen Display Computer Module M1046B Computer Module Parameter Mo dules Satellite Rack

Introduction

and V26 Monitors

The Agilent CMS, V24

The Agilent CMS, V24 and V26 Monitors

1-3

The Agilent CMS, V24

Introduction

and V26 Monitors

M1167/77A System with External Alarm Device

XGA Display

External Alarm Device

Computer Module

Parameter Modules

Display Module ITE Display of choice Computer Module M1046B Computer Module Parameter Mo dules Satellite Rack

a. Agilent offers the M1167/77A #H05 (XGA Touchscreen display con-

figuration). The display is also available separately under the order number M1097A #A02.

1-4 The Agilent CMS, V24 and V26 Monitors

M1165/75A and M1166/76A System

Display Module M1094A/B/92A 14” CRT Display Computer Module M1046A Computer Module Parameter Mo dules Integral and/or Satellite Rack

Introduction

and V26 Monitors

The Agilent CMS, V24

Model Types

All system types are also av ailable as a choice of three diff erent model types:

Full Title Abbreviation

The Agilent Component Monitoring System Agilent CMS The Agilent Component Monitoring System for

Agilent ACMS

Anesthesia Care The Agilent Component Monitoring System for

Agilent NCMS

Neonatal Care

Note—

In this manual, the system will be referred to as the Agilent CMS,

the Agilent ACMS and the Agilent NCMS.

The Agilent CMS, V24 and V26 Monitors

1-5

Introduction

The Agilent CMS, V24

Display

Modules

and V26 Monitors

Below are labeled diagrams of the display modules provided by Agilent Technologies. The control panel is described in more detail in the following sections

M1095A Flatscreen Display Module

M1092A / M1094B CRT Display Module

1-6 The Agilent CMS, V24 and V26 Monitors

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