Medtronic VITALSYNCSW01 Operator's Manual

Vital Sync™

0123

Virtual Patient Monitoring Platform and Informatics Manager

Reference Manual

U.S. patents: www.medtronic.com/patents

Medtronic and Medtronic logo are trademarks of Medtronic. ™* brands are trademarks of their respective owner. Other brands are
trademarks of a Medtronic company.

Symbols

0123

Federal (U.S.A.) law restricts the use of the application to sale by or on the order of a physician.

CE 0123 Mark – Signifies compliance with Medical Device Directive 93/42/EEC.

Authorized representative in the European Community.

Consult instructions for use.

Manufacturer.

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ii

Table of Contents

1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

Conventions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

Applicable Version . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

Safety Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

Obtaining Technical Assistance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

Warranty Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

Licensing Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

HIPAA Disclaimer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

2 Product Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

Intended Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

Contraindications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

User Interface Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

User Interface Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

Device Types Supported . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

3 Installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

System Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

Security Recommendations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

Installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

4 Access . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

Access the Software . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

Login . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

Clinician Functions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30

Supervisor Functions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33

Administrator Functions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38

Functions for Other Roles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41

5 Clinician and Supervisor Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45

Alarms and Notifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45

Navigation and Basic User Interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46

Tile View (Patient Overview Screen) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50

Device Detail Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55

All Patients and Devices Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 74

Admit a Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76

Manual Parameter Entry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 84

Discharge (Remove) a Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85

Patient Assignments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 88

Area Assignments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 94

Select User Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 101

Event List . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 102

Reports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 103

Change Password . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 104

Reference Manual English 1

Audible Alerts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 105

Help . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 107

Version Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 107

Platform Logout . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 108

6 Administrator Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 109

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 109

Navigation and Basic User Interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 109

Administrative Home Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 111

Manage Users . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 113

Manage Bedside Display Users . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 122

Manage Shifts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 125

Manage Locations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 127

Manage Device Inventory . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 132

Device Status . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 135

Manage Alarm, Notification, and Setting Rules . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 138

Manage Alerts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 147

Manage Parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 149

Manage Algorithms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 151

Reports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 153

Help . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 154

Version Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 154

Platform Logout . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 154

7 Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 155

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 155

Summary of Alarm Indicators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 155

Clear Alarm Indicators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 157

Audible Alerts and Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 158

View Alarm Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 159

Filtered Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 163

Event Priority . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 165

Alarm Behavior in the Platform . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 166

8 Notifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 167

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 167

Summary of Notification Indicators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 167

View Notification Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 168

View and Acknowledge Setting Changes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 173

Event Priority . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 174

9 Supplementary Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 175

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 175

Alarm Communication from Devices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 175

Locations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 175

Alarm Functionality and Behavior . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 177

Alarm Rule Considerations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 179

Event Priority . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 181

Default Alarm Priority by Device . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 183

Audible Alert Tones . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 184

Device Auto-Reconnection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 185

2 Reference Manual English

Device Data Handling After Unlinking . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 186

Admission, Discharge, and Transfer (ADT) Functionality . . . . . . . . . . . . . . . . . . . . . . . . . . . . 186

Web API Functionality . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 187

Relevant Standards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 187

Appendix A. Reports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 189

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 189

Access . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 189

Report Functions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 190

Clinician and Supervisory Reports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 194

Administrative Reports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 215

Figures

Figure 1. Login Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

Figure 2. Common Navigation Bar (Standard) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46

Figure 3. Function Menu (Clinician) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47

Figure 4. Function Menu (Supervisor) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47

Figure 5. Alarm Button Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48

Figure 6. Notification Button Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48

Figure 7. Device Button Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48

Figure 8. Example Function Drop-Down Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49

Figure 9. Example System Message . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49

Figure 10. Tool Tip . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50

Figure 11. Patient Overview Screen (Tile View) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50

Figure 12. Bed Tile Detail . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51

Figure 13. Device Tile Detail . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51

Figure 14. Bed Tile (patient name masked) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54

Figure 15. Device Detail Screen Layout (ventilator) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56

Figure 16. Device Detail Screen Layout (pulse oximeter or capnography monitor) . . . 57

Figure 17. Device Detail Screen Layout (derived parameter algorithm) . . . . . . . . . . . . . . 57

Figure 18. Patient Header Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58

Figure 19. Patient Header Panel (alarm indicated) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58

Figure 20. Device Header Panel (ventilator) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59

Figure 21. Device Header Panel (pulse oximeter or capnography monitor) . . . . . . . . . . . 59

Figure 22. Device Header Panel (regional saturation monitor) . . . . . . . . . . . . . . . . . . . . . . . 59

Figure 23. Parameter Panel (ventilator data) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60

Figure 24. Parameter Panel (pulse oximeter data) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60

Figure 25. Parameter Panel (capnography monitor data) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61

Figure 26. Parameter Panel (bispectral index monitor data) . . . . . . . . . . . . . . . . . . . . . . . . . 61

Figure 27. Parameter Panel (multiparameter monitor data) . . . . . . . . . . . . . . . . . . . . . . . . . 62

Figure 28. Parameter Panel (four-channel regional saturation monitor data) . . . . . . . . . 63

Figure 29. Parameter Panel (two-channel regional saturation monitor data) . . . . . . . . . 63

Figure 30. Waveform Panel (ventilator data) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64

Figure 31. Waveform Panel (pulse oximeter data) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64

Figure 32. Waveform Panel (capnography monitor data) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64

Figure 33. Settings Panel (ventilator settings) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65

Reference Manual English 3

Figure 34. Trend Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66

Figure 35. Event Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66

Figure 36. Parameter Trend Window . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67

Figure 37. Parameter Trend Window (alarm and setting change icons and alarm

message shown) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68

Figure 38. Parameter Trend Window (specific data point shown) . . . . . . . . . . . . . . . . . . . . 68

Figure 39. Waveform Detail Window . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69

Figure 40. Waveform Detail Window (specific data shown) . . . . . . . . . . . . . . . . . . . . . . . . . . 69

Figure 41. Waveform Detail Window (specific data shown for multiple ventilator

waveforms) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70

Figure 42. Device Detail Screen (patient information fields) . . . . . . . . . . . . . . . . . . . . . . . . . 70

Figure 43. Update Patient Information Window . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71

Figure 44. Update Patient Location Window . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72

Figure 45. Rules and Settings Dialog (example delay rules shown) . . . . . . . . . . . . . . . . . . . 72

Figure 46. Rules and Settings Dialog (example alert thresholds shown) . . . . . . . . . . . . . . 73

Figure 47. All Patients and Devices Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 74

Figure 48. All Patients and Devices Screen (assignments shown for a patient) . . . . . . . . 76

Figure 49. Tile View (device tile dragged onto bed tile at lower left) . . . . . . . . . . . . . . . . . 77

Figure 50. Admit Patient Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78

Figure 51. Admit Patient Screen (available device list) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 79

Figure 52. Link New Device dialog . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 80

Figure 53. Device Detail Screen (making a device primary) . . . . . . . . . . . . . . . . . . . . . . . . . . 81

Figure 54. Device Detail Screen (device disconnected from the platform) . . . . . . . . . . . . 82

Figure 55. Device Detail Screen (manual discharge) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 86

Figure 56. Patient Discharge History Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87

Figure 57. Patient Assignment Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 88

Figure 58. Patient Assignment Screen (unassigned patients shown) . . . . . . . . . . . . . . . . . 90

Figure 59. Patient Assignment Screen (other user selected) . . . . . . . . . . . . . . . . . . . . . . . . . 90

Figure 60. Patient Assignment Screen (other user’s assignments) . . . . . . . . . . . . . . . . . . . 90

Figure 61. Patient Assignment Screen (shift menu shown) . . . . . . . . . . . . . . . . . . . . . . . . . . 91

Figure 62. Area Assignment Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 95

Figure 63. Area Assignment Screen (unassigned areas shown) . . . . . . . . . . . . . . . . . . . . . . 96

Figure 64. Area Assignment Screen (other user selected) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 97

Figure 65. Area Assignment Screen (other user’s assignments) . . . . . . . . . . . . . . . . . . . . . . 97

Figure 66. Area Assignment Screen (shift menu shown) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 97

Figure 67. Select User Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 101

Figure 68. Navigation Bar and Function Menu (Select User Mode) . . . . . . . . . . . . . . . . . . 101

Figure 69. Event List Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 102

Figure 70. Device Detail Screen (Patient Reports tab) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 104

Figure 71. Change Password Dialog . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 104

Figure 72. Audible Alerts Dialog (control of alerts locked) . . . . . . . . . . . . . . . . . . . . . . . . . . 105

Figure 73. Audible Alerts Dialog (control of alerts unlocked) . . . . . . . . . . . . . . . . . . . . . . . 106

Figure 74. Version Information (“About”) Dialog . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 107

Figure 75. Example Administrative Navigation Links . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 110

Figure 76. Example System Message . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 110

Figure 77. Column Sort (cursor and heading to be sorted shown) . . . . . . . . . . . . . . . . . . 111

Figure 78. Administrative Home Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 112

Figure 79. Manage Users Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 114

4 Reference Manual English

Figure 80. Manage Users Screen (inactive users shown) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 115

Figure 81. Create User Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 116

Figure 82. Edit User Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 117

Figure 83. User Deactivation Dialog . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 119

Figure 84. User Activation Dialog . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 119

Figure 85. User Deletion Confirmation Dialog . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 120

Figure 86. User Unlock Dialog . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 120

Figure 87. Password Reset Confirmation Dialog . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 121

Figure 88. Password Reset Confirmation Message . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 121

Figure 89. Change Password Dialog . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 121

Figure 90. Manage Bedside Display Users Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 122

Figure 91. Manage Bedside Display Users Screen (inactive user records shown) . . . . . 123

Figure 92. Edit Bedside Display Bed Assignment Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . 124

Figure 93. Bedside Display User Deactivation Dialog . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 124

Figure 94. Bedside Display User Activation Dialog . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 125

Figure 95. Manage Shifts Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 125

Figure 96. Add Shift Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 126

Figure 97. Edit Shift Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 126

Figure 98. Manage Areas Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 127

Figure 99. Add Areas Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 128

Figure 100. Edit Areas Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 129

Figure 101. Manage Beds Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 130

Figure 102. Add Bed Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 131

Figure 103. Edit Bed Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 132

Figure 104. Manage Device Inventory Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 133

Figure 105. Add Device Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 134

Figure 106. Edit Device Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 134

Figure 107. Device Status Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 136

Figure 108. Device Detail Window (General tab) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 137

Figure 109. Device Detail Window (Support tab) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 137

Figure 110. Manage Rule Sets Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 139

Figure 111. Add Rule Set Screen (Alarm Rules Tab) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 140

Figure 112. Add Rule Set Screen (Settings Rules Tab) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 140

Figure 113. Edit Rule Sets Screen (Alarm Rules Tab) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 141

Figure 114. Edit Rule Sets Screen (Settings Rules Tab) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 141

Figure 115. Custom Rule Dialog . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 144

Figure 116. Alarm Rules Panel (with custom rule) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 145

Figure 117. Alarm Rules Panel (custom rule deletion) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 146

Figure 118. Manage Alerts Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 147

Figure 119. Alert Edit Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 149

Figure 120. Manage Parameters Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 150

Figure 121. Upload Parameter Definitions Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 151

Figure 122. Manage Algorithms Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 151

Figure 123. Add Algorithm Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 152

Figure 124. Version Information (“About”) Dialog . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 154

Figure 125. Silence Button . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 158

Figure 126. Silence Button (alerts silenced) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 158

Figure 127. Bed Tile (platform alert silence indicated) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 158

Reference Manual English 5

Figure 128. Bed Tile (device alarm pause or silence indicated) . . . . . . . . . . . . . . . . . . . . . . 159

Figure 129. Patient Header Panel (device alarm pause or silence indicated) . . . . . . . . . 159

Figure 130. Common Navigation Bar (alarms indicated) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 160

Figure 131. Bed Tile (alarm indicated) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 160

Figure 132. Bed Tile (secondary alarm indicator shown) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 161

Figure 133. Patient Header (active alarm indicated on device) . . . . . . . . . . . . . . . . . . . . . . 161

Figure 134. Parameter Panel (alarm indicators shown) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 161

Figure 135. Parameter Trend Window (alarm message shown) . . . . . . . . . . . . . . . . . . . . . 162

Figure 136. Event Panel (alarms and durations shown) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 162

Figure 137. Alarm Information Window . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 162

Figure 138. Bed Tile (filtered alarm indicated) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 163

Figure 139. Bed Tile (secondary alarm indicator shown for filtered alarm) . . . . . . . . . . . 164

Figure 140. Patient Header (filtered alarm indicated on device) . . . . . . . . . . . . . . . . . . . . 164

Figure 141. Parameter Panel (filtered alarm indicated for parameter) . . . . . . . . . . . . . . . 164

Figure 142. Event Panel (filtered alarm message shown) . . . . . . . . . . . . . . . . . . . . . . . . . . . 165

Figure 143. Filtered Out Alarm Information Window . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 165

Figure 144. Common Navigation Bar (notifications indicated) . . . . . . . . . . . . . . . . . . . . . . 169

Figure 145. Bed Tile (reset alarm indicated) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 169

Figure 146. Bed Tile (setting change indicated) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 169

Figure 147. Bed Tile (device disconnection indicated) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 170

Figure 148. Bed Tile (informational notification indicated) . . . . . . . . . . . . . . . . . . . . . . . . . 170

Figure 149. Bed Tile (unfavorable patient event indicated) . . . . . . . . . . . . . . . . . . . . . . . . . 171

Figure 150. Bed Tile (favorable patient event indicated) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 171

Figure 151. Bed Tile (secondary notification indicator shown) . . . . . . . . . . . . . . . . . . . . . . 172

Figure 152. Patient Header (standard notification indicated) . . . . . . . . . . . . . . . . . . . . . . . 172

Figure 153. Patient Header (unfavorable patient event indicated) . . . . . . . . . . . . . . . . . . 172

Figure 154. Patient Header (favorable patient event indicated) . . . . . . . . . . . . . . . . . . . . . 172

Figure 155. Parameter Panel (reset alarm indicator shown) . . . . . . . . . . . . . . . . . . . . . . . . . 173

Figure 156. Settings Panel (changed settings shown) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 173

Figure 157. Unacknowledged Settings Changes Window . . . . . . . . . . . . . . . . . . . . . . . . . . 174

Figure 158. Patient Reports Tab in Device Detail Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . 189

Figure 159. Reports Screen (including example selection buttons and output) . . . . . . 190

Figure 160. Calendar Drop-Down Window . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 191

Figure 161. Time Drop-Down Window . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 191

Figure 162. Comprehensive Oximetry and Capnography Report (initial page) . . . . . . 195

Figure 163. Comprehensive Oximetry and Capnography Report (comparison

summary) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 195

Figure 164. Oxygenation Snapshot Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 198

Figure 165. Reported Apneas Per Hour Report (12-hour output shown) . . . . . . . . . . . . 200

Figure 166. Ventilation Snapshot Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 202

Figure 167. Alarm Duration by Time of Day Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 203

Figure 168. Alarm Occurrence Pareto Chart . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 204

Figure 169. Alarm Threshold Analysis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 206

Figure 170. Device Usage Hours Per Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 207

Figure 171. Device Utilization Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 209

Figure 172. Highest Frequency Setting Changes Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . 210

Figure 173. Monitored Patients Per Day Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 211

Figure 174. Setting Change Acknowledgement Response Time Report . . . . . . . . . . . . . 213

6 Reference Manual English

Figure 175. Subscription Utilization Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 214

Figure 176. Alarm Normalization Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 216

Figure 177. Alarm Rule Set Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 217

Figure 178. Users by Time of Day Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 218

Figure 179. Application Event Log . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 219

Figure 180. Connectivity Details Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 220

Figure 181. Connectivity Summary Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 222

Figure 182. DPA Usage Summary Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 223

Figure 183. Historical Performance Log . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 225

Tables

Table 1. Device Symbol Definitions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

Table 2. Alarm and Status Symbol Definitions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

Table 3. Miscellaneous User Interface Symbol Definitions . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

Table 4. Visual Alarm Indicators (normal alarms) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 155

Table 5. Visual Alarm Indicators (filtered or silenced alarms) . . . . . . . . . . . . . . . . . . . . . . . . 156

Table 6. Alarm Colors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 156

Table 7. Visual Notification Indicators (device-related) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 167

Table 8. Visual Notification Indicators (informational) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 168

Table 9. Notification Colors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 168

Table 10. Device Communication Rules and Disconnect Periods . . . . . . . . . . . . . . . . . . . 177

Table 11. Event Priority Ranking . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 182

Table 12. Device and Algorithm Priority Ranking . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 182

Table 13. Default Automatic Reconnection Intervals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 186

Table 14. Harmonized Standards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 187

Table 15. Reports Available to Clinicians and Supervisors . . . . . . . . . . . . . . . . . . . . . . . . . . 194

Table 16. Comprehensive Oxygenation and Capnography Report Parameters . . . . . . 196

Table 17. Oxygenation Snapshot Report Parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 199

Table 18. Reported Apneas Per Hour Report Parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . 200

Table 19. Ventilation Snapshot Report Parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 202

Table 20. Alarm Duration by Time of Day Report Parameters . . . . . . . . . . . . . . . . . . . . . . . 204

Table 21. Alarm Occurrence Pareto Chart Parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 205

Table 22. Alarm Threshold Analysis Report Parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 206

Table 23. Device Usage Hours Per Patient Report Parameters . . . . . . . . . . . . . . . . . . . . . . 208

Table 24. Device Utilization Report Parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 209

Table 25. Highest Frequency Setting Change Report Parameters . . . . . . . . . . . . . . . . . . . 210

Table 26. Monitored Patients Per Day Report Parameters . . . . . . . . . . . . . . . . . . . . . . . . . . 212

Table 27. Setting Change Acknowledgement Response Time Report Parameters . . . 213

Table 28. Subscription Utilization Report Parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 214

Table 29. Reports Available to Administrators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 215

Table 30. Alarm Rule Set Report Parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 217

Table 31. Users by Time of Day Report Parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 219

Table 32. Application Event Log Parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 220

Table 33. Connectivity Details Report Parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 220

Table 34. Connectivity Summary Report Parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 222

Table 35. DPA Usage Summary Report Parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 224

Reference Manual English 7

Table 36. Historical Performance Log Parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 225

8 Reference Manual English

1. Introduction

1.1. Overview

This manual provides instructions for the Vital Sync™ virtual patient monitoring platform
and informatics manager software. It includes functionality descriptions for users acting in
a clinical, supervisory, or link management role, as well as for system and clinical
administrators.

• Conventions, page 9 • Warranty Information, page 13

• Applicable Version, page 10 • Licensing Information, page 13

• Safety Information, page 10 • HIPAA Disclaimer, page 13

• Obtaining Technical Assistance, page 12

1.2. Conventions

Text and terminology conventions used in this manual include the following:

•

Warnings alert users to potential serious outcomes (death, injury, or adverse events) to
the patient, user, or environment.

•

Cautions alert users to exercise appropriate care for safe and effective use of the
product.

•

Notes provide additional guidelines or information.

1

•

“Clinician” generally refers to nurses, physicians, respiratory care professionals, and
other caregivers.

•

“Platform” and “platform component” generally refer to functional areas of the
software accessible to users acting as clinicians, supervisors, and link managers.

•

“Software” generally refers to functional areas accessible to users acting as
administrators and clinical administrators, and also to the product as a whole.

•

Button names, menu options, field names, and report field names appear in boldface
text.

•

“Click” refers to the action activating buttons and menus in the software user interface.
If using a touchscreen, substitute “touch” for “click” where it appears in the text.

•

“Drag and drop” refers to clicking on or touching a user interface element, moving it
over another user interface element, then letting go of the mouse button or breaking
contact with the touchscreen.

•

Unless otherwise specified, “device” refers to patient devices (for example, pulse
oximeters, ventilators, or capnography monitors), not to smartphones, tablets, or
optional dedicated bedside display units used to access and perform functions in the
software.

•

“Priority” and “severity” are used interchangeably to refer to events.

•

“Event” refers both to alarms and notifications from devices and algorithms.

Reference Manual English 9

Note: The terms “clinician”, “supervisor”, “administrator”, “clinical administrator”, “link
manager”, and “external services user”, as used in this manual, refer only to types of users
and to roles fulfilled when using the software. These terms do not necessarily correspond
to similar titles used for employees of any particular facility, nor to functions those
employees perform at that facility.

Note: Names of persons and facilities used as examples in this document are fictitious, and
are intended for illustrative and instructional purposes only. Any similarity to actual names
of persons or facilities is coincidental.

1.3. Applicable Version

This manual applies to version 2.10 of the Vital Sync™ virtual patient monitoring platform
and informatics manager.

Users can view specific version information for their installation by accessing the Version
Information (“About”) dialog in the software.

1.4. Safety Information

This section contains generally applicable safety information for this product.

1.4.1. Warnings

•

Warning: The Vital Sync™ Virtual Patient Monitoring Platform and Informatics Manager
is intended to supplement and not to replace any part of the facility’s monitoring. Do
not rely on the Vital Sync™ Virtual Patient Monitoring Platform and Informatics
Manager as the sole source of alarms. In order to assure a timely response to device
alarms, a clinician (not necessarily the clinician viewing data in the platform) must be
within visual and/or audible range of the alarming device. In order to provide medical
intervention, a clinician must interact with the device at the bedside.

•

Warning: The platform is intended only as an adjunct in patient assessment. It must be
used in conjunction with clinical signs and symptoms and periodic patient
observations.

•

Warning: The dedicated bedside display unit is designed for use in conjunction with
the Vital Sync™ Virtual Patient Monitoring Platform and Informatics Manager. Do not
rely on the dedicated bedside display unit as a primary source of alarms.

•

Warning: Always follow the facility’s established patient safety protocols when using
the Vital Sync™ Virtual Patient Monitoring Platform and Informatics Manager.

•

Warning: The alarm rule functionality within the software is intended to supplement
and not replace any part of the facility’s monitoring. Do not rely on the platform as the
sole source of alarms.

•

Warning: Alarm rules should adhere to facility policy, procedures, and alarm
management protocols. This alarm management protocol should address alarm safety
and the potential impact of alarm fatigue in all patient care areas within the facility.

10 Reference Manual English

•

Warning: Alarm priority normalization and ranking functionality within the software is
intended to supplement and not replace any part of the facility’s monitoring. Do not
rely on the platform as the sole source of alarms.

•

Warning: The default alarm priority is determined by the connected device, and cannot
be changed on the device itself. The same alarm condition may be reported with a
different priority on different device models. Carefully review the Alarm Normalization
Report for default alarm priorities for each connected device model.

•

Warning: Alarm priorities in the software should not be set to be lower than those on
the actual device. Use caution if changing the priority of a device alarm in the software
to a different level than is indicated on the actual device, especially for devices that are
life-sustaining.

•

Warning: Alarms from connected devices should not be set as notifications in the
platform, especially for devices that are life-sustaining. Because notifications do not
audibly annunciate, setting an alarm as a notification may cause users to not respond
or delay in responding to a clinically significant event.

•

Warning: Notifications from connected devices should not be set as alarms in the
platform, especially for events not requiring clinical intervention. Setting a notification
as an alarm may create nuisance audible alerts that are not clinically significant.

1

•

Warning: If using audible alerts, ensure the sound volume of the PC or mobile device
on which the software is used is sufficient for alerts to be heard and recognized.

•

Warning: It is possible for the platform’s audible alert tone to be confused with audible
alarm tones from connected devices when in close physical proximity. Users should
carefully attend to all audible indicators when within audible range of connected
devices.

•

Warning: When setting alarm rules and priorities in the software for any device, consult
the operator’s manual for the device in question for default priority levels of device
alarms, and for a description of each device alarm. Obtain a detailed understanding of
the patient or device conditions that trigger any alarm before creating an alarm rule or
adjusting the alarm’s priority in the software.

•

Warning: Medtronic does not assume any responsibility for accuracy, reliability, or
clinical relevance of user-designed derived parameter algorithms.

1.4.2. Cautions

•

Caution: Do not set alarm limits to extreme values that render the monitoring system
useless. Ensure alarm limits are appropriate for each patient.

•

Caution: Connected devices report data to the platform periodically, not continuously.
Because of this, as well as delays caused by network bandwidth or hardware limitations
or network loading, the true duration of any device alarm will be longer than the delay
set in this screen for that alarm. Carefully consider these factors when choosing delay
settings, and use the shortest delay settings that are practical to reduce nuisance
alarms, to avoid undue delay in response to events actually requiring direct clinical
intervention.

Reference Manual English 11

•

Caution: Loss of patient privacy may occur if using the software on unsecured or
unencrypted networks. Always adhere to facility patient privacy practices and
procedures to ensure security of patient data on the facility’s network.

•

Caution: For the most accurate interpretation of data and alerts from the Vital Sync™
software, the intended user (operator) position is less than 4 meters from the display
screen and audio speakers.

1.4.3. Notes

•

Note: Before use, carefully review appropriate sections of this manual and the
operator’s manual for each connected device, applicable accessory instructions for use,
and all precautionary information and specifications.

•

Note: The platform’s data and audible alerts (including those appearing on optional
dedicated bedside display units) are informational. Except as specified for derived
parameter algorithms with adjustable alarm thresholds, the platform does not provide
the ability to change device settings or control linked devices in any way (including
adjusting or silencing device alarms).

•

Note: Before acting on information shown in the platform, assess the patient at the
bedside.

•

Note: Patients monitored via optional dedicated bedside display units should also be
monitored at a central monitoring station, as the dedicated bedside display unit is not
intended to be a primary source of alarms.

•

Note: Some smartphones and tablets do not support the sounding of audible alerts
from the platform. Make sure to test audible alert capability.

•

Note: Audible alerts only sound to indicate alarms on devices linked to patients.
Audible alerts do not sound for notifications.

•

Note: The platform has been verified on systems using Microsoft™* Windows™* and
Windows™*-based software. User experience may vary with other operating systems
and hardware and software configurations.

1.5. Obtaining Technical Assistance

1.5.1. Technical Services

For technical information and assistance if unable to correct a problem while using the
platform or platform-related applications, contact a local Medtronic representative, or
contact Medtronic Technical Services directly.

Medtronic Technical Services

15 Hampshire Street

Mansfield, MA 02048 USA

1 800 497 4968, or 1 925 463 4635, or contact a local Medtronic representative

[e-mail]

12 Reference Manual English

When calling Medtronic or a local Medtronic representative, provide the software version
number, build number, date of build, and GTIN (Global Trade Item Number), shown on the
About screen.

1.5.2. Related Documents

Before using the software, carefully review appropriate sections of both this manual and
the operator’s manual for any connected device. This information is essential for
understanding the software’s functions and information displays.

Also read all precautionary information and specifications, both for the platform (and any
platform-related applications installed) and for any connected device.

1.6. Warranty Information

The information contained in this document is subject to change without notice. Medtronic
makes 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. Medtronic
shall not be liable for errors contained herein or for incidental or consequential damages in
connection with the furnishing, performance, or use of this material.

1

1.7. Licensing Information

Licenses obtained from Medtronic for use of the virtual patient monitoring platform
(including the informatics manager) do not include licenses for any third party software,
including software identified in the platform installation manual.

Users must obtain their own licenses for the downloading and use of such third party
software.

1.8. HIPAA Disclaimer

The Vital Sync™ Virtual Patient Monitoring Platform and Informatics Manager is a software
application used in conjunction with electronic medical devices within the customer’s
secure health information system. Healthcare providers using the software are expected to
take appropriate security measures to protect the confidentiality of all data created, stored
or transmitted on their systems. See Security Recommendations, page 25.

Although the software contains certain features to assist users in the users’ steps to protect
their data, Medtronic cannot provide any assurance that the user’s use of the software will
comply with HIPAA regulations or be otherwise in compliance with the customer’s
obligations as a covered entity.

Reference Manual English 13

14 Reference Manual English

2. Product Overview

2.1. Overview

This chapter provides an overall description of the functionality of the Vital Sync™ virtual
patient monitoring platform and informatics manager software.

• Intended Use, page 15 • User Interface Symbols, page 18

• User Interface Overview, page 16 • Device Types Supported, page 23

• Contraindications, page 15

2.2. Intended Use

The Vital Sync™ Informatics Manager is software that is intended to route and store medical
device data and device diagnostic information from supported devices to the Virtual
Patient Monitoring Platform, 3rd Party Annunciation Systems, Electronic Medical Record
(eMR) and Clinical Information System (CIS).

The Vital Sync™ Virtual Patient Monitoring Platform (VPMP) is a display system that
provides visual and audible renderings of physiologic data, waveforms and alarms routed
through the Vital Sync™ Informatics Manager from supported devices.

The Vital Sync™ Virtual Patient Monitoring Platform is intended to be used by healthcare
professionals in a hospital or hospital-type facility for the following purposes:

•

To remotely view and review patient data, waveforms, alerts, and alarm information
from supported devices and clinical information systems to facilitate clinical
management.

•

To facilitate remote collaboration with other healthcare professionals regarding patient
data from supported devices.

•

To access additional processed parameters to facilitate patient monitoring, assessment
and clinical management.

•

To set and adjust thresholds on supported devices where this capability is not available
on the device itself.

2

•

To access data, waveforms and alerts from supported devices where these capabilities
are not enabled or available on the device itself.

Warning: The Vital Sync™ Informatics Manager and Virtual Patient Monitoring Platform are
notification systems and are not replacements for direct patient observation, patient
assessment, or clinical judgment.

2.3. Contraindications

None.

Reference Manual English 15

2.4. User Interface Overview

The Vital Sync™ virtual patient monitoring platform is designed to allow nurses, physicians,
respiratory care professionals and other caregivers (referred to in this manual as
“clinicians”), as well as users acting in a supervisory role, to access data from connected
devices via a computer terminal, smartphone, tablet, or optional dedicated bedside display
unit.

The Vital Sync™ informatics manager is designed to allow administrative users to access
and manage system records for users, devices, algorithms, locations, and shifts; perform
alarm rule and normalization functions; and view system events and performance.

Users view data and perform other program functions within a Web browser window.

2.4.1. Basic Functions

Users can view general information, including alarms and advisory messages, for multiple
medical devices. The platform supports a wide range of devices.

In the general device view (called the Tile View), each bed and unassociated device is
represented by a tile. Clicking on a bed tile accesses detailed information for a specific bed
and devices linked to the patient in that bed. Clicking on a tile for an unassociated device,
or dragging it onto a bed tile, accesses functions for linking the device to a patient.

Patient names in the Tile View can be masked if desired to enhance patient privacy,
especially if using the software at a central monitoring station.

Users can also admit patients in the platform; create, manage, and remove links between
patients and devices; and discharge patients within the platform if appropriate. They can
also create and remove patient and area assignments. Shift management features help
streamline the process of assigning patients and areas to individual clinicians and
supervisors.

Device, bed, and area management functions allow users to associate individual devices
(including optional dedicated bedside display units) with specific beds in the facility, and to
define areas in the platform that correspond with specific locations (also sometimes
referred to as zones or areas of care) within the facility. Areas are assignable to specific
clinicians and supervisors just as patients are.

Alarm and event management functions allow users to set up rule sets to refine the timing
of alarm and notification annunciation in the platform, also known as alarm filtering; this
can assist in reducing the incidence of nuisance alarms. In addition, users can adjust alarm
priorities for devices in the platform, in order to normalize alarm priorities across a facility.

Single-tone or multi-tone audible alerts are available, allowing users to hear as well as see
alarm indications when using the platform. Audible alerts can be enabled or disabled for
any user. Any user who has audible alerts enabled can temporarily silence them as they
occur. The platform visually indicates silenced alerts, alarms paused or silenced on devices,
and filtered alarms.

Reporting functions allow access to both current and historical information about
monitored devices and patients, users and usage, and the functioning of the platform itself.
These can be used in conjunction with derived parameter algorithms (which can be linked
to patients in the same way as devices are) as an aid in monitoring and managing patient

16 Reference Manual English

conditions. They also allow system administrators to monitor performance and events
within the platform, and also on its associated hardware.

The platform supports the use of optional dedicated bedside display units, which allow
view-only access to patient and device data for a specific bed, and are especially intended
for devices that use the platform as their primary user interface. The platform also can be
used at a central monitoring station, via a non-user-specific account specifically designed
for this purpose.

•

Note: The platform’s data displays and audible alerts (including those appearing on
optional dedicated bedside display units) are informational. Except as specified for
derived parameter algorithms with adjustable alarm thresholds, the platform does not
provide the ability to change device settings or control linked devices in any way
(including adjusting or silencing device alarms).

•

Note: The current release of this software allows viewing of data from ventilators,
capnography monitors, pulse oximeters, regional saturation monitors, bispectral index
monitors, and multiparameter monitors. The software also shows information from
derived parameter algorithms. See Device Types Supported, page 23 for a list of
specific device types with which this software is usable.

•

Note: Some smartphones and tablets do not support the sounding of audible alerts
from the platform. Make sure to test audible alert capability.

2

•

Note: The platform has been verified on systems using Microsoft™* Windows™* and
Windows™*-based software. User experience may vary with other operating systems
and hardware and software configurations.

2.4.2. User Roles

Each user is identified in the software by username and password, and enters these to log
into the software. Functions available depend on the user’s assigned role.

•

Clinicians—Users in this role may view device information for many patients and
devices at once in a tiled overview screen, clicking on any tile to access detailed
information. They may also link devices with patients in the platform, manage patient
identifying information and links between patients and devices, and manage their own
patient and area assignments. They will hear an alert tone (if enabled in the platform)
when a device linked to any of their patients enters an alarm state, and may also
receive email and text message alerts for alarms. Finally, clinicians may run “snapshot”
reports showing oxygenation or ventilation data for specific patients.

•

Supervisors—Users in this role are able to perform the same tasks in the platform as
clinicians can, complemented with additional functions to assist in their supervisory
role. These functions include a multi-device list view; the ability to manage patient and
area assignments for other users; and a virtual user function allowing a view of the
platform as the selected clinician would see it. A wide range of reporting functions is
also available, providing information on alarm and setting change information, system
utilization statistics, and other historical data.

•

Administrators—Users in this role perform various system administration functions.
They may set up, maintain and deactivate user records in the platform; reset passwords
and unlock locked-out users (if the deployment allows); and view event and system
performance logs and utilization reports. They also manage the inventory of connected

Reference Manual English 17

devices, and set up and maintain beds, areas, work shifts, and dedicated bedside
display unit assignments in the platform. Administrators manage rule sets governing
alarm and event annunciation, normalize alarm priorities in the platform (if needed),
and may set up algorithms and derived parameter algorithms in addition to those
already supported in the platform. They also may access system performance and
usage reports, as well as reports showing alarm rule setting and priority information.

•

Clinical Administrators—Users in this role access the platform as administrators do, but
are not tasked with direct management of users, locations, or devices. Instead, their
role is to manage alarm and event priorities, rules, and rule sets, as well as to manage
parameters and derived parameter algorithms.

•

Link Managers—Users in this role access the platform as clinicians and supervisors do,
but do not directly monitor patients. Instead, their role is to link devices to patients to
support reporting of device data to an electronic medical record (eMR) system. As such,
link manager functionality is limited to linking of devices and management of existing
links. Consult the Medtronic Solution Delivery Team for more details, and for
information on enabling this role.

•

External Services—Users in this role manage and configure interfaces between the
platform and various external application services. Consult the Medtronic Solution
Delivery Team for more details.

In addition to using the platform on a PC, smartphone, or tablet, users may also access it via
a central monitoring station (which does not require individualized login credentials) or on
an optional dedicated bedside display unit, which runs a streamlined version of the
software and shows patient and device data for a single bed. Consult the Medtronic
Solution Delivery Team for more details on setup for either or both of these options.
(Platform operations for central monitoring stations or bedside unit users are similar to
those for individual users, varying only in the scope of functions available.)

•

Warning: The dedicated bedside display unit is designed for use in conjunction with
the Vital Sync™ Virtual Patient Monitoring Platform and Informatics Manager. Do not
rely on the dedicated bedside display unit as a primary source of alarms.

•

Note: Patients monitored via dedicated bedside display units should also be monitored
at a central monitoring station, as the dedicated bedside display unit is not intended to
be a primary source of alarms.

•

Note: The terms “clinician”, “supervisor”, “administrator”, “clinical administrator”, “link
manager”, and “external services user,” as used in this manual, refer only to types of
users and to roles fulfilled when using the software. These terms do not necessarily
correspond to similar titles used for employees of any particular facility, nor to
functions those employees perform at that facility.

2.5. User Interface Symbols

The software makes use of icons and symbols to denote user functions and to show data
from patients and devices. These are defined in the tables in this section.

Note: Some symbols may appear in different colors in the software than are shown in the
tables (for example, device icons shown in dark colors on a light background here may, in
certain locations, appear in light colors on a dark background). Unless noted, symbols in

18 Reference Manual English

the tables have the same meaning even if appearing in a different color scheme than is
shown here.

Table 1. Device Symbol Definitions

Icon Description Definition

Ventilator Represents a ventilator linked to a patient in the platform, or availa‐

ble for linking.

Appears in various locations in the platform.

Capnography monitor Represents a capnography monitor linked to a patient in the plat‐

form, or available for linking.

Appears in various locations.

Pulse oximeter Represents a pulse oximeter linked to a patient in the platform, or

available for linking.

Appears in various locations.

Bispectral index (BIS) monitor Represents a bispectral index monitor linked to a patient in the plat‐

form, or available for linking.

Appears in various locations.

Regional saturation monitor Represents a regional saturation monitor linked to a patient in the

platform, or available for linking.

Appears in various locations in the platform.

2

Multiparameter monitor Represents a multiparameter monitor linked to a patient in the plat‐

form, or available for linking.

Appears in various locations.

Derived parameter algorithm
(DPA)

Represents a derived parameter algorithm linked to a patient in the
platform, or available for linking.

Note: Certain algorithms may have their own specific symbols.

Appears in various locations.

Table 2. Alarm and Status Symbol Definitions

Icon Description Definition

Alarms active for patients Alarms are active for the indicated number of patients.

Note: This symbol does not indicate alarm priority.

Appears on the common navigation bar (alarm button).

No alarms active No alarms are active for the indicated number of patients.

Appears on the common navigation bar (alarm button).

Device with active alarm One or more alarms is active on the device indicated by the icon.

(See Table 1 for device icons.)

Note: This symbol does not indicate alarm priority, but only indicates
that alarms are active on this device.

Appears in the All Patients and Devices screen.

Device with active alarm (priority
indicated)

One or more alarms is active on the device indicated by the icon.
(See Table 1 for device icons.)

The colored square indicates the priority of the highest-priority alarm
currently active on the device. (Alarm priority symbols are explained
elsewhere in this table.)

Appears on bed tiles in the Tile View, and in the Device Detail screen’s
patient header.

Reference Manual English 19

Table 2. Alarm and Status Symbol Definitions (continued)

Icon Description Definition

Algorithm with active alarm The patient is in an alarm condition, according to the derived parame‐

ter algorithm (DPA) indicated by the icon.

Note: This symbol does not indicate alarm priority, but only indicates
that alarms are active for this algorithm.

Note: If an algorithm has its own specific symbol, it will appear
instead, with the designator for an alarm or missing data at lower
right.

Appears on the All Patients and Devices screen.

Algorithm with active alarm (pri‐
ority indicated)

High priority alarm When shown on the alarm button menu, the message bar on bed tiles

Medium priority alarm When shown on the alarm button menu, the message bar on bed tiles

Low priority alarm When shown on the alarm button menu, the message bar on bed tiles

Standard notification When shown on the alarm button menu, the message bar on bed tiles

Unfavorable patient event notifi‐
cation

The patient is in an alarm condition, according to the derived parame‐
ter algorithm indicated by the icon.

The colored square indicates the priority of the patient’s alarm state,
as defined in the algorithm. (Alarm priority symbols are explained
elsewhere in this table.)

Note: If an algorithm has its own specific symbol, it will appear
instead, with the designator for an alarm or missing data at lower
right.

Appears on bed tiles in the Tile View, and in the Device Detail screen’s
patient header.

in the Tile View, or in the Device Detail screen’s patient header—The
active event with the highest priority on the indicated device or for
the indicated algorithm is a high-priority alarm.

When shown in other locations—At least one high-priority alarm is
active on the indicated device, or the indicated parameter or algo‐
rithm is in a high-priority alarm condition.

in the Tile View, or in the Device Detail screen’s patient header—The
active event with the highest priority on the indicated device or for
the indicated algorithm is a medium-priority alarm.

When shown in other locations—At least one high-priority alarm is
active on the indicated device, or the indicated parameter or algo‐
rithm is in a medium-priority alarm condition.

in the Tile View, or in the Device Detail screen’s patient header—The
active event with the highest priority on the indicated device or for
the indicated algorithm is a low-priority alarm.

When shown in other locations—At least one high-priority alarm is
active on the indicated device, or the indicated parameter or algo‐
rithm is in a low-priority alarm condition.

in the Tile View, or in the Device Detail screen’s patient header—The
active event with the highest priority on the indicated device is a noti‐
fication. (Specifically, this means no alarms are active on any devices
or algorithms linked to this patient.)

When shown in other locations—At least one notification is active on
the indicated device or algorithm.

When shown on the alarm button menu, the message bar on bed tiles
in the Tile View, or in the Device Detail screen’s patient header—A
potentially unfavorable event has occurred for the patient linked to
the indicated algorithm. This requires attention from the user..

When shown in other locations—At least one unfavorable event noti‐
fication is active on the indicated algorithm.

20 Reference Manual English

Table 2. Alarm and Status Symbol Definitions (continued)

Icon Description Definition

Favorable patient event notifica‐
tion

Filtered alarm An alarm is active on the indicated device, but the delay interval

Device with filtered alarm One or more alarms that have been filtered (that is, annunciation is

Audible alerts silenced in the plat‐
form

Audible alarms paused or
silenced on a device

Device with audible alarms
paused or silenced

Notifications active for patients Notifications are active for the indicated number of patients.

When shown on the alarm button menu, the message bar on bed tiles
in the Tile View, or in the Device Detail screen’s patient header—A
favorable event has occurred for the patient linked to the indicated
algorithm (for example, completion of an activity related to an algo‐
rithm).

When shown in other locations—At least one favorable notification is
active on the indicated algorithm.

before visible and audible annunciation in the platform has not com‐
pletely elapsed.

Appears on bed tiles in the Tile View, in the All Patients and Devices
screen, and on the parameter tile associated with the alarm in the
Device Detail screen.

delayed or turned off) is active on the device indicated by the icon.
(See Table 1 for device icons.)

Note: This symbol does not indicate alarm priority, but only indicates
that filtered alarms are active on this device.

Appears on bed tiles in the Tile View, in the All Patients and Devices
screen, and (in a slightly different form) in the Device Detail screen’s
patient header.

Indicates that the platform’s audible alerts are currently silenced for
one or more devices linked to a patient.

Appears in the Tile View on the bed tile for the affected patient dur‐
ing the alert silence period.

Indicates that the platform’s audible alerts are currently silenced for
the device currently shown in the Device Detail screen.

Appears in the Device Detail screen’s patient header (in the color
scheme shown) during the alert silence period.

Audible alarms have been paused or silenced at the bedside on a
device linked to one of this user’s patients.

Appears in various locations.

Indicates that audible alarms have been paused or silenced at the
bedside on the indicated device. (See Table 1 for device icons.)

Appears on bed tiles in the Tile View, in the All Patients and Devices
screen, and (in a slightly different form) in the Device Detail screen’s
patient header.

Appears on the common navigation bar (notification button).

2

No notifications active No notifications are active on any devices linked to this user’s

patients.

Appears on the common navigation bar (notification button).

Setting change on device One or more settings have been changed on a device linked to one of

this user’s patients.

Appears in various locations.

Device with active setting
changes

One or more setting change notifications is active on the device indi‐
cated by the icon, and has not yet been acknowledged. (See Table 1
for device icons.)

Appears in bed tiles on the Tile View, and in the Device Detail screen’s
patient header.

Reference Manual English 21

Table 2. Alarm and Status Symbol Definitions (continued)

Icon Description Definition

Reset alarm on device An alarm on a device linked to one of this user’s patients has reset

(i.e., an alarm condition temporarily existed, but has resolved itself
without intervention).

Appears in various locations.

Device with reset alarms One or more reset alarms has occurred on the device indicated by the

icon. (See Table 1 for device icons.)

Appears on bed tiles in the Tile View, in the Device Detail screen’s
patient header, and in the All Patients and Devices screen.

Algorithm with standard notifica‐
tion

Unassociated devices available The indicated number of devices are connected to the platform, but

No unassociated devices All devices connected to the platform are currently linked to patients.

An event has occurred for the patient linked to the algorithm indica‐
ted by the icon.

Note: If an algorithm has its own specific symbol, it will appear
instead, with the notification designator at lower right.

Appears on bed tiles in the Tile View, and in the Device Detail screen’s
patient header.

are not currently linked to any patient.

Appears in the common navigation bar (device button).

Appears in the common navigation bar (device button).

Disconnection A device is not currently communicating with the platform.

Appears in various locations. On the Device Detail screen for a discon‐
nected device, this symbol appears in a much larger form.

Device disconnected The device indicated by the icon is not communicating with the plat‐

form.

Appears on bed tiles on the Tile View, in the Device Detail screen’s
patient header, and on the All Patients and Devices screen.

Database connected The platform is currently communicating with its databases.

The squares cycle through various colors when a data request is in
process.

Appears on the common navigation bar, at far right.

Database disconnected Communication between the platform and its databases is currently

interrupted.

Appears on the common navigation bar, at far right.

Table 3. Miscellaneous User Interface Symbol Definitions

Icon Description Definition

Silence audible alert in the plat‐
form

View patient and location infor‐
mation

Denotes the button used to silence alert tones for a specific patient in
the platform.

This function does not silence audible alarms on any linked device;
those must be silenced on the device itself at the bedside.

Appears on the Device Detail screen’s patient header when alarms
are present on the selected device.

Denotes a link to information about the current patient.

Appears in the patient header on the Device Detail screen.

22 Reference Manual English

Table 3. Miscellaneous User Interface Symbol Definitions (continued)

Icon Description Definition

Edit patient information or loca‐
tion information

Reports Denotes a link to available report functions.

Link new device Denotes the button used to access the Admit Patient screen for pur‐

Home screen Denotes a link to the current user’s home screen.

Patient type The patient type (from left to right, indicates neonatal, pediatric, or

Freshness level Denotes the level of confidence in the data used in calculation of cer‐

Mark for deletion Denotes the button used to mark alarm rules for deletion.

Denotes a link to a dialog for editing information about the current
patient or location.

Appears in the Device Detail screen (patient detail).

Appears in the patient header on the Device Detail screen.

poses of linking a new device to a patient.

Appears in the patient header on the Device Detail screen.

Appears in the common navigation bar (Home button).

adult, respectively).

The darkened icon indicates the patient type for the patient currently
linked to this device.

Appears in the device header on the Device Detail screen.

tain derived parameters.

Freshness levels shown are 100%, 75%, 50%, 25%, and 0%. The top
half of the icon ranges from completely black for the 100% level to
completely white for the 0% level. (The icon at left indicates a 50%
freshness level.)

Appears on the Device Detail screen for the algorithm.

Appears in the Manage Alarm Rules screen next to each custom
alarm rule.

2

Search Denotes the button used to search the platform databases for a

patient ID number.

Appears in the Link Patient and Device screen and the Update Patient
Information window.

Battery charge For supported devices, shows the current battery charge level (more

black boxes indicate a higher charge level).

Appears in the device header on the Device Detail screen.

2.6. Device Types Supported

Note: Medtronic has verified the communication protocols used with the device types
listed in this section.

For more information on communication protocols, see Device Data Reporting, page 177.
For a listing of relevant standards, see Relevant Standards, page 187.

The current release of the software supports the following device types:

•

Ventilators (including the Puritan Bennett™ 980 ventilator, Puritan Bennett™ 840
ventilator, and Newport™ HT70 ventilator)

Reference Manual English 23

•

Pulse oximeters (including the Nellcor™ OxiMax N-595, Nellcor™ OxiMax N-600x, and
Nellcor™ N-600x-A bedside pulse oximeters, the Nellcor™ OxiMax N-85 handheld pulse
oximeter, and the Nellcor™ bedside respiratory patient monitoring system)

•

Capnography monitoring devices (including the Oridion Capnostream™ 20 and Oridion
Capnostream™ 20P capnography monitors and the Capnostream™ 35 portable bedside
monitor)

•

Regional saturation monitors (including the INVOS™ 5100C regional saturation patient
monitoring system)

•

Bispectral index monitors (including the BIS™ Vista monitoring system)

•

Multiparameter monitors (including the Welch Allyn™* Connex™* 6700 (model
67NCTX-B) and Welch Allyn™* Connex™* 6800 (model 68NCTX-B) vital signs monitors)

Also, derived parameter algorithms, if set up and used in the software, will appear in
various screens as if they are devices, and can be linked to patients in the same way as
devices of the other types listed in this section.

Note: This manual includes only a partial listing of supported device types, and examples of
devices supported. Individual facilities may also support additional devices not listed in this
manual. Contact the Medtronic Solution Delivery Team for a complete list of devices
currently supported.

Note: The term “device type” is replaced in some screens and report output in the software
with the term “device category”. For purposes of this manual and the software user
interface, the terms are interchangeable.

24 Reference Manual English

3. Installation

3.1. Overview

This chapter directs users to the requirements and process for installation of the Vital Sync™
virtual patient monitoring platform and informatics manager software, and also provides
security recommendations for installation and use of the software.

• System Requirements, page 25 • Installation, page 27

• Security Recommendations, page 25

3.2. System Requirements

To install and use the software, the systems in question must meet certain hardware and
operating system requirements, and must also in some cases have other supporting
software installed.

For minimum hardware and software requirements, as well as recommended
configurations for best results when using the platform, refer to the installation manual.

For the most current information regarding minimum requirements and recommended
configurations, as well as additional installation and configuration information and lists of
known and resolved issues, refer to the release notes. Consult with the Medtronic Solution
Delivery Team for the most current applicable revision.

3

3.3. Security Recommendations

To maximize application, network, and data security, Medtronic recommends particular
practices and procedures. Consult with the Medtronic Solution Delivery Team and with
facility IT personnel for assistance.

3.3.1. Network Configuration

•

All medical devices should exist on the same domain.

•

Use whitelisting with regard to communication controls across the facility network. Use
blacklisting to block unwanted sites.

•

Wireless communication should be encrypted where possible.

•

Analysis of the overall security configuration of the network should be current.

•

Use appropriate third party software to monitor the facility network for suspicious or
unauthorized use.

3.3.2. Vital Sync™ Servers and Operating Systems

•

If possible, control physical access to the Vital Sync™ servers and hard drives at the
facility.

•

Deploy antivirus software on Vital Sync™ servers.

Reference Manual English 25

•

Deploy firewall software and configure it to only accept connections from a specific list
of IP addresses on Vital Sync™ servers to specific ports.

•

Use appropriate third party security products designed to monitor files or folders for
access and modifications and alert security personnel if warranted.

•

Server patching should remain current.

•

Change BIOS and system configuration to disable USB ports on systems where the Vital
Sync™ software is installed.

•

Configure operating systems on servers to limit user access to the operating system
control panel.

•

Make critical BIOS updates according to server vendor hardware and security patch
recommendations.

•

Disable SMB version 1. Enable SMB signing to reduce the possibility of exploiting the
SMB protocol.

•

Enable NLA authentication for RDP to reduce the possibility of exploiting the RDP
protocol.

•

Disable TCP global timestamps on Vital Sync™ servers.

•

Disable the default Internet Information Services (IIS) home page.

•

Use file structure or disk encryption to protect files on Vital Sync™ servers.

•

Service accounts should use the domain account that is given access to the service, and
should not have an administrative role, in order to prevent service dumps containing
sensitive information.

•

Configure user accounts to lock after multiple subsequent failed login attempts, to
prevent brute force attacks.

•

Utilize active directory authentication and authorization.

•

Configure IIS to require SSL using signed certificates, to force clients to connect using
HTTPS. Utilize TLS 1.2, and disable weaker encryption protocols and ciphers.

•

Configure IIS to send the Strict-Transport-Security response header with value “max­age=31536000;”.

•

Configure HTTP response headers to nosniff for X-Content-Type-Options in the IIS
Admin Console.

•

Configure IIS to disable the X-Powered-By and X-AspNet-Version headers.

•

Do not configure Web browsers to automatically save authentication credentials.

3.3.3. Platform Installer

For security considerations related to the installer, see the installation manual. Additional
recommendations are included within the installation procedure.

26 Reference Manual English

3.3.4. Database Server Software

•

Create and use a new custom account to connect to the database, instead of using the
default network service role.

•

If possible, use Windows™* authentication instead of mixed mode authentication for
Microsoft™* SQL Server™*. For example terminology, see the following document:
https://docs.microsoft.com/en-us/dotnet/framework/data/adonet/sql/authentication­in-sql-server

•

Encrypt physical database files using TDE to protect data at rest.

•

Disable TLS 1.0 and 1.1, and use TLS 1.2 instead, to protect communication to and from
Microsoft™* SQL Server™*.

3.3.5. Vital Sync™ Services and IIS Applications

•

Encrypt Vital Sync™ service and IIS application configuration files (including connection
string files) to prevent unauthorized viewing or modification.

•

Configure MSMQ per active directory user account. It is possible to configure and limit
the Data Collection, Applet Manager, and Alarm Reporter services with a Microsoft™*
Windows™* domains account with permissions for the MSMQ system. The Data
Collection and Applet Manager services should have write permissions; the Alarm
Reporter service should have read permission.

•

During platform installation, set the Alarm Reporter email plugin to use SSL to encrypt
communications between the Alarm Reporter and the external SMTP server. (If using
SSL, also configure the operating system to use TLS 1.2.)

3

•

Configure the ADT In Adapter Service to only accept connections from a single, specific
IP address. (It will then reject connections from any other IP address.)

•

After installation, disable unused Data Collection Service protocol handler listeners to
limit the number of open ports.

•

Data Collection Service raw protocol handler data file logging is disabled by default.
This function should only be enabled temporarily if needed for debugging purposes.

•

Configure the Vital Sync™ client to always use HTTPS to connect to the InformaticsWeb
application.

•

The Device Data Service only needs to be running during Vital Sync™ software
installation. It can be stopped when installation is complete.

•

Vital Sync™ software users should follow secure password guidelines when creating
passwords, to reduce the likelihood of a brute force attack guessing a password.

3.4. Installation

For detailed information on installing and configuring platform components and
supporting software, refer to the installation manual, as well as the release notes for this
release of the software.

Note: Licenses obtained from Medtronic for installation and use of the Vital Sync™ virtual
patient monitoring platform (including the informatics manager) do not include licenses

Reference Manual English 27

for any third party software identified in this manual or the installation manual. Users must
obtain their own licenses for the downloading and use of such third party software.

28 Reference Manual English

4. Access

4.1. Overview

This chapter describes how to access and log into the software, and also provides a
summary of how to access software functions in each user role.

• Access the Software, page 29 • Supervisor Functions, page 33

• Login, page 29 • Administrator Functions, page 38

• Clinician Functions, page 30 • Functions for Other Roles, page 41

4.2. Access the Software

To access the software:

1. Open the Web browser on the PC, smartphone, or tablet.

2. Enter the software’s Uniform Resource Locator (URL) in one of these formats,
depending on facility IT setup and policy:

•

•

http://{server name or IP address}/InformaticsWeb

https://{server name or IP address}/InformaticsWeb

Note: Before first using the software, consult facility IT personnel to obtain the server name
or IP address needed for access, and to find out whether to use “http” or “https” in the URL.

Note: To maximize data security, Medtronic recommends an HTTPS connection to the Vital
Sync™ software.

4.3. Login

To log into the software:

1. Access the platform in a Web browser. See Access the Software, page 29.

2. Make sure the login screen is shown.

Figure 1. Login Screen

4

Reference Manual English 29

3. Username—Enter the username.

4. Password—Enter the password associated with the username. (The password will
appear as a series of dots when entered.)

5. Click Login.

Upon login, the home screen appropriate to the user’s role will appear.

•

Note: If credentials are entered incorrectly, the login screen will show a system
message indicating incorrect entry. If this user is locked out, or if a network or system
problem is preventing system access, a system message will appear with a brief
description of the problem. Consult with an administrative user or with facility IT
personnel for assistance.

•

Note: To protect password integrity when using a public or shared computer to access
the platform, ensure the Web browser does not “remember” login information.

•

Note: Screen captures in this manual are representative. Actual screens may vary
slightly from those shown here, depending on the specific software release used, how
the user is accessing and viewing the software, and specific facility requirements. Also,
the size and position of tiles and other screen elements will vary with the number of
elements present and the size of the browser window. Finally, the format in which
dates appear may differ depending on the localized software build used.

4.4. Clinician Functions

This section summarizes how to navigate the platform user interface to perform common
clinician functions. See Chapter 5 for detailed information on all listed functions.

•

View summary information for assigned patients and unassigned devices—Navigation
bar > Home button > Tile View screen, or Navigation bar > User function menu > Tile
View > Tile View screen

•

Access Tile View sorting and informational functions—Navigation bar > User function
menu > Tile View > Tile View submenu

○

Sort bed tiles alphabetically by patient name—> Sort by Name

○

Sort bed tiles alphanumerically by location—> Sort By Location

○

Show device identifiers on bed tiles—> Show Device ID

○

Hide device identifiers on Tile View bed tiles—> Hide Device ID

○

Show tiles for all available devices regardless of area assignment—> Show All
Available Devices

○

Show tiles only for available devices assigned to a user’s assigned areas—> Show
My Available Devices

•

View detailed device information and access device-related functions—Navigation bar
> User function menu > Tile View > Desired bed tile > Device Detail screen

○

View detailed information for a different device—> Patient header > Device tab for
the desired device

○

View patient detail—> Patient header > Patient Detail tab

30 Reference Manual English

○

Change a patient’s location—> Patient header > Patient Detail tab > Location edit
icon > Update Patient Location window

○

Change a patient’s identifying information—> Patient header > Patient Detail tab
> Name or ID edit icon > Update Patient Information window

○

View detailed information for active non-filtered alarms—> Event panel > Alarm
message > Alarm Information window

○

View detailed information for active filtered alarms—> Event panel > Filtered alarm
message > Filtered Out Alarm information window

○

Silence audible alert for a currently active alarm—> Patient header > Device tab for
desired device with active alarm (if not currently shown) > Silence button

○

View and acknowledge setting changes—> Event panel > Setting change message
> Unacknowledged Setting Changes window

○

View alert thresholds for devices and algorithms—> Event panel > Settings (gear)
icon > Rules and Settings dialog

○

Change alert thresholds for algorithms—> Event panel > Settings (gear) icon >
Rules and Settings dialog

○

View parameter trends for a pulse oximeter, capnography device, or
multiparameter monitor—> Parameter panel > Desired parameter tile > Trend
window; or Device Detail > Trend panel (for general trend data) > Trend window
(for detailed trend data)

○

View parameter trends for any other device—> Parameter panel > Desired
parameter tile > Trend window

○

View device waveform detail—> Waveform panel > Waveform Detail window

○

Run a report—> Patient header > Patient Reports tab > Desired report in drop­down menu > Reports screen

•

Jump to device information for a patient with active device alarms—Navigation bar >
Alarm menu > Desired patient > Device Detail screen (device with highest-priority
alarm shown)

•

Jump to device information for a patient with active device notifications—Navigation
Bar > Notification menu > Desired patient > Device Detail screen (if patient has active
alarms: > Patient header > Device tab for the desired device)

•

Manually admit a new patient in the platform:

○

From the Tile View—> Admit Patient link (if user has no monitored patients) >
Admit Patient screen; or > Bed tile with no patient > Admit Patient screen

○

From any other screen—Navigation bar > User function menu > Admit Patient >
Admit Patient screen

○

With a specific device—Navigation bar > Device menu > Desired device > Admit
Patient screen; or Navigation bar > User function menu > Tile View > Desired
device tile > Admit Patient screen

4

Reference Manual English 31

○

With a specific device in a specific bed—Navigation bar > User function menu >
Tile View > Desired device tile (drag and drop onto desired empty bed tile) > Admit
Patient screen

•

Link a device to a patient already in the platform:

○

From the Device Detail screen for the patient—> Patient header > Link New
Device/Algorithm button > Link New Device/Algorithm window

○

From the Tile View—> Desired bed or device tile > Admit Patient screen > ID field
(search for desired patient ID); or > Desired device tile (drag and drop onto desired
occupied bed tile) > Admit Patient screen

○

From any other screen—Navigation bar > User function menu > Admit Patient >
Admit Patient screen > ID field (search for desired patient ID); or Navigation bar >
Device menu > Desired device > Admit Patient screen > ID field (search for desired
patient ID)

•

Relink a device that has lost communication with the platform—Navigation bar > User
function menu > Tile View > Desired bed tile > Device Detail screen > Device header
menu > Relink Device; or Navigation bar > User function menu > Tile View > Tile for
device ready for reconnection (drag and drop onto bed tile showing same device)

•

Unlink a linked device—Navigation bar > User function menu > Tile View > Desired
bed tile > Device Detail screen > Device header menu > Unlink Device

•

Manually discharge a patient:

○

With linked devices—Navigation bar > User function menu > Tile View > Desired
bed tile > Device Detail screen > Patient header > Patient Detail tab > Discharge
Patient from System button

○

Without linked devices—Navigation bar > User function menu > Tile View >
Desired bed tile > Device Detail screen (Patient Detail tab) > Discharge Patient
from System button

•

View discharge information for user’s assigned patients—Navigation bar > User
function menu > Patient Discharge History screen

•

Access patient assignment functions—Navigation bar > User function menu > Patient
Assignment > Patient Assignment screen

○

View or change user’s own assignments—> Default view (drag and drop patient
tiles to change assignments)

○

View or change user's own secondary contact or monitoring only assignments—>
Default view > Secondary contact tab or Monitoring Only tab (drag and drop
patient tiles to change assignments)

○

View or change user’s own assignments by shift—> Drop-down menu in top left
corner of screen > Desired shift (drag and drop patient tiles to change
assignments)

○

View unassigned patients—> Drop-down menu just above top of right column >
Unassigned Patients

32 Reference Manual English

•

Access area assignment functions—Navigation bar > User function menu > Area
Assignment > Area Assignment screen

○

View or change user’s own assignments—> Default view (drag and drop area tiles
to change assignments)

○

View or change user's own secondary contact or monitoring only assignments—>
Default view > Secondary contact tab or Monitoring Only tab (drag and drop area
tiles to change assignments)

○

View or change user’s own assignments by shift—> Drop-down menu in top left
corner of screen > Desired shift (drag and drop patient tiles to change
assignments)

○

View unassigned areas—> Drop-down menu just above top of right column >
Unassigned Areas

•

Run a report:

○

From the Device Detail screen—> Patient header > Patient Reports tab > Desired
report in drop-down menu > Reports screen

○

From any other screen—Navigation bar > User function menu > Reports > Desired
report in drop-down menu > Reports screen

•

Enable or disable user’s own audible alerts (if enabled and allowed)—Navigation bar >
User function menu > Audible Alerts > Audible Alerts dialog > Enable or Disable
buttons

•

Test user’s own audible alerts (if enabled)—Navigation bar > User function menu >
Audible Alerts > Audible Alerts dialog > High Priority, Medium Priority, and Low Priority
test buttons

•

Change user’s own password—Navigation bar > User function menu > Change
Password > Change Password dialog

•

Access software documentation in the browser—Navigation bar > User function menu
> Help (opens document in a new browser tab)

•

Show software version information—Navigation bar > User function menu > About >
Version information dialog

•

Log out of the platform—Navigation bar > User function menu > Log Out

4.5. Supervisor Functions

This section summarizes how to navigate the platform user interface to perform common
supervisory functions. See Chapter 5 for detailed information on all listed functions.

4

•

View summary information for assigned patients and unassigned devices—Navigation
bar > Home button > Tile View screen, or Navigation bar > User function menu > Tile
View > Tile View screen

Reference Manual English 33

•

Access Tile View sorting and informational functions—Navigation bar > User function
menu > Tile View > Tile View submenu

○

Sort bed tiles alphabetically by patient name—> Sort by Name

○

Sort bed tiles alphanumerically by location—> Sort By Location

○

Show device identifiers on bed tiles—> Show Device ID

○

Hide device identifiers on Tile View bed tiles—> Hide Device ID

○

Show tiles for all available devices regardless of area assignment—> Show All
Available Devices

○

Show tiles only for available devices assigned to a user’s assigned areas—> Show
My Available Devices

•

View summary information for patients and devices—Navigation bar > User function
menu > All Patients and Devices

○

Show only unassigned devices—> Drop-down menu at top of screen > Unassigned
Devices

○

Show only unassigned patients—> Drop-down menu at top of screen >
Unassigned Patients

○

View patient assignments—> Monitored By field (hover cursor over green triangle)

○

Change a patient’s location—> Desired patient listing > Device Detail screen >
Patient header > Patient Detail tab > Location edit icon > Update Patient Location
window

○

Change a patient’s identifying information—> Desired patient listing > Device
Detail screen > Patient header > Patient Detail tab > Name or ID edit icon > Update
Patient Information window

•

View detailed device information and access device-related functions—Navigation bar
> User function menu > Tile View > Desired bed tile > Device Detail screen; or
Navigation bar > User function menu > All Patients and Devices > Desired patient
listing > Device Detail screen

○

View detailed information for a different device—> Patient header > Device tab for
the desired device

○

View patient detail—> Patient header > Patient Detail tab

○

Change a patient’s location—> Patient header > Patient Detail tab > Location edit
icon > Update Patient Location window

○

Change a patient’s identifying information—> Patient header > Patient Detail tab
> Name or ID edit icon > Update Patient Information window

○

View detailed information for active non-filtered alarms—> Event panel > Alarm
message > Alarm Information window

○

View detailed information for active filtered alarms—> Event panel > Filtered alarm
message > Filtered Out Alarm information window

34 Reference Manual English

○

Silence audible alert for a currently active alarm—> Patient header > Device tab for
desired device with active alarm (if not currently shown) > Silence button

○

View and acknowledge setting changes—> Event panel > Setting change message
> Unacknowledged Setting Changes window

○

View alert thresholds for devices and algorithms—> Event panel > Settings (gear)
icon > Rules and Settings dialog

○

Change alert thresholds for algorithms—> Event panel > Settings (gear) icon >
Rules and Settings dialog

○

View parameter trends for a pulse oximeter, capnography device, or
multiparameter monitor—> Parameter panel > Desired parameter tile > Trend
window; or Device Detail > Trend panel (for general trend data) > Trend window
(for detailed trend data)

○

View parameter trends for any other device—> Parameter panel > Desired
parameter tile > Trend window

○

View device waveform detail—> Waveform panel > Waveform Detail window

○

Run a report—> Patient header > Patient Reports tab > Desired report in drop­down menu > Reports screen

•

Jump to device information for a patient with active device alarms—Navigation bar >
Alarm menu > Desired patient > Device Detail screen (device with highest-priority
alarm shown)

•

Jump to device information for a patient with active device notifications—Navigation
Bar > Notification menu > Desired patient > Device Detail screen (if patient has active
alarms: > Patient header > Device tab for the desired device)

•

Manually admit a new patient in the platform:

○

From the Tile View—> Admit Patient link (if user has no monitored patients) >
Admit Patient screen; or > Bed tile with no patient > Admit Patient screen

○

From any other screen—Navigation bar > User function menu > Admit Patient >
Admit Patient screen

○

With a specific device—Navigation bar > Device menu > Desired device > Admit
Patient screen; or Navigation bar > User function menu > Tile View > Desired
device tile > Admit Patient screen; or Navigation bar > User function menu > All
Patients and Devices screen > Desired unassociated device listing > Admit Patient
screen

○

With a specific device in a specific bed—Navigation bar > User function menu >
Tile View > Desired device tile (drag and drop onto desired empty bed tile) > Admit
Patient screen

4

•

Link a device to a patient already in the platform:

○

From the Device Detail screen for the patient—> Patient header > Link New
Device/Algorithm button > Link New Device/Algorithm window

Reference Manual English 35

○

From the Tile View—> Desired bed or device tile > Admit Patient screen > ID field
(search for desired patient ID); or > Desired device tile (drag and drop onto desired
occupied bed tile) > Admit Patient screen

○

From the All Patients and Devices screen—> Desired unassociated device listing >
Admit Patient screen > ID field (search for desired patient ID)

○

From any other screen—Navigation bar > User function menu > Admit Patient >
Admit Patient screen > ID field (search for desired patient ID); or Navigation bar >
Device menu > Desired device > Admit Patient screen > ID field (search for desired
patient ID)

•

Relink a device that has lost communication with the platform—Navigation bar > User
function menu > Tile View > Desired bed tile > Device Detail screen > Device header
menu > Relink Device; or Navigation bar > User function menu > Tile View > Tile for
device ready for reconnection (drag and drop onto bed tile showing same device)

•

Unlink a linked device—Navigation bar > User function menu > Tile View > Desired
bed tile > Device Detail screen > Device header menu > Unlink Device

•

Manually discharge a patient:

○

With linked devices:

-

Navigation bar > User function menu > Tile View > Desired bed tile > Device
Detail screen > Patient header > Patient Detail tab > Discharge Patient from
System button

-

Navigation bar > User function menu > All Patients and Devices > Desired
patient listing > Device Detail screen > Patient header > Patient Detail tab >
Discharge Patient from System button

○

Without linked devices:

-

Navigation bar > User function menu > Tile View > Desired bed tile > Device
Detail screen (Patient Detail tab) > Discharge Patient from System button

-

Navigation bar > User function menu > All Patients and Devices > Desired bed
tile > Device Detail screen (Patient Detail tab) > Discharge Patient from System
button

•

View discharge information for user’s assigned patients—Navigation bar > User
function menu > Patient Discharge History screen

•

Access patient assignment functions—Navigation bar > User function menu > Patient
Assignment > Patient Assignment screen

○

View or change assignments:

-

User’s own—> Default view (drag and drop area tiles to change assignments)

-

Other user's—> Drop-down menu just above top of left column > Desired user
name (drag and drop area tiles to change assignments)

○

View or change secondary contact or monitoring only assignments:

-

User's own—> Default view > Secondary contact tab or Monitoring Only tab
(drag and drop area tiles to change assignments)

36 Reference Manual English

-

Other user’s—> Drop-down menu just above top of left column > Desired user
name > Secondary contact tab or Monitoring Only tab (drag and drop area tiles
to change assignments)

○

View or change assignments by shift:

-

User's own—> Drop-down menu at top of screen > Desired shift (drag and
drop area tiles to change assignments)

-

Other user’s—> Drop-down menu just above top of left column > Desired user
name > Drop-down menu at top of screen > Desired shift (drag and drop area
tiles to change assignments)

•

Access area assignment functions—Navigation bar > User function menu > Area
Assignment > Area Assignment screen

○

View or change assignments:

-

User’s own—> Default view (drag and drop area tiles to change assignments)

-

Other user's—> Drop-down menu just above top of left column > Desired user
name (drag and drop area tiles to change assignments)

○

View or change secondary contact or monitoring only assignments:

-

User's own—> Default view > Secondary contact tab or Monitoring Only tab
(drag and drop area tiles to change assignments)

-

Other user’s—> Drop-down menu just above top of left column > Desired user
name > Secondary contact tab or Monitoring Only tab (drag and drop area tiles
to change assignments)

○

View or change assignments by shift:

-

User's own—> Drop-down menu at top of screen > Desired shift (drag and
drop area tiles to change assignments)

-

Other user’s—> Drop-down menu just above top of left column > Desired user
name > Drop-down menu at top of screen > Desired shift (drag and drop area
tiles to change assignments)

○

View unassigned areas—> Drop-down menu just above right column >
Unassigned Areas

•

Run a report:

○

From the Device Detail screen—> Patient header > Patient Reports tab > Desired
report in drop-down menu > Reports screen

○

From any other screen—Navigation bar > User function menu > Reports > Desired
report in drop-down menu > Reports screen

•

Access a clinical user’s functions—Navigation bar > User function menu > Select User >
User submenu > Desired user

4

•

View platform events—Navigation bar > User function menu > Event List

Reference Manual English 37

•

Enable or disable user’s own audible alerts (if enabled and allowed)—Navigation bar >
User function menu > Audible Alerts > Audible Alerts dialog > Enable or Disable
buttons

•

Test user’s own audible alerts (if enabled)—Navigation bar > User function menu >
Audible Alerts > Audible Alerts dialog > High Priority, Medium Priority, and Low Priority
test buttons

•

Change user’s own password—Navigation bar > User function menu > Change
Password > Change Password dialog

•

Access software documentation in the browser—Navigation bar > User function menu
> Help (opens document in a new browser tab)

•

Show software version information—Navigation bar > User function menu > About >
Version information dialog

•

Log out of the platform—Navigation bar > User function menu > Log Out

4.6. Administrator Functions

This section summarizes how to navigate the informatics manager user interface to
perform common administrative functions. See Chapter 6 for detailed information on all
listed functions.

•

Access user management functions—Home > Users tile > Manage Users > Manage
Users screen

○

View all currently active users—> Active tab (default view)

○

View all currently inactive users—> Inactive tab

○

Add a user—> Create User button > Add User screen

○

Edit a user—> Desired user name > Edit User screen

○

Enable audible alerts:

-

For a new user—>Create User button > Add User screen > Audible Alerts field
(Multi-Tone or Single Tone selection)

-

For an existing user—> Desired user name > Edit User screen > Audible Alerts
field (Multi-Tone or Single Tone selection)

○

Deactivate a user—> Active tab > Deactivate link for desired user > Deactivate
dialog

○

Reactivate a user—> Inactive Users tab > Reactivate link for desired user >
Reactivate dialog

○

Reset another user’s password—> Reset Password link for desired user > Reset
Password dialog

○

Unlock a user—> Unlock link for desired user > Unlock dialog (available only for
users who are locked out of the platform)

38 Reference Manual English

○

Delete a user—> Delete link for desired user > Delete dialog (available only for
users who have never logged in)

•

Access shift management functions—Home > Users tile > Manage Shifts > Manage
Shifts screen

○

Add a work shift—> Add Shift button > Add Shift screen

○

Edit a work shift—> Desired shift name > Edit Shift screen

○

Delete a work shift (if allowed)—> Delete link for desired shift > Delete dialog
(available only for shifts with no associated patients or areas)

•

Access bedside unit user management functions—Home > Bedside Displays tile >
Manage Bedside Display Users > Manage Bedside Display Users screen

○

View all currently active bedside unit users—> Active tab (default view)

○

View all currently inactive bedside unit users—> Inactive tab

○

Edit a bedside unit user’s bed assignment—> Name of desired bedside unit user >
Edit Bedside Monitoring Station Assignment screen

○

Deactivate a bedside unit user—> Active tab > Deactivate link for desired user >
Deactivate dialog

○

Reactivate a bedside unit user—> Inactive tab > Reactivate link for desired user >
Reactivate dialog

•

Access area management functions—Home > Areas and Beds tile > Manage Areas

○

Add an area—> Add Area button > Add Area screen

○

Edit an area—> Desired area ID > Edit Area screen

○

Delete an area—> Delete link for desired area > Delete dialog (available only for
areas with no associated beds and no assigned users)

•

Access bed management functions—Home > Areas and Beds tile > Manage Beds

○

Add a bed—> Add Bed button > Add Bed screen

○

Edit a bed—> Desired area ID > Edit Bed screen

○

Enable automatic admission and discharge—> Add Bed button > Add Bed screen
> Appropriate entry in HL7 Location field

-

For a new bed—> Add Bed button > Add Bed screen > HL7 Location field
(make appropriate entry)

-

For an existing bed—> Desired bed ID > Edit Bed screen > HL7 Location field
(make appropriate entry)

4

○

Delete a bed—> Delete link for desired bed > Delete dialog (available only for beds
with no patients or associated devices and no assigned users)

•

Access device inventory management functions—Home > Devices tile > Manage
Device Inventory

○

Add a device—> Add Device button > Add Device screen

Reference Manual English 39

○

Edit a device—> Name of desired device > Edit Device screen

○

Delete a device—> Delete link for desired device > Delete dialog (available only for
devices that have never been linked to a patient currently present in the platform)

•

Access device status functions—Home > Devices tile > Device Status > Device Status
screen

○

View general status of all devices—> Default view

○

Check detailed status of a specific device—> Name or address of desired device >
Device Status window > General tab or Support tab

○

Edit a device—> Desired device serial number > Edit Device screen

•

Access alarm and notification (event) rule set functions—Home > Alarms tile > Manage
Rule Sets > Manage Rule Sets screen

○

View existing alarm and notification (event) rule sets—> Default view

○

Add a new event rule set—> Add Rule Set button > Add Rule Set screen

-

Enable platform automatic discharge—> Auto-discharge and Discharge After
fields

-

Set patient name masking—> Patient Name Mask fields

-

Set alarm rules—> Alarm Rules tab fields

-

Set setting rules—> Settings Rules tab fields

-

Add a custom event rule—> Alarm Rules tab > Panel for desired device type >
Add button > Custom Alarm Rule window

○

Edit an event rule set—> Name of desired rule set > Edit Rule Set screen

-

Enable platform automatic discharge—> Auto-discharge and Discharge After
fields

-

Set patient name masking—> Patient Name Mask fields

-

Edit alarm rules, including custom event rules—> Alarm Rules tab fields

-

Edit setting rules—> Settings Rules tab fields

-

Add a custom event rule—> Alarm Rules tab > Add button on panel for
desired device type > Custom Alarm Rule window

-

Delete a custom event rule—> Delete button for desired custom rule > Delete
dialog

○

Delete an event rule set—> Delete link for desired rule set > Delete dialog

•

Access alert management functions—Home > Alarms tile > Manage Alerts > Manage
Alerts screen

○

View devices and number of modified alerts—> Default view

○

Modify alerts for a device—> Desired device name > Alerts screen

40 Reference Manual English

•

Access parameter management functions—Home > Parameters and Algorithms tile >
Manage Parameters > Manage Parameters Screen

○

View parameters—> Default view

○

Add a parameter—> Add Parameter button > Upload Parameter Definition(s)
screen

○

Export a parameter—> Export link for desired parameter

•

Access derived parameter algorithm (DPA) management functions—Home >
Parameters and Algorithms tile > Manage Algorithms > Manage Algorithms screen

○

View available DPAs—> Default view

○

Add a DPA—> Add Algorithm button > Upload Algorithms screen

○

Activate a DPA for availability in the platform—> Activate link for desired DPA

○

Deactivate a DPA from availability in the platform—> Deactivate link for desired
DPA

•

Run a report—Home > System tile > Reports > Desired report in drop-down menu >
Reports screen

•

Access software documentation in the browser—Top of any screen > Help (opens
document in a new browser tab)

•

Show software version information—Top of any screen > About > Version Information
dialog

•

Change user's own password—Top of any screen > Change Password > Change
Password dialog

•

Log out of the platform—Top of any screen > Log Out

4.7. Functions for Other Roles

Users in other roles access and use the software in much the same way as clinicians,
supervisors, and administrators do. However, available functionality for these users is more
narrowly focused on specific duties those users perform, or is determined from where users
are accessing the software.

This section lists available functions for users in other roles.

4.7.1. Link Managers

Link managers have access to the following screens and platform functions:

•

All Patients and Devices

•

Device Detail

4

○

View device settings and information

○

Modify device settings (for certain derived parameter algorithms)

○

Edit patient details or patient location

Reference Manual English 41

○

Discharge a patient

○

Link or unlink devices or algorithms

•

Admit Patient screen (all functions)

•

Change Password dialog

•

Help

•

About dialog

•

Log Out

For details on accessing functions, refer to Clinician Functions, page 30, or Supervisor

Functions, page 33. Refer to Chapter 5 for more information on how to use available

functionality.

4.7.2. Clinical Administrators

Clinical administrators have access to the following screens and software functions:

•

Administrator Home screen

•

Manage Rule Sets

○

Add Rule Sets screen (all functions)

○

Edit Rule Sets screen (all functions)

•

Manage Alerts screen (all functions)

•

Manage Parameters screen (all functions)

•

Manage Algorithms screen (all functions)

•

Reports (system status reports only)

•

Change Password dialog

•

Help

•

About dialog

•

Log Out

For details on accessing functions, refer to Administrator Functions, page 38. Refer
to Chapter 6 for more information on how to use available functionality.

4.7.3. Central Monitoring Station Users

Central monitoring station users have access to the following screens and platform
functions:

•

Tile View (sorted by name, location, or device ID)

•

Device Detail

○

View device settings and information

○

Modify device settings (for certain derived parameter algorithms)

42 Reference Manual English

○

Edit patient details or patient location

○

Discharge a patient

○

View and run reports

○

Link or unlink devices or algorithms

•

Patient Assignment screen (all functions)

•

Area Assignment screen (all functions)

•

Admit Patient screen (all functions)

•

Reports

•

Audible Alerts dialog

•

Help

•

About dialog

For details on accessing functions, refer to Clinician Functions, page 30, or Supervisor

Functions, page 33. Refer to Chapter 5 for more information on how to use available

functionality.

4.7.4. Bedside Unit Users

Users of optional dedicated bedside display units have access to the following screens and
platform functions:

•

Tile View (shows only the bed associated with that specific optional unit)

•

Device Detail (shows only the device settings and information for the associated bed)

•

Audible Alerts dialog

•

About dialog

For details on accessing functions, refer to Clinician Functions, page 30. Refer to Chapter 5
for more information on how to use available functionality.

4.7.5. External Services Users

External services users manage and configure interfaces between the platform and various
external application services. Consult the Medtronic Solution Delivery Team for more
information.

4

Reference Manual English 43

44 Reference Manual English

5. Clinician and Supervisor Operation

5.1. Overview

This chapter describes functionality and operation of the Vital Sync™ virtual patient
monitoring platform and informatics manager software for respiratory care professionals
and caregivers (referred to as “clinicians” throughout this chapter) and supervisory users.
This information also applies to users at central monitoring stations or optional dedicated
bedside display units, as well as link managers.

For administrative functionality and operations, see Chapter 6.

Note: The terms “clinician”, “supervisor”, and “link manager”, as used in this manual, refer
only to types of users and to roles fulfilled when using the software. These terms do not
necessarily correspond to similar titles used for employees of any particular facility, nor to
functions those employees perform at that facility.

Note: Parameter values converted from other units of measure may be rounded when
shown in the platform. This may lead to some loss of precision. For more information
regarding unit conversions, consult with the Medtronic Solution Delivery Team.

• Alarms and Notifications, page 45

• Navigation and Basic User Interface, page 46 • Select User Mode, page 101

• Tile View (Patient Overview Screen), page 50 • Event List, page 102

• Device Detail Screen, page 55 • Reports, page 103

• All Patients and Devices Screen, page 74 • Change Password, page 104

• Admit a Patient, page 76 • Audible Alerts, page 105

• Manual Parameter Entry, page 84 • Help, page 107

• Discharge (Remove) a Patient, page 85 • Version Information, page 107

• Patient Assignments, page 88 • Platform Logout, page 108

• Area Assignments, page 94

5.2. Alarms and Notifications

The Vital Sync™ virtual patient monitoring platform reports alarms and notifications from
linked devices and algorithms in many places. Symbols and colors denote event types and
priority.

If enabled, an audible alert tone will sound on the PC, mobile device, or central monitoring
station in response to alarms active for any of the user’s assigned patients. It will also sound
on an optional dedicated bedside display unit (if used).

For details on alarms, see Chapter 7. For details notifications, see Chapter 8.

5

Administrative users can adjust how alarms behave in the platform using alarm rule sets
and annunciation settings in the Vital Sync™ informatics manager. See Manage Alarm,

Notification, and Setting Rules, page 138 and Manage Alerts, page 147for details.

Reference Manual English 45

5.3. Navigation and Basic User Interface

This section details navigation and user interface features that clinicians, supervisors, and
link managers, as well as users at central monitoring stations and optional dedicated
bedside display units, will commonly encounter when using the platform.

Note: Do not use the browser’s “forward” or “back” buttons to navigate in the platform.
Only use links and buttons provided in the platform’s user interface.

Note: Screen captures in this manual are representative. Actual screens may vary slightly
from those shown here, depending on the specific software release used, how the user is
accessing and viewing the software, and specific facility requirements. Also, the size and
position of tiles and other screen elements will vary with the number of elements present
and the size of the browser window. Finally, the format in which dates appear may differ by
software localization.

5.3.1. Common Navigation Bar

Users access available functions via the common navigation bar, which appears at the top
of all screens. See User Interface Symbols, page 18 for additional explanation of symbols
appearing in the common navigation bar.

Figure 2. Common Navigation Bar (Standard)

1. Alarm button—Shows the number of active alarms for currently assigned patients;
click to access a menu of patients with alarms. (Icon is blank if no alarms are active.)

2. Notification button—Shows the number of active notifications for currently
assigned patients; click to access a menu of patients with notifications. (Icon is
blank if no notifications are active.)

3. Device button—Shows the number of devices currently unassociated with
patients; click to access a menu of unassociated devices. (Icon is blank if there are
no unassociated devices.)

4. Home button—Click to return to the home screen.

5. User function button—Shows the name of the user currently logged in (or the
name of the central monitoring station or optional dedicated bedside display unit
at which the platform is used). Click to access a menu of available functions.

6. Connection icon—Indicates the current database connection status for the
platform.

Note: If using the platform on an optional dedicated bedside display unit, the common
navigation bar does not include the alarm, notification, or device buttons, since dedicated
bedside display units are specific to a single bed.

5.3.1.1. Function Menu

For a menu of functions, hover over the user function button.

46 Reference Manual English

Available functions depend on the user’s role, as shown in Figure 3 and Figure 4, and on
whether audible alerts are enabled for the user (see Add or Edit a User, page 115).

Figure 3. Function Menu (Clinician)

Figure 4. Function Menu (Supervisor)

For functions available at a central monitoring station, see Central Monitoring Station

Users, page 42. For functions available on an optional dedicated bedside display unit,

see Bedside Unit Users, page 43.

Note: The clinician and supervisor roles are designed for individual users who are actively
supporting patient care and patient care decisions. The link manager role is intended only
to address device connectivity and device linking issues, not for active patient support.
Refer to Link Managers, page 41, or consult the Medtronic Solution Delivery Team for more
information on availability, setup, and accessible functions. Users may also use the platform
at a central monitoring station or on an optional dedicated bedside display unit, each of
which allow use of a subset of the functions available to individual clinicians and
supervisors. In any case, platform functions described in this manual work in the same way
for clinicians, supervisors, link managers, or at central monitoring stations or optional
dedicated bedside display units, unless noted otherwise.

Reference Manual English 47

5

5.3.1.2. Alarm and Notification Button Menus

For a menu of this user’s patients who have active alarms, hover over the alarm button. An
icon next to each patient’s name indicates the priority of the alarm.

Figure 5. Alarm Button Menu

For a menu of this user’s patients who have active notifications, or with devices that have
lost communication with the platform, hover over the notification button. An icon next to
each patient’s name indicates the type of notification.

Figure 6. Notification Button Menu

On either of these menus, click on an item to open the Device Detail screen to view specific
data for that patient and device.

Note: Numbers on the alarm and notification buttons denote the number of patients who
have active alarms or notification on linked devices, not the total number of alarms or
notifications currently active. Any patient may have multiple active alarms or notifications.
For supervisors, numbers on the alarm and notification buttons denote all patients with
active alarms or notifications on linked devices, not just patients assigned to the current
supervisor.

5.3.1.3. Device Button Menu

For a menu of devices not currently linked to patients in the platform, hover over the
device button. An icon next to the device identifier indicates the device type.

Figure 7. Device Button Menu

In this menu, click on a device to open the Admit Patient screen for linking of that device to
a patient.

48 Reference Manual English

5.3.2. Function Drop-Down Menu

Occasionally, additional functions are consolidated into a drop-down menu (similar to the
button menus on the common navigation bar), denoted by a downward-pointing triangle
on one or more buttons on the screen.

Figure 8. Example Function Drop-Down Menu

To open the drop-down menu, hover over the button. Click on a function to select it.

5.3.3. System Messages

System messages will sometimes appear near the top of the screen (just below the
navigation links) in response to events or user actions.

Figure 9. Example System Message

Standard informational messages appear in a blue box. A message in a red box indicates
either a user error or a platform error. A message in a yellow box indicates an issue possibly
requiring user intervention.

To dismiss a system message, click the X on the right side of the message box, or navigate
to a different screen.

5.3.4. Multi-Page Lists

Certain screens may list more records than can be shown on a single screen. When this
occurs, navigation links will appear near a corner of the list, as follows:

•

Numbered links access specific pages in the list. Click a numbered link to navigate to
that page.

•

Click << to show the first page in the list.

•

Click >> to show the last page in the list.

5.3.5. Tool Tips

Users can obtain additional information about devices and controls by hovering the cursor
over some associated user interface elements. This will cause a small text box (also called a
tool tip) to appear, which shows the information.

5

Reference Manual English 49

Figure 10. Tool Tip

Tool tips will appear when hovering over some controls in the Device Detail and Reports
screens, and also when hovering over device icons in the Tile View and All Patients and
Devices screens.

5.4. Tile View (Patient Overview Screen)

The Patient Overview screen (generally referred to as the Tile View) is the home screen for
clinicians and supervisors; for those users, it appears automatically after login. To access the
Tile View from elsewhere in the platform at any time, click on the Home button on the
navigation bar, or hover over the navigation bar’s user function button and select Tile View
from the menu.

The Tile View shows identifiers, key monitored parameters, and device messages for
multiple patients and devices or derived parameter algorithms simultaneously via bed and
device tiles.

Note: Illustrations of derived parameter algorithms in this section show generic algorithm
icons and data. Each individual algorithm has its own specific parameters, and may have a
specific icon (not shown here). Basic platform behavior described here is the same for all
algorithms.

Figure 11. Patient Overview Screen (Tile View)

50 Reference Manual English

Each large tile on the screen represents a single bed. If a patient is present in the bed, the
tile will show the patient’s name and linked devices (if any). If no patient is present, but at
least one device is associated with the bed, icons for any devices associated with the bed
will appear. See Manage Device Inventory, page 132 and Tile Information, page 51.

Figure 12. Bed Tile Detail

1. Key monitored parameters

2. Patient name

3. Device message (highlighting
indicates associated device)

4. Time elapsed for alarm in the platform

Each small tile on the screen represents a single device that is currently in the device
inventory, but is not currently linked to any patient or associated with any bed.

Figure 13. Device Tile Detail

1. Device type icon

2. Device identifier

Note: Unless otherwise specified, the term “device” refers to patient devices (for example,
pulse oximeters, ventilators, or capnography monitors), not smartphones, tablets, or
optional dedicated bedside display units used to access and perform functions in the
software.

5. Location

6. Silence icon (if an audible alert is
silenced for this patient)

7. Device type icon

8. Device identifier

3. Device connection icon

5.4.1. Availability by User Role

Clinicians, supervisors, and central monitoring station users may use all functions in the Tile
View. Bedside unit users may view only the bed tile for the bed associated with the
dedicated bedside display unit. Link managers do not have access to the Tile View.

5.4.2. Tile Information

Bed tiles show patient information and data from linked devices. If alarms or notifications
are active on a linked device or algorithm, the bed tile will show a message and will change
color to indicate the priority of the event.

Note: Unless otherwise indicated, the term “linked device” can also be used to refer to a
derived parameter algorithm (DPA) linked to a patient in the platform.

Information shown in each bed tile includes:

Reference Manual English 51

5

•

Patient Data—The patient name (if any)

•

Device Message—If alarms or notifications are active on any device linked with this
patient, a message for the alarm or notification with the highest priority (the text of the
alarm or notification message is the same as that which appears on the device itself)

•

Location—The bed number in the platform (see Manage Beds, page 130 for details on
setting up beds)

•

Device Type Icon—Icons showing the type of device or devices linked to this patient; if
an alarm or notification message is currently shown on the bed tile, the icon denoting
the device involved will be highlighted

•

Key Monitored Parameters—Important parameters for each linked device (parameters
shown will vary by device and by the communication protocol the device uses)

Device tiles show the device type and device identifier for each device not currently linked
to a patient or associated with a bed.

Hovering the cursor over a device type icon on a bed tile will open a tool tip showing the
device serial number. Hovering the cursor over a device tile will open a tool tip showing the
device model.

This release of the software allows the following standard parameters to appear on bed
tiles:

•

Pulse oximeters—Blood oxygen saturation (SpO2) and pulse rate (PR)

•

Capnography monitors and multiparameter monitors—End tidal carbon dioxide level
(ETCO2), blood oxygen saturation (SpO2), pulse rate (PR), and respiration rate (RR)

•

Ventilators—Peak inspiratory circuit pressure (P
(PEEP), total respiratory rate (f

•

Regional saturation monitors—Regional saturation of oxygen (rSO2) and blood volume

), and exhaled tidal volume (VTE)

TOT

), positive end expiratory pressure

PEAK

index (BVI)

•

Bispectral index monitors—Bilateral bispectral index (BIS) and electromyography
(EMG) values

•

Early warning score algorithms (if used)—The current early warning score value

•

Spontaneous breathing trial algorithms (if used)—Fraction of inspired oxygen (FiO2)
and blood oxygen saturation (SpO2) when evaluating weaning readiness, or the current
status or outcome of the actual trial

Not all devices may measure all parameters listed here, and some communication
protocols limit the types of data reported to the platform. If not measured or reported, the
parameter will not appear on the tile.

•

Note: Parameter unit conversion in the software may result in some loss of precision
due to decimal rounding.

•

Note: Additional device parameters not shown on bed tiles in the standard
configuration of the software may be available for use with additional configuration.
Consult the Medtronic Solution Delivery Team for more information.

•

Note: The platform’s data displays are informational. Except as specified for derived
parameter algorithms with adjustable alarm thresholds, the platform does not provide

52 Reference Manual English

the ability to change device settings or control linked devices in any way (including
adjusting or silencing device alarms).

•

Note: Before acting on information shown in the platform, assess the patient at the
bedside.

5.4.3. Bed Tile Colors

Bed tile colors depend on whether or not a patient is present or has linked devices, and on
whether any device linked with the patient in the bed in question has active alarms or
notifications.

•

Grey—Indicates a patient with no linked devices, or (if no patient name is shown) an
empty bed

•

White—Indicates no active alarms or notifications on any of this patient’s linked
devices, or indicates a bed with no patient, but with at least one associated device

•

Yellow—Indicates at least one low-priority or medium-priority alarm is active on at
least one device linked to the patient in this bed

•

Red—Indicates at least one high-priority alarm is active on at least one device linked to
the patient in this bed

•

Blue—Indicates at least one standard notification is active on at least one device linked
to the patient in this bed

•

Light Yellow—Indicates at least one unfavorable patient event notification is active on
at least one device linked to the patient in this bed

•

Green—Indicates at least one favorable patient event notification is active on at least
one device linked to the patient in this bed

If multiple alarms or notifications are active, the alarm or notification with the highest
priority determines the color of the tile. See Event Priority, page 165 and Visual Indicators,

page 155 (for alarms) or page 167 (for notifications).

Note: The same tile color is used for medium-priority and low-priority alarms. The alarm
symbol in the message area of the tile denotes the specific alarm priority. See User Interface

Symbols, page 18.

Note: The colors that appear in the bed tile are also used to indicate alarms and
notifications in various locations in the Device Detail screen. See Visual Indicators, page 155
or page 167.

5.4.4. Additional Tile View Functions

For user convenience, additional sorting and view settings are available for the Tile View.

5

To access, hover over Tile View on the user function menu to open the Tile View function
submenu.

Note: Selections made in the Tile View function submenu persist for the user in question or
at a central monitoring station until actively changed.

Reference Manual English 53

5.4.4.1. Sort Order

To sort tiles alphabetically by patient last name, select Sort by Name in the Tile View
function submenu. To sort tiles alphanumerically by patient location, select Sort by
Location. The default sort order is by location.

5.4.4.2. Device Identifiers

Device identifiers appear below device icons on bed tiles by default. To hide device
identifiers on bed tiles, select Hide Device ID in the Tile View function submenu. To once
again show identifiers, select Show Device ID.

5.4.4.3. Available Devices

Devices available to the current user (that is, assigned to one of the user's assigned areas)
appear in the Tile View by default. To show all available devices in the Tile View, regardless
of user, select Show All Available Devices in the Tile View function submenu. To once again
show only devices available to the current user, select Show My Available Devices.

Note: Devices not assigned to any area will show as available regardless of the view mode
selected. See Area Assignments, page 94 for information on assigning areas to users;
see Manage Device Inventory, page 132 for information on assigning devices to areas.

5.4.4.4. Patient Names

Patient names are masked on bed tiles by default. Depending on the setting selected,
masking replaces some or all of patients' first and last names with one or more asterisks.
See Figure 14 for an example.

Figure 14. Bed Tile (patient name masked)

To show patient names in the Tile View, select Show Patient Name in the Tile View function
submenu. To once again mask patient names, select Mask Patient Name.

•

Note: To enhance patient privacy, ensure that the Tile View is set to mask patient
names if the screen on which the Tile View is visible is in an open or heavily trafficked
area, such as a central monitoring station.

•

Note: The Sort by Name function will still work correctly even if names are masked.

5.4.4.5. Empty Bed Tiles

Tiles for empty beds assigned to the current user (that is, beds with no associated patients
or devices) are hidden in the Tile View by default. To show tiles in the Tile View for all beds
assigned to the current user, including empty beds, select Show Empty Beds in the Tile
View function submenu. To once again hide tiles for empty beds, select Hide Empty Beds.

54 Reference Manual English

5.5. Device Detail Screen

Users can view detailed information about device and algorithm parameters and settings
and active alarms and notifications for a patient in the Device Detail screen. From here,
users can also link patients with devices and algorithms, manage device links, and edit
certain patient information.

To access the Device Detail screen, click on any Tile View bed tile, or select a patient listed
in the Alarm or Notification menus.

•

Note: Before acting on information shown in the platform, assess the patient at the
bedside.

•

Note: The platform’s data displays are informational. Except as specified for derived
parameter algorithms with adjustable alarm thresholds, the platform does not provide
the ability to change settings or control devices in any way (including adjusting or
silencing device alarms).

•

Note: Illustrations of derived parameter algorithms in this section show generic
algorithm icons and data. Each individual algorithm has its own specific parameters,
and may have a specific icon (not shown here). Basic platform behavior described here
is the same for all algorithms.

5.5.1. Availability by User Role

Clinicians, supervisors, central monitoring station users, and link managers may use all
functions in the Device Detail screen. Bedside unit users have view-only access to detail for
devices linked to the patient in the associated bed, and to patient detail.

5.5.2. Screen Layout

The Device Detail screen is divided into panels that show data for the patient and the
selected device or algorithm.

General screen features are shown in Figure 15, Figure 16, and Figure 17.

5

Reference Manual English 55

Figure 15. Device Detail Screen Layout (ventilator)

1. Patient header panel

2. Device header panel

3. Parameter panel

4. Waveform panel

5. Setting panel

6. Event panel

56 Reference Manual English

Figure 16. Device Detail Screen Layout (pulse oximeter or capnography monitor)

1. Patient header panel

2. Device header panel

3. Waveform panel

Figure 17. Device Detail Screen Layout (derived parameter algorithm)

1. Patient header panel

2. Device header panel

The Device Detail screen layout for multiparameter monitors is similar to Figure 16, but
does not include a waveform panel.

The Device Detail screen layout for regional saturation monitors and bispectral index
monitors is similar to Figure 17, and does not include a waveform or trend panel.

4. Parameter panel

5. Trend panel

6. Event panel

3. Algorithm data panel

4. Waveform panel

5

Derived parameter algorithms will have Device Detail screens specifically designed for the
algorithm and the parameters monitored. For more information on the Device Detail
screen for any algorithm, contact the Medtronic Solution Delivery Team.

Note: The screen captures for the Device Detail screen show examples of data for specific
device types. Data appearing on the Device Detail screen will vary by device type, and also

Reference Manual English 57

among devices of the same type, depending on operation mode and settings, parameters
supported, and the communication protocol used. Not all data shown in the screen
captures may be shown for all devices.

5.5.2.1. Patient Header Panel

The patient header panel at the top of the screen (just below the navigation bar) shows
information for the currently selected patient.

Figure 18. Patient Header Panel

1. Patient ID information

2. Patient location

3. Device tab (device or algorithm

5. Patient Detail tab

6. Patient Reports tab

7. Link New Device/Algorithm button

currently selected)

4. Device tab (other device or algorithm)

Patient data includes room number or location identifier, patient name, and patient ID
number. Device icons on tabs denote each device or algorithm currently linked to this
patient. The icon for the currently selected device or algorithm appears on a lighter-colored
tab.

To select the device or algorithm for which to show detail on the Device Detail screen, click
a device tab. See Select a Device, page 67.

The patient header shown in Figure 18 indicates no active alarms or notifications on any of
the patient’s linked devices. If any linked device or algorithm has active alarms or
notifications, the patient header will change color to indicate the event with the highest
priority among all devices and algorithms linked to this patient.

Figure 19. Patient Header Panel (alarm indicated)

1. Silence Audible Alerts button

2. Tab indicating device with other
event

The device tab for any device or algorithm with an active alarm or notification will show a
symbol for the event with the highest priority on that device or for that algorithm. A button
for silencing audible alerts (if enabled) will also appear if an alarm is active. (See Device

Detail Screen (Event Panel), page 162 or page 173, and Audible Alerts and Alarms,
page 158.)

To link another device to this patient, click the Link New Device button. See Admit a

Patient, page 76.

58 Reference Manual English

3. Tab indicating device with alarm

To view patient information, click on the Patient Detail tab. See Manage Patient Detail,

page 70.

To access snapshot reports for this patient without leaving the Device Detail screen, click
the Patient Reports tab. See Figure 158, page 189.

5.5.2.2. Device Header Panel

Basic mode and identifier information for the device appears in the device header, just
below the patient header.

Figure 20. Device Header Panel (ventilator)

Information shown in the device header for a ventilator includes some or all of the
following items, if supported on the device or by the device’s communication protocol:

•

Circuit type (adult, pediatric, or neonatal)

•

Ventilation mode

•

Mandatory breath type

•

Trigger type

•

Ventilation type

•

Spontaneous breath type

•

Device model and identifier (shown on the blue function button)

Figure 21. Device Header Panel (pulse oximeter or capnography monitor)

Figure 22. Device Header Panel (regional saturation monitor)

Information shown in the device header for a pulse oximeter, capnography monitor, or
regional saturation monitor includes some or all of the following, if supported on the
device or by the device’s communication protocol:

•

Patient type

5

•

Signal strength from sensor

•

Sensor type

•

Battery charge remaining

•

Sensor identifier (serial and lot number)

•

Device model and identifier (shown on the blue function button)

Reference Manual English 59

To disconnect or reconnect devices in the platform, use the drop-down function menu on
this panel. See Manage Device Connections, page 67.

Note: Information appearing in the device header depends on device type and mode of
operation and the communication protocol used. Not all devices support display of all
possible information, and some information is not applicable in certain modes of
operation. See the operator’s manual for the device for more information on specific data
shown.

5.5.2.3. Parameter Panel

The most recent parameter data reported for the device (unless data is not available for
that parameter) appears on tiles in the parameter panel.

Figure 23. Parameter Panel (ventilator data)

1. Parameter name and unit of measure

2. Parameter value

3. Medium-priority alarm icon

4. High-priority alarm icon

5. Low-priority alarm icon

6. Parameter upper and lower alarm
limits (if set or applicable)

7. Reset alarm icon

Note: The alarm priority icons shown in Figure 23 are used in parameter panels for all
device types.

Figure 24. Parameter Panel (pulse oximeter data)

1. Trend panel with trend tiles

2. Parameter value

3. Saturation pattern detection (SPD)
indicator (if supported)

60 Reference Manual English

4. SatSeconds indicator and value (if
supported)

5. Parameter upper and lower alarm
limits (if set or applicable)

6. Parameter name and unit of measure

Figure 25. Parameter Panel (capnography monitor data)

1. Trend panel with trend tiles

2. Parameter value

Note: For more information on trend tiles, see Trend Panel, page 65.

Figure 26. Parameter Panel (bispectral index monitor data)

1. Parameter value

3. Parameter upper and lower alarm
limits (if set or applicable)

4. Parameter name and unit of measure

2. Parameter name and unit of measure

5

Reference Manual English 61

Figure 27. Parameter Panel (multiparameter monitor data)

1. Trend panel with trend tiles
(continuous data)

2. Parameter value

3. Parameter name and unit of measure

•

Note: The parameter panel layout shown is for the Welch Allyn™* Connex™* 6700 and
Welch Allyn™* Connex™* 6800 vital signs monitors. Other multiparameter monitors
that report different parameters will have a different panel layout.

•

Note: An episodic timestamp indicates the collection time for the parameter in
question, using a 24-hour clock.

•

Note: Episodic parameter tiles will show a missing data indicator (“––”) and no
associated timestamp if the platform has not received data for the parameter for 24
hours.

62 Reference Manual English

4. Timestamp for episodic parameter

5. Trend panel with trend tiles (episodic
data)

•

Note: For more information on trend tiles, see Trend Panel, page 65.

Figure 28. Parameter Panel (four-channel regional saturation monitor data)

1. Sensor channel

2. Parameter value

Figure 29. Parameter Panel (two-channel regional saturation monitor data)

1. Parameter value

2. Sensor channel

•

Note: Not all devices monitor all parameters the platform can show for that device
type. If the device does not monitor a particular parameter, the tile for that parameter
will not appear in the parameter panel.

3. Parameter name and unit of measure

4. Parameter upper and lower alarm
limits (if set)

3. Parameter upper and lower alarm
limits (if set)

4. Parameter name and unit of measure

5

•

Note: The screen captures for the Device Detail screen show examples of data for
specific device types. Data appearing on the Device Detail screen will vary by device
type, and also among devices of the same type, depending on operation mode and
settings, parameters supported, and the communication protocol used. Not all data
shown in the screen captures may be shown for all devices.

•

Note: If an audible alert sounds, the alert will be related to the alarm message with the
highest priority on the linked device with the highest priority. This device may not be
the device that is currently selected.

Reference Manual English 63

Parameters shown are specific to the device and ventilation mode or sensor type selected.
Reference the operator’s manual for the device for more information.

If data is unavailable for a parameter the device normally monitors, two dashes (--) will
appear in the tile.

Regardless of device type, if any parameters are outside alarm limits set on the device, an
alarm icon will appear below the lower right corner of the tile, and the tile will change color
to red (indicating a high-priority alarm) or yellow (indicating a low-priority or medium­priority alarm). If audible alerts are enabled, an alert tone will also sound. See Audible

Indicators, page 156.

If a reset alarm occurs for a parameter, the reset alarm icon will appear below the lower
right corner of the tile, and the tile will change color to blue. See Visual Indicators,

page 167.

To access detailed trend data for individual parameters, click on any tile. See View

Parameter Trend Data, page 67.

5.5.2.4. Waveform Panel

The waveform panel shows real-time waveform data for the selected device.

Figure 30. Waveform Panel (ventilator data)

For ventilators, loop waveforms (showing the most recent monitored breath) and scalar
waveforms (showing a collection of breaths over time) appear here.

Figure 31. Waveform Panel (pulse oximeter data)

Figure 32. Waveform Panel (capnography monitor data)

For pulse oximeters and capnography monitors, waveform data for the most recent ten
seconds monitored appears here.

64 Reference Manual English

Waveforms shown vary by device and configuration; reference the operator’s manual for
the specific device for more information.

If a particular waveform is not supported, or data is unavailable for a supported waveform,
the message “No Data Available” will appear in the panel for that waveform.

To access more detailed information for a specific waveform, click on the waveform.
See View Waveform Detail, page 68.

5.5.2.5. Settings Panel

The settings panel shows the settings for the currently selected device, with indicators for
unused and changed settings.

Figure 33. Settings Panel (ventilator settings)

1. Device mode label (mode changed)

2. Settings tile (setting changed)

3. Device mode label (mode unchanged)

The tiles in the settings panel are the same regardless of the device linked; active and
unused tiles are specific to the device and device mode. For details on settings, reference
the operator’s manual for the specific device.

If a setting shown in the settings panel is changed on the device, the tile showing that
setting will change color to show a blue outline, or the label indicating a device mode will
be outlined in blue. Click on the tile to view details of, and acknowledge, changes to
settings. See Device Detail Screen (Settings Panel), page 173.

Note: The Device Detail screen settings panel only shows settings data for ventilators.

Note: Changes made on the device to any setting shown in the settings panel will trigger a
setting change notification in the event panel. Changes to any alarm limit setting will also
trigger a setting change notification in the event panel, but are not denoted on the
corresponding tile in the parameter panel.

4. Settings tile (setting unchanged)

5. Settings tile (setting not used or not
supported)

5.5.2.6. Trend Panel

The trend panel shows trend data for the previous 15 minutes for parameters measured by
the currently selected device.

5

Reference Manual English 65

Figure 34. Trend Panel

1. Parameter trend line

2. Parameter alarm limit indicator line

3. Parameter trend time axis

4. Parameter trend value axis

5. Parameter trend time interval
indicator

6. Parameter panel with parameter tiles

In addition to the trend line, each trend tile has dotted indicator lines for upper and lower
alarm limits for the associated parameter, as set on the device (and if the device reports
them to the platform). For details on settings, reference the operator’s manual for the
specific device.

Note: The Device Detail screen trend panel only shows trend data for pulse oximeters,
capnography devices, and certain multiparameter monitors.

Note: Clicking on a parameter trend tile will open the Parameter Trend window for that
parameter.

5.5.2.7. Event Panel

The event panel shows recent device alarms and notifications that require the user to
acknowledge them.

Figure 35. Event Panel

1. Alarm/notification icon

2. Alarm/notification message

3. Settings icon

To view details of alarms, or to view details of and acknowledge notifications, click on an
alarm or a notification message. See Device Detail Screen (Event Panel), page 162
or page 173.

66 Reference Manual English

4. Time elapsed since alarm or
notification onset

5. Setting change indicator

5.5.3. Select a Device

When initially accessed, the Device Detail screen shows details for the device with the
highest priority, based on device type, whether the device is the primary device, and on
priority of active alarms if any are present.

To select a different device:

1. Find the tab showing the icon for the desired device in the patient header panel.

2. Click on the tab for the desired device. Data for the device will appear in the other
panels on the screen.

See Event Priority, page 165 for device priority details.

5.5.4. Manage Device Connections

Users can access device connection controls from the device header panel to attempt to
reconnect or replace devices that have lost communication with the platform, or to unlink
devices from patients in the platform.

See Device Connection Functions, page 81 for details.

5.5.5. View Parameter Trend Data

To view recent trend data (including alarm conditions and setting changes) for a
parameter, click on the desired parameter tile to open the Parameter Trend window.

Figure 36. Parameter Trend Window

5.5.5.1. Default Data

The default data shown is for the previous 15 minutes. Click on the drop-down box at lower
left for other options (30 minutes, or 1, 2, or 4 hours).

Upper and lower alarm limits set on the device for this parameter are indicated by red
dotted lines. (The vertical axis is scaled automatically according to the limits set for the
parameter.)

5

Reference Manual English 67

5.5.5.2. Additional View Options

Alarms and setting changes occurring during the timeframe shown are indicated on the
trend graph with appropriate icons. To view the alarm message associated with an alarm,
click the desired alarm icon.

Figure 37. Parameter Trend Window (alarm and setting change icons and alarm message shown)

To get the exact value for the parameter at any point on the trend data graph, simply click
on the line at the desired time point.

Figure 38. Parameter Trend Window (specific data point shown)

To view a different part of the trend graph not currently shown (if any), click and drag the
graph to either the left or the right.

To refresh the trend graph to show the most recent data, click Refresh.

To close the Parameter Trend window, click the X at upper right in the window.

5.5.6. View Waveform Detail

To view a more detailed view of any waveform shown in the waveform panel, click on the
desired waveform to open the Waveform Detail window.

68 Reference Manual English

Figure 39. Waveform Detail Window

5.5.6.1. Default Data

The default data shown is for the previous breath for a ventilator waveform, or for the
previous minute for waveforms from other device types. Click on the drop-down box at
lower left for other options (2, 4, or 8 breaths for a ventilator waveform, or 2, 4, or 8 minutes
for other waveforms).

5.5.6.2. Additional View Options

To get the exact value at any point on the waveform, simply click on the line at the desired
time point.

Figure 40. Waveform Detail Window (specific data shown)

5

If viewing waveform detail for multiple waveforms at once, specific data will be shown on
all waveforms for the time point selected.

Reference Manual English 69

Figure 41. Waveform Detail Window (specific data shown for multiple ventilator waveforms)

To refresh the waveform view to show the most recent data, click Refresh.

To close the Waveform Detail window, click the X at upper right in the window.

5.5.7. Manage Patient Detail

Users can view patient information, including the bed location and platform users assigned
to any patient, directly from the patient header in the Device Detail screen. Users (except
for those using the platform on optional dedicated bedside display units) can also edit
identifying information and locations for patients.

To access patient information, click the Patient Detail tab in the patient header.

Figure 42. Device Detail Screen (patient information fields)

The following information appears here:

•

Name—The patient’s name (last name first)

•

ID—The patient’s identification number

70 Reference Manual English

•

DOB—The patient’s date of birth (if entered)

•

Location—The patient’s location, including all associated areas starting with the
highest-level area and ending with the patient’s bed (for details on locations in the
platform, see Locations, page 175)

•

Primary Contact—The usernames and assignment types (permanent or shift-based) of
all users who have primary responsibility in the platform for this patient

•

Secondary Contact—The usernames and assignment types (permanent or shift-based)
of all users who have secondary responsibility in the platform for this patient

•

Monitoring Only—The usernames and assignment types (permanent or shift-based) of
all users who are only monitoring this patient in the platform

The Discharge Patient from System button allows the user to discharge this patient in the
platform. See Discharge (Remove) a Patient, page 85 for details.

5.5.7.1. Edit Information for a Patient

To update patient information:

1. With the patient information fields shown, click on the edit button next to the
Name, ID, or DOB field to open the Update Patient Information window.

Figure 43. Update Patient Information Window

2. ID—The ID number currently used for the patient appears here. If desired, edit this
number, then click the magnifying glass icon to make sure the new number is not
in use. (If changing the ID number for the patient, all patient information will need
to be reentered in this window.)

3. First Name—The first name currently used for the patient appears here. If desired,
edit this name. (This field is optional.)

4. Last Name—The last name currently used for the patient appears here. If desired,
edit this name. (This field is optional.)

5

5. Date of Birth—The date of birth currently indicated for the patient appears here. If
desired, edit this date. (This field is optional.)

6. Click Save to update the information in the platform.

5.5.7.2. Change a Patient Location

To change a patient’s location:

Reference Manual English 71

1. Click on the tile for the desired patient to access the Device Detail screen.

2. Click on the Patient Detail tab to access patient information.

3. Click on the edit button next to the patient’s room number in the upper left corner
of the patient header Location field to open the Update Patient Location window.

Figure 44. Update Patient Location Window

4. Old Location—The patient’s current location in the platform appears here.

5. New Location—Click on the drop-down box to view available locations, then click
on a location in the list to select it.

6. Click Save to update the location in the platform. The patient’s information will
appear in the bed tile for the new location in the Tile View.

Note: When updating a patient’s location, if any device not currently associated with the
new location is currently linked to the patient, a message will appear indicating that the
patient’s new location does not match the location associated with the device. See Manage

Device Inventory, page 132 for details on updating location assignments for devices.

5.5.8. View Event Rules

To access a dialog showing current delay rules in use for alarms and notifications, click on
the settings icon in the upper right corner of the Device Detail screen event panel.

Figure 45. Rules and Settings Dialog (example delay rules shown)

The name and description of the current rule set in effect for the selected device appears at
upper left. Time periods for automatic setting change acknowledgment and automatic
patient discharge, if set, also appear.

72 Reference Manual English

The following information appears in the Alarm Rules panel for each event (an alarm of a
particular priority level, or a specific device alarm) defined in the rule set:

•

Description—The device alarm priority level or the specific device alarm

•

System Delay—The delay (if any) before the indicated event will annunciate in the
platform

•

Primary Contact Delay—The delay (if any) before the indicated event will trigger an
email or SMS message to users assigned to the affected patient as primary contacts

•

Secondary Contact Delay—The delay (if any) before the indicated event will trigger an
email or SMS message to users assigned to the affected patient as secondary contacts

This dialog allows users to view the rule set in effect for the currently selected device, but
does not allow changes. Administrative users set up and maintain rule sets and determine
where they are applied. For more information on setting up delay rules, see Add or Edit a

Rule Set, page 139, and Define Alarm and Notification Rules, page 143.

5.5.9. Manage Settings

Users can change alert threshold settings for derived parameter algorithms and supported
devices from the Device Detail screen, using rules defined in the informatics manager.

To access a dialog showing current settings and setting rules, click on the settings icon in
the upper right corner of the Device Detail screen event panel.

Figure 46. Rules and Settings Dialog (example alert thresholds shown)

Note: The alert thresholds shown in Figure 46 are purely illustrative. Individual algorithms
have their own specific settings. Basic functionality described here is the same for all
algorithms.

5

The following information appears in the Alert Thresholds panel of the dialog for each alert
supported:

•

Name—The name of the alert threshold

Reference Manual English 73

•

Value—The value to which the alert threshold is currently set

•

Min—The lowest value to which the threshold can be set

•

Max—The highest value to which the threshold can be set

•

Default—The default value for the alert threshold

To change setting rules:

1. Click in the Value field for the desired threshold and enter a new value. The value
entered must be no lower than the value shown in the Min field, and must be no
higher than the value in the Max field.

2. When finished, click Save to exit the dialog.

For details on thresholds used with a specific algorithm, consult with the Medtronic
Solution Delivery Team.

Administrative users set the minimum, maximum, and default thresholds (that is, the Min,
Max, and Default values appearing in the Rules and Settings dialog) in the Vital Sync™
informatics manager. These thresholds apply to all devices of a specific type that use
specific setting rules in the platform. For more information, see Define a Setting Rule,

page 145.

5.6. All Patients and Devices Screen

The All Patients and Devices screen provides users with a summary of all patients and
linked devices, assigned personnel, and current status. This screen is the home screen for
link managers.

To access the All Patients and Devices screen:

1. Hover over the navigation bar’s user function button to access the function menu.

2. Select All Patients and Devices.

Figure 47. All Patients and Devices Screen

74 Reference Manual English

5.6.1. Availability by User Role

Supervisors and link managers may use all functions in the All Patients and Devices screen.
Clinicians do not have access to this screen, nor is it accessible from a central monitoring
station or optional dedicated bedside display unit.

5.6.2. Patient and Device Information

Information shown for each patient includes:

•

Location—The room number or location identifier

•

Patient—The patient’s name

•

Monitored By—The first user to whom the patient is assigned

•

Devices—The device or devices linked to the patient

•

Status—The currently active alarm or notification (if any) with the highest priority

The All Patients and Devices screen shows all patients currently monitored in the platform,
not just those patients who are assigned to the supervisor currently logged in. There may
be multiple pages of patients and devices; if the desired patient or device is not
immediately visible, navigate through additional pages to find the patient or device.

Note: Before acting on information shown in the platform, assess the patient at the
bedside.

Note: The platform’s data displays are informational. Except as specified for derived
parameter algorithms with adjustable alarm thresholds, the platform does not provide the
ability to change settings or control linked devices in any way (including adjusting or
silencing device alarms).

5.6.3. Additional View Options

The default view for the All Patients and Devices screen is of all patients currently
monitored in the platform, along with all devices currently linked to patients. Users can also
view currently unassigned patients and devices.

To change the patient and device view:

1. Hover over the drop-down menu near the upper right corner of the screen.

2. To show only devices communicating with the platform but not currently linked to
any patients, select Unassigned Devices. To show only patients not currently
assigned to any users, select Unassigned Patients. To select all patients regardless
of status, select All Patients. A check mark will appear next to the currently selected
view option.

If there are no unassigned patients or devices, a message indicating as such will appear
after selecting the view option.

5

5.6.4. View Patient and Device Detail

Users can access the Device Detail screen from the All Patients and Devices screen.

To access patient and device detail:

Reference Manual English 75

1. Navigate the All Patients and Devices screen until the row for the desired patient is
visible.

2. Click anywhere in the row showing the desired patient. The Device Detail screen
will appear.

See Device Detail Screen, page 55 for more information.

5.6.5. View Patient Assignments

The first user to whom a patient is assigned appears in the Monitored By field.

To view all users to whom a patient is assigned:

1. Navigate the All Patients and Devices screen until the row for the desired patient is
visible.

2. Hover over the green triangle in the Monitored By field. The names of all users to
whom the patient is assigned will appear in a tool tip next to the mouse cursor.

Figure 48. All Patients and Devices Screen (assignments shown for a patient)

5.7. Admit a Patient

For users to be able to view device data for a patient, the patient must be admitted in the
platform, with one or more devices linked.

Users can manually admit patients in the platform at any time. If the facility has an
admission, discharge, and transfer (ADT) system, automatic admission of patients is also
available with proper configuration.

Note: The terms “device category” (as used in the software user interface and in this
section) and “device type” (as used elsewhere in this manual) are interchangeable.

5.7.1. Availability by User Role

Clinicians, supervisors, link managers, and central monitoring station users may use all
functions in the Admit Patient screen. Bedside unit users do not have access to the Admit
Patient screen.

Clinicians, supervisors, link managers, and central monitoring station users may use all
other device linking and device connection functions. Bedside unit users cannot use these
functions, since their access to device detail is view-only.

76 Reference Manual English

Automatic admission does not require user action. Once a patient is automatically
admitted, the same functions usable for manually admitted patients are available.

5.7.2. Manual Admission

Users admit patients in the platform and link devices and derived parameter algorithms to
those patients via the Admit Patient screen.

Once a patient is admitted in the platform and a patient record is created, the Device Detail
screen offers the ability to link additional devices, choose primary devices, manage
connections, and manage certain patient data.

5.7.2.1. Access

To access the Admit Patient screen from any screen:

1. Hover over the navigation bar’s user function button to access the function menu.

2. Select Admit Patient.

To access the Admit Patient screen from the Tile View, do any of the following:

•

Drag and drop a tile for the desired unassociated device (if it is visible in the Tile View)
onto the desired bed tile. A dotted line will appear around the edge of the bed tile.

Figure 49. Tile View (device tile dragged onto bed tile at lower left)

•

Click on a tile for an unassociated device not currently linked to any patient.

•

Click on an empty bed tile.

•

Click on a tile for an unassociated device.

5

Reference Manual English 77

Figure 50. Admit Patient Screen

Information appearing in the Admit Patient screen varies depending on how the user
accesses it.

•

If accessed from the user function menu, all fields will be empty.

•

If accessed by dragging and dropping a device tile onto a bed tile in the Tile View,
location and device information will appear. If a patient is already assigned to the bed,
that patient’s information will also appear.

•

If accessed by clicking a bed tile in the Tile View, location information will appear; other
fields will be empty.

•

If accessed by clicking a device tile in the Tile View, device information will appear;
other fields will be empty.

5.7.2.2. Field Entry

Users can link patients to any available device within the platform. A device is considered
available if it is currently in the device inventory, connected to and communicating with
the platform, and not associated with another patient or another bed. If the patient ID
number entered is not currently in the platform database, linking the device also creates a
record for that patient.

Note: Instructions for all field entries in this screen are presented in this section. However,
not all fields may require entries, depending on how the user accesses the screen.

To select a patient or create a new patient:

1. ID—Enter the desired patient ID, then click the search button to the right of this
field. (If the patient ID for the desired patient is already selected, skip this step.)

If a record for a patient with this ID number is already present, current information
for that patient will appear, including linked devices.

If this is a new patient, a message will appear indicating the ID number was not
found. Completing the linking procedure will create a record in the software for the
new patient.

2. First Name—Enter the patient’s first name, or (if needed) edit the existing name.
This field is optional.

78 Reference Manual English

3. Last Name—Enter the patient’s last name, or (if needed) edit the existing name.
This field is optional.

4. Date of Birth—Enter the patient’s date of birth, or (if needed) edit the existing date,
following the date format shown in the lower left corner of the screen. This field is
optional.

5. Location—Select the desired location from available locations in the drop-down
list. (If the desired location is already selected, skip this step.)

After selecting or creating the patient, link any available device or algorithm.

To link a device to the selected patient:

1. Category—Select the device category to link with the patient from the list of
available categories. (If a device is already selected, the category will automatically
appear here; if the category is correct, skip this step.)

2. ID—Select the serial number or network address of the desired device from the
drop-down list. (If a device is already selected, its information will automatically
appear; if the device information matches the desired device, skip this step.)

Figure 51. Admit Patient Screen (available device list)

3. Once all fields in the screen have entries, the Link button will be available. Confirm
that the information is correct, then click Link to link the device to the patient. The
Device Detail screen will appear, showing data for the device just linked, as well as
a system message describing the operations just completed.

•

Note: After linking a device to the patient in the platform, visually check the device
itself to confirm that the data it is showing also appears on the Device Detail screen for
that patient.

•

Note: If, after linking a device to a patient, both the patient and the linked device are
moved to a different bed, make sure the device inventory is updated to indicate the
new bed association. (Refer to Manage Device Inventory, page 132.) Otherwise, an error
message will appear in the Device Detail screen indicating that the device is not in its
associated location.

•

Note: Linking a patient and a device adds the new patient record (if new patient data is
entered), and automatically assigns the patient to the current user. If needed, use the
Patient Assignment screen to remove the assignment. See Patient Assignments,

page 88.

Reference Manual English 79

5

To link an algorithm to the selected patient:

1. Category—Select Algorithm from the list.

2. ID—Select the desired algorithm from the drop-down list.

3. Once all fields in the screen have entries, the Link button will be available. Confirm
that the information is correct, then click Link to link the algorithm to the patient.
The Device Detail screen will appear, showing data for the algorithm just linked, as
well as a system message describing the operations just completed.

Note: Algorithms must be activated in the software to be available for selection.
See Activate or Deactivate an Algorithm, page 152.

5.7.3. Automatic Admission

If the facility ADT system is integrated with the Vital Sync™ software, admission of a patient
in the ADT system will result in creation of a patient record and automatic admission of that
patient in the platform. The patient name will appear in the bed indicated by the ADT
system. This requires no action by platform users.

Certain setup steps are required in the informatics manager to enable automatic admission
in the platform; see Add or Edit a Bed, page 131. Also, integration setup with the facility's
ADT system is required; consult the Medtronic Solution Delivery Team for details.

Note: When any automatic admission takes place, confirm that the patient physically
present in the bed is the patient indicated in the platform. Also, confirm that any devices
physically linked to the patient are the devices linked to that patient in the platform.

5.7.4. Link Additional Devices

Users can link more devices to admitted patients using the same procedure used for the
first device. (See Manual Admission, page 77.)

Users also can link more devices to a patient directly from the Device Detail screen for that
patient.

To link another device to a patient from the Device Detail screen:

1. Click on the tile for the desired patient in the Tile View.

2. In the Device Detail screen, click on the blue Add Device icon in the patient header,
near the top right corner of the screen. A dialog for selecting a device will appear.

Figure 52. Link New Device dialog

3. Category—Select the desired device category from the list of available device
types.

80 Reference Manual English

4. ID—Select the serial number or network address of the desired device from the
drop-down list.

5. Click Link to link the device to the patient. The Device Detail screen will appear,
showing data for the device just linked, as well as a system message describing the
operation just completed.

5.7.5. Manage Primary Devices

Users may designate a linked device as the primary device of that type for the patient.

The platform will show data from the primary device in places where data for only a single
device can be shown (for example, on a bed tile in the Tile View), unless the presence of
active alarms or notifications of higher priority on another linked device overrides this.

Also, alarms and notifications on the primary device have a higher priority in the platform
than alarms and notifications of the same priority on other linked devices. See Event

Priority, page 165.

Note: Designating a primary device is only possible when multiple devices of a particular
type are linked to the patient. If only one device of a particular type is linked to the patient,
it is automatically the primary device, and will remain the primary device if another device
of the same type is subsequently linked to the same patient (unless changed).

To make a linked device the primary device of its type:

1. In the Tile View, click on the bed tile for the desired patient to access the Device
Detail screen.

2. Show the device that is to be the primary device of its type by clicking on its tab in
the patient header.

3. Hover over the device button in the device header to access a drop-down menu.

Figure 53. Device Detail Screen (making a device primary)

4. In the drop-down menu, select Make This Device Primary. The device currently
shown will now be designated as the primary device.

5

5.7.6. Device Connection Functions

Devices may occasionally lose communication with the software. The software allows
devices to automatically reconnect once able to communicate again. However, if the
affected device has not automatically reconnected, or has been out of communication for a

Reference Manual English 81

longer period than the automatic reconnection period set in the software, users may try to
manually reestablish communication with (relink) the affected device. They may also unlink
a device entirely.

To relink a disconnected device or unlink a currently linked device, use the drop-down
menu on the device button in the Device Detail screen.

Note: The frequency with which devices lose communication will vary depending on the
amount of data being passed over the facility’s network, the specific configuration of the
network, and on network settings. Always check the actual device first, especially if
difficulties with maintaining communication are common or remain persistent. If there are
no problems with the device, consult with facility IT personnel or contact Medtronic
(see Obtaining Technical Assistance, page 12).

5.7.6.1. Relink a Device

If a device has lost communication, the bed tile and the device tab in the device header will
show a device disconnection icon.

If the device is selected in the Device Detail screen, the device panels will be blank,
replaced by the device disconnection icon. The date and time when communication was
lost is also shown.

Figure 54. Device Detail Screen (device disconnected from the platform)

Both the bed tile and the Device Detail screen will also show a message with more detail on
the type of problem, as follows:

•

Device Off—Both the platform and the device are able to communicate with the
network, but no device data is being received.

•

Device Disconnected from Vital Sync—The platform is able to communicate with the
network, but the device is not visible on the network.

•

Device Disconnected - Available to Reconnect—Both the platform and the device are
able to communicate with the network, and the device is available for relinking to the
patient.

82 Reference Manual English

To attempt to relink a disconnected device in the Device Detail screen:

1. With the disconnected device selected, hover over the device button in the device
header to access connection functions.

2. Select Reconnect Device.

To attempt to relink a disconnected device in the Tile View:

1. Find the device tile for the disconnected device, ensuring that the serial number or
identifier on the device tile matches the serial number or identifier of the
disconnected device.

2. Find the bed tile for the patient with the disconnected device. (If no alarms are
active for devices linked to this patient, the message “Device Disconnected –
Available to Reconnect” will appear on the bed tile.)

3. Drag the device tile for the disconnected device onto the bed tile.

If communication is reestablished, data for the device will appear, along with a system
message (in blue) indicating success. If communication cannot be reestablished, a system
message (in red) will appear indicating failure.

•

Note: If the device has been disconnected for longer than the automatic reconnection
interval set in the software, it is possible to link the device to the patient multiple times,
or for the device to have already been linked to a different patient. To avoid these
possibilities, unlink the device first.

•

Note: Always check the actual device for problems if reconnecting is unsuccessful.

•

Note: After linking the device to the patient in the platform, visually check the device
itself to confirm that the data it is showing also appears on the Device Detail screen for
this patient.

•

Note: If automatic discharge is enabled, and all of a patient’s linked devices are turned
off at the bedside, the patient will be discharged in the platform after a set time period.
See Automated Discharge, page 86 for more information.

5.7.6.2. Unlink a Device

When removing a device from a patient, the device also needs to be unlinked from the
patient in the platform.

To unlink a currently linked device:

1. With the desired device selected, hover over the device button in the device
header to access connection functions.

2. Select Unlink Device. A warning dialog will appear indicating that unlinking is a
permanent action; click Yes to continue with unlinking, or click No to abort and
return to the Admit Patient screen.

Once unlinked, a system message appears confirming that the device is no longer linked to
this patient, and data for the device will no longer appear on the Device Detail screen. Once
the device is available for linking, a tile representing the device will appear in the Tile View.
(For information on how the platform handles data collected on the device after unlinking,
see Device Data Handling After Unlinking, page 186.)

5

Reference Manual English 83

Note: Unlinking a device from a patient only removes the link between the device and the
patient within the platform, stopping the platform from reporting data from that device.
Unlinking does not affect or control the functioning of the actual device in any way.

5.8. Manual Parameter Entry

If a derived parameter algorithm is activated and linked to a patient in the platform, users
may need to enter data manually in order to properly use the algorithm. For information on
setting up and activating algorithms in the platform, see Manage Algorithms, page 151.

Clinicians, supervisors, link managers, and central monitoring stations may enter parameter
data. Bedside unit users cannot enter parameter data, since their access to device detail is
view-only.

To enter parameter data manually:

1. Click on the tile for the desired patient to access the Device Detail screen.

2. If needed, click on the tab for the algorithm in the patient header to show
algorithm information.

3. Click Enter Manual Parameters. A dialog will appear for entry of parameter data.
(Available fields in the dialog may or may not correspond directly to the
parameters shown on the Device Detail screen, depending on the algorithm.)

Note: Data and available manually-entered parameters are specific to the particular
algorithm.

4. Make appropriate entries in parameter fields. When finished, click Save.

Once parameters are entered, if an alarm state is indicated for the patient according to the
rules defined in the algorithm, an alarm will annunciate in the platform according to rules
and delay setting set up for the algorithm.

If data for one or more parameters on which the algorithm is dependent is unavailable (for
example, due to disconnection of an associated device, or because the user has not
entered manual parameter data), a notification will appear indicating there is missing data,
along with a time interval since the platform received the most recent usable data.

If the algorithm is prevented from functioning at all, it will appear in the platform (after a
certain period of time) as a disconnected device.

•

Note: Not all algorithms are designed to indicate an alarm state if particular conditions
or combinations of measured or manually entered parameters exist. Some algorithms
will only generate notifications in the platform.

•

Note: If an algorithm is not functioning, the period of time before it appears in the
platform user interface as a disconnected device is dependent on the frequency with
which the platform reports algorithm data, and on the parameters involved. Generally,
the more frequently the platform reports algorithm data, the shorter the default period
is before the algorithm appears as a disconnected device.

•

Note: Algorithm disconnection is typically an uncommon occurrence. It may be
possible to reconnect an algorithm, depending on how it is defined. Otherwise,
assistance from facility IT personnel or the Medtronic Solution Delivery Team may be
required.

•

Note: Algorithm parameters shown on the Device Detail screen or available for manual
entry are specific to each algorithm. Discussion of specific parameters, or the nature

84 Reference Manual English

and frequency of manual parameter entry, is beyond the scope of this manual. Consult
with the Medtronic Solution Delivery Team for details on setting up parameters and
algorithms in the platform.

5.9. Discharge (Remove) a Patient

A patient who is no longer present in a bed must be discharged (removed from
monitoring) in the platform in order to make that bed available in the platform for other
patients.

Manual discharge is available for any patient. Automated discharge is available for patients
whose linked devices are turned off at the bedside, or for patients who have had an HL7
discharge message sent to the Vital Sync™ software.

Note: The discharge functionality removes the patient from monitoring in the platform.
This functionality is distinct from procedures or systems used to physically discharge the
patient from the facility.

Note: The discharge functionality does not clear existing platform data pertaining to the
patient removed.

5.9.1. Manual Discharge

Clinicians, supervisors, link managers, and users at central monitoring stations may
manually remove patients at any time. Bedside unit users cannot manually remove
patients, since their access to patient detail is view only.

To remove a patient from a bed with currently associated devices:

1. In the Tile View, find the tile showing the patient to be removed.

2. Click on the tile to access the Device Detail screen.

3. Click on the Patient Detail tab on the right side of the patient header to access the
patient information fields.

4. Click Discharge Patient from System. A warning dialog will appear indicating that
this action will permanently remove the patient from the system.

5. Click Yes to confirm and return to the Tile View. The bed tile for the patient
removed will now only show the location ID and information for the bed’s
associated devices. (Click No or click the X at upper right in the dialog to return to
the patient information fields without removing the patient.)

To remove a patient from a bed with no currently associated devices:

1. In the Tile View, find the tile showing the patient to be discharged. (The tile will be
grey and will show no device data or messages.)

2. Click on the tile to access the Device Detail screen. A message will appear
indicating that the patient currently has no linked devices, and the patient
information fields will also appear.

5

Reference Manual English 85

Figure 55. Device Detail Screen (manual discharge)

3. Click Discharge Patient from System. A warning dialog will appear indicating that
this action will remove the patient from the system.

4. Click Yes to confirm the discharge and return to the Tile View; the bed tile for the
patient removed will now be completely blank except for the location ID. (Click No
or click the X at upper right in the dialog to return to the patient information fields
without discharging the patient.)

Note: A patient who has no linked devices remains visible and accessible in the platform (in
the most recent associated bed), in case devices need to be linked again later, or all existing
device links need to be replaced.

5.9.2. Automated Discharge

Automated discharge proceeds for eligible patients without intervention from any
platform user.

Eligible patients include:

•

If platform automatic discharge is enabled—Those whose linked devices are turned off
at the bedside and have not communicated with the platform beyond the set
discharge time period.

•

If ADT discharge functionality is configured—Those for whom the Vital Sync™ software
has received an HL7 discharge message.

To use platform automatic discharge, an administrative user must enable it and set the
discharge time period in an event rule set, then apply the rule set to one or more areas.
See Add or Edit a Rule Set, page 139 and Add or Edit an Area, page 128.

To use ADT discharge, an administrative user must add HL7 location information to beds in
one or more areas; see Add or Edit a Bed, page 131. Integration with facility systems is also
required; consult with the Medtronic Solution Delivery Team for details.

86 Reference Manual English

•

Note: Patients with devices out of communication for reasons other than being turned
off at the bedside will not be automatically discharged via the rule set for their area,
even if devices are out of communication beyond the discharge time period.

•

Note: Patients with no associated devices will not be discharged via the rule set for
their area. Discharge patients with no associated devices manually.

•

Note: Patients subject to automated discharge will remain visible and accessible in the
platform until discharged. Use the Rules and Settings dialog in the Device Detail screen
to view the discharge time period in use for the area in which a specific bed is located.
See View Event Rules, page 72.

5.9.3. Patient Discharge History

The Patient Discharge History screen shows a list of the user’s assigned patients who were
discharged in the platform, either manually or automatically, within the last 24 hours.

Clinicians, supervisors, and central monitoring station users can access this screen.

To access the Patient Discharge History screen:

1. Hover over the navigation bar’s user function button to access the function menu.

2. Select Patient Discharge History.

Figure 56. Patient Discharge History Screen

The screen shows the following information for each patient listed:

•

Time—The date and time of discharge

•

Bed—The bed name

•

Patient Name—The patient’s name

•

Patient ID—The patient’s ID number in the platform

•

Patient Discharged by—How the patient was discharged; options include:

○

User—The patient was discharged by a platform user.

○

ADT—The patient was discharged via ADT discharge functionality.

○

Auto-Discharge)—The patient was discharged via platform automatic discharge
functionality.

Note: The list of patients shown is not a comprehensive list of all patients discharged for all
users in the previous 24 hours, but is a list of discharged patients assigned to the user
viewing the Patient Discharge History screen.

Reference Manual English 87

5

Note: The User designation indicates the patient was discharged by a user to whom that
patient was assigned. This can be the user currently viewing the list, or a different user to
whom the patient was assigned.

5.10. Patient Assignments

The Patient Assignment screen shows patients assigned to the current user, as well as all
patients currently linked to devices in the platform.

Clinicians can manage their patient assignments in this screen, while supervisors can
manage their own patient assignments and those of other users.

Patients selected will appear in the Tile View for the users to whom they are assigned.
Assignments can be permanent, or can be based on work shifts. Patients permanently
assigned to a user will appear in the platform at all times for that user, while patients
assigned to a user for a particular shift will appear during the hours of that shift.

Note: All patients in areas assigned to a user will automatically appear in the Tile View for
that user, unless changed in the Patient Assignment screen. (See Area Assignments,

page 94.)

To access the Patient Assignment screen:

1. Hover over the navigation bar’s user function button to access the function menu.

2. Select Patient Assignment.

Figure 57. Patient Assignment Screen

88 Reference Manual English

5.10.1. Availability by User Role

Clinicians, supervisors, link managers, and central monitoring station users can use all
functions in the Patient Assignment screen, as described in this section. Bedside unit users
do not have access to this screen.

5.10.2. Screen Layout

The Patient Assignment screen is divided into two panels, showing current assignments
and patients available for assignment.

The panel on the left (also called the left-side panel) contains tabs for different types of
patient assignments for a user. These include:

•

Primary Contact tab—If there is an alarm or notification for any patient on this tab, this
user is the primary person to be contacted via Short Message Service (SMS) message or
email.

•

Secondary Contact tab—If there is an alarm or notification for any patient on this tab,
this user is a secondary person to be contacted via SMS message or email.

•

Monitoring Only tab—If there is an alarm or notification for any patient on this tab, this
user will not be contacted via SMS message or email (the user is only assigned to
monitor the patient, not provide care).

Each tab shows a number denoting the number of patient assignments of that type for this
user.

Tiles representing the patients assigned to the current user will appear on the tab on the
left appropriate to the assignment type. The number of patients assigned to the current
user appears in parentheses above the panel. (For supervisors, the number is in a drop­down menu.)

The panel on the right (also called the right-side panel) contains tiles showing either all
patients currently linked to devices in the platform or all patients currently unassigned to
any user. In either case, the number of patients in this column appears in parentheses in a
drop-down menu above the panel.

If there are too many patients in a panel or a tab to be shown all at once, scroll bars will
appear in that panel or tab.

Each patient tile shows the patient’s room number, ID number and name.

Note: When initially accessed, the Patient Assignment screen shows the current user’s
permanent primary contact patient assignments in the left-side panel (on the Primary
Contact tab), and all patients currently linked to devices in the platform in the right-side
panel.

5.10.3. Show Unassigned Patients

5

To show only patients who are not currently assigned to any users, click on the drop-down
menu at the top of the right-side panel and select Unassigned Patients.

Reference Manual English 89

Figure 58. Patient Assignment Screen (unassigned patients shown)

To once again show all patients in the right-side panel, click on the drop-down menu and
select All Patients.

5.10.4. Show Another User’s Assignments

Supervisors may show their own patients, or patients assigned to a different user.

To show patients assigned to another user:

1. Click on the drop-down menu at the top of the left-side panel.

Figure 59. Patient Assignment Screen (other user selected)

2. Select the desired user from the list.

Figure 60. Patient Assignment Screen (other user’s assignments)

3. Patients to whom the desired user is assigned as a primary contact user will appear
in the left-side panel. To view other patient assignments, click on the Secondary
Contact or Monitoring Only tabs.

90 Reference Manual English

To once again show patients assigned to the current user in the left-side panel, click on the
drop-down menu and select My Assignments.

5.10.5. Show Assignments by Work Shift

Patient assignments can be permanent, or can be associated with a specific work shift.
Patients permanently assigned to a user will appear in the Tile View for that user at all
times. Patients assigned to a user during a specific shift will only appear in the Tile View for
that user during that shift.

To show patient assignments for a specific work shift:

1. With the desired user selected, click in the drop-down menu at the top of the
Patient Assignment screen to show a list of work shifts available in the platform.

Figure 61. Patient Assignment Screen (shift menu shown)

2. Select the desired shift. The screen will show patients assigned to the currently
selected user. If the patient assignment is associated with the selected shift, it will
appear in color; if not, the patient assignment will appear in grey and will not be
selectable.

For details on work shift setup, see Manage Shifts, page 125.

Note: For added convenience, the date (relative to the current date) when each shift begins
next is shown in the drop-down list.

5.10.6. Change Patient Assignments

Clinicians can assign patients to themselves, change the assignment type for an assigned
patient, or remove their own patient assignments. Supervisors can perform all of these
tasks, and also change assignments for other users.

Assignments are of three types:

•

Primary Contact—This user is the primary person to be contacted (via SMS message or
email) if there is an alarm or notification for this patient.

•

Secondary Contact—This user is a secondary person to be contacted (via SMS message
or email) if there is an alarm or notification for this patient.

•

Monitoring Only—This user is assigned only to monitor this patient, not to provide
care, and will not receive contact messages even if there is an alarm or notification for
this patient.

5

Reference Manual English 91

5.10.6.1. Assign a Patient to a User

To assign a patient as a clinician:

1. Find the desired patient in the right-side panel. If needed, use the scroll bar to
move up or down the list. Any patient available for assignment will appear on a tile
in color; patients already assigned to this user (if any) will appear in grey and will
not be selectable.

2. If the assignment should be permanent (not specific to a work shift), select
Permanent Assignments in the drop-down menu at the top of the screen (if not
already selected). If the assignment is only for a specific work shift, select the
desired shift from the drop-down menu at the top of the screen.

3. To assign the patient as a primary contact assignment, click the arrow on the left
side of the tile for the desired patient, or click on the Primary Assignment tab in the
left-side panel and drag and drop the patient tile into the left-side panel. To assign
the patient as a secondary contact or monitoring-only assignment, click on the
appropriate tab in the left-side panel to open it, then drag and drop the patient tile
into the left-side panel.

To assign a patient as a supervisor:

1. Click on the drop-down menu at the top of the left-side panel.

2. If self-assigning the patient, select My Assigned Patients from the menu. If
assigning the patient to another user, select the name of the desired user from the
menu. Patients assigned to the user selected will appear in the left-side panel;
primary assignments are shown by default.

3. Find the desired patient in the right-side panel. If needed, use the scroll bar to
move up or down the list. Any patient available for assignment will appear on a tile
in color; patients (if any) already assigned to the user currently shown will appear in
grey and will not be selectable.

4. If the assignment should be permanent (not specific to a work shift), select
Permanent Assignments in the drop-down menu at the top of the screen (if not
already selected). If the assignment is only for a specific work shift, select the
desired shift from the drop-down menu at the top of the screen.

5. To assign the patient as a primary contact assignment, click the arrow on the left
side of the tile for the desired patient, or click on the Primary Assignment tab in the
left-side panel and drag and drop the patient tile into the left-side panel. To assign
the patient as a secondary contact or monitoring-only assignment, click on the
appropriate tab in the left-side panel to open it, then drag and drop the patient tile
into the left-side panel.

5.10.6.2. Change a Patient Assignment Type

To change a patient assignment type as a clinician:

1. Find the desired patient in the left-side panel. If needed, click on a different
assignment type tab to open it; use the scroll bar to move up or down the list if
there are more tiles than can be shown in the tab.

2. Drag and drop the patient tile into the right-side panel.

3. Click on the tab for the desired assignment type in the left-side panel to open it.

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4. Drag and drop the patient tile back into the left-side panel.

To change a patient assignment type as a supervisor:

1. Click on the drop-down menu at the top of the left-side panel.

2. Select either My Assignments (to show patients assigned to the current user) or the
name of the desired user (to show patients assigned to that user).

3. Find the desired patient in the left-side panel. If needed, click on a different
assignment type tab to open it; use the scroll bar to move up or down the list if
there are more tiles than can be shown in the tab.

4. Drag and drop the patient tile into the right-side panel.

5. Click on the tab for the desired assignment type in the left-side panel to open it.

6. Drag and drop the patient tile back into the left-side panel.

5.10.6.3. Remove Patient Assignments

To remove a patient assignment as a clinician:

1. Find the desired patient in the left-side panel. If needed, click on a different
assignment type tab to open it; use the scroll bar to move up or down the list if
there are more tiles than can be shown in the tab.

2. If the patient is assigned only during a specific work shift, select the appropriate
shift from the drop-down menu at the top of the screen. (Tiles for patients assigned
during a specific shift will appear in grey and cannot be selected unless that shift is
selected first.)

3. Click the arrow on the right side of the tile for the desired patient, or drag and drop
the tile into the right-side panel.

To remove a patient assignment as a supervisor:

1. Click on the drop-down menu at the top of the left-side panel.

2. Select either My Assignments (to show patients assigned to the current user) or the
name of the desired user (to show patients assigned to that user).

3. Find the desired patient in the left-side panel. If needed, click a different
assignment type tab to open it, and use the scroll bar to move up or down the list.

4. If the patient is assigned only during a specific work shift, select the appropriate
shift from the drop-down menu at the top of the screen. (Tiles for patients assigned
during a specific shift will appear in grey and cannot be selected unless that shift is
selected first.)

5. Click the arrow on the right side of the tile for the desired patient, or drag and drop
the tile into the right-side panel.

To remove all current patient assignments as a clinician:

1. If removing all permanent assignments, select Permanent Assignments in the drop­down menu at the top of the screen. If removing all assignments for a specific work
shift, select the desired shift from the drop-down menu at the top of the screen. If
removing assignments for a specific shift, the tiles for patients assigned to the shift
will appear in color, while tiles for permanently assigned patients will appear in
grey.

5

2. Click the Remove Assignments button. All tiles appearing in color will disappear
from the left-side panel, and will now appear in color in the “All Patients” view in

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the right-side panel. The numbers on each tab in the left-side panel will all change
to zero, indicating no patients are assigned.

To remove all current patient assignments for a user as a supervisor:

1. Click on the drop-down menu at the top of the left-side panel.

2. If removing all assignments for the current user, select My Assignments from the
list; if removing all assignments for another user, select the desired user from the
list. The screen will show the patients assigned to the selected user.

3. If removing all permanent assignments, select Permanent Assignments in the drop­down menu at the top of the screen. If removing all assignments for a specific work
shift, select the desired shift from the drop-down menu at the top of the screen. If
removing assignments for a specific shift, the tiles for patients assigned to the shift
will appear in color, while tiles for permanently assigned patients will appear in
grey.

4. Click the Remove Assignments button. All tiles appearing in color will disappear
from the left-side panel, and will now appear in color in the “All Patients” view in
the right-side panel. The numbers on the tabs in the left-side panel will all change
to zero, indicating no patients are assigned.

Note: Changes to patient assignments only affect the currently selected user. Patients
shown in either panel of the Patient Assignment screen may also already be assigned to
other users.

5.11. Area Assignments

The Area Assignment screen shows areas in the facility (sometimes also referred to as zones
or areas of care) to which the current user is assigned, as well as areas with no assigned
users or all areas set up in the platform.

Clinicians can manage their own assignments in this screen, while supervisors can manage
their own assignments and those of other users.

All patients in areas selected in this screen will appear in the platform for any user to whom
the area is assigned, unless specifically unassigned from that user. Area assignments can be
permanent, or can be based on work shifts; in the latter case, patients in a particular area
will appear to users to whom the area is assigned during those users’ work shifts.

Note: When an area is assigned to a user, all patients in that area are initially assigned to
that user. To remove specific individual patient assignments after assigning the area, use
the Patient Assignment screen. (See Patient Assignments, page 88.) Also, a user to whom
an area is assigned will not see, in the Tile View, available devices assigned to other areas
without adjusting the view to see all available devices (see Additional Tile View Functions,

page 53 for details).

To access the Area Assignment screen:

1. Hover over the navigation bar’s user function button to access the function menu.

2. Select Area Assignment.

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Figure 62. Area Assignment Screen

5.11.1. Availability by User Role

Clinicians, supervisors, link managers, and central monitoring station users can use all
functions in the Area Assignment screen, as described in this section. Bedside unit users do
not have access to this screen.

5.11.2. Screen Layout

The Area Assignment screen is divided into two panels, showing current assignments and
areas available for assignment.

The panel on the left (also called the left-side panel) contains tabs for different types of area
assignments for a user. These include:

•

Primary Contact tab—If there is an alarm or notification for any patient on this tab, this
user is the primary person to be contacted via Short Message Service (SMS) message or
email.

•

Secondary Contact tab—If there is an alarm or notification for any patient on this tab,
this user is a secondary person to be contacted via SMS message or email.

•

Monitoring Only tab—If there is an alarm or notification for any patient on this tab, this
user will not be contacted via SMS message or email (the user is only assigned to
monitor the area, not provide care to patients).

5

Note: For an SMS message or email to be sent to a user to whom an area is assigned, the
patient associated with the alarm or notification triggering the SMS message or email also
has to be assigned to that user.

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Each tab shows a number denoting the number of area assignments of that type for this
user.

Tiles representing the areas to which the user currently shown is assigned will appear in
one or more of these panes. The number of areas assigned to the user appears in
parentheses above the Primary Contact pane. (For supervisors, the number is in a drop­down menu.)

The panel on the right (also called the right-side panel) contains tiles showing either all
areas set up in the platform or just the areas to which the current user is not assigned. In
either case, the number of areas shown in this column appears in parentheses in a drop­down menu above the panel.

If there are too many areas in a panel (or a pane within a panel) to be shown on a single
screen, scroll bars will appear in that panel or pane.

Each area tile shows the area identifier and description.

Note: When initially accessed, the Area Assignment screen shows the current user’s
permanent primary contact area assignments in the left-side panel (on the Primary Contact
tab), and all areas in the platform in the right-side panel.

5.11.3. Show Unassigned Areas

To show only areas not currently assigned to any users, click on the drop-down menu at
the top of the right-side panel and select Unassigned Areas.

Figure 63. Area Assignment Screen (unassigned areas shown)

To once again show all areas in the right-side panel, click on the drop-down menu and
select All Areas.

5.11.4. Show Another User’s Assignments

The default listing in the left-side panel is of the areas currently assigned to the current
user. Supervisors may also view areas to which a different user is assigned.

To show the areas to which another user is assigned:

1. Click on the drop-down menu at the top of the left-side panel.

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