Medtronic VITALSYNCSW01 Operator's Manual

Vital Sync™

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

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

Consult instructions for use.

Manufacturer.

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Table of Contents

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

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

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

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

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

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

Warranty Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

Licensing Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

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

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

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

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

User Interface Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

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

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

3 Installation and Access . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

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

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

Installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

Access . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

Login . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

4 Clinician and Supervisor Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

Alarms and Notifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

Navigation and Basic User Interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

Tile View (Patient Overview Screen) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

Device Detail Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36

All Patients and Devices Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55

Patient and Device Links . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57

Manual Parameter Entry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64

Discharge (Remove) a Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65

Patient Assignments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67

Area Assignments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73

Select User Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 79

Event List . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 80

Reports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82

Change Password . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82

Audible Alerts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83

Help . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85

Version Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85

Platform Logout . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 86

5 Administrator Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87

Navigation and Basic User Interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87

Administrative Home Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 88

Reference Manual English 1

Manage Users . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90

Manage Bedside Display Users . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 99

Manage Shifts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 102

Manage Locations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 104

Manage Device Inventory . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 109

Device Status . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 111

Manage Alarm, Notification, and Setting Rules . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 114

Manage Alerts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 123

Manage Parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 126

Manage Algorithms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 127

Reports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 129

Help . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 130

Version Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 130

Platform Logout . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 130

6 Reports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 133

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 133

Access . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 133

Report Functions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 134

Administrative Reports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 137

Clinician Reports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 146

Supervisory Reports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 158

7 Supplementary Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 167

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

Alarm Communication from Devices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 167

Locations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 167

Alarm Functionality and Behavior . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 169

Alarm Rule Considerations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 171

Event Priority . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 173

Default Alarm Priority by Device . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 174

Audible Alert Tones . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 175

Device Auto-Reconnection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 176

Device Data Handling After Unlinking . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 177

Web API Functionality . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 177

Relevant Standards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 178

Functionality Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 178

8 Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 191

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 191

Summary of Alarm Indicators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 191

Clear Alarm Indicators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 193

Audible Alerts and Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 193

View Alarm Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 195

Filtered Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 198

Event Priority . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 201

Alarm Behavior in the Platform . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 201

9 Notifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 203

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 203

Summary of Notification Indicators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 203

2 Reference Manual English

View Notification Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 204

View and Acknowledge Setting Changes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 209

Event Priority . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 210

Figures

Figure 1. Login Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

Figure 2. Common Navigation Bar (Standard) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

Figure 3. Function Menu (Clinician) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

Figure 4. Function Menu (Supervisor) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

Figure 5. Alarm Button Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

Figure 6. Notification Button Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30

Figure 7. Device Button Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30

Figure 8. Example Function Drop-Down Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30

Figure 9. Example System Message . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

Figure 10. Tool Tip . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

Figure 11. Patient Overview Screen (Tile View) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32

Figure 12. Bed Tile Detail . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32

Figure 13. Device Tile Detail . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33

Figure 14. Bed Tile (patient name hidden) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36

Figure 15. Device Detail Screen Layout (ventilator) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37

Figure 16. Device Detail Screen Layout (pulse oximeter or capnography monitor) . . . 38

Figure 17. Device Detail Screen Layout (derived parameter algorithm) . . . . . . . . . . . . . . 38

Figure 18. Patient Header Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39

Figure 19. Patient Header Panel (alarm indicated) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39

Figure 20. Device Header Panel (ventilator) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40

Figure 21. Device Header Panel (pulse oximeter or capnography monitor) . . . . . . . . . . . 40

Figure 22. Device Header Panel (regional saturation monitor) . . . . . . . . . . . . . . . . . . . . . . . 40

Figure 23. Parameter Panel (ventilator data) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41

Figure 24. Parameter Panel (pulse oximeter data) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41

Figure 25. Parameter Panel (capnography monitor data) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42

Figure 26. Parameter Panel (bispectral index monitor data) . . . . . . . . . . . . . . . . . . . . . . . . . 42

Figure 27. Parameter Panel (multiparameter monitor data) . . . . . . . . . . . . . . . . . . . . . . . . . 43

Figure 28. Parameter Panel (four-channel regional saturation monitor data) . . . . . . . . . 44

Figure 29. Parameter Panel (two-channel regional saturation monitor data) . . . . . . . . . 44

Figure 30. Waveform Panel (ventilator data) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45

Figure 31. Waveform Panel (pulse oximeter data) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45

Figure 32. Waveform Panel (capnography monitor data) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45

Figure 33. Settings Panel (ventilator settings) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46

Figure 34. Trend Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47

Figure 35. Event Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47

Figure 36. Parameter Trend Window . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48

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

message shown) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49

Figure 38. Parameter Trend Window (specific data point shown) . . . . . . . . . . . . . . . . . . . . 49

Figure 39. Waveform Detail Window . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50

Figure 40. Waveform Detail Window (specific data shown) . . . . . . . . . . . . . . . . . . . . . . . . . . 50

Reference Manual English 3

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

waveforms) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51

Figure 42. Device Detail Screen (patient information fields) . . . . . . . . . . . . . . . . . . . . . . . . . 51

Figure 43. Update Patient Information Window . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52

Figure 44. Update Patient Location Window . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53

Figure 45. Rules and Settings Dialog (example delay rules shown) . . . . . . . . . . . . . . . . . . . 53

Figure 46. Rules and Settings Dialog (example alert thresholds shown) . . . . . . . . . . . . . . 54

Figure 47. All Patients and Devices Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55

Figure 48. All Patients and Devices Screen (assignments shown for a patient) . . . . . . . . 57

Figure 49. Tile View (device tile dragged onto bed tile at lower left) . . . . . . . . . . . . . . . . . 58

Figure 50. Admit Patient Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58

Figure 51. Admit Patient Screen (available device list) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60

Figure 52. Link New Device dialog . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61

Figure 53. Device Detail Screen (making a device primary) . . . . . . . . . . . . . . . . . . . . . . . . . . 62

Figure 54. Device Detail Screen (device disconnected from the platform) . . . . . . . . . . . . 63

Figure 55. Device Detail Screen (patient information and Discharge Patient button) . 66

Figure 56. Patient Assignment Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67

Figure 57. Patient Assignment Screen (unassigned patients shown) . . . . . . . . . . . . . . . . . 68

Figure 58. Patient Assignment Screen (other user selected) . . . . . . . . . . . . . . . . . . . . . . . . . 69

Figure 59. Patient Assignment Screen (other user’s assignments) . . . . . . . . . . . . . . . . . . . 69

Figure 60. Patient Assignment Screen (shift menu shown) . . . . . . . . . . . . . . . . . . . . . . . . . . 70

Figure 61. Area Assignment Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73

Figure 62. Area Assignment Screen (unassigned areas shown) . . . . . . . . . . . . . . . . . . . . . . 75

Figure 63. Area Assignment Screen (other user selected) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75

Figure 64. Area Assignment Screen (other user’s assignments) . . . . . . . . . . . . . . . . . . . . . . 75

Figure 65. Area Assignment Screen (shift menu shown) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76

Figure 66. Select User Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 79

Figure 67. Navigation Bar and Function Menu (Select User Mode) . . . . . . . . . . . . . . . . . . . 80

Figure 68. Event List Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81

Figure 69. Device Detail Screen (Patient Reports tab) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82

Figure 70. Change Password Dialog . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83

Figure 71. Audible Alerts Dialog (control of alerts locked) . . . . . . . . . . . . . . . . . . . . . . . . . . . 84

Figure 72. Audible Alerts Dialog (control of alerts unlocked) . . . . . . . . . . . . . . . . . . . . . . . . 84

Figure 73. Version Information (“About”) Dialog . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85

Figure 74. Example Administrative Navigation Links . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87

Figure 75. Example System Message . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 88

Figure 76. Column Sort (cursor and heading to be sorted shown) . . . . . . . . . . . . . . . . . . . 88

Figure 77. Administrative Home Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89

Figure 78. Manage Users Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91

Figure 79. Manage Users Screen (inactive users shown) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 92

Figure 80. Create User Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93

Figure 81. Edit User Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 94

Figure 82. User Deactivation Dialog . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96

Figure 83. User Activation Dialog . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96

Figure 84. User Deletion Confirmation Dialog . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 97

Figure 85. User Unlock Dialog . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 97

Figure 86. Password Reset Confirmation Dialog . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 98

Figure 87. Password Reset Confirmation Message . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 98

4 Reference Manual English

Figure 88. Change Password Dialog . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 98

Figure 89. Manage Bedside Display Users Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 99

Figure 90. Manage Bedside Display Users Screen (inactive user records shown) . . . . . 100

Figure 91. Edit Bedside Display Bed Assignment Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . 101

Figure 92. Bedside Display User Deactivation Dialog . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 101

Figure 93. Bedside Display User Activation Dialog . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 102

Figure 94. Manage Shifts Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 102

Figure 95. Add Shift Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 103

Figure 96. Edit Shift Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 103

Figure 97. Manage Areas Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 104

Figure 98. Add Areas Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 105

Figure 99. Edit Areas Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 106

Figure 100. Manage Beds Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 107

Figure 101. Add Bed Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 108

Figure 102. Edit Bed Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 108

Figure 103. Manage Device Inventory Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 109

Figure 104. Add Device Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 110

Figure 105. Edit Device Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 110

Figure 106. Device Status Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 112

Figure 107. Device Detail Window (General tab) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 113

Figure 108. Device Detail Window (Support tab) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 113

Figure 109. Manage Rule Sets Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 115

Figure 110. Add Rule Set Screen (Alarm Rules Tab) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 116

Figure 111. Add Rule Set Screen (Settings Rules Tab) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 116

Figure 112. Edit Rule Sets Screen (Alarm Rules Tab) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 117

Figure 113. Edit Rule Sets Screen (Settings Rules Tab) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 118

Figure 114. Custom Rule Dialog . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 120

Figure 115. Rule Set (with custom rule) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 121

Figure 116. Edit Rule Set Screen (custom rule deletion) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 123

Figure 117. Manage Alerts Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 124

Figure 118. Alert Edit Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 125

Figure 119. Manage Parameters Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 126

Figure 120. Upload Parameter Definitions Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 127

Figure 121. Manage Algorithms Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 128

Figure 122. Add Algorithm Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 128

Figure 123. Version Information (“About”) Dialog . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 130

Figure 124. Patient Reports Tab in Device Detail Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . 133

Figure 125. Reports Screen (including example selection buttons and output) . . . . . . 134

Figure 126. Calendar Drop-Down Window . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 135

Figure 127. Time Drop-Down Window . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 135

Figure 128. Alarm Normalization Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 138

Figure 129. Alarm Rule Set Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 139

Figure 130. Application Event Log . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 140

Figure 131. Connectivity Details Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 141

Figure 132. Connectivity Summary Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 142

Figure 133. DPA Usage Summary Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 143

Figure 134. Historical Performance Log . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 144

Figure 135. Users by Time of Day Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 146

Reference Manual English 5

Figure 136. Alarm Threshold Analysis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 147

Figure 137. Comprehensive Oximetry and Capnography Report (initial page) . . . . . . 149

Figure 138. Comprehensive Oximetry and Capnography Report (comparison

summary) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 152

Figure 139. Device Usage Hours Per Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 152

Figure 140. Oxygenation Snapshot Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 154

Figure 141. Reported Apneas Per Hour Report (12-hour output shown) . . . . . . . . . . . . 155

Figure 142. Ventilation Snapshot Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 157

Figure 143. Alarm Duration by Time of Day Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 159

Figure 144. Alarm Occurrence Pareto Chart . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 160

Figure 145. Device Utilization Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 161

Figure 146. Highest Frequency Setting Changes Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . 162

Figure 147. Monitored Patients Per Day Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 163

Figure 148. Setting Change Acknowledgement Time Report . . . . . . . . . . . . . . . . . . . . . . . 164

Figure 149. Subscription Utilization Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 165

Figure 150. Silence Button . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 193

Figure 151. Silence Button (alerts silenced) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 194

Figure 152. Bed Tile (platform alert silence indicated) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 194

Figure 153. Bed Tile (device alarm pause or silence indicated) . . . . . . . . . . . . . . . . . . . . . . 194

Figure 154. Patient Header Panel (device alarm pause or silence indicated) . . . . . . . . . 195

Figure 155. Common Navigation Bar (alarms indicated) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 195

Figure 156. Bed Tile (alarm indicated) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 196

Figure 157. Bed Tile (secondary alarm indicator shown) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 196

Figure 158. Patient Header (active alarm indicated on device) . . . . . . . . . . . . . . . . . . . . . . 196

Figure 159. Parameter Panel (alarm indicators shown) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 197

Figure 160. Parameter Trend Window (alarm message shown) . . . . . . . . . . . . . . . . . . . . . 197

Figure 161. Event Panel (alarms and durations shown) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 198

Figure 162. Alarm Information Window . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 198

Figure 163. Bed Tile (filtered alarm indicated) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 199

Figure 164. Bed Tile (secondary alarm indicator shown for filtered alarm) . . . . . . . . . . . 199

Figure 165. Patient Header (filtered alarm indicated on device) . . . . . . . . . . . . . . . . . . . . 199

Figure 166. Parameter Panel (filtered alarm indicated for parameter) . . . . . . . . . . . . . . . 200

Figure 167. Event Panel (filtered alarm message shown) . . . . . . . . . . . . . . . . . . . . . . . . . . . 200

Figure 168. Filtered Out Alarm Information Window . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 200

Figure 169. Common Navigation Bar (notifications indicated) . . . . . . . . . . . . . . . . . . . . . . 204

Figure 170. Bed Tile (reset alarm indicated) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 205

Figure 171. Bed Tile (setting change indicated) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 205

Figure 172. Bed Tile (device disconnection indicated) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 206

Figure 173. Bed Tile (informational notification indicated) . . . . . . . . . . . . . . . . . . . . . . . . . 206

Figure 174. Bed Tile (unfavorable patient event indicated) . . . . . . . . . . . . . . . . . . . . . . . . . 207

Figure 175. Bed Tile (favorable patient event indicated) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 207

Figure 176. Bed Tile (secondary notification indicator shown) . . . . . . . . . . . . . . . . . . . . . . 208

Figure 177. Patient Header (standard notification indicated) . . . . . . . . . . . . . . . . . . . . . . . 208

Figure 178. Patient Header (unfavorable patient event indicated) . . . . . . . . . . . . . . . . . . 208

Figure 179. Patient Header (favorable patient event indicated) . . . . . . . . . . . . . . . . . . . . . 208

Figure 180. Parameter Panel (reset alarm indicator shown) . . . . . . . . . . . . . . . . . . . . . . . . . 209

Figure 181. Settings Panel (changed settings shown) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 209

Figure 182. Unacknowledged Settings Changes Window . . . . . . . . . . . . . . . . . . . . . . . . . . 210

6 Reference Manual English

Tables

Table 1. Device Symbol Definitions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

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

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

Table 4. Device Communication Rules and Disconnect Periods . . . . . . . . . . . . . . . . . . . . . 169

Table 5. Event Priority Ranking . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 173

Table 6. Device and Algorithm Priority Ranking . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 173

Table 7. Default Automatic Reconnection Intervals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 177

Table 8. Harmonized Standards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 178

Table 9. Non-Harmonized Standards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 178

Table 10. Visual Alarm Indicators (normal alarms) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 191

Table 11. Visual Alarm Indicators (filtered or silenced alarms) . . . . . . . . . . . . . . . . . . . . . . 191

Table 12. Alarm Colors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 192

Table 13. Audible Alert Tones (default) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 192

Table 14. Visual Notification Indicators (device-related) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 203

Table 15. Visual Notification Indicators (informational) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 203

Table 16. Notification Colors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 204

Reference Manual English 7

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.

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.

■

“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.

1

■

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 monitor or mobile device, 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 mobile devices (for example,
tablets or smartphones) or to 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.

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.

Reference Manual English 9

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 2.8 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.

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 life­sustaining.

10 Reference Manual English

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.

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

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.

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.

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.

Reference Manual English 11

Note: Some mobile devices do not support the sounding of audible alerts from the
platform due to device limitations. Make sure to test audible alert capability on any mobile
device to be used.

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 Medtronic or a local Medtronic
representative.

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]

When calling Medtronic or a local Medtronic representative, provide the software version
number, build number, and date of build, 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.

1.7. 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.

12 Reference Manual English

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.

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.

1

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.

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.

2

■

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.

■

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. 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, mobile device, 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 on a
personal computer or mobile device.

Reference Manual English 15

2.3.1. Basic Functions

Users can view general information, including alarms and advisory messages, for multiple
medical devices. The platform supports a wide range of devices, and in some cases acts as
the primary device user interface.

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.

Users can also 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 inventory, bed management, 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
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

16 Reference Manual English

parameter algorithms. See Device Types Supported, page 23 for a list of specific device
types with which this software is usable.

Note: Some mobile devices do not support the sounding of audible alerts from the
platform due to device limitations. Make sure to test audible alert capability on any mobile
device to be used.

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.

2.3.2. 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.

2

■

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
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

Reference Manual English 17

links. Consult Medtronic Professional Services 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 Medtronic Professional
Services for more details.

In addition to using the platform on a PC or mobile device, 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 Medtronic
Professional Services 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.

2.4. 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
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 available

for linking.

Appears in various locations in the platform.

Capnography monitor Represents a capnography monitor linked to a patient in the platform,

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.

18 Reference Manual English

Table 1. Device Symbol Definitions (continued)

Icon Description Definition

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.

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).

2

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)

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

Algorithm with active alarm (prior‐
ity 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.

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.
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.

Reference Manual English 19

Table 2. Alarm and Status Symbol Definitions (continued)

Icon Description Definition

High priority alarm 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—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.

Medium priority alarm 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—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.

Low priority alarm 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—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.

Standard notification 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—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.

Unfavorable patient event notifi‐
cation

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

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.

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.

20 Reference Manual English

Table 2. Alarm and Status Symbol Definitions (continued)

Icon Description Definition

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.

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

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 during
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).

Appears on the common navigation bar (notification button).

2

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

Reset alarm on device An alarm on a device linked to one of this user’s patients has reset (i.e.,

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

Algorithm with standard notifica‐
tion

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

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.

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

Appears in various locations.

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.

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).

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

Appears in the common navigation bar (device button).

Reference Manual English 21

Table 2. Alarm and Status Symbol Definitions (continued)

Icon Description Definition

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.

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‐

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.

22 Reference Manual English

Table 3. Miscellaneous User Interface Symbol Definitions (continued)

Icon Description Definition

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

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

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.

2.5. 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 169.
For a listing of relevant standards, see Relevant Standards, page 178.

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)

■

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)

2

■

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 Medtronic Professional Services 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.

Reference Manual English 23

24 Reference Manual English

3. Installation and Access

3.1. Overview

This chapter tells users where to find current software and hardware requirements for
installation of the Vital Sync™ virtual patient monitoring platform and informatics manager
software, and also provides details on how to access and log into the software.

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 Medtronic Professional
Services for the most current applicable revision.

3.3. 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
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.

3.4. Access

To access the software:

1. Open the Web browser on the PC or mobile device.

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.

3

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

Reference Manual English 25

3.5. Login

To log into the software:

1. Access the platform in a Web browser. See Access, page 25.

2. Make sure the login screen is shown.

Figure 1. Login Screen

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.

26 Reference Manual English