Medtronic VITALSYNCSW03 Operator's Manual

Vital Sync™

Virtual Patient Monitoring Platform and Informatics Manager

Reference Manual

Medtronic, Medtronic with rising man logo, and Medtronic logo are trademarks of Medtronic. Third-party trademarks (“TM*”) belong to their respective owners. The following list includes trademarks or registered trademarks of a Medtronic entity in the United States and/or in other countries.

BIS™, Capnostream™, INVOS™, Nellcor™, Newport™, OxiMax™, Puritan Bennett™, Vital Sync™

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

Symbols

Federal law restricts this device to sale by or on the order of a physician

Consult instructions for use

Manufacturer

1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

1.1 Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

1.2 Conventions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

1.3 Applicable Version . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

1.4 Safety Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

1.5 Obtaining Technical Assistance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

1.6 Warranty Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

1.7 Licensing Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

1.8 HIPAA Disclaimer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

1.9 Statement Regarding FDA Clearance of Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

2 Product Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

2.1 Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

2.2 Intended Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

2.3 Contraindications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

2.4 User Interface Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

2.5 User Interface Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

2.6 Device Types Supported . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

3 Installation and Access . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

3.1 Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

3.2 System Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

3.3 Security Requirements and Recommendations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

3.4 Installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30

4 Access . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

4.1 Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

4.2 Access the Software . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

4.3 Login . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

4.4 Clinician Functions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32

4.5 Supervisor Functions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34

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

4.7 Functions for Other Roles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40

5 Clinician and Supervisor Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43

5.1 Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43

5.2 Alarms and Notifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43

5.3 Navigation and Basic User Interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43

5.4 Tile View (Patient Overview Screen) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48

5.5 Device Detail Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53

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

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

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

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

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

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

5.12 Select User Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100

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

5.14 Reports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 103

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

5.16 Audible Alerts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 104

5.17 Help . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 106

5.18 Version Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 106

5.19 Platform Logout . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 107

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

6.1 Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 109

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

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

6.4 Manage User Accounts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 113

6.5 Manage Monitoring Station Accounts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 121

6.6 Manage Bedside Display Accounts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 124

6.7 Manage Shifts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 127

6.8 Manage Locations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 129

6.9 Manage Device Inventory . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 135

6.10 Device Status . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 138

6.11 Manage Alarm, Notification, and Setting Rules . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 140

6.12 Manage Alerts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 149

6.13 Manage Parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 152

6.14 Manage Algorithms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 153

6.15 Reports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 155

6.16 Help . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 156

6.17 Version Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 156

6.18 Platform Logout . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 157

7 Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 159

7.1 Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 159

7.2 Summary of Alarm Indicators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 159

7.3 Clear Alarm Indicators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 161

7.4 Audible Alerts and Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 161

7.5 View Alarm Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 163

7.6 Filtered Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 166

7.7 Event Priority . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 169

7.8 Alarm Behavior in the Platform . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 170

8 Notifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 171

8.1 Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 171

8.2 Summary of Notification Indicators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 171

8.3 View Notification Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 172

8.4 View and Acknowledge Setting Changes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 178

8.5 Event Priority . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 178

9 Supplementary Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 181

9.1 Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 181

9.2 Alarm Communication from Devices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 181

9.3 Locations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 181

9.4 Alarm Functionality and Behavior . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 183

9.5 Alarm Rule Considerations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 185

9.6 Event Priority . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 186

9.7 Default Alarm Priority by Device . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 188

9.8 Audible Alert Tones . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 189

9.9 Device Auto-Reconnection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 190

9.10 Device Data Handling After Unlinking . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 190

9.11 Admission, Discharge, and Transfer (ADT) Functionality . . . . . . . . . . . . . . . . . . . . . . . . . . . . 191

9.12 Web API Functionality . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 191

10 Reports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 193

10.1 Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 193

10.2 Access . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 193

10.3 Report Functions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 193

10.4 Clinician and Supervisory Reports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 197

10.5 Administrative Reports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 221

Figures

Figure 1. Login Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

Figure 2. Common Navigation Bar (Standard) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44

Figure 3. Function Menu (Clinician) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45

Figure 4. Function Menu (Supervisor) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45

Figure 5. Alarm Button Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46

Figure 6. Notification Button Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46

Figure 7. Device Button Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46

Figure 8. Example Function Drop-Down Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47

Figure 9. Example System Message . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47

Figure 10. Tool Tip . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48

Figure 11. Patient Overview Screen (Tile View) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49

Figure 12. Bed Tile Detail . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49

Figure 13. Device Tile Detail . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50

Figure 14. Bed Tile (patient name masked) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52

Figure 15. Device Detail Screen Layout (ventilator) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54

Figure 16. Device Detail Screen Layout (pulse oximeter or capnography monitor) . . . . . . . . . . . . 55

Figure 17. Device Detail Screen Layout (derived parameter algorithm) . . . . . . . . . . . . . . . . . . . . . 55

Figure 18. Patient Header Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56

Figure 19. Patient Header Panel (alarm indicated) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56

Figure 20. Device Header Panel (ventilator) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57

Figure 21. Device Header Panel (pulse oximeter or capnography monitor) . . . . . . . . . . . . . . . . . . 57

Figure 22. Device Header Panel (regional saturation monitor) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57

Figure 23. Parameter Panel (ventilator data) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58

Figure 24. Parameter Panel (pulse oximeter data) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58

Figure 25. Parameter Panel (capnography monitor data) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59

Figure 26. Parameter Panel (bispectral index monitor data) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59

Figure 27. Parameter Panel (multiparameter monitor data) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60

Figure 28. Parameter Panel (four-channel regional saturation monitor data) . . . . . . . . . . . . . . . . . 61

Figure 29. Parameter Panel (two-channel regional saturation monitor data) . . . . . . . . . . . . . . . . . 61

Figure 30. Waveform Panel (ventilator data) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62

Figure 31. Waveform Panel (pulse oximeter data) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63

Figure 32. Waveform Panel (capnography monitor data) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63

Figure 33. Settings Panel (ventilator settings) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63

Figure 34. Trend Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64

Figure 35. Event Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65

Figure 36. Parameter Trend Window . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66

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

shown) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67

Figure 38. Parameter Trend Window (specific data point shown) . . . . . . . . . . . . . . . . . . . . . . . . . . 67

Figure 39. Waveform Detail Window . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68

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

Figure 41. Waveform Detail Window (specific data shown for multiple ventilator waveforms) . . . 69

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

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

Figure 44. Update Patient Location Window . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71

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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77

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

Figure 52. Link New Device/Algorithm 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. Replace Linked Device Dialog . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83

Figure 56. Device Detail Screen (manual discharge) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 86

Figure 57. Patient Discharge History Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87

Figure 58. Patient Assignment Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 88

Figure 59. Patient Assignment Screen (unassigned patients shown) . . . . . . . . . . . . . . . . . . . . . . . 90

Figure 60. Patient Assignment Screen (other user selected) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90

Figure 61. Patient Assignment Screen (other user’s assignments) . . . . . . . . . . . . . . . . . . . . . . . . 91

Figure 62. Patient Assignment Screen (shift menu shown) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91

Figure 63. Area Assignment Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 95

Figure 64. Area Assignment Screen (unassigned areas shown) . . . . . . . . . . . . . . . . . . . . . . . . . . 96

Figure 65. Area Assignment Screen (other user selected) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 97

Figure 66. Area Assignment Screen (other user’s assignments) . . . . . . . . . . . . . . . . . . . . . . . . . . 97

Figure 67. Area Assignment Screen (shift menu shown) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 98

Figure 68. Select User Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 101

Figure 69. Navigation Bar and Function Menu (Select User Mode) . . . . . . . . . . . . . . . . . . . . . . . 101

Figure 70. Event List Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 102

Figure 71. Device Detail Screen (Patient Reports tab) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 103

Figure 72. Change Password Dialog . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 104

Figure 73. Audible Alerts Dialog (control of alerts locked) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 105

Figure 74. Audible Alerts Dialog (control of alerts unlocked) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 105

Figure 75. Version Information (About) Dialog . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 107

Figure 76. Example Administrative Navigation Links . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 109

Figure 77. Example System Message . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 110

Figure 78. Column Sort (cursor and heading to be sorted shown) . . . . . . . . . . . . . . . . . . . . . . . . 111

Figure 79. Administrative Home Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 111

Figure 80. Manage User Accounts Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 113

Figure 81. Manage User Accounts Screen (inactive accounts shown) . . . . . . . . . . . . . . . . . . . . 114

Figure 82. Create User Account Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 115

Figure 83. Edit User Account Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 116

Figure 84. User Account Deactivation Dialog . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 118

Figure 85. User Account Activation Dialog . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 118

Figure 86. User Account Deletion Confirmation Dialog . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 119

Figure 87. User Account Unlock Dialog . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 119

Figure 88. Password Reset Confirmation Dialog . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 120

Figure 89. Password Reset Confirmation Message . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 120

Figure 90. Change Password Dialog . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 120

Figure 91. Manage Monitoring Station Accounts Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 121

Figure 92. Manage Monitoring Station Accounts Screen (inactive accounts shown) . . . . . . . . . 122

Figure 93. Edit Monitoring Station Account Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 123

Figure 94. Monitoring Station Account Deactivation Dialog . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 123

Figure 95. Monitoring Station Account Activation Dialog . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 124

Figure 96. Manage Bedside Display Accounts Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 125

Figure 97. Manage Bedside Display Accounts Screen (inactive accounts shown) . . . . . . . . . . . 126

Figure 98. Edit Bedside Display Account Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 126

Figure 99. Bedside Display Account Deactivation Dialog . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 127

Figure 100. Bedside Display Account Activation Dialog . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 127

Figure 101. Manage Shifts Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 128

Figure 102. Add Shift Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 128

Figure 103. Edit Shift Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 129

Figure 104. Manage Areas Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 130

Figure 105. Add Areas Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 131

Figure 106. Edit Area Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 131

Figure 107. Manage Beds Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 133

Figure 108. Add Bed Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 134

Figure 109. Edit Bed Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 134

Figure 110. Manage Device Inventory Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 135

Figure 111. Add Device Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 136

Figure 112. Edit Device Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 137

Figure 113. Device Status Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 138

Figure 114. Device Detail Window (General tab) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 139

Figure 115. Device Detail Window (Support tab) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 140

Figure 116. Manage Rule Sets Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 141

Figure 117. Add Rule Set Screen (Alarm Rules tab) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 142

Figure 118. Add Rule Set Screen (Settings Rules Tab) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 142

Figure 119. Edit Rule Set Screen (Alarm Rules tab) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 143

Figure 120. Edit Rule Set Screen (Settings Rules Tab) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 144

Figure 121. Custom Alarm Rule Dialog . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 147

Figure 122. Alarm Rules Tab (with custom rule) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 147

Figure 123. Alarm Rules Tab (custom rule deletion) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 149

Figure 124. Manage Alerts Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 150

Figure 125. Alert Edit Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 151

Figure 126. Manage Parameters Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 152

Figure 127. Upload Parameter Definitions Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 153

Figure 128. Manage Algorithms Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 154

Figure 129. Add Algorithm Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 154

Figure 130. Version Information (About) Dialog . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 156

Figure 131. Common Navigation Bar (alarms indicated) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 159

Figure 132. Silence Button . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 162

Figure 133. Silence Button (alerts silenced) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 162

Figure 134. Bed Tile (platform alert silence indicated) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 162

Figure 135. Bed Tile (device alarm pause or silence indicated) . . . . . . . . . . . . . . . . . . . . . . . . . . 163

Figure 136. Patient Header Panel (device alarm pause or silence indicated) . . . . . . . . . . . . . . . 163

Figure 137. Bed Tile (alarm indicated) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 164

Figure 138. Bed Tile (secondary alarm indicator shown) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 164

Figure 139. Patient Header (active alarm indicated on device) . . . . . . . . . . . . . . . . . . . . . . . . . . . 165

Figure 140. Parameter Panel (alarm indicators shown) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 165

Figure 141. Parameter Trend Window (alarm message shown) . . . . . . . . . . . . . . . . . . . . . . . . . . 165

Figure 142. Event Panel (alarms and durations shown) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 166

Figure 143. Alarm Information Window . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 166

Figure 144. Bed Tile (filtered alarm indicated) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 167

Figure 145. Bed Tile (secondary alarm indicator shown for filtered alarm) . . . . . . . . . . . . . . . . . 167

Figure 146. Patient Header (filtered alarm indicated on device) . . . . . . . . . . . . . . . . . . . . . . . . . . 168

Figure 147. Parameter Panel (filtered alarm indicated for parameter) . . . . . . . . . . . . . . . . . . . . . 168

Figure 148. Event Panel (filtered alarm message shown) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 168

Figure 149. Filtered Out Alarm Information Window . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 169

Figure 150. Common Navigation Bar (notifications indicated) . . . . . . . . . . . . . . . . . . . . . . . . . . . 172

Figure 151. Bed Tile (reset alarm indicated) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 173

Figure 152. Bed Tile (setting change indicated) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 173

Figure 153. Bed Tile (device disconnection indicated) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 174

Figure 154. Bed Tile (informational notification indicated) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 174

Figure 155. Bed Tile (unfavorable patient event indicated) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 175

Figure 156. Bed Tile (favorable patient event indicated) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 175

Figure 157. Bed Tile (secondary notification indicator shown) . . . . . . . . . . . . . . . . . . . . . . . . . . . 176

Figure 158. Patient Header (standard notification indicated) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 176

Figure 159. Patient Header (unfavorable patient event indicated) . . . . . . . . . . . . . . . . . . . . . . . . 176

Figure 160. Patient Header (favorable patient event indicated) . . . . . . . . . . . . . . . . . . . . . . . . . . 176

Figure 161. Parameter Panel (reset alarm indicator shown) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 177

Figure 162. Settings Panel (changed settings shown) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 177

Figure 163. Unacknowledged Settings Changes Window . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 178

Figure 164. Patient Reports Tab in Device Detail Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 193

Figure 165. Reports Screen (including example selection buttons and output) . . . . . . . . . . . . . 194

Figure 166. Calendar Drop-Down Window . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 195

Figure 167. Time Drop-Down Window . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 196

Figure 168. Comprehensive Oximetry and Capnography Report (initial page) . . . . . . . . . . . . . . 199

Figure 169. Comprehensive Oximetry and Capnography Report (comparison summary) . . . . . 200

Figure 170. Oxygenation Snapshot Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 203

Figure 171. Reported Apneas Per Hour Report (12-hour output shown) . . . . . . . . . . . . . . . . . . . 205

Figure 172. Ventilation Snapshot Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 207

Figure 173. Alarm Duration by Time of Day Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 209

Figure 174. Alarm Occurrence Pareto Chart . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 210

Figure 175. Alarm Threshold Analysis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 212

Figure 176. Device Usage Hours Per Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 214

Figure 177. Device Utilization Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 216

Figure 178. Highest Frequency Setting Changes Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 218

Figure 179. Monitored Patients Per Day Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 220

Figure 180. Alarm Normalization Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 223

Figure 181. Alarm Rule Set Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 225

Figure 182. Subscription Utilization Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 227

Figure 183. Application Event Log . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 229

Figure 184. Connectivity Details Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 230

Figure 185. Connectivity Summary Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 232

Figure 186. DPA Usage Summary Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 234

Figure 187. Historical Performance Log . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 236

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.

• Section 1.2, Conventions • Section 1.6, Warranty Information

• Section 1.3, Applicable Version • Section 1.7, Licensing Information

• Section 1.4, Safety Information • Section 1.8, HIPAA Disclaimer

• Section 1.5, Obtaining Technical Assistance

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.

• 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.

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 3.0 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 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.

• 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.

• Warning: Remote control functionality allows modification of threshold settings and silencing of audible alarms on supported devices. These actions are visible in the platform user interface, but require version 3.0.0 of the Vital Sync Mobile Application to perform. See the Vital Sync Mobile Application (version 3.0.0) reference manual for a list of devices that support remote control functionality.

1.4.2 Cautions

• Caution: Federal law restricts this device to sale by or on the order of a physician.

• 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.

• 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: Software performance and system health should be consistently monitored to allow timely detection and resolution of problems, especially with communication of alarm messages.

• Note: A real-time application event list and multiple system performance reports are available in the Vital Sync software. Refer to Section 5.13, Event List, page 102 and Section 10.5, Administrative Reports, page 221 for details.

• 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

HIMSupport@Medtronic.com

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.

1.7 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 Section 3.3, Security Requirements and Recommendations, page 27.

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.

1.9 Statement Regarding FDA Clearance of Features

The remote control feature in the Vital Sync software has not been cleared by the United States Food and Drug Administration. The feature is being introduced using FDA’s Enforcement Policy for

Non-Invasive Remote Monitoring Devices Used to Support Patient Monitoring During the Coronavirus Disease 2019 (COVID-19) Public Health Emergency (Revised), updated October

2020.

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.

• Section 2.2, Intended Use • Section 2.5, User Interface Symbols

• Section 2.3, Contradindications • Section 2.6, Device Types Supported

• Section 2.4, User Interface Overview

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.

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

• To remotely control supported devices. Note: This functionality requires use of the Vital Sync Mobile Application. Remote-control functionality has not been cleared by the FDA and is being released per FDA’s

Enforcement Policy for Non-Invasive Monitoring Devices Used to Support Patient Monitoring During the Coronavirus Disease 2019 (COVID-19) Public Health Emergency (Revised), updated October 2020.

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.

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, and can be designated as home areas for central monitoring station accounts to streamline patient assignment at associated stations.

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 parameter algorithms. See Section 2.6, Device Types Supported, page 25 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.

2.4.2 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. Several reports are available for clinicians, most notably “snapshot” reports showing oxygenation or ventilation data for specific patients, as well as apnea event information for multiple 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 accounts in the platform, reset passwords, and unlock locked-out users (if the deployment allows). They also manage the inventory of connected devices; set up and maintain beds, areas, and work shifts; assign beds to bedside display units; and assign home areas for central monitoring stations. 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 event and system performance logs 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 of these options. (Platform operations at central monitoring stations or on bedside units are similar to those for individual users, varying only in the scope of functions available.)

• Note: Patients monitored via dedicated bedside display units should also be monitored independently 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 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 plat-

form, or available for linking. Appears in various locations.

Bispectral index (BIS) monitor

Regional saturation monitor

Multiparameter monitor Represents a multiparameter monitor linked to a patient in

Represents a bispectral index monitor linked to a patient in the platform, or available for linking. Appears in various locations.

Represents a regional saturation monitor linked to a patient in the platform, or available for linking. Appears in various locations in the platform.

the platform, or available for linking.

Table 1. Device Symbol Definitions (continued)

Icon Description Definition

Appears in various locations.

Derived parameter algorithm (DPA)

Table 2. Alarm and Status Symbol Definitions

Icon Description Definition

Alarms active for patients

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

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

Device with active alarm (priority indicated)

Algorithm with active alarm

Algorithm with active alarm (priority indicated)

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

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.

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).

patients. Appears on the common navigation bar (alarm button).

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. 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.

The patient is in an alarm condition, according to the derived parameter 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

parameter 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.

bed tiles in the Tile View, or in the Device Detail screen’s patient header—The active event with the highest priority on

Table 2. Alarm and Status Symbol Definitions (continued)

Icon Description Definition

the indicated device or for the indicated algorithm is a highpriority alarm.

When shown in other locations—At least one high-priority alarm is active on the indicated device, or the indicated parameter or algorithm 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 algorithm 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 algorithm 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 notification. (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 notification

Favorable patient event notification

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

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

interval before visible and audible annunciation in the platform has not completely elapsed.

Table 2. Alarm and Status Symbol Definitions (continued)

Icon Description Definition

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.

Device with filtered alarm

Audible alerts silenced in the platform

Audible alarms paused or silenced on a device

Device with audible alarms paused or silenced

Notifications active for patients

One or more alarms that have been filtered (that is, annunciation is 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 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.

Notifications are active for the indicated number of patients. Appears on the common navigation bar (notification button).

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

Device with active setting changes

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

One or more settings have been changed on a device linked to one of this user’s patients. Appears in various locations.

One or more setting change notifications is active on the device indicated 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.

reset (i.e., an alarm condition temporarily existed, but has resolved itself without intervention). Appears in various locations.

Table 2. Alarm and Status Symbol Definitions (continued)

Icon Description Definition

Device with reset alarms

Algorithm with standard notification

Unassociated devices available

No unassociated devices

Disconnection A device is not currently communicating with the platform.

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

Database connected The platform is currently communicating with its databases.

Database disconnected

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.

An event has occurred for the patient linked to the algorithm indicated 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.

The indicated number of devices are connected to the platform, but are not currently linked to any patient. Appears in the common navigation bar (device button).

All devices connected to the platform are currently linked to patients. Appears in the common navigation bar (device button).

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

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

The squares cycle through various colors when a data request is in process. Appears on the common navigation bar, at far right.

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 platform

View patient and location information

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.

Table 3. Miscellaneous User Interface Symbol Definitions (continued)

Icon Description Definition

Edit patient information or location information

Reports Denotes a link to available report functions.

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

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

Patient type The patient type (from left to right, indicates neonatal, pedia-

Freshness level Denotes the level of confidence in the data used in calcula-

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

Search Denotes the button used to search the platform databases

Battery charge For supported devices, shows the current battery charge

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.

for purposes 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).

tric, or 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.

tion of certain 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.

for a patient ID number. Appears in the Admit Patient screen and the Update Patient Information window.

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 Section 9.4.1, Device Data Reporting, page 183.

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)

• 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.

3 Installation and Access

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.

• Section 3.2, System Requirements • Section 3.4, Installation

• Section 3.3, Security Recommendations

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 Security Requirements and Recommendations

Cybersecurity risks from using the Vital Sync software have been addressed using a combination of application logic, installation configuration, and particular software and hardware settings. However, using the Vital Sync software does carry some residual risk.

The potential adverse events associated with the residual cybersecurity risks in the Vital Sync software include, but are not limited to, the following:

1. Delay of treatment due to loss of Vital Sync software availability or Vital Sync software data integrity

2. Misdiagnosis due to loss of Vital Sync software data integrity

3. Loss of patient privacy

3.3.1 Required Actions

The following actions are required during installation and software configuration to reduce cybersecurity risks to an acceptable and controlled level:

1. Configure Microsoft™* Windows™* Server to disable weak ciphers. For details, see the following document:

https://docs.microsoft.com/en-us/windows-server/identity/ad-fs/operations/manage-ssl-protoc ols-in-ad-fs

2. Configure Microsoft™* Windows™* Server to enforce NLA authentication for RDP, to reduce the possibility of exploiting the RDP protocol.

3. Configure Microsoft™* Windows™* Server to disable TCP global timestamps on Vital Sync servers.

4. Configure Internet Information Services (IIS) to disable the default IIS home page.

5. Configure IIS to prevent cross-site-scripting attacks.

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

7. Disable password caching for browsers used to access the Vital Sync software.

8. Configure Microsoft™* SQL Server™* to enable TDE encryption of the MDF file.

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

10. Configure Microsoft™* SQL Server™* to use a signed certificate for encryption, and configure client servers to trust the signed certificate.

11. 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.

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

13. Configure the Vital Sync client to always use HTTPS to connect to the InformaticsWeb application. See the installation manual for details.

Consult with the Medtronic Solution Delivery Team and with facility IT personnel for assistance.

3.3.2 Recommended Actions

Medtronic recommends additional practices and procedures to reduce cybersecurity risks to an acceptable and controlled level. Consult with the Medtronic Solution Delivery Team and with facility IT personnel for assistance.

3.3.2.1 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.

3.3.2.2 Vital Sync Servers and Operating Systems

• The user is responsible for maintaining the operating system software with all current patches and upgrades. Consult facility IT or the Medtronic Solution Delivery Team for details. Medtronic recommends that the operating system server is appropriately configured to optimize cybersecurity.

• The user is responsible for maintaining certain other software components with all current patches and upgrades. Consult facility IT or the Medtronic Solution Delivery Team for details. Medtronic recommends that these components are appropriately configured to optimize cybersecurity.

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

• Deploy antivirus software on Vital Sync servers.

• 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.

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

• 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.

• Enable SSH or TLS tunneling.

• Configure Windows™* Remote Desktop Connection to use TLS 1.2 encryption.

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

• 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.

• Do not configure Web browsers to automatically save authentication credentials.

• Disable web page caching in Web browsers used to access the Vital Sync software.

3.3.2.3 Platform Installer

For security considerations related to the installer and additional recommendations included within the installation procedure, see the installation manual or consult with the Medtronic Solution Delivery Team.

3.3.2.4 Database Server Software

• The user is responsible for maintaining the Microsoft™* SQL Server™* software with all current patches and upgrades. Consult facility IT or the Medtronic Solution Delivery Team for details. Medtronic recommends that servers on which Microsoft™* SQL Server™* is installed are appropriately configured to optimize cybersecurity.

• 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/authentication-in-sql-server

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

3.3.2.5 Vital Sync Services, IIS Applications, and Device Configuration

• Install the Data Collection, Alarm Reporter, and Applet Manager services on the system where MSMQ is configured.

• 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.

• Deploy ECDHE or use a 2048-bit or stronger Diffie-Hellman group.

• Configure IIS to use HTTPS. See the installation manual for details.

• Configure IIS to send the Strict-Transport-Security response header with value “max-age=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.

• 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.)

• 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.)

• 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 DeviceData and InformaticsWeb applications to use HTTPS. See the installation manual for details.

• 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.

• Configure any device that does not show its serial number by default in the Vital Sync software to use an inventory tag, to reduce visibility of that device’s IP address in the platform user interface. See Section 6.9.3, Add or Edit a Device, page 136 for more information.

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, or consult with the Medtronic Solution Delivery Team.

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.

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.

• Section 4.2, Access the Software • Section 4.5 , Supervisor Functions

• Section 4.3, Login • Section 4.6 , Administrator Functions

• Section 4.4, Clinician Functions • Section 4.7 , Functions for Other Roles

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.

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.

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 Tile View 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 – 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 drop-down 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

– 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 tile 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

• 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 area 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.

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

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 → All Patients and Devices screen

– 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

– 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 drop-down 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)

• 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 → 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

• 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 tile 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; or 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; or Navigation bar → User function menu → All Patients and Devices → Desired patient listing → 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 other user’s assignments ⇒ Drop-down menu just above top of left column →

Desired user name (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 other user’s secondary contact or monitoring only assignments ⇒ Drop-down

menu just above top of left column → Desired user name → 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 or change other user’s assignments by shift ⇒ Drop-down menu just above top of left

column → Desired user name → 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

• 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 other user’s assignments ⇒ Drop-down menu just above top of left column →

Desired user name (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 other user’s secondary contact or monitoring only assignments ⇒ 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 user’s own assignments by shift ⇒ Drop-down menu in top left corner of screen →

Desired shift (drag and drop area tiles to change assignments)

– View or change other user’s assignments by shift ⇒ Drop-down menu just above top of left

column → Desired user name → Drop-down menu in top left corner of screen → Desired shift (drag and drop area 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

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

• View platform events—Navigation bar → User function menu → Event List → Event List 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

• 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 account management functions—Home → User Accounts tile → Manage User Accounts → Manage User Accounts screen

– View all currently active user accounts ⇒ Active tab (default view) – View all currently inactive user accounts ⇒ Inactive tab – Add a user account ⇒ Create User Account button → Create User Account screen – Edit a user account ⇒ Desired user account name → Edit User Account screen – Enable audible alerts for a new user account ⇒ Create User Account button → Create User

Account screen → Audible Alerts field (Multi-Tone or Single Tone selection)

– Enable audible alerts for an existing user account ⇒ Desired user account name → Edit User

Account screen → Audible Alerts field (Multi-Tone or Single Tone selection)

– Deactivate a user account ⇒ Active tab → Deactivate link for desired user account → Deactivate

dialog

– Reactivate a user account ⇒ Inactive tab → Activate link for desired user account → Reactivate

dialog

– Reset a user account password ⇒ Reset Password link for desired user account → Reset

Password dialog

– Unlock a user account ⇒ Unlock link for desired user account → Unlock dialog (available only

for user accounts locked out of the platform)

– Delete a user account ⇒ Delete link for desired user account → Delete dialog (available only for

user accounts never logged in)

• Access shift management functions—Home → User Accounts 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 monitoring station account management functions—Home → Monitoring Station Accounts tile → Manage Monitoring Station Accounts → Manage Monitoring Station Accounts screen

– View all currently active monitoring station accounts ⇒ Active tab (default view) – View all currently inactive monitoring station accounts ⇒ Inactive tab – Edit name or home area for a monitoring station account ⇒ Name of desired account → Edit

Monitoring Station Account screen

– Deactivate a monitoring station account ⇒ Active tab → Deactivate link for desired account →

Deactivate dialog

– Reactivate a monitoring station account ⇒ Inactive tab → Activate link for desired account →

Reactivate dialog

• Access bedside display account management functions—Home → Bedside Display Accounts tile → Manage Bedside Display Accounts → Manage Bedside Display Accounts screen

– View all currently active bedside display accounts ⇒ Active tab (default view) – View all currently inactive bedside display accounts ⇒ Inactive tab – Edit a bedside display account’s bed assignment ⇒ Name of desired account → Edit Bedside

Display Account screen

– Deactivate a bedside display account ⇒ Active tab → Deactivate link for desired account →

Deactivate dialog

– Reactivate a bedside display account ⇒ Inactive tab → Activate link for desired account →

Reactivate dialog

• Access area management functions—Home → Areas and Beds tile → Manage Areas screen – 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 or assigned users, and not designated as a home area for a central monitoring station account)

• Access bed management functions—Home → Areas and Beds tile → Manage Beds screen – Add a bed ⇒ Add Bed button → Add Bed screen – Edit a bed ⇒ Desired bed ID → Edit Bed screen – Enable automatic admission and discharge for a new bed ⇒ Add Bed button → Add Bed screen →

HL7 Location field (make appropriate entry)

– Enable automatic admission and discharge for an existing bed ⇒ Desired bed ID → Edit Bed

screen → HL7 Location field (make appropriate entry)

– 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 → Manage Device Inventory screen

– Add a device ⇒ Add Device button → Add Device screen – 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 patients 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 – Edit an existing event rule set ⇒ Name of desired rule set → Edit Rule Set screen

– Enable platform automatic discharge ⇒ Add Rule Set screen or Edit Rule Set screen →

Auto-discharge and Discharge After fields

– Set patient name masking ⇒ Add Rule Set screen or Edit Rule Set screen → Patient Name Mask

field

– Set alarm rules ⇒ Add Rule Set screen or Edit Rule Set screen → Alarm Rules tab fields – Set setting rules ⇒ Add Rule Set screen or Edit Rule Set screen → Settings Rules tab fields – Add a custom event rule ⇒ Add Rule Set screen or Edit Rule Set screen → Alarm Rules tab → Add

button on panel for desired device type → Custom Alarm Rule dialog – 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

• 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 functions those users perform, or 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 – View device settings and information – Modify device settings (for certain derived parameter algorithms) – Edit patient details or patient location – 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 Section 4.4, Clinician Functions, page 32, or Section 4.5, Supervisor Functions, page 34. 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 Section 4.6, 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)

• Patient Assignment screen (all functions); limited to patients in the station’s designated home area and any of its child areas

• Area Assignment screen (all functions); limited to the station’s designated home area and any of its child areas

• Admit Patient screen (all functions)

• Patient Discharge History

• Reports

• Audible Alerts dialog

• Help

• About dialog

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 Section 4.4, Clinician Functions, page 32. 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.

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.

• Section 5.2, Alarms and Notifications

• Section 5.3, Navigation and Basic User Inter-

face

• Section 5.4, Tile View (Patient Overview

Screen)

• Section 5.5, Device Detail Screen • Section 5.14, Reports

• Section 5.6, All Patients and Devices Screen • Section 5.15, Change Password

• Section 5.7, Admit a Patient • Section 5.16, Audible Alerts

• Section 5.8, Manual Parameter Entry • Section 5.17, Help

• Section 5.9, Discharge (Remove) a Patient • Section 5.18, Version Information

• Section 5.10, Patient Assignments • Section 5.19, Platform Logout

• Section 5.11, Area Assignments

• Section 5.12, Select User Mode

• Section 5.13, Event List

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 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 on notifications, see Chapter 8.

Administrative users can adjust how alarms behave in the platform using alarm rule sets and annunciation settings in the Vital Sync informatics manager. See Section 6.11, Manage Alarm, Notification, and Setting Rules, page 140 and Section 6.12, Manage Alerts, page 149 for details.

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 Section 2.5, User Interface Symbols, page 20 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.

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 Section 6.4.4, Add or Edit a User Account, page 114).

Figure 3. Function Menu (Clinician)

Figure 4. Function Menu (Supervisor)

For functions available at a central monitoring station, see Section 4.7.3, Central Monitoring Station Users, page 41. For functions available on an optional dedicated bedside display unit, see Section 4.7.4, Bedside Unit Users, page 42.

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 Section 4.7.1, Link Managers, page 40, 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.

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.

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 the leftward-pointing arrows to show the first page in the list.

• Click the rightward-pointing arrows 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.

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)

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 Section 6.9, Manage Device Inventory, page 135 and Section 5.4.2, Tile Information, page 50.

Figure 12. Bed Tile Detail

1 Key monitored parameters

2 Patient name

3 Device message (highlighting indicates associated device)

4 Time elapsed for the alarm in the platform

5 Location

6 Silence icon (if an audible alert is silenced for this patient)

7 Device type icon

8 Device identifier

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

3 Device connection icon

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.

5.4.1 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:

• 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 Section 6.8.2, Manage Beds, page 132 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 total respiratory rate (f

), and exhaled tidal volume (VTE)

TOT

), positive end expiratory pressure (PEEP),

PEAK

• Regional saturation monitors—Regional saturation of oxygen (rSO2) and blood volume 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 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 Section 7.7, Event Priority, page 169 and Section 7.2.1, Visual Indicators, page 159 (for alarms) or Section 8.2.1, Visual Indicators, page 171 (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 Section 2.5, User Interface Symbols, page 20.

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 Section 7.2.1, Visual Indicators, page 159 or Section 8.2.1.

5.4.4 Additional Tile View Functions

For user convenience, additional sorting and view settings are available for the Tile View.

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.

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 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 Section 5.11, Area Assignments, page 94 for information on assigning areas to users; see Section 6.9, Manage Device Inventory, page 135 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 (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.

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.

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

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

1 Patient header panel

2 Device header panel

3 Waveform panel

4 Parameter panel

5 Trend panel

6 Event panel

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

1 Patient header panel

2 Device header panel

3 Algorithm data panel

4 Waveform 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.

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 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 currently selected)

4 Device tab (other device or algorithm)

5 Patient Detail tab

6 Patient Reports tab

7 Link New Device/Algorithm button

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 Section 5.5.3, Select a Device, page 65.

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

3 Tab indicating device with alarm

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 Section 7.5.6, Device Detail Screen (Event Panel),

page 166 or Section 8.3.5, Device Detail Screen (Event Panel), page 177, and Section 7.4, Audible Alerts and Alarms, page 161.)

To link another device to this patient, click the Link New Device button. See Section 5.7, Admit a Patient, page 76.

To view patient information, click on the Patient Detail tab. See Section 5.5.7, Manage Patient Detail, page 70.

To access reports for this patient without leaving the Device Detail screen, click the Patient Reports tab. See Figure 164, page 193.

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

• 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)

To disconnect or reconnect devices in the platform, use the drop-down function menu on this panel. See Section 5.5.4, Manage Device Connections, page 65.

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)

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

3 Parameter upper and lower alarm limits (if set or applicable)

4 Parameter name and unit of measure

Note: For more information on trend tiles, see Section 5.5.2.6, Trend Panel, page 64.

Figure 26. Parameter Panel (bispectral index monitor data)

1 Parameter value

2 Parameter name and unit of measure

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

4 Timestamp for episodic parameter

5 Trend panel with trend tiles (episodic data)

• 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.

• Note: For more information on trend tiles, see Section 5.5.2.6, Trend Panel, page 64.

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

1 Sensor channel

2 Parameter value

3 Parameter name and unit of measure

4 Parameter upper and lower alarm limits (if set)

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

1 Parameter value

2 Sensor channel

3 Parameter upper and lower alarm limits (if set)

4 Parameter name and unit of measure

• 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.

• 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.

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 medium-priority alarm). If audible alerts are enabled, an alert tone will also sound. See Section 7.2.2, Audible Indicators, page 160.

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 Section 8.2.1, Visual Indicators, page 171.

To access detailed trend data for individual parameters, click on any tile. See Section 5.5.5, View Parameter Trend Data, page 65.

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.

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 Section 5.5.6, 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)

4 Settings tile (setting unchanged)

5 Settings tile (setting not used or not supported)

The tile layout in the settings panel is the same regardless of the device linked; active tile content 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 Section 8.3.6, Device Detail Screen (Settings Panel), page 177.

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.

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.

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

4 Time elapsed since alarm or notification onset

5 Setting change indicator

To view details of alarms, or to view details of and acknowledge notifications, click on an alarm or a notification message. See Section 7.5.6, Device Detail Screen (Event Panel), page 166 or Section 8.3.5, Device Detail Screen (Event Panel), page 177.

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 Section 7.7, Event Priority, page 169 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 Section 5.7.6, 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.)

5.5.5.2 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.

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)

If viewing waveform detail for multiple waveforms at once, specific data will be shown on all waveforms for the time point selected. Users can select different time points for each waveform shown.

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, middle name, first name)

• ID—The patient’s identification number

• 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 Section 9.3, Locations, page 181)

• 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 Section 5.9, 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. Middle Name—The middle name currently used for the patient appears here. If desired, edit this name. (This field is optional.)

5. Last Name—The last name currently used for the patient appears here. If desired, edit this name. (This field is optional.)

6. Date of Birth—The date of birth currently indicated for the patient appears here. If desired, edit this date. (This field is optional.)

7. Click Save to update the information in the platform.

5.5.7.2 Change a Patient Location

To change a patient’s location:

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 bed number in the Location field to open the Update

Patient Location window. Figure 44. Update Patient Location Window

4. Old Location—The patient’s current bed in the platform appears here.

5. New Location—Click on the drop-down box to view available beds, then click on a bed in the list to select it.

Note: Users at a central monitoring station will only be able to select beds assigned to the designated home area (and its child areas, if any) for that station.

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 Section 6.9, Manage Device Inventory, page 135 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.

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 Section 6.11.4, Add or Edit a Rule Set, page 141, and Section 6.11.5, Define Alarm and Notification Rules, page 145.

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:

own specific settings. Basic functionality described here is the same for all algorithms.

The following information appears in the Alert Thresholds panel of the dialog for each alert supported:

To change setting rules:

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

The alert thresholds shown in Figure 46 are purely illustrative. Individual algorithms have their

• Name—The name of the alert threshold

• 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

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.

thresholds apply to all devices of a specific type that use specific setting rules in the platform. For more information, see Section 6.11.5.3, Define a Setting Rule, page 148.

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

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.

5.6.4 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:

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 Section 5.5, Device Detail Screen, page 53 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.

Note: If a monitoring station has a home area designated for it in the platform, user function at that station is limited to patients and devices accessible from that area or its child areas.

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.

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.

Note: If the facility’s ADT system has sent a message to the platform indicating a patient admission or transfer to the bed viewed, patient information for that patient will appear regardless of the user’s means of accessing the screen.

5.7.2.2 Field Entry

Note: Instructions for all field entries in this screen are presented in this section. However, not all fields

may require entries or be immediately editable, depending on how the user accesses the screen and whether patient information is already shown because of automatic admission.

To enter location and patient information when admitting a patient in the platform:

1. Location—Select the desired bed from the drop-down list. (If the desired bed is already selected, skip this step.)

Note: If viewing this screen from a monitoring station that has a designated home area, the only available beds in this list will be those assigned to the home area or any of its child areas.

2. 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 admission in the platform will create a record in the software for the new patient.

3. First Name—Enter the patient’s first name. This field is optional.

4. Middle Name—Enter the patient’s middle name. This field is optional.

5. Last Name—Enter the patient’s last name. This field is optional.

6. Date of Birth—Enter the patient’s date of birth, following the date format shown in the lower left corner of the screen. This field is optional.

After entering or confirming location and patient information, link any available device or algorithm.

Note: 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. For a monitoring station with a designated home area, available devices are also limited to those accessible in the platform within the home area or one of its child areas.

To link a device or algorithm when admitting a patient in the platform:

1. Category—Select the category for the device or algorithm to be linked from the list of available categories. (If a device or algorithm is already selected, the category will automatically appear here; if the category is correct, skip this step.)

2. ID—Select the desired device or algorithm from the drop-down list. Devices are listed by serial number or network address, while algorithms are listed by name. (If a device or algorithm is already selected, its information will automatically appear here; if the information matches the desired device or algorithm, skip this step.)

Figure 51. Admit Patient Screen (available device list)

Note: Users at a monitoring station with a designated home area will only see available devices

accessible in the platform from within that area or its child areas. Note: Algorithms must be activated in the software to be available for selection. See

Section 6.14.4, Activate or Deactivate an Algorithm, page 155.

3. Once all fields in the screen have entries, the Link button will be available. Confirm the information on the screen is correct, including all automatically populated information.

After confirming that the information is correct, click Link to complete the admission in the platform, linking the device or algorithm just selected to the patient. The Device Detail screen will appear, showing data for the device or algorithm, 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 Section 6.9, Manage Device Inventory, page 135.) 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 Section 5.10, Patient Assignments, page 88.

• Note: If automatically populated patient information is incorrect, remove the number in the ID field for the patient. The subsequent patient information fields will then be editable.

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 Section 6.8.2.3. 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 or algorithms to admitted patients using the same procedure used for the first device or algorithm. (See Section 5.7.2, Manual Admission, page 76.)

Users also can link more devices to a patient directly from the Device Detail screen for that patient.

To link another device or algorithm 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/Algorithm dialog

3. Category—Select the desired device or algorithm category from the list of available categories.

4. ID—Select the desired device or algorithm from the drop-down list. Devices are listed by serial number or network address, while algorithms are listed by name.

Note: Users at a monitoring station with a designated home area will only see available devices accessible in the platform from within that area or its child areas.

5. Click Link to link the device or algorithm to the patient. The Device Detail screen will show data for the device or algorithm 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 Section 7.7, Event Priority, page 169.

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.

5.7.6 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 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 Section 1.5, Obtaining Technical Assistance, page 14).

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.

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 Section 5.9.2, Automated Discharge, page 86 for more information.

5.7.6.2 Replace a Device

Users may replace a currently linked device with another available device of the same type and model.

To replace a currently linked device:

1. With the desired device selected, hover over the device button in the device header to access communication functions.

2. Select Replace Device. A dialog for selecting a device will appear. Figure 55. Replace Linked Device Dialog

3. Category—The appropriate category for the device being replaced automatically appears in this field.

4. ID—Select the desired device from the drop-down list.

5. Click Link to link the new device.

Note: If the Replace Device option does not appear in the device button menu, there are no devices of the same type and model available for linking. If an appropriate device of the same type (but a different model) is available, link that device, then unlink the device being replaced.

5.7.6.3 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 Section 9.10, Device Data Handling After Unlinking, page 190.)

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 Section 6.14, Manage Algorithms, page 153.

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 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.

Figure 56. 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 Section 6.11.4, Add or Edit a Rule Set, page 141 and Section 6.8.1.3, Add or Edit an Area, page 130.

To use ADT discharge, an administrative user must add HL7 location information to beds in one or more areas; see Section 6.8.2.3, Add or Edit a Bed, page 133. Integration with facility systems is also required; consult with the Medtronic Solution Delivery Team for details.

• 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 Section 5.5.8, 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 57. 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.

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. Users at a central monitoring station can manage that station’s patient assignments.

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 Section 5.11, 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 58. Patient Assignment Screen

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 drop-down 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.

Note: When initially accessed from a monitoring station that has a home area designated for it (see Section 6.5.4, Edit a Monitoring Station Account, page 122), the patients shown in the right-side panel will all be in beds assigned to that home area or its child areas.

5.10.3 Show Unassigned Patients

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.

Figure 59. Patient Assignment Screen (unassigned patients shown)

Note: If viewing this screen from a monitoring station that has a designated home area, the only patients

that can be shown in the right-side panel are those in beds assigned to the home area and any child areas. Other patients will not appear.

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 60. Patient Assignment Screen (other user selected)

2. Select the desired user from the list.

Figure 61. 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.

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 62. 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 Section 6.7, Manage Shifts, page 127.

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.

Note: Users viewing the platform from a central monitoring station can perform the same patient assignment tasks as clinicians. However, the only patients available for assignment are those in the designated home area for the station, or in any of that area’s child areas.

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.

5.10.6.1 Assign a Patient to a User

To assign a patient as a clinician or from a monitoring station:

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 an assignment type as a clinician or from a monitoring station:

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.

4. Drag and drop the patient tile back into the left-side panel.

To change an 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 an assignment as a clinician or from a monitoring station:

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 an 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 assignments as a clinician or from a monitoring station:

tiles for patients assigned to the shift will appear in color, while tiles for permanently assigned patients will appear in grey.

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 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 assignments for a user or a monitoring station 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 drop-down 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 or monitoring station. 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 area assignments in this screen, while supervisors can manage their own area assignments and those of other users. Users at a central monitoring station can manage that station’s area assignments, within home area limits.

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 Section 5.10, 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 Section 5.4.4, Additional Tile View Functions, page 52 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.

Figure 63. 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.

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.

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 the tab on the left appropriate to the assignment type. The number of areas assigned to the user appears in parentheses above the panel. (For supervisors, the number is in a drop-down 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 drop-down 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.

Note: When initially accessed from a monitoring station that has a home area designated for it (see Section 6.5.4, Edit a Monitoring Station Account, page 122), the only areas shown in the right-side panel will be the designated home area and its child areas. The designated home area’s name on the area tile will appear in brackets.

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 64. Area Assignment Screen (unassigned areas shown)

Note: If viewing this screen from a monitoring station that has a designated home area, the only areas

that can be shown in the right-side panel are the home area (denoted by brackets around its name on the area tile) and any child areas. Other areas will not appear.

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.

Figure 65. Area Assignment Screen (other user selected)

2. Select the desired user from the list. Figure 66. Area Assignment Screen (other user’s assignments)

To once again show areas assigned to the current user in the left-side panel, click on the drop-down menu and select My Assignments.

5.11.5 Show Assignments by Work Shift

Area assignments can be permanent, or can be associated with a specific work shift. Patients in areas permanently assigned to a user will appear in the Tile View for that user at all times. Patients in areas assigned to a user during a specific shift will only appear in the Tile View for that user during that shift.

To show area assignments for a specific work shift:

1. With the desired user selected, click in the field at the top of the Area Assignment screen to show a list of work shifts defined in the platform.

Figure 67. Area Assignment Screen (shift menu shown)

2. Select the desired shift. The left-side panel will show areas assigned to the currently selected user. If the area assignment is associated with the currently selected shift, it will appear on a tile in color; if not, the area assignment will appear in grey and will not be selectable.

For details on work shift setup, see Section 6.7, Manage Shifts, page 127.

Note: For added convenience, the date (relative to the current date) when each shift begins next is shown in the drop-down list.

5.11.6 Change Area Assignments

Clinicians can assign areas to themselves and remove their own area assignments. Supervisors can perform both these tasks for themselves and for other users, and can also change assignment types.

Note: Users viewing the platform from a central monitoring station can perform the same area assignment tasks as clinicians. However, if the station has a home area designated for it, the only areas available for assignment are the home area and any of its child areas.

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 a patient in this area and assigned to this user.

• Secondary Contact—This user is a secondary person to be contacted (via SMS message or email) if there is an alarm or notification for a patient in this area and assigned to this user.

• Monitoring Only—This user only monitors patients, and will not receive contact messages even if there is an alarm or notification for a patient in this area who is assigned to this user.

5.11.6.1 Assign an Area to a User

To assign an area as a clinician or from a monitoring station:

1. Find the desired area in the right-side panel. If needed, use the scroll bar to move up or down the list.

Note: If viewing this screen from a monitoring station, the area name on the tile for the station’s designated home area will appear in brackets.

2. If this 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 this 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 area as a primary contact assignment, click the arrow on the left side of the tile for the desired area, or click the Primary Assignment tab in the left-side panel and drag and drop the

area tile into the left-side panel. To assign the area 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 area tile into the left-side panel.

To assign an area as a supervisor:

1. Click on the drop-down menu at the top of the left-side panel.

2. If self-assigning the area, select My Assignments. If assigning the area to another user, select the name of the desired user from the menu. Areas assigned to the user selected will appear in the left-side panel; primary assignments are shown by default.

3. Find the desired area in the right-side panel. If needed, use the scroll bar to move up or down the list. Any area available for assignment will appear on a tile in color; areas already assigned to the user currently shown (if any) 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 this 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 area as a primary contact assignment, click the arrow on the left side of the tile for the desired area, or click on the Primary Assignment tab in the left-side panel and drag and drop the area tile into the left-side panel. To assign the area 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 area tile into the left-side panel.

5.11.6.2 Change an Area Assignment Type

To change an assignment type as a clinician or from a monitoring station:

1. Find the desired area 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 area tile into the right-side panel.

3. Click on the tab for the desired assignment type in the left-side panel to open it.

4. Drag and drop the area tile back into the left-side panel.

To change an 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 areas assigned to the current user) or the name of the desired user (to show areas assigned to that user).

3. Find the desired area 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 area 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 area tile back into the left-side panel.

5.11.6.3 Remove Area Assignments

To remove an assignment as a clinician or from a monitoring station:

2. If the area 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 areas 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 an 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 the areas assigned to the current user) or the name of the desired user (to show areas assigned to that user).

3. Find the desired area in the left-side panel. If needed, use the scroll bar to move up or down the list.

4. If the area 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 areas 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 area, or drag and drop the tile into the right-side panel.

To remove all current assignments as a clinician or from a monitoring station:

1. If removing all permanent assignments, select Permanent Assignments in the drop-down 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 areas assigned during this shift will appear in color, while tiles for permanently assigned areas will appear in grey.

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 Areas” view in the right-side panel. The numbers on the tabs in the left-side panel will all change to zero, indicating no areas are assigned.

To remove all current area assignments for a user as a supervisor:

1. Click on the drop-down menu at the top of the left-side panel.

3. If removing all permanent assignments, select Permanent Assignments in the drop-down 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 areas assigned during this shift will appear in color, while tiles for permanently assigned areas 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 Areas” view in the right-side panel. The numbers on the tabs in the left-side panel will all change to zero, indicating no areas are assigned.

Note: Removing an area assignment will unassign patients in that area from the user, unless the patient in question has been specifically assigned to the user in the Patient Assignment screen.

Note: Changes to area assignments only affect the currently selected user or monitoring station. Areas shown in either panel of the Area Assignment screen may also already be assigned to other users.

5.12 Select User Mode

In addition to their own functions, supervisors can use the Select User mode to view and use the platform as if logged in as a specific clinician, or viewing the platform from a specific monitoring station.

100

Medtronic VITALSYNCSW03 Operator's Manual

Specifications and Main Features

Frequently Asked Questions

User Manual

Symbols

Contents

1 Introduction

1.1 Overview

1.2 Conventions

1.3 Applicable Version

1.4 Safety Information

1.4.1 Warnings

1.4.2 Cautions

1.4.3 Notes

1.5 Obtaining Technical Assistance

1.5.1 Technical Services

1.5.2 Related Documents

1.6 Warranty Information

1.7 Licensing Information

1.8 HIPAA Disclaimer

1.9 Statement Regarding FDA Clearance of Features

2 Product Overview

2.1 Overview

2.2 Intended Use

2.3 Contraindications

2.4 User Interface Overview

2.4.1 Basic Functions

2.4.2 User Roles

2.5 User Interface Symbols

Table 1. Device Symbol Definitions

Table 2. Alarm and Status Symbol Definitions

Table 3. Miscellaneous User Interface Symbol Definitions

2.6 Device Types Supported

3 Installation and Access

3.1 Overview

3.2 System Requirements

3.3 Security Requirements and Recommendations

3.3.1 Required Actions

3.3.2 Recommended Actions

3.3.2.1 Network Configuration

3.3.2.2 Vital Sync Servers and Operating Systems

3.3.2.3 Platform Installer

3.3.2.4 Database Server Software

3.3.2.5 Vital Sync Services, IIS Applications, and Device Configuration

3.4 Installation

4 Access

4.1 Overview

4.2 Access the Software

4.3 Login

2. Make sure the login screen is shown. Figure 1. Login Screen

4.4 Clinician Functions

4.5 Supervisor Functions

4.6 Administrator Functions

4.7 Functions for Other Roles

4.7.1 Link Managers

4.7.2 Clinical Administrators

4.7.3 Central Monitoring Station Users

4.7.4 Bedside Unit Users

4.7.5 External Services Users

5 Clinician and Supervisor Operation

5.1 Overview

5.2 Alarms and Notifications

5.3 Navigation and Basic User Interface

5.3.1 Common Navigation Bar

Figure 2. Common Navigation Bar (Standard)

5.3.1.1 Function Menu

Figure 3. Function Menu (Clinician)

Figure 4. Function Menu (Supervisor)

5.3.1.2 Alarm and Notification Button Menus

Figure 5. Alarm Button Menu

Figure 6. Notification Button Menu

5.3.1.3 Device Button Menu

Figure 7. Device Button Menu

5.3.2 Function Drop-Down Menu

Figure 8. Example Function Drop-Down Menu

5.3.3 System Messages

Figure 9. Example System Message

5.3.4 Multi-Page Lists

5.3.5 Tool Tips

Figure 10. Tool Tip