Medtronic VSMASW03 Operator's Manual

Vital Sync™
Mobile Application
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.
Capnostream™, Nellcor™, Puritan Bennett™, Vital Sync™
U.S. patents: www.medtronic.com/patents
Federal law restricts this device to sale by or on the order of a physician
Consult instructions for use
Manufacturer
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Contents

1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
1.1 Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
1.2 Applicable Version . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
1.3 Conventions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
1.4 Safety Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
1.5 Obtaining Technical Assistance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
1.6 Warranty Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
1.7 Licensing Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
1.8 HIPAA Disclaimer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
1.9 Statement Regarding FDA Clearance of Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
2 Product Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
2.1 Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
2.2 Intended Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
2.3 Contraindications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
2.4 Application Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
2.5 User Interface Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
2.6 Devices Supported . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
3 Installation and Access . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
3.1 Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
3.2 Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
3.3 Installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
3.4 Initial Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
3.5 Running the App . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
4 Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
4.1 Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
4.2 Alarms and Notifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
4.3 Navigation and Basic User Interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
4.4 Assigned Patients View . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
4.5 Device Detail View . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
4.6 Active Alarms View . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
4.7 Patient Management View . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
4.8 Main Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44
4.9 Additional Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
5 Alarms and Notifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51
5.1 Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51
5.2 Summary of Event Indicators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51
5.3 Clear Alarm Indicators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53
5.4 Pause Bedside Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53
5.5 View Alarm and Notification Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54
5.6 Event Priority . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61
5.7 Alarm Behavior in the Software . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61
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Figures
Figure 1. Login Settings View . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
Figure 2. Login Fields . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Figure 3. Login with PIN Fields . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Figure 4. App Layout and Navigation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Figure 5. App Layout and Navigation (menus) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
Figure 6. Assigned Patients View . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Figure 7. Bed Tile Detail . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
Figure 8. Device Detail View . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
Figure 9. Information Panel (trend page) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
Figure 10. Information Panel (waveform page) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Figure 11. Information Panel (waveform page; ventilator waveform) . . . . . . . . . . . . . . . . . . . . . . . 27
Figure 12. Information Panel (device page) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Figure 13. Trend Timeframe Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
Figure 14. Trend Information in Landscape Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
Figure 15. Available Parameter List (Second Trend button) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
Figure 16. Information Panel (trend page with two trends shown) . . . . . . . . . . . . . . . . . . . . . . . . . 30
Figure 17. Information Panel (trend page with specific data point shown) . . . . . . . . . . . . . . . . . . . 30
Figure 18. Link New Device View . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
Figure 19. Unlink Device View . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
Figure 20. Update Patient View . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
Figure 21. Information Panel (threshold settings) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
Figure 22. Active Alarms View . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
Figure 23. Patient Management View (initial access) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
Figure 24. Admit Patient View (initial access) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
Figure 25. Admit Patient View (area selection) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
Figure 26. Admit Patient View (bed selection) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
Figure 27. Admit Patient View (patient ID selection) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
Figure 28. Admit Patient View (patient information) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
Figure 29. Admit Patient View (device and assignment selection) . . . . . . . . . . . . . . . . . . . . . . . . . 40
Figure 30. Patient Management View (area drop-down menu) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41
Figure 31. Patient Management View (assignment tiles) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42
Figure 32. Patient Management View (assignments shown) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44
Figure 33. Main Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45
Figure 34. Update PIN View . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46
Figure 35. Diagnostics View . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47
Figure 36. Mobile Device Notification Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
Figure 37. Lock Screen with Push Notifications (screen locked) . . . . . . . . . . . . . . . . . . . . . . . . . . 55
Figure 38. Lock Screen with Push Notifications (screen unlocked) . . . . . . . . . . . . . . . . . . . . . . . . 56
Figure 39. Tile Detail (alarm shown) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56
Figure 40. Tile Detail (notification shown) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57
Figure 41. Active Alarms View (all event types shown) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58
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Figure 42. Assigned Patients View (events shown) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59
Figure 43. Device Detail View (active alarm shown) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60
Figure 44. Device Detail View (disconnected device shown) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61
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1 Introduction

1.1 Overview

This manual provides instructions for the Vital Sync mobile application.
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 app runs on mobile devices using the iOS™* mobile operating system in conjunction with the Vital Sync virtual patient monitoring platform and informatics manager. To avoid delays in treating patients or in responding to patient conditions, consult the platform’s reference manual for guidance on basic software functionality. This includes (but is not limited to) alarm management, patient assignment, and device monitoring.

1.2 Applicable Version

This manual applies to version 3.0.0 of the Vital Sync mobile application.
Users can view specific information for their installation of the app in the Main Menu view.

1.3 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.
Button names, menu options, and field names generally appear in boldface text.
“Application” and “app” refer to the Vital Sync mobile app, while “platform” refers to the Vital Sync virtual patient monitoring platform and informatics manager. “Software” refers generally to both the mobile app and the platform.
“View” refers to individual app screens. “Screen” refers more generally to the mobile device’s display.
“Touch” and “tap” refer to the action activating buttons and menus in the app’s user interface. "Swipe" refers to the motion used to change from one page to another in a view.
“Clinician” refers to nurses, physicians, respiratory care professionals and other caregivers who use the app.
“Device” refers to medical devices at the patient’s bedside. “Mobile device” refers to the smartphone used to access the app.
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.

1.4 Safety Information

This section contains generally applicable safety information for this product.

1.4.1 Warnings

Warning: The Vital Sync mobile application is not intended to be used as the sole source of patient monitoring. Improper configuration of application messages or incorrect patient assignment could cause delays in treatment or clinical intervention, which could result in patient injury.
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Warning: The Vital Sync software is intended to supplement and not to replace any part of the facility’s monitoring. Do not rely on the Vital Sync software 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: Adjusting a device’s alarm threshold settings or pausing a device’s audible alarm from within the app will change settings or pause the alarm tone on the device at the bedside.
Warning: The Vital Sync mobile application 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: Always follow the facility’s established patient safety protocols when using the Vital Sync mobile application.
Warning: To avoid delayed response to alarms and potential patient injury, do not disable push notifications for the application.

1.4.2 Cautions

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: Push notifications in the app will be delayed for any alarm for which an annunciation delay is set up in the Vital Sync informatics manager. Users should be aware of annunciation delays set up for alarms on any monitored device.
Caution: Ensure that users who will need to use the app’s remote control functionality have sufficient user rights set up for them in the software. Consult with the Medtronic Solution Delivery Team for account configuration and setup assistance.

1.4.3 Notes

Note: To prevent unauthorized access to the application, users should always lock the mobile device on
which they are running the app when it is not in use.
Note: After admitting or identifying a patient via the app, confirm that the patient physically present in the bed is the patient indicated in the app. Also, confirm that the device linked to that patient in the app is physically present with the patient.

1.5 Obtaining Technical Assistance

1.5.1 Technical Services

For technical information and assistance if unable to correct a problem while using the application, contact Medtronic or a local Medtronic representative.
Medtronic Technical Services
15 Hampshire Street
Mansfield, MA 02048 USA
1 800 497 4968, or 1 925 463 4635
HIMSupport@Medtronic.com
When calling Medtronic or a local Medtronic representative, provide the application’s version number, build number, and date of build, shown in the About row in the Main Menu.
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1.5.2 Related Documents

Before using the app, review this manual and appropriate sections of the reference manual for the Vital Sync virtual patient monitoring platform and informatics manager. This information is essential for understanding application functions and information displays.
Also read all precautionary information and specifications for the app and for the platform.

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

For more details regarding software licenses, refer to the following sections.

1.7.1 Vital Sync and Third Party Software

Licenses obtained from Medtronic for use of Vital Sync software do not include licenses for any third party software.
Users must obtain their own licenses for the downloading and use of such third party software.

1.7.2 Off-the-Shelf and Open Source Software Disclosure

This section identifies the off-the-shelf (OTS) and open source software that may be separately called, executed, linked, affiliated, or otherwise utilized by this Vital Sync software product.
Such software is licensed to users subject to the terms and conditions of the separate software license agreement for such OTS and open source software.
Use of OTS and open source software by users of the Vital Sync mobile application shall be governed entirely by the terms and conditions of such license.

Table 1. OTS and Open Source Software

Software Title Software Designator Manufacturer
iOS™* 12.0 or later versions Apple™* Firebase™* Core n/a Google™* Firebase™* Messaging n/a Google™* Charts 3.0.5 Open source community IQKeyboardManagerSwift 6.5.0 Open source community DropDown 2.3.13 Open source community CryptoSwift 1.4.0 Open source community NewPopMenu 2.1.1 Open source community HandyUIKit 1.9.0 Open source community KeychainSwift 19.0.0 Open source community SimpleCheckBox 2.1.0 Open source community Alamofire 5.4.1 Open source community NewRelicAgent 6.10.0 Open source community
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1.8 HIPAA Disclaimer

The Vital Sync mobile application is a software application used in conjunction with electronic medical devices within the customer’s secure health information system. Healthcare providers using the software are expected to take appropriate security measures to protect the confidentiality of all data created, stored or transmitted on their systems.
Although the Vital Sync mobile application and Vital Sync virtual patient monitoring platform and informatics manager contain 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.
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2 Product Overview

2.1 Overview

This chapter provides an overall description of the functionality of the Vital Sync mobile application.

2.2 Intended Use

The Vital Sync Mobile App is intended to be used with the Vital Sync Informatics Manager (IM) and Virtual Patient Monitoring Platform (VPMP).
The Vital Sync Mobile App provides remote viewing of patient data, physiologic data, waveforms, alarm information, and PUSH alerts routed through the Vital Sync Informatics Manager from supported devices.
The Vital Sync Mobile App provides the user interface to support the Vital Sync IM and VPMP remote control functionality. (Remote control functionality has not been cleared by the FDA and is being released per FDA’s Enforcement Policy for Non-Invasive Remote Monitoring Devices Used to
Support Patient Monitoring During the Coronavirus Disease (COVID-19) Public Health Emergency (Revised), updated October 2020.)
The Vital Sync Mobile App is intended to be used by healthcare professionals in a hospital or hospital-type facility.
Warning: The Vital Sync Mobile App and 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 Application Overview

The app is designed to allow users to access data from medical devices at the patient’s bedside via a mobile device running the iOS™* mobile operating system.
Users access data and perform other available functions in views within the app, which works in conjunction with version 3.0 of the Vital Sync virtual patient monitoring platform and informatics manager.

2.4.1 Basic Functions

Within the app, users can see patient data from supported devices, modify their patient assignments, and see and be notified of device alarms. Users can also link and unlink devices and admit and manually discharge patients in the platform via the app.
Selected users can change certain settings or pause the audible alarm on supported devices. See
Section 4.5.7, Remote Setting Changes, page 33 and Section 5.4, Pause Bedside Alarms, page 53.

2.4.2 User Roles

Each user is identified in the app by username and password, and enters these to log into the app. Users who are set up in the Vital Sync virtual patient monitoring platform as clinicians or supervisors are able to log in and use the app.
Available functionality is the same in the app for all users, regardless of their user role in the platform, except for device remote control functions, which require additional configuration for specific users. Consult with the Medtronic Solution Delivery team for assistance.
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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.

Table 2. App Navigation Symbols and Definitions

Icon Description Definition/Location
Active Alarms view Button to access the Active Alarms view.
Appears in the button bar; turns white when tapped to select the Active Alarms view.
Assigned Patients view Button to access the Assigned Patients view.
Appears in the button bar; turns white when tapped to select the Assigned Patients view.
Patient Management view Button to access the Patient Management view.
Appears in the button bar; turns white when tapped to select the Patient Management view.
Main Menu view Button to access the additional function menu.
Appears in the button bar; turns white when tapped to select the Main Menu view.
Additional function menu Button to access a pop-up menu showing additional func-
tions. Appears on the right side of the identifier panel in the Device Detail view.
Drop-down menu Button to access a drop-down menu showing options avail-
able for selection. Appears in the information panel in the Device Detail view, and in one or more fields in the Patient Management, Admit Patient, Link New Device, and Unlink views.
Login Settings view Button to access application login settings.
Appears in the upper right corner of the login view.
Page indicator Appears near the bottom of the screen if multiple pages are
available in a view. The white dot indicates which page is currently selected.
Additional information Button to show more detailed information.
Appears on assignment tiles in the Patient Management view; changes to downward-pointing when tapped to show assignment detail.
Exit view Button to exit the current view and return to the previous view.
Appears in the lower left corner of the Device Detail, Diag­nostics, and Privacy views.
New admission Button to access the Admit Patient view.
Appears in the lower left corner of the Patient Management view.
Refresh Button to refresh the list of available devices.
Appears in the Admit Patient and Update Patient views, next to the Device Category field.
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Table 2. App Navigation Symbols and Definitions (continued)
Icon Description Definition/Location
Search Button to search for an existing patient ID in the platform.
Appears in the Admit Patient and Update Patient views, next to the Patient ID field.
View PIN Button to toggle view of data entered in the field when chang-
ing the PIN. Appears next to fields in the Update PIN view; changes to “opened eye” when tapped to unmask field entry.

Table 3. Alarm and Status Symbols and Definitions

Icon Description Definition/Location
High priority alarm A high priority alarm is active on one of a patient’s devices, or
on the currently viewed device. Appears on bed tiles in the Assigned Patients view, and at the top of the screen in the Device Detail view.
Medium priority alarm A medium priority alarm is active on one of a patient’s devi-
ces, or on the currently viewed device Appears on bed tiles in the Assigned Patients view, and at the top of the screen in the Device Detail view.
Low priority alarm A low priority alarm is active on one of a patient’s devices, or
on the currently viewed device Appears on bed tiles in the Assigned Patients view, and at the top of the screen in the Device Detail view.
Reset alarm A reset alarm is active on one of a patient’s devices, or on the
currently viewed device Appears on bed tiles in the Assigned Patients view, and at the top of the screen in the Device Detail view.
Notification A notification is active on one of a patient’s devices, or on the
currently viewed device Appears on bed tiles in the Assigned Patients view, and at the top of the screen in the Device Detail view.
Disconnected capnography monitor
Disconnected pulse oxime­ter
The indicated device is currently not communicating with the platform. Appears on bed tiles in the Assigned Patients view, and at the top of the screen and on the device information page in the Device Detail view.
Disconnected ventilator
Pause device alarm Button to pause the audible alarm tone on supported bed-
side devices. Appears on the right side of the Device Detail view’s identifier panel (if available for the alarming device); turns off-white when tapped to pause the device alarm.
Null value No data is available or no data is reported for a parameter.
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Table 3. Alarm and Status Symbols and Definitions (continued)
Icon Description Definition/Location
Appears next to parameter names in the Assigned Patients and Device Detail views.
Unassigned patient No users have this patient assigned to them as a primary or
secondary assignment. Appears next to names of affected patients in the Patient Management view.

2.6 Devices Supported

The current release of the app supports the following devices:
Puritan Bennett 980 ventilator
Puritan Bennett 840 ventilator
Nellcor bedside respiratory patient monitoring system (model number PM1000N)
Oridion Capnostream 20 capnography monitor
Oridion Capnostream 35 portable bedside monitor
The current release of the app supports additional remote control functionality for the following device:
Oridion Capnostream 35 portable bedside monitor
Selected users can remotely adjust certain alarm thresholds and pause the device’s audible alarm tone directly from the app. See Section 4.5.7, Remote Setting Changes, page 33 and Section 5.4, Pause Bedside Alarms, page 53.
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3 Installation and Access

3.1 Overview

This chapter describes installing and running the Vital Sync mobile application.

3.2 Requirements

The Vital Sync mobile app requires a device running the iOS™* mobile operating system (version 12.0 or later).
The app also requires an existing installation of the Vital Sync virtual patient monitoring platform and informatics manager (version 3.0) from which to receive data.

3.3 Installation

3.3.1 Installing the App

To install the application:
1. In the App Store™*, search for “Vital Sync Mobile App”. The listing for the app will appear, with the following icon shown at upper left in the listing:
2. Tap the download button, then follow prompts on the mobile device for download and installation.

3.3.2 Upgrade Path

Users of version 2.0.0 or version 2.1.0 of the app can upgrade directly to version 3.0.0.

3.4 Initial Setup

To set up the app and access it for the first time:
1. From the mobile device screen, tap the Vital Sync app icon, or, if still in the app’s entry in the App Store™*, tap the RUN button.
2. Set basic app permissions, as follows:
a. At the prompt asking for permission for the app to access the mobile device’s camera, tap
OK to approve.
b. At the prompt asking for permission for the app to send push notifications to the mobile
device, tap Allow to approve. Note: Permissions can be adjusted from the mobile device’s settings screen for the app.
See Section 4.9, Additional Settings, page 48.
After setting permissions, the Login Settings view will appear.
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Figure 1. Login Settings View

3. Set up server URL information for the Vital Sync platform server to be used with the app, as follows:
a. If using a QR code that is encoded with the platform server information, center the code in
the viewfinder on the screen until the device’s camera captures it. Note: Obtain the QR code or platform server URL (provided by the Medtronic Solution
Delivery Team) from appropriate facility personnel.
b. If entering a URL for the platform server, tap the field below the camera image, enter the URL
in the field, then tap SAVE to continue.
4. The login fields will appear.
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Figure 2. Login Fields

5. USER NAME—Enter the username assigned in the platform.
6. PASSWORD—Enter the platform login password.
7. Tap LOGIN to continue. The privacy statement will appear.
8. After reviewing the privacy statement, tap ACCEPT to continue, or DECLINE to exit the application.
After accepting the privacy statement, the Login with PIN fields will appear.
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Figure 3. Login with PIN Fields

9. PIN—If desired, enter a four-digit to six-digit personal identification number (PIN) to use instead of the normal login password for future logins, then tap SET PIN to save this number.
If not setting a PIN, tap CONTINUE.
Note: If a PIN is not set, these fields will appear on each subsequent login. To stop this, tap the Don’t Ask Me Again check box to check it.
The Assigned Patients view will appear.
Note: To ensure push notifications are received on the mobile device, do the following immediately after signing into the app for the first time:
1. Tap the Main Menu button (rightmost on the button bar) to access the Main Menu view.
2. Log out of the app.
3. Return to the mobile device’s home screen.
4. From the home screen, close the app.
5. Open the app again.
6. Close the app again from the mobile device’s home screen.
7. Open the app again, then sign in.
Note: If push notifications are not being received, toggle notifications and background data refresh off, then back on in the app settings. See Section 4.9, Additional Settings, page 48.
Refer to subsequent chapters for operation and functionality descriptions.
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3.5 Running the App

To run the app after initial setup:
1. Tap the Vital Sync app icon on the mobile device screen.
2. USER NAME—Enter the username assigned in the platform.
3. If a login PIN is set up, enter it in the PIN field. If a login PIN is not set up, enter the platform login password in the PASSWORD field.
Note: The login password can always be used even after setting up a PIN.
4. Tap LOGIN.
The Assigned Patients view will appear.
For details on using the app, see Chapter 4.
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