Philips CMS User manual

Philips CMS Patient Monitoring System

Configuration Manual

Anesthesia/Neonatal/Standard

PAD

Part Number M1046-9322L

Printed March 2003

Notice

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

Philips Medical Systems Cardiac and Monitoring Systems 3000 Minuteman Road Andover, MA 01810 +1 (800) 934-7372

Publication number M1046-9322L Printed March 2003

Warranty The information contained in this document is subject to change

without notice.

Philips Medical Systems 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.

Philips Medical Systems 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. Philips Medical Systems assumes no responsibility for the use or reliability of its software on equipment that is not furnished by Philips Medical Systems.

Printing History

New editions of this document will incorporate all material updated since the previous edition. Update packages may be issued between editions and contain replacement and additional pages to be merged by a revision date at the bottom of the page. Note that pages which are rearranged due to changes on a previous page are not considered revised.

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

Printing History Overview

Manual Part # Edition Print Date CMS and NCMS

Edition 1 Dec 1988 Edition 2 May 1989 Edition 3 Feb 1990 Edition 4 Oct 1990 Edition 4 - Revision 1 Oct 1991 Edition 5 Dec 1992 Edition 5 - Revision 1 Feb 1993 Edition 5 - Revision 2 Aug 1993 Edition 6 Jul 1994 Edition 7 Feb 1995 Edition 8 Dec 1995 Edition 9 April 1997 Edition 10 Jan 1998 Edition 11 June 1998

ACMS

Edition 1 Feb 1995 Edition 1 - Revision 1 May 1995 Edition 2 Dec 1995

Manual Part # Edition Print Date ACMS

Edition 3 April 1997 Edition 4 Jan 1998 Edition 5 June 1998

CMS, NCMS and ACMS

M1046-9321K M1046-9321L M1046-9322L

Edition12 Feb 1999 Edition 13 June 2000

September 2002

What is in this Manual?

This guide is intended for Biomedical Engineers or Philips Service and Clinical Specialist personnel who are about to perform the off-line configuration procedures for the CMS.

What is in this

Manual?

This manual contains information for configuring the CMS at software Release C.0.

1. Introduction This introduces the concepts of what configuration actually is, why it is

necessary and how best to use it.

2. Procedures This describes the configuration procedure in more detail, explaining

the method by which values are altered.

3. Configuration Tables

This is a detailed list of all the parts of the system that can be configured. There are tables showing the pre-configured factory values and all the possible values for every part of the system. A fourth blank column has been provided for you to record your configuration changes.

4. Drug

Calculator

Configuration

This chapter lists the standard drugs of the CMS's Drug Calculator feature. Instructions are given for defining a set of drugs specific to your unit. A worksheet is included (Appendix B) on which you can keep a record of the drugs that you configure.

A. Selecting

the Correct

Patient

Related Documents

Service Guide This manual is a combined reference guide and self-paced course

featuring 7 chapters on how to test, troubleshoot and repair the instrument. The manual is intended for hospital Biomedical Engineers and Technicians, Philips Customer Engineers, Response Center Engineers and Installation Planning Specialists.

Concepts

Guide

This manual provides a conceptual foundation for the monitoring systems in order to support effective troubleshooting and repair. The manual is intended for all hospital Biomedical Engineers and Technicians responsible for troubleshooting, repairing and maintaining Philips patient monitoring systems.

Site

Preparation

This manual contains the information required for site planning and installation of the System.

and

Installation

manual

User’s Guide This guide provides operating procedures for the tasks most often

performed on the System.

User’s

This manual comes in 2 volumes:

Reference

Manual

Volu me 1 : Provides detailed reference information on the operation

of the System.

Volu me 2 : Provides detailed reference information on the operation

of Plug-in Modules used with the System.

Quick

Reference

Service Guide

M1234B 21”

Slave Display

Installation &

Service

Manual

This guide provides a brief summary of the important service information on the System.

This manual provides information on the 21” Slave Display for the System.

M1117A Multi-

channel

Thermal Array

Recorder

Service

Manual

This manual provides service and support information for the Philips M1117A Multi-channel Thermal Array Recorder.

M1032A

VueLink

Handbook

RS232

Computer

Interface

Programming

Guide

Schematics

Book Volume 1

- M1092A/94A Displays and

DC/DC

Converter

Schematics

Book Volume 2

- Computer

Module and

HIF Devices

This manual provides detailed installation, configuration and service information specific to the M1032A VueLink (device interface) Module.

This guide provides information on the capabilities of the System's RS232 Computer Interface, to allow the users (Software Professionals at medical research clinics or industrial institutions and Biomedical Engineers) to create applications on PC-based systems.

Volume 1 of the Schematics Book provides schematic diagrams and parts lists to aid the component level servicing of the M1092A 14” Monochrome Display, the M1094A 14” Color Display, and the DC/DC Converter of the System.

Volume 2 of the Schematics Book provides schematic information and parts lists for the function cards in the Computer Module, and Human Interface Devices of the System.

Schematics

Book Volume 3

- Plug-In Modules

Schematics

Book Volume 4

- M1094B Display

Volume 3 of the Schematics Book provides schematic information and parts lists for the Plug-in Modules of the System.

Volume 4 of the Schematics Book provides schematic diagrams and parts lists to aid the component level servicing of the M1094B 14” Color Display.

M2003A

Patient Data

Server Service

and

Installation

Guide

This guide provides detailed Installation and Service Information for the Blood Analysis Interface which is used to transmit Blood Analysis information from the CMS to a Central Data Station.

M3640A

Central Data

Station Servi ce

and

Installation

Guide

This guide provides detailed Installation and Service Information for the Central Data Station which can be used to collect and store Blood Analysis information.

Contents

1. Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

Configuration Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

What is Configuration Mode? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

Why Configure?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

How Best to Configure?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

Configuration Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

Temporary and Permanent Configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

Temporary Configuration Changes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

Permanent Configuration Changes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

Universal Set . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

Configuration Sets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

Global Switches . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

Parameters. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

Configuration in Monitoring and Service Modes . . . . . . . . . . . . . . . . . . . . . . . . . . 19

Printing the Configuration. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

2. Procedures. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

Entering and Leaving Configuration Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

Changing the Configuration Set . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24

Changing Values . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

Change Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

3. Configuration Tables . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

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

Universal Settings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

Alarms Configuration Default Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

Alarms On/Off Default Table. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

Other Patients (Overview) Default Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32

Display Default Tables. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35

Patient Data Management Default Tables . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57

Printer Setting Configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58

Neonatal Event Review Default Table. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64

oxyCRG Default Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65

Configuration Sets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66

Global Switches . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66

Parameter Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68

Parameter Settings Transfer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68

Restoring Parameter Settings Transfer factory defaults. . . . . . . . . . . . . . . . . . . 68

Heart Rate (HR) / Pulse Default Table. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69

ECG Default Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71

ECG Defaults with EASI™ 12-Lead Option . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72

Respiration Default Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73

ST Default Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 74

Pressure Default Tables. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75

Content 11

General Pressure Defaults . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75

Pressure Default Alarm Limits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76

NBP Default Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77

SpO2/SpO2 2/Pleth Default Table. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 79

SvO2 Default Table. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 80

CO2 Default Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81

tcpO2/tcpCO2 Default Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82

FIO2 Default Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 84

Airway Gases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 84

Ventilator Configuration Default Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 84

7800/7810 Ohmeda Ventilator Configuration Values . . . . . . . . . . . . . . . . . . . . . . 85

7900 Ohmeda Ventilator Configuration Values . . . . . . . . . . . . . . . . . . . . . . . . . . . 86

Cardiac Output Default Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87

Continuous Cardiac Output Default Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 88

EEG Default Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89

Configuring Electrode Montages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90

Changing the Items in an Electrode Montage. . . . . . . . . . . . . . . . . . . . . . . . . . . . 90

Temperature Default Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91

VueLink Module Default Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91

BIS Default Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 92

Differential Temperature Default Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93

CPP Default Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93

Recorder Default Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 94

Recorder Strip Overlap Choices. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 97

Procedure Recording Table. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 99

Other Recording Configuration Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 99

Configurable Alarm Recordings Default Table. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100

Blood Analysis Default Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 102

Output Interfaces . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 104

RS232 Configuration Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 104

First RS232 Card. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 104

Second RS232 Card . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 104

Supported RS-232 Configurations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 105

Analog Output Default Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 107

Analog Output Configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 113

4. Drug Calculator Configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 115

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 115

Drug Calculator Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 115

Configuring Drugs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 116

The Worksheet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 116

Drug Change Procedures and Filing in the Worksheet . . . . . . . . . . . . . . . . . . . . . 117

Standard Drug Configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 120

A. Selecting the Correct Patient Category . . . . . . . . . . . . . . . . . . . . . . . . . . . . 125

Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 125

Factory Default Values . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 125

12 Contents

Changing the Patient Category . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 126

NBP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 127

Examples . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 127

Overpressure. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 127

Continuous Pressure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 127

NBP - Recommendations. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 129

ECG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 129

Morphology of the ECG. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 130

Recommendation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 130

Weak ECG Signal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 130

Recommendation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 130

Paced Patients. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 130

Recommendations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 130

Heart Rate (HR) / Pulse . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 131

Resp . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 131

Respiration Suppression Algorithm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 131

CO2. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 132

B. Sign-Off Sheets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 133

Signoff Sheets and Worksheets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 133

C. Printout of Configuration Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 137

Configuration Printout. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 137

How to Print Configuration Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 138

Printing More than One Configuration Screen on a Page . . . . . . . . . . . . . . . . . . . . 138

Contents 13

14 Contents

Introduction

Configuration Overview

What is Configuration Mode?

Configuration can be thought of as sets of instructions which inform the CMS about how you want it to work when it is switched on. Configuration Mode is the operating environment in which you define these sets of instructions.

WARNING The Configuration Mode does not support patient monitoring:

when the system is attached to a patient, it must be in the Monitoring Mode.

Why Configure?

Configuration of the CMS may be required to suit different hospital environments (ICU/OR) and patient characteristics (Adult, Neonate or Pediatric). The grouping of a hospital environment and patient characteristic is known as a Configuration Set.

The CMS is pre-configured on installation. These pre-configured settings are known as the Factory Default Values. The pre-configured factory default values in any of the Configuration Sets can be changed according to your specific application needs.

How Best to Configure?

The best way to configure the System is to determine and select which groups of values suit the differing patient categories and hospital environment types, for example, an Adult, Neonatal or Pediatric patient in either an OR or ICU environment. With the values grouped in this way, you do not have to change the ranges for many parameters. For useful application information on selecting the correct patient category, refer to Appendix A in this manual.

Configuration Overview 15

Introduction

Configuration Features

Temporary and Permanent Configuration

The System configuration can be changed temporarily or permanently.

Temporary

Configuration

Changes

Permanent

Configuration

Changes

During normal monitoring (in Monitoring Mode), you can make temporary alterations to the system configuration to suit a particular application, without permanently changing the system characteristics. These temporary changes are known as Active Settings. Any active settings will be lost when the CMS is:

• Switched off for more than 60 seconds.

• Switched from one Configuration Set to another Configuration Set.

• Switched from one Operating Mode to another Operating Mode.

For more information on which System characteristics can be configured in Monitoring Mode, refer to the CMS User’s Reference Manual Volume 1.

Permanent configuration changes are made in Configuration Mode and stored in the System. If the System is switched off for longer than 60 seconds, the stored configuration will be recalled when the System is switched on again. Configuration Mode consists of two distinct types of System Settings:

Universal Set to allow the consistent presentation of the patient

information (for example, display layout, alarm characteristics, etc.), for all configuration sets.

Configuration Sets to control the way the patient parameters are

processed (for example, individual alarm limits).

16 Confi

uration Features

Introduction

Universal Set

The values in the Universal Set are responsible for those settings that control, for example, the Display, Alarm Manager, Interfaces, Recorder Mode, and Patient Data Management. Several Parameters (for example, Temperature Differential) and configurable items of some Parameters, are also part of the Universal Set.

NOTE The configurable values of the Unive r sal Set are indepe ndent of, and

unaffected by, the selected Configuration Set.

The following are examples of some of the configurable settings within the Universal Set:

Display The display settings control the way the patient

information is presented. This includes the color and wave positioning, speeds etc.

Alarm Manager The Alarm Manager controls the way the alarms

are handled both Latching or Non-latching alarms, alarms suspended, alarms suspended for 3 minutes, etc.

Interfaces These settings control the way in which the

interfaces are used for connection to a Serial Distribution Network (SDN), STRIP recorder, RS232 and Analog Output on CMS and NCMS, or Serial Distribution Network (SDN), STRIP recorder, Analog Output and RS232 interface to the Omheda 7800/7810/7900 Anesthesia Machine Ventilators, Printer or Personal Computer for the ACMS.

uration Features 17

Confi

Introduction

Configuration Sets

There are four Configuration Sets which are used to store information at two levels. The first level contains information about the patient category (Neonate, Pediatric or Adult), and hospital environment type (ICU, OR), collectively known as Global Switches. The second level contains information about the measured parameters, for example, the alarm limits for various parameter values.

Global

Switches

This part of the Configuration Set is used to store information about the patient category and hospital environment type.

Patient Category Changing the Patient Category affects the way the

patient parameter data is processed. For example, the processing algorithm for ECG is different for Adults and Neonates.

NOTE Changing the Pati ent Catego ry only changes t he processi ng algor ithm

software for the parameters. The alarm limits, units and bandwidths are NOT changed automatically. These values must be changed in the Parameter section of the Configuration Set. This is achieved by selecting each parameter in turn, and pressing the

Factory Defaults

softkey.

Unit Type (CMS and NCMS only) This is used as a label or

note to remind the person configuring the parameters in which environment the Configuration Set is to be used. Certain parameters, such as the ECG bandwidth, would normally be different depending upon whether the environment is ICU or OR.

Note (CMS and NCMS only) Unit Type is only used as a reminder of the

proposed hospital environment so that you make the appropriate changes in the Parameter section of the Configuration Set. When you change the Unit Type, you must still change the alarm limi ts, p ara mete r units and bandwidths.

Parameters This part of the Configuration Set is used to store parameter units,

bandwidths and labels for some of the parameters.

18 Confi

uration Features

Configuration in Monitoring and Service Modes

The following features of the CMS are configured in either Monitoring or Service Mode:

Introduction

Feature

Parameter Settings Transfer

Analog Output Monitoring Model Reference Manual Vol 1

For configuration details on the System's VueLink Module, refer to Philips M1032A VueLink Module Handbook.

Printing the Configuration

Please refer to Appendix C for details of how printouts of screens of information can be printed.

Required Mode for

configuration

Service Mode Service Manual Vol 2

Refer to

uration Features 19

Confi

Introduction

20 Confi

uration Features

Procedures

Overview

This chapter describes how to change operating modes and how to make and save changes in Configuration Mode.

NOTE The configuration of the System requires the use of a password. This

is to prevent the configuration being altered either accidentally or by unauthorized perso nne l .

Figure 1 Configuration Procedure Flow diagram

Overview 21

Procedures

NOTE If the power fails during configuration, check all the items you have

configured to confirm they have been saved correctly.

22 Overview

Procedures

Entering and Leaving Configuration Mode

To start configuring the system, you must select Configuration Mode. Once you have completed all the changes to the configuration of the CMS, you must change the operating mode back to Monitoring Mode.

NOTE From Rel. C.0, returning to monitoring mode is allowed without

entering a password. Just press followed by

Resume Monitor

Step Action Comment

Monitor Setup

Press .

3 Enter the password.

Password: 1245

Press .

5 Select the required Opera tin g

Mode.

Press .

Monitor Setup

Operating Modes

Change OpMode

Confirm

The Monitor Setup or Instrument Configuration selection window is displayed.

The Operating Mode Task Window displays the current operating mode in words (for example, “Operating Mode Monitoring”) and prompts for the password.

Use the keys labeled to . If the password is correct, then the

Change OpMode

the password is incorrect, the system returns to the Standard Display.

The Operating Mode Task Window displays both and

in reverse video, with the current operating mode highlighted.

Use the arrow keys or press

Change OpMode

The system now performs a cold-start and switches Operating Modes.

1 5

key is highlighted. If

Monitor Config

When in Configuration Mode:

Press any on the System.

Hardkey

Pressing a hardkey of your choice allows you to enter configuration Task Windows.

When Configuration Mode is entered, the display becomes blank and the message “Config mode active - NO MONITORING!” appears at the top of the screen.

Enterin

and Leaving Configuration Mode 23

Procedures

ging

Changing the Configuration Set

This procedure is used to change the active Configuration Set.

NOTE This procedure can also be performed in Monitoring Mode.

Step Action Comment

Press

Press .

3 Select the required

configuration set.

Press .

Monitor Setup

Config Sets

Confirm

This displays the Monitor Setup or Instrument Configuration Selection Window.

This displ ays th e Confi gurat ion S et Task Window with the current Active Configuration Set and its Global Switches.

Use the arrow keys or press

Change ConfSet

The Global Switches for the highlighted Configuration Set are displayed (for example, Adult / OR).

To switch to the highlighted Configuration Set. The system now performs a cold-start and the chosen Configuration Set is made Active.

After you have selected the new Configuration Set, you can configure the various items of the Set in Configuration Mode.

24 Chan

the Configuration Set

ging

Changing Values

Once you have entered Configuration Mode and made !!active!! the Configuration Set you wish to alter, then you can make changes to the values within the active set. Changes to the active set can be made on two levels:

Global Switches This part of the Configuration Set is used to store

Parameters This part of the Configuration Set is used to store

Change Procedure

The procedure for making any changes is identical. Each set of changes, for example Global Switches or ECG parameters, have their own Task Window that displays the possible items that can be changed.

Procedures

Patient Category and Unit Type information as well as the ECG filtering frequency.

all the parameter settings.

The Task Window displays all the items that can be changed and their current values. The first item in the Task Window is highlighted. The procedure to change the values is described in the following steps:

Step Action Comment

1 Select the item you want to

change (for example Patient Categ).

3 The current value is

Press .

highlighted. Highlight the new value of the item.

Change Content

Use the arrow keys or .

The lower part of the Task Window is used to display the list of values that can be used. For example Patient categ would be:

Adult, Pediatric, Neonate Use the arrow keys or

Change Content

The value in the upper half of the Task Window changes accordingly.

Select Item

Chan

4 Repeat Steps 1 to 3 for all the items you wish to change in the Task

Window.

Values 25

Procedures

ging

Step Action Comment

5 Now you have made the changes to all the items in the Task Window, you

can press:

To save the changes you have made to the settings.

To recall the previous values for the settings.

To recall the factory defaults for the settings.

To confirm your choice.

Store Settings

Restore Settings

Factory Defaults

Press

Confirm

NOTE The factory defaults that are recalled will depend on the active Patient

Category and Unit Type of the Configuration Set. After pressing , do not continue to ope r ate the mon i tor un ti l

Confirm

the prompt message “Active values stored as user defaults” is displayed.

26 Chan

Values

Overview

Configuration Tables

This chapter lists the Universal Settings, Configuration Sets, Parameter Settings and Output Interfaces that can be changed. The content of each task window is listed in tabular format.

Each table consists of four columns:

• Column one contains the configurable Item Name.

• Column two contains the Factory Default Values.

• Column three lists all the possible values, User Default Values, that can be selected for each configurable item.

• Column four has been left blank, and can be used for keeping a record of the items that you configure.

The final page of this chapter is a sign-off sheet which can be used to record who was responsible for the configuration changes.

Overview 27

Configuration Tables

Universal Settings

The Universal Settings are generally independent of, and unaffected by, the Configuration Settings. However, there are some exceptions. Configurable items of the Universal Settings that are affected by the Configuration Settings are highlighted in a note accompanying the appropriate table.

Alarms Configuration Default Table

To access the Alarm information press:

Alarms/Volume Alarms Config

→ .

Factory

Item Name

Default

User Default Values

Values

QRS tone volume 45

Alarm tone vol 120

Prompt tone vol 60 0 to 255 in steps of 15 Alarm Suspend Infinite 1, 2, 3 mins or Infinite Visual & Audible Latched

Alarm Reminder On On, Off or Re-Alarming (see note below) Relay sensitive. RedYellow Red, RedYell, RedYell.Inop, Red Inop QRS type Q RS Tone QRS Tick or QRS Tone Lowend QRS tone Inaudible Audible or Inaudible Lowend Al. tone Audible (15) Au dible (15) or Inaudible (0)

Maintn VisualAl No

15 to 255 in steps of 15 or, 0 to 255

15 to 255 in steps of 15, or 0 to 255

Latched, Nonlatched, VisL AudNL

Range (0-255)

Yes or No note below)

(see “Maintain Visual Alarms”

User

Configuration

Reminder Time 3 mins 2 or 3 mins (see “Alarm Reminder” note

below)

1. Dependent on selection of item Lowend QRS. tone.

2. Dependent on selection of item Lowend AL. tone.

3. Visual alarms are latched, audible alarms nonlatched Central Station acts on visual alarm setting only.

4. If ’Maintn VisualAl’ is set to Yes, all numerics for the active alarming parameters (or latched alarms) will continue to blink, even if alarms are suspended or the individual parameter alarm is switched off.

28 Universal Settin

NOTE Maintain Visual Alarms

If Maintn VisualAl is set to Yes, an alarm which has been silence d and then suspended, will remain silent even if an instrument alarm is reactivated. To ensure that an alarm continues to sound after it has been silenced and susp ended, you m ust set the ite m Maint n Vi sualAl to No.

Note Alarm Reminder

• If the alarm reminder is configured to “On”, an active silenced alarm will be re-announced (for 6 second s) after the configured Alarm Reminder Time (temporary acknowledgment).

• If the alarm reminder is configured to “Off”, an active silenced alarm will not be re-announced (ind efinite acknowledgment).

Configuration Tables

• If the alarm reminder is configured to “Re-Alarming”, an active silenced alarm will be re-announced after the configured Alarm Reminder Time has passed. The alarm tone will sound continuously until it is silenced by pressing the key.

Silence/Reset

Universal Settin

s 29

Configuration Tables

Note French language CMSs only.

If French Homologation behaviour is required, all settings are configurable in Service mode under “Global Switches”.

If conforming to these standards, the following alarm configurations must be selected:

• Prompt tone volume 60 to 255 in steps of 15

• Alarm suspend 3 Min: for a SDN networked environment Infinite: for a non-SDN networked environment. Ensure that the monitor’s Alarm Reminder configuration corresponds

to the monitor’s environment.

• Alarm Reminder

• If the alarm reminder is configured to “On”, an active silenced

alarm will be re-annou nced after 2 or 3 minutes (temporary acknowledgment) (3 minutes for the ACMS).

• If the alarm reminder is configured to “Off”, an active silenced

alarm will not be re-announced (indefinite acknowledgment).

Ensure that the label provided for the monitor corresponds to the monitor’s configuration for Alarm Remin der.

30 Universal Settin

+ 112 hidden pages