Philips IntelliVue MP80, IntelliVue 90 User manual
IntelliVue MP80/90 & D80
Service Guide
IntelliVue Patient Monitor
MP80/90 & D80
Patient Monitoring
Part Number M8000-9351K
4535 641 12591
*M8000-9351K*
Table of Contents
1 Introduction 9
Who Should Use This Guide 9
How to Use This Guide 9
Abbreviations 9
Responsibility of the Manufacturer 10
Passwords 11
Warnings and Cautions 11
2 Theory of Operation 13
Monitor Theory of Operation 13
System Boundaries 14
Hardware Building Blocks 15
Data Flow 19
How does the Support Tool Work with the Monitor 23
Monitor Software Block Diagram 24
Block Diagram Legend 25
3 Testing and Maintenance 33
Introduction 33
Terminology and Definitions 34
Recommended Frequency 35
When to Perform Tests 36
Testing Sequence 40
Visual Inspection 41
Before Each Use 41
After Each Service, Maintenance or Repair Event 41
Power On Test 41
Safety Tests 42
Warnings, Cautions, and Safety Precautions 43
Safety Test Procedures 44
Preventive Maintenance Procedures 84
Noninvasive Blood Pressure Measurement Calibration 84
Performance Assurance Tests 84
Basic Performance Assurance Test 84
Full Performance Assurance Test 85
ECG/Resp Performance Test 85
ECG Sync Performance Test 86
SpO2 Performance Test 86
NBP PerformanceTest 87
Invasive Pressure Performance Test 89
3
Temperature Performance Test 90
M3014A Capnography Extension Performance Tests 90
Microstream CO2 Performance Test 93
Spirometry Performance Tests 98
Cardiac Output Performance Test 100
BIS Performance Test 101
Vuelink Performance Test 102
IntelliBridge Performance Test 103
EEG, SvO2 and tcGas Performance Tests 103
Nurse Call Relay Performance Test 103
Power Loss Alarm Buzzer Performance Test (only if Multi-Port Nurse Call Connector Board is installed) 105
IntelliVue 802.11 Bedside Adapter Communication Test 106
Reporting of Test Results 107
Carrying Out and Reporting Tests 108
Evaluation of Test Results 111
Other Regular Tests 112
Touchscreen Calibration 112
Disabling/Enabling Touch Operation 112
Printer Test Report 113
After Installation, Testing or Repair 113
4 Troubleshooting 115
Introduction 115
How To Use This Section 115
Who Should Perform Repairs 115
Replacement Level Supported 116
Hardware Revision Check 116
Hardware/Software Compatibility Matrix 117
Software Revision Check 118
Software Compatibility Matrix 119
Compatibilty with MMS 119
Compatibilty with FMS 120
Compatibility with Information Center 120
Number of Supported Parameter Modules 121
Obtaining Replacement Parts 123
Troubleshooting Guide 123
Checks for Obvious Problems 123
Checks Before Opening the Instrument 124
Troubleshooting Tables 126
Status Log 154
List of Error Codes 156
Troubleshooting with the Support Tool 156
Troubleshooting the Individual Measurements or Applications 157
4
5 Repair and Disassembly 159
Tools Required 159
MP80/D80/MP90 CMU Disassembly 159
Removing I/O Boards 160
Removing the Top Cover 162
Removing the Plastic Feet and/or the Locking Cam 163
Removing the optional Fans (MP90 Dual CPU Versions only)* 163
Replacing the Second (Independent) Video Board(MP90 Dual CPU Versions only) 164
Removing the Second CPU/Main Board (MP90 Dual CPU Versions only) 165
Accessing the Main CPU or Primary Video Board (MP90 Dual CPU Versions) 167
Replacing the Primary Video Board 168
Removing the Main Board 170
Removing the Power Supply 172
Removing the Speaker (MP80/MP90 only) 174
Removing the Power On/Off Switch 174
Flexible Module Rack (FMS) Disassembly 175
Removing the Handle and the Measurement Server Mount 175
Plug-in Modules 180
Plug-In Module Disassembly 181
Multi-Measurement Module (MMS) Disassembly 184
Tools required 184
Removing the Front Cover 184
Removing the Mounting Pin 185
Removing the Top Cover 185
Removing the DC/DC Board 186
Removing the MSL Flex Assembly 186
Reassembling the MSL Flex Assembly 187
Removing the NBP pump 189
Refitting the new NBP Pump 189
Refitting the DC/DC board 191
Refitting the Cover 191
Refitting the Front Cover 192
Final Inspection 193
MMS Extensions - Exchanging the Top Cover, MSL Flex Cable and the Dual Link Bar 193
Exchange Procedures 194
Disassembly Procedures for the M3015A MMS Extension (HW Rev. A) 205
Removing the Front Cover 205
Refit Procedures for the MMS Extension 209
6 Parts 211
MP80/MP90/D80 Parts 212
Exchange Parts 212
Replacement Parts 213
Flexible Module Rack (FMS) Parts 216
5
Exchange and Replacement Parts 216
Multi-Measurement Module (MMS) Parts 218
MMS Part Number Overview and Identification 218
MMS Firmware Overview 220
MMS Part Numbers - Front Bezel for M3001 #A01 & #A03 221
MMS Part Numbers - Front Bezel for M3001 #A02 221
MMS Part Numbers - Top Cover and MSL Assembly 222
MMS Exchange Part Numbers 223
MMS Part Numbers - Label Kits 225
MMS Part Numbers - NBP Assembly 225
MMS Extension Parts (M3012A, M3014A, M3015A and M3016A) 225
MMS Extension Part Numbers - Release Mechanisms 226
MMS Extension Part Numbers - Top Cover, Flex Cable and Link Bar 226
MMS Extension Part Numbers - Front Bezels 226
Exchange Parts List 228
IntelliVue X2 Part Numbers 229
Plug-in Modules Part Numbers 229
Part Number Table 230
Plug-In Modules Replaceable Parts 233
BIS Solution Replaceable Parts 238
BISx Solution Replacable Parts 239
tcpO2/tcpCO2 Module Accessories 240
IntelliVue 802.11 Bedside Adapter Part Numbers* 241
External Display Part Numbers 241
SpeedPoint Part Numbers 244
Remote Alarm Device Part Numbers 245
Remote Extension Device Part Numbers 245
7 Installation Instructions 247
Installation Checklist 247
Unpacking the Equipment 248
Initial Inspection 248
Mechanical Inspection 248
Electrical Inspection 248
Claims For Damage and Repackaging 249
Installing the M8008A/M8010A/M8016A CMU 249
Mounting Instructions 250
Connecting the Monitor to AC Mains 251
Connections 251
Installing Interface Boards 252
Connection of Devices via the MIB/RS232 Interface G.00.xx or higher 257
Connection of Devices via the MIB/RS232 Interface (Rev. D.00.58 to F.01.42) 258
Connection of Devices via the MIB/RS232 Interface (Rev. A.10.15 to C.00.90) 258
Connection of MIB Devices (Rev. below A.10.15) 259
6
Connection of USB Devices 260
Setting Up Multiple Displays 264
Installation of Multiple Displays 264
Configuring Multiple Displays 266
Examples for Multiple Display Use Models 270
Installing Remote Devices 272
Mounting the 15” Remote Display (M8031A) 272
Mounting the 15” Remote Display (M8031B) 273
Mounting the 17” Remote Display (M8033A/B/C) 274
Hardware Settings 277
Flexible Module Rack and/or Multi-Measurement Module 277
Remote Alarm Devices 283
Remote Extension Device 284
PS/2 Keyboard/Mouse 286
Philips Clinical Network (Wired) 286
Philips Clinical Network (Wireless) 286
Nurse Call Relay 287
Connections 287
ECG Out Functionality 287
Connections 287
Configuration Tasks 288
Checking Country-Specific Default Settings 289
Setting Altitude, Line Frequency, ECG Cable Colors and Height & Weight Units 289
Setting Altitude and Line Frequency 290
Configuring the Equipment Label 290
Configuring the printer 290
Configuring IP Address, Subnet Mask and Default Gateway 290
Configuration Settings for CSCN Routed Bedside Monitors (RBM) 291
Configuring Routed Bedside Monitors Support 291
Display Settings 292
IntelliBridge EC10 293
Accessing the IntelliBridge EC10 Service Interface 293
Firmware Upgrade 294
Uploading and Removing Device Drivers 295
Generating and Uploading Clone Files 295
Viewing System Information 296
Handing Over the Monitor 297
8 Site Preparation 299
Introduction 299
Site Planning 299
Roles & Responsibilities 300
M8008A/M8010A/M8016A Site Requirements 302
Space Requirements 302
Environmental Requirements 303
7
Electrical and Safety Requirements (Customer or Philips) 303
Remote Device Site Requirements 304
Connecting Non-Medical Devices 305
Multi-Measurement Module (MMS) M3001A, IntelliVue X2 M3002A or Flexible Module Rack (FMS) M8048A305
Remote Displays (M8031A) 310
Remote Displays (M8031B) 311
Remote Displays - M8033A 312
Remote Displays - M8033B 313
Remote Displays - M8033C 314
Remote Alarm Devices 316
Remote Extension Device 317
IntelliBridge 319
Local Printer 319
Philips Medical LAN 319
RS232/MIB/LAN Interface 320
Nurse Call Relay Interface 321
ECG Out Interface 321
9 Gas Analyzers 323
10 Philips 15210B Calibration Unit 325
Unpacking the Instrument 325
Initial Inspection 326
Instrument Identification 326
Specification 326
Operating Environment 327
Operating Information 327
Fitting the Gas Cylinders 327
Storage of Gas Cylinders 327
Disposal of Used Gas Cylinders 327
Routine Maintenance 327
Changing the Gas Cylinders 327
Care and Cleaning 328
Theory of Operation 328
Gas Flow Performance Check 329
Test Procedure 329
Disassembly 331
Parts List 332
11 IntelliVue Product Structure 335
Upgrade Options 337
12 Index 341
8
1
1Introduction
This Service Guide contains technical details for the IntelliVue MP80/90 Patient Monitor, the
Multi-Measurement Module (MMS), the IntelliVue X2, the Flexible Module Rack (FMS) and
the Measurement Server Extensions.
This guide provides a technical foundation to support effective troubleshooting and repair. It is
not a comprehensive, in-depth explanation of the product architecture or technical
implementation. It offers enough information on the functions and operations of the monitoring
systems so that engineers who repair them are better able to understand how they work.
It covers the physiological measurements that the products provide, the Measurement Server that
acquires those measurements, and the monitoring system that displays them.
Who Should Use This Guide
This guide is for biomedical engineers or technicians responsible for troubleshooting, repairing,
and maintaining Philips’ patient monitoring systems.
How to Use This Guide
This guide is divided into eight sections. Navigate through the tab le of conte nts at the left of the
screen to select the desired topic. Links to other relevant sections are also provided within the
individual topics. In addition, scrolling through the topics with the page up and page down keys
is also possible.
Abbreviations
Abbreviations used throughout this guide are:
Name Abbreviation
IntelliVue MP80/90 Patient Monitor the monitor
Flexible Module Rack FMS
9
1 Introduction Responsibility of the Manufacturer
Name Abbreviation
Multi-Measurement Module MMS
Measurement Link MSL
Medical Information Bus MIB
Anesthetic Gas Module AGM
Responsibility of the Manufacturer
Philips only considers itself responsible for any effects on safety, EMC, reliability and
performance of the equipment if:
- assembly operations, extensions, re-adjustments, modifications or repairs are carried out by
persons authorized by Philips, and
- the electrical installation of the relevant room complies with national standards, and
- the instrument is used in accordance with the instructions for use.
To ensure safety and EMC, use only those Philips parts and accessories specified for use with
the monitor. If non-Philips parts are used, Philips is not liable for any damage that these parts
may cause to the equipment.
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 Medizin Systeme Böblingen GmbH
Hewlett-Packard Str. 2
71034 Böblingen, Germany
The information contained in this document is subject to change without notice.
Philips 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 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.
10
Passwords 1 Introduction
Passwords
In order to access different modes within the monitor a password may be required. The
passwords are listed below.
Monitoring Mode: No password required
Configuration Mode: 71034
Demo Mode: 14432
Service Mode: 1345
Consult the configuration guide before making any changes to the monitor configuration.
Warnings and Cautions
In this guide:
- A warning alerts you to a potential serious outcome, adverse event or safety hazard. Failure
to observe a warning may result in death or serious injury to the user or patient.
- A caution alerts you where special care is necessary for the safe and effecti ve use of the
product. Failure to observe a caution may result in minor or moderate personal injury or
damage to the product or other property, and possibly in a remote risk of more serious
injury.
11
1 Introduction Warnings and Cautions
12 13
2Theory of Operation
Monitor Theory of Operation
The IntelliVue MP80/MP90 Patient Monitor:
- displays real-time data
- controls the attached measurement servers
- alarms in the case of patient or equipment problems
- offers limited data storage and retrieval (trending)
2
- interfaces to the Philips Clinical Network and other equipment
A monitor with just a single integrated measurement server can be connected to additional
building blocks to form a monitoring system with a large number of measurements, additional
interface capabilities and multiple slave displays. These elements cooperate as one single
integrated real-time measurement system.
2 Theory of Operation Monitor Theory of Operation
System Boundaries
The following diagram discusses specific boundaries within the overall system with respect to
their openness and real-time requirements:
Measurement LAN
combines components of one patient monitor; real time requirements
across all interconnect ed elements
Philips Clinical Network (wired LAN)
connects multiple patient monitors, information centers, application
servers; closed system, only Philips qualified products (tested and
with regulatory approval) are connected, Philips is responsible for
guaranteed real-time functionality and performance
Philips Clinical Network (wireless)
like Philips Clinical Network (wired) LAN, however due to current
wireless technologies available it has reduced bandwidth, longer
latencies, reduced functionality
Hospital LAN, Internet
Standard Network, not under Philips control, no guaranteed service,
no real-time requirements
14
Monitor Theory of Operation 2 Theory of Operation
Hardware Building Blocks
The following hardware building blocks make up the monitoring system:
IntelliVue MP80/MP90
The MP80/MP90 monitor:
- can be used with the standalone M8031A 15-inch or the M8033A 17-inch color LCD TFT
display with touchscreen operation.
- can also be used with other XGA and SXGA standalone off-the-shelf displays which comply
with medical standards such as IEC 60601-1 and IEC 60601-1-2.
- has the central processing unit in a separate module
- uses the Philips SpeedPoint as primary input device whereas the Philips Touchscreen and
computer devices such as mice, trackball, and keyboard can be added o pti on ally
- supports the Flexible Module Rack (FMS)
15
2 Theory of Operation Monitor Theory of Operation
Building Blocks:
Optional Hardware
The M8031A 15-inch color LCD TFT display or the M8033A 17-inch color LCD TFT display
(both with touchscreen operation) can be ordered optionally. Additional input devices such as
mice, trackball or keyboard can also be added. If the monitor is ordered with the wireless LAN
option a wireless transmitter is required. For further details regarding the wireless network please
refer to the M3185A Philips Clinical Network documentation.
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Monitor Theory of Operation 2 Theory of Operation
Compatible Devices
M3001A Multi-Measurement Module (MMS)
M3002A IntelliVue X2
M3012A, M3014A, M3015A, M3016A MMS Extensions
17
2 Theory of Operation Monitor Theory of Operation
Power Supply
The AC/DC converter transforms the AC power coming from the power plug into 48 V/120W
DC source and isolates the monitoring system from the AC power mains.The 48V is distributed
via power bus and supplies power to all the components of the system: The 56 V DC power
needed for the FMS, MMS and MMS Extension is created by an isolating DC/DC converter.
The CPU is supplied with 3.3 V and 5 V DC power. The transformation is performed in two
steps: The first DC/DC converter is a power regulator which reduces the variations caused by
load changes on the 48V power bus. The second DC/DC converter converts the power to the
needed voltage. Interface boards require a power of 10V AC.
CPU Boards
The CPU boards have an MPC860 50 MHz or MPC86x 100 MHz processor that provides a
number of on-chip, configurable interfaces. An array of 12 fast UARTS with configurable
protocol options are implemented in an ASIC (along with other system functions such as
independent watchdogs etc.), providing interfacing capabilities to measurement modules and I/O
boards. The serial interfaces can easily be electrically isolated. The main board contains
additional video hardware.
The CPUs provide two LAN interfaces to interconnect CPUs (via the MSL) and to connect to the
Philips Clinical Network.
The CPU capabilities are identical. Different loading options are coded on serial EEPROMs to
support the automatic configuration of the operating system at boot time.
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Monitor Theory of Operation 2 Theory of Operation
I/O Boards
Interfaces to the monitor are implemented via I/O boards. The location of these boards is
restricted by general rules. The I/O slot designations diagram and the I/O matrix which outline
the I/O board placement rules can be found in the Installation Instructions section.
The following is a list of Interface (I/O) boards which may be present in your monitor,
depending on your purchased configuration:
- MSL
- Video (analog)
- Philips Clinical Network (LAN wired or wireless)
- Basic Alarm Relay (Nurse Call)
I/O boards:
- PS/2
- MIB/RS232
- USB
Data Flow
- Flexible Nurse Call
- Parallel printer
- Remote devices (Remote Alarm Device, Remote Extension Device)
- IntelliVue 802.11 Bedside Adapter
The specifications for the above listed interfaces can be found in the technical data sheet for the
monitor and in the Installation and Specifications chapter of the Instructions for Use.
The following diagram shows how data is passed through the monitoring system. The individual
stages of data flow are explained below.
19
2 Theory of Operation Monitor Theory of Operation
Data Acquisition
Monitoring data (for example patient measurement data in the form of waves, numerics and
alerts) is acquired from a variety of sources:
- Measurement Servers
The Measurement Servers connected to the internal LAN convert patient signals to digital
data and apply measurement algorithms to analyze the signals.
- External measurement devices
Data can be also acquired from devices connected to interface boards of the monitor.
Software modules dedicated to such specific devices convert the data received from an
external device to the format used internally. This applies to parameter modules and the
Anesthetic Gas Module.
- Server systems on the Philips Clinical Network
To enable networked applications such as the other bed overview, data can be acquired from
server systems attached to the Philips Clinical Network, for example a Philips Information
Center
Data Provider System Service
All data that is acquired from measurement servers or external measurement devices is
temporarily stored by a dedicated data provider system service. All monitor applications use this
central service to access the data in a consistent and synchronized way rather than talking to the
interfaces directly.
This service makes the applications independent of the actual type of data acquisition device.
The amount of data stored in the data provider system service varies for the different data types.
For example several seconds of wave forms and the full set of current numerical values are
temorarily stored in RAM.
Persistent Data Storage System Service
Some applications require storage of data over longer periods of time. They can use the
persistent data storage system service. Dependent on the application requirements, this service
can store data either in battery backed-up (buffered) memory or in flash memory. The buffered
memory will lose its contents if the monitor is without power (not connected to mains) for an
extended period of time. The flash memory does not lose its contents.
The trend application for example stores vital signs data in a combination of flash memory and
buffered memory, while the system configuration information (profiles) is kept purely in flash
memory.
20
Monitor Theory of Operation 2 Theory of Operation
Display and User Interface Service
Applications can use high level commands to display monitoring data or status and command
windows on the internal LCD panel. These commands are interpreted by the display manager
application. This application controls the dedicated video hardware which includes video
memory and a special ASIC.
User input is acquired from a variety of input devices, for example the SpeedPoint, the
touchscreen or other standard input devices (keyboard, mouse) which may be attached to I/O
boards. The system software makes sure that the user input is directed to the application which
has the operating focus.
Data Output
The monitoring system is very flexible and customizable regarding its data output devices.
Built-in devices (for example LAN, alarm lamps, speaker, video) provide the basic output
capabilities.
These capabilities can be enhanced by adding additional I/O boards, as required in the specific
end-user setup. The additional I/O boards typically provide data to externally attached devices,
for example to printers, RS232 based data collection devices, nurse call systems etc.
The monitor can identify I/O boards by means of a serial EEPROM device that stores type and
version information. The operating system detects the I/O boards and automatically connects
them with the associated (interface driver) application. For some multi-purpose cards it is
necessary to configure the card for a particular purpose first (for example the dual MIB/RS232
card can support external touch display , data import, data export).
Monitor Applications
The monitor applications provide additional system functionality over the basic measurement
and monitoring capabilities. This includes for example trending, report generating, event storage
or derived measurements.
In general, the monitor applications use the data provider system service to access the
measurement data. Application interfaces to the other system services allow the application to
visualize data, to store data over extended periods of time or to output data to other devices.
21
2 Theory of Operation Monitor Theory of Operation
Internal LAN (Measurement Link)
All components of the monitoring system (including measurement servers and CPUs in the
monitor) communicate using an IEEE802.3/ Ethernet LAN in the Measurement Link (MSL).
This network is used to distribute data between the components, for example:
- Digitized patient signals including wave data, numerical data and status information
(typically from the measurement server to a display unit)
- Control data representing user interactions (typically from the display unit to a measurement
server)
- Shared data structures, for example representing patient demographical data and global
configuration items
The internal LAN allows plug and play configuration of the monitoring system. The system
automatically detects plugging or unplugging of measurement servers and configures the system
accordingly.
The components on the internal LAN are time-synchronized to keep signal data consistent in the
system. Dedicated hardware support for synchronization eliminates any latency of the network
driver software.
The integrated LAN provides deterministic bandwidth allocation/reservation mechanisms so that
the real-time characteristic of signal data and control data exchange is guaranteed. This applies
to the data flow from the measurement server to the monitor (for example measurement signal
data) and the data flow from the monitor to a measurement server (for example to feed data to a
recorder module).
Integrated communication hubs in the monitor and the FMS allow flexible cabling options (star
topology, daisy chaining of servers).
22
Monitor Theory of Operation 2 Theory of Operation
Philips Clinical Network
The monitoring system may be connected to the Philips Clinical Network, for example to
provide central monitoring capabilities or other network services. This connection may be
through a normal wired connection or through a wireless connection.
The monitor supports the connection of an external wireless adapter or an internal wireless
adapter (#J35). Switching between wired and wireless networks is automatically triggered by the
plugging or unplugging of the network cable.
The Philips Clinical Network protocols function very similarly to the protocols used on the
internal LAN.
After configuration, the monitoring system sends the digitized patient signals including wave
data, numerical data and status information onto the network. Control data representing user
interactions can be exchanged between the monitoring system and a central station
bi-directionally.
Additional protocols are supported for networked applications, for example for the other bed
overview function, which allows viewing of monitoring data from other patients on the network.
For plug and play operation, the monitoring system uses the standard BootP protocol to
automatically acquire a network address.
How does the Support Tool Work with the Monitor
The support tool is a Windows application typically installed on the laptop of a customer
engineer or a biomedical engineer working in the customer’s own service department.
The purpose of the support tool is to upgrade, configure and diagnose all monitoring componen ts
(modules, measurement servers, and monitors) in the system over the network.
The service protocol developed for this purpose uses a raw access to the devices without the
need for IP addresses etc. over a standard customer network installation, so that even defective
devices can be upgraded as long as the few kBytes of initial boot code are working. The boot
code itself can also be upgraded using the same protocol.
The tool allows access to internal service information and to serial numbers. It can be remotecontrolled, for example via a dial-up connection from a response center, provided the proper
infrastructure is in place.
For details see the Instructions for Use for the Support Tool.
23
2 Theory of Operation Monitor Theory of Operation
Monitor Software Block Diagram
shows the functional block diagram for the monitoring system. A legend explaining terms and
diagram elements follows. The information below varies depending on the purchased monitor
options.
IntelliVue Patient Monitoring System Functional Block Diagram
24
Monitor Theory of Operation 2 Theory of Operation
Block Diagram Legend
Functional Block Description
Services
Operating System The Operating System (OS) provides a layer of isolation
between the specific hardware implem entati on an d the
application software. The OS performs system checks and
allocates resources to ensure safe operation when the
system is first started. This includes internal self-tests on
several hardware modules and configuration checks for
validity of configuration with the operating software.
During normal operation, the OS continues to run checks
on system integrity. If error conditions are detected the
OS will halt monitoring operations and inform the
operator about the error condition.
System Services The System Services provide generic common system
services.
In particular:
They use a real-time clock component to track time. They
synchronize to network time sources and verify the
accuracy of the system time information. They are also
responsible for managing persistent user configuration
data for all Measurement Servers, Flexible Module Racks
and IntelliVue Patient Monitoring System software
modules. User configuration data is stored in a
non-volatile read/write storage device
Applications
Application Server Client The Application Server Client provides the Citrix1 thin
client functionality.
25
2 Theory of Operation Monitor Theory of Operation
Functional Block Description
Reports The Reports Service retrieves current and stored
physiological data and status data to format reports for
printing paper documentation. The following reports are
supported:
- Vital Signs Report
- Graphical Trend Report
- Event Review Report
- Event Episode Report
- ECG Report (12 Lead/Multi-Lead)
- Cardiac Output Report
- Calculations Report
(Hemodynamic/Oxygenation/Ventilation)
- Calculations Review Report
- Wedge Report
- Test Report
- Other reports (e.g. Loops, Review Applications, Drug
report)
The Reports service generates report data which can be
printed on a local or a central printer.
Record The Record Service retrieves current and stored
physiological data and status data to format a continuous
strip recording. A recording can be triggered manually by
the operator or automatically by an alarm condition. The
Record Service uses the services of the Recorder Interface
to control an M1116B Recorder in the FMS. The Record
Service can also send data to a central recorder.
26
Monitor Theory of Operation 2 Theory of Operation
Functional Block Description
Alarm The Alarm Service contains logic that prioritizes alarm
conditions that are generated either by the Measurement
Servers, Flexible Module Rack, or by IntelliVue Patient
Monitoring System software modules. Visual alarm
signals (messages) are displayed at the top of the
IntelliVue Patient Monitoring System display and alarm
sounds are generated by a loudspeaker. Alarm conditions
may be generated when a physiological parameter
exceeds preselected alarm limits or when a physiological
parameter or any other software module reports an
inoperative status (technical alarm, for example, the ECG
leads may have fallen off the patient). The Alarm service
manages the alarm inactivation states, for example
suspension of alarms, silencing of alarms, and alarm
reminder. Alarm signals may also be configured as
latching (alarm signals are issued until they are
acknowledged by the operator, even when the alarm
condition is no longer true). The Alarm service controls
the visual alarm signals (alarm lamps).
Trend The Trend service stores the sample values of
physiological data and status data with a resolution of 12
seconds, 1 minute or 5 minutes for a period of up to 48
hours. The data is kept in battery buffered read/write
storage and flash memory devices to be preserved across
power failures. The stored data is protected via
consistency checks and checksums. When a new patient is
admitted, the trend database erases all data of the previous
patient.
HiRes The OxyCRG (Oxygen CardioRespiroGram) service
derives a high-resolution trend graph from the
Beat-to-Beat Heart Rate, SpO2 or tcpO2, and Respiration
physiological data. The OxyCRG is specialized for
neonatal applications, allowing the operator to identify
sudden drops in Heart Rate (Bradycardia) and SpO2 or
tcpO2 (Desaturations), and supporting the operator in
visualizing Apnea situations.
ADT The ADT (Admit/Discharge/Transmit) service maintains
the patient demographics information. The operator may
admit a new patient, discharge the old patient and enter or
modify the patient demographics. The ADT service also
supports the transport of a patient (trend database) with
the M3001A Multi-Measurement Module. The ADT
service controls the deletion of old patient data, the
upload of trend data from the M3001A and the switching
back of all settings to user defaults. It also synchronizes
patient information with a central station on the network.
27
2 Theory of Operation Monitor Theory of Operation
Functional Block Description
Calc Param The Calc Param (Calculated Parameters) service accesses
current, stored and manually entered physiological data as
input to calculation formulas. With these formulas,
derived hemodynamic, oxygenation and ventilation
variables are computed. The calculation results, including
the input parameters, are stored for later review using the
Trend service.
Drug Calc The Drug Calc application aids in calculating drug
dosages for patients.
PV Loops The PV Loops application compares graphic
representations of airway waves to help detect changes in
the patient airway condition.
Interface Managers
MDSE The MDSE (Medical Data Service Element) Interface
Manager is responsible for the exchange of real-time data
between the IntelliVue Patient Monitoring System display
unit and the Measurement Servers and Flexible Module
Rack as well as between the IntelliVue Patient
Monitoring System display unit and other devices
attached to the network. MDSE establishes and maintains
a data communication link between the devices. It
provides configuration information about the remote
device to applications in the local device and it allows the
exchange of measurement data and status information
between the devices.
Printer The Printer Interface Manager provides a high level
interface to a printer. It provides means to:
- establish a connection to the printer
- transfer data to the printer
- get status of the printer
- close connection to the printer
The Printer Interface Manager also supervises the
connection to the printer and whether the printer accepts
data (for example paper out). The Printer Interface
Manager notifies the operator in such cases.
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Monitor Theory of Operation 2 Theory of Operation
Functional Block Description
Display & Operator
Interface
The Display and Operator Interface Manager performs the
following tasks:
- Screen presentation of real-time and stored
physiological measurement data, alarm condition data
and status information received from the MDSE
interface manager, the Alarm service or other
IntelliVue Patient Monitoring System modules
- Screen presentation of operating controls (control
windows)
- Processing of operating control commands received
from HIF Control interface. The module verifies and
interprets the received commands and forwards them
to other software modules of the IntelliVue Patient
Monitoring System display unit, Measurement
Servers or Flexible Module Rack
- Sound generation (issues audible alarm signals and
generates audible information signals, for example
QRS and SpO2 tones, operator audible feedback)
Interfaces
LAN The LAN interface implements the physical layer of IEEE
802.3. The LAN interface performs Manchester
encoding/decoding, receive clock recovery, transmit pulse
shaping, jabber, link integrity testing, reverse polarity
detection/correction, electrical isolation, and ESD
protection. Electronically separated interfaces are used for
communication to the Measurement Servers or Flexible
Module Rack and to the network.
Centronics The Centronics interface implements the standard
signaling method for bi-directional parallel peripheral
devices according to IEEE 1284-I. The interface is used
as a parallel interface to a standard printer with electrical
isolation and ESD protection.
29
2 Theory of Operation Monitor Theory of Operation
Functional Block Description
Display Controller The Display Controller Interface consists of a video
controller chip, video RAM and the controlling software.
The Display Controller interface processes the high level
display commands (character and graphic generation,
wave drawing) and translates them into pixels, which are
written into the video RAM where the video controller
chip generates the video synchronization signals and the
pixel stream for the Color LCD Display.
HIF Control The HIF (Human Interface Control) interface scans the
Human Interface devices for operator controls (Touch
Screen, Speed Point, USB and PS/2 devices), formats the
collected data and sends it to the display and Operating
Interface.
ECG-Out Marker-In The ECG Out/Marker In interface receives the ECG
waveform directly from the ECG/Resp Arrhythmia
ST-Segment physiological algorithm via an RS-422 serial
interface and converts the digital ECG signal to an analog
ECG signal. In addition, the ECG Out controller receives
from a connected device the marker information and
forwards this data to the ECG/Resp Arrhythmia
ST-Segment physiological algorithm. The converted
analog signal is used to synchronize a connected device to
the patient’s ECG
RS-422 The serial link RS-422 interface communicates the ECG
signal to the ECG Output/Marker In of the IntelliVue
Patient Monitoring System display unit. The interface is a
serial, differential, full-duplex link. The interface is ESD
protected.
PS/2 The PS/2 interface supports the serial protocol of standard
PS/2 devices (mouse). The PS/2 serial protocol is
interpreted by the HIF Control interface.
Nurse Call The Nurse Call board contains 2 connectors. A phone
jack type connector and a multi-port connector. The
phone jack type connector has a single close-on-alarm
relay. The multi-port connector has three alarm relays
which are configurable to be open or closed on alarm. In
addition, this interface has an audible alert capability for
loss of AC power.
MIB The MIB interface allows full-duplex, short-haul
asynchronous binary communication between the monitor
and an arbitrary (medical/non-medical) device using an
eight-pin RJ45 modular connector. Switching between
MIB and RS232 protocol is possible.
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