Philips IntelliVue Information Center User manual

IntelliVue Information Center

INSTRUCTIONS FOR USE

Release F

English

Printing History

Notice

Instructions for use

Equipment specifications are subject to alteration without notice. All changes
will be in compliance with regulations governing manufacture of medical
equipment.

Printed in the USA

Document number
M3150-9001F

© Koninklijke Philips Electronics N.V. 2004
All rights are reserved. Reproduction in whole or in part is prohibited without
the prior written consent of the copyright holder.

Philips Medical Systems Nederland B.V. reserves the right to make changes in
specifications and/or to discontinue any product at any time without notice or
obligation and will not be liable for any consequences resulting from the use of
this publication.

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.

First Edition ................................................................................. November, 2004

ii

Warning

Warning

The warnings described below refer to the following devices:

• IntelliVue M3145/50/55 Information Center

• IntelliVue M3151 Information Center Client

• IntelliVue M3170 Patient Link

• Philips Recorder

WarningWarning

Some pace pulses can be difficult to reject. When this happens, the pulses
are counted as a QRS complex, and could result in an incorrect HR and
misdetection of cardiac arrest or some arrhythmias. Keep pacemaker
patients under close observation. See Chapter 5, “ST/AR Arrhythmia
Monitoring,” for specific warnings about monitoring paced patients.

WarningWarning

This device provides ST level change information; the clinical significance
of the ST level change information should be determined by a physician.

WarningWarning

Always confirm Information Center observations with clinical observation
of patient at the bedside before administering interventions.

iii

About this Book

About this Book

Overview This User’s Guide can be used with the family of IntelliVue Information Centers

and the Philips Recorder. The IntelliVue Information Centers include the:

• IntelliVue M3145/50/55 Information Center

• IntelliVue M3151 Information Center Client

• IntelliVue M3170 Patient Link

The terms “Information Center” and “central” are used throughout this book to
refer to the models listed above. Specific differences between the various
models are noted in the text where applicable.

This User’s Guide contains information specific to the Information Center
including information on performing day-to-day tasks and troubleshooting
common problems, as well as detailed information about all clinical
applications. It also provides a complete list of alarm and INOP messages and
configuration choices. For specific information on using the Philips Telemetry
System or the Philips IntelliVue Telemetry System, please refer to the your
appropriate telemetry system Instructions for Use manual.

The on-line Information Center Help provides instructions for completing basic
tasks and troubleshooting problems. The on-line help also provides user
information for the Philips Telemetry System.

Note—Not all functionality described in this manual may be available to you.

For information about your computer, printer, or other hardware, please consult
the accompanying documentation. To verify that the device is installed and
working correctly see the “Performance Assurance” section of the Philips
Information Center Service Manual.

iv

About this Book

Document
Conventions

Procedures

Procedures are indicated in text by the heading “Task Summary” followed by
the following table:

Step Action

1

2

3

Bold Typeface

Objects of actions in procedures appear in
example:

Select the

Warnings

WarningWarning

Warnings are information you should know to avoid injuring patients and
personnel.

Cautions

Update button.

bold typeface. Note the following

Caution

Cautions are information you should know to avoid damaging your equipment
and software.

Notes

Note—Notes contain additional information on the Information Center usage.

v

About this Book

vi

Contents

What’s New in Release F . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Preface-1

1. Introduction to the Information Center. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-1

The IntelliVue Information Center . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-2

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2

Philips Patient Care System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2

IntelliVue Clinical Network with Database Server . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-5

Large Network Central Database System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-7

Intended Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-9

The Information Center Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-10

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-10

Recordings and Reports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-11

Point-of-Care Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-11

Information Center Display Screens . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-15

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-15

Main Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-16

System Message Area. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-16

Patient Sectors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-16

Patient Sector Buttons. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-18

Patient Window . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-20

Single Display. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-20

Dual Displays . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-20

Information/Icons on the Patient Window . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-22

Adjustments on the Patient Window. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-22

Patient Window Buttons . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-23

Application Buttons . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-24

Basic Task Buttons . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-26

Using Standby . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-27

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-27

With Telemetry, M3 and IntelliVue Patient Monitors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-27

Task Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-27

With Other Bedside Monitors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-29

Task Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-29

Making Remote NBP Measurements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-30

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-30

Task Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-30

Contents-1

EASI 12-lead Review and Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-31

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-31

Task Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-31

Viewing Other Patients over the IntelliVue Clinical Network . . . . . . . . . . . . . . . . . . . . . . . . . . 1-33

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-33

Viewing a Bed Temporarily. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-33

Task Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-33

Overview Beds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-34

Types of Access . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-34

Full Control if Multiple Viewers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-35

Optimizing Wireless System Performance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-35

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-35

Minimizing Data Loss . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-35

Low Signal Strength . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-36

Interference . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-36

Wireless System Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-37

Configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-38

Using the On-line Help . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-39

2. Patient Management. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-1

Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-2

Admitting a Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-3

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-3

With M3 or IntelliVue Patient Monitors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-3

With Other Bedsides. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-3

Task Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-4

Changing Patient Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-9

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-9

With M3 or IntelliVue Patient Monitors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-9

Task Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-9

Resolving Conflicts with M3 or IntelliVue Patient Monitors . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-10

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-10

Task Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-11

Care Groups. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-13

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-13

M3 or IntelliVue Patient Monitors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-13

Setting up a Care Group. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-14

Assigning a Beds to Care Groups . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-17

Discharging a Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-19

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-19

Contents-2

With M3 and IntelliVue Patient Monitors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-19

With Other Bedsides . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-20

Task Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-20

Discharging for Transport . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-22

Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-22

Task Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-22

Transferring Patient Data to a New Bed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-24

Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-24

Task Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-24

Fixed and Flexible Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-28

Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-28

Fixed Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-28

Flexible Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-28

Assigning a Bed and/or Equipment to a Sector . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-29

Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-29

Task Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-30

Pairing/Unpairing Telemetry Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-31

Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-31

Parameter/Wave Behavior . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-31

Alarm behavior . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-32

Control behavior . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-33

Task Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-34

Changing Equipment for a Sector . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-35

Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-35

Patient Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-35

Task Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-37

Assigning an Overview Bed to a Sector . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-38

Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-38

Fixed monitoring. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-38

Flexible Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-38

Overview Bed Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-38

Task Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-39

Clearing (Unassigning) a Sector . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-40

Fixed Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-40

Flexible Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-40

Task Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-40

Assigning a Secondary Wave . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-42

Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-42

Task Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-42

Contents-3

3. Recordings and Reports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-1

Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2

Types of Recordings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-3

Alarm Recordings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-4

Making a Delayed Recording . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-5

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-5

Task Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-6

Action of Patient Sector Button . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-7

Making an Alarm/Delayed Recording Continuous . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-7

Extending a Delayed Recording at the M3 Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-7

Making a Delayed Recording for All Beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-8

Saving a Strip from the Patient Sector . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-8

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-8

Task Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-8

Selecting the Waves that are Saved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-8

Making Real-Time Recordings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-9

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-9

Task Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-9

Controls and Indicators on the Philips M1116B 2-Channel Recorder Module . . . . . . . . . . . . . 3-11

Controls and Indicators on the Philips M3176C 2-Channel Recorder . . . . . . . . . . . . . . . . . . . . 3-12

Controls and Indicators on the M3160A 4-Channel Recorder . . . . . . . . . . . . . . . . . . . . . . . . . . 3-13

Recording Priority . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-14

Recording Status Messages. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-15

Main Screen Messages. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-15

Recorder Messages at the M3 Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-16

Annotation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-17

Re-Annotation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-18

Loading Paper into the M1116B 2-Channel Recorder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-19

Task Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-19

Testing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-20

Task Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-21

Loading Paper into the M3176C 2-Channel Recorder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-22

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-22

Task Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-22

Testing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-23

Loading Paper into the 4-Channel Recorder. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-24

Philips M1116B 2-Channel Recorder Connections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-26

Philips M3176C 2-Channel Recorder Connections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-27

M3160A 4-Channel Recorder Connections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-28

Ordering Information for Supplies for Recorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-29

Contents-4

Paper . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-29

Cleaning Kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-29

Printing Reports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-29

Printer Status Message . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-30

Printer Messages at the M3 Monitor. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-30

Cleaning the Philips M1116B 2-Channel Recorder Printhead . . . . . . . . . . . . . . . . . . . . . . . . . .3-31

4. Alarm Management and Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-1

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-2

M3 Monitors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-2

IntelliVue Patient Monitors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-3

Alarm Indicators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-3

Alarm Levels and Priorities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-4

Active Alarm Sound. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-6

Alarm Messages. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-7

Arrhythmia Alarm Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-8

Arrhythmia INOP/Technical Alarm Messages. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-11

Alarm Adjustments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-13

Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-13

Adjusting Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-13

Turning Alarms On/Off . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-16

Task Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-16

Arrhythmia Analysis Off . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-23

Alarm Adjustment Effects . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-24

Timeout Periods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-25

Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-25

Clearing the Timeout Period. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-26

Alarm Chaining . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-26

Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-26

Alarm Groupings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-26

Alarm Announcing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-27

Alarm Behavior and Timeout periods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-27

Alarm Priority Chains. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-28

Silencing Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-30

Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-30

Alarm Behavior . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-30

Alarm Reminders. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-32

Task Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-33

Fast Alarm Review Disabled. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-33

Fast Alarm Review Enabled . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-33

Contents-5

Suspending/Pausing Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-34

Telemetry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-34

Bedside Monitors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-34

TeleMon . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-34

Telemetry Smart Limits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-35

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-35

Automatically Set Smart Limits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-35

Manually Set . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-36

Smart Limits Examples. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-36

Adjusting the Alarm Tone Volume. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-38

Recording/Storing Alarms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-39

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-39

Task Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-40

Storage of Arrhythmia Alarms at the Information Center . . . . . . . . . . . . . . . . . . . . . . . . . . 4-40

5. ST/AR Arrhythmia Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-1

Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-2

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-2

Levels of Arrhythmia Analysis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-3

Basic Arrhythmia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-3

Enhanced Arrhythmia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-4

How the ST/AR Algorithm Works . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-5

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-5

Ensuring Accurate Arrhythmia Monitoring. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-6

Example of Optimized Non-Paced ECG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-11

Example of Optimized Paced ECG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-12

Aberrantly conducted beats . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-12

Atrial Fibrillation and Flutter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-13

Intermittent Bundle Branch Block . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-13

Paced Patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-14

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-14

Warnings for Paced Patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-14

Repolarization Tails . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-16

Learning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-17

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-17

Learning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-17

Single Lead Analysis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-17

Multilead Analysis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-17

Multilead Analysis With Changes in One Lead . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-18

EASI ECG Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-18

Contents-6

Monitoring During Leads Off . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-19

Fallback. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-19

Multilead Analysis. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-19

Singlelead Analysis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-19

EASI ECG Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-19

Extended Monitoring (Telemetry) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-19

Status Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-20

Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-20

Rhythm Status Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-20

Ectopic Status Messages. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-22

False Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-24

6. Patient Data Review . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-1

The Information Center Review Windows . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-2

Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-2

Review Window Features. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-4

Using Strips in Review Windows. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-5

Alarm Review . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-8

Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-8

Using Alarm Review . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-9

Fast Alarm Review . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-15

Trend Review. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-17

Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-17

Trend Review with Graphic Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-17

Trend Review with Tabular Display. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-20

Event Review . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-22

Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-22

Cursor/Event Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-22

Event Bars. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-23

Using Event Review . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-24

Reports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-27

Strip Reports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-27

Event Summary Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-28

Wave Review . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-30

Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-30

Navigation Choices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-30

No Data/Invalid Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-32

Using Wave Review . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-33

Reports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-36

Strip Reports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-36

Contents-7

Duration Reports. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-37

ST Review . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-38

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-38

Navigation Choices. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-39

Using the ST Cursor Buttons . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-41

Using ST Review . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-41

12-Lead Review . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-43

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-43

12-Lead Review with 12 Lead Captures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-43

Using this Window . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-44

EASI Derived 12-Lead Review . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-45

Navigation Choices. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-45

Using This Window . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-47

12-Lead Export Window . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-48

Export Data to Holter System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-50

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-50

Task Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-51

Changing the Waves that are Stored . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-53

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-53

Task Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-53

Scheduled Reports. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-54

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-54

All Reports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-54

Trend Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-56

Alarm Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-58

Event Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-59

Wave Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-60

Summary/Unit Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-62

Information Center Web Access . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-64

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-64

Intended Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-65

Accessing the Information Center Web . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-65

Notes on Use. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-67

Multilead ECG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-67

Alarm Review . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-67

Trend Review. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-68

Displaying Data in Tabular Format. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-68

Event Review . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-68

Wave Review . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-69

ST Review . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-69

Contents-8

12-Lead Review . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-69

7. Alarm Paging. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-1

Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-2

Data Sent. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-3

Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-3

Reminder Alarms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-3

Loss of Connection to Database Server . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-4

Assigning Beds/Alarms to a Paging Device . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-5

Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-5

Task Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-5

Sending Manual Pages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-7

Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-7

Task Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-7

Sending Text Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-8

Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-8

Task Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-8

Specifying Alarms for Automatic Paging . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-9

Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-9

Task Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-9

Viewing Paging Device/Bed Assignments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-10

Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-10

View by Device Task Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-10

View by Bed Label Task Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-12

8. ST for Bedside Monitors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-1

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-2

The Measurement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-3

Information Center’s ST/AR ST Algorithm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-4

Displayed ST Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-4

EASI ST Analysis. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-4

Enabling ST Review for Bedside Monitors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-5

Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-5

Adjusting Measurement Points. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-5

CANNOT ANALYZE ST INOP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-7

ST Data Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-8

9. Information Center Configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-1

Information Center Unit Settings Menus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-2

Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-2

Contents-9

Accessing the Unit Settings Menus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-4

Using the Unit Settings Menus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-5

Printing the Unit Settings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-5

Arrhythmia Alarms Unit Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-6

Record/Store/Page Alarms Unit Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-9

ST Unit Settings (telemetry) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-13

Trend Groups Unit Settings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-15

Event Groups Unit Settings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-22

Stored Waves Unit Settings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-26

Scheduled Reports Unit Settings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-28

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-28

Printing Behaviors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-28

All Reports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-29

Trend Report Unit Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-30

Alarm Report Unit Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-32

Event Report Unit Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-33

Wave Report Unit Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-34

Summary Report Unit Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-35

General Setup Unit Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-36

Volume Control Unit Settings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-37

10. Information Center

Safety and Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-1

Regulatory and Safety Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-2

Declaration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-2

Authorized EU Representative. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-2

Electromagnetic Compatibility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-3

Reducing Electro-magnetic Interference . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-4

Restrictions for Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-4

Information Center Software Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-5

Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-5

M3150/55 Information Center . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-6

Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-6

Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-6

M3151 Information Center Client. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-7

Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-7

Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-7

M3170 Patient Link. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-8

Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-8

Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-8

Contents-10

M3154 Database Server . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-9

Features. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-9

Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-9

M3169 Small Database Server. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-10

Features. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-10

Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-10

Release F.0 Hardware Performance Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-11

ECG Performance Disclosure/Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-16

Specifications for the Philips M1116B 2-Channel Recorder . . . . . . . . . . . . . . . . . . . . . . . . . . .10-19

Declaration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-19

Specifications for the M3176C 2-Channel Recorder. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-20

Declaration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-20

Specifications for the M3160A 4-Channel Recorder. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-21

Installation Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-22

Environment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-22

Archetypical Input Power Source Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-23

Grounding Information Center and Recorder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-23

Condensation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-23

Explanation of Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-24

During Power Transitions/Loss . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-26

If Connection to the M3154/M3169 Database Server is Lost . . . . . . . . . . . . . . . . . . . . . . . . . .10-27

Local Database Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-27

Remote Diagnostics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-29

Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-29

Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-30

Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-30

Surface Cleaning. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-31

Touch Screen Display Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-32

A. Trend Definitions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-1

B. Event Definitions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B-1

Defined Events . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B-1

Alarm Defined Events . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B-4

C. ST/AR Configuration Reporting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-1

First Character Codes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-2

Second Character Codes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-2

Third and Fourth Character Codes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-4

Fifth Character Codes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-8

Contents-11

Sixth Character Codes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .C-9

Seventh Character Code. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .C-11

D. Sales and Support Offices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D-1

Contents-12

What’s New in Release F

This section highlights the differences between Release E.01 of the IntelliVue
Information Center and Release F of the IntelliVue Information Center. Release
F of the Information Center includes the following:

Introduction

• Support of a new telemetry system, the Philips IntelliVue Telemetry
System, and new TRx and TRx

TRx and TRx

information.

• Optionally, the integration of a paging system, Alert Data Integration
for secondary notification of patient alarms. The paging system acquires
patient alarm data from the bedside or the telemetry monitoring system
and relays it in textual format to a paging device such as a pager, marquee
display or cell-phone. No waveform data is sent. See “Chapter 7. Alarm
Paging” for information on using Alert Data Integration.

• The ability to pair a telemetry device with an IntelliVue Patient Monitor
for display of telemetry data (waveforms, parameters, and alarms) as well
as bedside parameters on the IntelliVue Patient Monitor. When paired, the
telemetry data automatically displays as a permanent overview session in
the Telemetry Overview window on the IntelliVue Patient Monitor. At the
Information Center, the telemetry data and any bedside data (for example,
NBP) are integrated in the patient sector. See “Pairing/Unpairing
Telemetry Equipment” on page 2-31 for information on pairing
functionality and your IntelliVue Patient Monitor Instructions for Use for
information on using the Telemetry Overview window at the IntelliVue
Patient Monitor.

• For IntelliVue Patient Monitors, the ability to start or stop an NBP bedside
measurement from the Information Center. See “Making Remote NBP
Measurements” on page 1-30 for more information.

+

Telemetry System Instructions for Use for more

+

transceivers. See the Philips IntelliVue

™,

Preface-1

• For M3, IntelliVue Patient Monitors, and bedsides with telemetry devices
the ability to select the wave that will display as the secondary wave in the
patient sector for a patient. See “Assigning a Secondary Wave” on page 2­42 for more information.

• A new 2-channel recorder, the M3176C 2-channel recorder. See “Chapter

3. Recordings and Reports” for information on using the M3176C 2­channel recorder and initiating recordings.

• For systems connected to a hospital information system, the ability to
admit a patient using patient demographic information obtained from the
hospital information system. See “Admitting a Patient” on page 2-3 for
information on admitting a patient to the Information Center from a
hospital information system.

• The ability for a clinician to silence alarms in the bed-to-bed overview
window on the IntelliVue Patient Monitor. When this feature is enabled
selecting the Silence button at the IntelliVue Patient Monitor silences all
active alarms at the Information Center for the bed that is currently being
overviewed. See “General Setup Unit Settings” on page 9-36 for
information on enabling this feature and your IntelliVue Patient Monitor
Instructions for Use for information on using the bed-to-bed overview
window and silencing alarms.

• Usability enhancements to the Care Groups windows on the Information
Center. See “Care Groups” on page 2-13 for information on using the
Information Center Care Groups windows.

Preface-2

1

Introduction to the Information

Center

This chapter provides an overview of the IntelliVue Information Center. It
includes the following sections:

• The IntelliVue Information Center . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2

• Intended Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-9

• The Information Center Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-10

• Information Center Display Screens. . . . . . . . . . . . . . . . . . . . . . . . . . 1-15

• Using Standby. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-27

• Making Remote NBP Measurements . . . . . . . . . . . . . . . . . . . . . . . . . 1-30

• EASI 12-lead Review and Report. . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-31

• Viewing Other Patients over the IntelliVue Clinical Network . . . . . . 1-33

• Optimizing Wireless System Performance . . . . . . . . . . . . . . . . . . . . . 1-35

• Configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-38

• Using the On-line Help. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-39

Introduction

Introduction to the Information Center 1-1

The IntelliVue Information Center

The IntelliVue Information Center

Overview The IntelliVue Information Center is part of the Philips Patient Care System.

The IntelliVue Information Center consists of:

• the Information Center Release F Software (M3290A), including the ST/
AR ST Segment and Arrhythmia Algorithm Software

• Windows XP/2000 PC

• an uninterruptible power supply (UPS)

• the Philips Recorder

• accessory printer (optional)

The following models are available to meet your specific patient monitoring
needs. These include the:

• IntelliVue M3145/50/55 Information Center

• IntelliVue M3151 Information Center Client

• IntelliVue -M3170 Patient Link

Note— The M3145 Information Center is for use with the M3169 Small

Database Server. Otherwise it is identical in in features and specifications to the
M3155 Information Center.

Note— Differences in features or functionality are called out where appropriate.

For a description of the features and available options with each of the models
refer to Chapter 10, “Information Center Safety and Specifications.”

Philips Patient Care System

1-2 Introduction to the Information Center

The Information Center displays information via the Philips CareNet network
and/or IntelliVue Clinical Network, received from point-of-care equipment
connected to the network.

The illustrations on the following pages show an Philips Patient Care System
with an Philips CareNet network and the IntelliVue Clinical Network.

The IntelliVue Information Center

Information Center Point-of-Care Equipment

Information Center

Information Center
Software

Printer

Philips

CareNet

Switch

Windows
XP PC

4-Channel

Recorder

™

2-Channel
Recorder

UPS

Philips Patient Care System with CareNet

Philips Telemetry System

Philips Compatible
Bedside Monitors

Introduction to the Information Center

1-3

The IntelliVue Information Center

Information Center Point-of-Care Equipment

Wireless M3/IntelliVue
Patient Monitors

Information Center

Information Center
Software

Printer

Windows
XP PC

4-Channel

Recorder

™

2-Channel

Recorder

UPS

IntelliVue

Clinical

Network

Switch

Philips IntelliVue
Telemetry System

Access Point

Wired M3/IntelliVue Patient
Monitors

Philips Patient Care System with IntelliVue Clinical Network

1-4 Introduction to the Information Center

The IntelliVue Information Center

IntelliVue Clinical Network with Database Server

The IntelliVue M3185 Clinical Network with the M3154 Database Server or the
M3169 Database Server, enables transmission of data between Information
Centers, providing access to both real-time and stored data within and across
clinical units.

The IntelliVue Clinical Network with the M3169 Database Server stores data for
up to 48 patients and supports up to 3 M3150 Information Centers for
monitoring patients and up to 3 M3151 Information Center Clients for reviewing
patient data. The M3169 Database Server patient data storage includes full
disclosure waveforms and physiologic parameters for up to 48 hours per patient,
up to 4 waves per patient, and up to 150 30-second alarm records and saved
strips, with up to 4 waves per event.

The IntelliVue Clinical Network with the M3154 Database Server stores data for
up to 128 patients and supports up to 8 M3150 Information Centers for
monitoring patients and up to 8 M3151 Information Center Clients for reviewing
patient data. The M3154 Database Server patient data storage includes full
disclosure waveforms and physiologic parameters for up to 96 hours per patient,
up to 4 waves per patient, and up to 150 30-second alarm records and saved
strips, with up to 4 waves per event.

The IntelliVue Clinical Network is based on industry standard components and
cabling.

The following illustration shows an example of a IntelliVue Clinical Network
connecting Information Centers in separate clinical units.

Introduction to the Information Center

1-5

The IntelliVue Information Center

CCU Work Area

Philips Compatible
Bedside Monitors

Philips Telemetry System

Information
Center Information

Philips

CareNet

Switch

IntelliVue

Clinical Network

Switch 1

Center Client

Information
Center Client

ED Physician’s

Wireless M3/
IntelliVue
Patient
Monitors

Access Point

IntelliVue

Clinical Network

Switch 2

Office

Information
Center Client

Information
Center

Wired M3/IntelliVue
Patient Monitors

Philips IntelliVue Telemetry System

Philips Patient Care System with IntelliVue Clinical Network and
Database Server

1-6 Introduction to the Information Center

M3154/M3169

Database Server

The IntelliVue Information Center

Large Network Central Database System

The Large Network Central Database System allows up to 15 M3154 Database
Servers to be interconnected on the hospital network. This connectivity provides
clinicians with the ability to transfer patients across care units that are on
separate database servers. In addition, for systems with the M2385 Application
Server, the Large Network Central Database System allows you to view, through
the Information Center Web Access, near-realtime waves, parameters and
alarms, as well as review all retrospective data for up to 1920 patients across
care units that are on separate database servers (see “Information Center Web
Access” on page 6-64).

The following illustration shows an example of a Large Network Central
Database System.

Introduction to the Information Center

1-7

The IntelliVue Information Center

CCU

Philips Compatible
Bedside Monitors

ED

Wireless M3/IntelliVue
Patient Monitors

Wired M3/IntelliVue
Patient Monitors

ICU

Philips Compatible
Bedside Monitors

Information

Center

Philips

CareNet

Switch

Philips Telemetry

System

Access Point

Information

Philips IntelliVue
Telemetry System

Information

Center

Philips

CareNet

Switch

IntelliVue

Clinical

Network

Switch

IntelliVue
Clinical
Network
Core
Switch

M3154
Database

IntelliVue

Clinical

Network

Switch

Work Area

Information Center Clients

Physician’s
Office

Information Center Client

Work Area

Information Center Clients

Stepdown

Wireless M3/IntelliVue
Patient Monitors

Wired M3/IntelliVue
Patient Monitors

Philips Patient Care System with Large Network Central Database System

1-8 Introduction to the Information Center

Philips Telemetry

System

Access Point

Information

Philips IntelliVue
Tel eme try Syst em

IntelliVue
Clinical
Network
Core
Switch

M3154
Database

Physician’s
Office

Information Center Client

Hospital Network

Intended Use

Intended Use

The intended use of the Information Center Software is to display physiologic
waves, parameters, and trends, format data for strip chart recordings and printed
reports, and provide the secondary annunciation of alarms from other networked
medical devices at a centralized location. The Information Center Software
provides for the retrospective review of alarms, physiologic waves and
parameters from its database.

An additional intended use of the Information Center Software is to provide
primary annunciation of alarms and configuration and control access for
networked telemetry monitors.

This product is not intended for home use.

Rx only.

Introduction to the Information Center

1-9

The Information Center Features

The Information Center Features

Overview The Information Center Software allows you to:

• View waves and physiological parameter information sent over the
monitoring network. Up to 32 waves can be displayed on a single main
screen.

• Be alerted to patient alarms that have been detected by networked
monitoring devices and respond to the alarms.

• Perform ST/AR multilead arrhythmia analysis on up to two leads of ECG.
ST/AR ST segment monitoring provides ST elevation and depression
measurements for telemetry-monitored patients.

Note—ST/AR analysis for M3 and IntelliVue Patient Monitors is done at

the monitor. ST analysis for all bedside monitors is done at the monitor.

• Make strip chart recordings on a Philips Recorder and (if a printer is
available) printed reports requested from the point-of-care and/or the
Information Center.

• Access a retrospective review of up to 96 hours of patient data, including
full disclosure waves and parameters, alarms, ST segments, events, trends,
EASI derived reconstructed 12 lead ECG.

• View real-time data for a patient being monitored by another Information
Center connected via Philips CareNet. If connected via the IntelliVue
Clinical Network, you can view both real-time and stored data for a
patient monitored on another Information Center, and that Information
Center can be in the same clinical unit or in another unit.

• Provide the management of grouping of beds per nursing assignment
(‘Care Groups’). A single Care Group is typically named for a caregiver
who is responsible for multiple patients within a single care unit. A Care
Group can be assigned a color that will display as the background for the
bed label on the Information Center. Color by Care Group helps the
caregiver to quickly identify beds within their Care Group.

1-10 Introduction to the Information Center

The Information Center Features

• Export ECG waveform data from the Information Center to a Zymed

Holter for Windows™ - Model 2010 for analysis.

• Provide notification of alarms in textual format to a receiving device such

as a pager, marquee display or cell-phone. This option, Alert Data
Integration (available in limited geographies), is for secondary notification
of alarms. It is not intended for primary notification of alarms.

Recordings and Reports

Point-of­Care
Equipment

Recordings can be requested from the Information Center or from networked
products.

If a printer is connected, reports requested from the Information Center or from
networked products can be printed.

The Information Center communicates with the following monitoring devices:

• Bedside monitors: IntelliVue Patient Monitors Release A.1 or higher,

CMS Revision C+ or higher, V26 and V24 Revision C+ or higher, M3
(wired and wireless) Release D or higher, and Compact Configurable
Monitor 78352C/54C.

Note—In this book the term “M3” refers to Revision D.0 or higher of the

M2, M3, and M4 bedside monitors. The term “IntelliVue Patient Monitor”
refers to the family of Philips IntelliVue MPxx bedside
monitors.Differences in features or functionality are called out where
appropriate.

• Philips IntelliVue Telemetry System, Philips Telemetry System Release C

or higher and Hewlett-Packard M1403 Digital UHF Telemetry System
with Option C03. If a Phillips telemetry device is connected to the
TeleMon bedside monitor, it is referred to as “docked”.

Introduction to the Information Center

1-11

The Information Center Features

The Information Center provides the following functionality for point-of-care
equipment connected via Philips CareNet or the IntelliVue Clinical Network.

M3 Bedside
Monitors

Function

connected via
the IntelliVue
Clinical Network

Bedside
Monitors
connected via
Philips CareNet

Telemetry

IntelliVue
Patient
Monitors
connected
via the
IntelliVue
Clinical
Network

Central monitoring
(patient management
alarm annunciation,
etc.)

ST/AR Arrhythmia
monitoring at the
Information Center

Arrhythmia control
and review at the
bedside.

Yes Yes Yes Yes

No -- provided by
bedside monitor.

Yes Yes Yes -- ST/AR

Arrhythmia
functionality is
available at the
Information
Center but is
provided by the
bedside
monitor.

Arrhythmia control
is at the bedside;
review is available

Yes - CMS patient
monitors must be
Rev. C or greater.

N.A. Yes

at the bedside and
at the Information
Center.

1-12 Introduction to the Information Center

Function

The Information Center Features

M3 Bedside
Monitors
connected via
the IntelliVue
Clinical Network

Bedside
Monitors
connected via
Philips CareNet

Telemetry

IntelliVue
Patient
Monitors
connected
via the
IntelliVue
Clinical
Network

ST/AR ST segment
monitoring at the
Information Center

ST trends and snippets
in ST Review

No - if present, ST
segment
monitoring is
provided from the
bedside.

Yes Yes Yes Yes

Yes - with limited
functionality at the
Information
Center.

Primarily provided
from the bedside.

Yes No - if present,

ST segment
monitoring is
provided from
the bedside.

Introduction to the Information Center

1-13

The Information Center Features

M3 Bedside
Monitors

Function

connected via
the IntelliVue
Clinical Network

Bedside
Monitors
connected via
Philips CareNet

Telemetry

IntelliVue
Patient
Monitors
connected
via the
IntelliVue
Clinical
Network

TM

EASI

ECG

capability

Information Center
printing of recordings
and reports requested
from the point-of-care

Yes, 3 leads, for
M3-E bedside
monitors connected
to the Multi­Measurement
Server only. No for

Yes - CMS patient
monitors must be
Rev. B.0 or greater.
V26 and V24
monitors must be

Rev. C.0 or greater.
all other M3
besides.

Yes

Note—Reports are

Yes Yes -

not available if
requested from M3
wireless monitors
to be printed at the
Information Center
printer. However,
they can be printed
on a local printer.

EASI is a trademark of Zymed Inc.

Yes Yes

Yes
recordings via
telemetry
button on the
telemetry
device (if
configured) or
from TeleMon
(if the
telemetry
device is
docked).

1-14 Introduction to the Information Center

Information Center Display Screens

Information Center Display Screens

Overview There are two different size CRT displays, a flat panel display as well as a touch

screen flat panel display available for viewing patient data and accessing clinical
applications. Displays are ordered to match your specific unit requirements. A
mouse is provided with each of the displays for accessing patient data. Simply
move the mouse cursor to a labeled application button and click, and the
button’s application is immediately displayed on the screen. A keyboard is also
provided with each of the displays for entering and changing patient data and
other information.

With a touch screen display you can access patient data by either using the
mouse or by pressing the screen element directly on the display using the tip of
your finger or a stylus. The touch display is most effective for maneuvers such
as silencing alarms on the display, accessing patient windows or generating
recording strips. More precise selections and measurements, for example caliper
measurements, may be more accurately performed using the mouse. Should the
touch screen display become unavailable for any reason patient data can be
accessed by using the mouse and keyboard. When using touch screen displays,
be sure to keep the area free of items that may inadvertently touch the screen.

The Information Center has two types of screens on the display:

• The Main Screen, or resting display, (illustration below) which has patient
sectors; no windows are open.

• The Patient Window, which displays data for a patient. You perform most
tasks either on the Patient Window or other application windows that you
access from the Patient Window.

Introduction to the Information Center

1-15

Information Center Display Screens

Main Screen The Main Screen displays real-time waves, numerics, and alarms from multiple

patients. It can be configured to show up to 32 waves in either single- or dual­column configurations.

System Message Area Date and Time

System

Message Area

Patient

Sectors

xxxxx

XX XX

53

xx

59

XX XX

60

XX XX

53

0

xx

0

0

0

Sectors

xx xxxxxxxxxxx xxxx

xx

ll

xx

xxx x

l

ll

xx

xxx x

l

ll

xx

No Bed

XX XX

53

xx xx

54

xx

xx

54

XX XX

60

xx

0

xx

xxx x

l

0

ll

xx

xx

0

xx

0

Main Screen

An area at the top of the screen displays system status messages, date and time
and any name that may be associated with this Information Center, for example,
“CCU Hallway1”.

Up to 16 patients can be displayed on the Main Screen. The number of waves
and amount of information in a sector depends on the size of the sector. All
waves are 3.3 seconds in length in a dual-column format and 7.0 seconds in
length in a single-column format (at 25 mm/s speed -- waves at 12.5 mm/s are
twice as long).

In addition to the bed label, waves, and numerics, the information that displays
in a sector can include:

• Patient name, if configured.

• Heart Rate alarm limits, if configured (not available for M3 monitors).

• First line of screen notes, if configured.

1-16 Introduction to the Information Center

Information Center Display Screens

• Paced indicator (if set).

• Alarms off indicators and alarm and technical INOP messages (if
applicable).

• The icon to the right of the bed label for telemetry monitored patients.

Note—If the telemetry device is connected to the TeleMon, the icon will

have a box around it.

• The icon to the right of the bed label indicates that the telemetry
device is paired to a bedside monitor (see page 2-31).

• If the M3 or IntelliVue Patient Monitor is connected to a wireless
IntelliVue Clinical Network, there is a wireless equipment icon to the
right of the bed label.

• An “*” to the left of the bed label for overview beds (see page 1-33).

• A in the upper right-hand corner to indicate that a conflict exists
between patient data at the Information Center and patient data at the M3
or IntelliVue Patient Monitor.

• For TRx and TRx
monitors a battery gauge icon displays in the upper right-hand corner
of the patient sector to indicate remaining battery strength. The battery
icon displays 5 levels: approximately 100% to 75%, 75% to 50%, 50% to
25%, 25% to Battery Weak, or Battery Weak-Replace Battery strength.

Note—For TRx and TRx

disposable (alkaline) batteries only. If rechargeable batteries are used the
gauge is not accurate. Disable the display of the battery gauge through the
Telemetry Setup window.

+

transceivers and battery operated IntelliVue Patient

+

transceivers the battery gauge calculation is for

When the cursor is positioned over the bed label or when the bed label is
selected by using a touch screen display, the following information is displayed:

• Telemetry device number, if telemetry monitored.

• Monitor label (number), if M3 or IntelliVue Patient Monitor.

When the Patient Window is open, the bed label in the sector for the open
Patient Window has a dashed line around it. For beds assigned to a Care Group
(see “Care Groups” on page 2-13) the bed label in the patient sector will display
the selected color as the background for the bed label. For beds not assigned to a
Care Group, or beds who have the color black assigned, the bed label has white
text on black background.

Introduction to the Information Center

1-17

Information Center Display Screens

Patient Sector

Buttons

All tasks start in the patient sector. Normally, there are no buttons visible in the
sector. Buttons in the sector are activated when the cursor is in the sector or,
when using a touch screen display, the sector is selected by touching the screen
with a stylus or the tip of your finger. The sector is then outlined, and the
buttons become visible.

There are two buttons available from the patient sector. One is the

Window

button, which accesses the Patient Window. The other depends on how

Patient

your system is configured. The following table explains the button labels.

Condition Button Label Action when Button Selected

No alarm
pending

Record

Save

Starts a delayed non-continuous (timed)
recording.

Generates the saving of a 30-second strip
in Alarm Review.

Record and Save

Starts a delayed non-continuous (timed)
recording as well as the saving of a strip.

Alarm pending

Silence

Turns the alarm sound off, and the sector
changes to its normal color (can also click
or, for touch screen displays, touch
anywhere in the sector except the Patient
Window button).

Silence/Review

Turns the alarm sound off and the sector
changes to its normal color and opens a
Patient Window with the Fast Alarm
Review for that alarm.

Note—Can click or, for touch screen

displays, touch anywhere in the sector
(except on a button) to turn the alarm
sound off without displaying the alarm.

Note—Your Information Center may be configured to not allow silencing of

bedside alarms at the Information Center. In this case a Silence button will
only appear for telemetry beds. In the case of M3 and IntelliVue Patient
Monitors, alarms can be silenced at the Information Center if both the
Information Center and M3 or IntelliVue Patient Monitor are configured with
remote silence enabled. If this is not the configuration, the Silence button is
present at the Information Center, but is not active.

1-18 Introduction to the Information Center

Information Center Display Screens

Condition Button Label Action when Button Selected

Bed in Standby

Note—If there is no bed assigned to a sector, the Sector Setup button is

Resume
monitoring

displayed instead of the Patient Window button. Selecting this button accesses
the appropriate page of the Sector Setup Window.

Bedside Monitor (other than M3 or
IntelliVue Patient Monitor): button is
greyed out, indicating that monitoring
must be resumed at the bedside.
Telemetry, M3, and IntelliVue Patient
Monitors: takes the bed out of Standby,
and the button reverts to the normal label.

Note—If the telemetry device is docked at

TeleMon, the bed cannot be put in
Standby.

Introduction to the Information Center

1-19

Information Center Display Screens

Patient Window

Single Display When a Patient Window or an application window is open, all the patient sectors

are still visible in the top half of the screen, but are compressed (see the
illustration below). The Patient Window allows you to view up to 4 waves at a
time.

System Message Area Date and Time

XXX

XX

XX

0

54

XX

XX

0

59

XX

XX

0

60

XX

XX

0

53

XXX

XXX

XXXX XXXXX

XXX

XXXXXXXX XXXX

XXX

XXX

XXX

0

XXXXX

XXXXX

XXXX

XX XXXX

Patient
Window
Buttons

XXXXX

XXXXX

0

Compressed
Patient Sectors

asic
ask
uttons

XX XXX XXX

XX

l

ll

XXx

l

ll

XX

l

ll

XX

l

XX SS SSSS

XXXX

XXXX

XXXX XXXX

XX

53

XX

54

XX

54

XX

60

XXXXX XXX

l

Application Buttons Patient Window

XX

XX

0

XX
l

XX

ll

0

XX

XX

0

l

XX

XX

0

XXXXSSS XXXXXXXX

XXX

XXX

54

XX

XX

54

Display with Patient Window Open

Dual Displays Dual displays offer the advantage of enabling clinicians to view the Patient

Window and the data review applications on a full screen. You can view up to 7
waves at a time (may be up to 6 with EASI ECG). A dual display system can be
configured with one or with two main screens.

Basic
Task
Buttons

1-20 Introduction to the Information Center

Information Center Display Screens

One Main Screen

One display is used for the Main Screen, and the other is used for a full-screen
Patient Window or application window.

Two Main Screens

• Both displays have patient sectors when Main Screen is active. For
example, for a 16-patient Information Center, the Main Screen of each
display includes 8 sectors. This feature is available for 8, 12, and 16­patient Information Centers.

• When an application window is open, all the sectors move to one display,
and the second display has the full-screen application window. To remove
the application window, select the Main Screen button.

Main Screen

Application Window
open

53

53

53

53

53 0

53 0

53 0

53

53

53

53

53 0

53 0

53 0

0

0

0

0

54

0

0

0

0

0

Introduction to the Information Center

1-21

Information Center Display Screens

Information/

Icons on the

Patient

Window

Adjustments

on the Patient

Window

Some of the information/icons that can be displayed in the patient sector also
appear on the Patient Window:

• Telemetry icon -- upper left corner
If the telemetry device is connected to the TeleMon, the icon will have a
box around it.

• Wireless bedside icon -- upper left corner.

• Paired icon -- upper left corner.

• Screen Notes (if available) -- all text that was entered in the Admit
Window -- bottom of sector.

• Paced indicator (if applicable) -- upper left corner.

Depending on the equipment assigned to a sector, clinicians can make the
following adjustments on the Patient Window to parameters:

• Telemetry beds

– the lead/label for the primary and secondary ECG lead.
– the V lead label (6-lead only). For Va or Vb, select Va or Vb, then

select the lead label corresponding to the V lead position on the
patient.

– the size of the primary and secondary ECG waves (on the display

and recordings).
– the heart rate alarm limits.
– SpO2 alarm limits (if SpO2 is on).
– initiate a spot check measurement. Move the cursor over the SpO

label. Then click on the Spot Check icon (finger with sensor).
– NBP alarm limits (telemetry devices docked at TeleMon only).

2

• Bedside monitors with EASI ECG capability
– the size of the primary and secondary ECG waves (on the

Information Center display and recordings)

• IntelliVue Patient Monitors
– the size of the ECG waves (on the Information Center display and

recordings)
– the heart rate alarm limits
– initiate NBP measurement(s)

Note—If EASI ECG is being used, the label “EASI” is displayed below the

primary waveform.

1-22 Introduction to the Information Center

Information Center Display Screens

Patient Window Buttons

The Patient Window provides the following buttons that allow you to perform
actions within the Patient Window:

Button Description

Continuous Recording Allows you to select waves to continuously

record.

Stop Stops any continuous recording in progress.

Suspend/Pause Alarms and
Unsuspend/Resume Alarms

(telemetry only)

Allows you to temporarily prevent auditory
alarm signals from sounding at the
Information Center.

Note—When a telemetry device is paired to

an IntelliVue Patient Monitor for bedside
viewing of telemetry data, suspending/
pausing alarms at the Information Center
suspends both the telemetry alarms and the
bedside alarms. See “Pairing/Unpairing
Telemetry Equipment” on page 2-31 for
information on pairing telemetry equipment
with a bedside monitor.

Arrhythmia Analysis Displays up to two “live” delayed waves,

with beat labels. The beat labels represent
analysis of both the primary and secondary
waves. See Chapter 5, “ST/AR Arrhythmia
Monitoring” for additional information on
arrhythmia monitoring.

Multilead ECG

(if not using EASI ECG)

Displays a snapshot of up to six leads of
ECG, plus a 10-second rhythm strip. You can
use this window to verify that the ECG
waves are optimized for arrhythmia
monitoring.

Introduction to the Information Center

1-23

Information Center Display Screens

Button Description

Application

Buttons

12-Lead ECG

(if using EASI ECG)

Displays the 12 leads derived from the EASI
ECG system, plus a 10-second rhythm strip.
From this window, you can print a 12-lead
report.

More Waves Displays additional waves, if available. If

none available, displays the Arrhythmia
analysis data (see “Arrhythmia Analysis”,
above).

When the Patient Window or an application window is open, a “task bar” at the
bottom of the screen allows access to other Information Center applications for
that bed. There are two rows in the task bar.

Top Row

The buttons in the top row change with the active application to provide access
to related applications. The buttons in the table below appear on the Patient
Window.

Button Description

Discharge Accesses the Discharge Window to clear the patient data and

return alarm limits controlled at the Information Center to
unit settings.

Sector Setup Accesses the Sector Setup Window to clear the sector and

assign an overview bed. Additional functionality depends on
whether the Information Center is fixed or flexible. See
“Fixed and Flexible Monitoring” on page 2-28.

1-24 Introduction to the Information Center

Information Center Display Screens

Button Description

Standby Accesses the Standby Window, enabling you to suspend

monitoring for telemetry, M3 beds, and IntelliVue Patient
Monitors when the patient is temporarily off the unit or out
of antenna range. Enables you to resume monitoring when
the patient returns.
For bedside monitors other than the M3 or IntelliVue Patient
Monitor, you must put bedside monitor in Standby and
resume monitoring at the bedside.

Wave Review Accesses full disclosure.

Bottom Row

The buttons in the bottom row are available no matter which application is
active.

Button Description

Arrhythmia Alarms

Accesses a window to adjust arrhythmia monitoring
for a patient. This button is not available for M3
monitors

Trend Review

Alarm Review

Admit

Accesses graphical and/or tabular trends.

Accesses stored alarm events and user-saved strips.

Accesses the Admit Window to enter the patient name
and other data.

All Controls

Provides access to the full array of clinical and support
functions.

Note—A list of the applications associated with each button is displayed when

the mouse cursor rests on the button for approximately 10 seconds.

Introduction to the Information Center

1-25

Information Center Display Screens

Basic Task

Buttons

In addition to the buttons in the task bar, the following basic task buttons are
always available, no matter which window is open.

Button Description

Main Screen

Closes the open window and brings you back to the
resting display.

Patient Window

Brings up the Patient Window when another
application is open.

Patient List

Allows you to switch the patient in the open
window (the application does not change). See
“Viewing a Bed Temporarily” on page 1-33.

Print

If a printer is available, starts a printout of the
screen or a report. This key is available only for the
Arrhythmia Analysis and Multilead ECG Patient
windows, data review applications, and unit
settings windows.

Note—If a printer is not available or is not

configured, the print key is greyed out.

Help

Brings up the on-line Help Window (see “Using the
On-line Help” on page 1-39).

1-26 Introduction to the Information Center

Using Standby

Using Standby

Overview Standby is used to suspend monitoring for a patient. Control of the Standby

function depends on the monitoring device being used.

With
Tele metr y,
M3 and

Standby is used to temporarily suspend monitoring, for example, when the
patient goes out of antenna range. In addition, when the patient is discharged,
the bed can be put in Standby until the new patient is connected.

IntelliVue
Patient
Monitors

Task Summary Place the bed in Standby and resume monitoring by performing the following

steps:

Step Action

1 On the Patient Window, select the

2 For TRx and TRx

configuration, select the duration of the standby period (10, 20 or 30
minutes; 1, 2, 3 or 4 hours; or infinite).

Note—If the patient will be discharged, select infinite as the standby

duration. When the new patient is connected select the

Monitoring

button on the transceivers.

+

transceivers, depending on your system’s

in the appropriate patient sector or press the Check

Standby button.

Resume

Introduction to the Information Center

1-27

Using Standby

Step Action

3 Specify the appropriate location, then select Suspend Monitoring.

The message “TELEMETRY STANDBY” or “MONITOR
STANDBY” and location, if selected, are displayed in the sector.

Note—For telemetry devices paired with a IntelliVue Patient

Monitor selecting

Suspend Monitoring suspends monitoring for

both the telemetry device and IntelliVue Patient Monitor. The
message that displays in the sector is “TELEMETRY STANDBY”.
See “Pairing/Unpairing Telemetry Equipment” on page 2-31 for
information on pairing telemetry equipment with a bedside monitor

4 For TRx and TRx

+

transceivers, if the standby period:

• Has expired when the patient returns to the unit, monitoring
will resume automatically. Press the

Check button on the

transceiver to verify the resumption of monitoring.

• Has not expired when the patient returns to the unit, monitoring
must be reactivated manually. Either select

Monitoring

on the TRx and TRx

at the Information Center or press the Check button

+

. An audible tone at the TRx and TRx+

Resume

verifies that monitoring has resumed.

5 For M3, IntelliVue Patient Monitor and telemetry devices other than

the TRx and TRx
the cursor in or by touching the sector and selecting the

Monitoring

+

transceivers, take the bed of Standby by placing

button.

Resume

1-28 Introduction to the Information Center

Using Standby

With Other Bedside Monitors

Task Summary Select the Standby location by performing the following steps:

The bed is put in Standby and taken out of Standby at the bedside monitor. At
the Information Center, you can select the location that is displayed in the sector,
along with the Standby message.

Step Action

1 On the Patient Window, select the

standby location by selecting a location from the list.
“MONITOR STANDBY” message and location, if selected, are
displayed in the sector.

Note—At the Information Center, when the cursor is placed in the

sector or the sector is selected on a touch screen display, a

Monitoring

out of Standby.

button displays. Selecting it reminds you to take the bed

Standby button. Specify the

The

Resume

Introduction to the Information Center

1-29

Making Remote NBP Measurements

Making Remote NBP Measurements

Overview The Information Center allows you to remotely initiate an NBP measurement at

the IntelliVue Patient Monitor from the Information Center.

Task Summary

To make NBP measurement(s) from the Information Center:

Step Action

1 In the Patient Window for the appropriate patient, place your cursor

over the NBP parameter. A pop-up box displays.

2 Select the

to make Stat measurements.

Note—Depending on your bedside configuration, selecting Start

initiates either a single measurement or an automatic cycle.

3 Select

or timed). Timed measurements will resume on the next time period.

Select to
stop any future timed measurements.

Start button from the pop-up box or select the Stat button

Stop to stop any ongoing bedside NBP measurement (manual

Stop All to stop any ongoing NBP measurement and to

1-30 Introduction to the Information Center

EASI 12-lead Review and Report

EASI 12-lead Review and Report

Overview If the monitoring device has EASI 12-lead capability, you can view all available

leads from the Patient Window. In addition, you can request a 12-lead report.

Note—EASI derived 12-lead ECG’s and their measurements are approximations

to conventional 12-lead ECG’s and should not be used for diagnostic
interpretations.

Task Summary

Display the 12-leads and print a report by performing the following steps:

Step Action

1 On the Patient Window, select the

second ECG wave is displayed for each of the derived 12 leads.

Note—It is not possible to display the derived 12-lead waves if there

is an technical INOP condition in any lead. To view the EASI AI,
AS, and ES leads, select 3 EASI Leads.

12-Lead ECG button. A 2.5

Introduction to the Information Center

1-31

EASI 12-lead Review and Report

Step Action

2To:

• View the most recent ECG data -- select

Update Waves.

• Change the wave layout -- click on or, for touch screen
displays, touch the wave layout on the top right side of the
window then select the wave format (3x4, 6x2, or 12x1) from
the list that displays. In 3x4 layout an additional rhythm lead
displays.

• Change the size of the waves -- click on or, for touch screen
displays, touch the cal bar then select the size of the wave you
want from the list that displays (x1/2, x1, x2, x4).

• Change the wave speed (25 mm/s or 50 mm/s) -- click on or, for
touch screen displays, touch the speed on the bottom right of
the window and select the speed from the list that displays.
When you select a different speed the window re-displays with
the selected speed.

3 To print a report select the

The report shows all of the monitored vital signs, the 12 leads, and
the high pass and low pass bandwidth frequencies with:

• 3 rows x 4 columns -- showing 12 2.5-second waves and a 10­second rhythm strip at the bottom of the page

• 6 rows x 2 columns -- showing 12 5-second waves

• 12 rows x 1 column -- showing 12 7-second waves.

1-32 Introduction to the Information Center

Print button at the top of the window.

Viewing Other Patients over the IntelliVue Clinical Network

Viewing Other Patients over the IntelliVue Clinical Network

Overview Information Centers and Clients on the IntelliVue Clinical Network enable you

to view both real-time and stored patient data for patients monitored by other
Information Centers on the IntelliVue Clinical Network.

There are two ways to do this:

• View the bed temporarily, in the Patient Window
You select the patient via the Patient List. You can then monitor the
patient or review the data for that bed until you change to another patient
or go to the Main Screen. If configured, you may also be able to admit,
discharge, and transfer data for that bed.

or

• Overview a bed in a sector on your Information Center
You use Sector Setup to overview a bed that is monitored by another
networked Information Center. The actions allowed for overview beds
depend on how the system is configured. See “Types of Access” on page
1-34.

Viewing a Bed Temporarily

Task Summary

You can view data temporarily for any bed monitored by another networked
Information Center. This feature enables you to view patients that are in other
clinical units or that are being monitored by another Information Center in your
unit.

View other patients temporarily by performing the following steps:

Step

Action

1 Select the Patient Window button in any sector to bring up a Patient

Window.

2 On the Patient Window, click or, for touch screen displays, touch

the bed label on the left of the title bar to display the Patient List.
The beds listed are those that are displayed on this Information
Center.

Introduction to the Information Center

1-33

Viewing Other Patients over the IntelliVue Clinical Network

Overview Beds

Step

You can overview a bed on your Main Screen that is monitored by another
networked Information Center. See Chapter 2, “Patient Management” for
information on assigning overview beds.

Action

3 Select the button to the left of the Patient List for the unit you want.

The Patient List will now contain all beds currently monitored in the
unit you selected.

Note—Select your unit name to access patients on other Information

Centers in your unit.

4 Select on the bed you want. That patient’s data will be displayed in

the Patient Window. You can then access any other window for that
patient.

5 You can then access data for another patient or select Main Screen

to remove the window.

Note—You don’t have to return to the Patient Window. For

example, if you are on the Alarm Review Window, you can remain
there and change the patient you are viewing. Other windows you
access will then be for that patient.

Types of Access

1-34 Introduction to the Information Center

Each Information Center on the IntelliVue Clinical Network can be configured
to specify the following types of access control of beds monitored by another
Information Center:

• Full Control (read-write) access -- you can view patient data and change
measurement controls (such as alarm limits).

– Telemetry Setup controls are for that Information Center only.
– Functions that affect the Information Center as a whole, rather than a

specific bed, such as volume control are accessible for the local
Information Center only.

• Read-Only access -- you can view patient data, but measurement controls
cannot be changed. The controls that are available are:

– Record button in the Patient Sector
– Continuous Recording in the Patient Window
– Arrhythmia Analysis Windows -- Update Waves (but not Relearn)

Optimizing Wireless System Performance

– Alarm Review -- navigation and record or print alarm.
– Event and Wave Review -- navigation.
– Trend Review -- navigation.
– ST Review -- navigation, superimpose
– Record All (from All Controls)
– Sector Setup

• No access -- you cannot access any bed on that Information Center.

Full Control if Multiple Viewers

Since more than one Information Center can have access to a bed at the same
time, there may be situations when two or more clinicians are viewing
information for the same patient at the same time. If multiple clinicians have full
control access to the same patient, then, in general, the last operation wins.

Optimizing Wireless System Performance

Overview Bedside monitors with a wireless connection to the IntelliVue Clinical Network

have their advantages, however the flexibility the wireless link offers is not
without its challenges. The reliability and quality of the wireless signal
transmission through the air and hospital walls are governed by a number of
variables that can be difficult to control. A wireless connection from a bedside
cannot be as dependable as a wired connection.

The effect of low signal strength and interference on the display of the patient
information from a wireless bedside at the Information Center can range from a
momentary period to a lengthy period of data loss. Although data loss due to the
wireless link may be occurring at the Information Center, monitoring and
alarming continue at the bedside (this differs from telemetry where monitoring
and alarming occur in the Information Center, so when data loss due to the
wireless link occurs, monitoring cannot continue).

Minimizing Data Loss

In order to minimize data loss at the Information Center due to low signal
strength and interference, there are several things a hospital should do.

Introduction to the Information Center

1-35

Optimizing Wireless System Performance

Low Signal

Strength

Interference

Devices called “Access Points” are used to receive the radio signals from the
bedsides. A wireless bedside must be within the coverage area of an associated
access point for proper operation. When a wireless bedside is taken out of the
designated coverage area, data loss at the Information Center will increase.

WarningWarning

Various equipment and/or electrical or medical devices that operate in the

2.4 to 2.48 GHz range could interfere with radio transmission of important
medical data to the Information Center. Facilities utilizing wireless devices
need to manage the use of these devices for safe operation.

The effect of interference on the amount of data loss at the Information Center
depends on the strength, type and proximity of the interfering device to the
wireless bedside or access point. Any wireless device operating between 2.4 and

2.48 GHz can cause interference with the monitoring wireless network. Likely
sources of interference include microwave ovens, other vendors’ wireless
networks, wireless telephone headsets, certain cellular telephones, handheld
computers, transceiver devices, and Bluetooth devices. In cases where the source
of interference is known, removing the device or moving it away from the
wireless bedside or access point will improve the system’s performance.

Since the wireless network used for monitoring emits radio frequencies, it is also
possible for it to interfere with other devices (for example, programmers for
cardiac pacemakers). Contact the manufacturers of other equipment used in the
vicinity of the monitoring wireless network for information on possible
susceptibility to these frequencies.

It is the hospital’s responsibility to keep track of all of the wireless devices in
use in the hospital, and manage their use for safe operation.

1-36 Introduction to the Information Center

Optimizing Wireless System Performance

Wireless System Messages

Message Possible Cause What to Do

Excessive
wireless data
loss

Excessive
wireless
interference

The system continually monitors the signal quality sent from wireless monitors.
When data transfer from one or more monitors across the wireless link is
compromised due to interference or too many transmitting devices, the system
displays one of the following messages at the top of the screen.

Data loss (no signal or excessive
dropout of signal) because of too
many monitors using an Access
Point, excessive interference, or
weak signal.

Dropout of signal on one or more
monitors due to interference of the
signal, e.g., microwave oven
interference.

• Turn off unused monitors.

• If a microwave is in use, move

• Locate and remove source of

• If condition persists, contact

• Make sure all microwave

• Turn off unused monitors.

• Locate and remove source of

• If condition persists, contact

monitors away from the
microwave signals.

interference.

service.

ovens are turned off or at least
20 feet from the monitors.

interference.

service.

Weak radio
signal

Excessive occurrence of dropped
messages and weak (wireless) radio
errors have occurred between one or
more wireless M3/M4 bedsides and
an access point. This could happen
due to a device being marginally out
of range of an access point or
because of some signal attenuator,
for example a monitor being behind
a large metal cabinet.

• Move the monitor within
range of an access point.

• If condition persists, contact
service.

Introduction to the Information Center

1-37

Configuration

Message Possible Cause What to Do

Wireless
Monitoring
Loss - Call
Service

Configuration

Indicates there may be intermittent
disruption or failures in
communication between one or more
patient monitoring wireless devices
and the Information Center.

The Information Center Software is shipped with factory defaults. At
installation, (or at any time after installation), the Information Center Software
can be configured with defaults for the unit in which it is installed.

In addition, adjustments such as changes to alarms being stored and recorded
can be made on a per patient basis.

See Chapter 9, “Information Center Configuration,” for a list of factory defaults
and configuration choices.

• Check the Wireless Status Log
for specific information about
the communication disruption.

• See the IntelliVue Telemetry
System Instructions for Use for
corrective actions.

• Call Service.

1-38 Introduction to the Information Center

Using the On-line Help

An on-line Help feature is always available to answer questions and provide
information on using the Information Center. To get Help on a specific window
or application on any Information Center window, select the
Help windows, text in blue (and underlined) indicates that you can select it and
get more information.

In the Help window, do the following:

Select To

Contents View the table of contents for the online Help.

Index Search for specific words or phrases or select

Print Print the topic currently displayed.

Using the On-line Help

Help button. In the

Click each book to display pages that link to
topics, and click each page to display the
corresponding topic in the right pane.

from a list of index keywords. Click the
keyword to display the corresponding topic in
the right pane.

1. Select

2. Specify whether to just print the selected

3. Select

4. Select

Print on the top left side of the help

window. The print dialog opens.

topic or print the topic and all its associated
subtopics by selecting the appropriate radio
button.

OK.

Print to print the topic(s) to the

specified printer.

Introduction to the Information Center

1-39

Using the On-line Help

1-40 Introduction to the Information Center

2

Patient Management

This chapter describes how to manage patient data using the Information Center.
It includes the following sections:

• Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-2

• Admitting a Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-3

• Changing Patient Information. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-9

• Resolving Conflicts with M3 or IntelliVue Patient Monitors . . . . . . 2-10

• Care Groups . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-13

• Discharging a Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-19

• Discharging for Transport. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-22

• Transferring Patient Data to a New Bed. . . . . . . . . . . . . . . . . . . . . . . 2-24

• Fixed and Flexible Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-28

• Assigning a Bed and/or Equipment to a Sector . . . . . . . . . . . . . . . . . 2-29

• Pairing/Unpairing Telemetry Equipment . . . . . . . . . . . . . . . . . . . . . . 2-31

• Assigning an Overview Bed to a Sector . . . . . . . . . . . . . . . . . . . . . . . 2-38

• Changing Equipment for a Sector. . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-35

• Clearing (Unassigning) a Sector. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-40

• Assigning a Secondary Wave . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-42

Introduction

Patient Management 2-1

Introduction

Introduction

The Information Center provides the following applications to manage patients:

Application Description

Admit The Admit application connects all stored data to a

patient’s name and puts the name on the display,
recordings, and reports. See “Admitting a Patient” on
page 2-3 for information on admitting patient to the
Information Center.

Discharge The Discharge application clears a patient’s name and

data from the Information Center database and returns
Information Center settings to unit defaults. See
“Discharging a Patient” on page 2-19 for information
on discharging patients.

Sector Setup The Sector Setup application allows you to:

• Assign a bed and or equipment to a sector
(flexible monitoring only). See page 2-29.

• Associate (pair) a telemetry device with an
IntelliVue Patient Monitor for bedside viewing of
telemetry data. See page 2-31.

• Change the equipment for a sector (flexible
monitoring only). See page 2-35.

• Assign an overview bed to a sector. See page
2-38.

• Unassign (clear) a sector. See page 2-40.

• Choose the secondary waveform that will display
in the patient sector. See page 2-42.

For patients connected to M3 and IntelliVue Patient Monitors, you can admit,
discharge, transfer, or update patients from either the bedside or the Information
Center. When you admit or discharge a patient being monitored by an M3 or
IntelliVue Patient Monitor on the Information Center that patient is also
admitted or discharged on the bedside.

2-2 Patient Management

Admitting a Patient

Note—A related application is Stored Waves. When the patient is first connected

(or at any time) you can change the waves that are stored in the database. See
“Changing the Waves that are Stored” on page 6-53 for more information.

Admitting a Patient

Overview You must admit a patient to the Information Center in order for the name to

appear on the display, recordings, or reports. You admit a patient by using the
Admit Window.

With M3 or

IntelliVue

Patient

Monitors

With Other

Bedsides

For patients connected to a M3 or a IntelliVue Patient Monitor you can admit
the patient at either the bedside or at the Information Center. When you admit
the patient on the Information Center that patient is also admitted to the bedside
monitor. The patient name, medical record number, paced status, patient
category, screen notes, and Care Group assignment are communicated to the
bedside monitor. For IntelliVue Patient Monitors the additional fields of patient
weight, height, gender, and date of birth are communicated to the bedside.

The Information Center communicates a patient’s name and medical record
number to the bedside monitor. Other patient information must be entered at the
bedside, however. Information entered on the Admit window at the bedside
monitor is not displayed at the Information Center.

Patient Management

2-3

Admitting a Patient

Task Summary

Since data collection starts when a patient is connected to the monitor, it is
important that you perform a discharge prior to connecting a new patient. See
“Discharging a Patient” on page 2-19 for information on discharging patients.

Admit a patient to the Information Center by performing the following steps:

Step

Action

1 On the Patient Window for the bed you want to admit, select the

Admit button.

Note—If the bed to which you want to admit this patient does not

appear on the display and you have flexible monitoring, you can
display the bed by using the Sector Setup Window. See “Assigning
a Bed and/or Equipment to a Sector” on page 2-29.

2 If this patient is on telemetry, be sure the label on the telemetry

device matches the label in the Equipment field.

If the label does not match and you have:

Fixed Monitoring
You must either change the telemetry device or admit to the bed
label with that telemetry device assigned to it.

Flexible Monitoring
If another patient is not currently admitted to a bed assigned to this
equipment, you can assign the equipment to this bed by using the
Sector Setup Window. See “Changing Equipment for a Sector” on
page 2-35.

2-4 Patient Management

Admitting a Patient

Step

Action

3 On the Admit Window specify a patient to admit by either:

• typing a 1- to 18-character first and last name in the appropriate

Patient Name fields. Only the last name is required. You can
use the Tab key to move from field to field. To avoid any
potential conflicts, be sure to enter a unique patient name in the
name fields.

• selecting a patient name in the Transfer List. If the patient

was discharged from a different care unit, first select the unit,
then the name. See “Transferring Patient Data to a New Bed”
on page 2-24. The Transfer List contains a listing of up to four
discharged patients per Information Center for which data from
previous monitoring has been saved. When you select a name
from the Transfer List and then select the Admit Patient
button, any data since you began monitoring will be erased, and
the saved patient data will be retrieved. If you want to keep the
current monitoring data, do not use the Transfer List.

• selecting a name from a hospital information system, if
available. To select a name from a hospital information system:
a. Select the name of the hospital information system from the

Transfer List drop-down menu.

b. Obtain a list of hospital-admitted patients by selecting the

Retrieve button. A list of hospital-admitted patients displays
on the left-side of the window. You can narrow the list by
entering a full or partial last name and/or a full or partial
medical record number then selecting the Retrieve button.

c. Highlight the name of the patient you wish to admit. The

Information Center automatically fills in the patient’s first and
last name and medical record number in the Admit window.
If the other fields, for example, patient category, date of birth,
height, weight, or gender are available then they are
transferred to the Admit window as well.

d. If there is no match provided in the list box modify your

search or provide patient information by using another
method.

Patient Management

2-5

Admitting a Patient

Step

Action

4 Enter a 1- to 12-character medical record number for this patient in

the Medical Record Number field. The Information Center
communicates the medical record number to the bedside monitor.

5 If the patient has a cardiac pacemaker (including demand, fixed, or

any type), select Patient Paced to display a checkmark in the box.
This enables the ST/AR algorithm to detect and reject pace pulses
(spikes) from the HR count.

WarningWarning

If you do not have a checkmark in the Patient Paced box, pace
pulses could be detected as beats and the monitor may not alarm
for an asystole condition. Keep pacemaker patients under close
observation. See Chapter 5, “ST/AR Arrhythmia Monitoring,”
for specific warnings about monitoring paced patients.

If the patient is on a bedside monitor, and arrhythmia analysis is off,
this field is greyed out.

6 Specify what type of patient this is in the Patient Category field.

Your choices include:

• Adult

• Pediatric (if selected, telemetry ST monitoring is not available)

• Neonatal (bedside monitors only)
The patient category you select affects arrhythmia analysis and
alarm limits. If the patient category is changed for a bedside
monitored patient be sure to check the alarm settings at the bedside.

Note—For M3 and IntelliVue Patient Monitors, changing the patient

category does not change alarm limits. You should check for correct
alarm limits at the bedside monitor.

2-6 Patient Management

Admitting a Patient

Step

Action

7 Specify the patient’s birth date in the Date of Birth field. You can

specify the date by entering a numeric date or by selecting the date
on the calendar.

Note—The calendar only allows you to specify the birth date by

selecting the appropriate date on the calendar. You cannot enter text
into the calendar.

Note—For systems with the ability to export ECG waveform data

from the Information Center to an Zymed Holter for Windows
you do not specify a date in this field the Information Center will
use the default settings when exporting the ECG waveform data to
the Holter system. Default settings are:

• Adult—January 1 current year minus 50 years

• Pediatric—January 1 current year minus 5 years

• Neonatal—current date

8 Enter the patient’s weight in the Weight field. Depending on how

your system is configured, valid values are:

• Adult/Pediatric— 0 to 999 lbs or 0 to 450 kg

• Neonatal—0 to 9999 g

9 Enter the patient’s height in the Height field. Depending on how

your system is configured, valid values are 0 to 99 in or 0 to 250 cm.

™, if

10 Specify a gender in the Gender field by selecting the gender using

the drop down arrow.

11 If you would like to associate text (for example the physician’s

name) with this patient, enter the text in the Screen Notes field.
You can enter up to 60 characters.
The first 34 characters you enter will appear in the patient sector
when in the Main Screen (if configured). All the text will display in
the Patient Window.

Note—If the monitoring device is the M3 or IntelliVue Patient

Monitor, the screen notes text will be displayed in the Admit
window. If a previous screen note was entered, it will be overwritten
by the text entered at the Information Center.

Patient Management

2-7

Admitting a Patient

Step

Action

12 Assign this patient to a Care Group if desired by selecting the Care

Group from Care Group field. See “Care Groups” on page 2-13.

13 Review all the fields to be sure they are correct then select the

Admit Patient button. The Information Center admits the patient.

2-8 Patient Management

Changing Patient Information

Changing Patient Information

Overview You can change patient information such as patient’s name, Care Group

assignment, and medical record number by using the Admit Window.

With M3 or

IntelliVue

Patient

Monitors

Task Summary

For patients connected to a M3 or a IntelliVue Patient Monitor you can change
the patient information at either the bedside or at the Information Center. When
you change the patient information on the Information Center that information
also changes on the bedside monitor. The patient name, medical record number,
paced status, patient category, screen notes, and Care Group assignment are
communicated to the bedside monitor. In general, any fields changed at either
the Information Center or the M3/IntelliVue Patient Monitors will be copied to
the other device. The last entry wins. For IntelliVue Patient Monitors the
additional fields of patient weight, height, gender, and date of birth are
communicated to the bedside.

Change patient information by performing the following steps:

Step

Action

1 On the Patient Window for the bed for which you want to change

information, select the Admit button.

2 On the Admit Window change the patient information in the

appropriate fields. For information on specific fields see “Admitting
a Patient” on page 2-3.

3 When you have finished modifying the patient information select

the Update button.

Note—Changing the patient name affects all stored data, not just the

data from the update time forward.

Patient Management

2-9

Resolving Conflicts with M3 or IntelliVue Patient Monitors

Resolving Conflicts with M3 or IntelliVue Patient Monitors

Overview Since you can admit, discharge, or transfer patients from both the Information

Center or the M3 and IntelliVue Patient Monitor, a possibility exists that the
information between the two systems does not match. If user intervention is
required a icon displays in the patient sector for the patient when data
between the Information Center and the bedside do not match. In addition, when
in the Admit or Discharge windows, a Conflict Resolution screen will display on
the Information Center where you can resolve the conflict manually.

WarningWarning

It is important to resolve the conflicts as soon as they are identified. Failure
to do so could result in using incorrect/confusing data to make clinical
decisions. Certain settings, for example, Paced and Patient Category
between the Information Center and the bedside may not match. If the
Paced status setting is set incorrectly the system could mistake a pace pulse
for a QRS and fail to alarm in the case of asystole. It is important that the
Patient Category is set correctly so the ECG can be analyzed correctly and
initial arrhythmia alarm limits set.

In addition if conflicts are not resolved as soon as they are identified patient
identifiers (for example, patient name, medical record number) will not be
available through Information Center Web.

2-10 Patient Management

Resolving Conflicts with M3 or IntelliVue Patient Monitors

Task Summary

When the Conflict Resolution window displays, resolve the conflict by
performing one of the following:

If you want to then . . .

Use the patient information from
the Information Center.

Select the Use Information Center
button. The patient information is
retrieved from the Information Center
and you return to the Admit/
Discharge/Transfer window.

When you choose this option the
Information Center settings,
including patient category, are
applied to the bedside monitor. Any
stored bedside data is cleared. The
patient category setting applies to the
algorithms used to process incoming
patient data.

Verify that all bedside alarm settings,
including arrhythmia alarm settings,
are correct.

Patient Management

2-11

Resolving Conflicts with M3 or IntelliVue Patient Monitors

If you want to then . . .

Use the patient information from
the bedside

You do not want the patient
information from either the
Information Center or the bedside.

Select the Use Bedside Monitor
button. The patient information is
retrieved from the bedside and you
return to the Admit/Discharge/
Transfer window. When you choose
this option the bedside settings are
applied to the Information Center.
Any stored Information Center data is
cleared.

Verify that all bedside alarm settings,
including arrhythmia alarm settings,
are correct.

Select the Clear and Begin New
Patient button. Patient information
and stored data at both the
Information Center and the bedside is
cleared and you return to the Admit/
Discharge/Transfer window where
you can enter new patient
information.

Note—

Monitor and the Information Center and there are no differences between patient
name, medical record number, paced or patient category but there are
differences for date of birth, gender, weight, or height the IntelliVue Patient
Monitor bedside value is always used.

2-12 Patient Management

In the event that a patient is admitted on both the IntelliVue Patient

Care Groups

Care Groups

Overview Care Groups allow you to associate one or more beds with a group. A single

Care Group is assigned to one nurse who is responsible for multiple patients
within a single care unit. A Care Group can have a specific color associated with
it. When a color is assigned to a particular care Group the color appears as the
background for the bed label on the Information Center. Color by bed label
helps the nurse to quickly identify patients in his/her Care Group.

Up to 12 beds can be assigned to a single Care Group and there can be up to 18
Care Groups in a unit. When a bed is assigned to a Care Group the bed remains
in that Care Group across equipment changes, standby/resume, patient admit or
discharge, and power cycles. A bed assigned to a Care Group is removed from
that Care Group when the bed is unassigned from the Information Center that
was monitoring that bed or if the bed label is changed.

M3 or

IntelliVue

Patient

Monitors

With M3 or IntelliVue Patient Monitors, you can use Care Groups to notify the
nurse of any alarms for the patients in their Care Group through alarm overview
at the bedside. In addition, the nurse can see the current alarm status of each of
the patients within the same Care Group at the bedside (see your appropriate
bedside user documentation for details).

With M3170 Patient Link Information Center

For M3 or IntelliVue Patient Monitors with the M3170 Patient Link Information
Center the Auto Alarm settings are set to auto-alarm notification for red alarms
and the Overview prompt sound enable. See Step 5 on page 2-15 for information
on M3 and IntelliVue Patient Monitor Auto Alarm settings.

For M3 or IntelliVue Patient Monitors connected to an M3170 IntelliVue Patient
Link with 12 or less beds assigned, all beds are assigned to the same care group.
For an M3170 IntelliVue Patient Link Information Center with more than 12
beds assigned, beds assigned to the left side of display during configuration are
assigned to the first care group and beds assigned to the right side of display are
assigned to the second care group. The Caregroup are labeled: ‘#1’ and ‘#2’
respectively.

Patient Management

2-13

Care Groups

Setting up a Care Group

To set up a Care Group perform the following steps:

Step Action

1 From the All Controls window select the Care Group button under

Patient Management. The Care Group Settings window displays.

2 On the Care Group Settings window select the Setup tab.

3 If you are setting up a new Care Group select the New Care

Group button then enter a 1 to 18-character name for the Care
Group you are setting up in the Care Group Name field. To avoid
any potential confusion when identifying Care Groups in the
system, the name you specify in this field must be unique.

4 If you are modifying an existing Care Group select the Care Group

name from the Care Group drop-down list.

2-14 Patient Management

Care Groups

Step Action

5 If this is a Care Group with M3 or IntelliVue Patient Monitors,

specify the Auto Alarm setting for this Care Group (see your
bedside monitor user documentation) by selecting the appropriate
radio button in the Overview Auto-alarm field. Choices are:

Choice Description

Disabled Selecting this option turns off the Auto

Alarm Pop-up feature at the bedside.

Warning—If the bedside overview status
bar is not enabled and Auto Alarm Pop-up
is disabled, alarming beds will not be
visible in overview at the bedside. Do not
disable the Auto Alarm Pop-up if you use
overview at the bedside as your primary
monitoring source. You must enable Auto
Alarm Pop-up at both the Information
Center and the bedside in order for this
feature to work. At the bedside, you can
turn auto pop-up on/off on a per bed basis.

Red Selecting this option causes an Auto

Alarm Pop-up window to display at the
bedside when beds in this Care Group
have a red alarm condition.

Red and Yellow Selecting this option causes an Auto

Alarm Pop-up window to display at the
bedside when beds in this Care Group
have a yellow alarm condition or greater.

Patient Management

2-15

Care Groups

Step Action

6 Assign a color to this Care Group by selecting a color in the

Assign Central Color field. The color you assign will appear as
the background for the bed label on the Information Center.

Note—If you do not want to assign a color to this Care Group select

the color black in the Assign Central Color field. When you
select the color black no color displays as the background or the bed
label.

7 If this is a Care Group with M3 or IntelliVue Patient Monitors,

specify whether a prompt tone will be audible at the bedside when
beds in this Care Group have an alarm condition by selecting the
appropriate radio button in the Overview Prompt-Tone field. If
you select Disabled, no tone will be audible at the bedside when a
bed in this Care Group has an alarm condition.

8 Select the OK button. The Information Center sets up the Care

Group with the choices you selected.

9 If you would like to set up another Care Group, repeat Steps 3

through 8.

10 When you are done setting up Care Groups return to the All

2-16 Patient Management

Controls window by selecting the All Controls button on the
bottom of the screen.

Care Groups

Assigning a Beds to Care Groups

From the Admit Window

You can assign a specific patient to a Care Group when admitting the patient or
updating patient information in the Admit window by selecting the Care Group
from the Caregroup field. See page 2-3 for information on using the Admit
window.

Note—You can unassign a patient from a Care Group when discharging the

patient or by updating the patient information in the Admit window. See page
2-19 for information on unassigning a patient from a Care Group using the
Discharge window and page 2-9 for information on changing patient
information using the Admit window.

From All Controls

To assign a bed(s) to a Care Group from the All Controls window perform the
following steps:

Step Action

1 From the All Controls window select the Care Group button. The

Care Group Settings Bed Assignments window displays with a list
of all of the Care Groups for this unit and their bed assignments as
well as a list of beds not currently assigned to a Care Group. In
addition a colored box displays to the left of each Care Group name
indicating the color currently assigned to this Care Group.

2 If you would like change the order of the beds for a Care Group,

select a bed under the Care Group name then use the up-arrow
and down-arrow as appropriate to change the order of the beds until
the desired order is achieved.
For M3 or IntelliVue Patient Monitors, the bed order you specify
here effects the order of beds in Care Group overview bar at the
bedside. Top to bottom order corresponds to left to right order in the
overview bar. The order is also reflected in the list of beds in ‘my
care group’ at the bedside.

3 Select the Care Group that contains the bed(s) you want to assign to

a Care Group by selecting the plus symbol next to the Care Group
name in the list on the left-side of the window. If the bed(s) is not
currently assigned to a Care Group select Unassigned from the
list.

Patient Management

2-17

Care Groups

Step Action

4 Select the Care Group to which you wish to assign beds from the

Care Group drop-down list on the right-side of the window.

5 If you would like to move all the beds from the Care Group on the

left of the window to the Care Group on the right select the Move
All>> button.

6 To assign a bed to the Care Group highlight the name of the bed on

the left then select Move >button. The Information Center assigns
the bed to the Care Group specified in the Care Group drop-down
list.

You can select more than one bed by holding down the Shift key
while highlighting the desired beds. You can assign up to 12 beds to
a single Care Group.

Note—For M3 and IntelliVue Patient Monitors, the order in which

you assign beds does not necessarily dictate the order in which they
will display in the Care Group overview bar at the bedside.

7 When you are done assigning beds to a Care Group return to the All

Controls window by selecting the All Controls button on the
bottom of the screen.

2-18 Patient Management

Discharging a Patient

Discharging a Patient

Overview Important—Discharging from the Information Center clears the Information

Center database for a bed. At that point, data storage begins for that bed. For this
reason, you should perform a discharge prior to connecting a new patient. This
ensures that data from a previous patient is not mixed with the data from the new
patient. It also ensures that alarm limits controlled at the Information Center go
back to unit settings.

When you enter the Discharge Window, you are given the choice of saving,
removing the patient data, or if this is an M3 or an IntelliVue Patient Monitor,
discharging for transport.

If you save the data, the patient’s name appears in the “Transfer List” in the
Admit Window. It can then be retrieved if the patient is re-admitted, or, if the
Information Center is connected via the IntelliVue Clinical Network or
connected to a Large Network Central Database System, it can be retrieved if
the patient is transferred to another unit.

If you discharge for transport, the Information Center discharges the patient on
the Information Center and stores the patient data but does not discharge the
patient from the bedside monitor. See “Discharging for Transport” on page 2-22.

With M3 and

IntelliVue

Patient

Monitors

If this is a patient connected to an M3 or IntelliVue Patient Monitor, discharging
the patient at the Information Center also discharges them from the bedside
monitor and clears both databases. All monitor and measurement server settings
are reset to their defaults including arrhythmia settings. With IntelliVue Patient
Monitors your monitor can be set up with predefined monitor configurations
called profiles. Depending on how your monitor is set up when you discharge a
patient the monitor either continues with the previous profile, or resets to the
default profile configured for that monitor. Refer to your bedside documentation
for details.

Patient Management

2-19

Discharging a Patient

With Other

Bedsides

Task Summary

If this is a bedside monitor other than the M3 or IntelliVue Patient Monitor,
discharging a patient from the Information Center clears the patient name and
medical record number at the bedside monitor. You must, however, discharge
the patient at both the Information Center and the bedside monitor to clear both
databases. Discharge the patient from the Information Center first, then from the
bedside. When you discharge a patient from the Information Center, all pending
reports are cancelled, arrhythmia alarm settings go back to Unit Settings and any
screen notes are cleared. The settings for alarms controlled at the bedside (for
example, HR limits) do not change -- to set these alarms back to the defaults,
consult your bedside monitor documentation.

Discharge a patient by performing the following steps:

Step

Action

1 From the Patient Window select the Discharge button.

2 If your system is configured for flexible monitoring, you can

remove the bed/equipment that is currently displayed in a sector
when you discharge the patient, if desired, by selecting the Clear
Sector checkbox.

Note—If you have flexible monitoring and want to use a telemetry

device in a different bed, you must clear the sector after discharging
the patient. If you don’t, the telemetry device will not be available
for any other bed.

3 Unassign the Care Group associated with this patient, if desired, by

4 Unassign any paging devices currently associated with this bed, if

2-20 Patient Management

Important—For M3/M4 or IntelliVue Patient Monitors, when you

clear the sector the bed will no longer be available for Overview at
other bedsides. See your user documentation for information on
using Overview at the M3/M4 or IntelliVue Patient Monitor.

selecting the Unassign Caregroup checkbox.

desired, by selecting the Unassign Paging checkbox. When you
select Unassign Paging all of the paging devices currently assigned
to this bed are removed.

Discharging a Patient

Step

Action

5 On the Discharge Window specify whether you want to save or

remove the patient data associated with this patient after discharge
or, if this is an M3 or IntelliVue Patient Monitor, to discharge for
transport by selecting the appropriate button.

Specify Save Data with Discharge (only available for admitted
patients) if this patient will be transferred to another bed/unit or re­admitted soon and you want to save the data. If you are transferring
the patient to a unit over a large network, select the unit to which to
transfer the data by selecting the unit name in the Transfer
Destination list before selecting the Save Data with Discharge
button. The maximum number of patients for whom data can be
saved is four per Information Center unless the Information Center
is connected to the M3154 Database Server in which case the
maximum number of patients is four times the number of
Information Centers. Only select this option if the patient will be
transferred/readmitted soon. If the list is full, the oldest patient data
will be removed and the new patient data will be added.

Specify Discharge and Remove Data if you want to discard the
patient’s data (the patient’s name will not be available on the
Transfer List).

Note—Selecting Discharge and Remove Data does not remove

the Care Group assignment for this bed. If you would like to remove
the Care Group assignment for this bed you must unassign the Care
Group associated with this bed by selecting the Unassign
Caregroup checkbox.

Specify Discharge for Transport if this is an M3 or IntelliVue
Patient Monitor and you are moving the patient to a new location
with either the monitor or measurement server. See “Discharging for
Transport” on page 2-22 for information on using this option.

6 When the Information Center prompts you whether you are sure you

want to discharge this patient, select the OK button. The
Information Center discharges this patient with the option you
selected and returns you to the Patient Window.

Patient Management

2-21

Discharging for Transport

Discharging for Transport

Overview For those times when you want to transport the patient and use the monitor at the

new location a discharge option, Discharge for Transport, is available. The
Discharge for Transport option is for patients being monitored by an M3 or
IntelliVue Patient Monitor operating via a wired connection to the IntelliVue
Clinical Network. The Discharge for Transport option discharges the patient on
the Information Center and stores the patient data but does not discharge the
patient from the bedside monitor. When you monitor the patient in a different
location and reconnect the monitor to the network the bed will automatically be
admitted on the Information Center at the new location.

Note—The Discharge for Transport option is not available for transporting

patients to units connected to other database servers across a Large Network
Central Database System.

Task Summary

2-22 Patient Management

To transport a patient using Discharge for Transport perform the following
steps:

Step Action

1 Prepare the patient for transport.

2 From the Patient Window select the Discharge button. The

3 If you have flexible monitoring, clear the sector by selecting the

4 From the Discharge window select the Discharge for Transport

Discharge window displays.

Clear Sector checkbox.

button. The Information Center moves the patient data to the transfer
list and the message “No patient admitted” displays in the bed’s
sector.

Note—Alternatively, the Transfer key on the M3 or IntelliVue

Patient Monitor can be selected.

Discharging for Transport

Step Action

5 Disconnect the monitor from wall power and the network. If you

transporting an IntelliVue Patient Monitor patient with a
Measurement Server disconnect the Measurement Server from the
monitor.

6 Move the patient with the monitor or Measurement Server to the

new location.

7 If you have flexible monitoring, at the new location assign the bed

label and monitor label by using Sector Setup window. See page
2-29 for information on assigning equipment.

8 Reconnect to wall power and the network at the new location. For

patients with a Measurement Server, reconnect the Measurement
Server to the new monitor. The Information Center retrieves the
patient information from the monitor and re-admits the patient to the
new bed.

Patient Management

2-23

Transferring Patient Data to a New Bed

Transferring Patient Data to a New Bed

Overview The Information Center allows you to transfer a patient to another bed without

losing patient data. Transferring data involves two steps; discharging the patient
from the current bed using the Discharge Window; then re-admitting the patient
to the new bed using the Transfer List in the Admit Window.

The sector for the destination bed must have equipment associated with it
(bedside monitor or a telemetry device).

Note—If the Information Center is connected via Philips CareNet, the new bed

must be on the same Information Center. If the Information Center is connected
via the IntelliVue Clinical Network, the new bed can be on any Information
Center on the IntelliVue Clinical Network or if the Information Center is
connected via the Large Network Central Database System the new bed can be
on any Information Center connected to the large network. A large network is a
option where multiple database servers can be interconnected on the hospital
network. This connectivity provides clinicians with the ability to transfer
patients across care units that are on separate database servers. A patient can be
transferred to any bed that does not have a patient admitted. However, both the
bed and the equipment must be assigned to the sector to which you are
transferring a patient. If no bed and/or equipment is assigned you must first
assign the bed and/or equipment using the Sector Setup Window then transfer
the patient. See “Assigning a Bed and/or Equipment to a Sector” on page 2-29.

Task

Transfer data for a patient by performing the following steps:

Summary

Step

1 On the Patient Window select the Discharge button.

2 If you are transferring the patient to a unit over a Large Network

2-24 Patient Management

Action

Central Database System, select the unit to which to transfer the
data by selecting the unit name in the Transfer Destination list.

Transferring Patient Data to a New Bed

Step

Action

3 If you have flexible monitoring and want to use this equipment for a

different bed, you must clear the sector if you don’t, the equipment
will not be available for any other bed. Clear the sector upon
discharge by selecting the Clear Sector checkbox.

Note—You can also clear the sector by using the Clear Sector page

in Sector Setup -- see “Clearing (Unassigning) a Sector” on page 2-

40.

4 On the Discharge Window specify that you want to save the patient

data associated with this patient after discharge by selecting the
Save Data with Discharge button.

This ensures that patient data is retained and remains intact when the
patient is moved to the new bed. The data that is saved includes:

• Patient’s name and ID.

• Alarm history (50 or 150 alarms).

• Events, trends, ST data and full disclosure waves going back
24, 48, 72, or 96 hours. The amount of data that can be
retrieved depends on when the re-admission is done. For
example, if a patient is re-admitted 10 hours after discharge
(and your system has 24 hour trend storage), 14 hours of
trends are available on re-admission.

Note—For bedside monitors other than the M3 or IntelliVue Patient

Monitor, you still have to discharge the patient at the bedside
monitor to clear the bedside database and reset bedside alarm limits.

5 When the Information Center prompts you whether you are sure you

want to discharge this patient select the OK button. The Information
Center discharges this patient and returns you to the Patient
Window.

6 On the Patient Window select the Admit button.

Patient Management

2-25

Transferring Patient Data to a New Bed

Step

Action

3 If you have flexible monitoring and want to use this equipment for a

different bed, you must clear the sector if you don’t, the equipment
will not be available for any other bed. Clear the sector upon
discharge by selecting the Clear Sector checkbox.

Note—You can also clear the sector by using the Clear Sector page

in Sector Setup -- see “Clearing (Unassigning) a Sector” on page 2-

40.

4 On the Discharge Window specify that you want to save the patient

data associated with this patient after discharge by selecting the
Save Data with Discharge button.

This ensures that patient data is retained and remains intact when the
patient is moved to the new bed. The data that is saved includes:

• Patient’s name and ID.

• Alarm history (50 or 150 alarms).

• Events, trends, ST data and full disclosure waves going back
24, 48, 72, or 96 hours. The amount of data that can be
retrieved depends on when the re-admission is done. For
example, if a patient is re-admitted 10 hours after discharge
(and your system has 24 hour trend storage), 14 hours of
trends are available on re-admission.

5 When the Information Center prompts you whether you are sure you

6 On the Patient Window select the Admit button.

2-26 Patient Management

Note—For bedside monitors other than the M3 or IntelliVue Patient

Monitor, you still have to discharge the patient at the bedside
monitor to clear the bedside database and reset bedside alarm limits.

want to discharge this patient select the OK button. The Information
Center discharges this patient and returns you to the Patient
Window.

Transferring Patient Data to a New Bed

Step

Action

7 On the Admit Window, select the patient’s name in the Transfer

List.

Note—The names that are displayed when you first enter the Admit

Window are the names of patients that were discharged from this
Information Center. To see the names for all Information Centers in
your care unit, select your unit name. To see names for Information
Centers in another unit, select that unit name.

8 Select the Admit Patient button. The transfer is now complete.

Note—You cannot modify any of the patient data until after you

select the Admit Patient button. Change the patient information, if
needed, and select Update.

Important—When a patient is admitted from the Transfer List, the

Paced status is not retrieved -- it is set to NO for all monitoring
devices. If the patient is paced, change it after you select the Admit
Patient button.

Note—When transferring patients across a Large Network Central Database

System you can check the status of the transfer in the Transfer Status window.
Access the Transfer Status window by selecting the Status Logs button on the
All Controls window then selecting the Transfer Status tab on the window
that displays.

Patient Management

2-27

Fixed and Flexible Monitoring

Fixed and Flexible Monitoring

Overview The functions available to manage the beds on the Main Screen and the

equipment for those beds depend on whether the Information Center is
configured for fixed or flexible monitoring.

Changes are made through the Sector Setup Window. You can access the Sector
Setup Window via the task bar button on the Patient Window or Patient
Management applications, or via All Controls.

Fixed Monitoring

Flexible Monitoring

Fixed monitoring is typically configured for units where the number of beds
equals the number of sectors on the Main Display. The equipment assigned to a
sector cannot be changed.

With fixed monitoring you can temporarily view other beds in the Patient
Window and you can choose the wave to display as the secondary wave in the
patient sector. (See “Viewing a Bed Temporarily” on page 1-33 and “Assigning
a Secondary Wave” on page 2-42 for instructions.)

In addition, if a sector is configured as an overview (blank) sector at installation,
you can display any bed on the network. If the cursor is placed in an empty
sector, the Sector Setup button is displayed. Selecting this button brings up
the Overview Bed page, where you can select the bed.

With flexible monitoring, bed and equipment changes are possible. An example
of a unit with flexible monitoring is the unit that has both bedside monitors and
telemetry beds. Units may need to change patients back and forth between
bedside monitoring and telemetry. Flexible monitoring allows you to make the
appropriate equipment changes. Another example of a unit with flexible
monitoring is the telemetry unit that has more beds than sectors on the Main
Screen. Flexible monitoring allows the unit to make bed label changes as
needed. For example, telemetry devices can be assigned to different beds as
necessary.

If your system is configured for flexible monitoring, you can transition between
SDN based equipment (for example, telemetry) and IntelliVue Clinical
Network-connected wired and wireless bedsides on the same Information
Center.

2-28 Patient Management

Assigning a Bed and/or Equipment to a Sector

As with fixed monitoring, if your Information Center is connected to other
Information Centers, you can use patient sectors to display overview beds for
patients monitored by those Information Centers.

Note—All wireless M3 bedside monitors will automatically be configured for

flexible monitoring.

Assigning a Bed and/or Equipment to a Sector

Overview If your system is configured for flexible monitoring, the Information Center

allows you to assign a bed and/or equipment to an empty sector. You assign a
bed and/or equipment to a sector by using the Sector Setup Window.

If the sector is empty
When the cursor is placed in the sector, one button appears in the sector, Sector
Setup. Selecting this brings you directly to the Assign Bed/Equipment page of

the Sector Setup Window.

If there is a bed and equipment assigned

You must first use the Clear Sector page of the Sector Setup Window to clear
the sector. See “Clearing (Unassigning) a Sector” on page 2-40. Then, you use
the Assign Bed/Equipment page to assign the bed.

Note—You can use Assign Bed/Equipment to move a telemetry-monitored

patient to another bed and preserve all settings (including alarm limits) as well
as the patient's history. If this Information Center is connected via Philips
CareNet, the new bed must be on a Information Center that is connected to the
same CareNet switch. If this Information Center is connected via the IntelliVue
Clinical Network, the new bed can be on any Information Center that is
connected to the IntelliVue Clinical Network. You can do this whether or not the
patient has been admitted.

You can access the Sector Setup Window via the task bar button on the Patient
Window or Patient Management applications, or via All Controls

Patient Management

2-29

Assigning a Bed and/or Equipment to a Sector

Task Summary

Assign a bed/equipment to a sector by performing the following steps:

Step

Action

1 On the Patient Window for the appropriate sector, select the Sector

Setup button.

2 On the Sector Setup Window select the Assign Bed/Equipment page

by selecting the Assign Bed/Equipment tab.

Note—If you have flexible monitoring, this page displays

automatically when you select Sector Setup for sectors that currently
do not have a bed and/or equipment assigned to them.

3 Select the bed you want to assign to the sector by selecting a bed

name from the list.

Note—The only beds that appear in the list are beds not currently

displayed. Some beds may not be from your unit. Be sure to select
the correct bed label. If the equipment moves between multiple
Information Centers, for example an M3 monitor, the equipment
will need to be cleared from the other Information Center before you
can assign it.

4 Select the equipment you want to assign to the sector by selecting

the appropriate equipment from the list.

5 Once the necessary selections are made and verified, select the OK

2-30 Patient Management

button. The Information Center assigns the bed/equipment to the
sector. Once you have assigned equipment to the sector, you can
admit a patient to that bed. See “Admitting a Patient” on page 2-3.

Note—Selecting the Cancel button cancels your changes and

returns you to the Assign Bed/Equipment page.

Pairing/Unpairing Telemetry Equipment

Pairing/Unpairing Telemetry Equipment

Overview If your system is configured for flexible monitoring, the Information Center

allows you to associate (pair) a telemetry device with an IntelliVue Patient
Monitor (Release B.1 or higher) for display of telemetry data (waveforms,
parameters, and alarms) as well as bedside parameters on the IntelliVue Patient
Monitor. When paired, the telemetry data automatically displays as a permanent
overview session in the Telemetry Overview window on the IntelliVue Patient
Monitor. At the Information Center, the telemetry data and any bedside data (for
example, NBP) are integrated in the patient sector. When you remove the
telemetry/bedside pairing (unpair), the patient is assumed to be telemetry
monitored.

See your IntelliVue Patient Monitor Instructions for Use for information on
using the Telemetry Overview window at the IntelliVue Patient Monitor.

Parameter/

Wave Behavior

Because the bedside and telemetry device can potentially source the same
parameters the following rules apply when a telemetry device and an IntelliVue
Patient Monitor are paired:

• Telemetry parameters are labeled as HR, SpO2T and PulseT.
Bedside parameters are labeled as HR, SpO2, SpO2l, SpO2r and Pulse.

• Telemetry pleth wave is labeled as PlethT. Bedside pleth wave is labeled
Pleth.

• The HR and ECG waveforms from Telemetry are displayed and stored at
the Information Center.

• Overlapping parameters and waveforms (for example, SpO2, SpO2T,
Pulse, PulseT, Pleth and PlethT) are displayed and trended with the
patient’s data. Non-overlapping parameters and waveforms from the
bedside (for example, ABP, CO) are displayed and trended with this
patient’s data.

Patient Management

2-31

Pairing/Unpairing Telemetry Equipment

• If TeleMon NBP is on, then the TeleMon NBP value is displayed and
stored. The bedside NBP value is ignored. If only the bedside NBP is on,
the bedside NBP is displayed and stored. If a bed is paired and has NBP
and the telemetry device is also docked to a Telemon with NBP, then each
respective NBP measurement is displayed and trended as if it came from a
single source. NBP from Telemon only is shown in the Telemetry
Overview window at the IntelliVue Patient Monitor.

• The Telemetry Overview window at the IntelliVue Patient Monitor
reflects only the telemetry waveforms and parameters.

• The Telemetry Overview window indicates that the ECG and Pleth
waveforms are delayed.

• Telemetry waveforms (for example ECG and Pleth) and waveforms
sourced by the bedside (for example Pressures and Pleth) are not aligned
in time when displayed together on the Information Center.

Alarm

behavior

Both the IntelliVue Patient Monitor and telemetry device source alarms. The
following describes the behavior from the Information Center’s perspective.

• When paired, all bedside ECG and Resp INOPs are ignored by the

• All bedside and telemetry alarms, all telemetry ECG INOPs and non-ECG

• When paired, alarm recordings at the Information Center use the primary

Note—As with overview patients at the IntelliVue Patient Monitor, a prompt

tone will be audible at the IntelliVue Patient Monitor when a telemetry alarm
condition occurs.

2-32 Patient Management

Information Center.

INOPs are displayed, recorded, stored and reflected in overview (as
appropriate) by the Information Center.

and secondary telemetry waveforms.

Pairing/Unpairing Telemetry Equipment

Control

behavior

Where Initiated Effect at Bedside Effect at Information Center

Bedside Silences bedside alarms. Silences bedside alarms.

Bedside from
Telemetry
Overview Window

Information Center Silences bedside and telemetry alarms. Silences bedside and telemetry

Telemon No effect. Silences alarms at the

Bedside Suspends/Pauses bedside alarms. Bed Alarms Suspend/Bed Alarms

Information Center Suspends/Pauses bedside and

The following table indicates how bedside and Information Center controls
apply when a telemetry device and an IntelliVue Patient Monitor are paired.

Silence

Silences bedside and telemetry alarms. Silences bedside and telemetry

alarms.

Note—Silence Overview Alarms at

Bedside must be enabled at the
Information Center. See “General
Setup Unit Settings” on page 9-36.

alarms.

No effect. Silences alarms at the

TeleMon only.

Suspend/Pause

telemetry alarms.

TeleMon only.

Paused INOP displayed.

Suspends/Pauses bedside and
telemetry alarms. Bed Alarms
Suspend/Bed Alarms Paused INOP
displayed. All ECG Alarms OFF and
Tele Alarms Suspend/Tele Alarms
Paused displayed.

Standby

Bedside Bedside put into standby state. Monitor Standby INOP displayed

Information Center Bedside and telemetry put into

standby.

Unsuspend/Resume Monitoring

Bedside Bedside resumes monitoring Telemetry Standby remains.

Information Center Bedside resumes monitoring. Telemetry resumes monitoring.

Monitor and Telemetry Standby
INOPs displayed. Standby location
displayed.

Patient Management

2-33

Pairing/Unpairing Telemetry Equipment

Task Summary

To pair equipment in a blank sector:

Step

Action

1 On the Patient Window for the appropriate sector, select the Sector

Setup button.

2 On the Sector Setup Window select the Pair/Upair Equipment page

by selecting the Pair/Upair Equipment tab.

3 Select the bed label from the New Bed list.

4 Select the telemetry device from the New Equipment list.

5From the New Pair Equipment list, select the bedside monitor to

which you wish to pair the telemetry device.

6 When you have completed these steps, then click OK.

7 To change equipment that is paired, you must first unpair the

existing paired equipment by selecting the Unpair button You may
then pair new equipment by selecting a monitor from the New Pair
Equipment list.

Note—When you select the Unpair button the sector automatically

defaults to the telemetry device. If you need to assign a bedside
monitor to the sector go to the Assign/Bed Equipment page and
assign the monitor to the sector.

Note—After pairing the telemetry device and IntelliVue Patient Monitor verify

that you are receiving the appropriate monitoring data in the Information Center
and bedside monitor.

2-34 Patient Management

Changing Equipment for a Sector

Changing Equipment for a Sector

Overview If your system is configured for flexible monitoring, you can change the

equipment that is currently assigned to a bed. You change the equipment
assigned by using the Change Equipment page in the Sector Setup Window.

Note—You can identify the telemetry device label that is currently assigned to a

bed by placing your cursor over the bed label in the sector. When you place your
cursor over the bed label a pop-up box indicates the telemetry device label.

Patient

Settings

When you change the equipment assigned to a bed a short gap occurs in the
wave data for the patient and the following occurs to patient settings:

• telemetry device to telemetry device

All patient settings remain the same as before the equipment change.

If using Philips transmitters, the items controlled by the Wave Viewer or
TeleMon depend on how the transmitter is set up. For example, the SpO
sample rate will be the one configured for the transmitter you are
changing to.

• Bedside monitors (other than M3/IntelliVue Patient Monitors)

to telemetry

All existing arrhythmia settings remain the same. Settings that were not
previously being monitored (for example, SpO2 and ST) default to the
unit settings.

• Telemetry to bedside monitor other than M3/IntelliVue Patient

Monitor

All existing arrhythmia settings remain the same. However, the local
bedside settings for all other parameters, including high and low HR alarm
limits, go into effect. In addition, if telemetry ST segment monitoring was
enabled, it is turned off (ST monitoring can be enabled at the bedside, if it
is available).

2

Patient Management

2-35

Changing Equipment for a Sector

• Bedside/Telemetry to M3/IntelliVue Patient Monitor

All parameter settings will be those in the M3/IntelliVue Patient Monitor.
If there are discrepancies in patient demographics, patient category or
paced status a icon will display in the upper right-hand corner of the
patient sector to indicate that a conflict exists. You will need to go to the
Admit Window and resolve the conflict. See “Resolving Conflicts with
M3 or IntelliVue Patient Monitors” on page 2-10.

Note—Differences in the height, weight, date of birth, or gender fields at

the Information Center and these fields at the IntelliVue Patient Monitor
will not cause a conflict to occur. If there are
height, weight, date of birth, or gender fields, then the IntelliVue Patient
Monitor value is always used.

• M3/IntelliVue Patient Monitor to M3/IntelliVue Patient Monitor

All parameter settings will be those in the new bedside monitor. If there
are discrepancies in patient demographics, patient category or paced status
a icon will display in the upper right-hand corner of the patient sector
to indicate that a conflict exists. You will need to go to the Admit
Window and resolve the conflict. See “Resolving Conflicts with M3 or
IntelliVue Patient Monitors” on page 2-10.

Note—Differences in the height, weight, date of birth, or gender fields at

the Information Center and these fields at the IntelliVue Patient Monitor
will not cause a conflict to occur. If there are
height, weight, date of birth, or gender fields, then the IntelliVue Patient
Monitor value is always used.

differences between the

differences between the

• M3 bedside monitor to telemetry

• IntelliVue Patient Monitor to telemetry

2-36 Patient Management

All parameter settings will be those in the Information Center.

All existing arrhythmia settings remain the same, except the settings for
Multilead, Singlelead, or Arrhythmia off. The Multilead, Singlelead, or
Arrhythmia Off settings reflect the setting of the telemetry device when it
was last used. Settings that were not previously monitored (for example,
SpO2 and ST) default to unit settings.

Changing Equipment for a Sector

Task Summary

Change equipment assigned to a sector by performing the following steps:

Step

Action

1 On the Patient Window for the appropriate sector, select the Sector

Setup button.

2 On the Sector Setup Window select the Change Equipment page by

selecting the Change Equipment tab.

Note—If you have flexible monitoring, this page displays

automatically when you select Sector Setup for sectors that currently
have a bed and equipment assigned to them.

3 On the Change Equipment page select the new equipment you want

to assign to this sector by selecting the Bedside Monitor or the
telemetry device label on the new equipment list.

Note—Only telemetry devices that are unassigned to a bed are in the

equipment list. If the telemetry device you will be using to monitor a
patient is not on the list, check that it is not assigned to a bed (put
the cursor over the bed label to see the telemetry device number). If
the telemetry device is assigned to a bed, use the Clear Sector tab
to clear the sector. The telemetry device will then be available for
assignment to the new bed.

If the equipment moves between multiple Information Centers, for
example an M3 monitor, the equipment will need to be cleared from
the other Information Center before you can assign it.

4 Verify that the bed and equipment you have selected are correct,

then select the OK button. The bed and/or equipment will be
changed for the sector. If the Bedside Monitor you selected is an M3
or IntelliVue Patient Monitor proceed to Step 5.

Note—Selecting the Cancel button cancels your changes and

returns you to the Change Equipment page.

5 If the Bedside Monitor is an M3 or IntelliVue Patient Monitor verify

that the patient information/settings in the Admit Window are
correct. Resolve any conflicts if necessary. See “Resolving Conflicts
with M3 or IntelliVue Patient Monitors” on page 2-10.

Note—If using Overview while equipment change is taking place, the data from

these beds may momentarily not be available.

Patient Management

2-37

Assigning an Overview Bed to a Sector

Assigning an Overview Bed to a Sector

Overview If your Information Center is connected to the IntelliVue Clinical Network, you

can assign an overview bed to a sector. An overview bed is a bed that is
currently being monitored by another connected Information Center (the primary
Information Center).

You assign an overview bed to a sector by using the Overview Bed page in the
Sector Setup Window. Sectors that have no bed label assigned contain a Sector

Setup button from which you can directly access the Sector Setup Window.

Fixed monitoring

Flexible Monitoring

Overview Bed Controls

You can overview a bed in a sector if a sector is configured as an overview
(blank) sector at installation. If the sector already has an overview bed, you must
clear the sector before assigning another overview bed. See “Clearing
(Unassigning) a Sector” on page 2-40.

You can assign an overview bed to a sector for:

• Sectors that currently do not have bed/equipment assigned.

• Sectors that display a bed label but do not have equipment assigned.

The controls available when viewing an overview bed depend upon how your
system is configured and whether you have Read-Only or Full Control access.
Read-Only access means you can view the patient data but cannot make any
changes. Full Control access means you can view the patient data and make
changes. For more information, see “Types of Access” on page 1-34.

2-38 Patient Management

Assigning an Overview Bed to a Sector

Task Summary

To assign a sector to a bed currently being monitored by another connected
Information Center perform the following steps:

Step

Action

1 On the Patient Window for the appropriate sector, select the Sector

Setup button.

2 On the Sector Setup Window select the Overview Bed page by

selecting the Overview Bed tab.

Note—If fixed monitoring, the Overview Bed page is automatically

displayed for a blank sector.

3 Select the unit you want, then the bed you want to overview by

selecting a bed name from the list.

4 Select the OK button. The Information Center assigns an overview

bed to the sector.

Note—Selecting the Cancel button cancels your changes and

returns you to the Overview Bed page.

Patient Management

2-39

Clearing (Unassigning) a Sector

Clearing (Unassigning) a Sector

Fixed Monitoring

Flexible Monitoring

If your system is configured for fixed monitoring, you must clear the current
overview bed before assigning another overview bed to that sector.

If your system is configured for flexible monitoring, you use Clear Sector to
remove the bed/equipment that is currently displayed in a sector.

Note—If a patient is admitted to the bed, you must first discharge the patient

before clearing the sector. See “Discharging a Patient” on page 2-19.

When the sector is empty, you can:

– Assign a new bed/equipment to monitor a bed.

or

– Overview a bed being monitored by another connected Information

Center.

Important—For M3/M4 or IntelliVue Patient Monitors, when you clear the

sector the bed will no longer be available for Overview at other bedsides. See
your user documentation for information on using Overview at the M3/M4 or
IntelliVue Patient Monitor.

Note—Clearing a sector removes any telemetry/bedside pairings.

You clear a sector by using the Clear Sector page in the Sector Setup Window.

Task

Clear a sector by performing the following steps:

Summary

Step

1 On the Patient Window for the appropriate sector, select the Sector

2 On the Sector Setup Window select the Clear Sector page by

2-40 Patient Management

Action

Setup button.

selecting the Clear Sector tab.