Philips IntelliVue MP2 User manual

INSTRUCTIONS FOR USE

IntelliVue MP2

Patient Monitor

Release G.0 with Software Revision G.0x.xx

Patient Monitoring

Printed in Germany 09/08

*M8102-9001B*

Part Number M8102-9001B

4512 610 28471

M8102-9001B

1Table Of Contents

1 Installation 1

Installation Checklist 1 Unpacking and Checking the Shipment 2 Mounting the Monitor 3 Mounting the External Power Supply (M8023A) 3 Connecting the Monitor to AC Mains 3 Checking Out the Monitor 5 Operating the Monitor 6 Setting the Date and Time 7 Checking Country-Specific Default Settings 7 Handing Over the Monitor 7

2 Basic Operation 9

Introducing the IntelliVue MP2 10 Controls, Indicators and Connectors 10 Extending Measurements 13 Operating and Navigating 16 Operating Modes 22 Understanding Screens 23 Using the XDS Remote Display 24 Using the Visitor Screen 24 Understanding Profiles 25 Understanding Settings 26 Changing Measurement Settings 27 Switching a Measurement On and Off 27 Adjusting a Measurement Wave 27 Using Labels 28 Changing Monitor Settings 30 Checking Your Monitor Revision 30 Getting Started 31 Disconnecting from AC Mains Power 32 Monitoring After a Power Failure 32 Networked Monitoring 32 Capturing Alarm Reports and Printing 33

3 What’s New? 35

What’s New in Release G.0? 35 What’s New in Release F.0? 36

4 Alarms 39

Visual Alarm Indicators 40 Audible Alarm Indicators 41 Acknowledging Alarms 42

Pausing or Switching Off Alarms 43 Alarm Limits 45 Reviewing Alarms 49 Latching Alarms 50 Testing Alarms 51 Alarm Behavior at On/Off 51 Alarm Recordings 51

5 Patient Alarms and INOPs 53

Patient Alarm Messages 53 Technical Alarm Messages (INOPs) 59

6 Managing Patients 83

Admitting a Patient 83 Quick Admitting a Patient 85 Editing Patient Information 85 Discharging a Patient 85 Transferring Patients 86

7 ECG, Arrhythmia, ST and QT Monitoring 89

Skin Preparation for Electrode Placement 89 Connecting ECG Cables 89 Selecting the Primary and Secondary ECG Leads 90 Checking Paced Status 90 Understanding the ECG Display 91 Monitoring Paced Patients 92 Changing the Size of the ECG Wave 93 Changing the Volume of the QRS Tone 94 Changing the ECG Filter Settings 94 Selecting Positions of Va and Vb Chest Leads (for 6-lead placement) 95 Choosing EASI or Standard Lead Placement 95 About ECG Leads 95 ECG Lead Fallback 96 ECG Lead Placements 96 Capture 12-Lead 100 EASI ECG Lead Placement 101 ECG and Arrhythmia Alarm Overview 102 Using ECG Alarms 103 ECG Safety Information 104 About Arrhythmia Monitoring 105 Switching Arrhythmia Analysis On and Off 106 Choosing an ECG Lead for Arrhythmia Monitoring 106 Understanding the Arrhythmia Display 107 Arrhythmia Relearning 110 Arrhythmia Alarms 111 About ST Monitoring 117

Switching ST On and Off 117 Understanding the ST Display and Windows 118 Updating ST Baseline Snippets 119 About the ST Measurement Points 120 ST Alarms 122 Viewing ST Maps 122 About QT/QTc Interval Monitoring 127 QT Alarms 130 Switching QT Monitoring On and Off 131

8 Monitoring Pulse Rate 133

Entering the Setup Pulse Menu 133 System Pulse Source 133 Switching Pulse On and Off 134 Using Pulse Alarms 134

9 Monitoring Respiration Rate (Resp) 137

Lead Placement for Monitoring Resp 137 Understanding the Resp Display 138 Changing Resp Detection Modes 138 Changing the Size of the Respiration Wave 139 Changing the Speed of the Respiration Wave 140 Using Resp Alarms 140 Changing the Apnea Alarm Delay 140 Resp Safety Information 140

10 Monitoring SpO

SpO2 Sensors 143 Applying the Sensor 143 Connecting SpO2 Cables 144 Measuring SpO SpO2 Signal Quality Indicator (Fast SpO2 only) 145 Assessing a Suspicious SpO2 Reading 145 Changing the Averaging Time 146 Setting the Measurement Mode 146 Understanding SpO2 Alarms 146 Pleth Wave 147 Perfusion Numeric 148 Perfusion Change Indicator 148 Setting SpO2/Pleth as Pulse Source 148 Setting Up Tone Modulation 148 Setting the QRS Volume 149

144

11 Monitoring NBP 151

Introducing the Oscillometric NBP Measurement 151 Preparing to Measure NBP 152

143

iii

Starting and Stopping Measurements 154 Enabling Automatic Mode and Setting Repetition Time 154 Enabling Sequence Mode and Setting Up The Sequence 154 Choosing the NBP Alarm Source 154 Switching Pulse from NBP On/Off 155 Assisting Venous Puncture 155 Calibrating NBP 156

12 Monitoring Temperature 157

Making a Temp Measurement 157 Calculating Temp Difference 158

13 Monitoring Invasive Pressure 159

Setting up the Pressure Measurement 159 Zeroing the Pressure Transducer 161 Adjusting the Calibration Factor 162 Displaying a Mean Pressure Value Only 162 Changing the Pressure Wave Scale 163 Optimizing the Waveform 163 Non-Physiological Artifact Suppression 163 Choosing the Pressure Alarm Source 163 Calibrating Reusable Transducer CPJ840J6 165 Calculating Cerebral Perfusion 166

14 Monitoring Carbon Dioxide 167

Measuring CO2 using the CO2 Option or M3014A 168 Measuring Mainstream CO2 using M3016A 171 Measuring Microstream CO2 using M3015A 173 Setting up all CO2 Measurements 174

15 Assigning Two Devices to One Patient 177

How Can You Combine Devices? 177 Functions Available When the Telemetry Data Window is Displayed 181 Functions Available For Devices Connected Via SRR 182 General Telemetry-related Functions 182

16 Enhancing Telemetry Monitoring with the Monitor 185

17 Tre nd s 187

Viewing Trends 187 Setting Up Trends 189 Documenting Trends 192 Trends Databases 192 Screen Trends 193

18 Recording 199

Starting and Stopping Recordings 199 Overview of Recording Types 200 Creating and Changing Recordings Templates 200 Recorder Status Messages 201

19 Printing Patient Reports 203

Starting Report Printouts 203 Stopping Reports Printouts 204 Setting Up Reports 204 Setting Up Individual Print Jobs 205 Checking Printer Settings 206 Printing a Test Report 206 Switching Printers On Or Off for Reports 206 Dashed Lines on Reports 207 Unavailable Printer: Re-routing Reports 207 Checking Report Status and Printing Manually 207 Printer Status Messages 208 Sample Report Printouts 209

20 Care and Cleaning 213

General Points 213 Cleaning the Monitor 214 Disinfecting the Monitor 214 Sterilizing the Monitor 214 Cleaning, Sterilizing and Disinfecting Monitoring Accessories 215 Cleaning Batteries and the Battery Compartment 215

21 Using Batteries 217

Battery Power Indicators 218 Checking Battery Charge 220 Replacing a Battery 220 Optimizing Battery Performance 221 Battery Safety Information 222

22 Maintenance and Troubleshooting 225

Inspecting the Equipment and Accessories 225 Inspecting the Cables and Cords 225 Maintenance Task and Test Schedule 226 Troubleshooting 227 Disposing of the Monitor 227 Disposing of Empty Calibration Gas Cylinders 227

23 Accessories 229

ECG/Resp Accessories 229 NBP Accessories 233

Invasive Pressure Accessories 234 SpO2 Accessories 235 Temperature Accessories 239 Mainstream CO2 Accessories 239 Sidestream CO2 Accessories 240 Mainstream CO2 Accessories (for M3016A) 240 Microstream CO2 Accessories 240 Battery Accessories 241

24 Specifications 243

Intended Use 243 Manufacturer’s Information 244 Symbols 244 Installation Safety Information 246 Altitude Setting 246 Monitor Safety Specifications 246 EMC And Radio Regulatory Compliance 247 Out-Of-Hospital Transport - Standards Compliance 248 Monitor Performance Specifications 251 M4607A Battery Specifications 254 Measurement Specifications 255 Safety and Performance Tests 267

25 Default Settings Appendix 271

Country-Specific Default Settings 271 Alarm and Measurement Default Settings 277 Alarm Default Settings 277 ECG, Arrhythmia, ST and QT Default Settings 278 Pulse Default Settings 281 Respiration Default Settings 281 SpO2 Default Settings 282 NBP Default Settings 283 Temperature Default Settings 283 Invasive Pressure Default Settings 283 CO2 Default Settings 286

1Installation

Installation should be carried out by qualified service personnel, either by the hospital’s biomedical department, or by Philips Support.

If you have purchased a “customer-installable bundle”, it is assumed that your own hospital personnel will install and, if necessary, configure the monitor. You can contact Philips Support for assistance if required; any assistance will be associated with additional costs.

For mechanical and electrical installation, you need technically qualified personnel with a knowledge of english. Additionally, for monitor configuration, you need clinically qualified personnel with a knowledge of the use environment. For further information on Installation, refer to the Service Guide.

WARNING • Monitor configuration settings must be specified by authorized hospital personnel.

• For installation of the device as part of a system, always refer to the Service Guide.

• As the first step in preparing the monitor for use, follow the installation instructions given in this chapter.

Installation Checklist

Use this checklist to document your installation.

Step Ta s k Check Box

1 Perform initial inspection of delivery, unpack and check the shipment (see

“Unpacking and Checking the Shipment” on page 2).

2 Mount the monitor as appropriate for your installation (see “Mounting the

Monitor” on page 3).

3 Insert the battery into the battery compartment (the battery must always be

in the battery compartment during use). Connect the monitor to AC mains via the external power supply using the supplied power cord (see “Connecting the Monitor to AC Mains” on page 3).

4 Perform Visual, Power On and Functional test blocks (see “Checking Out the

Monitor” on page 5).

5 Perform Safety Tests, if required by local laws and regulations (see “Checking

Out the Monitor” on page 5).

when Task

Done

❏

1 Installation Unpacking and Checking the Shipment

Step Ta s k Check Box

when Task

Done

6 Check/set the time and date (see “Setting the Date and Time” on page 7). ❏ 7 Check that the country-specific default settings are appropriate (see

“Checking Country-Specific Default Settings” on page 7)

8 Perform System Test as necessary (see the Service Guide) ❏

❏

Unpacking and Checking the Shipment

The monitor and any supporting options ordered are supplied packed in protective shipping cartons.

Initial Inspection

Before unpacking, check the packaging and ensure that there are no signs of mishandling or damage.

Open the package carefully and remove the monitor and accessories. Check that the contents are complete and that the correct options and accessories have been delivered.

System Components, Accessories and Supplies Comments

Monitor with options as ordered 1 ECG accessories optional NBP accessories optional SpO2 accessories optional Pressure accessories optional Temperature accessories optional CO2 Accessories optional External Power Supply including AC power cord and MSL cable 1 Rechargeable battery 1 Instructions for Use 1 Quick Guide 1 Documentation CD-ROM (includes Service Guide and Instructions

for Use)

Claims for Damage

If the shipping cartons are damaged, contact the carrier.

If any of the equipment is damaged, contact both the carrier and your local Philips service organization for repair or replacement arrangements.

Repacking

Retain the original packing carton and material, in case you need to return equipment to Philips for service. If you no longer have the original packing materials, Philips can advise you on alternatives.

Mounting the Monitor 1 Installation

Mounting the Monitor

The monitor can be rested on a flat, level surface, hung on the bed rail, or mounted on a wall or on a rollstand. See the Service Guide for details.

Mounting the External Power Supply (M8023A)

The external power supply (M8023A) can be rested on its rubber feet on a flat, level surface, or mounted as described in the Service Guide.

The following pictures show examples of correct ( ) and incorrect ( ) ways to mount the power supply.

Connecting the Monitor to AC Mains

The monitor is an electrical Class II device in which the protection against electric shock does not rely on basic insulation and a protective earth conductor but on double and/or reinforced insulation.

1 Installation Connecting the Monitor to AC Mains

The monitor has a wide-range external power supply (M8023A) that allows you to operate the monitor from an AC (alternating current) power source of 100 V to 240 V (± 10%) and 50/60 Hz (± 5%). The external power supply also charges the monitor’s battery.

MSL Cable connects to power supply (M8023A)

1 AC power cord. Connect to AC mains socket. 2 Connect LAN cable here. For connection to a PC or Information Center. 3 Measurement Link (MSL) cable. Supplies AC input power to the monitor for AC operation and

for battery charging. When there is a LAN connection to a PC or Information Center, the MSL cable also carries this data to and from the monitor.

4 Power-on LED. The green light is on when the external power supply is connected to AC

mains.

WARNING • Always use the supplied power cord with the earthed mains plug to connect the external power

supply (M8023A) to an earthed AC mains socket. Never adapt the mains plug from the power supply to fit an unearthed AC mains socket.

Checking Out the Monitor 1 Installation

• Do not use AC mains extension cords or multiple portable socket-outlets. If a multiple portable socket-outlet without an approved isolation transformer is used, the interruption of its protective earthing may result in enclosure leakage currents equal to the sum of the individual earth leakage currents, so exceeding allowable limits.

• Do not connect any devices that are not supported as part of a system.

• Any non-medical device placed and operated in the patient’s vicinity must be powered via an approved isolation transformer that ensures mechanical fixing of the power cords and covering of any unused power outlets.

Checking Out the Monitor

The following table defines which tests and inspections need to be performed, and when they are required.

Te s t Test or Inspection to be Performed

Visual Inspect the monitor, measurement accessories and cables for any damage.

Are they free of damage?

Power On Power on the monitor. Does it start up successfully without errors? Do all alarm

lamps light up during power up? After start up, the monitor sounds a tone, and you can see the monitoring main screen (normally with measurement wave channels and numeric positions).

Functionality Test After power up, touch the battery status indicator in the bottom right of the

screen. The battery status window should open. Press the blue Main Screen key to close the window and return to the main screen.

Safety Tests (1) to (4) Perform safety tests (1) to (4), as described in the Service Guide, for standalone

devices if required by local laws and regulations, and each time you combine equipment to form a system, or exchange system components.

safety tests and procedures are described in the Service Guide. These safety tests are derived from international standards but may not always be sufficient to meet local requirements.

System Perform the system test according to IEC 60601-1-1, if applicable, after

combining equipment to form a system (see the Service Guide).

Details of the

For test and inspection information regarding repairs, upgrades and all other service events, refer to the Service Guide.

1 Installation Operating the Monitor

Operating the Monitor

To complete installation you will need to operate the monitor to check basic functionality. Here is a quick introduction to the monitor.

1 Switch on the monitor. After start-up the

monitor display will become active. You operate the monitor using the touch screen.

3 Touch again to select an item on the menu and

work through the menu activities.

2 Touch something on the screen (numerics,

waves, other screen items) to enter the corresponding menu. Touching the NBP numeric, for example, brings you to the Setup NBP menu.

4 To access SmartKeys, press the SmartKeys

key. Main Setup is one of the SmartKeys.

5 If you cannot find a menu by

touching the screen you can always use the Main Setup SmartKey which will get you to all menus on the monitor.

6 Press the Main Screen key to close all open

menus/windows and return to the main screen. Press again to enter the Change Screen window, where you can choose from a number of pre-configured screens.

Setting the Date and Time 1 Installation

Setting the Date and Time

To set the date and time:

1 Press the SmartKeys key to enter the SmartKeys window.

Select the Main Setup SmartKey to enter the Main Setup menu.

3 Select the Date, Time screen element from the monitor’s info line to enter the Date, Time

menu.

4 Select, in turn, the Year, Month, Day, Hour (in 24 hour format, only) and Minute as

necessary. Select the correct values from the pop-up list.

5 Select Store Date, Time to change the date and time.

If your monitor is connected to an Information Center, the date and time are automatically taken from this.

Once it is set, the internal clock retains the setting even when you switch off the monitor.

Checking Country-Specific Default Settings

Some settings are made in the factory to match the typical requirements in a specific country. Line frequency, units for weight and height, and ECG cable colors (AAMI or IEC) have been set to appropriate values. If you suspect that these settings may not match your institution’s requirements, check the settings and change them if necessary as described in the Configuration Guide.

WARNING Before starting monitoring, check that the current configuration meets your requirements, especially

patient category, alarm limits and paced setting.

If you need to enter configuration mode:

1 In the Main Setup menu, select Operating Modes.

2 Select Config and enter the passcode.

The passcode for configuration mode is given in the monitor’s service documentation.

The monitor displays Config at the right hand side of the status line and in the center of the Screen while you are in configuration mode.

Before you leave configuration mode, always be sure to store any changes you made. You must store changes made to each Settings Block and to each Profile, individually. As it may be difficult to remember whether the settings you changed belong to a Monitor Settings block or a Measurement Settings block, we recommend that you store each block before you leave configuration mode.

To leave configuration mode:

♦ In the Main Setup menu, select Operating Modes and then select Monitoring.

Handing Over the Monitor

If you are handing over the monitor to the end-users directly after configuration, make sure that it is in Monitoring mode.

1 Installation Handing Over the Monitor

Users must be adequately trained to use the monitor before monitoring a patient. To achieve this, they should have access to, and read, the following documentation delivered with the monitor:

• Instructions for Use (this book) - for full operating instructions

• Quick Guide - for quick reminders during use

Additionally, we recommend working through the Training Guide for self-training on the monitor before use (not available in all languages). The part number is M8102-944XB, where X is a digit dependent on the language. The English training guide is M8102-9441B.

2Basic Operation

These Instructions for Use are for clinical professionals using the IntelliVue MP2 (M8102A) patient monitor.

This basic operation section gives you an overview of the device and its functions. It tells you how to perform tasks that are common to all measurements (such as entering data, switching a measurement on and off, setting up and adjusting wave speeds, working with profiles). The alarms section gives an overview of alarms. The remaining sections tell you how to perform individual measurements, and how to care for and maintain the equipment.

Familiarize yourself with all instructions including warnings and cautions before starting to monitor patients. Read and keep the Instructions for Use that come with any accessories, as these contain important information about care and cleaning that is not repeated here.

This guide describes all features and options. Your monitor may not have all of them; they are not all available in all geographies. Your monitor is highly configurable. What you see on the screen, how the menus appear and so forth, depends on the way it has been tailored for your hospital and may not be exactly as shown here.

In this guide:

•A warning alerts you to a potential serious outcome, adverse event or safety hazard. Failure to observe a warning may result in death or serious injury to the user or patient.

•A caution alerts you to where special care is necessary for the safe and effective use of the product. Failure to observe a caution may result in minor or moderate personal injury or damage to the product or other property, and possibly in a remote risk of more serious injury.

• Monitor refers to the entire patient monitor. Display refers to the physical display unit. Display Screen and Screen refer to everything you see on monitor’s display, such as measurements, alarms, patient data and so forth.

2 Basic Operation Introducing the IntelliVue MP2

Introducing the IntelliVue MP2

The Philips IntelliVue MP2 monitor provides a comprehensive set of basic physiological measurements: ECG (including ST analysis and optional 10-lead ECG), NBP, SpO invasive blood pressure, temperature and CO integration, documentation and information access. The MP2 can be used with adult, pediatric and neonatal patients in a hospital environment and during patient transport both inside and outside hospitals.

The monitor stores data in trend databases. You can see tabular trends (vital signs) and document them on a central printer. You can view measurement trend graphs, including horizon trends, to help you identify changes in the patient’s physiological condition.

The monitor can be powered by a rechargeable battery, or from AC mains using the external power supply (M8023A). For battery charging, care and status information, refer to the chapter “Using Batteries” on page 217.

. Through networking it provides information

, and optionally

Controls, Indicators and Connectors

MP2 Overview

1 On/Standby Switch

2 Power and battery indicators (see “MP2

Controls and Indicators” on page 11)

3 3.5-inch TFT LCD touchscreen QVGA

display

4 Alarm lamps (see “MP2 Controls and

Indicators” on page 11)

5 Built-in carrying handle 6 Battery eject button 7 Keys (see “MP2 Controls and Indicators”

on page 11)

8 Measurement connectors (see “MP2

Patient Connectors, Right Side” on page 12)

9 Battery

Controls, Indicators and Connectors 2 Basic Operation

MP2 Controls and Indicators

1 On/Standby switch 2 On/Standby LED. Green when

monitor is on. Red indicates an error.

3 Battery status LED. Yellow when

charging. Flashing red when battery is empty, or a battery malfunction is detected.

4 External power LED. Green when

monitor is powered from an external power source.

5 Alarms off indicator. When alarms are

suspended, the lamp is red, and the ALARMS OFF message appears on the screen.

6 Active INOP alarm lamp in light blue.

Stays lit until active INOP is acknowledged.

7 Active alarm lamp. Red or yellow,

depending on alarm level. Stays lit until active alarm is acknowledged.

8Silence key 9Alarms key: turns alarms On/Off, or

pauses them

10 SmartKeys key: brings up SmartKeys

on the screen

11 Main Screen key: closes all open

menus/windows and returns to the main screen, or selects current screen.

2 Basic Operation Controls, Indicators and Connectors

MP2 Patient Connectors, Right Side

Symbols (International) Text (English versions only)

MP2 Left Side

1 Pressure (option)

2 Temperature (option) 3 Noninvasive blood pressure

4 SpO

5 ECG sync pulse output

(See page 252 for specifications)

6 ECG/Respiration

7 CO

(option)

1 Loudspeaker 2 MSL Connector. Connects to the

external power supply via the MSL cable for AC mains operation, battery charging, and communication with a network.

Extending Measurements 2 Basic Operation

Extending Measurements

Your monitor is compatible with Philips measurement extensions for use with other IntelliVue patient monitoring devices. These allow you to add specific measurements to those already integrated into your monitor. These measurement extensions are referred to as MMS extensions.

MMS Extension M3014A attached to the MP2

The MMS extensions connect to the monitor and use the monitor’s settings and power. Trend data and measurement settings from the measurements in the extensions are stored in the monitor.

WARNING • Measurements from a MMS extension are only available when the extension is connected to the

monitor, and the monitor is running on AC mains via the external power supply (M8023A). Measurements from a MMS extension connected to the monitor are not available when the monitor is running on battery power.

• Any measurements on a MMS extension that conflict with those in the monitor cannot be used. For example, only one CO

To separate an extension from the monitor, press the release lever and push the extension forward.

measurement is supported.

2 Basic Operation Extending Measurements

M3014A, M3015A and M3016A Measurement Extensions

The optional M3014A Capnography extension adds mainstream capnography, and optionally one pressure plus either a pressure or a temperature to the monitor. Cardiac Output and Continuous Cardiac Output are not available when used with the MP2.

The optional M3015A Microstream CO

extension adds microstream capnography and optionally

either pressure or temperature to the monitor. The optional M3016A Mainstream CO mainstream capnography and optionally either pressure or temperature to the monitor.

Only one CO

measurement at a time is supported.

M3014A Capnography

M3015A Microstream

M3016A Mainstream

extension adds

Pressure connectors (red)

Temperature connector (brown)

Mainstream/sidestream connector CO2

(optional) Cardiac Output connector

Inlet

Microstream

Gas sample outlet

connector CO

Extending Measurements 2 Basic Operation

M3012A Hemodynamic MMS Extension

MSL Connector to MP2

Pressure connectors (red)

Cardiac Output (orange; optional)

Temperature connectors (brown)

When attached to the MP2 connected to the external power supply, the optional M3012A Hemodynamic extension adds temperature, pressure, and an additional pressure or a temperature to the monitor.

Cardiac Output and Continuous Cardiac Output are not available when used with the MP2.

2 Basic Operation Operating and Navigating

Operating and Navigating

The principle method of operating your monitor is via the touchscreen. Almost every element on the screen is interactive. Screen elements include measurement numerics, information fields, alarms fields, waveforms and menus.

There are also four keys to the right of the screen (see also “MP2 Controls and Indicators” on page 11).

These let you:

• Silence alarms: the Silence key acknowledges all active alarms by switching off audible alarm indicators and lamps.

• Switch alarms on or off, or pause alarms.

• Call up SmartKeys on the screen (see below).

• Close all open menus/windows and return to the main screen.

• If you are already in the main screen (no additional menus/ windows are open), then pressing this key opens the Change Screen window, where you can choose from a number of pre-configured screens.

• To temporarily disable the touchscreen operation, press and hold this key for 2 seconds. Press the key again to re-enable the touchscreen operation.

Key with symbol (international)

Tex t r ep la ce s symbol (English versions only)

Operating and Navigating 2 Basic Operation

A typical main screen looks like this:

5 6

MP2 Screen Elements

Bed9

Adult

1mV

NBP

Sys.

All Sett. reset Profile Adult

Doe, John

SpO

Sinus Rhythm

Item Description Comments

1 Alarm volume off indicator is displayed when the alarm volume is set

to zero (0).

2 Patient name / alarm message field Patient name can be covered by alarm messages

or alarms On/Off/Paused message.

Bed4

Adult

ST-I ST-V6

SpO2 LOW

SpO

If red and yellow alarms are active at the same time, they rotate in the alarm field.

3 Patient category and bed label / INOP

message field

Bed4 Adult

ST-I ST-V6

Patient category and bed label can be covered by INOP messages. If there are multiple red/

APNEA

SpO

yellow/cyan INOPs active at the same time, they rotate in the INOP field.

ALL ECG ALARMS OFF

ST-I ST-V6

APNEA

SpO

4 Network connection indicator Documented in Information Center

Instructions for Use.

5 Measurement label Touch the measurement to enter the

measurement setup menu.

6 Paced status Displayed below the HR label.

2 Basic Operation Operating and Navigating

MP2 Screen Elements

Item Description Comments

7 Measurement numeric/values Touch the numeric to enter the measurement

setup menu.

8Measurement wave Touch the wave to enter the measurement

setup menu.

9 Status line Shows information and messages prompting

you for action.

10 Battery status indicator Gives information about remaining battery

charge, estimated operating time, maintenance requirements and malfunctions. See the chapter “Using Batteries” on page 217.

Using the Touchscreen

Touch a screen element to get to the actions linked to that element. For example, touch a measurement numeric and the setup menu for that measurement opens. Touch a wave to enter the setup menu for that wave.

Measurement Setup Menus

Each measurement has a setup menu where you can perform operations or change settings. Typically, the setup menu window covers the whole screen, with the exception of the INOP and alarm message fields, which are always displayed at the top. The following picture is for illustration purposes, and may not exactly represent what you see on the screen. We are using non invasive blood pressure as an example, but all measurement setup windows are similar and share the same basic layout and components.

Touch the measurement numeric on the screen to enter the setup menu.

Main screen

Bed4 Doe, John

Pulse 60

Adult

SpO

Auto 15 min

Measurement setup menu

No Central Monit.

NBPs HIGH

Setup NBP

Pulse 60

NBP

NBP meas. + autom. cycle started

Alarms :

Sys.

Auto 08:28

Al. from :

Sys

Start/

Stop

Mode :

Auto

Stop

All

Repeat:

15 min

NBP

STAT

Operating and Navigating 2 Basic Operation

Key to measurement setup menu:

Item Description Comment

1 INOP and alarm message field. These are always displayed at the top of the screen. 2 Wave/numerics window. The main measurement numeric and wave (if applicable) are shown in

this window so that you do not lose sight of the current measurement while making changes in the menu.

3 Status/prompt message. Status/prompt messages related to the measurement menu are displayed

below the wave/numerics. General status/prompt messages on the main screen are covered by the measurement setup menu.

4 Next page arrows. The menu may have more than one page, as shown here. Move to another

page by touching these arrows.

5 Measurement menu buttons. Each button has two lines of text. To perform an operation on a

measurement, press one of the buttons. Some buttons lead directly to a task. For example, pressing the blood pressure starts a measurement. Other buttons open a pop-up window, which can have more than one page, from which you make a selection. Again, using noninvasive blood pressure as an example, pressing the

Repeat Time button for setting the repetition time opens a pop-

up window from which you pick a time, scrolling if necessary.

Start/Stop button for noninvasive

Main Setup Menu

There is usually more than one way to enter a setup menu for a measurement, to change a setting or to execute a task. Some routes are more direct than others. You can use whichever method you find most convenient. Which routes are available to you, however, can vary depending on your monitor’s configuration.

For this reason, this book generally describes entry to a measurement’s setup menu via the Main Setup menu, as this route is always available and is not subject to configuration dependencies. You can get to all setup windows from the Main Setup menu. You enter the Main Setup menu by pressing the SmartKeys key, then selecting the Main Setup SmartKey.

SmartKeys

A SmartKey is a configurable graphical key on the screen allowing fast access to frequently used functions. Press the SmartKeys hard key to call up a set of SmartKeys on the screen. Although the selection of SmartKeys available on your monitor depends on the monitor configuration and on the options purchased, the SmartKeys window generally looks like this:

Main Setup menu

From here you can get to all setup

menus

2 Basic Operation Operating and Navigating

No Central Monit.

Start/

Stop

Alarm Limits

Alarm

Volume

Main Setup is one of the SmartKeys.

enter Main Setup menu - you can get to all setup windows using this key

enter profile menu, or revert to default profile

SmartKeys

Measmt.

Select.

Vitals

Trend

QRS

Volume

NBPs HIGH

Admit/

Dischrge

Touch to view more

Profiles

SmartKeys

Monitor

Standby

enter standby mode - suspends patient monitoring. All waves and numerics disappear from the display. All settings and patient data information are retained.

change Screen, or revert to default screen

previous Screen

enter patient identification menu to admit/discharge/transfer

quick admit a patient

end case to discharge a patient

lock touchscreen operation set alarm limits

change alarm volume

change screen brightness (not for independent displays)

change QRS volume change amplitude (size) of ECG wave

review beat labels (annotate arrhythmia wave)

re-learn arrhythmia

- start/stop manual NBP measurement

- start auto series

- stop current automatic measurement

start NBP STAT measurement

within series

stop automatic or STAT NBP measurement and measurement series

start NBP measurement and measurement series

Operating and Navigating 2 Basic Operation

start veni puncture (inflate cuff to

stop current NBP measurement

subdiastolic pressure)

set the NBP repeat time

switch CO

pump off zero invasive pressure transducer

access patient reports

new lead setup set standard or EASI lead placement

review vital signs trend review graph trend

unpair equipment and continue central monitoring with the monitor

start 12-Lead Capture (only available

unpair equipment and continue central monitoring with the telemetry device

access ST Map application

if Information Center is connected)

select measurement device

Pop-Up Keys

Pop-up keys are task-related graphical keys that appear automatically on the monitor screen when required. For example, the confirm pop-up key appears only when you need to confirm a change.

Using the On-Screen Keyboard

Use this as you would a conventional keyboard. Enter the information by selecting one character after another. Use the Shift key to access uppercase letters. Use the Back key to delete single characters, or use the Clr key to delete entire entries. Select Enter to confirm what you have entered and close the on-screen keyboard.

Bed10

@!#

Adult

Last Name

Not Admitted

(

)

Shift

Alt

Back

Clr

Enter

2 Basic Operation Operating Modes

Operating Modes

When you switch the monitor on, it starts up in monitoring mode. To change to a different mode:

1 Select the Main Setup menu.

2 Select Operating Modes and choose the mode you require.

Your monitor has four operating modes. Some are passcode protected.

• Monitoring Mode: This is the normal, every day working mode that you use for monitoring patients. You can change elements such as alarm limits, patient category and so forth. When you discharge the patient, these elements return to their default values. Changes can be stored permanently only in Configuration Mode. You may see items, such as some menu options or the altitude setting, that are visible but ‘grayed out’ so that you can neither select nor change them. These are for your information and can be changed only in Configuration Mode.

• Demonstration Mode: Passcode protected, this is for demonstration purposes only. You must not change into Demonstration Mode during monitoring. In Demonstration Mode, all stored trend information is deleted from the monitor’s memory.

• Configuration Mode: Passcode protected, this mode is for personnel trained in configuration tasks. These tasks are described in the Configuration Guide. During installation the monitor is configured for use in your environment. This configuration defines the default settings you work with when you switch on, the number of waves you see and so forth.

• Service Mode: Passcode protected, this is for trained service personnel.

When the monitor is in Demonstration Mode, Configuration Mode, or Service Mode, this is indicated by a box with the mode name in the center of the Screen and a symbol in the bottom right-hand corner. Select this field to change to a different mode.

Standby Mode

Standby mode can be used when you want to temporarily interrupt monitoring. To enter Standby mode,

The Standby screen looks like this:

Config

Press the SmartKeys key .

Either select the Monitor Standby SmartKey Or select the Main Setup SmartKey, then select Monitor Standby.

+ 272 hidden pages