Philips IntelliVue MP2 User manual

Download

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.

Understanding Screens 2 Basic Operation

STANDBY

Press any key or select any field on the screen

to resume monitoring

The monitor enters Standby mode automatically after the End Case function is used to discharge a patient. Standby suspends patient monitoring. All waves and numerics disappear from the display but all settings and patient data information are retained. A special Standby screen is displayed.

If a patient location is entered at the Information Center, this will also be displayed on the Standby screen (availability depends on Information Center revision).

To resume monitoring,

♦ Select anything on the screen or press any key.

Understanding Screens

Your monitor comes with a set of pre-configured Screens, optimized for common monitoring scenarios. A Screen defines the overall selection, size and position of waves and numerics on the monitor screen when you switch on. You can easily switch between different Screens during monitoring. Screens do NOT affect alarm settings, patient category and so forth.

Switching to a Different Screen

To switch to a different Screen:

1 After closing any open menus or windows, press the Main Screen key to access the Change

Screens menu.

2 Choose the new Screen from the Change Screens menu.

Changing a Screen’s Content

If you do not want to change the entire Screen content, but only some parts of it, you can substitute individual waves, numerics, or trends. Be aware that these changes cannot be stored permanently in Monitoring Mode.

To change the selection of elements on a Screen,

1 Select the element you want to change. For example, touch the wave to enter the wave setup menu,

or touch the numeric to enter the numeric setup menu.

2 From the menu that appears, select Change Wave or Change Numeric, and then select the

wave or numeric you want.

2 Basic Operation Using the XDS Remote Display

In the Change Screen menu, the changed Screen is shown linked to the original Screen and marked with an asterisk.

Up to three modified Screens can be accessed via the Change Screen menu.

To recall Screens, select the name of the Screen in the Change Screen menu

After a patient discharge, the monitor’s default Screen is shown. Modified Screens are still available in the Change Screen menu.

If the monitor is switched off and then on again, modified Screens are erased from the monitor’s memory and cannot be recalled. If a modified Screen was the last active Screen when the monitor was switched off, it is retained (unless Automat. Default is set to Yes in Configuration Mode).

Change Screen

1 Wave B

1 Big Wave

Vital Signs B

2 Waves A

2 Waves B

Using the XDS Remote Display

Using the IntelliVue XDS solution it is possible to view an independent monitor screen on an external display. The XDS solution consists of a medical grade PC-based hardware platform, XDS application software and the XDS connectivity option on the monitor. Depending on the configuration you can also operate the monitor from the external display. The XDS must be connected to the same Local Area Network (LAN) as the monitor.

It is also possible to use an existing PC, connected to the same LAN, to host the XDS Application software.

For more details, including limitations and restrictions, refer to the Instructions for Use for the XDS Application.

Using the Visitor Screen

If a visitor Screen is configured for your monitor, you can use it to clear the screen of all waves and numerics but continue to monitor the patient with active alarms and trend storage at the bedside and Information Center. You can change the name of the visitor Screen in Configuration Mode.

To activate this Screen,

1 Press the Main Screen key to open the Change Screen menu.

2 Select the name of the visitor Screen configured for your monitor from the list of available Screens.

To select a Screen with waves and numerics again,

♦ Touch the gray rectangle in the center of the screen showing the visitor Screen’s name, or press the

Main Screen key, to open the Change Screen menu and then select a Screen from the list.

Understanding Profiles 2 Basic Operation

Understanding Profiles

Profiles are predefined monitor configurations. They let you change the configuration of the whole monitor so you can adapt it to different monitoring situations. The changes that occur when you change a complete profile are more far reaching than those made when you change a Screen. Screens affect only what is shown on the display. Profiles affect all monitor and measurement settings.

The settings that are defined by Profiles are grouped into three categories. Each category offers a choice of ‘settings blocks’ customized for specific monitoring situations. These categories are:

Display (screens)

– Each profile can have a choice of many different predefined screens. When you change the

profile, the screen selection configured for the new profile becomes active.

• Measurement Settings

– Each profile can have a choice of different predefined measurement settings. These relate directly

to individual measurements, for example, measurement on/off, measurement color, alarms limits, NBP alarm source, NBP repeat time, temperature unit (

• Monitor Settings

– Each profile can have a choice of different predefined monitor settings. These relate to the

monitor as a whole; for example, display brightness, alarms off/paused, alarm volume, QRS tone volume, tone modulation, prompt tone volume, wave speed, resp wave speed, pulse source.

F or oC) pressure unit (mmHg or kPa).

PAP ZERO+CHECK CAL

Profiles

Doe, John

PAP ZERO+CHECK CAL

Profile

Measmnt. Adult

Doe, John

Profile : Profile Adult

Measmnt. Pedi

Please Confirm

Confirm

Cancel

Patient Category : Adult

Paced : No

Display : Vital Signs

Measmnt.Settings : Measmt. Adult

Patient

To activate the highlighted settings block select Confirm

Profiles Menu, showing current settings Available choices in measurement menu. Confirm your

choice when prompted.

You can change from one complete profile to another or swap individual settings blocks (display screen/monitor settings/measurement settings) to change a subset of a profile. Changes you make to any element within the settings blocks are not saved when you discharge the patient, unless you save them in Configuration Mode.

Depending on your monitor configuration, when you switch on or discharge a patient the monitor either continues with the previous profile, or resets to the default profile configured for that monitor.

2 Basic Operation Understanding Settings

WARNING If you switch to a different profile, the patient category and paced status normally change to the setting

specified in the new profile. However some profiles may be setup to leave the patient category and paced status unchanged. Always check the patient category, paced status, and all alarms and settings, when you change profiles.

When you leave Demonstration Mode, the monitor uses the default profile.

Swapping a Complete Profile

1 Press the SmartKeys key and

– Either select Main Setup and then Profiles in the Setup menu.

– Or select the Profiles SmartKey .

2 In the Profiles menu, select Profile.

3 Chose a profile from the pop-up list.

4 Confirm your selection.

Swapping a Settings Block

1 Select the Main Setup SmartKey and then Profiles in the Main Setup menu, or

select the Profiles SmartKey.

2 In the Profiles menu, select Display or Measmnt. Settings or

Monitor Settings to call up a list of the settings blocks in each category.

3 Choose a settings block from the pop-up list.

4 Confirm your selection.

Default Profile

Your monitor has a default profile that it uses when you leave Demonstration, or Service modes, or when you discharge a patient. This profile is indicated by a diamond .

Locked Profiles

Some profiles are locked, so that you cannot change them, even in Configuration Mode. These are indicated by this lock symbol.

Understanding Settings

Each aspect of how the monitor works and looks is defined by a setting. There are a number of different categories of settings, including,

Screen Settings, to define the selection and appearance of elements on each individual Screen

Measurement settings, to define settings unique to each measurement, for example, high and low

alarm limits

Changing Measurement Settings 2 Basic Operation

Monitor settings, including settings that affect more than one measurement or Screen and define general aspects of how the monitor works, for example, alarm volume, reports and recordings, and display brightness.

You must be aware that, although many settings can be changed in Monitoring Mode, permanent changes to settings can only be done in the monitor’s Configuration Mode. All settings are reset to the stored defaults:

• when you discharge a patient

• when you load a Profile

• when the monitor is switched off for more than one minute (if Automat. Default is set to Yes).

Changing Measurement Settings

Each measurement has a setup menu in which you can adjust all of its settings. You can enter a setup menu:

• via the measurement numeric - select the measurement numeric to enter its setup menu. For example, to enter the Setup ECG menu, select the HR (heart rate) numeric.

•via the Main Setup SmartKey - if you want to setup a measurement when the measurement is switched off, use the Main Setup SmartKey and select Measurements. Then select the measurement name from the popup list. With this permanent key you can access any setup menu in the monitor.

• via the Measurement Selection key.

Switching a Measurement On and Off

When a measurement is off, its waves and numerics are removed from the monitor’s screen. The monitor stops data acquisition and alarming for this measurement.

1 Enter the measurement’s setup menu and select the measurement.

2 Select the measurement name to toggle between on and off. The screen display indicates the active

setting.

Adjusting a Measurement Wave

To quickly adjust wave-related measurement settings (such as speed or size), select the measurement wave itself. This displays the measurement Wave menu, which has only wave-related measurement settings.

Changing Wave Speeds

Lowering the wave speed compresses the wave and lets you view a longer time period. Increasing the speed expands the waveform, giving you a more detailed view.

The monitor distinguishes two groups of wave speed settings,

• RespiratorySpeed, for CO

• Global Speed, for all waves not included in the other group.

waves.

2 Basic Operation Using Labels

Changing the Wave Group Speed

The wave speed group setting defines the speed of all the waves in the group.

To change the wave speed of a wave speed group,

1 Select Main Setup -> User Interface

2 Select Global Speed or RespiratorySpeed, as required

3 Select a value from the list of available speeds.

Changing Wave Speed for a Channel

To change the wave speed of an individual wave channel,

1 Enter the Wave menu for a measurement by selecting its wave. 2 Select Change Speed.

3 To set the speed to the wave group speed, select RespiratorySpeed or Global Speed.

To set an individual channel speed, select a numeric value from the list of available speeds. This overrides the wave group speed setting and sets the speed for the individual wave channel on the monitor Screen. The wave channel speed is independent of the wave (label) depicted in the channel, if you change the wave, the new wave will retain the set channel speed.

Using Labels

You can measure up to three invasive pressures and temperatures simultaneously. The monitor uses labels to distinguish between them. The default settings defined in the profile (such as measurement color, wave scale, and alarm settings) are stored within each label. When you assign a label to a measurement, the monitor automatically applies these default settings to the measurement. The labels assigned are used throughout the monitor, in reports, recordings, and in trends.

Changing Measurement Labels (e.g. Pressure)

To change a measurement label of a measurement with multiple labels (invasive pressure or temperature),

1 Enter the Wave menu of the measurement.

2 Select Label.

3 Choose a label from the list.

The monitor automatically applies the scale, color, etc. settings stored in the Profile for the label you select. You can change scale settings in Monitoring Mode, but color can only be changed in the monitor’s Configuration Mode.

Any labels already being used in the monitor are shown “grayed-out” in the list and cannot be selected.

Resolving Label Conflicts

Each label must be unique, that is, it can only be assigned once. If you have a MMS Extension equipped with a pressure measurement connected to the monitor, there is a potential conflict with, for example, the ABP label. If you manually enter measurement values these may also conflict with existing labels on the monitor.

Depending on your configuration, the monitor will either

Using Labels 2 Basic Operation

• display the Measurement Selection window automatically for you to resolve the conflict

• take no action, you must enter the Measurement Selection window and resolve the conflict

measurement selection key

All the currently available measurements are depicted in the Measurement Selection window. Any measurement labels causing a label conflict are shown in red. If a measurement is connected but currently unavailable, for example, because it was deactivated due to a label conflict, that measurement is shown “grayed-out”. If a MMS Extension is not available, for example if monitor is running on battery power and not an external power source, the MMS Extension is not displayed.

PAP ZERO+CHECK CAL

Measurement Selection

*** APNEA

Unavailable measurements are grayed-out

Change

Label

ABP Tcore

NBP

SpO

ECG Resp

Activate

De-

Temp

PAP

Setup SpO

CPP

Temp

A MMS Extension is only shown in the Measurement Selection window when the monitor is connected to the external power supply (M8023A) and running on AC mains power, and not when running on battery power.

To resolve a label conflict:

1 Press the SmartKeys key and

– Either select Main Setup and then Meas. Selection – Or select the Meas. Select. SmartKey

to display the Measurement Selection window.

2 Select the label to be corrected.

3 Use the measurement selection keys to resolve the conflict. Select either:

– Change Label: to assign a different label to the conflicting label. – De-activate: to disable the conflicting measurement. It retains its label for future use but

becomes invisible to the monitor, as though it had been unplugged.

– Setup <Measurement label>: to enter the Setup menu for the measurement and change

the conflicting device’s label to a different label.

4 Select the De-activate pop-up key to disable the conflicting measurement.

2 Basic Operation Changing Monitor Settings

Label Compatibility

When a new measurement is introduced, or new labels for an existing measurement, these labels will not be shown on older Information Centers, and consequently not on the Overview screen sourced from the Information Center.

When a patient is transferred from a monitor with these new labels to one with an older software revision, the labels will be replaced with a generic label for that measurement. The settings for that generic label will then be used.

If it is critical that the measurement labels are available at the Information Center and after transfers, the older monitors and the Information Center must be upgraded to the appropriate software revision.

Changing Monitor Settings

To change monitor settings such as brightness, or QRS tone volume:

1 Press the SmartKeys key .

2 Either Enter the Main Setup menu by selecting the SmartKey . Select the setting you

want to change, or select User Interface to enter a submenu where you can change user interface settings.

Or Select the appropriate SmartKey for the setting you want to change.

Adjusting the Screen Brightness

1 Select the Brightness SmartKey. 2 Select the appropriate setting for the screen brightness. 10 is the brightest, 1 is the least

bright. Optimum is suitable for most monitoring locations and optimizes power usage for battery powered monitors.

Your monitor may be configured with a lower brightness for Standby mode and also for transport to conserve battery power. These settings can only be changed in the monitor’s Configuration Mode.

Setting 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.

1 In the Main Setup menu, select Date, Time.

2 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.

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

Checking Your Monitor Revision

1 Select Main Setup -> Revision to open the Monitor Revision menu. 2 Select the correct device from the device pop-up keys.

Getting Started 2 Basic Operation

3 From the Monitor Revision menu, select the monitor component for which you need

revision information.

Getting Started

Once you understand the basic operation principles, you can get ready for monitoring.

Inspecting the Monitor

WARNING If the monitor is mechanically damaged, or if it is not working properly, do not use it for any

monitoring procedure on a patient. Contact your service personnel.

1 Before you start to make measurements, carry out the following checks on the monitor.

– Check for any mechanical damage. – Check all the external cables, plug-ins and accessories.

2 Always ensure that the battery is loaded in the battery compartment when monitoring a patient,

even when the monitor is running on external power.

3 If you are using battery power, ensure that the battery has sufficient power for monitoring. Before

using a battery for the first time, you must charge it, following the instructions given in the section on Charging Batteries.

4 Measurements from measurement extensions attached to the monitor are only available when the

monitor is operating from AC mains power. The measurement extensions are not active when the monitor is operating from battery power.

5 Check all the functions of the instrument that you need to monitor the patient, and ensure that the

instrument is in good working order.

Switching On

Press the on/off switch on the monitor for one second. The monitor performs a self test and is then ready to use. If you see a message such as CO starting to monitor that measurement.

Power On/Power Off Behavior

The general rules determining the behavior of the monitor when connected to, or disconnected from power are as follows:

• A monitor that was switched on prior to a temporary power loss switches on again when power is restored.

• A monitor that was switched off prior to a temporary power loss remains off when power is restored.

SENSOR WARMUP wait until it disappears before

• When AC mains power is lost, a battery powered monitor continues to run without interruption on battery power.

Setting up the Measurements

1 Decide which measurements you want to make.

2 Basic Operation Disconnecting from AC Mains Power

2 Connect the required patient cables and sensors. The connectors are color-coded to the patient

cables and sensors for easy identification.

WARNING When connecting devices for acquiring measurements, always position cables and tubing carefully to

avoid entanglement or potential strangulation.

Starting Monitoring

After you switch on the monitor,

1 Admit your patient to the monitor. 2 Check that the profile, alarm limits, alarm and QRS volumes, patient category and paced status

and so forth are appropriate for your patient. Change them if necessary.

3 Refer to the appropriate measurement section for details of how to perform the measurements you

require.

Disconnecting from AC Mains Power

To disconnect the monitor from AC mains power, unplug the power cord for the external power supply (M8023A) from the mains socket.

Monitoring After a Power Failure

If external power is disconnected or there is a power failure, the monitor continues to run on its rechargeable battery.

If the monitor is without any power (no external power or the battery is empty) for less than one minute, monitoring will resume with all active settings unchanged. If the monitor is without power for more than one minute, the behavior depends on your configuration. If Automat. Default is set to Yes, the default profile will be loaded when power is restored. If Automat. Default is set to No, all active settings are retained, if power is restored within 48 hours. The Automat. Default setting is made in Configuration Mode.

Networked Monitoring

You can connect your monitor to an Information Center on a network, using one of the optional interfaces:

• Standard wired LAN

• Wireless LAN

• IntelliVue Instrument Telemetry System (IIT)

WARNING Do not connect patient monitors to the standard hospital network.

Capturing Alarm Reports and Printing 2 Basic Operation

If your monitor is connected to a network, a network symbol is displayed in the upper left corner next to the bed label. To see details about the monitoring equipment and technical information about the network, select the Main Setup SmartKey to enter the Setup menu, then select Bed Information.

Be aware that some network-based functions may be limited for monitors on wireless networks in comparison to those on wired networks.

Capturing Alarm Reports and Printing

You can print out standard reports, alarm reports and trends with the IntelliVue PC Printing Solution. This is a software package which allows you to print to a standard, off-the-shelf printer or to an electronic file such as PDF. You can download the IntelliVue PC Printing Solution free-of-charge from the Internet and install it on an existing PC.

Capturing Alarm Reports

The monitor can be set up to automatically capture alarm reports, triggered by selected alarms. The necessary settings must be made in Configuration mode.

When one of the selected alarms occurs, the monitor automatically captures the alarm and creates a report which is stored in the database. As soon as the monitor is connected to a PC or network with the IntelliVue PC Printing Solution software, it will automatically print the reports, or send them to a patient-specific folder as an electronic file.

2 Basic Operation Capturing Alarm Reports and Printing

This section lists the most important new features and improvements to the monitor and its user interface introduced with each release. Further information is provided in other sections of this book.

You may not have all of these features, depending on the monitor configuration purchased by your hospital.

What’s New in Release G.0?

Short Range Radio Interface for MP2

A short range radio interface is now available for the MP2 monitor. This allows a telemetry transceiver with a short range radio adapter to be assigned to the monitor, resulting in a direct connection. The measurement data from the telemetry transceiver appear directly on the monitor screen with a minimal delay and are combined with the monitor data in one sector at the Information Center.

3What’s New?

IntelliVue XDS Solution Using the IntelliVue XDS solution it is possible to view an independent monitor screen on an external

display. The XDS solution consists of a medical grade PC-based hardware platform, XDS application software and the XDS connectivity option on the monitor. Depending on the configuration you can also operate the monitor from the external display. The XDS must be connected to the same Local Area Network (LAN) as the monitor.

It is also possible to use an existing PC, connected to the same LAN, to host the XDS Application software.

New Fields in the Admission Form

A Middle Name field is now available in the admission form - whether it appears is configurable. Two additional ID fields, Lifetime Id and Encounter Id, can also be configured to appear and their names can be customized to fit hospital requirements.

Enhancements

SpO

• Additional SpO

• New manual measurement mode when telemetry devices are connected via a short range radio link.

• Signal Quality Indicator displayed with the SpO

ECG Enhancements

•New */**Afib yellow alarm when an atrial fibrillation waveform is detected.

• QT View window - shows current wave and baseline wave with Q and T points marked so that you can verify that the QT algorithm detects correct Q and T points.

Labels - SpO2pr and SpO2po labels have been added.

numerics.

3What’s New? What’s New in Release F.0?

What’s New in Release F.0?

QT/QTc Interval Monitoring

QT interval monitoring is used to assist in the detection of prolonged QT interval syndrome. The QT interval is measured and the heart-rate corrected QT value, QTc, is calculated. The monitor also provides a QTc value which tracks variation in the QT interval in relation to a baseline value. High alarm limits can be set for QTc and QTc enabling alarm notification.

Manual Data Entry

Measurement values (for example lab data or manually measured temperatures) can be entered manually into the monitor and stored in the database. They can then be used for trends, reports and also be displayed as a numeric on screen, if required.

Horizon Trend Enhancements

The trend indicator arrow indicates how the patient trend has developed in a set time period. This period is now configurable and can be set to 10 minutes, 5 minutes or 2 minutes. The horizon (or baseline) can now be set to a range or to a specific value.

Connecting an MP5 to a Monitor (Companion Mode is indicated)

The MP5 monitor can be connected to one of the MP20 to MP90 monitors (then called the host monitor) and used like an MMS. This provides monitoring continuity in transport situations allowing measurement data and patient demographics from the MP5 to be transferred to another monitor. When the MP5 is connected to a host monitor, no alarms will be announced on the MP5.

NBP - Programmable Measurement Sequence

Up to four measurement cycles can be set up which will run consecutively. For each cycle you can set the number of measurements and the interval between them. By setting the last cycle to run continuously you can have regular measurements continue after the sequence has run.

New Printing Options For Reports

Reports can now also be printed via an external PC-based print server or to an internal print database, when no printer is available (for example, during transport). As soon as a printer becomes available, the reports stored in the database will print automatically.

Manual Pairing At Monitor

Previously, devices could only be manually paired at the Information Center. You can now pair devices at the monitor as long as the monitor is already connected to the Information Center.

Moving Windows And Menus

Windows and menus can now be moved on the monitor screen. Using touch or a mouse you can select the title of a window and then “drag” it across the screen. Some positions on the screen are not allowed, such as ones overlapping the alarm field or the monitor info line.

Invasive Pressure Changes

Wave cursor - A cursor is now available on the realtime pressure wave to allow you to define a position

and store the corresponding value.

Reduced alarm limit steps in lower ranges - The alarm limits setting in 2 mmHg steps is now possible in ranges up to 50 mmHg (previously up to 30 mmHg).

What’s New in Release F.0? 3What’s New?

New Patient Check

The monitor can be configured to ask you in certain situations: after a specified power-off period, after a specified standby period and when no basic vitals (HR, RR, Pulse, SpO

, NBP) have been measured

for a specified period, whether a new patient is now being monitored. By selecting the Yes pop-up key you can discharge the previous patient and reset settings.

New Smart Keys

A SmartKey is available for New Lead Setup when a new ECG lead set with fewer leads than previously is being used.

Better Visibility Of Gridlines

The brightness of the gridlines on the realtime waves has been increased for better visibility.

3What’s New? What’s New in Release F.0?

4Alarms

The alarm information here applies to all measurements. Measurement-specific alarm information is discussed in the sections on individual measurements.

The monitor has two different types of alarm: patient alarms and INOPs.

Patient Alarms are red and yellow alarms. A red alarm indicates a high priority patient alarm such as a potentially life threatening situation (for example, asystole). A yellow alarm indicates a lower priority patient alarm (for example, a respiration alarm limit violation). Additionally there are short yellow alarms, most of which are specific to arrhythmia-related patient conditions (for example, ventricular bigeminy).

INOPs are technical alarms, they indicate that the monitor cannot measure or detect alarm conditions reliably. If an INOP interrupts monitoring and alarm detection (for example, LEADS OFF), the monitor places a question mark in place of the measurement numeric and an audible indicator tone will be sounded. INOPs without this audible indicator indicate that there may a problem with the reliability of the data, but that monitoring is not interrupted.

Most INOPs are light blue, however there are a small number of INOPS which are always yellow or red to indicate a severity corresponding to red and yellow alarms. The following INOPs can also be configured as red or yellow INOPs to provide a severity indication:

• ECG LEADS OFF

• ECG/ARRH ALARM OFF (yellow only, no red INOP)

• CUFF OVERPRESS

• CUFF NOT DEFLATED

• OCCLUSION

• TELE DISCONNECT.

• Replace TeleBatt

All monitors in a unit should have the same severity configured for these INOPs. Alarms are indicated after the alarm delay time. This is made up of the system delay time plus the

trigger delay time for the individual measurement. See the specifications section for details.

If more than one alarm is active, the alarm messages are shown in the alarm status area in succession. An arrow symbol next to the alarm message informs you that more than one message is active.

** HR HIGH

4Alarms Visual Alarm Indicators

The monitor sounds an audible indicator for the highest priority alarm. If more than one alarm condition is active in the same measurement, the monitor announces the most severe. Your monitor may be configured to increase alarm indicator volume automatically during the time when the alarm is not acknowledged.

Visual Alarm Indicators

Alarm message: An alarm message text appears in the alarm status area at the top of the screen indicating the source of the alarm. There is a field for INOPs (light blue, red or yellow) and a field for patient alarms, which is shared for red and yellow alarms. If more than one measurement is in an alarm condition, the message changes every two seconds, and has an arrow ( ) at the side. If both red and yellow alarm conditions are active simultaneously, they alternate every two seconds in the patient alarms field. The background color of the alarm message matches the alarm priority: red for red alarms, yellow for yellow alarms, light blue for standard INOPs, red for red INOPs and yellow for yellow INOPs. The asterisk symbols (*) beside the alarm message match the alarm priority: *** for red alarms, ** for yellow alarms, * for short yellow alarms. Standard INOPs do not have a symbol, red and yellow INOPs have exclamation marks beside the alarm message: !!! for red INOPs and !! for yellow INOPs.

Depending on how your monitor is configured, it may display alarm limit violation messages

• in text form, for example “**SpO

• in numeric form, for example “**SpO2 94<96”, where the first number shows the maximum deviation from the alarm limit, and the second number shows the currently set limit.

Flashing numeric: The numeric of the measurement in alarm flashes.

Bright alarm limits: If the alarm was triggered by an alarm limit violation, the corresponding alarm

limit on the monitor screen is shown more brightly if Show AlarmLimits is enabled and there is sufficient room on the screen.

Alarm lamp: A lamp on the monitor’s front panel flashes. The alarm lamp is divided into two sections. The right one flashes for a patient alarm, except for short yellow alarms where the lamp will light for approximately six seconds. The color is yellow or red corresponding to the highest priority patient alarm currently present. The left one lights continuously for a light blue INOP and flashes for yellow or red INOPs as follows:

INOP Lamp Color

Yellow 1.0 seconds 1.0 seconds Red 0.25 seconds 0.25 seconds

Modulation (how long the lamp is on or off while flashing)

LOW” or

On Off

If only patient alarms are present, and no INOPs, the patient alarms will use both left and right sections to flash (for red and yellow alarms) or light for approximately six seconds (for short yellow alarms). If only INOPs are present, and no patient alarms, red and yellow INOPs will use both left and right sections to flash but light blue INOPs will always light continuously in the left section only.

Audible Alarm Indicators 4Alarms

Audible Alarm Indicators

The audible alarm indicators configured for your monitor depend on which alarm standard applies in your hospital. Audible alarm indicator patterns are repeated until you acknowledge the alarm by switching it off or pausing it, or until the alarm condition ceases (if audible alarm indication is set to non-latching).

WARNING • Do not rely exclusively on the audible alarm system for patient monitoring. Adjustment of alarm

volume to a low level or off during patient monitoring may result in patient danger. Remember that the most reliable method of patient monitoring combines close personal surveillance with correct operation of monitoring equipment.

Alarm Tone Configuration

The audible alarm indicators of your monitor are configurable. In the monitor’s Configuration Mode, you can:

• increase the alarm volume of unacknowledged alarms at regular intervals

• change the interval between alarm sounds (ISO/IEC Standard alarms only)

• change the base volume of the red and yellow alarm tones and the INOP tones

• change the alarm sound to suit the different alarm standards valid in different countries.

Traditional Audible Alarms (HP/Agilent/Philips/Carenet)

• Red alarms and red INOPs: A high pitched sound is repeated once a second.

• Two-star yellow alarms and yellow INOPs: A lower pitched sound is repeated every two seconds.

• One-star yellow alarms (short yellow alarms): The audible indicator is the same as for yellow alarms, but of shorter duration.

• Standard INOPs: an INOP tone is repeated every two seconds.

ISO/IEC Standard Audible Alarms

• Red alarms and red INOPs: A high pitched tone is repeated five times, followed by a configurable pause.

• Two-star yellow alarms and yellow INOPs: A lower pitched tone is repeated three times, followed by a configurable pause.

• One-star yellow alarms (short yellow alarms): The audible indicator is the same as for yellow alarms, but of shorter duration.

• Standard INOPs: a lower pitched tone is repeated twice, followed by a pause.

Changing the Alarm Tone Volume

4Alarms Acknowledging Alarms

♦

If you want to see a numerical indication of the current alarm volume on a scale from zero to 10, or change the setting, select the Alarm Volume SmartKey. The volume scale pops up. The current setting is indented. To change the setting, select the required number on the scale. Any settings that are inactive (“grayed out”) have been disabled in the monitor’s Configuration Mode.

When the alarm volume is set to zero (off), the alarm volume symbol reflects this. If you switch the alarm volume off, you will not get any audible indication of alarm conditions.

Alarm

Volume

Minimum Volume for No Central Monitoring INOP

If your monitor is connected to an Information Center, and the connection is interrupted, the INOP message No Central Monit. will appear within 30 seconds, accompanied by an INOP tone. To help ensure that this INOP, and any other active alarm, is not overlooked, the INOP and alarm tones may be configured to have a minimum volume. In this case, INOP and alarm tones will sound even if the monitor alarm volume is set to zero.

Minimum Volume for Severe Yellow or Red INOPs

Severe yellow or red INOPs require action to ensure the well-being of the patient. Therefore the minimum volume for the INOP tone is set to at least alarm volume 8, irrespective of the current alarm volume setting. The INOP tone will sound even if the monitor alarm volume is set to zero.

The severe INOPs for which this applies are: Cuff Not Deflated (configurable to yellow or red)

NBP Cuff Overpress (configurable to yellow or red)

Insert Battery (yellow)

Acknowledging Alarms

To acknowledge all active alarms and INOPs, press the Silence key. This switches off the audible alarm indicators and alarm lamps.

A check mark beside the alarm message indicates that the alarm has been acknowledged. If the monitor is configured to re-alarm, a dashed check mark will be shown.

If the condition that triggered the alarm is still present after the alarm has been acknowledged, the alarm message stays on the screen with a check mark symbol beside it, except for NBP alarms. When an NBP alarm is acknowledged the alarm message disappears.

If the alarm condition is no longer present, all alarm indicators stop and the alarm is reset.

APNEA

Switching off the alarms for the measurement in alarm, or switching off the measurement itself, also stops alarm indication.

Pausing or Switching Off Alarms 4Alarms

Acknowledging Disconnect INOPs

Acknowledging an INOP that results from a disconnected transducer switches off the associated measurement. The only exception is ECG/Resp: acknowledging a disconnect INOP for ECG leads does not switch off the ECG and Resp measurements. Acknowledging a disconnect INOP at the Information Center switches off the audible INOP indicator but does not switch off the measurement.

Alarm Reminder (ReAlarm)

If Alarm Reminder is configured on for your monitor, you will get an audible reminder of alarm conditions that remain active after you have acknowledged the alarm. This reminder may take the form of a repetition of the alarm tone for a limited time, or an unlimited repetition of the alarm tone (this is the same as a new alarm). Alarm reminder is not available for standard, light blue INOPs but for yellow and red INOPs.

In Configuration Mode, you can set the interval between silencing the alarm and sounding the reminder tone to one, two, or three minutes.

The alarm reminder behavior at the Information Center is different to that at the monitor. Refer to the Information Center Instructions for Use for further information.

Pausing or Switching Off Alarms

If you want to temporarily prevent alarms from sounding, for example while you are moving a patient, you can pause alarms. Depending on your monitor configuration, alarms are paused for one, two, or three minutes, or infinitely.

To view the alarm pause setting chosen for your unit,

1 Select Main Setup -> Alarms -> Alarm Settings

2 Check the Alarms Off setting.

This setting can only be changed in Configuration Mode.

To Pause All Alarms

♦ Press the Alarms key.

♦ If your monitor is configured to infinite pause time, the lamp next to the

alarms off symbol is red, and pressing this key switches alarms off.

Depending on the configuration, you may need to select Confirm to complete the change.

To Switch All Alarms Off

You can only switch alarms off permanently if your monitor is configured to allow infinite alarms pause.

Alarms

Off

4Alarms Pausing or Switching Off Alarms

♦

Press the Alarms key.

Pausing alarms infinitely is the same as switching them off.

To Switch Individual Measurement Alarms On or Off

1 Select the measurement numeric to enter its setup menu. 2 Select Alarms to toggle between On and Off.

The alarms off symbol is shown beside the measurement numeric.

While Alarms are Paused or Off

• The red Alarms Paused lamp on the monitor front panel is lit.

•

In the alarm field, the monitor displays the message

ALARMS PAUSED or ALARMS OFF, together with the alarms paused symbol and the remaining pause time in minutes and seconds, or alarms off symbol.

ALARMS PAUSED 1:28

• No alarms are sounded and no alarm messages are shown.

• INOP messages are shown but no INOP tones are sounded.

The only exceptions are the INOPs CUFF NOT DEFLATED, CUFF OVERPRESS and INOPs relating to empty, missing and malfunctioning batteries.

These INOPs switch the alarms on, and the INOP tones are sounded, even if alarms are paused or off. You need to remove the INOP condition first before you can switch the alarm tones off again.

If a NO SENSOR or NO TRANSDUCER INOP is present and alarms are paused or switched off, the measurement in question is switched off.

Restarting Paused Alarms

♦ To manually switch on alarm indication again after a pause, press the Alarms key again.

Alarm indication starts again automatically after the pause period expires. If the monitor is configured to stay paused infinitely, you must select ALARMS OFF again to restart alarm indication.

Resetting Arrhythmia Alarm Timeouts

♦ To reset the arrhythmia alarm timeout period, press the Alarms key and then press it again.

Extending the Alarm Pause Time

If your monitor has extended alarm pause enabled, you can extend the alarm pause time. Use this to prevent alarms being indicated, for example, while you are washing a patient or carrying out a procedure. Only extend the alarm pause time when you are sure that clinical personnel are available to monitor the patient’s condition closely.

ALARMS OFF

To extend the alarm pause time to five or 10 minutes,

Alarm Limits 4Alarms

1 Select one of the alarm fields. This calls up the Review Alarms window. 2 Select either the pop-up key Pause Al. 5 min or the pop-up key Pause Al. 10 min.

Each time you select one of these pop-up keys, the Alarm Pause Time is reset to five (or 10) minutes.

Alarm Limits

The alarm limits you set determine the conditions that trigger yellow and red limit alarms. For some measurements (for example, SpO to 100 switches the high alarm off. In these cases, the alarms off symbol is not displayed.

WARNING Be aware that the monitors in your care area may each have different alarm settings, to suit different

patients. Always check that the alarm settings are appropriate for your patient before you start monitoring.

Viewing Individual Alarm Limits

), where the value ranges from 100 to 0, setting the high alarm limit

120

Alarm limits

You can usually see the alarm limits set for each measurement next to the measurement numeric on the main screen.

If your monitor is not configured to show the alarm limits next to the numeric, you can see them in the appropriate measurement setup menu. Select the measurement numeric to enter the menu and check the limits.

Viewing All Alarm Limits

The Alarm Limits overview window lists the currently set alarm limits for all measurements. If an Apnea alarm delay time is set, this is also shown. The ALARMS OFF symbol is shown beside the measurement label of any measurement whose alarm switched off.

To open the Alarm Limits window, either select one of the alarm fields then select the Alarm Limits pop-up key, or select the Alarm Limits SmartKey, if configured.

4Alarms Alarm Limits

Alarm Limits

QTc

SpO

Off

NBPs

ABPs

All Lim. Narrow

2 3

♦

Graphic view of current yellow and red alarm limits and currently monitored measurement value Off indicates the measurement is switched off

Measurement labels, with alarms off symbol where appropriate

Set narrow or wide alarm AutoLimits for all measurements

Select Show ST Limits to expand the list of ST leads and view the currently set alarm limits. Selecting Hide ST Limits hides the list again.

You can use the pop-up keys that open with the Alarm Limits window to perform common tasks:

– All Lim. Narrow/All Lim. Wide to set narrow or wide alarm AutoLimits for all

measurements.

All Lim. Wide

These pop-up keys are not available in the window for changing individual alarm limits which you access by selecting the measurement label in the Alarm Limits window.

Changing Alarm Limits

To change individual measurement alarm limits using the measurement’s Setup Menu,

1 In the measurement’s setup menu, select the alarm limit you want to change. This calls up a list of

available values for the alarm limit.

2 Select a value from the list to adjust the alarm limit.

For example, to change the alarm limits for SpO

• Touch the high limit on the alarm limits menu button. Choose the high alarm limit from the pop-up list that opens.

• Touch the low limit on the alarm limits menu button. Choose the low alarm limit from the pop-up list that opens.

Alarm Limits 4Alarms

Alternatively, you can use the keys in the measurement Change Limits window, which you access by selecting the measurement label in the Alarm Limits window.

ABPs

Alarms On/Off

1 Parameter label 2 High red alarm (view only) 3

4 5 6 7 8

9 10

High yellow alarm field

Select to open a pop-up list of high alarm limits

Alarms On/Off key - select to toggle between alarms on or off

Preview Alarm AutoLimits for a measurement before applying

Select to apply wide AutoLimits

Select to apply narrow AutoLimits

Low yellow alarm field

Select to open a pop-up list of low alarm limits

Low red alarm (view only)

Graphic view of alarm limits with currently measured value

To change alarm limits,

1 Enter the Alarm Limits window.

2 To set the high alarm limit, select the high yellow alarm field to open a pop-up list of high alarm

limits. Select a limit from the list. Repeat to set the low yellow alarm field.

If you set the yellow alarm limit outside the red alarm limit, the monitor will automatically set the red alarm to the yellow alarm limit.

4Alarms Alarm Limits

When an ST measurement is in the Change Limits window there are also two pop-up keys available labeled All ST Narrow/All ST Wide. With these keys you can set Auto Limits for all ST Leads.

About Automatic Alarm Limits (AutoLimits)

The monitor can automatically set alarm limits suited to your individual patient, using the Automatic Alarm Limits function. This tells the monitor to adapt the alarm limits of selected measurements to the measured vital signs within a defined safe limit. The monitor calculates safe AutoLimits for each patient based on the measured values from the last 12 seconds.

The wide and narrow limits have a fixed relationship to the measured value within the nonpathological range. Outside of this range, no auto limits are calculated. To set values outside of the non-pathological range, limits must be changed manually, based on the clinician’s judgement about the specific patient.

1 Wide alarm limits 2 Narrow alarm limits 3Alarm Limits 4 Measurement value

2 1

Limits Narrow sets limits close to the currently measured values for situations where it is critical for you to be informed about small changes in your patient’s vital signs.

Limits Wide sets limits further away from the currently measured values for situations where small changes are not so critical.

♦ Use the keys in the Change Limits window to apply AutoLimits for individual measurements.

These keys are not available if AutoLimits have been disabled for the measurement in the monitor’s Configuration Mode.

AutoLimits are not available for all measurements. The list of measurements for which AutoLimits can be used is defined in the monitor’s Configuration mode.

Use the Change Limits window to check AutoLimits before you apply them to ensure that they are appropriate for your individual patient and their clinical condition. Once applied, AutoLimits are shown on the monitor screen just like manually-set alarm limits. If the AutoLimits are not appropriate for your patient, you must set alarm limits manually. The limits remain unchanged until you set them again or change them manually.

Reviewing Alarms 4Alarms

Documenting Alarm Limits

To print a list of all current alarm limit settings on an available printer:

1 Select the Main Setup SmartKey. 2 Select Reports from the Main Setup menu.

3 Select Alarm Limits.

Reviewing Alarms

You can see which alarms and INOPs are currently active in the respective alarms and INOPs fields at the top of the screen.

To review the history of alarms and INOPs, select the alarms or INOPs field to open the Review Alarms window.

All alarms and INOPs are erased from the Review Alarms window when you discharge a patient, or if you change to Demonstration Mode.

Review Alarms Window

The Review Alarms window contains a list of the most recent alarms and INOPs with date and time information.

Review Alarms

23 Apr 14:08:30

23 Apr 14:08:19

23 Apr 14:42:55

Alarm

Limits

***Apnea

Alarms Silenced

**AwRR LOW (14<15)

**SpO

PauseAl.

5 MIn

NON-PULSAT.

PauseAl.

10 MIn

If configured to do so, each alarm is shown with the alarm limit active when the alarm was triggered and the maximum value measured beyond this limit. The Review Alarms window also shows when the monitor was switched on (after being switched off for longer than 1 minute) and any changes made to the Alarms On/Off, Standby, Silence or ECG source.

When you select an item from the list, you can get additional information about that item. If you select a high or low limit alarm in the list, the Graphical Trends window will open to provide further data. If you select an alert other than a high or low alarm, a help text window opens with more information. Some items in the list are simply log items not related to a patient alert as such (for example, Alarms On or Alarms Off). You cannot see any further information if you select one of these items. When you close these windows you will return to the Review Alarms window.

The information in the Review Alarms window is deleted when a patient is discharged, and when you leave Demonstration Mode.

4Alarms Latching Alarms

The Review Alarms window pop-up keys appear when the window is opened. If alarm pause extension is disabled, the pause pop-up keys are inactive.

Alarm Limits

Latching Alarms

The alarm latching setting for your monitor defines how the alarm indicators behave when you do not acknowledge them. When alarms are set to non-latching, their indicators end when the alarm condition ends. Switching alarm latching on means that visual and/or audible alarm indications are still displayed or announced by the monitor after the alarm condition ends. The indication lasts until you acknowledge the alarm.

Viewing the Alarm Latching Settings

To see the alarm latching setting for your monitor

1 In the monitor’s Main Setup menu, select Alarms.

2 Select Alarm Settings, and see the Visual Latching and Audible Latching

settings.

This setting can only be changed in Configuration Mode. You should be aware of the settings chosen for your unit. There are three possible choices each for visual and audible latching, Red, Red and Yellow, and Off. These choices can be combined to give the following settings:

Pause Al. 5 Min.

Pause Al. 10 Min.

Visual Latching

Audible latching

R = red alarms, Y = yellow alarms

Alarm Latching Behavior

Red and Yellow Measurement Alarms

Alarm has not been acknowledged.

Alarm has been acknowledged.

All INOPs are non-latching. See “Yellow Arrhythmia Alarms” on page 112 for information on one-star yellow alarms latching behavior.

Alarm condition still present.

Alarm condition no longer present.

Alarm condition still present.

Alarm condition no longer present.

R&Y R&Y R&Y RROff R&Y ROffROffOff

Non-latching alarms

Alarm tone on. Alarm lamp on. Alarm message. Flashing numerics.

All audible and visual alarm indicators automatically stop.

Alarm tone off. Alarm lamp off. Alarm message. Flashing numerics. Audible alarm reminder (if configured).

Audible and visual alarm indicators automatically stop.

Visual and audible latching

Alarm tone on. Alarm lamp on. Alarm message. Flashing numerics.

Visual latching, audible non-latching

Alarm message. Flashing numerics. Audible alarm indicators automatically stop.

Testing Alarms 4Alarms

Te s t i n g A l a r m s

When you switch the monitor on, a selftest is started. You must check that the alarms lamps light, one after the other, and that you hear a single tone. This indicates that the visible and audible alarm indicators are functioning correctly. For further testing of individual measurement alarms, perform the measurement on yourself (for example SpO that appropriate alarm behavior is observed.

or CO2) or use a simulator. Adjust alarm limits and check

Alarm Behavior at On/Off

When you switch alarms on, the settings defined in the currently active Profile are used. If the monitor is switched off for longer than one minute and then switched on again, or after a loss of

power lasting longer than one minute, or when a patient is discharged, the monitor can be configured to restore either the alarm settings from the monitor's configured default Profile, or the most recently used alarm settings. After any of these situations, you should check that the alarm settings are appropriate for your patient, and if necessary, select the correct Profile and patient category.

If power is lost for less than one minute, the alarm settings prior to the power loss are restored.

Alarm Recordings

You can set up your monitor so that it automatically triggers alarm recordings at the Information Center, or if configured, to a printer as a realtime report.

1 Press the Main Setup SmartKey.

2 Select Alarms from the Main Setup menu.

3 Select Alarm Recording from the Alarms menu to open the Alarm Recordings menu.

4 Select a measurement from those listed for which you want to change the alarm condition that

triggers an alarm recording. This opens a pop-up list.

5 For the desired measurement(s), choose the alarm condition to trigger an alarm recording:

Red Only: an alarm recording will automatically be triggered when the measurement enters a red alarm condition.

Red&Yell: both yellow and red alarms will trigger an alarm recording. Off: disables automatic alarm recording.

Refer to the chapter “Recording” for details of how to set up a recording.

4Alarms Alarm Recordings

5Patient Alarms and INOPs

This chapter lists patient alarms and technical alarms (INOPs) alphabetically, irrespective of their priority. INOPs start on page 59. All alarms and INOPs are listed here; the ones which can appear on your monitor will depend on the model and the individual options.

Patient Alarm Messages

The measurement labels and abbreviations for pressure, temperature, SpO2, and anesthetic agent alarms are explained in the individual chapters.

Some alarms may be shown at the Information Center in shortened form, when transferred through IntelliVue Instrument Telemetry. These shortened alarm texts are included in the list and identified with the note “at Information Center”.

Note that yellow arrhythmia alarms may be shown with one or with two stars, depending on your monitor configuration and the Information Center revision you are using.

Refer to your IntelliBridge Device Driver Instructions for Use for patient alarms from connected external devices.

Alarm Message From Condition Indication

*/**AFIB ECG/

Arrhythmia

***APNEA or ***APNEA mm:ss sec

***APNEA >10min

***ASYSTOLE ECG No QRS detected for a period greater

**awRR HIGH CO2, Resp,

**awRR LOW CO2, Resp,

**BIS HIGH BIS The Bispectral Index value has

, Resp,

Spirometry

AGM

Atrial fibrillation waveform detected yellow alarm lamp, short

yellow audible alarm.

Respiration has stopped for longer than the preset apnea time. “mm:ss” denotes the Apnea duration in minutes and seconds.

than the asystole threshold (in the absence of Vfib or chaotic ECG).

The airway respiration rate has exceeded the high alarm limit.

The airway respiration rate has dropped below the low alarm limit.

exceeded the high alarm limit.

numeric flashes, red alarm lamp, alarm tone.

numeric flashes and high limit is highlighted, yellow alarm lamp, alarm tone.

numeric flashes and low limit is highlighted, yellow alarm lamp, alarm tone.

numeric flashes and high limit is highlighted, yellow alarm lamp, alarm tone.

5 Patient Alarms and INOPs Patient Alarm Messages

Alarm Message From Condition Indication

**BIS LOW BIS The Bispectral Index value has dropped

below the low alarm limit.

***BRADY/P xxx<yyy

or ***BRADY xxx<yyy

**CCO/CCI HIGH CCO Continuous Cardiac Output or CC

**CCO/CCI LOW CCO Continuous Cardiac Output or CC

**CPP HIGH CPP The CPP value has exceeded the high

**CPP LOW CPP The CPP value has fallen below the low

***DESAT or ***DESAT xxx<yyy

**etCO2 HIGH CO2, Resp,

**etCO2 LOW CO2, Resp,

**etO2 HIGH O2, AGM The end tidal O2 high alarm limit has

**etO2 LOW O2, AGM The end tidal O2 value has fallen below

*/**/*** EVENT:<GRP>

*/**/*** EVENT

at Information center

***EXTREME BRADY ECG The bradycardia limit has been

***EXTREME TACHY ECG The tachycardia limit has been

Press, SpO2The heart rate from the Pulse signal has

fallen below the bradycardia limit. xxx denotes the lowest measured value; yyy is the bradycardia limit.

Index is above the high alarm limit.

Index is below the low alarm limit.

alarm limit.

SpO

AGM

Event surveillance

The SpO2 value has fallen below the desaturation alarm limit. xxx denotes the lowest measured value, and yyy is the desaturation limit.

The end tidal CO2 high alarm limit has been exceeded.

The end tidal CO2 value has fallen below the low alarm limit.

been exceeded.

the low alarm limit.

An event has occurred and the event notification is configured to alarm. <GRP> is the event group

An event has occurred and the event notification is configured to alarm. Check on the monitor for more details on event group.

exceeded.

numeric flashes and low limit is highlighted, yellow alarm lamp, alarm tone.

numeric flashes and alarm limit is highlighted, red alarm lamp, alarm tone.

numeric flashes and high alarm limit is highlighted, yellow alarm lamp, alarm tone.

numeric flashes and low alarm limit is highlighted, yellow alarm lamp, alarm tone.

numeric flashes and high limit is highlighted, yellow alarm lamp, alarm tone

numeric flashes and low limit is highlighted, yellow alarm lamp, alarm tone.

numeric flashes, red alarm lamp, alarm tone.

numeric flashes and high limit is highlighted, yellow alarm lamp, alarm tone.

numeric flashes and low limit is highlighted, yellow alarm lamp, alarm tone.

numeric flashes and high limit is highlighted, yellow alarm lamp, alarm tone.

numeric flashes, and low limit is highlighted, yellow alarm lamp, alarm tone.

event group name flashes, yellow or red alarm lamp and alarm tone

(on monitor) event group name flashes, yellow or red alarm lamp and alarm tone

numeric flashes and alarm limit is highlighted, red alarm lamp, alarm tone.

Patient Alarm Messages 5 Patient Alarms and INOPs

Alarm Message From Condition Indication

**HR HIGH ECG The heart rate high alarm limit has

been exceeded.

**HR LOW ECG The heart rate has fallen below the low

alarm limit.

*/**IRREGULAR HR ECG/

Arrhythmia

*/**MISSED BEAT ECG/

Arrhythmia

*/**MULTIFORM PVCs ECG/

Arrhythmia

**NBP HIGH NBP The measured NBP value is above the

**NBP LOW NBP The measured NBP value is below the

*/**NON-SUSTAIN VT ECG/

Arrhythmia

*/**PACER NOT CAPT ECG/

Arrhythmia (paced patients only)

*/**PACER NT PACING ECG/

Arrhythmia (paced patients only)

*/**PAIR PVCs ECG/

Arrhythmia

*/**PAUSE ECG/

Arrhythmia

Consistently irregular heart rhythm. numeric flashes, yellow alarm

No beat detected for 1.75*R-R interval, or if HR>120bpm no beat detected for one second (non-paced patients only).

Two differently shaped Vs detected, each occurring at least twice within the last 300 beats and at least once within the last 60 beats.

high alarm limit. s, d, or m after the label indicates whether the systolic, diastolic or mean pressure has crossed the limit.

low alarm limit. s, d, or m after the label indicates whether the systolic, diastolic or mean pressure has crossed the limit.

A run of Vs having a ventricular HR>V-Tach HR limit, but lasting for less than the V-Tach Run limit has been detected.

A missed beat with a pace pulse was detected.

A missed beat without a pace pulse was detected.

A non-ventricular contraction, followed by two ventricular contractions, followed by a non-ventricular contraction has been detected.

No beat detected for a period greater than the pause threshold.

numeric flashes and high limit is highlighted, yellow alarm lamp, alarm tone. If configured to short yellow, the sound switches off after 5 seconds if Arrhythmia is On.

numeric flashes and low limit is highlighted, yellow alarm lamp, alarm tone. If configured to short yellow, the sound switches off after 5 seconds if Arrhythmia is On.

lamp, short yellow audible alarm.

numeric flashes, yellow alarm lamp, short yellow audible alarm.

numeric flashes and high limit is highlighted, yellow alarm lamp, alarm tone.

numeric flashes and low limit is highlighted, yellow alarm lamp, alarm tone.

numeric flashes, yellow alarm lamp, short yellow audible alarm.

5 Patient Alarms and INOPs Patient Alarm Messages

Alarm Message From Condition Indication

***<Pressure> DISCONNECT

***<Pressure> HIGH PRESS The measured pressure value is above

**<Pressure> HIGH PRESS The measured pressure value is above

***<Pressure> LOW PRESS The measured pressure value is below

**<Pressure> LOW PRESS The measured pressure value is below

**Pulse HIGH PRESS

**Pulse LOW PRESS

*/**PVCs/min HIGH ECG/

**QTc HIGH ECG/QT QTc value has exceeded the QTc high

**QTc HIGH ECG/QT QTc value has exceeded the QTc

*/**R-ON-T PVCs ECG/

**RR HIGH RESP The respiration rate has exceeded the

PRESS The pressure is non-pulsatile and the

mean pressure is continuously less than 10mmHg (1.3kPa). This alarm occurs only with arterial pressures (P, ABP, ART, Ao, BAP, FAP, PAP, UAP, P1, P2, P3, P4).

the extreme high alarm limit. s, d, or m after the label indicates whether the systolic, diastolic or mean pressure has crossed the limit.

the high alarm limit. s, d, or m after the label indicates whether the systolic, diastolic or mean pressure has crossed the limit.

the extreme low alarm limit. s, d, or m after the label indicates whether the systolic, diastolic or mean pressure has crossed the limit.

the low alarm limit. s, d, or m after the label indicates whether the systolic, diastolic or mean pressure has crossed the limit.

The pulse rate has exceeded the high

SpO

alarm limit.

The pulse rate has dropped below the

SpO

low alarm limit.

More premature ventricular

Arrhythmia

contractions have been detected in a minute than the limit.

limit for more than 5 minutes

high limit for more than 5 minutes

For HR <100, a PVC with R-R interval

Arrhythmia

< 1/3 the average interval followed by a compensatory pause of 1.25 x average R-R interval or two such Vs without compensatory pause occurring within 5 minutes of each other. (When HR >100, 1/3 R-R interval is too short for detection.).

high alarm limit.

numeric flashes, red alarm lamp, alarm tone.

numeric flashes, high limit is highlighted, red alarm lamp, alarm tone.

numeric flashes, high limit is highlighted, yellow alarm lamp, alarm tone.

numeric flashes and low limit is highlighted, red alarm lamp, alarm tone.

numeric flashes and low limit is highlighted, yellow alarm lamp, alarm tone.

numeric flashes and high limit is highlighted, yellow alarm lamp, alarm tone.

numeric flashes and low limit is highlighted, yellow alarm lamp, alarm tone.

numeric flashes, yellow alarm lamp, short yellow audible alarm.

numeric flashes, yellow alarm lamp, alarm tone.

numeric flashes, yellow alarm lamp, short yellow audible alarm.

numeric flashes and high limit is highlighted, yellow alarm lamp, alarm tone.

Patient Alarm Messages 5 Patient Alarms and INOPs

Alarm Message From Condition Indication

**RR LOW RESP The respiration rate has dropped below

the low alarm limit.

*/**RUN PVCs HIGH ECG/

Arrhythmia

A run of PVCs greater than 2 was detected.

**<SO2 label> HIGH SvO2/SO2The the measured intravascular oxygen

saturation has exceeded the high limit.

**<SO2 label> LOW SvO2/SO2The measured intravascular oxygen

saturation has fallen below the low limit.

**<SpO2 label> HIGH SpO

The arterial oxygen saturation has exceeded the high alarm limit.

**<SpO2 label> LOW SpO

The arterial oxygen saturation has fallen below the low alarm limit.

**ST<n> HIGH ECG/ST The ST elevation in lead <n> is higher

than the limit.

**ST<n> LOW ECG/ST The ST depression in lead <n> is lower

than the limit.

**ST MULTI <n>,<n> ECG/ST The ST depression or elevation is

outside of the limit in two or more leads <n> and <n>

**ST MULTI

at Information Center

ECG/ST The ST depression or elevation is

outside of the limit in two or more leads. Check on the monitor for more details about which leads are affected.

*/**SVT ECG/

Arrhythmia

A run of supraventricular beats greater than the SVT run limit has been detected and the HR has exceeded the SVT HR limit.

***TACHY/P xxx>yyy or ***TACHY xxx>yyy

Press, SpO2The heart rate from the Pulse signal has

exceeded the tachycardia limit. xxx denotes the highest measured value; yyy is the tachycardia limit.

**Tblood HIGH C.O. The blood temperature value has

exceeded the high alarm limit.

**Tblood LOW C.O. The blood temperature value has fallen

below the low alarm limit.

**tcpO2 HIGH/ **tcpCO2 HIGH

**tcpO2 LOW/ **tcpCO

LOW

tcGas The tcpO2 or tcpCO2 value has

exceeded the high alarm limit.

tcGas The tcpO

or tcpCO2 value has fallen