Philips IntelliVue MP20-90 User manual

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INSTRUCTIONS FOR USE

IntelliVue Patient Monitor

MP20/30, MP40/50, MP60/70/80/90

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

Patient Monitoring

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Part Number M8000-9001K Printed in Germany 09/08 4512 610 29531

*M8000-9001K*

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M8000-9001K

1Table Of Contents

1 Basic Operation 1

Introducing the IntelliVue Family 1 Devices for Acquiring Measurements 9 Operating and Navigating 19 Operating Modes 27 Understanding Screens 28 Connecting Additional Displays to the Monitor 29 Using the XDS Remote Display 30 Using the Visitor Screen 30 Understanding Profiles 30 Understanding Settings 32 Changing Wave Speeds 34 Freezing Waves 34 Using Labels 36 Entering Measurements Manually 39 Changing Monitor Settings 39 Checking Your Monitor Revision 40 Getting Started 40 Disconnecting from Power 42 Networked Monitoring 42 Using Remote Applications 43 Using the X2 or MP5 with a Host Monitor 44

2 What’s New? 45

What’s New in Release G.0? 45 What’s New in Release F.0? 46 What’s New in Release E.0? 48 What’s New in Release D.0? 50 What’s New in Release C.0? 50

What’s New in Release B.1? 52

What’s New in Release B.0? 53 What’s New in Release A.2? 54

3 Alarms 55

Visual Alarm Indicators 56 Audible Alarm Indicators 57 Acknowledging Alarms 59 Pausing or Switching Off Alarms 60 Alarm Limits 61 Reviewing Alarms 66 Latching Alarms 68 Testing Alarms 69 Alarm Behavior at On/Off 69

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Alarm Recordings 69

4 Patient Alarms and INOPs 71

Patient Alarm Messages 71 Technical Alarm Messages (INOPs) 77

5 Managing Patients 101

Admitting a Patient 101 Quick Admitting a Patient 103 Editing Patient Information 103 Discharging a Patient 104 Transferring Patients 105 Data Upload from an MMS 108 Care Groups 111

6 ECG, Arrhythmia, ST and QT Monitoring 117

Skin Preparation for Electrode Placement 117 Connecting ECG Cables 117 Selecting the Primary and Secondary ECG Leads 118 Checking Paced Status 118 Understanding the ECG Display 118 Monitoring Paced Patients 119 Changing the Size of the ECG Wave 121 Changing the Volume of the QRS Tone 121 Changing the ECG Filter Settings 122 Selecting Positions of Va and Vb Chest Leads (for 6-lead placement) 122 Choosing EASI or Standard Lead Placement 123 About ECG Leads 123 ECG Lead Fallback 124 ECG Lead Placements 124 Capture 12-Lead 128 EASI ECG Lead Placement 129 ECG and Arrhythmia Alarm Overview 130 Using ECG Alarms 131 ECG Safety Information 132 About Arrhythmia Monitoring 133 Switching Arrhythmia Analysis On and Off 134 Choosing an ECG Lead for Arrhythmia Monitoring 134 Understanding the Arrhythmia Display 135 Arrhythmia Relearning 138 Arrhythmia Alarms 139 About ST Monitoring 145 Switching ST On and Off 145 Understanding the ST Display 146 Updating ST Baseline Snippets 147 Recording ST Segments 148

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About the ST Measurement Points 148 ST Alarms 150 Viewing ST Maps 151 About QT/QTc Interval Monitoring 155 QT Alarms 158 Switching QT Monitoring On and Off 159

7 Monitoring Pulse Rate 161

Entering the Setup Pulse Menu 161 System Pulse Source 161 Switching Pulse On and Off 162 Using Pulse Alarms 162

8 Monitoring Respiration Rate (Resp) 165

Lead Placement for Monitoring Resp 165 Understanding the Resp Display 166 Changing Resp Detection Modes 166 Changing the Size of the Respiration Wave 167 Changing the Speed of the Respiration Wave 168 Using Resp Alarms 168 Changing the Apnea Alarm Delay 168 Resp Safety Information 168

9 Monitoring SpO

SpO2 Sensors 171 Applying the Sensor 171 Connecting SpO2 Cables 172 Measuring SpO SpO2 Signal Quality Indicator (Fast SpO2 only) 173 Assessing a Suspicious SpO2 Reading 173 Changing the Averaging Time 174 Understanding SpO2 Alarms 174 Pleth Wave 175 Perfusion Numeric 175 Perfusion Change Indicator 175 Setting SpO2/Pleth as Pulse Source 176 Setting Up Tone Modulation 176 Setting the QRS Volume 176 Calculating SpO2 Difference 176

172

10 Monitoring NBP 177

Introducing the Oscillometric NBP Measurement 177 Preparing to Measure NBP 178 Starting and Stopping Measurements 180 Enabling Automatic Mode and Setting Repetition Time 181 Enabling Sequence Mode and Setting Up The Sequence 181

171

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Choosing the NBP Alarm Source 182 Switching Pulse from NBP On/Off 182 Assisting Venous Puncture 183 Calibrating NBP 183

11 Monitoring Temperature 185

Making a Temp Measurement 185 Calculating Temp Difference 186

12 Monitoring Invasive Pressure 187

Setting up the Pressure Measurement 187 Zeroing the Pressure Transducer 189 Adjusting the Calibration Factor 191 Displaying a Mean Pressure Value Only 191 Changing the Pressure Wave Scale 191 Optimizing the Waveform 191 Using the Wave Cursor 192 Non-Physiological Artifact Suppression 192 Choosing the Pressure Alarm Source 192 Calibrating Reusable Transducer CPJ840J6 194 Calculating Cerebral Perfusion 195 Calculating Pulse Pressure Variation 195 Measuring Pulmonary Artery Wedge Pressure 196 Editing the Wedge 197 Identifying the Pressure Analog Output Connector 198

13 Monitoring Cardiac Output 199

Hemodynamic Parameters 200 Using the C.O. Procedure Window 201 Accessing the Setup C.O. and Setup CCO Menus 202 Entering the HemoCalc Window 202 Measuring C. O. Using the PiCCO Method 202 Measuring C.O. Using the Right Heart Thermodilution Method 207 Documenting C.O. Measurements 208 C.O. Injectate Guidelines 209 C.O./CCO Curve Alert Messages 210 C.O./CCO Prompt Messages 211 C.O./CCO Warning Messages 212 C.O./CCO Safety Information 212

14 Monitoring Carbon Dioxide 215

Measuring CO2 using M3014A or X2 216 Measuring Mainstream CO2 using M3016A 219 Measuring Microstream CO2 using M3015A 221 Setting up all CO2 Measurements 223

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15 Monitoring Airway Flow, Volume and Pressure 225

Attaching the Flow Sensor 226 Zero Calibration 228 Automatic Purging 228 Manual Purging 229 Gas Compensation 229 Setting up Spirometry 230

16 Monitoring tcGas 233

Identifying tcGas Module Components 233 Setting the tcGas Sensor Temperature 234 Using the tcGas Site Timer 234 Setting the tcGas Barometric Pressure 235 Remembraning the tcGas Transducer 235 Calibrating the tcGas Transducer 235 Applying the tcGas Transducer 238 Finishing tcGas Monitoring 239 TcGas Corrections 239

17 Monitoring Intravascular Oxygen Saturation 241

Selecting a Measurement Label 242 Preparing to Monitor with the M1021A Wide Module 243 Preparing to Monitor with the M1011A Narrow Module 246 Further Information for Both Modules 248

18 Monitoring EEG 249

EEG Monitoring Setup 250 Using the EEG Impedance/Montage Window 250 About Compressed Spectral Arrays (CSA) 253 Changing EEG Settings 254 EEG Reports 255 EEG Safety Information 256 EEG and Electrical Interference 256

19 Monitoring BIS 257

BIS Monitoring Setup 258 BIS Continuous Impedance Check 260 BIS Cyclic Impedance Check 260 BIS Window 261 Changing the BIS Smoothing Rate 261 Switching BIS and Individual Numerics On and Off 262 Changing the Scale of the EEG Wave 262 Switching BIS Filters On or Off 262 BIS Safety Information 263

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20 Assigning Two Devices to One Patient 265

How Can You Combine Devices? 265 Functions Available When the Telemetry Data Window is Displayed 267 General Telemetry-related Functions 268 Use Models With Telemetry 270

21 Tre nd s 271

Viewing Trends 271 Setting Up Trends 274 Documenting Trends 277 Trends Databases 278 Screen Trends 279

22 Calculations 283

Viewing Calculations 283 Reviewing Calculations 285 Performing Calculations 285 Entering Values for Calculations 286 Documenting Calculations 287

23 High Resolution Trend Waves 289

Changing the Hi-Res Trend Waves Displayed 289 Hi-Res Trend Wave Scales 289 Hi-Res Trend Waves and OxyCRG 289 Printing Hi-Res Trend Wave Reports 290 Hi-Res Trend Wave Recordings 290

24 Event Surveillance 291

Levels of Event Surveillance 291 Event Groups 292 Event Episodes 293 Events Pop-Up Keys 293 Event Triggers 294 The Events Database 298 Viewing Events 298 Annotating Events 302 Documenting Events 302

25 ProtocolWatch 309

SSC Sepsis Protocol 309

26 Recording 321

Starting and Stopping Recordings 322 Overview of Recording Types 323 All ECG Waves Recordings 324 Creating and Changing Recordings Templates 324

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Changing ECG Wave Gain 325 Recording Priorities 326 Sample Recording Strip 326 Reloading Paper 328 Recorder Status Messages 329

27 Printing Patient Reports 331

Starting Report Printouts 331 Stopping Reports Printouts 332 Setting Up Reports 333 Setting Up Individual Print Jobs 334 Checking Printer Settings 335 Printing a Test Report 335 Switching Printers On Or Off for Reports 336 Dashed Lines on Reports 336 Unavailable Printer: Re-routing Reports 336 Checking Report Status and Printing Manually 336 Printer Status Messages 337 Sample Report Printouts 338

28 Using the Drug Calculator 343

Accessing the Drug Calculator 343 Performing Drug Calculations 344 Charting Infusion Progress 346 Using the Titration Table 346 Documenting Drug Calculations 346

29 IntelliBridge EC10 Module 347

Connecting an External Device 348 Changing Waves and Numerics Displayed 348 Viewing the IntelliBridge Device Data Window 348 Using Screens with External Device Data 349 Alarms/INOPs from External Devices 349 Language Conflict with External Device Drivers 350

30 VueLink Modules 351

Connecting an External Device 352 Changing VueLink Waves and Numerics Displayed 352 Viewing the VueLink Device Data Window 352 Using VueLink Screens 353 Switching VueLink On and Off 353 Alarms/INOPs From External Devices 353 Language Conflict with External Device Drivers 353

31 Using Timers 355

Viewing Timers 355

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Timer Setup Pop-up Keys 355 Setting Up Timers 356 Displaying a Timer On The Main Screen 357 Displaying A Clock On The Main Screen 358

32 Respiratory Loops 359

Viewing Loops 359 Capturing and Deleting Loops 360 Showing/Hiding Loops 360 Changing Loops Display Size 361 Using the Loops Cursor 361 Changing Loops Type 361 Setting Up Source Device 361 Documenting Loops 362

33 Laboratory Data 363

Viewing Received Data 363

34 Care and Cleaning 365

General Points 365 Cleaning the Monitor 366 Disinfecting the Monitor 366 Sterilizing the Monitor 366 Cleaning, Sterilizing and Disinfecting Monitoring Accessories 367 Cleaning the SO2 Optical Module 367 Cleaning the Recorder Printhead (M1116B only) 367 Cleaning Batteries and the Battery Compartment 368

35 Using Batteries 369

Battery Power Indicators 370 Checking Battery Charge 373 Replacing a Battery 374 Optimizing Battery Performance 374 Battery Safety Information 376

36 Maintenance and Troubleshooting 377

Inspecting the Equipment and Accessories 377 Inspecting the Cables and Cords 377 Maintenance Task and Test Schedule 378 Troubleshooting 379 Disposing of the Monitor 379 Disposing of Empty Calibration Gas Cylinders 379

37 Accessories 381

ECG/Resp Accessories 381 NBP Accessories 385

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Invasive Pressure Accessories 386 SpO2 Accessories 387 Temperature Accessories 393 Cardiac Output (C.O.) Accessories 393 Mainstream CO2 Accessories 394 Sidestream CO2 Accessories 394 Mainstream CO2 Accessories (for M3016A) 395 Microstream CO2 Accessories 395 Spirometry Accessories 396 tcGas Accessories 396 EEG Accessories 397 BIS Accessories 397 SO2 Accessories for M1021A 398 SO2 Accessories for M1011A 398 Recorder Accessories 399 Battery Accessories 399

38 Installation and Specifications 401

Intended Use 401 Manufacturer’s Information 402 Symbols 403 Installation Safety Information 405 Altitude Setting 413 Monitor Safety Specifications 413 EMC And Radio Regulatory Compliance 413 Monitor Performance Specifications 419 M4605A Battery Specifications 428 Measurement Specifications 429 Safety and Performance Tests 448

39 Default Settings Appendix 453

Country-Specific Default Settings 453 Alarm and Measurement Default Settings 459 Alarm Default Settings 459 ECG, Arrhythmia, ST and QT Default Settings 460 Pulse Default Settings 463 Respiration Default Settings 463 SpO2 Default Settings 464 NBP Default Settings 465 Temperature Default Settings 465 Invasive Pressure Default Settings 465 Cardiac Output Default Settings 468 CO2 Default Settings 468 Spirometry Default Settings 469 tcGas Default Settings 469 SO2 Default Settings 470

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SvO2 Default Settings 470 ScvO2 Default Settings 471 EEG Default Settings 471 BIS Default Settings 471 VueLink Default Settings 472

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1Basic Operation

These Instructions for Use are for clinical professionals using the IntelliVue MP20/MP30 (M8001A/ M8002A), MP40/50 (M8003A/M8004A) and MP60/70/80/90 (M8005A/M8007A/M8008A/ M8010A) patient monitors together with the Multi-Measurement Modules X1 (M3001A) and X2 (M3002A) and the measurement modules. Unless otherwise specified, the information here is valid for all the above IntelliVue products. “Introducing the IntelliVue Family” below gives an overview of the patient monitors, while the measurement modules are covered in the section “Devices for Acquiring Measurements” (see page 13).

The basic operation section gives you an overview of the monitor 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. Screen refers to everything you see on the monitor’s display, such as measurements, alarms, patient data and so forth.

Introducing the IntelliVue Family

The Philips IntelliVue family of patient monitors offers a monitoring solution optimized for the surgical, cardiac, medical and neonatal care environments. Combining patient surveillance and data management, it allows multi-measurement monitoring by linking separate modules with “plug-andplay” convenience.

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1 Basic Operation Introducing the IntelliVue Family

Your monitor stores data in trend, event, and calculation databases. You can see tabular trends (vital signs) and document them on a local or remote printer. You can view measurement trend graphs, with up to three measurements combined in each graph, to help you identify changes in the patient’s physiological condition. You can view fast-changing measurement trends with beat to beat resolution and see up to four high resolution trend segments. Event surveillance enhances documentation and review of physiologically significant events by automatically detecting and storing up to 50 userdefined clinical events over a 24 hour period.

The IntelliVue X2 or MP5 can be connected to an IntelliVue MP20 to MP90 patient monitor, where it acts as a multi-measurement module, acquiring measurements for the host monitor. When connected to a host monitor, the host controls the connected device. You can recognize when an X2 or MP5 is connected to a host monitor by the following indication on the screen:

Companion Mode

The X2 and MP5 can operate as fully independent, battery powered patient monitors. When the X2 or MP5 is disconnected from the the original host monitor, it continues to monitor the patient as a standalone monitor running on battery power, eliminating the need for a separate transport monitor. On connection to a new host monitor, the X2 or MP5 resumes its role as multi-measurement module, ensuring fully continuous monitoring.

There is a choice of monitor configurations, as explained below. All models can also use computer devices such as a mouse, a trackball and a keyboard.

IntelliVue MP20/MP30

The IntelliVue MP20/MP30 (M8001A/M8002A) patient monitor has a 10-inch TFT LCD flat panel SVGA display. The standard input devices for the MP30 are the Touchscreen and integrated navigation point; the MP20 is supplied with an integrated navigation point only. Up to six waves can be shown on MP20/MP30 Screens (USA - up to four waves). 12 ECG traces can be shown on the 12-Lead ECG Screen.

The MP20/MP30 can be connected to one of the Multi-Measurement Modules (MMS) and any one of the MMS extensions. There is an optional built-in recorder. The Flexible Module Rack (M8048A) and all plug-in modules cannot be used with the MP20/ MP30. With an optional Interface board Bispectral Index (BIS) monitoring is possible.

No Alarm Display

MP20Junior and MP20L are options of MP20 (M8001A) and are included in the descriptions of MP20 in these Instructions for Use.

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Introducing the IntelliVue Family 1 Basic Operation

MP20/MP30 Major Parts and Keys

MP20/MP30 left side

1 Color-coded alarm lamps 2 Alarms off lamp 3 Model indicator 4ECG out 5 Navigation Point 6 Part number and serial number 7 Mounting quick-release lever

(when this is pressed the monitor is not fixed on the mounting)

MP20/MP30 front panel

MP20/MP30 LED Colors and their Meanings

On/Standby LED

Error LED

Battery LED

Green when monitor is switched on

Red if there is a problem with the monitor

Green, yellow, and red. See the section on Using the Batteries for details

AC Power LED

Green while the monitor is connected to AC power (mains)

1On/Standby switch 2On/Standby LED 3Error LED 4 Battery status LED 5 AC power operation LED 6 “read the documentation” symbol 7 Mounting quick-release lever

(when this is pressed the monitor is not fixed on the mounting)

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1 Basic Operation Introducing the IntelliVue Family

IntelliVue MP40/MP50

The IntelliVue MP40/MP50 (M8003A/M8004A) patient monitor has a 12-inch TFT LCD flat panel SVGA display. The standard input devices for the MP50 are the Touchscreen and integrated navigation point; the MP40 is supplied with an integrated navigation point only. Up to six waves can be shown on MP40/MP50 Screens, 12 ECG traces can be shown on the 12-Lead ECG Screen.

The MP40/MP50 can be connected to one of the MultiMeasurement Modules (MMS) and any one of the MMS extensions. The IntelliVue family plug-in measurement modules can be connected to its four integrated plug-in module slots with plug-and-play convenience (the only exception is the SvO

module, M1021A, which cannot be used with the MP40/MP50). The Flexible Module Rack (M8048A) cannot be used with the MP40/MP50.

MP40/MP50 Major Parts and Keys

MP40/MP50 left side

1 Color-coded alarm lamps

2 Alarms off lamp 3 Model indicator 4ECG out 5 Navigation Point 6 Part number and serial number 7 Mounting quick-release lever

(when this is pressed the monitor is not fixed on the mounting)

8 Plug-in module slots

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Introducing the IntelliVue Family 1 Basic Operation

MP40/MP50 front panel

1On/Standby switch 2On/Standby LED 3Error LED 4 Battery status LED 5 AC power operation LED 6 “read the documentation” symbol 7 Mounting quick-release lever

(when this is pressed the monitor is not fixed on the mounting)

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MP40/MP50 LED Colors and their Meanings

On/Standby LED

Error LED

Battery LED

AC Power LED

IntelliVue MP60/MP70

The IntelliVue MP60/MP70 (M8005A/M8007A) patient monitors integrate the display unit, with a 15” color LCD display, and the data processing unit into one. Up to eight waves can be shown on the screens, as well as the 12-Lead ECG Screen. The MP60 uses the SpeedPoint as its primary input device while the MP70 uses touch screen operation but may have an optional SpeedPoint.

The monitors can be connected to a Multi-Measurement Modules (MMS) and any one of the MMS extensions, and to the Flexible Module Rack (M8048A). The IntelliVue family plug-in measurement modules can be connected to its FMS module slots with plug-and-play convenience.

The MP60/MP70 has two integrated slots for plug-in modules. You can combine one each of the following modules in these slots: Pressure, Temperature, C.O., BIS, SpO Two of the same type of module cannot be used. You can also use the two-slot recorder module in the integrated slots.

Green when monitor is switched on

Red if there is a problem with the monitor

Green, yellow, and red. See the section on Using the Batteries for details

Green while the monitor is connected to AC power (mains)

, VueLink and IntelliBridge.

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1 Basic Operation Introducing the IntelliVue Family

MP60/MP70 Major Parts and Keys

1 Color coded alarm lamps

91011

2 Alarms Off lamp 3Display 4 Model indicator 5 SpeedPoint (optional for MP70) 6 Part number and serial number 7 Mounting quick-release lever

(when this is pressed the monitor

is not fixed on the mounting) 8AC power LED 9Error LED 10 Power on/standby switch 11 Power on LED

IntelliVue MP80/MP90

Note: The MP80 monitor (M8008A) is not available in the USA.

The IntelliVue MP80/MP90 (M8008A/M8010A) patient monitors have the display and the processing unit as separate components. They offer both touchscreen and the Remote SpeedPoint as standard input devices. The MP80 can display up to 8 waves simultaneously and the MP90 up to 12 waves.

The monitors can be connected to a Multi-Measurement Module (MMS) and any one of the MMS extensions, and to the Flexible Module Rack (M8048A). The IntelliVue family plug-in measurement modules can be connected to its FMS module slots. The MP90 can be connected to two Flexible Module Racks (FMS). The MP90 has the capability for two displays and can have a third main display with the D80 Intelligent Display.

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Introducing the IntelliVue Family 1 Basic Operation

MP80/MP90 Major Parts and Keys

1 Display Unit 2 Processing Unit 3Power On switch 4Power On LED 5Error LED 6AC Power LED

D80 Intelligent Display

The D80 Intelligent Display can be used as a third main display with the MP90 monitor. You then have three displays able to be configured individually and to be operated independently.

Remote Alarm Device

The Remote Alarm Device provides audio and visual indicators of alarms, in addition to those shown on the display.

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1 Basic Operation Introducing the IntelliVue Family

Docking Station

MP20/30/

40/50 only

The docking station provides quick mounting and connections in a one-step operation. By placing the monitor on the docking station and closing the lever you can make the connection to power and to a wired network, if present. Keep the monitor in an upright position when placing it onto the docking station.

1 Two color coded alarm lamps (right-hand lamp flashes

red or yellow for patient alarms, left-hand lamp flashes light blue for INOPs)

2 Alarms off lamp - when illuminated it indicates that all

alarms are deactivated. 3 Speaker - for alarm tones, QRS tones and so forth 4 Monitor power on /standby switch. Press to switch

monitor on remotely. Press and hold for one second to

turn monitor off.

5 Power on LED - green when monitor is on

WARNING If the docking station is in a tilted position, use the carrying handle to push the monitor towards the

back of the docking station while closing the locking lever.

When using the monitor for transport directly after use on the docking station, insert the batteries before placing the monitor on the docking station.

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Devices for Acquiring Measurements 1 Basic Operation

1 Open position 2Power On LED 3 Data Connector 4 Power Connector 5 Locked Position

Devices for Acquiring Measurements

All the patient monitors acquire patient measurements using the devices described in this section. You can also extend the measurement capabilities of your monitor with such devices. Of these measurement devices, only the X2 has its own power on/standby switch, and can be powered from an external power supply or a rechargeable battery in addition to taking power from a host monitor (refer to the IntelliVue X2 Instructions for Use for details). All the rest take their power exclusively from the monitor, and switch on automatically when you turn on the monitor. A green power-on LED indicates when they are drawing power from the monitor. A permanently illuminated, or flashing, red LED indicates a problem with the unit that requires the attention of qualified service personnel.

All symbols used on the front panels are explained in the Installation and Specifications chapter, beginning on page 403.

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

avoid entanglement or potential strangulation.

Flexible Module Rack (M8048A)

MP60/70/80

/90 only

The flexible module rack (FMS) lets you use up to eight plug-in physiological measurement modules. With the MP60/70/80 you can connect only one FMS. With the MP90 (M8010A) you can connect

two FMSs to use up to 10 measurement modules. For individual modules, the maximum that can be used simultaneously in an FMS is: five pressure modules, four temperature modules, four VueLink or IntelliBridge modules (any combination).

Connect the FMS to the monitor via the measurement link cable (MSL). Use the MSL connector on the left-hand side to connect an additional MMS. Use the connector on the right to connect to the monitor.

1 X1 Multi-Measurement

Module

2Multi-Measurement

Module mount 3 Flexible Module Rack 4Power on LED 5 Interruption indicator

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1 Basic Operation Devices for Acquiring Measurements

Measurement Modules

You can use up to eight measurement modules with the Flexible Module Rack (M8048A), two additional modules in the integrated module slots in the MP60/MP70, and up to four in the integrated slots in the MP40/MP50. Available modules are:

• Invasive blood pressure (M1006B)

• Temperature (M1029A)

• Oxygen saturation of arterial blood (SpO

) (M1020B)

• Cardiac output (M1012A), and Continuous cardiac output with M1012A Option #C10

• Transcutaneous gas (M1018A)

• Mixed venous oxygen saturation - SvO

(M1021A)

• Intravascular Oxygen Saturation - ScvO2 or SvO2 (M1011A)

• Recorder (M1116B)

• VueLink device interface (M1032A)

•IntelliBridge EC10

• EEG (M1027A)

• Bispectral Index - BIS (M1034A)

• Spirometry (M1014A)

You can plug and unplug modules during monitoring. Insert the module until the lever on the module clicks into place. Remove a module by pressing the lever upwards and pulling the module out. Reconnecting a module to the same monitor restores its label and measurement settings, such as alarms limits. If you connect it to a different monitor, the module remembers only its label.

The connector socket on the front of each module is the same color as the corresponding connector plug on the transducer or patient cable.

Press the Setup key on the module’s front to display the measurement’s setup menu on the monitor screen. When the setup menu is open, a light appears above the key. Some modules have a second key. On the pressure module, for example, it initiates a zeroing procedure.

Example Module (Pressure)

1 Module name 2Setup key LED 3 Setup key to enter setup menu of

measurement modules or external device data window

4 Connector socket for patient cable/

transducer

5 Second module-specific key, for

example Zero

80x80

PRESS

Press

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Devices for Acquiring Measurements 1 Basic Operation

X1 Multi-Measurement Module (M3001A)

The X1 Multi-Measurement Module (MMS) can simultaneously monitor 3-, 5-, 6- or 10-lead ECG (including arrhythmia and ST monitoring), respiration, SpO temperature. Depending on the monitor model, you can connect it to the monitor via a cable or mount it either on the left side of the FMS or on the back of the monitor, as shown here.

, NBP and either invasive pressure or

M3001A Connectors and Symbols

1 White ECG/Resp connector

2 Blue SpO

connector

3 Red NBP connector 4 & 5Combined pressure (red) and temperature

(brown) connector - connect either invasive

pressure transducer or temperature probe. You might have a version of the MMS that does not have this connector.

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1 Basic Operation Devices for Acquiring Measurements

M3001A Connectors and Symbols

NBP Start/Stop key -starts

or stops NBP measurements

NBP STAT key - starts NBP STAT series of measurements

Zero key - initiates a zero procedure for the

connected pressure transducer when

pressed and held for a second

Silence: acknowledges all active alarms by switching off audible alarm indicators and lamps

9 MSL cable connector to the monitor

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Devices for Acquiring Measurements 1 Basic Operation

X2 Multi-Measurement Module (M3002A)

The X2 Multi-Measurement Module (MMS) can simultaneously monitor 3-, 5-, 6- or 10-lead ECG (including arrhythmia and ST monitoring), respiration, SpO temperature, or CO

The X2 has the added capability to operate as a stand-alone monitor, and can be powered by a rechargeable battery. This makes it particularly suited to transport situations. When the X2 is disconnected from the original host monitor, it continues to monitor the patient as a stand-alone monitor running on battery power, eliminating the need for a separate transport monitor. When the X2 is connected to a new host monitor, it resumes its role as MMS, ensuring fully continuous monitoring. For details of using the X2 as a stand-alone monitor, refer to the IntelliVue X2 Instructions

for Use.

When connected to a host monitor (Companion Mode is indicated), the X2 takes power from the host, including that required for battery charging. The X2 can also be powered by AC mains when not connected to a host monitor using the optionally available external power supply (M8023A). See the IntelliVue X2 Instructions for Use for details.

X2 Overview

. It has a color touchscreen display.

1 On/Standby Switch

2 Power and battery indicators (see “X2 Controls and

Indicators” on page 14)

3 3.5-inch TFT LCD touchscreen QVGA display 4 Alarm lamps (see “X2 Controls and Indicators” on

page 14)

5 Battery eject button 6 Hard keys (see “X2 Controls and Indicators” on

page 14)

7 Measurement connectors (see “X2 Patient

Connectors, Right Side” on page 14)

8 Battery compartment

, NBP and either invasive pressure and

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1 Basic Operation Devices for Acquiring Measurements

X2 Controls and Indicators

1On/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.

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 symbol is shown.

6 Active INOP alarm lamp in light blue.

Blinks until active INOP is acknowledged.

7 Active alarm lamp. Red or yellow,

depending on alarm level. Blinks until

active alarm is acknowledged. 8 Silence key 9 Alarms 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.

X2 Patient Connectors, Right Side

Showing symbols version (international) and text version (English only)

1 Pressure (option) 2 Temperature (option)

3 Noninvasive blood pressure 4SpO

5 ECG sync pulse output

6ECG/Respiration 7CO

(option in place of Pressure and

Temperature)

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Devices for Acquiring Measurements 1 Basic Operation

X2 Left Side

1Loudspeaker 2 MSL Connector. Connects to the

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

Depending on the monitor model, you can connect the X2 to the monitor via a cable or mount it either on the left side of the FMS or on the back of the monitor, as shown here.

MMS Extensions

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

WARNING • The MMS extensions can only function when they are connected to an MMS. If the MMS is

removed during monitoring, the measurements from both the MMS and the extension are lost.

• Measurements from a MMS extension connected to an X2 are not available when the X2 is running on battery power. They are only available when the X2 is powered from AC mains, either when connected to a host monitor or the external power supply (M8023A).

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

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1 Basic Operation Devices for Acquiring Measurements

M3014A, M3015A and M3016A Capnography MMS Extensions

The optional M3014A Capnography extension adds mainstream capnography or sidestream capnography, and optionally one pressure plus either a pressure or a temperature, Cardiac Output and Continuous Cardiac Output to the MMS. The optional M3015A Microstream CO microstream capnography and optionally either pressure or temperature to the MMS. The optional M3016A Mainstream CO

extension adds mainstream capnography and optionally either pressure or

temperature to the MMS.

extension adds

When a capnography extension is connected to an X2 MMS with CO

, the CO2 from the extension

will be automatically deactivated. The cardiac output measurement is deactivated when the extension is used with an X2 MMS unless the X2 is connected to a host monitor.

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Devices for Acquiring Measurements 1 Basic Operation

M3014A

M3016A

M3015A

Pressure connectors (red)

Temperature connector (brown)

Mainstream/sidestream connector CO2 (optional)

Cardiac Output connector

Inlet

Microstream connector CO

Gas sample outlet

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1 Basic Operation Devices for Acquiring Measurements

M3012A Hemodynamic MMS Extension

1 Cardiac Output (orange; optional) 2 Connection to MMS 3 Pressure connectors (red) 4 Temperature connectors (brown)

The M3012A Hemodynamic extension can be connected to the M3001A Multi-Measurement Module to provide the following additional measurements: Temperature, Pressure, an additional Pressure or Temperature, and C.O. and CCO measurements.

The cardiac output measurement is deactivated when the extension is used with an X2 MMS unless the X2 is connected to a host monitor.

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Operating and Navigating 1 Basic Operation

Operating and Navigating

Everything you need to operate the monitor is contained on its screen. Almost every element on the screen is interactive. Screen elements include measurement numerics, waveforms, screen keys, information fields, alarms fields and menus.

The configurability of the monitor means that often you can access the same element in different ways. For example, you might be able to access an item through its on-screen setup menu, via a hard key, or via a SmartKey. These Instructions for Use always describe how to access items via an on-screen menu. You may use whichever way you find most convenient.

ABP Zero done at 11 Nov 02 7:31 am

18 16

Monitor information line Other screen elements

network connection indicator

(documented in Information Center Instructions for Use)

bed label

patient identification

patient category

paced status

date and time

access the profiles menu

current screen name/enter

change screen menu

adjust alarm volume/level

indicator

alarm status area - shows active alarm messages

status line - shows information messages and prompting you for action

close all open menus and windows and return to main screen

enter Main Setup menu

scroll right to display more SmartKeys

SmartKeys - these change according to your monitor’s configuration

scroll left to display more SmartKeys

Pause Alarms - pauses alarm indicators. Pause duration depends on monitor

configuration. If pause duration is infinite, this key is labeled Alarms Off. Select again to immediately re-enable alarm indicators.

Silence - acknowledges all active alarms by switching off audible alarm indicators and

lamps permanently or temporarily, if alarm reminder (ReAlarm) is configured on.

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1 Basic Operation Operating and Navigating

Selecting Screen Elements

Select a screen element to tell the monitor to carry out the actions linked to the element. For example, select the Patient Identification element to call up the Patient Demographics window, or select the HR numeric to call up the Setup ECG menu. Select the ECG wave segment to call up the ECG lead menu.

Note that the space between each line of a menu may be configured to wide or narrow to facilitate your most common method of operation, either touch, SpeedPoint or navigation point, or mouse.

Using the Setup Menu

MP20/MP30/

MP40/MP50

Only

Setup

Alarm Messages

Alarm Limits

Alarm Volume

My Care Group

Change Screen

Profiles

Admit/Dischrg

Paced No

Network

Bed Information

Date, Time

For the MP20/MP30 and MP40/MP50 monitors, the elements at the top of the Screen are grouped together for ease of navigation. Select any item at the top of the Screen to open the Setup menu; scroll down the menu to highlight the element you want then press the navigation point to select the element.

Using the Touchscreen

Select screen elements by pressing them directly on the monitor’s screen.

Disabling Touchscreen Operation

♦ To temporarily disable touchscreen operation of the monitor, press and hold the Main

Screen permanent key. A padlock will appear on the Main Screen permanent key.

♦ Press and hold the Main Screen permanent key again to re-enable the touchscreen operation.

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Operating and Navigating 1 Basic Operation

Using the SpeedPoint

Integrated SpeedPoint (MP60/MP70 only) and Remote SpeedPoint (all monitors)

1 Silence - acknowledges all active alarms by switching off audible alarm indicators and lamps. Behavior

follows the Silence permanent key configuration.

2 Alarms Off/Pause Alarms- pauses alarm indicators. Behavior follows the Pause Alarms permanent key

configuration. 3 Main Screen - close all open menus and windows and return to the main screen. 4 Back - go back one step to the previous menu. 5 SpeedPoint knob - rotate and tilt to highlight elements. Press to select. 6 Function keys on remote SpeedPoint - each key can be configured to the function of any SmartKey. 7 On/standby key

Rotate the SpeedPoint knob left or right. With each click, the highlight jumps to the neighboring screen element. Alternatively, tilt the knob to move it in the direction of a screen element. A cursor moves across the screen, following the direction of the knob. Any screen element under the cursor is highlighted. When you reach the screen element you want, press the knob to select the element.

Using the remote SpeedPoint, you can operate the monitor from a distant location such as at the foot of the bed. The remote SpeedPoint can be used with all monitors.

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1 Basic Operation Operating and Navigating

Using the Navigation Point

MP20/MP30/

MP40/MP50

Only

1 Silence - acknowledges all active alarms by

switching off audible alarm indicators and lamps. Exact behavior depends on permanent key configuration

2 Alarms Off/Pause Alarms - pauses alarm

indicators. Exact behavior depends on Pause Alarms permanent key configuration

3 Main Screen -

windows and return to the main screen.

4 Back - takes you back one step to the previous

menu.

5 Navigation Point knob

closes all open menus and

To use the navigation point, rotate it left or right. With each click, the highlight jumps to the neighboring screen element. The element under the cursor is highlighted. When you reach the screen element you want, press the knob to select the element.

Using a Mouse or Trackball

If you are using a mouse or trackball, select screen elements by clicking on them (press and release the left mouse button). While you are moving the mouse, a cursor appears and a highlight shows your current position.

Moving Windows

You can move windows and menus using the Touchscreen or a mouse. To move a window,

1 Select the title of the window and keep your finger on the title, or the mouse button pressed.

2 Move your finger on the Touchscreen, or move the mouse, to move the window.

3 Take your finger off the screen, or release the mouse button, to place the window in the final

position.

The new position is only active until the window or menu is closed. Not all locations on the screen can be a target position, a window cannot overlap the monitor info line, the alarms and INOPs or the status line.

Using Keys

The monitor has four different types of keys:

Perma nent Ke y s

A permanent key is a graphical key that remains on the screen all the time to give you fast access to functions.

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Operating and Navigating 1 Basic Operation

SmartKeys

Pause Alarms

configuration. If pause duration is infinite, this key is labeled

- pauses alarm indicators. Pause duration depends on monitor

Alarms Off.

Select again to immediately re-enable alarm indicators.

Silence - acknowledges all active alarms by switching off audible alarm indicators

and lamps.

Main Screen - close all open menus and windows and return to the main screen.

Main Setup - enter main setup menu.

A SmartKey is a configurable graphical key, located at the bottom of the main screen. It gives you fast access to functions. The selection of SmartKeys available on your monitor depends on your monitor configuration and on the options purchased.

enter profile menu, or revert to default profile

change Screen, or revert to default screen

show BIS Sensor

freeze waves quick admit a patient

set alarm limits

change alarm volume end case to discharge a patient

change QRS volume

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

review beat labels (annotate arrhythmia wave)

previous Screen

enter patient identification menu to admit/discharge/transfer

view information for patients in other beds

change screen brightness (not for independent displays)

re-learn arrhythmia

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1 Basic Operation Operating and Navigating

change amplitude (size) of ECG wave enter cardiac output procedure

- start/stop manual NBP measurement

- start auto series

- stop current automatic measurement within series

start NBP STAT measurement

stop automatic or STAT NBP measurement and measurement series

start NBP measurement and measurement series

start veni puncture (inflate cuff to subdiastolic pressure)

access patient reports zero invasive pressure transducer

start a delayed recording

Vital Signs recording

access function

set wide automatic alarm limits set narrow automatic alarm limits

access wedge procedure window access the Loops window

review vital signs trend review graph trend

stop current NBP measurement

set the NBP repeat time

access pop-up recording keys

access Select Waves recording function

access event surveillance access calculations

access the calculator access the Drug Calculator

gas analyzer - exit standby mode suppress zero for all gas measurements

unpair equipment and continue central monitoring with the monitor

access the spirometry data window access ST Map application

unpair equipment and continue central monitoring with the telemetry device

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Operating and Navigating 1 Basic Operation

Hardkeys

start 12-Lead Capture (only available if Information Center is connected)

access EEG CSA access the EEG montage

display external device information access timers

access ProtocolWatch set standard or EASI lead placement

switch CO

enter data manually start/stop car seat assessment record

open the histogram window open unit conversion window

pump off new lead setup

access remote applications (if Application Server is connected)

A hardkey is a physical key on a monitoring device, such as the zero pressure key on the MMS or a setup key on a module.

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 and capital Lock keys 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.

If a conventional keyboard is connected to the monitor, you can use this instead of or in combination with the on-screen keyboard.

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1 Basic Operation Operating and Navigating

Using the On-Screen Calculator

You can use the on-screen calculator to perform any of the standard operations for which you would normally use a handheld calculator.

♦ To access the on-screen calculator, select the

Calculator SmartKey, or select Main Setup

-> Calculations -> Calculator.

Calculator

M+



Back

C/CE

Page 39

Operating Modes 1 Basic Operation

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.

When an X2 or MP5 is connected to a host monitor (Companion Mode is indicated):

• The X2/MP5 will adopt the operating mode of the host monitor:

• You cannot change the operating mode at the X2/ MP5.

Standby Mode

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

♦ select the Monitor Standby SmartKey or

♦ select Main Setup, followed by Monitor Standby.

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. This can be configured to a moving image or a blank screen. 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).

Config

To resume monitoring,

Page 40

1 Basic Operation Understanding Screens

♦

Select anything on the screen or press any key.

If you connect an X2 or MP5 that is powered on (and not in Standby) to a host monitor in Standby mode, the host will leave Standby mode. When connected to a host monitor, with both the host and the X2/MP5 in Standby mode, leaving Standby on the X2/MP5 will also make the host leave Standby.

Understanding Screens

Your monitor comes with a set of preconfigured Screens, optimized for common monitoring scenarios such as OR adult, or ICU neonatal. A Screen defines the overall selection, size and position of waves, numerics and SmartKeys 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.

When you switch from a complex to a less complex Screen layout, some measurements may not be visible but are still monitored in the background. If you switch to a more complex Screen with, for example, four invasive pressure waves but you have only two pressures connected to the monitor, the “missing” two pressures are either left blank or the available space is filled by another measurement.

Switching to a Different Screen

1 To switch to a different Screen, select the current Screen name in the monitor info line,

or select the Change Screen SmartKey.

2 Choose the new Screen from the pop-up list.

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, high-res waves, 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.

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

Change HiResTrend, and then select the wave or numeric you want, or select the highresolution trend wave you want from the list of available waves.

If you do not see Change Numeric in the menu, this Screen may be configured to always display the numeric beside its wave. Changing the wave will automatically change the numeric.

The changed Screen is shown with an asterisk in the monitor info line.

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Connecting Additional Displays to the Monitor 1 Basic Operation

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, either

♦ select the name of the Screen in the

Change Screen menu

♦ use the previous/next arrows at the top of the

Change Screen menu to move back and forth in the Screen history. The ten most recently-used Screens including up to three modified Screens can be accessed.

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 configured to Yes).

Change Screen

6 Waves A

Split Screen A

Loops

Cardiac Output

Vital Signs A

Vital Signs A*

Connecting Additional Displays to the Monitor

A second display, showing the same Screen as the main display, can be connected to any of the monitors, for viewing only.

The MP90 can have two main displays and additionally, as a third main display, the D80 Intelligent Display connected. All main displays can be configured and operated individually using standard input devices.

For MP90 monitors with multiple displays and multiple input devices, the usage and behavior can be configured according to specific requirements at installation (for example, use for two independent operators or tracking of mouse input across two displays). For details refer to the Service Guide.

When two operators are using two displays, the scope of an action depends on the type of operation:

• Patient monitoring operations such as Silence or Pause alarms take effect for the monitor as a whole, the results will be seen on both displays.

• Display operations such as the Main Screen key and Back hardkey will take effect only on the display being operated.

If you are operating two displays with one remote SpeedPoint, to navigate from one display to another:

1 Move the highlight to the Main Screen key and then turn one click further.

The highlighting moves to a special “jump” field at the edge of the Screen

2 Press the knob on the SpeedPoint to confirm; the highlighting will automatically move to the other

display.

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1 Basic Operation Using the XDS Remote Display

The content of each Screen can be changed individually as described in the previous section. If you are operating two or three displays, you can choose Screens for all displays from one location:

1 Select Profiles in the monitor info line of the first display, 2 Select Display 1, Display 2, or Display 3 then select the Screen you want to appear

on that display from the list of available Screens.

When two displays are mounted next to each other or one above the other, a special Screen can be assigned which spans across both displays. The Screen content for these Tall and Wide Screens can then use the increased area available with two displays. These Screens appear in the Screen list with a special Tall Screen or Wide Screen symbol.

Certain windows (for example: cardiac output procedure) can only be shown on one display at a time. If you try to open one of these windows when it is already shown on another display, you will see a blank grey window with a cross through it.

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, select the Screen name in the monitor info line to open the Screen

menu, then select the name of the visitor Screen configured for your monitor from the list of available Screens.

♦ Select any element on the Screen to open the Screen menu and select a different Screen to show

waves and numerics again.

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)

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Understanding Profiles 1 Basic Operation

– Each profile can have a choice of many different predefined screens. If you are using a second

display, each display can have its own individual screen selection. 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 (°F or °C) pressure unit (mmHg or kPa).

• 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.

Profiles

Profile: Profile A

Patient Category: Adult

Paced: No

Display : S-014

Measmnt.Settings:Measurement A Monitor Settings: Monitor A

Measurement A

Measurement B

Measurement C

Measurement D

You can change from one complete profile to another or swap individual settings blocks (display/ 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.

You might find it helpful to think of the three categories in terms of a restaurant menu. The Screens are like the first course, offering you a choice of “starters” (many different screen configurations from which you can choose the one that best suits your requirements). The Monitor Settings category is like the main course, offering a choice of different “main dishes” from which you can pick one. The Measurement Settings are like the dessert course. From these you build your meal. You can choose one from the “starters”, one from the main course, then one from the dessert or simply pick one or two courses without having a full meal.

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.

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1 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 Select Profiles in the monitor info line, 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 Profiles in the monitor info line, 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

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.

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Understanding Settings 1 Basic Operation

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 Setup hardkey (on plug-in modules) - press the Setup hardkey on the module front.

•via the Main Setup permanent key - if you want to setup a measurement when the measurement is switched off, use the Main Setup permanent key 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.

This guide always describes the entry method using the setup menu. But you can use any method you prefer.

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. A measurement automatically switches off if you disconnect its module or MMS. If you disconnect a transducer, the monitor replaces the measurement numeric with question marks.

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.

Switching Numerics On and Off

For some measurements, such as EEG, you can choose which numerics to view on the screen.

♦ In the measurement’s setup menu, select the numeric name to toggle between on and off.

For example in the Setup EEG menu, select the EEG numeric name to toggle between on and off.

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.

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1 Basic Operation Changing Wave Speeds

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 three groups of wave speed settings,

• RespiratorySpeed, for all respiratory waves: CO

• EEG Speed, for all EEG and BIS waves

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

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, RespiratorySpeed, or EEG Speed 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, EEG Speed, 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 set 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.

, anesthetic agents and O

Freezing Waves

You can freeze waves on the screen and measure parts of the wave using cursors. The waves are frozen with a history of 20 seconds so that you can go back and measure what you have seen.

Freezing An Individual Wave

To freeze a wave,

1 Enter the Wave menu for the measurement by selecting the wave on the screen.

2 Select Freeze Wave.

The realtime wave is replaced with the frozen wave.

Freezing All Waves

To freeze all waves on the screen,

Page 47

Freezing Waves 1 Basic Operation

Select the Freeze Waves SmartKey.

All realtime waves are replaced with frozen waves.

Measuring Frozen Waves

To measure a frozen wave,

1 Select the frozen wave.

If you are using touch, this automatically positions the vertical cursor. The cursor can be repositioned by touching the required point on the wave, or

2 Using the SpeedPoint or another pointing device or touch: use the right/left arrow keys to move

the vertical cursor. The vertical cursor moves through the time axis and the current value is displayed next to the

cursor.

3 Use the up/down arrow keys to activate and move the horizontal cursor.

The horizontal cursor measures the wave value, which is displayed above the cursor line. If the wave is a pressure wave, the cursor value can be stored as a systolic, diastolic or mean pressure value and if the pressure wave is a PAP wave it can also be stored as a PAWP value. The stored value appears in the trend database as a manually entered value.

Changing The Wave Speed

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.

To change the wave speed:

1 Select the frozen wave.

2 Select Change Speed.

3 Select a speed from the list.

Updating The Frozen Wave

To update the wave, that is freeze the current wave:

1 Select the frozen wave. 2 Select Freeze Again.

Releasing Frozen Waves

To release frozen waves,

1 Select a frozen wave. 2 Select Unfreeze Waves.

All frozen waves are released.

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1 Basic Operation Using Labels

Using Labels

You can measure multiple invasive pressures, temperatures, and SpO2 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.

About Label Sets

Your monitor may be configured to use a Restricted or Full label set. The Full label set provides extra labels for Pressure and Temp. See the sections in this Instructions for Use on Pressure and Temp for more information.

If you connect an MMS from a monitor using a Full label set to an IntelliVue monitor using a Restricted label set or an M3/M4 monitor, any additional labels switch to labels available in the target monitor. This may cause a label conflict with other monitored measurements.

Be aware that connecting a monitor using the Full label set to an Information Center with certain software revisions may affect the availability of measurement information from the additional labels on the Information Center. See the Information Center documentation and your monitor’s Configuration Guide for information on label set compatibility.

Changing Measurement Labels (e.g. Pressure)

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

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.

Give me an example Let’s imagine you used a Press module to monitor your previous patient’s CVP. Now you want to use the same module to measure ABP with a new patient. You’ve set up your arterial line. When you connect the pressure transducer to the module, the pressure shown on the screen still uses the CVP color and wave scale and is labeled CVP. To rectify this, just change the pressure label to ABP. Now the pressure has the correct color, the wave is shown in the correct scale, and the appropriate alarm limits for ABP are active.

Resolving Label Conflicts

Each label must be unique, that is, it can only be assigned once. You cannot monitor two pressures labelled “ICP” at the same time. If you need to use two identical pressures, you must assign different labels to them, for example, P and ICP.

Measurement labels are stored in the measurement device (module or MMS). If you try to use two measurement devices that have identical labels, this causes a label conflict in the monitor.

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Using Labels 1 Basic Operation

Measurement selection key with question marks indicating a label conflict.

Depending on your configuration, the monitor will either

• resolve the conflict automatically, by assigning a new, generic label to the most recently connected conflicting label (e.g. a second FAP label could be changed to ABP)

• 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

All the currently available measurement devices, for example MMSs, MMS extensions, measurement modules, Gas analyzers, devices connected to a host monitor and manually entered measurements (marked ), are depicted in the Measurement Selection window.

Any measurement labels causing a label conflict are shown in red. If a measurement device is connected but currently unavailable, for example, because it was deactivated due to a label conflict, the device is shown “grayed-out”.

MP20/30, MP40/50, MP60/70/80/90

Conflicting measurement labels

Measurement Selection

are shown in red (here the two SpO

labels)

SpO2

BIS

Tskin C.O.

EcgRsp NBP

ABP

SpO

De-activated devices are grayed-out (here the SpO

module on

CO2

Temp

the left)

When an X2 or MP5 is connected to a host monitor, the measurement selection window looks like this:

Wedge

Temp

Measurement Selection

ABP Tcore

NBP

SpO

ECG Resp

SVR

Sp-vO

Temp

PAP

C.O.

SpO

CPP

PPV

T1 ART ICP

C.O.

CVP

Temp Ao

RAP

EEG

X2 connected to host monitor

Page 50

1 Basic Operation Using Labels

MP5 connected to host monitor

ABP Tcore

NBP

SpO

ECG Resp

CVP Temp

WARNING When an X2 or MP5 with an active measurement, say SpO

same measurement already active, the SpO

measurement on the X2 or MP5 is deactivated and the

MEAS. DEACTIVATED INOP is displayed. The measurement can only be reactivated if the X2 or MP5 is disconnected from the host monitor. The label conflict can be resolved on the host monitor like any other label conflict.

MP20/30/

40/50/60/70/

80/90

To resolve a label conflict:

1 Select the measurement selection key or select Main Setup -> Measurement Selection

to display the Measurement Selection window.

2 Select the device whose label you want to correct.

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

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

invisible to the monitor, as though it had been unplugged. When the device has been deactivated the question marks under the measurement selection key will be replaced by XXX.

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

the conflicting device’s label to a different label.

– Modify Driver (VueLink/IntelliBridge only): - to modify the device driver setup to disable

the conflicting device’s label.

, is connected to a host monitor with the

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.

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.

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Entering Measurements Manually 1 Basic Operation

Entering Measurements Manually

You can enter values into the monitor that have been measured with other equipment or manually (for example, manual temperatures, lab values). These values are then stored in the database, included in trends and reports, and passed on to the Information Center and central charting systems. There is no alarm functionality for manually entered measurements.

To enter values,

1 Select the Enter Values SmartKey or select Main Setup -> Enter MeasValues 2 Select the measurement you want to enter values for. The Edit <Measurement> window will

open.

3 If the measurement is switched off, switch it on by selecting the label.

4 Select Value and enter the value.

5 Select Date/Time to enter the date and time for the value. The default is always the current date

and time.

6 For compound labels, for example ABPs, ABPd and ABPm, select the Format field to select

whether all values are required or a single value.

7 Select Save.

When a manually entered value has been configured to display as a numeric on the screen, you can also enter a new value for this measurement by selecting the numeric, then selecting Enter MeasValues.

Manually entered measurement values are marked with a * on the display, in trends, and so forth. Each measurement has a defined measurement interval after which a value becomes invalid (no value is then displayed). Values can be entered up to two hours after they have been measured or up to the measurement interval, if this is shorter.

The list of measurement labels which appears in the Manual Entry window is set in Configuration Mode.

No values can be entered manually on an MP5 or X2 when it is connected to a host monitor.

Switching Manually Entered Measurements On and Off

To switch a manually entered measurement on or off,

1 Select the Enter Values SmartKey or select Main Setup -> Enter MeasValues

2 Select the measurement you want to switch on or off.

3 Select the measurement label field to switch between On and Off

Changing Monitor Settings

♦ To change monitor settings such as date and time, brightness, or QRS tone volume, select the

Main Setup permanent key and then select the setting you want to change, or select User Interface to enter a submenu where you can change user interface settings.

Page 52

1 Basic Operation Checking Your Monitor Revision

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 battery powered monitors) for transport to conserve battery power. These settings can only be changed in the monitor’s Configuration Mode.

If you are using an MP80 or MP90 with an external display, the Brightness SmartKey does not adjust the brightness of this display. See the instructions supplied with the external display for instructions.

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.

WARNING Changing the date or time will affect the storage of trends and events.

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

menu.

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.

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. We also recommend working through the CBT (for MP40-90) or training video (for MP20-90) for selftraining on the monitor before use (not available in all languages). The part numbers are:

CBT - M8000-94XXE, where XX are digits dependent on the language. The English CBT is M80009461E.

Video - M8000-9451E, English video.

Page 53

Getting Started 1 Basic Operation

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 including

all connected MMSs, modules, or MMS extensions. – Check for any mechanical damage. – Check all the external cables, plug-ins and accessories.

2 Plug the power cord into the AC power source. If you are using battery power, ensure that the

battery has sufficient power for monitoring. When you use a battery for the first time, you must

charge it, following the instructions given in the section on Charging Batteries.

3 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 monitoring that measurement. Connected devices usually take their power from the

monitor. External devices such as gas monitors and those connected via VueLink/IntelliBridge have

their own power switches.

Sensor Warmup wait until it disappears before

CAUTION When using an MP90 monitor with a D80 Intelligent Display, always switch power on directly at the

MP90 or at a remote SpeedPoint or remote alarm device directly connected to the MP90.

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.

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

• An MMS or MP5 switches on automatically when connected to a running host monitor.

• When an X2 or MP5 is disconnected from a running host monitor, the X2 or MP5 continues to run without interruption on battery power.

Setting up the Modules

1 Decide which measurements you want to make.

2 Connect the required modules, MMSs, or MMS extensions.

Page 54

1 Basic Operation Disconnecting from Power

3 Check that you have the correct patient cables and transducers plugged in. The connectors are

color-coded to the patient cables and transducers for easy identification.

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.

WARNING During MR imaging, remove all transducers, sensors and cables from the patient. Induced currents

could cause burns.

Disconnecting from Power

The On/Standby switch does not disconnect the monitor from the ac power source. To disconnect, unplug the power cable.

Monitoring After a Power Failure

If the monitor is without power 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.

Additionally, when the IntelliVue X2 or MP5 is equipped with IIT and declared at the Information Center as a telemetry device, it allows data continuity when paired to a host monitor. After disconnection from the host monitor, it continues to monitor the patient during transport and provides continuous data to the same sector on the Information Center. (See “Assigning Two Devices to One Patient” on page 265.)

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Using Remote Applications 1 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 Care Group, the monitoring equipment, and technical information about the network,

♦ MP20/MP30/MP40/MP50 - select the monitor info line to enter the Setup menu, then select

Bed Information.

♦ MP60/MP70/MP80/MP90 - in the monitor info line, select the bed label.

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

Printout functionality and data export are not guaranteed when using a standard hospital network.

Using Remote Applications

If your monitor is connected to a Philips Application Server, you can access applications hosted remotely on the Application Server and display and operate them on the bedside monitor screen. The Application Server provides portal technology to allow information access through a web browser, terminal emulation, or served applications. The applications available depend on the Application Server configuration: see the device documentation for details. A Remote Application window can also be embedded in a monitoring Screen.

To display remote applications on the monitor,

1 In the Main Setup menu, select Remote Applics, or select the

Remote Applic SmartKey.

2 Select the required application from the pop-up list of available applications.

3 Operate the application with your preferred monitor input device: touchscreen, SpeedPoint,

navigation point, keyboard or mouse.

Remote Application Popup Keys

Pop-Up Keys Selecting this pop-up key lets you....

Minimize minimize the Remote Application window; the session continues running in the

background. Select the Remote Application symbol to show the window at full size again.

Keyboard

Refresh

start a keyboard application to show a keyboard on the display. This key is not available if the keyboard application is not installed or not supported on the Philips Application Server.

update the content of the Remote Application window. close the Remote Application session.

The Remote Application window occupies a pre-defined area on the monitor Screen. The maximum size of the area depends on the resolution of your display. If the pre-defined area for the Remote Application covers the full monitor Screen (on independent second displays only), the pop-up keys are not displayed. In this case a small window appears with two keys: one (with the Remote Application symbol) to display the pop-up keys and another to move the small window if it is obstructing viewing.

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1 Basic Operation Using the X2 or MP5 with a Host Monitor

If you change the monitor Screen while a Remote Application is running, and the pre-defined area on the second Screen is smaller, the Remote Application cannot be shown at full size. You must select a suitable monitor Screen to display the Remote Application again.

Using the X2 or MP5 with a Host Monitor

Host monitors that can support the X2 or MP5 as a multi-measurement module require software revision F.0 or higher. When you connect an X2 or MP5 to a host monitor, an integrated system is formed for monitoring a single patient. The following general observations and considerations apply to such a system:

• The host monitor is the “master” of the system, and you have full control over all the system’s operation only via the host monitor.

• Functions you can operate on an X2 or MP5 are restricted to measurements originating in that device. If you try to operate controls that are disabled, you are prompted by the message Not available in Companion Mode.

• Depending on how it is configured, your host monitor can determine whether the user interface of a connected X2 or MP5 is completely disabled or not, and what is displayed on the screen (a standard main screen, or a blank screen indicating Companion Mode).

This is controlled by two monitor settings that are applied to the X2 or MP5 on connection. You can change the settings in Configuration Mode.

• Global settings from the host monitor are applied to the X2 or MP5 on connection. When disconnected from the host, the X2 or MP5 applies its own global settings.

• No audible alarms are available on an X2 or MP5 when connected to a host monitor. The only visual alarm indication is provided by the alarm lamps which are controlled by the host monitor. Alarms become active again as soon as the X2 or MP5 is disconnected from the host monitor.

• The host monitor is the master of all ADT information. ADT operations on the X2 or MP5 are disabled, and any pending actions on the X2 or MP5 (for example, admit or end case) are cancelled.

• The date and time of the X2 or MP5 is synchronized with that of the host monitor.

Page 57

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 MP5 and X2

A telemetry transceiver with a short range radio adapter can now be assigned to an MP5 or X2 which is connected (via Companion Mode) to a larger host monitor (MP20 - MP90). The data from the telemetry transceiver are displayed on the host monitor with a minimal delay.

IntelliBridge Module (MP40/50, MP60/70, MP80/90)

2What’s New?

The new IntelliBridge EC10 module transmits information from a connected external device to your monitor. Data imported from the external device, for example waveforms, measurement numerics, settings and alarms, can be displayed on the monitor, passed on to an Information Center and included in trends as appropriate.

Intravascular Oxygen Saturation Measurement (MP40/50, MP60/70, MP80/90)

The new M1011A SO saturation to the MP40/50 class of IntelliVue Patient Monitors.

The measurement label is selectable for different measurement locations and provided to the SSC Sepsis protocol.

Histogram Trend

Trended values can also be viewed in the form of a histogram. The SpO histograms or realtime histograms with 1 second samples.

Car Seat Assessment Record

In Event Surveillance, in the NER group, you can run a Car Seat Assessment Record (CAR). This is a special period of event surveillance for neonates during a car seat test. During the CAR period a realtime SpO

histogram is also generated with 1 second samples.

module extends the continuous measurement of intravascular oxygen

histograms can be trend

Page 58

2What’s New? What’s New in Release F.0?

IntelliVue XDS Solution (MP60-90)

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.

Labels - SpO2pr and SpO2po labels have been added.

• 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.

USB Interface

A new USB interface allows use of USB printers, bar code readers and input devices such as a keyboard or mouse.

What’s New in Release F.0?

X2 Multi-measurement Module (M3002A)

You can connect the new X2 to an IntelliVue patient monitor, where it acts as a Multi-Measurement Module (MMS), providing measurements, trends and patient information to the MP20/30, MP40/50 and MP60/70/80/90. You can also use the X2 as a stand-alone, highly portable monitor with a display and alert capabilities, running on a rechargeable battery or mains power from the optional external power supply (M8023A). With these two use modes the X2 provides an ideal transport solution changing its function from MMS to transport monitor and back to MMS as required.

Name Changes for MMS, FMS, etc.

In the process of introducing the X2 the naming for the Multi-measurement Servers and associated equipment has been changed. The following table shows the new names and the abbreviations used the abbreviations have been kept as they were to ease the change:

numerics.

Page 59

What’s New in Release F.0? 2What’s New?

Product Number and

previous name new name abbreviations

Multi-measurement Server Multi-measurement Module MMS M3001A X1

Measurement Server Extension MMS Extension - M3012A, M3014A,

Flexible Module Server Flexible Module Rack FMS M8048A Measurement Server Link Measurement Link MSL -

Name

M3002A X2

M3015A, M3016A,

Protocol Watch

The SSC Sepsis protocol is now available on all IntelliVue Monitors (MP20 to MP90). Depending on the monitor model, and in some cases on the option purchased, you may have only the screening phase implemented or the complete protocol. If a patient has been screened on arrival on a monitor with the screening option, then transferred to Intensive Care when Sepsis is confirmed, the current state, the settings and the log from the SSC Sepsis Protocol will be transferred with the MMS to the new monitor. Should it be necessary, you can also select the correct phase of the protocol at the new monitor manually.

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.

Pairing X2 and MP5 with a Monitor

The X2 and MP5 (with IIT) can be declared as telemetry devices at the Information Center and paired with a monitor. The data from the MP5/X2 will then be shown on the same sector on the Information Center as that from the monitor.

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.

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2What’s New? What’s New in Release E.0?

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.

Cardiac Output - Automatic Detection Of Injections

An Auto mode is now available in the cardiac output measurement which allows you to make multiple cardiac output measurements without having to press the Start button every time. The injections are automatically detected after the first measurement of a series has been started.

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).

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 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.

What’s New in Release E.0?

Protocol Watch - SSC Sepsis Protocol

ProtocolWatch is a clinical decision support tool. It allows you to run a clinical protocol which can monitor developments in the patient’s condition. The SSC Sepsis Protocol runs on the ProtocolWatch application and is used in screening for severe sepsis and monitoring its treatment.

Telemetry Data Enhancements

, NBP) have been measured

When a telemetry device is paired with the monitor, you can now change settings such as heart rate alarms or relearn arrhythmia for the telemetry device at the monitor. When the ECG source changes certain relevant settings will be synchronized between the monitor and the telemetry device to provide settings continuity. Telemetry alarms and INOPS will also be indicated on the monitor, in addition to the main indication at the Information Center.

Page 61

What’s New in Release E.0? 2What’s New?

Pulse From Noninvasive Blood Pressure

In the process of making the NBP measurement, a pulse value can be derived and displayed. The pulse value is displayed together with the time the measurement was made.

Alarms Enhancements

• In addition to the standard blue INOPs, some INOPs can now be configured as red or yellow INOPs to provide a severity indication (ECG leads Off, NBP Cuff overpress, NBP Cuff Not Deflated). A small number of INOPS are always yellow or red to indicate a severity corresponding to red and yellow alarms.

• For the invasive pressure measurement, the extreme pressure alarms Extreme High and Extreme Low can be made available for your monitor in Configuration Mode and are additional to the standard High and Low limit alarms.

•The Review Alarms window now shows when the monitor was switched on (after being switched off for longer than 1 minute) and any changes made to the Standby and paired status.

• In order to improve alarming on asystole under certain conditions, you can set Asystole Detect. in Configuration Mode to Enhanced. In enhanced mode an asystole alarm will be suppressed for up to five seconds if a valid beat-to-beat Pulse is detected from a Pressure.

SpO

Perfusion Change Indicator

The perfusion change indicator is a graphic symbol which shows the change in the perfusion value, relative to a reference value which you can set.

Pressure Zero Stored in Module

The Zero will be stored in the pressure module when it is unplugged and moved to another monitor, as long as the transducer is still connected to the module when it is plugged in again.

Respiratory Waves Can Be Displayed Filled For certain respiratory waves (CO

, AWF, AWP, and AWV) the presentation of the wave trace can be

changed in configuration mode to display filled waves.

BIS Module in MP60/70

The BIS module can now be used in the integrated module slots in the MP60 and MP70.

IntelliVue Instrument Telemetry Wireless Network Available Outside USA

Built-in adapters (for MP20/30) and external adapters (for MP40/50) are available for the new IntelliVue Instrument Telemetry network for use outside the USA.

ECG

• New ECG Filter Setting The new Extended Monitoring filter setting is for use on pediatric and neonatal patients when diagnostic quality is required but low frequency interference or a wandering baseline may be expected. The upper edge frequency is the same as the Diagnostic setting and the lower edge frequency is the same as the Monitoring setting.

• Pacer Spikes are shown in a different color to the ECG wave. They are shown in white unless the ECG wave is white, then they are shown in green.

• 6-lead cable is now supported.

PiCCO Enhancements

• New measurement values (not available in the USA): GEF (Global Ejection Fraction), PVPI (Pulmonary Vascular Permeability Index)

Page 62

2What’s New? What’s New in Release D.0?

• New continuous measurement: PPV (Pulse Pressure Variation)

• Right-Left Shunt detection (not available in the USA)

• GEDV, GEDVI, EVLW and EVLWI now also available in the USA

• SVV, PPV and dPmax can now also be measured prior to a CCO calibration. (dPmax not available in the USA.)

New SmartKeys

Two new SmartKeys allow you to unpair a telemetry device from the monitor and determine whether the Information Center will continue to receive data from the monitor or the telemetry device. Lead Placement selection - EASI or Standard - can be accessed with a SmartKey. There are now separate SmartKeys for Starting or Stopping an NBP measurement and for Starting a STAT measurement. Two new Smartkeys provide shortcuts to the Record Waves and Record Vitals windows.

What’s New in Release D.0?

M1014A Spirometry Module

The spirometry module produces a real time wave for flow, volume and pressure of respiratory gases together with numerics for analysis of ventilatory mechanics. It is designed to be used in combination with Philips-branded airway flow sensors and combined CO

M3014A Capnography Extension

/airway flow sensors.

The M3014A Capnography Extension offers an additional measurement method - sidestream CO with the M2741A sensor.

M8016A D80 Intelligent Display

The D80 Intelligent Display can be used as a third main display with the MP90 monitor. You then have three displays able to be configured individually and to be operated independently.

IntelliVue 802.11 Bedside Adapter

The 802.11 Bedside Adapter is a wireless ethernet adapter which can be built in to the patient monitor (option J35). It provides wireless connectivity to standard IEEE 802.11a/b/g wireless networks.

Improved Multiple Display Support

• Wide and Tall screen layouts are supported which allow screen content to be spread over two screens next to each other (wide screen) or one above the other (tall screen).

• An additional main display used for a surgeon can be configured not to show alarm information. The permanent keys and SmartKeys can also be configured not to display.

• Input devices can be assigned to an operator, independent of physical connector location.

New SmartKeys

For the new spirometry module there is a SmartKey to provide direct access to the spirometry data window. For microstream and sidestream CO SmartKey CO

Pump Off.

, sampling can now be suppressed directly with the

What’s New in Release C.0?

IntelliVue MP80

Page 63

What’s New in Release C.0? 2What’s New?

The MP80 patient monitor is a new addition to the IntelliVue patient monitor family. The functionality is similar to that of the MP70 but with the flexibility of component modularity as in the MP90.

M3014A Capnography Extension

The M3014A Capnography Extension offers a new measurement combination - mainstream CO

cardiac output, invasive pressure and invasive pressure/temperature.

M8045A Docking Station

The docking station provides quick mounting and connections for the MP20/MP30/MP40/MP50 in a one-step operation. By placing the monitor on the docking station and closing the lever you can make the connection to AC power and to a network, if present.

BIS Interface Board

This interface board allows use of Bispectral Index monitoring with the MP20 and MP30.

Timers Application

The new Timers application allows you to set timers to notify you when a specific time period has expired. The timers can have varying characteristics and can be located on the Main screen for easy viewing.

IntelliVue Instrument Telemetry (USA only)

Wireless network capabilities via the IntelliVue Instrument Telemetry network using a built-in interface (MP20/MP30) or an external adapter (MP40/MP50).

Remote Applications

Remote applications can now be embedded in a monitoring Screen. The display colors for remote applications have been enhanced.

Basic Operation

• Selection and order of SmartKeys can now be configured in the monitor’s Configuration mode.

• A new SmartKey exits Standby mode at the gas monitor.

• Direct operation of a second independent display with the MP90, using standard input devices.

• Networked monitors can now show Telemetry information for the “Own Bed” in an overview window or embedded in a Screen.

• Overview bed information can be configured to display in the colors used at the Information Center (with Information Center System G or higher).

• Support for Unit-based Care Group model for up to 64 beds (with Information Center System G or higher).

• Battery status information on the main screen now includes estimated monitoring time available during battery charging.

• Barcode reader support during patient admission.

• Direct entry to graphical trends when a limit alarm is selected in alarm review and to the event episode window when an event alarm is selected.

• MP90: screen trends can now also be viewed on the second display.

Trends

• In graphical trends, a segment menu allows direct adjustment of trend scales, automatic scale optimization, expanded view for an individual segment.

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2What’s New? What’s New in Release B.1?

• In graphical and horizon Screen Trends a cursor is available.

• In the Vital Signs window, the values can be shown with the parameter color.

Events

• Events can be configured to be signaled as alarms (advanced event surveillance only).

• Deviation triggers can be set which trigger an event when measured values change by a defined amount over a set time (advanced event surveillance only).

• Up to six event groups can be active simultaneously (advanced event surveillance only).

Measurements

• Pulse Pressure Variation is a new derived measurement calculated from beat-to-beat arterial pressure values.

•MAC value calculations

Applications

• Improved Drug Calculator meeting JCAHO requirements.

• The ST Map application shows ST changes over time in two multi-axis spider diagrams.

• Freeze and measure waves on the Main Screen.

What’s New in Release B.1?

IntelliVue MP20/MP30

The MP20/MP30 patient monitor is a new addition to the IntelliVue patient monitor family. It is smaller and lighter than the MP40/MP50 monitors and can be powered by battery. It can be used with the measurement server and server extensions and has a built-in recorder.

Basic Operation

• New Measurement Selection window makes it easier to resolve measurement label conflicts

• New Previous/Next Screen function provides access to the ten most recently modified Screens

• Wave speeds can now be set for individual wave channels

Trends

• Cursor in graphical trend window improves navigation in the trends database

• Vital Signs and Graphical Trend screen elements can be embedded on a Screen

• New band style format for displaying trends of measurements with multiple numerics

• Horizon trend is a new format for screen trends, showing the deviation from a stored baseline

• Aperiodic measurements now stored with a timestamp in Vital Signs

• New symbol representing NBP measurements in Graphical Trends

Measurements

• ST numerics in the Alarm Limits window can be shown and hidden

• ST Point can be set directly by selecting a numeric value

• New NBP countdown timer shows the time remaining until the next NBP measurement in a series

• Networked monitors can now show Other Bed information embedded on Screen

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What’s New in Release B.0? 2What’s New?

• Additional labels available for Pressure and Temp

• Additional options for SpO2, support for an extended list of accessories

• Suppress Zero function for Microstream CO

Applications

• Drug Calculator can now be configured to include a list of commonly-used drugs

• Cursor in the Loops window improves navigation through the stored loops

• Volume-flow loops added to the list of respiratory loops types

• Loops Report for documentation of stored loops

• EEG CSA can now be called up and viewed in a window over the currently displayed Screen

What’s New in Release B.0?

IntelliVue MP40/MP50 The MP40/MP50 patient monitor is a new addition to the IntelliVue patient monitor family. It uses the same measurement devices as the MP60/MP70/MP90 monitors and shares the same technological platform and user interface, but is more compact in size and can be operated by battery.

M3012A Measurement Server Extension The new Hemodynamic Measurement Server Extension extends measurement capability by adding two additional pressures and Cardiac Output.

M1020B SpO

measurement without the need to use the VueLink module. Two options are available:

Module New SpO2 measurement module, M1020B, enables dual SpO2

– Option A01 for use with Philips reusable and disposable sensors and Nellcor “R-Cal” disposable

sensors.

– Option A02 for use with Nellcor OxiMax sensors, including the MAX-FAST forehead sensor.

M1020B Option A02 for use with Nellcor OxiMax sensors may not be available in all countries.

PV Loops: compares graphic representations of airway waves to help detect changes in the patient airway condition.

High-resolution waves per Screen: the number of high-resolution waves that can be shown on a Screen is increased, limited only by the Axx Option purchased.

Alarms symbols: New alarm symbols are introduced, and “short” yellow alarms were renamed “onestar” yellow alarms (yellow arrhythmia alarms).

Aperiodic measurements available as Screen Trends: patient trend information for NBP, C.O., C.I., and Wedge can now be permanently displayed on the Screen in tabular and graphical form.

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2What’s New? What’s New in Release A.2?

What’s New in Release A.2?

12-Lead ECG recordings: 12-Lead ECG waves and numerics can be sent to a connected recorder

High-Resolution Trend Report: high-resolution trend report can be sent to a connected printer

ST Snippets ST snippets, showing a one second wave segment for each measured ST lead, can be

permanently displayed on the Screen or called up as required.

EEG Wave Speed: new EEG-specific wave speeds have been added to the list of wave speeds available

Drug Calculator: this new feature helps you to calculate drug dosages for your patients

On-Screen Calculator: a mathematics calculator can be used on the Screen

Visitor Screen: this new Screen is designed to hide sensitive patient information from the Screen.

Monitoring and alarm generation function as usual.

Touch selection volume control: The volume of the audio prompt given when a screen element is selected is now adjustable

VueLink interface: the VueLink on-screen appearance and controls are improved

M3001A: Trend upload from the Multi-Measurement Server (M3001A) improved

Screen Trends: lets you display patient trend information in graphic form permanently on the Screen

Alarm Limits Page: lets you view and control alarm settings for all measurements in one window

New Option for Event Surveillance: a new neonatal event review option #C04 is introduced

Second display To simultaneously show two different Screens, a second display can be connected to

the MP90. The second display is for viewing only.

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3Alarms

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

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3Alarms 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

WARNING • No alarms are available on an X2 or MP5 when connected to a host monitor. Alarms become active

again as soon as the X2 or MP5 is disconnected from the host monitor.

• Alarm fields and other visual alarm indicators are disabled on an X2 or MP5 when connected to a host monitor. The only visual alarm indication is provided by the alarm lamps, which are controlled by the host monitor.

Companion Mode

No Alarm Display

Alarm message: An alarm message text appears in the alarm status area at the top of the screen indicating the source of the alarm. If more than one measurement is in an alarm condition, the message changes every two seconds, and has an arrow ( ) at the side. 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 “**SpO

LOW” or

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)

On Off

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Audible Alarm Indicators 3Alarms

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.

Nurse call systems: If configured to do so, red, yellow and light blue alarms are indicated on any device connected to the nurse call relay.

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.

• No alarms are available on an X2 or MP5 when connected to a host monitor (Companion Mode is indicated). Alarms become active again as soon as the X2 or MP5 is disconnected from the host monitor.

• When connected to a host monitor (Companion Mode is indicated), no alarm tones are available on the IntelliVue X2 or MP5.

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.

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3Alarms Audible Alarm Indicators

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

♦ The alarm volume symbol at the top right of the monitor screen gives you an

indication of the current volume. To change the volume, select the volume symbol and then select the required volume from the pop-up selection.

♦ 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.

Alarm

Volume

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.

There is no alarm volume indication on the screen of an X2 or MP5 when connected to a host monitor (Companion Mode is indicated).

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 - X2 (yellow)

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Acknowledging Alarms 3Alarms

Power Loss Tone

When power is lost - no power is available from the power cable or from a battery - a buzzer will sound, if the monitor has a flexible nurse call interface.

Acknowledging Alarms

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

Alternatively, you can acknowledge alarms by pressing the Silence hardkey on the MMS or on the SpeedPoint. The hardkeys follow the behavior configured for the permanent key.

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.

Silence

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

stops alarm indication.

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.

Unplugging an MMS or a plug-in module automatically switches off its measurements.

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.

APNEA

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.

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3Alarms Pausing or Switching Off Alarms

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

♦ Select the Pause Alarms permanent key. If your monitor is configured to

infinite pause time, the permanent key is labelled Alarms Off, and selecting it switches alarms off.

♦ Or press the Alarms hardkey on the SpeedPoint or Navigation Point. The hardkey

follows the behavior configured for the permanent key.

Pause

Alarms

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 and the permanent key is labelled Alarms Off.

♦ Select the Alarms Off permanent key.

♦ Or press the Alarms hardkey on the SpeedPoint or Navigation Point. The

hardkey follows the behavior configured for the permanent key.

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

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.

Alarms

Off

•

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

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Alarm Limits 3Alarms

• 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.

• The nurse call relay is not active.

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

ALARMS OFF

Restarting Paused Alarms

♦ To manually switch on alarm indication again after a pause, select the permanent key

PAUSE ALARMS (or ALARMS OFF) 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, select the ALARMS OFF or PAUSE ALARMS

permanent key and then reselect it.

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.

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

1 Select one of the alarm fields. This calls up the Alarm Messages 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, BIS and SpO alarm limit to 100 switches the high alarm off, or setting the low alarm limit to 0 switches it off. In these cases, the alarms off symbol is not displayed.

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

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3Alarms Alarm Limits

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

120

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,

Alarm limits

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 any alarm field to open the Alarm

Messages window, then select the Alarm Limits pop-up key, or select the Alarm Limits SmartKey, if configured.

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Alarm Limits 3Alarms

Alarm Limits

ST-V4

ST-V5

ST-V6

SpO

Pulse (SpO2)

NBPs

ABPs

PAPd

awRR

Apnea Time

1 2 3

Measurement labels, with alarms off symbol where appropriate

Current alarm limits

Graphic view of current yellow and red alarm limits and currently monitored measurement value.

Off

sec

Off indicates the measurement is switched off

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

measurements.

– Print Limits/Record Limits to print a list of all current alarm limit settings on a

connected printer or recorder.

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.

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3Alarms Alarm Limits

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

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.

min

min min

Alarms On/Off

1 Parameter label 2 3 4 5 6 7 8 9 10 11

High red alarm (view only)

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

15-min trend, showing alarm limits and monitored measurement values (MP40/50/60/70/90 only)

To change alarm limits,

1 Enter the Alarm Limits window.

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Alarm Limits 3Alarms

Using touch: 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. Using a SpeedPoint or Navigation Point: position the cursor in the high yellow alarm field, then

press the knob inwards. Rotate the knob to the left or right to adjust the limit. Press the knob again to set the displayed limit. Repeat to set the low yellow alarm limit.

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.

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.

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3Alarms Reviewing Alarms

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.

Documenting Alarm Limits

The alarm limits pop-up keys appear with the Alarm Limits and Change Limits windows.

♦ Select the Print Limits pop-up key to print an overview of all alarm limits on a connected

printer.

♦ Select the Record Limits pop-up key to send a recording of the alarm limits to a recorder.

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 see the currently active alarms and INOPs listed in one place, select any of the alarm status areas on the monitor screen. The Alarm Messages window pops up.

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

Alarm Messages Window

The Alarm Messages window shows all the currently active alarms and INOPs sorted by priority, beginning at the top with the most recent. INOPs are shown on the left hand side and patient alarms are shown on the right hand side. Any active red alarms are shown first, followed by yellow alarms. Acknowledged alarms or INOPs are shown with the check mark symbol.

The Alarm Messages window pop-up keys appear when the window is opened. If alarm pause extension is disabled, the pause pop-up keys are inactive (“grayed-out”). Selecting the Review

Alarms pop-up key opens the Review Alarms window.

Alarm Messages

Resp LEADS OFF

LL LEAD OFF

** awRR LOW

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Reviewing Alarms 3Alarms

Alarm Limits

Review Alarms

If you do not immediately understand an INOP or alarm message, refer to its help text.

•In the Alarm Messages window, select the INOP message. This calls up a help window with an explanation of the INOP message and, where appropriate, a suggested solution for the problem.

• If the alarm or INOP was generated in a device other than the monitor (for instance, in an MMS or FMS), this source is specified at the end of the help text (Source: FMS).

Review Alarms Window

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

Pause Al. 5 Min.

Pause Al. 10 Min.

Review Alarms

5 Apr 16:55:18 *** Apnea

5 Apr 16:55:18 ** ABPs HIGH (120 >95) 5 Apr 16:55:18 Alarms On 5 Apr 16:45:15 ** SpO 5 Apr 16:44:57 Alarms Off 5 Apr 16:44:46 ** awRR LOW (14<15) 5 Apr 16:44:39 ** SpO 5 Apr 16:44:28 ** ABPs HIGH (120>95)

NON-PULSAT.

LOW (95<99)

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 alarm resulting from an event alarm notification, the Event Episode window for that event will open. If you select an alert other than a high or low alarm, a help text window opens with more information. This is the same as the help text window that opens in the Alarm Messages window. 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.

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. Selecting the Active Alarms pop-up key opens the Alarm Messages window.

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3Alarms Latching Alarms

Alarm Limits

Active Alarms

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 140 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.

Page 81

Testing Alarms 3Alarms

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.

Page 82

3Alarms Alarm Recordings

Page 83

4Patient Alarms and INOPs

This chapter lists patient alarms and technical alarms (INOPs) alphabetically, irrespective of their priority. INOPs start on page 77. All alarms and INOPs are listed here; the ones which can appear on your monitor will depend on the model and the individual options.

For information on alarms and INOPs from the gas modules refer to your Gas Module Instructions for Use.

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.

Refer to your Gas Module Instructions for Use for patient alarms and INOPs from the gas modules.

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,

, 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.

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.

Page 84

4 Patient Alarms and INOPs Patient Alarm Messages

Alarm Message From Condition Indication

**BIS HIGH BIS The Bispectral Index value has

exceeded the high alarm limit.

**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 high limit is highlighted, yellow alarm lamp, alarm tone.

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.

Page 85

Patient Alarm Messages 4 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.

Page 86

4 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.

Page 87

Patient Alarm Messages 4 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