Philips IntelliVue MP20-90 User manual

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

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

*M8000-9001K*

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

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

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

iii

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

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

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

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

viii

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

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

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.

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.

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)

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

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)

234

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.

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.

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.

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.

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

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

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.

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

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

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)

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.

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.

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

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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