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

	Table 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

i

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

ii

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 SpO2		171
SpO2 Sensors		171
Applying the Sensor		171
Connecting SpO2 Cables		172
Measuring SpO2		172
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
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

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

iv

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

v

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 Trends		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

vi

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

vii

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

ix

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

x

1

Basic 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-and- play” convenience.

1

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

No Alarm Display

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.

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

2

Introducing the IntelliVue Family

MP20/MP30 Major Parts and Keys

MP20/MP30 left side

1 2

3

4

5

6

7

MP20/MP30 front panel

1

2

3

4

5

6

7

1 Basic Operation

1Color-coded alarm lamps

2Alarms off lamp

3Model indicator

4ECG out

5Navigation Point

6Part number and serial number

7Mounting quick-release lever (when this is pressed the monitor is not fixed on the mounting)

1On/Standby switch

2On/Standby LED

3Error LED

4Battery status LED

5AC power operation LED

6“read the documentation” symbol

7Mounting quick-release lever (when this is pressed the monitor is not fixed on the mounting)

MP20/MP30 LED Colors and their Meanings

On/Standby LED	Green when monitor is switched on
Error LED	Red if there is a problem with the monitor
Battery LED	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)

3

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 SvO2 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

1	2	2
	3
		3
		4
	4	5
		6

5	7

Color-coded alarm lamps

Alarms off lamp

Model indicator

ECG out

Navigation Point

Part number and serial number

Mounting quick-release lever (when this is pressed the monitor is not fixed on the mounting)

8 Plug-in module slots

	8	6
		7

4

Introducing the IntelliVue Family

1 Basic Operation

MP40/MP50 front panel

		1	On/Standby switch
		2	On/Standby LED
		3	Error LED
		4	Battery status LED
		5	AC power operation LED
		6	“read the documentation” symbol
		7	Mounting quick-release lever
1	2 3 4 5 6	7	(when this is pressed the monitor
			is not fixed on the mounting)

MP40/MP50 LED Colors and their Meanings

On/Standby LED	Green when monitor is switched on
Error LED	Red if there is a problem with the monitor
Battery LED	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)

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, SpO2, VueLink and IntelliBridge. Two of the same type of module cannot be used. You can also use the two-slot recorder module in the integrated slots.

5

1 Basic Operation

Introducing the IntelliVue Family

MP60/MP70 Major Parts and Keys

						1	Color coded alarm lamps
1			2	3	4	2	Alarms Off lamp
						3	Display
						4	Model indicator
						5	SpeedPoint (optional for MP70)
						6	Part number and serial number
						7	Mounting quick-release lever
					5		(when this is pressed the monitor
							is not fixed on the mounting)
						8	AC power LED
						9	Error LED
						10	Power on/standby switch
11	10	9	8	7	6	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.

6

Introducing the IntelliVue Family

1 Basic Operation

MP80/MP90 Major Parts and Keys

6

5

4

3

2

1

1Display Unit

2Processing 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.

7

1 Basic Operation

Introducing the IntelliVue Family

1

2

1

2

3

3

4

5

4 5

Two color coded alarm lamps (right-hand lamp flashes red or yellow for patient alarms, left-hand lamp flashes light blue for INOPs)

Alarms off lamp - when illuminated it indicates that all alarms are deactivated.

Speaker - for alarm tones, QRS tones and so forth

Monitor power on /standby switch. Press to switch monitor on remotely. Press and hold for one second to turn monitor off.

Power on LED - green when monitor is on

Docking Station

MP20/30/ The docking station provides quick mounting and connections in a one-step operation. By placing the 40/50 only 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.

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.

4

3

2
1	5

8

Devices for Acquiring Measurements

1 Basic Operation

1Open position

2Power On LED

3Data Connector

4Power Connector

5Locked 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	2	3	1	X1 Multi-Measurement
				Module
			2	Multi-Measurement
				Module mount
			3	Flexible Module Rack
			4	Power on LED
			5	Interruption indicator
		4	5

9

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 (SpO2) (M1020B)

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

•Transcutaneous gas (M1018A)

•Mixed venous oxygen saturation - SvO2 (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)

1Module name

2Setup key LED

3Setup key to enter setup menu of measurement modules or external device data window

4Connector socket for patient cable/ transducer

5Second module-specific key, for example Zero

PRESS

1

2Press

3						5
4

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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, SpO2, NBP and either invasive pressure or 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.

M3001A Connectors and Symbols

	1	White ECG/Resp connector
5	2	Blue SpO2 connector
	3	Red NBP connector
	4 & Combined pressure (red) and temperature
	5	(brown) connector - connect either invasive
4		pressure transducer or temperature probe.
		You might have a version of the MMS that
		does not have this connector.
3

2

1

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1 Basic Operation

Devices for Acquiring Measurements

M3001A Connectors and Symbols

			6
				NBP Start/Stop key -starts
6				or stops NBP measurements
		7
			7
				NBP STAT key - starts NBP
				STAT series of measurements
9
				OR
				Zero key - initiates a zero procedure for the
				connected pressure transducer when
8				pressed and held for a second
			8
				Silence: acknowledges all active
				alarms by switching off audible
				alarm indicators and lamps
			9	MSL cable connector to the monitor

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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, SpO2, NBP and either invasive pressure and temperature, or CO2. It has a color touchscreen display.

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

		1
4	5			2
		6		3
					4
					7
					5
					6
3				7
2				8
				8
1

On/Standby Switch

Power and battery indicators (see “X2 Controls and Indicators” on page 14)

3.5-inch TFT LCD touchscreen QVGA display

Alarm lamps (see “X2 Controls and Indicators” on page 14)

Battery eject button

Hard keys (see “X2 Controls and Indicators” on page 14)

Measurement connectors (see “X2 Patient Connectors, Right Side” on page 14)

Battery compartment

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1 Basic Operation

Devices for Acquiring Measurements

X2 Controls and Indicators

6 7

5

4

3

2

1 On/Standby switch

82 On/Standby LED. Green when monitor is on. Red indicates an error.

3 Battery status LED. Yellow when

9charging. Flashing red when battery is empty.

4 External power LED. Green when

10monitor is powered from an external power source.

115 Alarms off indicator. When alarms are suspended, the lamp is red, and the

alarms off symbol is shown.

6Active INOP alarm lamp in light blue. Blinks until active INOP is acknowledged.

7Active alarm lamp. Red or yellow, depending on alarm level. Blinks until active alarm is acknowledged.

8Silence key

9Alarms key: turns alarms On/Off, or

pauses them

110 Smartkeys key: brings up Smartkeys on the screen

11Main 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																			1
														2
	2					7
		3

3

4

5

4

5	6
6

1Pressure (option)

2Temperature (option)

3Noninvasive blood pressure

4SpO2

5ECG sync pulse output

6ECG/Respiration

7CO2 (option in place of Pressure and Temperature)

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Devices for Acquiring Measurements

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X2 Left Side

1 Loudspeaker

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.

1

2

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 CO2 extension adds microstream capnography and optionally either pressure or temperature to the MMS. The optional M3016A Mainstream CO2 extension adds mainstream capnography and optionally either pressure or temperature to the MMS.

When a capnography extension is connected to an X2 MMS with CO2, 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	M3015A
1	1

2

4

3

2

7

6

5

M3016A

1

3

		2
1	Pressure connectors (red)	5	Inlet
2	Temperature connector (brown)	6	Microstream connector CO2
3	Mainstream/sidestream connector CO2	7	Gas sample outlet
	(optional)
4	Cardiac Output connector

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1 Basic Operation

Devices for Acquiring Measurements

M3012A Hemodynamic MMS Extension

2

3

1	4

1Cardiac Output (orange; optional)

2Connection to MMS

3Pressure connectors (red)

4Temperature 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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