Philips IntelliVue MP40, IntelliVue MP50, IntelliVue MP60, IntelliVue MP70, IntelliVue MP90 User manual

IntelliVue MP40/50 and MP60/70/90

INSTRUCTIONS FOR USE

IntelliVue Patient Monitor

MP40/50 and MP60/70/90

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

Patient Monitoring

Part Number M8000-9001D

Printed in Germany 11/03

Re-order Number: 453563499331

*M8000-9001D*

M8000-9001D

	Table Of Contents
	1 Basic Operation	1
Introducing the IntelliVue Family		2
	IntelliVue MP40/MP50	2
	MP40/MP50 Major Parts and Keys	3
	IntelliVue MP60/MP70	4
	MP60/MP70 Major Parts and Keys	4
	MP90 Major Parts and Keys	5
	Remote Alarm Device	5
Related Products		6
	Flexible Module Server (M8048A)	6
	Measurement Modules	6
	Multi-Measurement Server (M3001A)	8
	M3015A and M3016A Measurement Server Extensions	9
	M3012A Hemodynamic Measurement Server Extension	10
	Anesthetic Gas Module (AGM)	10
Operating and Navigating		11
	Using the Touchscreen	12
	Using the MP60/MP70/MP90 SpeedPoint	12
	Using the MP40/MP50 Navigation Point	13
	Using a Mouse or Trackball	13
	Using Keys	13
	Permanent Keys	14
	SmartKeys	14
	Hardkeys	15
	Pop-Up Keys	15
	Using the On-Screen Keyboard	16
	Using the On-Screen Calculator	16
Operating Modes		16
	Disabling Touchscreen Operation	17
	Using a Second Display	17
Tailoring Your Monitor		17
	Understanding Screens	17
	Switching to a Different Screen	18
	Using the Visitor Screen	18
	Changing a Screen’s Content	18
	Understanding Profiles	18
	Swapping a Complete Profile	20
	Swapping a Settings Block	20
	Default Profile	20
	Locked Profiles	20
Changing Measurement Settings		20
	Switching a Measurement On and Off	21

i

	Switching Numerics On and Off	21
	Adjusting a Measurement Wave	21
	Changing a Wave Speed	21
Using Labels		21
	Changing Measurement Labels (e.g. Pressure)	22
	Resolving Label Conflicts	22
Changing Monitor Settings		23
	Adjusting the Screen Brightness	23
	Adjusting Touch Tone Volume	23
	Setting the Date and Time	23
Checking Your Monitor Revision		23
Getting Started		24
	Inspecting the Monitor	24
	Switching On	24
	Setting up the Measurement Modules	24
	Starting Monitoring	24
Disconnecting from Power		25
Networked Monitoring		25
Using Remote Applications		25
	2 What’s New?	27
What’s New in Release B.0?		27
What’s New in Release A.2?		28
	3 Alarms	29
Visual Alarm Indicators		30
Audible Alarm Indicators		30
	Alarm Tone Configuration	30
	Traditional Audible Alarms (HP/Agilent/Philips/Carenet)	31
	ISO/IEC Standard 9703-2 Audible Alarms	31
	Changing the Alarm Tone Volume	31
	Minimum Volume for No Central Monitoring INOP	31
Acknowledging Alarms		32
	Acknowledging Disconnect INOPs	32
	Alarm Reminder (ReAlarm)	32
Pausing or Switching Off Alarms		32
	To Pause All Alarms	33
	To Switch All Alarms Off	33
	To Switch Individual Measurement Alarms On or Off	33
	While Alarms are Paused or Off	33
	Restarting Paused Alarms	33
	Resetting Arrhythmia Alarm Timeouts	34
	Extending the Alarm Pause Time	34
Alarm Limits		34
	Viewing Individual Alarm Limits	34
	Viewing All Alarm Limits	35

ii

	Changing Alarm Limits	36
	About Automatic Alarm Limits (AutoLimits)	37
	Documenting Alarm Limits	37
Reviewing Alarms		38
	Alarm Messages Window	38
	Review Alarms Window	38
Understanding Alarm Messages		39
Latching Alarms		39
	Viewing the Alarm Latching Settings	39
	Alarm Latching Behavior	40
	Silencing Latched Alarms from an Information Center	40
Testing Alarms		40
Alarm Behavior at On/Off		40
	4 Patient Alarms and INOPs	41
Patient Alarm Messages		41
Technical Alarm Messages (INOPs)		47
	5 Managing Patients	65
Admitting a Patient		65
	Patient Category and Paced Status	66
Quick Admitting a Patient		66
Editing Patient Information		67
Discharging a Patient		67
Transferring a Patient		68
	Transferring a Centrally Monitored Patient	68
	Transferring a Patient with an MMS	69
Resolving Patient Information Mismatch		69
	Manually Resolving Patient Mismatch	69
	Patient Mismatch - If One Set of Patient Data is Correct	70
	Patient Mismatch - If Neither Patient Data Set is Correct	70
	Patient Mismatch - If Both Patient Data Sets Are Correct	71
	Automatically Resolving Patient Mismatch	71
Care Groups		71
	Understanding Care Group Symbols	72
	Viewing the Care Group Overview Bar	73
	Viewing the My Care Group Window	73
	Viewing the Other Patient Window	74
	Using Care Group Alarms	74
	6 ECG, Arrhythmia, and ST Monitoring	75
Placing ECG Electrodes		75
Connecting ECG Cables		75
Selecting the Primary and Secondary ECG Leads		76
Checking Paced Status		76
Understanding the ECG Display		77

iii

Monitoring Paced Patients	77
Setting the Paced Status (Pace Pulse Rejection)	78
Avoiding Pace Pulse Repolarization Tails	78
Changing the Size of the ECG Wave	78
To Change the Size of an Individual ECG Wave	78
To Change the Size of all the ECG Waves	79
Changing the Volume of the QRS Tone	79
Changing the ECG Filter Settings	79
Choosing EASI or Standard Lead Placement	80
About ECG Leads	80
ECG Leads Monitored	80
Changing Lead Sets	80
ECG Lead Fallback	81
ECG Lead Placements	81
Standard 3-Lead Placement	81
Standard 5-Lead Placement	82
Chest Electrode Placement	83
10-Lead Placement	84
Conventional 12-Lead ECG	84
Modified 12-Lead ECG	85
Choosing Standard or Modified Electrode Placement	86
Labelling 12-Lead ECG Reports	86
Capture 12-Lead	86
EASI ECG Lead Placement	87
ECG, Arrhythmia, and ST Alarm Overview	88
Using ECG Alarms	89
Extreme Alarm Limits	89
ECG Alarms Off Disabled	89
HR Alarms When Arrhythmia Analysis is Switched Off	89
HR Alarms When Arrhythmia Analysis is Switched On	89
ECG Safety Information	89
About Arrhythmia Monitoring	91
Arrhythmia Options	91
Where can I find more information?	91
Switching Arrhythmia Analysis On and Off	92
Choosing an ECG Lead for Arrhythmia Monitoring	92
Aberrantly-Conducted Beats	92
Atrial Fibrillation and Flutter	92
Intermittent Bundle Branch Block	93
Understanding the Arrhythmia Display	93
Viewing Arrhythmia Waves	93
Arrhythmia Beat Labels	93
Arrhythmia Status Messages	94
Rhythm Status Messages	94
Ectopic Status Messages	95

iv

Arrhythmia Relearning		95
	Initiating Arrhythmia Relearning Manually	95
	Automatic Arrhythmia Relearn	96
	Arrhythmia Relearn and Lead Fallback	96
Arrhythmia Alarms		96
	Yellow Arrhythmia Alarms	97
	Arrhythmia Alarms and Latching	97
	Switching Individual Arrhythmia Alarms On and Off	97
	Switching All Yellow Arrhythmia Alarms On or Off	97
	Adjusting the Arrhythmia Alarm Limits	97
	Arrhythmia Alarm Timeout Periods	97
	Arrhythmia Alarm Chaining	99
	Understanding PVC-Related Alarms	100
About ST Monitoring		101
Switching ST On and Off		101
	Selecting ST Leads for Analysis	101
Understanding the ST Display		102
Updating ST Baseline Snippets		103
Recording ST Segments		103
Adjusting ST Measurement Points		104
ST Alarms		106
	Singleor Multi-lead ST Alarming	106
	Changing ST Alarm Limits	106
	7 Monitoring Pulse Rate	107
Entering the Setup Pulse Menu		107
System Pulse Source		107
Switching Pulse On and Off		108
Using Pulse Alarms		108
	Selecting the Active Alarm Source: HR or Pulse?	108
	Alarm Source Selection Disabled	109
	Changing HR/Pulse Alarm Limits	109
	Extreme Alarm Limits	109
	QRS Tone	109
	8 Monitoring Respiration Rate (Resp)	111
Lead Placement for Monitoring Resp		111
	Optimizing Lead Placement for Resp	111
	Cardiac Overlay	111
	Lateral Chest Expansion	112
	Abdominal Breathing	112
Understanding the Resp Display		112
Changing Resp Detection Modes		112
	Auto Detection Mode	112
	Manual Detection Mode	113
	Resp Detection Modes and Cardiac Overlay	113

v

Changing the Size of the Respiration Wave	113
Changing the Speed of the Respiration Wave	113
Using Resp Alarms	114
Changing the Apnea Alarm Delay	114
Resp Safety Information	114

	9 Monitoring SpO2	115
Selecting an SpO2 Sensor		116
Applying the Sensor		117
Connecting SpO2 Cables		117
Measuring SpO2		118
Assessing a Suspicious SpO2 Reading		118
Understanding SpO2 Alarms		119
	Adjusting the Alarm Limits	119
	Adjusting the Desat Limit Alarm	119
Pleth Wave		119
Perfusion (Pleth) Indicator		120
Setting SpO2/Pleth as Pulse Source		120
Setting Up Tone Modulation		120
Setting the QRS Volume		120
Calculating SpO2 Difference		120
10 Monitoring NBP		121
Introducing the Oscillometric NBP Measurement		121
	Measurement Limitations	122
	Measurement Methods	122
Preparing to Measure NBP		122
	Correcting the Measurement if Limb is not at Heart Level	123
	Understanding the NBP Numerics	123
Starting and Stopping Measurements		124
Enabling Automatic Mode and Setting Repetition Time		124
Choosing NBP Alarm Source		125
Assisting Venous Puncture		125
Calibrating NBP		125
11 Monitoring Temperature		127
Making a Temp Measurement		127
Calculating Temp Difference		128
12 Monitoring Invasive Pressure		129
Setting up the Pressure Measurement		129
Selecting a Pressure for Monitoring		130
Zeroing the Pressure Transducer		130
	Zeroing ICP	130
	Determining a Pressure’s Most Recent Zero	131
	Zeroing a Pressure Measurement	131

vi

	Using the Zero Hardkey	131
	Zeroing All Pressures Simultaneously	131
	Troubleshooting the Zero	132
Adjusting the Calibration Factor		132
Displaying a Mean Pressure Value Only		132
Changing the Pressure Wave Scale		132
Optimizing the Waveform		133
Non-Physiological Artifact Suppression		133
Choosing the Pressure Alarm Source		133
Calibrating Reusable Transducer CPJ840J6		134
	Making the Pressure Calibration	134
	Troubleshooting the Pressure Calibration	135
Calculating Cerebral Perfusion		135
Measuring Pulmonary Artery Wedge Pressure		136
Editing the Wedge		137
Identifying the Pressure Analog Output Connector		137
13 Monitoring Cardiac Output		139
Hemodynamic Parameters		140
Using the C.O. Procedure Window		141
Accessing the Setup C.O. and Setup CCO Menus		142
Changing the C.O. Results Table Contents		142
Entering the HemoCalc Window		142
	Viewing the Temperature Unit	142
Measuring C. O. Using the PiCCO Method		142
	Measuring Continuous Cardiac Output	142
	Setting Up the PiCCO C.O. Measurement	143
	Performing PiCCO C.O. Measurements	144
	Editing PiCCO C.O. Measurements	144
	Saving and Calibrating PiCCO C.O. Measurements	145
	CCO Calibration Status Indicators	145
Measuring C.O. Using the Right Heart Thermodilution Method		145
	Setting up RH C.O. Measurements	146
	Ice-Bath Setup for RH Thermodilution C.O. Measurements	146
	Setting the Computation Constant	146
	Performing RH C.O. Measurements	147
	Editing and Saving RH C.O. Measurements	147
Documenting C.O. Measurements		147
C.O. Injectate Guidelines		148
	Guidelines for Right Heart Thermodilution C.O. Injectate	148
	Guidelines for PiCCO C.O. Injectate	148
	Injectate for Patients with High ETVI Values (PiCCO Only)	149
C.O./CCO Curve Alert Messages		149
C.O./CCO Prompt Messages		150
C.O./CCO Warning Messages		151
C.O./CCO Safety Information		151

vii

14 Monitoring Carbon Dioxide		153
Using the Mainstream CO2 Extension (M3016A)		154
	Preparing to Measure Mainstream CO2	154
	Checking Transducer Accuracy	154
	Calibrating the Transducer	155
	Attaching and Removing the CO2 Transducer	155
Using the Microstream CO2 Extension (M3015A)		156
	Preparing to Measure Microstream CO2	156
	Setting up Microstream CO2 Measurements	156
	Using Microstream Accessories	156
	Using the FilterLine and Airway Adapter	157
	Removing Exhaust Gases from the System	157
Setting up Mainstream and Microstream		158
	Adjusting the CO2 Wave Scale	158
	Setting up CO2 Corrections	158
	Changing CO2 Alarms	158
	Changing the Apnea Alarm Delay	159
	Deriving Alarms From awRR	159
	Changing awRR Alarm Limits	159
15 Monitoring tcGas		161
Identifying tcGas Module Components		161
Setting the tcGas Sensor Temperature		162
Using the tcGas Site Timer		162
	Setting the tcGas Site Timer	162
	Restarting the tcGas SiteTimer	163
	Disabling the tcGas Site Timer	163
Setting the tcGas Barometric Pressure		163
Remembraning the tcGas Transducer		163
	New/Dried Out Transducers	164
	Storing tcGas Transducers	164
Calibrating the tcGas Transducer		165
	Calibration Failure	166
	Troubleshooting tcGas Calibration	166
Applying the tcGas Transducer		167
	Selecting the tcGas HeatPowerDisplay Mode	168
	Zeroing the tcGas Relative Heat Power	168
Finishing tcGas Monitoring		168
TcGas Corrections		168
	Temperature Correction for tcpCO2	168
	Metabolism Correction for tcpCO2	168
16 Monitoring SvO2		169
Preparing to Monitor SvO2		170
Carrying out a Pre-insertion Calibration		170

viii

Inserting the Catheter		171
Performing a Light Intensity Calibration		171
Performing In-Vivo Calibration		172
	Setting Up the In-Vivo Calibration	172
	Making the In-Vivo Calibration	172
Calculating Oxygen Extraction		172
17 Using the AGM		173
Understanding the AGM Display		173
AGM Major Parts and Keys		174
	Watertrap	174
	AGM Rear Panel	174
Understanding the Gas Measurement		175
Connecting AGM Accessories		175
Using the AGM Setup Menus		176
	Choosing Numerics for Display	176
	Humidity Correction for CO2	176
	Adjusting Wave Scales	176
Changing the Apnea Alarm Delay		177
Deriving Limit Alarms from awRR		177
	Alarms and Zero Calibration	177
	Automatic Alarm Suppression	177
Agent Identification		178
	If Agent ID is Set to Manual	178
	If Agent ID is Set to Auto	178
	Exchanging Agents	178
	Agent ID During Emergence from Anesthesia	178
Removing Gas from the Circuit		179
	Returning the Gas Sample	179
	Removing the Gas Sample	179
Entering AGM Standby Mode		179
Zero Calibration		180
	Automatic Zero Calibration	180
	Carrying Out Manual Zero Calibration	180
	Suppressing Zero Calibration	180
Using the AGM During a Cardiopulmonary Bypass		180
AGM Safety Information		181
18 Monitoring EEG		183
EEG Monitoring Setup		184
Using the EEG Impedance/Montage Window		184
	Choosing an EEG Electrode Montage	185
	Changing the Impedance Limit	185
	About Electrode-to-Skin Impedance	186
	Impedance Indicators	186
About Compressed Spectral Arrays (CSA)		187

ix

Displaying CSAs

188

Changing EEG Settings		188
Switching EEG Numerics On and Off		188
Changing the Scale of the EEG Waves for Display		188
	Changing Filter Frequencies	189
Changing the Speed of the EEG Wave		189
EEG Reports		189
EEG Safety Information		190
EEG and Electrical Interference		190
19 Monitoring BIS		191
BIS Monitoring Setup		192
BIS Continuous Impedance Check		193
BIS Cyclic Impedance Check		193
	Starting a Cyclic Impedance Check	193
	Stopping a Cyclic Impedance Check	193
BIS Impedance Check Window		194
	BIS Impedance Indicators	194
Changing the BIS Smoothing Rate		195
Switching BIS and Individual Numerics On and Off		195
Changing the Scale of the EEG Wave		195
Switching BIS Filters On or Off		195
BIS Safety Information		196
20 Trends		197
Viewing Trends		197
	Viewing Graphic Trends	197
	Viewing Vital Signs Trends	198
	Trends Pop-Up Keys	198
Setting Up Trends		199
	Choosing Which Measurements are Trended	199
	Choosing Trend Measurement Groups	199
	Changing Parameter Scales	200
	Choosing Trend Resolution	200
Documenting Trends		201
Screen Trends		202
	Changing the Selection of Screen Trends Displayed	203
	Changing the Screen Trend Time	203
21 Calculations		205
Viewing Calculations		205
	Calculations Windows	206
	Calculations Pop-Up Keys	206
Reviewing Calculations		207
Performing Calculations		207
Entering Values for Calculations		208

x

	Automatic Value Substitution	208
	Automatic Unit Conversion	208
	BSA Formula	208
Documenting Calculations		209
22 Event Surveillance		211
Event Groups		211
Event Episode		212
Episode Types		212
Event Triggers		212
Viewing Events		213
Events Pop-Up Keys		213
Event Counter		214
Event Summary View		214
Event Review Window		215
Event Episode Window		216
The Event Counter		216
	Counting Combi-Events	216
	Counting Neonatal Event Review (NER) Events	217
Levels of Event Surveillance		217
Setting Up and Using Event Surveillance		217
	Setting Up Events	218
	Triggering Events Manually	218
	Annotating Events	219
The Event Database		219
Documenting Events		219
	Documenting Event Review	219
	Documenting an Event Episode	219
	Event Recordings	220
	Event Review Recordings	220
	Event Episode Recordings	221
	Event Reports	221
	Event Review Reports	222
	Event Episode Reports	223
23 Recording		225
Starting and Stopping Recordings		226
	Starting Recordings	226
	Extending Recordings	226
	Stopping Recordings	226
Quickstarting Realtime Recordings		226
Overview of Recording Types		227
ECG Capture Recordings		227
Creating and Changing Recordings Templates		228
Changing ECG Wave Gain		228
Recording Priorities		229

xi

Sample Recording Strip		229
	Recording Strip Code	230
	Recorded Waveforms	230
	Maintaining Recording Strips	230
Reloading Paper		231
Recorder Status Messages		231
24 Printing Patient Reports		233
Starting Reports Printouts		233
Stopping Reports Printouts		234
Setting Up Reports		234
	Setting Up ECG Reports	234
	Setting Up Vital Signs and Graphic Trend Reports	235
	Setting Up Auto Reports	236
Setting Up Individual Print Jobs		237
Checking Printer Settings		238
Switching Printers On Or Off for Reports		238
Dashed Lines on Reports		238
Unavailable Printer: Re-routing Reports		239
Printer Status Messages		239
Sample Report Printouts		239
	Alarm Limits Report	240
	Realtime Report	241
	Cardiac Output Report	242
	ECG Reports	243
	Other Reports	243
25 Using the Drug Calculator		245
Performing Drug Calculations		246
	Converting Units	246
	Charting Drip Progress	247
	Using the Titration Table	247
	Documenting Drug Calculations	247
26 VueLink Modules		249
Connecting an External Device		250
Changing VueLink Waves and Numerics Displayed		250
Viewing the VueLink Device Data Window		250
Using VueLink Screens		251
Switching VueLink On and Off		251
Alarms/INOPs From External Devices		251
Language Conflict with External Device Drivers		252
27 Respiratory Loops		253
Using the Loops Window		254

xii

28 Care and Cleaning		255
General Points		255
AGM Accessories		256
Cleaning		256
Disinfecting		256
Cleaning Monitoring Accessories		257
Sterilizing		257
Cleaning the Recorder Printhead		257
Cleaning the Batteries and Battery Compartment		257
29 Using the Batteries		259
Battery Power Indicators		259
	Battery LED	260
	Battery Status on the Main Screen	260
	Battery Status Window	261
	Viewing Individual Battery Status	261
	Documenting Battery Status	261
Replacing Batteries		262
Maintaining Batteries		262
	Display Brightness Setting	262
	Checking Battery Charge	263
	Charging Batteries	263
	Reconditioning Batteries	263
	Unequally-Charged Batteries	263
Battery Safety Information		264
30 Maintenance and Troubleshooting		265
Inspecting the Equipment and Accessories		265
Inspecting the Cables and Cords		265
Service Task Schedule		266
Troubleshooting		267
Disposing of the Monitor		267
Disposing of Empty Calibration Gas Cylinders		267
31 Accessories		269
ECG/Resp Accessories		269
	Trunk Cables	269
	3-Electrode Cable Sets	269
	5-Electrode Cable Sets	270
	10-Electrode Cable Sets	270
	3-Electrode One Piece Cables	270
	5-Electrode One Piece Cables	270
	Set Combiners and Organizers	271
NBP Accessories		271
	Adult/Pediatric Multi-Patient Comfort Cuffs and Disposable Cuffs	271

xiii

	Reusable Cuff Kits	271
	Adult/Pediatric Antimicrobial Coated Reusable cuffs	272
	Adult/Pediatric Soft Single Patient Single-Hose Disposable Cuffs	272
	Neonatal/Infant Cuffs (Disposable, non-sterile)	272
Invasive Pressure Accessories		273
SpO2 Accessories		273
Temperature Accessories		276
Cardiac Output (C.O.) Accessories		276
Mainstream CO2 Accessories		277
Microstream CO2 Accessories		277
tcGas Accessories		279
EEG Accessories		279
BIS Accessories		279
	BIS Sensors	279
	Other BIS Accessories	280
AGM Accessories		280
SvO2 Accessories		280
Recorder Accessories		281
32 Installation and Specifications		283
Intended Use		283
Indication for Use		283
Manufacturer’s Information		284
	Responsibility of the Manufacturer	284
	Trademark Acknowledgement	284
Symbols		285
Installation Safety Information		286
	Connectors	286
	MP40/MP50	287
	MP60/MP70	288
	MP90	289
Altitude and Barometric Pressure		290
Monitor Safety Specifications		290
	Physical Specifications	291
	Environmental Specifications	292
M4605A Battery Specifications		294
Monitor Performance Specifications		294
Measurement Specifications		298
	ECG/Arrhythmia/ST	298
	Respiration	301
	SpO2	301
	NBP	302
	Invasive Pressure and Pulse	304
	Temp	305
	CO2	306
	Cardiac Output / Continuous Cardiac Output	308

xiv

tcGas	308
SvO2	309
EEG	310
BIS	310
Anesthetic Gas Module	311
Safety and Performance Tests	313
Electromagnetic Compatibility (EMC) Specifications	313
Accessories Compliant with EMC Standards	313
Electromagnetic Emissions	314
Avoiding Electromagnetic Interference (Resp and BIS)	314
Electromagnetic Immunity	315
Recommended Separation Distance	315

Recommended separation distances from portable and mobile RF communication equipment316

	Electrosurgery Interference/Defibrillation/Electrostatic Discharge	317
	Fast Transients/Bursts	317
	Restart time	317
33 Default Settings Appendix		319
Alarm Default Settings		320
ECG, Arrhythmia, and ST Default Settings		320
Pulse Default Settings		323
Respiration Default Settings		324
SpO2 Default Settings		324
NBP Default Settings		325
Temperature Default Settings		325
Invasive Pressure Default Settings		326
Cardiac Output Default Settings		326
CO2 Default Settings		327
tcGas Default Settings		328
SvO2 Default Settings		328
AGM Default Settings		328
EEG Default Settings		329
BIS Default Settings		329
VueLink Default Settings		330

xv

xvi

1

Basic Operation

This Instructions for Use is for clinical professionals using the IntelliVue MP40/50 (M8003A/ M8004A) and MP60/70/90 (M8005A/M8007A/M8010A) patient monitors. Unless otherwise specified, the information here is valid for all the IntelliVue patient monitors.

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 in this book.

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 may not be exactly as shown here.

In this guide:

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

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

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

1

1 Basic Operation

Introducing the IntelliVue Family

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.

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.

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 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, as well as the 12-Lead ECG Screen.

The MP40/MP50 can be connected to one MultiMeasurement Server (MMS) and any one of the measurement server 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 integrated module slots replace the Flexible Module Server (M8048A), which cannot be used with the MP40/MP50.

2

Introducing the IntelliVue Family

1 Basic Operation

MP40/MP50 Major Parts and Keys

MP40/MP50 left side

1 Color-coded alarm lamps

2 Alarms off lamp

3 Model indicator

4 ECG out

5 Navigation Point

6 Part number and serial number

7 Quick-release mounting release

8 Plug-in module slots

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 quickrelease lever

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 “Battery LED” on page 260 for details
AC Power	Green when monitor is connected to mains power

3

1 Basic Operation

Introducing the IntelliVue Family

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 the Multi-Measurement Server (MMS) and any one of the measurement server extensions, and to the Flexible Module Server (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., and VueLink. You can also use the twoslot recorder module in the integrated slots.

MP60/MP70 Major Parts and Keys

1

2

3

4

5

11	10	9	8	7	6

1Color coded alarm lamps

2Alarms Off lamp

3Display

4Model indicator

5SpeedPoint (optional for MP70)

6Part number and serial number

7Mounting adapter release

8AC power LED

9Error LED

10Power on/standby switch

11Power on LED

4

Introducing the IntelliVue Family

1 Basic Operation

MP90 Major Parts and Keys

In the MP90, the display and the processing unit are separate components. It offers both touchscreen and the Remote SpeedPoint as standard input devices.

AC Power LED

Power on LED

Power on Switch

Error LED

Display Unit

Processing Unit

Remote Alarm Device

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

1	2
		1
		2
	3	3
		4
5		5

4

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 patient alarms are deactivated.

Speaker - for alarm prompts, 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

5

1 Basic Operation

Related Products

Related Products

Related products extend the measurement capabilities of your monitor. None of the related devices have their own power on/standby switches. They take their power 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.

Flexible Module Server (M8048A)

MP60/70/90 only

The flexible module server (FMS) lets you use up to eight plug-in physiological measurement modules.

With the MP90 (M8010A) you can connect two FMSs to use up to 10 measurement modules.

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

1 Multi-Measurement

Server

2 Measurement server extension

3 Measurement server mount

4 Flexible Module Server

5 BIS engine

6 Power on LED

7 Interruption indicator

Measurement Modules

You can use up to eight measurement modules with the Flexible Module Server (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, with up to five pressure modules simultaneously (M1006B)

•Temperature, with up to four temperature modules simultaneously (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) MP60/70/90 monitor only

•Recorder (M1116B)

•VueLink device interface, with up to four VueLink modules simultaneously (M1032A)

•EEG (M1027A)

•Bispectral Index - BIS (M1034A)

6

Related Products

1 Basic Operation

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 VueLink device data window

4Connector socket for patient cable/ transducer

5Second module-specific key, for example Zero

1

2

3

4

PRESS

Press

5

7

1 Basic Operation

Related Products

Multi-Measurement Server (M3001A)

The Multi-Measurement Server (MMS) can simultaneously monitor 3-, 5- 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.

MMS mounted on rear of MP40/MP50 (left) and MP60/MP70

8

Related Products

1 Basic Operation

M3001A Connectors and Symbols

		1	White ECG/Resp connector
5		2	Blue SpO2 connector
		3	Red NBP connector
		4 & Combined pressure (red) and temperature
4		5	(brown) connector - connect either invasive
			pressure transducer or temperature probe.
			You might have a version of the MMS that
3			does not have this connector.
2
1
		6
			NBP Start/Stop key -
6			starts or stops NBP
7			measurements
		7
			NBP STAT key - starts NBP
			STAT series of
			measurements
9
			OR
8			Zero key - initiates a zero procedure for the
			connected pressure transducer when
			pressed and held for a second
		8
			Silence: acknowledges all active
			alarms by switching off audible
			alarm indicators and lamps. Takes behavior
			from SmartKey configuration

9 MSL cable connector to the monitor

M3015A and M3016A Measurement Server Extensions

The optional M3015A Microstream CO2 Extension adds microstream capnography and either pressure or temperature to the MMS. The optional M3016A Mainstream CO2 Extension adds mainstream capnography and either pressure or temperature to the MMS. The measurement server extensions connect to the MMS and use the MMS settings and power.

The measurement server extensions must not be disconnected during monitoring. When the connection to the measurement server is broken, settings revert to default and any stored trend information is lost.

9

1 Basic Operation

Related Products

M3016A Mainstream			M3015A Microstream
				1
		1
	2
					2
	3			4
				5
			6
1	Pressure connector (red)	4	Inlet
2	Temperature connector (brown)	5	Microstream connector CO2
3	Mainstream connector CO2 (optional)	6	Gas sample outlet

M3012A Hemodynamic Measurement Server Extension

The M3012A Hemodynamic	Connection to MMS
Measurement Server Extension
(HMSE) can be connected to the
M3001A Multi-Measurement Server to
provide the following additional
measurements: Temperature, Pressure,
an additional Pressure or Temperature,
and C.O. and CCO measurements.

Pressure connectors (red)

Cardiac Output connector	Temperature connectors (brown)
(orange; optional)

Anesthetic Gas Module (AGM)

See the AGM section of this Instructions for Use.

10

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. This Instructions for Use always describes how to access items via an on-screen menu. You may use which ever way you find most convenient.

1

2

3

4

5

6

7

8

9

10

ABP Zero done at 11 Nov 02 7:31 am						11
18	17	16	15	14	13	12

Monitor information line		Other screen elements
1	network connection indicator	10	alarm status area - shows active alarm messages
2	bed label	11	status line - shows information messages and prompting you for action
3	patient identification	12	close all open menus and windows and return to main screen
4	patient category	13	enter Main Setup menu
5	paced status	14	scroll right to display more SmartKeys
6	date and time	15	SmartKeys - these change according to your monitor’s configuration
7	access the profiles menu	16	scroll left to display more SmartKeys
8	current screen name/enter	17	Pause Alarms - pauses alarm indicators. Pause duration depends on monitor
	change screen menu		configuration. If pause duration is infinite, this key is labeled Alarms Off. Select again to
			immediately re-enable alarm indicators.
9	adjust volume/level indicator	18	Silence - acknowledges all active alarms by switching off audible alarm indicators and
			lamps permanently or temporarily, if alarm reminder (ReAlarm) is configured on.

11

1 Basic Operation

Operating and Navigating

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. The network indicator and bed label elements show menus whose function is documented in the Information Center Instructions for Use.

Using the Touchscreen

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

Using the MP60/MP70/MP90 SpeedPoint

MP60/70/90

Only

		1
		2
		3
		4
		5
	SpeedPoint (MP60/MP70	6
			Remote SpeedPoint
	only)	7
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 - function identical to the first five SmartKeys configured for a
	screen.
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 also be used with the MP40/MP50.

12