Philips Intellivue MP5 User manual

INSTRUCTIONS FOR USE

IntelliVue Patient Monitor

MP5

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

Patient Monitoring

Part Number M8105-9001C Printed in Germany 09/08 4512 610 29031

*M8105-9001C*

M8105-9001C

1Table Of Contents

1 Installation 1

Installation Checklist 1 Unpacking and Checking the Shipment 2 Mounting the Monitor 3 Connecting the Monitor to AC Mains 3 Checking Out The Monitor 3 Loading Paper 4 Operating the Monitor 5 Setting the Date and Time 6 Checking Country-Specific Default Settings 6 Handing Over the Monitor 6

2 Basic Operation 9

Introducing the Monitor 9 Operating and Navigating 13 Operating Modes 19 Understanding Screens 20 Using the XDS Remote Display (not MP5T) 21 Using the Visitor Screen 21 Understanding Profiles 22 Understanding Settings 24 Adjusting a Measurement Wave 25 Freezing Waves 26 Using Labels 27 Entering Measurements Manually 29 Changing Monitor Settings 29 Checking Your Monitor Revision 30 Getting Started 30 Disconnecting from Power 32 Networked Monitoring 32 Using the MP5 with a Host Monitor 33

3 What’s New? 35

What’s New in Release G.0? 35 What’s New in Release F.0? 36

4 Alarms 39

Visual Alarm Indicators 40 Audible Alarm Indicators 41 Acknowledging Alarms 43 Pausing or Switching Off Alarms 44 Alarm Limits 45 Reviewing Alarms 50

Latching Alarms 52 Testing Alarms 52 Alarm Behavior at On/Off 53 Alarm Recordings 53

5 Patient Alarms and INOPs 55

Patient Alarm Messages 55 Technical Alarm Messages (INOPs) 61

6 Managing Patients 85

Admitting a Patient 85 Quick Admitting a Patient 87 Editing Patient Information 87 Discharging a Patient 88 Transferring Patients 89 Care Groups 92

7 ECG, Arrhythmia, ST and QT Monitoring 99

Skin Preparation for Electrode Placement 99 Connecting ECG Cables 99 Selecting the Primary and Secondary ECG Leads 100 Checking Paced Status 100 Understanding the ECG Display 100 Monitoring Paced Patients 101 Changing the Size of the ECG Wave 103 Changing the Volume of the QRS Tone 103 Changing the ECG Filter Settings 104 Selecting Positions of Va and Vb Chest Leads (for 6-lead placement) 104 Choosing EASI or Standard Lead Placement 105 About ECG Leads 105 ECG Lead Fallback 106 ECG Lead Placements 106 Capture 12-Lead 110 EASI ECG Lead Placement 111 ECG and Arrhythmia Alarm Overview 112 Using ECG Alarms 113 ECG Safety Information 114 About Arrhythmia Monitoring 115 Switching Arrhythmia Analysis On and Off 116 Choosing an ECG Lead for Arrhythmia Monitoring 116 Understanding the Arrhythmia Display 117 Arrhythmia Relearning 120 Arrhythmia Alarms 121 About ST Monitoring 127 Switching ST On and Off 127 Understanding the ST Display 128

Updating ST Baseline Snippets 129 Recording ST Segments 130 About the ST Measurement Points 130 ST Alarms 132 Viewing ST Maps 133 About QT/QTc Interval Monitoring 137 QT Alarms 140 Switching QT Monitoring On and Off 141

8 Monitoring Pulse Rate 143

Entering the Setup Pulse Menu 143 System Pulse Source 143 Switching Pulse On and Off 144 Using Pulse Alarms 144

9 Monitoring Respiration Rate (Resp) 147

Lead Placement for Monitoring Resp 147 Understanding the Resp Display 148 Changing Resp Detection Modes 148 Changing the Size of the Respiration Wave 149 Changing the Speed of the Respiration Wave 150 Using Resp Alarms 150 Changing the Apnea Alarm Delay 150 Resp Safety Information 150

10 Monitoring SpO

SpO2 Sensors 153 Applying the Sensor 153 Connecting SpO2 Cables 154 Measuring SpO SpO2 Signal Quality Indicator (Fast SpO2 only) 155 Assessing a Suspicious SpO2 Reading 155 Changing the Averaging Time 156 Setting the Measurement Mode 156 Understanding SpO2 Alarms 156 Pleth Wave 157 Perfusion Numeric 158 Perfusion Change Indicator 158 Setting SpO2/Pleth as Pulse Source 158 Setting Up Tone Modulation 158 Setting the QRS Volume 159

154

11 Monitoring NBP 161

Introducing the Oscillometric NBP Measurement 161 Preparing to Measure NBP 162 Starting and Stopping Measurements 164

153

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Enabling Automatic Mode and Setting Repetition Time 165 Enabling Sequence Mode and Setting Up The Sequence 165 Choosing the NBP Alarm Source 166 Switching Pulse from NBP On/Off 166 Assisting Venous Puncture 167 Calibrating NBP 167

12 Measuring Predictive Temperature 169

Making a Temperature Measurement 169

13 Monitoring Temperature 173

Making a Temp Measurement 173 Calculating Temp Difference 174

14 Monitoring Invasive Pressure 175

Setting up the Pressure Measurement 175 Zeroing the Pressure Transducer 176 Adjusting the Calibration Factor 178 Displaying a Mean Pressure Value Only 178 Changing the Pressure Wave Scale 178 Optimizing the Waveform 179 Using the Wave Cursor 179 Non-Physiological Artifact Suppression 179 Choosing the Pressure Alarm Source 179 Calibrating Reusable Transducer CPJ840J6 181 Calculating Cerebral Perfusion 182 Calculating Pulse Pressure Variation 182

15 Monitoring Carbon Dioxide 185

Using the CO2 Measurement 186 Measuring Microstream CO Setting up all CO2 Measurements 190

189

16 Assigning Two Devices to One Patient 195

How Can You Combine Devices? 195 Functions Available When the Telemetry Data Window is Displayed 199 Functions Available For Devices Connected Via SRR 200 General Telemetry-related Functions 201 Use Models With Telemetry 202

17 Enhancing Telemetry Monitoring with the Monitor 205

18 Tre nd s 207

Viewing Trends 207 Setting Up Trends 210 Documenting Trends 213

Trends Databases 214 Screen Trends 215

19 High Resolution Trend Waves 219

OxyCRG 219 Printing Hi-Res Trend Wave Reports 219 Hi-Res Trend Wave Recordings 220

20 Event Surveillance 221

Event Episodes 221 Events Pop-Up Keys 222 Event Triggers 222 The Events Database 224 Viewing Events 224 Annotating Events 226 Documenting Events 226

21 ProtocolWatch 231

Severe Sepsis Screening 231

22 Recording 237

Starting and Stopping Recordings 237 Overview of Recording Types 238 All ECG Waves Recordings 239 Creating and Changing Recordings Templates 239 Changing ECG Wave Gain 240 Recording Priorities 241 Sample Recording Strip 241 Reloading Paper 243 Recorder Status Messages 243

23 Printing Patient Reports 245

Starting Report Printouts 245 Stopping Reports Printouts 246 Setting Up Reports 246 Setting Up Individual Print Jobs 248 Checking Printer Settings 249 Printing a Test Report 249 Switching Printers On Or Off for Reports 249 Dashed Lines on Reports 249 Unavailable Printer: Re-routing Reports 249 Checking Report Status and Printing Manually 250 Printer Status Messages 251 Sample Report Printouts 252

24 Using the Drug Calculator 257

Accessing the Drug Calculator 257 Performing Drug Calculations 258 Charting Infusion Progress 260 Using the Titration Table 260 Documenting Drug Calculations 260

25 Using the Timer 261

Viewing the Timer 261 Timer Setup Pop-up Keys 261 Setting Up Timers 262 Displaying a Timer On The Main Screen 263 Displaying A Clock On The Main Screen 264

26 Laboratory Data 265

Viewing Received Data 265

27 Care and Cleaning 267

General Points 267 Cleaning the Monitor 268 Disinfecting the Monitor 268 Sterilizing the Monitor 268 Cleaning, Sterilizing and Disinfecting Monitoring Accessories 269 Cleaning and Disinfecting the Predictive Temperature Accessories 269 Cleaning Batteries and the Battery Compartment 269

28 Using Batteries 271

Battery Power Indicators 271 Checking Battery Charge 274 Replacing a Battery 274 Optimizing Battery Performance 274 Battery Safety Information 275

29 Maintenance and Troubleshooting 277

Inspecting the Equipment and Accessories 277 Inspecting the Cables and Cords 277 Maintenance Task and Test Schedule 278 Troubleshooting 279 Disposing of the Monitor 279 Disposing of Empty Calibration Gas Cylinders 279

30 Accessories 281

ECG/Resp Accessories 281 NBP Accessories 285 Invasive Pressure Accessories 286 SpO2 Accessories 287

Temperature Accessories 291 Predictive Temperature Accessories 291 Mainstream CO2 Accessories 292 Sidestream CO2 Accessories 292 Microstream CO2 Accessories 292 Recorder Accessories 293 Cable for Direct Connection of a Telemetry Device 294 Battery Accessories 294

31 Installation and Specifications 295

Intended Use 295 Manufacturer’s Information 296 Symbols 296 Installation Safety Information 298 Altitude Setting 300 Monitor Safety Specifications 300 EMC And Radio Regulatory Compliance 301 Out-Of-Hospital Transport - Standards Compliance 302 Monitor Performance Specifications 304 M4605A Battery Specifications 308 Measurement Specifications 309 Safety and Performance Tests 321

32 Default Settings Appendix 327

Country-Specific Default Settings 327 Alarm and Measurement Default Settings 333 Alarm Default Settings 333 ECG, Arrhythmia, ST and QT Default Settings 334 Pulse Default Settings 337 Respiration Default Settings 337 SpO2 Default Settings 338 NBP Default Settings 339 Temperature Default Settings 339 Predictive Temperature Default Settings 340 Invasive Pressure Default Settings 340 CO2 Default Settings 342

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1Installation

Installation should be carried out by qualified service personnel, either by the hospital’s biomedical department, or by Philips Support.

If you have purchased a “customer-installable bundle”, it is assumed that your own hospital personnel will install and, if necessary, configure the monitor. You can contact Philips Support for assistance if required; any assistance will be associated with additional costs.

For mechanical and electrical installation, you need technically qualified personnel with a knowledge of english. Additionally, for monitor configuration, you need clinically qualified personnel with a knowledge of the use environment. For further information on Installation, refer to the Service Guide.

WARNING • Monitor configuration settings must be specified by authorized hospital personnel.

• For installation of the monitor as part of a system, always refer to the Service Guide.

• As the first step in preparing the monitor for use, follow the installation instructions given in this chapter.

Installation Checklist

Use this checklist to document your installation.

Step Ta s k Check Box

1 Perform initial inspection of delivery, unpack and check the shipment (see

“Unpacking and Checking the Shipment” on page 2)

2 Mount the monitor as appropriate for your installation (see “Mounting the

Monitor” on page 3)

3 Connect the monitor to AC mains using the supplied power cord (see

“Connecting the Monitor to AC Mains” on page 3)

4 Perform Visual, Power On and Functional test blocks (see “Checking Out

The Monitor” on page 3)

5 Perform Safety Tests, if required by local laws and regulations (see “Checking

Out The Monitor” on page 3)

6 Load paper into the recorder, if present (see “Loading Paper” on page 4) ❏

when Task

Done

❏

1 Installation Unpacking and Checking the Shipment

Step Ta s k Check Box

when Task

Done

7 Check/set the time and date (see “Setting the Date and Time” on page 6) ❏ 8 Check that the country-specific default settings are appropriate (see

“Checking Country-Specific Default Settings” on page 6)

9 Perform System Test as necessary (see the Service Guide) ❏

❏

Unpacking and Checking the Shipment

The monitor and any supporting options ordered are supplied packed in protective shipping cartons.

Initial Inspection

Before unpacking, check the packaging and ensure that there are no signs of mishandling or damage. Open the package carefully and remove the monitor and accessories.

Check that the contents are complete and that the correct options and accessories have been delivered.

System Components, Accessories and Supplies Comments

Monitor with options as ordered 1 ECG accessories optional NBP accessories 1 SpO2 accessories optional Pressure accessories optional Temperature accessories optional Predictive Temperature accessories optional CO2 Accessories optional Recorder paper optional Powercord 1 Telemetry Interface cable optional Measurement Link (MSL) cable optional Instructions for Use 1 Quick Guide 1 Documentation CD-ROM (includes Service Guide and Instructions

for Use)

Claims for Damage

If the shipping cartons are damaged, contact the carrier.

If any of the equipment is damaged, contact both the carrier and your local Philips service organization for repair or replacement arrangements.

Mounting the Monitor 1 Installation

Repacking

Retain the original packing carton and material, in case you need to return equipment to Philips for service. If you no longer have the original packing materials, Philips can advise you on alternatives.

Mounting the Monitor

The monitor can be rested on a flat surface, hung on the bed rail, or mounted on a wall. See the Service Guide for details.

Connecting the Monitor to AC Mains

The monitor has a wide-range power supply that allows you to operate the monitor from an AC (alternating current) power source of 100 V to 240 V (± 10%) and 50 to 60 Hz (± 5%).

WARNING • Always use the supplied power cord with the earthed mains plug to connect the monitor to an

earthed AC mains socket. Never adapt the mains plug from the power supply to fit an unearthed AC mains socket.

• Do not use AC mains extension cords or multiple portable socket-outlets. If a multiple portable socket-outlet without an approved isolation transformer is used, the interruption of its protective earthing may result in enclosure leakage currents equal to the sum of the individual earth leakage currents, so exceeding allowable limits.

• Do not connect any devices that are not supported as part of a system.

• Any non-medical device placed and operated in the patient’s vicinity must be powered via an approved isolation transformer that ensures mechanical fixing of the power cords and covering of any unused power outlets.

Checking Out The Monitor

The following table defines which tests and inspections need to be performed, and when they are required.

Te s t Test or Inspection to be Performed

Visual Inspect the monitor, measurement accessories and cables for any damage.

Are they free of damage?

Power On Power on the monitor. Does it start up successfully without errors? Do all alarm

lamps light up during power up? After start up the monitor sounds a tone, and you can see the monitoring main screen (normally with measurement wave channels and numeric positions).

Functionality Test After power up, touch the blue Main Screen key at the bottom right of the

screen to test the Touchscreen. The key should turn light blue then after several seconds return to its standard blue color.

1 Installation Loading Paper

Te s t Test or Inspection to be Performed

Safety Tests (1) to (4) Perform safety tests (1) to (4), as described in the Service Guide, for standalone

devices if required by local laws and regulations, and each time you combine equipment to form a system, or exchange system components.

safety tests and procedures are described in the Service Guide. These safety tests are derived from international standards but may not always be sufficient to meet local requirements.

System Perform the system test according to IEC 60601-1-1, if applicable, after

combining equipment to form a system (see the Service Guide).

For test and inspection information regarding repairs, upgrades and all other service events, refer to the Service Guide.

Details of the

Loading Paper

1 Use the latch on the right side of the recorder door to pull the door open.

2 Remove the empty core.

3 Insert a new roll and secure it in place on the paper holder. The paper

feeds from the bottom of the roll and over the top of the recorder door. Recommended paper: M4816A and M4817A.

4 With at least one inch of paper extending beyond the edge of the door,

swing the recorder door up and push it firmly closed.

5 To test if paper is loaded correctly, start a recording. If no printing appears, paper may be loaded

backwards. Try reloading the paper.

Operating the Monitor 1 Installation

Operating the Monitor

To complete installation you will need to operate the monitor. Here is a short introduction for those not experienced with IntelliVue monitors.

1 Switch on the monitor. After start-up the

monitor display will become active. You operate the monitor using the touch screen.

3 Touch again to select an item on the menu and

work through the menu activities.

2 Touch something on the screen to enter a

menu. Touching the time, as shown here, brings you to the date and time menu needed for the next section.

4 You can touch numerics, waves and any

item on the screen, to get you to the corresponding menu.

5 If you cannot find a menu by touching the

screen you can always use the Main Setup key which will get you to all menus on the monitor

1 Installation Setting the Date and Time

Setting the Date and Time

To set the date and time:

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

menu.

2 Select, in turn, the Year, Month, Day, Hour (in 24 hour format, only) and Minute as

necessary. Select the correct values from the pop-up list.

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

If your monitor is connected to an Information Center, the date and time are automatically taken from this.

Once it is set, the internal clock retains the setting even when you switch off the monitor.

Checking Country-Specific Default Settings

Some settings are made in the factory to match the typical requirements in a specific country. Line frequency, units for weight and height, and ECG cable colors (AAMI or IEC) have been set to appropriate values. If you suspect that these settings may not match your institution’s requirements, check the settings and change them if necessary as described in the Configuration Guide.

WARNING Before starting monitoring, check that the current configuration meets your requirements, especially

patient category, alarm limits and paced setting.

If you need to enter configuration mode:

1 In the Main Setup menu, select Operating Modes. 2 Select Config and enter the passcode.

The passcode for configuration mode is given in the monitor’s service documentation.

The monitor displays Config at the right hand side of the status line and in the center of the Screen while you are in configuration mode.

Before you leave configuration mode, always be sure to store any changes you made. You must store changes made to each Settings Block and to each Profile, individually. As it may be difficult to remember whether the settings you changed belong to a Monitor Settings block or a Measurement Settings block, we recommend that you store each block before you leave configuration mode.

To leave configuration mode:

♦ In the Main Setup menu, select Operating Modes and then select Monitoring.

Handing Over the Monitor

If you are handing over the monitor to the end-users directly after configuration, make sure that it is in Monitoring mode.

Ensure that the users have access to the following documentation delivered with the monitor:

• Instructions for Use (this book) - for more detailed questions during use

• Quick Guide - for quick reminders during use

Handing Over the Monitor 1 Installation

Additionally, we recommend working through the Training Guide for self-training on the monitor before use (not available in all languages). The part number is M8105-944XB, where X is a digit dependent on the language. The English training guide is M8105-9441B. An English training video, M8000-9451E, is also available.

1 Installation Handing Over the Monitor

2Basic Operation

These Instructions for Use are for clinical professionals using the IntelliVue MP5 and MP5T (M8105A and M8105AT) patient monitors.

This 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 particular for the MP5T, refer to the table on the following page to see which sections of this guide are applicable to your monitor.

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.

Introducing the Monitor

The MP5 monitor provides a comprehensive set of basic physiological measurements: NBP, SpO2, and optionally ECG, invasive blood pressure, predictive temperature, standard temperature and CO Through networking it provides information integration, documentation and information access. The MP5 can be used with adult, pediatric and neonatal patients in a hospital and transport environment.

2 Basic Operation Introducing the Monitor

The monitor stores data in trend and event databases. You can see tabular trends (vital signs) and document them on a central 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.

The MP5 monitor can also be connected to another IntelliVue patient monitor (MP20 to MP90), where it acts as a multi-measurement module (MMS), acquiring measurements for the host monitor. When connected to a host monitor, the host controls the MP5 including all alarm functionality. No alarms are available on the MP5, and the alarm lamps are controlled by the host. You can recognize when an MP5 is connected to a host monitor by the following indication on the screen:

Companion Mode

No Alarm Display

When the MP5 is disconnected from the original host monitor, it continues to monitor the patient as a stand-alone monitor with all settings and data. On connection to a new host monitor, the MP5 resumes its role as MMS, transferring all settings and data, ensuring fully continuous monitoring. When the MP5 is connected to a host monitor it still requires batteries or AC power; it also cannot charge its batteries via the host monitor’s AC connection.

The MP5T monitor is intended for use together with a telemetry device. It has no ECG measurement of its own but does have NBP and optionally SpO

and predictive temperature. When the telemetry

device is directly connected to the MP5T, the measurements from the MP5T are transmitted with those from the telemetry device (ECG and optionally SpO

) to the Information Center. The MP5T

alone has no network capability (no direct wired or wireless connection to the Information Center).

The following comparison table shows in detail the differences between MP5 and MP5T:

Functionality (including optional features) MP5 MP5T

ECG 3 SpO

NBP 33 Predictive Temperature 33 Te m p e r at u r e 3 Invasive Pressure 3 Carbon Dioxide 3 Direct Telemetry Connection 33 ECG Output signal 3 LAN networking capability 3 WLAN networking capability 3 Short range radio interface 3 IntelliVue Instrument Telemetry networking capability 3 Severe Sepsis Screening 3 OxyCRG high resolution trend 3 Neonatal event review 3 Integrated recorder 33 Drug Calculator 33

Introducing the Monitor 2 Basic Operation

Functionality (including optional features) MP5 MP5T

Gas monitor support 3 Connection to a host monitor (companion mode) 3 Connection to an external display 3 Nurse call capability 3

1.MP5 options without ECG do not have an ECG output signal

The MP5/MP5T patient monitor has an 8.4-inch TFT LCD flat panel SVGA display. You operate the monitor with the Touchscreen. There is an optional built-in recorder.

2 Basic Operation Introducing the Monitor

MP5/MP5T Major Parts and Keys

US measurement connectors

Pressure and Temp

Noninvasive Pressure

SpO

1 Color-coded alarm lamps 2 Alarms off lamp 3 Measurement connectors (see

below)

4 Predictive Temperature Unit 5 ECG out (not MP5T and MP5

options without ECG)

6 On/Standby Switch 7 Indicator LEDs

ECG/ Respiration

Telemetry device

International measurement connectors

Pressure and Temp

Noninvasive Pressure

SpO

MP5(T) front panel

12 3 4

ECG/ Respiration

Telemetry device

On/Standby switch On/Standby/Error LED - green when monitor is

switched on, red if there is a problem with the monitor Battery status LED - green, yellow or red, see Battery

section for details AC power operation LED - green when the monitor is

connected to AC power (mains)

Operating and Navigating 2 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:

678

Bed 3

Doe, John Adult

3 Waves A

ALARMS PAUSED 2:59

1mv

Pleth

Resp

1Ohm

NBP

Sys.

Auto 10 min

NBP

mmHg

SpO

Pulse

Temp

Local Recorder out of paper

Repeat

Time

status line - shows information and messages prompting you for action

close all open menus and windows and return to main screen

enter Main Setup menu

scroll right to display more SmartKeys

SmartKeys - these change according to your monitor’s configuration

scroll left to display more SmartKeys

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

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

Pause

Alarms

Silence

Monitor information line Other screen elements

network connection indicator

(documented in Information Center Instructions for Use)

bed label

patient identification

patient category

paced status

date and time

current screen name/enter

change screen menu

Start/

Stop

15 14

Delayed

Record

Vitals

Trend

Default Profile

End Case

Main

Setup

13 12

hrs

Main

Screen

2 Basic Operation Operating and Navigating

Monitor information line Other screen elements

adjust alarm volume/level

indicator

alarm status area - shows active

alarm messages

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

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

Selecting Screen Elements

Touch a screen element to get to the actions linked to that element. For example, touch the Patient Identification element to call up the Patient Demographics window, or touch the HR numeric to call up the Setup ECG menu. Touch the ECG wave segment to call up the ECG lead menu.

Using the Setup Menu

Setup

Alarm Messages

Alarm Limits

Alarm Volume

My Care Group

Change Screen

Profiles

Admit/Dischrg

Paced No

Network

Bed Information

Date, Time

Disabling Touchscreen Operation

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

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

The elements at the top of the Screen are grouped together for ease of navigation. Touch any item at the top of the Screen to open the Setup menu; then touch the element you want.

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

Moving Windows

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

1 Select the title of the window and keep your finger on the title.

2 Move your finger on the Touchscreen to move the window.

3 Take your finger off the screen to place the window in the final position.

Not all locations on the screen can be a target position, a window cannot overlap the monitor info line, the alarms and INOPs or the status line.

Operating and Navigating 2 Basic Operation

Using Keys

The monitor has three different types of keys.

Perma nent Ke y s

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

SmartKeys

Pause Alarms

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

- pauses alarm indicators. Pause duration depends on monitor

Select again to immediately re-enable alarm indicators.

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

and lamps.

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

Main Setup - enter main setup menu.

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

enter profile menu, or revert to default profile

change Screen, or revert to default screen

access timers

freeze waves quick admit a patient

set alarm limits

change alarm volume end case to discharge a patient

change QRS volume

previous Screen

enter patient identification menu to admit/discharge/transfer

view information for patients in other beds

2 Basic Operation Operating and Navigating

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

change screen brightness (not for

independent displays) and patient data information are retained.

review beat labels (annotate arrhythmia wave)

re-learn arrhythmia

change amplitude (size) of ECG wave access wedge procedure window

- start/stop manual NBP measurement

- start auto series

- stop current automatic measurement

start/stop NBP STAT measurement

within series

stop automatic or STAT NBP

measurement and measurement series

start NBP measurement and

stop current NBP measurement measurement series

start veni puncture (inflate cuff to

start NBP STAT measurement subdiastolic pressure)

set the NBP repeat time

start a delayed recording

zero invasive pressure transducer

access pop-up recording keys

access Vital Signs recording key

access Select Waves recording key

set wide automatic alarm limits set narrow automatic alarm limits

switch CO

pump off access neonatal event review

review vital signs trend review graph trend

access the calculator access the Drug Calculator

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

Operating and Navigating 2 Basic Operation

Pop-Up Keys

unpair equipment and continue central monitoring with the monitor

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

set standard or EASI lead placement access patient reports

new lead setup manual data entry

access ProtocolWatch start/stop car seat assessment record

open the histogram window open unit conversion window

unpair equipment and continue central

monitoring with the telemetry device

access ST Map application

Pop-up keys are task-related graphical keys that appear automatically on the monitor screen when required. For example, the confirm pop-up key appears only when you need to confirm a change.

Using the On-Screen Keyboard

Use this as you would a conventional keyboard. Enter the information by selecting one character after another. Use the Shift and capital Lock keys to access uppercase letters. Use the Back key to delete single characters, or use the Clr key to delete entire entries. Select Enter to confirm what you have entered and close the on-screen keyboard.

2 Basic Operation Operating and Navigating

Using the On-Screen Calculator

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

♦ To access the on-screen calculator, select the

Calculator SmartKey, or select Main Setup

-> Calculations -> Calculator.

Calculator

M+ Back

C/CE



Operating Modes 2 Basic Operation

Operating Modes

When you switch the monitor on, it starts up in monitoring mode. To change to a different mode:

1 Select the Main Setup menu.

2 Select Operating Modes and choose the mode you require.

Your monitor has four operating modes. Some are passcode protected.

• Monitoring Mode: This is the normal, every day working mode that you use for monitoring patients. You can change elements such as alarm limits, patient category and so forth. When you discharge the patient, these elements return to their default values. Changes can be stored permanently only in Configuration Mode. You may see items, such as some menu options or the altitude setting, that are visible but ‘grayed out’ so that you can neither select nor change them. These are for your information and can be changed only in Configuration Mode.

• Demonstration Mode: Passcode protected, this is for demonstration purposes only. You must not change into Demonstration Mode during monitoring. In Demonstration Mode, all stored trend information is deleted from the monitor’s memory.

• Configuration Mode: Passcode protected, this mode is for personnel trained in configuration tasks. These tasks are described in the Configuration Guide. During installation the monitor is configured for use in your environment. This configuration defines the default settings you work with when you switch on, the number of waves you see and so forth.

• Service Mode: Passcode protected, this is for trained service personnel.

When the monitor is in Demonstration Mode, Configuration Mode, or Service Mode, this is indicated by a box with the mode name in the center of the Screen and a symbol in the bottom right-hand corner. Select this field to change to a different mode.

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

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

• You cannot change the operating mode at the MP5.

Standby Mode

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

♦

♦ select Main Setup, followed by Monitor Standby.

The monitor enters Standby mode automatically after the End Case function is used to discharge a patient.

Standby suspends patient monitoring. All waves and numerics disappear from the display but all settings and patient data information are retained. A special Standby screen is displayed. This can be configured to a moving image or a blank screen. If a patient location is entered at the Information Center, this will also be displayed on the Standby screen (availability depends on Information Center revision).

Config

select the Monitor Standby SmartKey or

To resume monitoring,

2 Basic Operation Understanding Screens

♦

Select anything on the screen or press any key.

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

Understanding Screens

Your monitor comes with a set of preconfigured Screens, optimized for common monitoring scenarios such as OR adult, or ICU neonatal. A Screen defines the overall selection, size and position of waves, numerics and SmartKeys on the monitor screen when you switch on. You can easily switch between different Screens during monitoring. Screens do NOT affect alarm settings, patient category and so forth.

Switching to a Different Screen

1 To switch to a different Screen, select the monitor info line and then Change

Screen in the Setup Menu, or select the Change Screen SmartKey.

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

Changing a Screen’s Content

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

To change the selection of elements on a Screen,

1 Select the element you want to change. 2 From the menu that appears, select Change Wave, Change Numeric, or

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

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

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

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