Philips Intellivue MP5 User manual

Name: Philips Intellivue MP5
Brand: Philips
SKU: 6512699
Rating: 4.3 (4 reviews)

4.3 (4)

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

	Table 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 SpO2		153

SpO2 Sensors		153
Applying the Sensor		153
Connecting SpO2 Cables		154
Measuring SpO2		154
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
11 Monitoring NBP		161

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

iii

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 CO2		189
Setting up all CO2 Measurements		190
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 Trends		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

vii

viii

Installation

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	Task	Check Box
		when Task
		Done

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)

1 Installation

Unpacking and Checking the Shipment

Step	Task	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	1
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.

Test	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

Test	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. Details of the
	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.

Loading Paper

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

2Remove the empty core.

3Insert 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.

4With at least one inch of paper extending beyond the edge of the door, swing the recorder door up and push it firmly closed.

5To 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.

2Touch 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.

3 Touch again to select an item on the menu and 4		You can touch numerics, waves and any
	work through the menu activities.	item on the screen, to get you to the
		corresponding menu.

5If 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

To set the date and time:

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

2Select, 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.

3Select 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.

2Select 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

Basic 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 CO2. 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 SpO2 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 SpO2) 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

SpO2	3	3
NBP	3	3

Predictive Temperature	3	3

Temperature	3

Invasive Pressure	3

Carbon Dioxide	3

Direct Telemetry Connection	3	3

ECG Output signal	31
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	3	3

Drug Calculator	3	3

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

	1	2		1	Color-coded alarm lamps
	1	2		2	Alarms off lamp
				2	Alarms off lamp
				3	Measurement connectors (see
					below)
				4	Predictive Temperature Unit
3				5	ECG out (not MP5T and MP5
3					options without ECG)
					options without ECG)
				6	On/Standby Switch
				7	Indicator LEDs
				7
4	5		6
	5
US measurement connectors
Pressure		Noninvasive	SpO2	ECG/	Telemetry	CO2
and Temp		Pressure		Respiration	device

International measurement connectors

Pressure	Noninvasive	SpO2	ECG/	Telemetry
and Temp	Pressure		Respiration	device

MP5(T) front panel

1On/Standby switch

2On/Standby/Error LED - green when monitor is switched on, red if there is a problem with the monitor

3Battery status LED - green, yellow or red, see Battery section for details

4AC 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:

1	2	3	4	5	6	7	8	9
	Bed 3			Adult			3 Waves A

		Doe, John
	II					HR	ALARMS PAUSED 2:59
	II					HR	Pulse
	1mv						Temp
	Pleth					SpO2	Temp

Resp

1Ohm

NBP

Auto 10 min

NBP

Sys.

mmHg

Local Recorder out of paper

hrs

Silence

Pause

Start/

Repeat

Delayed

Vitals

Default End Case

Main

Alarms

Stop

Time

Record

Trend

Profile

Setup

Screen

Monitor information line

Other screen elements

network connection indicator

status line - shows information and messages prompting you for action

(documented in Information

Center Instructions for Use)

bed label

close all open menus and windows and return to main screen

patient identification

enter Main Setup menu

patient category

scroll right to display more SmartKeys

paced status

SmartKeys - these change according to your monitor’s configuration

date and time

scroll left to display more SmartKeys

current screen name/enter

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.

2 Basic Operation

Operating and Navigating

Monitor information line	Other screen elements

8 adjust alarm volume/level	17 Silence - acknowledges all active alarms by switching off audible alarm indicators and
indicator	lamps permanently or temporarily, if alarm reminder (ReAlarm) is configured on.

9alarm status area - shows active alarm messages

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

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.

Disabling Touchscreen Operation

♦To temporarily disable touchscreen operation of the monitor, press and hold the Main Screen permanent key. A padlock will appear on the Main Screen permanent key.

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

Moving Windows

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

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

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

3Take 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.

Permanent Keys

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

Pause Alarms - pauses alarm indicators. Pause duration depends on monitor configuration. If pause duration is infinite, this key is labeled Alarms Off.

Select again to immediately re-enable alarm indicators.

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

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

Main Setup - enter main setup menu.

SmartKeys

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

access timers

freeze waves

set alarm limits

change alarm volume

change QRS volume

change Screen, or revert to default screen

previous Screen

quick admit a patient

enter patient identification menu to admit/discharge/transfer

end case to discharge a patient

view information for patients in other beds

2 Basic Operation

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

review beat labels (annotate arrhythmia wave)

change amplitude (size) of ECG wave

-start/stop manual NBP measurement

-start auto series

-stop current automatic measurement within series

start NBP measurement and measurement series

start veni puncture (inflate cuff to subdiastolic pressure)

set the NBP repeat time

start a delayed recording

access Vital Signs recording key

set wide automatic alarm limits

switch CO2 pump off

review vital signs trend

access the calculator

gas analyzer - exit standby mode

Operating and Navigating

change screen brightness (not for independent displays)

re-learn arrhythmia

access wedge procedure window

start/stop NBP STAT measurement

stop automatic or STAT NBP measurement and measurement series

stop current NBP measurement

start NBP STAT measurement

zero invasive pressure transducer

access pop-up recording keys

access Select Waves recording key

set narrow automatic alarm limits

access neonatal event review

review graph trend

access the Drug Calculator

suppress zero for all gas measurements

Operating and Navigating

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

new lead setup

2 Basic Operation

unpair equipment and continue central monitoring with the telemetry device

access ST Map application

access patient reports

manual data entry

access ProtocolWatch	start/stop car seat assessment record
open the histogram window	open unit conversion window

Pop-Up Keys

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

Using the On-Screen Keyboard

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

2 Basic Operation

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.

Operating and Navigating

Calculator

MC MR 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:

1Select the Main Setup menu.

2Select 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.

Config

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 the Monitor Standby SmartKey or

♦select Main Setup, followed by Monitor Standby.

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

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

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

1To switch to a different Screen, select the monitor info line and then Change Screen in the Setup Menu, or select the Change Screen SmartKey.

2Choose 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,

1Select the element you want to change.

2From 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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