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

1Table 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

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

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

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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

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

Single- or 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

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 SpO

115

Selecting an SpO2 Sensor 116 Applying the Sensor 117 Connecting SpO2 Cables 117 Measuring SpO

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

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

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14 Monitoring Carbon Dioxide 153

Using the Mainstream CO2 Extension (M3016A) 154

Preparing to Measure Mainstream CO Checking Transducer Accuracy 154 Calibrating the Transducer 155 Attaching and Removing the CO2 Tra ns du cer 155

154

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 tcpCO Metabolism Correction for tcpCO

168 168

16 Monitoring SvO

Preparing to Monitor SvO

169

170

Carrying out a Pre-insertion Calibration 170

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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

Water tr ap 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 CO 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

176

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

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 Tre nd s Po p- Up Ke ys 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

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

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

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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 C ab le s 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

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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 SpO

NBP 302 Invasive Pressure and Pulse 304 Te m p 305 CO

Cardiac Output / Continuous Cardiac Output 308

301

306

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tcGas 308 SvO

EEG 310 BIS 310 Anesthetic Gas Module 311

309

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

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1Basic 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 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-andplay” 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 SvO 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.

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

MP40/MP50 LED Colors and their Meanings

On/Standby LED

Error LED

Battery LED

AC Power

Green when monitor is switched on

Red if there is a problem with the monitor

Green, yellow, and red. See the “Battery LED” on page 260 for details

Green when monitor is connected to mains power

On/Standby switch

On/Standby LED

Error LED

Battery status LED

AC power operation LED

6 “read the documentation” symbol

Mounting quick- release lever

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 Color coded alarm lamps

891011 7

2 Alarms Off lamp 3Display 4Model indicator 5 SpeedPoint (optional for MP70) 6 Part number and serial number 7 Mounting adapter release 8AC power LED 9Error LED 10 Power on/standby switch 11 Power on LED

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

Display Unit

Remote Alarm Device

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

Error LED

Processing Unit

1 Two color coded alarm lamps (right-hand lamp flashes

red or yellow for patient alarms, left-hand lamp flashes light blue for INOPs)

2 Alarms off lamp - when illuminated it indicates that all

patient alarms are deactivated.

3 Speaker - for alarm prompts, QRS tones and so forth 4 Monitor power on /standby switch. Press to switch

monitor on remotely. Press and hold for one second to turn monitor off.

5 Power on LED - green when monitor is on

Power on Switch

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

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

only

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.

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:

Multi-Measurement Server

Measurement server extension

Measurement server mount

Flexible Module Server

BIS engine

6 Power on LED

Interruption indicator

• 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 (SpO

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

• Transcutaneous gas (M1018A)

• Mixed venous oxygen saturation - SvO

• Recorder (M1116B)

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

• EEG (M1027A)

• Bispectral Index - BIS (M1034A)

) (M1020B)

(M1021A) MP60/70/90 monitor only

Multi-Measurement Server (M3001A)

The Multi-Measurement Server (MMS) can simultaneously monitor 3-, 5- or 10-lead ECG (including arrhythmia and ST monitoring), respiration, SpO Depending on the monitor model, you can connect it to the monitor via a cable or mount it either on the left side of the FMS or on the back of the monitor, as shown here.

, NBP and either invasive pressure or temperature.

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

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 CO 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.

Extension adds

1 Basic Operation Related Products

M3015A Microstream

M3016A Mainstream

Pressure connector (red)

Temperature connector (brown)

Mainstream connector CO2 (optional)

Inlet

Microstream

Gas sample outlet

connector CO

M3012A Hemodynamic Measurement Server Extension

The M3012A Hemodynamic 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.

Connection to MMS

Pressure connectors (red)

Anesthetic Gas Module (AGM)

See the AGM section of this Instructions for Use.

Cardiac Output connector (orange; optional)

Temperature connectors (brown)

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.

12 3

56 7 8 9

ABP Zero done at 11 Nov 02 7:31 am

18 1617

Monitor information line Other screen elements

network connection indicator

bed label

patient identification

patient category

paced status

date and time

access the profiles menu

current screen name/enter

change screen menu

adjust volume/level indicator

alarm status area - shows active alarm messages

status line - shows information messages and 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.

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

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

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

SpeedPoint (MP60/MP70 only)

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.

Remote SpeedPoint

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.

+ 329 hidden pages

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

Specifications and Main Features

Frequently Asked Questions

User Manual

1Basic Operation

Introducing the IntelliVue Family

IntelliVue MP40/MP50

MP40/MP50 Major Parts and Keys

IntelliVue MP60/MP70

MP60/MP70 Major Parts and Keys

MP90 Major Parts and Keys

Remote Alarm Device

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Operating and Navigating

Using the Touchscreen

Using the MP60/MP70/MP90 SpeedPoint