Philips IntelliVue MP80, IntelliVue 90 User manual

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IntelliVue MP80/90 & D80

Service Guide

IntelliVue Patient Monitor

MP80/90 & D80

Patient Monitoring

Part Number M8000-9351K 4535 641 12591

*M8000-9351K*

		Table of Contents
	1 Introduction	9
Who Should Use This Guide		9
How to Use This Guide		9
Abbreviations		9
Responsibility of the Manufacturer		10
Passwords		11
Warnings and Cautions		11

	2 Theory of Operation	13
Monitor Theory of Operation		13
	System Boundaries	14
	Hardware Building Blocks	15
	Data Flow	19
	How does the Support Tool Work with the Monitor	23
	Monitor Software Block Diagram	24
	Block Diagram Legend	25

	3 Testing and Maintenance	33
Introduction		33
Terminology and Definitions		34
Recommended Frequency		35
When to Perform Tests		36
Testing Sequence		40
Visual Inspection		41
	Before Each Use	41
	After Each Service, Maintenance or Repair Event	41
	Power On Test	41
Safety Tests		42
	Warnings, Cautions, and Safety Precautions	43
	Safety Test Procedures	44
Preventive Maintenance Procedures		84
	Noninvasive Blood Pressure Measurement Calibration	84
Performance Assurance Tests		84
	Basic Performance Assurance Test	84
	Full Performance Assurance Test	85
	ECG/Resp Performance Test	85
	ECG Sync Performance Test	86
	SpO2 Performance Test	86
	NBP PerformanceTest	87
	Invasive Pressure Performance Test	89

Temperature Performance Test	90
M3014A Capnography Extension Performance Tests	90
Microstream CO2 Performance Test	93
Spirometry Performance Tests	98
Cardiac Output Performance Test	100
BIS Performance Test	101
Vuelink Performance Test	102
IntelliBridge Performance Test	103
EEG, SvO2 and tcGas Performance Tests	103
Nurse Call Relay Performance Test	103
Power Loss Alarm Buzzer Performance Test (only if Multi-Port Nurse Call Connector Board is installed)	105
IntelliVue 802.11 Bedside Adapter Communication Test	106
Reporting of Test Results	107
Carrying Out and Reporting Tests	108
Evaluation of Test Results	111
Other Regular Tests	112
Touchscreen Calibration	112
Disabling/Enabling Touch Operation	112
Printer Test Report	113
After Installation, Testing or Repair	113

	4 Troubleshooting	115
Introduction		115
How To Use This Section		115
Who Should Perform Repairs		115
Replacement Level Supported		116
Hardware Revision Check		116
Hardware/Software Compatibility Matrix		117
Software Revision Check		118
Software Compatibility Matrix		119
	Compatibilty with MMS	119
	Compatibilty with FMS	120
	Compatibility with Information Center	120
	Number of Supported Parameter Modules	121
Obtaining Replacement Parts		123
Troubleshooting Guide		123
	Checks for Obvious Problems	123
	Checks Before Opening the Instrument	124
	Troubleshooting Tables	126
	Status Log	154
	List of Error Codes	156
	Troubleshooting with the Support Tool	156
	Troubleshooting the Individual Measurements or Applications	157

	5 Repair and Disassembly	159
Tools Required		159
MP80/D80/MP90 CMU Disassembly		159
	Removing I/O Boards	160
	Removing the Top Cover	162
	Removing the Plastic Feet and/or the Locking Cam	163
	Removing the optional Fans (MP90 Dual CPU Versions only)*	163
	Replacing the Second (Independent) Video Board(MP90 Dual CPU Versions only)	164
	Removing the Second CPU/Main Board (MP90 Dual CPU Versions only)	165
	Accessing the Main CPU or Primary Video Board (MP90 Dual CPU Versions)	167
	Replacing the Primary Video Board	168
	Removing the Main Board	170
	Removing the Power Supply	172
	Removing the Speaker (MP80/MP90 only)	174
	Removing the Power On/Off Switch	174
Flexible Module Rack (FMS) Disassembly		175
	Removing the Handle and the Measurement Server Mount	175
Plug-in Modules		180
	Plug-In Module Disassembly	181
Multi-Measurement Module (MMS) Disassembly		184
	Tools required	184
	Removing the Front Cover	184
	Removing the Mounting Pin	185
	Removing the Top Cover	185
	Removing the DC/DC Board	186
	Removing the MSL Flex Assembly	186
	Reassembling the MSL Flex Assembly	187
	Removing the NBP pump	189
	Refitting the new NBP Pump	189
	Refitting the DC/DC board	191
	Refitting the Cover	191
	Refitting the Front Cover	192
	Final Inspection	193
MMS Extensions - Exchanging the Top Cover, MSL Flex Cable and the Dual Link Bar		193
	Exchange Procedures	194
Disassembly Procedures for the M3015A MMS Extension (HW Rev. A)		205
	Removing the Front Cover	205
	Refit Procedures for the MMS Extension	209

	6 Parts	211
MP80/MP90/D80 Parts		212
	Exchange Parts	212
	Replacement Parts	213
Flexible Module Rack (FMS) Parts		216

Exchange and Replacement Parts	216
Multi-Measurement Module (MMS) Parts	218
MMS Part Number Overview and Identification	218
MMS Firmware Overview	220
MMS Part Numbers - Front Bezel for M3001 #A01 & #A03	221
MMS Part Numbers - Front Bezel for M3001 #A02	221
MMS Part Numbers - Top Cover and MSL Assembly	222
MMS Exchange Part Numbers	223
MMS Part Numbers - Label Kits	225
MMS Part Numbers - NBP Assembly	225
MMS Extension Parts (M3012A, M3014A, M3015A and M3016A)	225
MMS Extension Part Numbers - Release Mechanisms	226
MMS Extension Part Numbers - Top Cover, Flex Cable and Link Bar	226
MMS Extension Part Numbers - Front Bezels	226
Exchange Parts List	228
IntelliVue X2 Part Numbers	229
Plug-in Modules Part Numbers	229
Part Number Table	230
Plug-In Modules Replaceable Parts	233
BIS Solution Replaceable Parts	238
BISx Solution Replacable Parts	239
tcpO2/tcpCO2 Module Accessories	240
IntelliVue 802.11 Bedside Adapter Part Numbers*	241
External Display Part Numbers	241
SpeedPoint Part Numbers	244
Remote Alarm Device Part Numbers	245
Remote Extension Device Part Numbers	245

	7 Installation Instructions	247
Installation Checklist		247
Unpacking the Equipment		248
Initial Inspection		248
	Mechanical Inspection	248
	Electrical Inspection	248
	Claims For Damage and Repackaging	249
Installing the M8008A/M8010A/M8016A CMU		249
	Mounting Instructions	250
Connecting the Monitor to AC Mains		251
	Connections	251
	Installing Interface Boards	252
	Connection of Devices via the MIB/RS232 Interface G.00.xx or higher	257
	Connection of Devices via the MIB/RS232 Interface (Rev. D.00.58 to F.01.42)	258
	Connection of Devices via the MIB/RS232 Interface (Rev. A.10.15 to C.00.90)	258
	Connection of MIB Devices (Rev. below A.10.15)	259

Connection of USB Devices	260
Setting Up Multiple Displays	264
Installation of Multiple Displays	264
Configuring Multiple Displays	266
Examples for Multiple Display Use Models	270
Installing Remote Devices	272
Mounting the 15” Remote Display (M8031A)	272
Mounting the 15” Remote Display (M8031B)	273
Mounting the 17” Remote Display (M8033A/B/C)	274
Hardware Settings	277
Flexible Module Rack and/or Multi-Measurement Module	277
Remote Alarm Devices	283
Remote Extension Device	284
PS/2 Keyboard/Mouse	286
Philips Clinical Network (Wired)	286
Philips Clinical Network (Wireless)	286
Nurse Call Relay	287
Connections	287
ECG Out Functionality	287
Connections	287
Configuration Tasks	288
Checking Country-Specific Default Settings	289
Setting Altitude, Line Frequency, ECG Cable Colors and Height & Weight Units	289
Setting Altitude and Line Frequency	290
Configuring the Equipment Label	290
Configuring the printer	290
Configuring IP Address, Subnet Mask and Default Gateway	290
Configuration Settings for CSCN Routed Bedside Monitors (RBM)	291
Configuring Routed Bedside Monitors Support	291
Display Settings	292
IntelliBridge EC10	293
Accessing the IntelliBridge EC10 Service Interface	293
Firmware Upgrade	294
Uploading and Removing Device Drivers	295
Generating and Uploading Clone Files	295
Viewing System Information	296
Handing Over the Monitor	297

	8 Site Preparation	299
Introduction		299
	Site Planning	299
	Roles & Responsibilities	300
M8008A/M8010A/M8016A Site Requirements		302
	Space Requirements	302
	Environmental Requirements	303

	Electrical and Safety Requirements (Customer or Philips)	303
Remote Device Site Requirements		304
	Connecting Non-Medical Devices	305
	Multi-Measurement Module (MMS) M3001A, IntelliVue X2 M3002A or Flexible Module Rack (FMS) M8048A305
	Remote Displays (M8031A)	310
	Remote Displays (M8031B)	311
	Remote Displays - M8033A	312
	Remote Displays - M8033B	313
	Remote Displays - M8033C	314
	Remote Alarm Devices	316
	Remote Extension Device	317
	IntelliBridge	319
	Local Printer	319
Philips Medical LAN		319
RS232/MIB/LAN Interface		320
Nurse Call Relay Interface		321
ECG Out Interface		321
	9 Gas Analyzers	323
	10 Philips 15210B Calibration Unit	325
Unpacking the Instrument		325
	Initial Inspection	326
	Instrument Identification	326
	Specification	326
	Operating Environment	327
	Operating Information	327
	Fitting the Gas Cylinders	327
	Storage of Gas Cylinders	327
	Disposal of Used Gas Cylinders	327
Routine Maintenance		327
	Changing the Gas Cylinders	327
	Care and Cleaning	328
Theory of Operation		328
Gas Flow Performance Check		329
	Test Procedure	329
Disassembly		331
Parts List		332
	11 IntelliVue Product Structure	335
Upgrade Options		337
	12 Index	341

Introduction

This Service Guide contains technical details for the IntelliVue MP80/90 Patient Monitor, the Multi-Measurement Module (MMS), the IntelliVue X2, the Flexible Module Rack (FMS) and the Measurement Server Extensions.

This guide provides a technical foundation to support effective troubleshooting and repair. It is not a comprehensive, in-depth explanation of the product architecture or technical implementation. It offers enough information on the functions and operations of the monitoring systems so that engineers who repair them are better able to understand how they work.

It covers the physiological measurements that the products provide, the Measurement Server that acquires those measurements, and the monitoring system that displays them.

Who Should Use This Guide

This guide is for biomedical engineers or technicians responsible for troubleshooting, repairing, and maintaining Philips’ patient monitoring systems.

How to Use This Guide

This guide is divided into eight sections. Navigate through the table of contents at the left of the screen to select the desired topic. Links to other relevant sections are also provided within the individual topics. In addition, scrolling through the topics with the page up and page down keys is also possible.

Abbreviations

Abbreviations used throughout this guide are:

Name	Abbreviation
IntelliVue MP80/90 Patient Monitor	the monitor
Flexible Module Rack	FMS

1 Introduction

Responsibility of the Manufacturer

Name	Abbreviation
Multi-Measurement Module	MMS
Measurement Link	MSL
Medical Information Bus	MIB
Anesthetic Gas Module	AGM

Responsibility of the Manufacturer

Philips only considers itself responsible for any effects on safety, EMC, reliability and performance of the equipment if:

-assembly operations, extensions, re-adjustments, modifications or repairs are carried out by persons authorized by Philips, and

-the electrical installation of the relevant room complies with national standards, and

-the instrument is used in accordance with the instructions for use.

To ensure safety and EMC, use only those Philips parts and accessories specified for use with the monitor. If non-Philips parts are used, Philips is not liable for any damage that these parts may cause to the equipment.

This document contains proprietary information which is protected by copyright. All Rights Reserved. Reproduction, adaptation, or translation without prior written permission is prohibited, except as allowed under the copyright laws.

Philips Medizin Systeme Böblingen GmbH

Hewlett-Packard Str. 2

71034 Böblingen, Germany

The information contained in this document is subject to change without notice.

Philips makes no warranty of any kind with regard to this material, including, but not limited to, the implied warranties or merchantability and fitness for a particular purpose.

Philips shall not be liable for errors contained herein or for incidental or consequential damages in connection with the furnishing, performance, or use of this material.

Passwords

1 Introduction

Passwords

In order to access different modes within the monitor a password may be required. The passwords are listed below.

Monitoring Mode: No password required

Configuration Mode: 71034

Demo Mode: 14432

Service Mode: 1345

Consult the configuration guide before making any changes to the monitor configuration.

Warnings and Cautions

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 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.

1 Introduction

Warnings and Cautions

Theory of Operation

Monitor Theory of Operation

The IntelliVue MP80/MP90 Patient Monitor:

-displays real-time data

-controls the attached measurement servers

-alarms in the case of patient or equipment problems

-offers limited data storage and retrieval (trending)

-interfaces to the Philips Clinical Network and other equipment

A monitor with just a single integrated measurement server can be connected to additional building blocks to form a monitoring system with a large number of measurements, additional interface capabilities and multiple slave displays. These elements cooperate as one single integrated real-time measurement system.

2 Theory of Operation

Monitor Theory of Operation

System Boundaries

The following diagram discusses specific boundaries within the overall system with respect to their openness and real-time requirements:

Measurement LAN

combines components of one patient monitor; real time requirements across all interconnected elements

Philips Clinical Network (wired LAN)

connects multiple patient monitors, information centers, application servers; closed system, only Philips qualified products (tested and with regulatory approval) are connected, Philips is responsible for guaranteed real-time functionality and performance

Philips Clinical Network (wireless)

like Philips Clinical Network (wired) LAN, however due to current wireless technologies available it has reduced bandwidth, longer latencies, reduced functionality

Hospital LAN, Internet

Standard Network, not under Philips control, no guaranteed service, no real-time requirements

Monitor Theory of Operation

2 Theory of Operation

Hardware Building Blocks

The following hardware building blocks make up the monitoring system:

IntelliVue MP80/MP90

The MP80/MP90 monitor:

-can be used with the standalone M8031A 15-inch or the M8033A 17-inch color LCD TFT display with touchscreen operation.

-can also be used with other XGA and SXGA standalone off-the-shelf displays which comply with medical standards such as IEC 60601-1 and IEC 60601-1-2.

-has the central processing unit in a separate module

-uses the Philips SpeedPoint as primary input device whereas the Philips Touchscreen and computer devices such as mice, trackball, and keyboard can be added optionally

-supports the Flexible Module Rack (FMS)

2 Theory of Operation

Monitor Theory of Operation

Building Blocks:

Optional Hardware

The M8031A 15-inch color LCD TFT display or the M8033A 17-inch color LCD TFT display (both with touchscreen operation) can be ordered optionally. Additional input devices such as mice, trackball or keyboard can also be added. If the monitor is ordered with the wireless LAN option a wireless transmitter is required. For further details regarding the wireless network please refer to the M3185A Philips Clinical Network documentation.

Monitor Theory of Operation

2 Theory of Operation

Compatible Devices

M3001A Multi-Measurement Module (MMS)

M3002A IntelliVue X2

M3012A, M3014A, M3015A, M3016A MMS Extensions

2 Theory of Operation

Monitor Theory of Operation

Power Supply

The AC/DC converter transforms the AC power coming from the power plug into 48 V/120W DC source and isolates the monitoring system from the AC power mains.The 48V is distributed via power bus and supplies power to all the components of the system: The 56 V DC power needed for the FMS, MMS and MMS Extension is created by an isolating DC/DC converter. The CPU is supplied with 3.3 V and 5 V DC power. The transformation is performed in two steps: The first DC/DC converter is a power regulator which reduces the variations caused by load changes on the 48V power bus. The second DC/DC converter converts the power to the needed voltage. Interface boards require a power of 10V AC.

CPU Boards

The CPU boards have an MPC860 50 MHz or MPC86x 100 MHz processor that provides a number of on-chip, configurable interfaces. An array of 12 fast UARTS with configurable protocol options are implemented in an ASIC (along with other system functions such as independent watchdogs etc.), providing interfacing capabilities to measurement modules and I/O boards. The serial interfaces can easily be electrically isolated. The main board contains additional video hardware.

The CPUs provide two LAN interfaces to interconnect CPUs (via the MSL) and to connect to the Philips Clinical Network.

The CPU capabilities are identical. Different loading options are coded on serial EEPROMs to support the automatic configuration of the operating system at boot time.

Monitor Theory of Operation

2 Theory of Operation

I/O Boards

Interfaces to the monitor are implemented via I/O boards. The location of these boards is restricted by general rules. The I/O slot designations diagram and the I/O matrix which outline the I/O board placement rules can be found in the Installation Instructions section.

The following is a list of Interface (I/O) boards which may be present in your monitor, depending on your purchased configuration:

-MSL

-Video (analog)

-Philips Clinical Network (LAN wired or wireless)

-Basic Alarm Relay (Nurse Call)

I/O boards:

-PS/2

-MIB/RS232

-USB

-Flexible Nurse Call

-Parallel printer

-Remote devices (Remote Alarm Device, Remote Extension Device)

-IntelliVue 802.11 Bedside Adapter

The specifications for the above listed interfaces can be found in the technical data sheet for the monitor and in the Installation and Specifications chapter of the Instructions for Use.

Data Flow

The following diagram shows how data is passed through the monitoring system. The individual stages of data flow are explained below.

2 Theory of Operation

Monitor Theory of Operation

Data Acquisition

Monitoring data (for example patient measurement data in the form of waves, numerics and alerts) is acquired from a variety of sources:

-Measurement Servers

The Measurement Servers connected to the internal LAN convert patient signals to digital data and apply measurement algorithms to analyze the signals.

-External measurement devices

Data can be also acquired from devices connected to interface boards of the monitor. Software modules dedicated to such specific devices convert the data received from an external device to the format used internally. This applies to parameter modules and the Anesthetic Gas Module.

-Server systems on the Philips Clinical Network

To enable networked applications such as the other bed overview, data can be acquired from server systems attached to the Philips Clinical Network, for example a Philips Information Center

Data Provider System Service

All data that is acquired from measurement servers or external measurement devices is temporarily stored by a dedicated data provider system service. All monitor applications use this central service to access the data in a consistent and synchronized way rather than talking to the interfaces directly.

This service makes the applications independent of the actual type of data acquisition device.

The amount of data stored in the data provider system service varies for the different data types. For example several seconds of wave forms and the full set of current numerical values are temorarily stored in RAM.

Persistent Data Storage System Service

Some applications require storage of data over longer periods of time. They can use the persistent data storage system service. Dependent on the application requirements, this service can store data either in battery backed-up (buffered) memory or in flash memory. The buffered memory will lose its contents if the monitor is without power (not connected to mains) for an extended period of time. The flash memory does not lose its contents.

The trend application for example stores vital signs data in a combination of flash memory and buffered memory, while the system configuration information (profiles) is kept purely in flash memory.

Monitor Theory of Operation

2 Theory of Operation

Display and User Interface Service

Applications can use high level commands to display monitoring data or status and command windows on the internal LCD panel. These commands are interpreted by the display manager application. This application controls the dedicated video hardware which includes video memory and a special ASIC.

User input is acquired from a variety of input devices, for example the SpeedPoint, the touchscreen or other standard input devices (keyboard, mouse) which may be attached to I/O boards. The system software makes sure that the user input is directed to the application which has the operating focus.

Data Output

The monitoring system is very flexible and customizable regarding its data output devices. Built-in devices (for example LAN, alarm lamps, speaker, video) provide the basic output capabilities.

These capabilities can be enhanced by adding additional I/O boards, as required in the specific end-user setup. The additional I/O boards typically provide data to externally attached devices, for example to printers, RS232 based data collection devices, nurse call systems etc.

The monitor can identify I/O boards by means of a serial EEPROM device that stores type and version information. The operating system detects the I/O boards and automatically connects them with the associated (interface driver) application. For some multi-purpose cards it is necessary to configure the card for a particular purpose first (for example the dual MIB/RS232 card can support external touch display , data import, data export).

Monitor Applications

The monitor applications provide additional system functionality over the basic measurement and monitoring capabilities. This includes for example trending, report generating, event storage or derived measurements.

In general, the monitor applications use the data provider system service to access the measurement data. Application interfaces to the other system services allow the application to visualize data, to store data over extended periods of time or to output data to other devices.

2 Theory of Operation

Monitor Theory of Operation

Internal LAN (Measurement Link)

All components of the monitoring system (including measurement servers and CPUs in the monitor) communicate using an IEEE802.3/ Ethernet LAN in the Measurement Link (MSL). This network is used to distribute data between the components, for example:

-Digitized patient signals including wave data, numerical data and status information (typically from the measurement server to a display unit)

-Control data representing user interactions (typically from the display unit to a measurement server)

-Shared data structures, for example representing patient demographical data and global configuration items

The internal LAN allows plug and play configuration of the monitoring system. The system automatically detects plugging or unplugging of measurement servers and configures the system accordingly.

The components on the internal LAN are time-synchronized to keep signal data consistent in the system. Dedicated hardware support for synchronization eliminates any latency of the network driver software.

The integrated LAN provides deterministic bandwidth allocation/reservation mechanisms so that the real-time characteristic of signal data and control data exchange is guaranteed. This applies to the data flow from the measurement server to the monitor (for example measurement signal data) and the data flow from the monitor to a measurement server (for example to feed data to a recorder module).

Integrated communication hubs in the monitor and the FMS allow flexible cabling options (star topology, daisy chaining of servers).

Monitor Theory of Operation

2 Theory of Operation

Philips Clinical Network

The monitoring system may be connected to the Philips Clinical Network, for example to provide central monitoring capabilities or other network services. This connection may be through a normal wired connection or through a wireless connection.

The monitor supports the connection of an external wireless adapter or an internal wireless adapter (#J35). Switching between wired and wireless networks is automatically triggered by the plugging or unplugging of the network cable.

The Philips Clinical Network protocols function very similarly to the protocols used on the internal LAN.

After configuration, the monitoring system sends the digitized patient signals including wave data, numerical data and status information onto the network. Control data representing user interactions can be exchanged between the monitoring system and a central station bi-directionally.

Additional protocols are supported for networked applications, for example for the other bed overview function, which allows viewing of monitoring data from other patients on the network.

For plug and play operation, the monitoring system uses the standard BootP protocol to automatically acquire a network address.

How does the Support Tool Work with the Monitor

The support tool is a Windows application typically installed on the laptop of a customer engineer or a biomedical engineer working in the customer’s own service department.

The purpose of the support tool is to upgrade, configure and diagnose all monitoring components (modules, measurement servers, and monitors) in the system over the network.

The service protocol developed for this purpose uses a raw access to the devices without the need for IP addresses etc. over a standard customer network installation, so that even defective devices can be upgraded as long as the few kBytes of initial boot code are working. The boot code itself can also be upgraded using the same protocol.

The tool allows access to internal service information and to serial numbers. It can be remotecontrolled, for example via a dial-up connection from a response center, provided the proper infrastructure is in place.

For details see the Instructions for Use for the Support Tool.

Philips IntelliVue MP80, IntelliVue 90 User manual

2 Theory of Operation

Monitor Theory of Operation

Monitor Software Block Diagram

shows the functional block diagram for the monitoring system. A legend explaining terms and diagram elements follows. The information below varies depending on the purchased monitor options.

IntelliVue Patient Monitoring System Functional Block Diagram

Monitor Theory of Operation

2 Theory of Operation

Block Diagram Legend

Functional Block	Description
Services
Operating System	The Operating System (OS) provides a layer of isolation
	between the specific hardware implementation and the
	application software. The OS performs system checks and
	allocates resources to ensure safe operation when the
	system is first started. This includes internal self-tests on
	several hardware modules and configuration checks for
	validity of configuration with the operating software.
	During normal operation, the OS continues to run checks
	on system integrity. If error conditions are detected the
	OS will halt monitoring operations and inform the
	operator about the error condition.
System Services	The System Services provide generic common system
	services.
	In particular:
	They use a real-time clock component to track time. They
	synchronize to network time sources and verify the
	accuracy of the system time information. They are also
	responsible for managing persistent user configuration
	data for all Measurement Servers, Flexible Module Racks
	and IntelliVue Patient Monitoring System software
	modules. User configuration data is stored in a
	non-volatile read/write storage device

Applications
Application Server Client	The Application Server Client provides the Citrix1 thin
	client functionality.

2 Theory of Operation

Monitor Theory of Operation

Functional Block	Description
Reports	The Reports Service retrieves current and stored
	physiological data and status data to format reports for
	printing paper documentation. The following reports are
	supported:
	-	Vital Signs Report
	-	Graphical Trend Report
	-	Event Review Report
	-	Event Episode Report
	- ECG Report (12 Lead/Multi-Lead)
	-	Cardiac Output Report
	-	Calculations Report
		(Hemodynamic/Oxygenation/Ventilation)
	-	Calculations Review Report
	-	Wedge Report
	-	Test Report
	- Other reports (e.g. Loops, Review Applications, Drug
		report)
	The Reports service generates report data which can be
	printed on a local or a central printer.
Record	The Record Service retrieves current and stored
	physiological data and status data to format a continuous
	strip recording. A recording can be triggered manually by
	the operator or automatically by an alarm condition. The
	Record Service uses the services of the Recorder Interface
	to control an M1116B Recorder in the FMS. The Record
	Service can also send data to a central recorder.

Monitor Theory of Operation

2 Theory of Operation

Functional Block	Description
Alarm	The Alarm Service contains logic that prioritizes alarm
	conditions that are generated either by the Measurement
	Servers, Flexible Module Rack, or by IntelliVue Patient
	Monitoring System software modules. Visual alarm
	signals (messages) are displayed at the top of the
	IntelliVue Patient Monitoring System display and alarm
	sounds are generated by a loudspeaker. Alarm conditions
	may be generated when a physiological parameter
	exceeds preselected alarm limits or when a physiological
	parameter or any other software module reports an
	inoperative status (technical alarm, for example, the ECG
	leads may have fallen off the patient). The Alarm service
	manages the alarm inactivation states, for example
	suspension of alarms, silencing of alarms, and alarm
	reminder. Alarm signals may also be configured as
	latching (alarm signals are issued until they are
	acknowledged by the operator, even when the alarm
	condition is no longer true). The Alarm service controls
	the visual alarm signals (alarm lamps).
Trend	The Trend service stores the sample values of
	physiological data and status data with a resolution of 12
	seconds, 1 minute or 5 minutes for a period of up to 48
	hours. The data is kept in battery buffered read/write
	storage and flash memory devices to be preserved across
	power failures. The stored data is protected via
	consistency checks and checksums. When a new patient is
	admitted, the trend database erases all data of the previous
	patient.
HiRes	The OxyCRG (Oxygen CardioRespiroGram) service
	derives a high-resolution trend graph from the
	Beat-to-Beat Heart Rate, SpO2 or tcpO2, and Respiration
	physiological data. The OxyCRG is specialized for
	neonatal applications, allowing the operator to identify
	sudden drops in Heart Rate (Bradycardia) and SpO2 or
	tcpO2 (Desaturations), and supporting the operator in
	visualizing Apnea situations.
ADT	The ADT (Admit/Discharge/Transmit) service maintains
	the patient demographics information. The operator may
	admit a new patient, discharge the old patient and enter or
	modify the patient demographics. The ADT service also
	supports the transport of a patient (trend database) with
	the M3001A Multi-Measurement Module. The ADT
	service controls the deletion of old patient data, the
	upload of trend data from the M3001A and the switching
	back of all settings to user defaults. It also synchronizes
	patient information with a central station on the network.

2 Theory of Operation

Monitor Theory of Operation

Functional Block	Description
Calc Param	The Calc Param (Calculated Parameters) service accesses
	current, stored and manually entered physiological data as
	input to calculation formulas. With these formulas,
	derived hemodynamic, oxygenation and ventilation
	variables are computed. The calculation results, including
	the input parameters, are stored for later review using the
	Trend service.
Drug Calc	The Drug Calc application aids in calculating drug
	dosages for patients.
PV Loops	The PV Loops application compares graphic
	representations of airway waves to help detect changes in
	the patient airway condition.
Interface Managers
MDSE	The MDSE (Medical Data Service Element) Interface
	Manager is responsible for the exchange of real-time data
	between the IntelliVue Patient Monitoring System display
	unit and the Measurement Servers and Flexible Module
	Rack as well as between the IntelliVue Patient
	Monitoring System display unit and other devices
	attached to the network. MDSE establishes and maintains
	a data communication link between the devices. It
	provides configuration information about the remote
	device to applications in the local device and it allows the
	exchange of measurement data and status information
	between the devices.
Printer	The Printer Interface Manager provides a high level
	interface to a printer. It provides means to:
	- establish a connection to the printer
	- transfer data to the printer
	- get status of the printer
	- close connection to the printer
	The Printer Interface Manager also supervises the
	connection to the printer and whether the printer accepts
	data (for example paper out). The Printer Interface
	Manager notifies the operator in such cases.

Monitor Theory of Operation

2 Theory of Operation

Functional Block	Description
Display & Operator	The Display and Operator Interface Manager performs the
Interface	following tasks:
	- Screen presentation of real-time and stored
	physiological measurement data, alarm condition data
	and status information received from the MDSE
	interface manager, the Alarm service or other
	IntelliVue Patient Monitoring System modules
	- Screen presentation of operating controls (control
	windows)
	- Processing of operating control commands received
	from HIF Control interface. The module verifies and
	interprets the received commands and forwards them
	to other software modules of the IntelliVue Patient
	Monitoring System display unit, Measurement
	Servers or Flexible Module Rack
	- Sound generation (issues audible alarm signals and
	generates audible information signals, for example
	QRS and SpO2 tones, operator audible feedback)
Interfaces
LAN	The LAN interface implements the physical layer of IEEE
	802.3. The LAN interface performs Manchester
	encoding/decoding, receive clock recovery, transmit pulse
	shaping, jabber, link integrity testing, reverse polarity
	detection/correction, electrical isolation, and ESD
	protection. Electronically separated interfaces are used for
	communication to the Measurement Servers or Flexible
	Module Rack and to the network.
Centronics	The Centronics interface implements the standard
	signaling method for bi-directional parallel peripheral
	devices according to IEEE 1284-I. The interface is used
	as a parallel interface to a standard printer with electrical
	isolation and ESD protection.

2 Theory of Operation

Monitor Theory of Operation

Functional Block	Description
Display Controller	The Display Controller Interface consists of a video
	controller chip, video RAM and the controlling software.
	The Display Controller interface processes the high level
	display commands (character and graphic generation,
	wave drawing) and translates them into pixels, which are
	written into the video RAM where the video controller
	chip generates the video synchronization signals and the
	pixel stream for the Color LCD Display.
HIF Control	The HIF (Human Interface Control) interface scans the
	Human Interface devices for operator controls (Touch
	Screen, Speed Point, USB and PS/2 devices), formats the
	collected data and sends it to the display and Operating
	Interface.
ECG-Out Marker-In	The ECG Out/Marker In interface receives the ECG
	waveform directly from the ECG/Resp Arrhythmia
	ST-Segment physiological algorithm via an RS-422 serial
	interface and converts the digital ECG signal to an analog
	ECG signal. In addition, the ECG Out controller receives
	from a connected device the marker information and
	forwards this data to the ECG/Resp Arrhythmia
	ST-Segment physiological algorithm. The converted
	analog signal is used to synchronize a connected device to
	the patient’s ECG
RS-422	The serial link RS-422 interface communicates the ECG
	signal to the ECG Output/Marker In of the IntelliVue
	Patient Monitoring System display unit. The interface is a
	serial, differential, full-duplex link. The interface is ESD
	protected.
PS/2	The PS/2 interface supports the serial protocol of standard
	PS/2 devices (mouse). The PS/2 serial protocol is
	interpreted by the HIF Control interface.
Nurse Call	The Nurse Call board contains 2 connectors. A phone
	jack type connector and a multi-port connector. The
	phone jack type connector has a single close-on-alarm
	relay. The multi-port connector has three alarm relays
	which are configurable to be open or closed on alarm. In
	addition, this interface has an audible alert capability for
	loss of AC power.
MIB	The MIB interface allows full-duplex, short-haul
	asynchronous binary communication between the monitor
	and an arbitrary (medical/non-medical) device using an
	eight-pin RJ45 modular connector. Switching between
	MIB and RS232 protocol is possible.

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