Philips M3 User manual

Instructions for Use

M3 and M4 Monitor M3046A

Measurement Server M3001A

Measurement Server Extensions

M3015A & M3016A

Part Number M3046-9000E

Reordering Number: 453563481191

Printed in Germany 06/03

Fifth Edition

Notice

This document contains pr oprietar y informat ion whi ch is prot ected by co pyright .
All Rights Reserved. Reproduction, adaptation, or translation without prior
written permission is prohibited, except as allowed under the copyright laws.

Philips Medizin Systeme Boeblingen GmbH
Cardiac and Monitoring Systems
Hewlett-Packard-Str. 2
71034 Boeblingen
Germany

Printed in Germany

Warranty

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

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© 1995-2003 Koninklijke Philips Electronics N.V.
All rights are reserved. Reproduction in whole or in part is prohibited without

the prior written consent of the copyright holder.
Philips Electronics North America Corporation reserves the right to make

changes in specifications or to discontinue any product at any time without
notice or obligation and will not be liable for any consequences resulting from
the use of this publication.

Microsoft, Windows NT and Windows 2000 are trademarks of Microsoft
Corporation in the USA and other countries.

Printing History

New editions of this document will incorporate all material updated since the
previous edition. Update packages may be issued between editions and contain
replacement and additional pages to be merged by a revision date at the bottom
of the page. Note that pages which are rearranged due to changes on a previous
page are not considered revised.

The documentation printing date and part number indicate its current edition.
The printing date changes when a new edition is printed. (Minor corrections and
updates which are incorporated at reprint do not cause the date to change.) The
document part number changes when extensive technical changes are
incorporated.

First Edition. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6/00

Second Edition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11/00

Third Edition. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 05/01

Fourth Edition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 04/02

Fifth Edition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 06/02

Introduction

The M3001A Multi-Measurement Server and the M3046A Compact Portable
Patient Monitor form a flexible, portable, battery or line powered patient
monitor.

The M3001A Multi-Measurement Server and M3016A/M3015A Measurement
Server Extensions acquire the physiological signals ECG, respiration, invas iv e
and non-invasive bl ood pr ess ur e , ox yg en s at urati on o f t he bl oo d, part ia l pressure
of carbon dioxide and temperature. These signals are converted into digital data,
and processed before being communicated to the monitor.

The M3046A Compact Portable Patient Monitor receives the processed data
from the Measurement Server or Measurement Extension, examines it for alarm
conditions and displays it. The monitor also provides operating control s for th e

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user, an optional infrared interface for a printer, and a serial interface for
connection to a standalone XE-50p strip chart recorder from GSI Lumonics.

Data can be transferred via the M3001A Multi-Measurement Server to and from
other M3046A monitors and also the IntelliVue family of patient monitors.

The M3000A Multi-Measurement Server is not compatible with the M3046A
monitor with Revision E software.

Intended Use Statement

Monitors with

a Wireless

Network

Connection

Patient

Population

Environment The devices are intended to be used in a hospital environment and for transport

Device Claims This is not a therapeutic device.

The intended use for these devices are to monitor ECG, respiration, invasiv e and
non-invasive blood pressure, oxygen saturation of the blood, partial pressure of
carbon dioxide and temperature of adult, pediatr ic and neonat al patient s; to
display patient data and waves; to store patient data in a trend database; and to
generate alarms and recordings. It is to be used in a hospital environment and for
transport monitoring by health care professionals. It is not intend e d for home
use.

Monitors with a wireless network connection are intended to be used by skilled
persons, and are intended to be directly connected to the Publicly Available
Interfaces (PAI). This product is subject to and compliant with the European
Directive for Radio Equipment and Telecommunications Terminal Equipment
1999/5/EC, as noted in the Declaration of Conformity.

The devices are intended to be used for adult, pediatric and neonatal patients.
The device must be used only on one patient at a time. EASI 12-lead ECG is
only for use on adult and pediatric patients.ST Segment monitoring is restricted
to adult patients only (see page 170 for further information).

monitoring by trained health care professionals inside and ou tside hospitals.
The devices are not intended for home use.

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CE Compliance

The Philips M3046A Compact Portable Patient Monitor
complies with the requirements of the Council Directive 93/
42/EEC of 14 June 1993 concerning medical devices and
carries CE marking accordingly.

The system also complies with the Council Directive 1999/5/EC of 9 March
1999 concerning radio equipment and telecom mun ications terminal equipment.
The following symbol, CE(!), means that this device is considered Class 2 radio
equipment per Directive 1999/5/EC for which Member States may apply
restrictions on putting the device into service or placing it on the market. This
system is intended to be connected to the publicly available interfaces (PAI).

0366
0560

Warning This product is Class 2 under the scope of the R&TTE. Be aware that

FCC
Compliance

France and Spain use frequencies other than those of the rest of the EEA.
This means that products bought elsewhere might cause problems in France
and Spain and should be avoided

This device complies with Part 15 of the 47 CFR FCC Rules. Operation is
subject to the following two conditions:

(USA)

• this device may not cause harmful radio interference, and

• this device must accept any radio interference received, including
interference that may cause undesired operation.

RSS 210

Operation of the device is subject to the following two conditions:

Compliance
(Canada)

Responsibility of the Manufacturer

• this device may not cause interference, and

• this device must accept any interference, including interference that may
cause undesired operation of the device.

Philips Medical Systems only considers itself resp onsible for any effects on
safety, reliability and performance of the equipment if:

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

• the electrical installation of the relevant room complies with national
standards, an d

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

5

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

Important United States federal law restricts this device to sale by, or on the order of, a

physician.

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Conventions Used in This Book

In This Book

This Instructions for Use is valid for the M3001A Measurement Server and
M3046A Monitor with Revision E software and the M3015A and M3016A
Measurement Server Extensions. It contains all the general information about
the monitor. It is a good place for new users to start because it gives an
introduction to the system and the way it works, shows you how to get started,
and provides complete step by step key pushing information on how to use the
monitor.

To enable you to find information easily, there is a contents list at the front of
the Manual and a comprehensive index at the back.

WarningWarning

Warnings are information you should know to avoid injuring patients and
personnel.

Caution

Cautions are information you should know to avoid damaging your equipment.

Who This Book is For

This book is intended for users who are familiar with the measurements being
made, and already have experience of using monitoring equipment.

Trademarks The following are trademarks of Oridion Medical Inc.: “Microstream”,

“FilterLine”, “Smart CapnoLine”, and “NIV Line”.

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Table of Contents

Intended Use Statement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

CE Compliance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

FCC Compliance (USA) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5

RSS 210 Compliance (Canada) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

Responsibility of the Manufacturer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

Important . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

Conventions Used in This Book . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

Who This Book is For . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

Trademarks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

Basic Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .29

A Quick Description of the Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .30

Front Panel Keys . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30

Front of Monitor (M3046A) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

Back of Monitor (M3046A) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

Measurement Server (M3001A) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32

Measurement Connectors (M3001A) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32

Measurement Server with Invasive Measurement Set

(M3001A #C06, #C18) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33

Measurement Connectors (M3001A #C06) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33

Measurement Server Extensions (M3015A & M3016A) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34

Measurement Server Extension Connectors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35

Main Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36

Before You Start to Use the Monitor. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .36

Basic Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38

The Four Hardkeys . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38

The TouchStrip . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39

The Arrows and the Dot . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39

The SmartKeys and Softkeys . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40

The Corner of the TouchStrip . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41

Setting Up a Measurement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41

Setting Up a Wave . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43

Contents 9

Basic Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44

Selecting a Wave for the Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44

Setting the Waves Speed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45

Switching Measurements On or Off . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45

Checking and Changing the Alarm Limits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46

Printing a Copy of the Current Measurements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46

Recording Strips Locally . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46

Adjusting the Volume . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46

Adjusting the Screen Brightness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47

Setting the Date and Time . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48

Recalling a QuickSet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48

Summary of the SmartKeys . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49

Dealing with Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51

Recommendation for Alarm Configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51

Recognizing Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52

Patient Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52

Technical Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53

Reviewing Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53

Dealing with Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54

Latching and Non-Latching Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54

Silencing Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57

Suspending Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57

Restarting Suspended Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58

Checking and Changing the Alarm Limits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58

Setting Automatic Alarm Limits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59

Changing The Volume of the Alarm Chime . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59

Alarm Recording . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60

Patient Alarm Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61

Technical Alarm Messages (INOPs) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76

Admitting and Discharging Patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93

Selecting the Patient Identification Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 94

Admitting A New Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 95

Changing the Patient Identification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 95

Changing the Patient Category . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 95

Changing the Pacemaker Setting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96

Selecting a QuickSet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 97

10 Contents

Transferring A Patient To Another Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 98

Transferring a Centrally Monitored Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 98

Transferring the Patient with the Measurement Server . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 99

Transferring a Patient with the Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 102

Discharging a Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 103

Communicating with the Information Center . . . . . . . . . . . . . . . . . . . .105

Which Networks are used with the M3046A? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 106

Optimizing Wireless LAN System Performance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 107

Interacting with the Information Center. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 108

Connecting and Disconnecting from the Network . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 108

Operating Remotely at the Information Center . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 110

Recording and Printing at the Information Center . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 110

Configuring the Monitor Label . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 112

Assigning the Monitor to a Care Group . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 113

Troubleshooting the Connection to the Information Center . . . . . . . . . . . . . . . . . . . . . . . . . . . 113

When Connecting a Monitor to the Network . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 113

During Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 114

Viewing Information for Other Patients from the Bedside . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 115

Getting an Overview of the Monitors in Your Care Group . . . . . . . . . . . . . . . . . . . . . . . . 115

Viewing Patient Information from Another Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 117

Measuring the ECG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 121

Considerations when Measuring ECG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 122

Preparing to Measure ECG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 122

About ECG Leads . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 124

ECG Leads Monitored . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 124

Placing the Electrodes for Measuring ECG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 125

5-Electrode Set: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 125

3-Electrode Set (Standard) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 127

3-Electrode Set (MCL

Placement for Paced Patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 129

10-Electrode Set . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 129

EASI ECG Lead Placement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 129

Recommended Placement for Surgical Patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 131

Selecting the ECG Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 131

Switching the ECG Measurement On and Off . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 132

Selecting the Source for the Heart Rate Numeric . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 132

Selecting the Volume of the Tone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 133

) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 128

1

Contents 11

Changing the Heart Rate Alarm Limits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 134

Enabling or Disabling ECG Heart Rate Alarm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 135

Choosing EASI or Standard Lead Placement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 135

Switching Pace Pulse Rejection On and Off . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 135

Paced Patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 135

Warnings for Paced Patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 136

Switching Pace Pulse Rejection On and Off . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 138

Setting the Number of ECG Channels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 138

Setting up the ECG Wave . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 139

Selecting the ECG Wave Channel Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 139

Selecting the ECG Lead . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 139

Changing the Size of the ECG Wave . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 142

Changing the Size of All ECG Waves . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 142

Getting a Cleaner or More Detailed ECG Wave . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 142

Changing the Speed of the ECG Wave . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 143

Selecting ECG Cascading through Empty Waves . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 144

Selecting the Asystole Threshold . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 144

Troubleshooting the ECG Measurement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 144

If the HR Numeric is Displayed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 144

If the HR Numeric Shows -?- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 144

Monitoring Arrhythmia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 147

Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 148

Levels of Arrhythmia Analysis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 149

Basic Arrhythmia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 149

Enhanced Arrhythmia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 150

Ensuring Accurate Arrhythmia Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 151

Alarm Priorities and Timeout Periods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 154

Timeout Periods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 154

Clearing the Timeout Period . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 155

Alarm Chaining . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 155

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 155

Alarm Groupings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 155

Alarm Announcing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 156

Alarm Priority Chains . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 157

Selecting the Arrhythmia Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 159

Switching Arrhythmia Analysis On and Off . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 159

Selecting Single- or Multi-Lead Analysis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 160

Reviewing Beat Labels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 161

Relearning Arrhythmia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 161

12 Contents

Changing the Arrhythmia Alarm Limits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 162

Switching Arrhythmia Alarms On and Off . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 164

Switching Alarms On and Off Individually . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 164

Switching All Yellow Alarms On or Off . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 164

Status Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 165

Rhythm Status Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 165

Ectopic Status Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 167

Troubleshooting the Arrhythmia Analysis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 168

Monitoring ST Segment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 169

Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 170

The Measurement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 171

How the Algorithm Works . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 171

Displayed ST Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 171

Selecting the ST Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 172

Adjusting the measurement points . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 172

Switching ST On and Off . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 174

Changing the ST Alarm Limits. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 175

Switching ST Alarms On and Off . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 175

Troubleshooting the ST Measurement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 175

Measuring Respiration Rate (RESP) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 177

Preparing to Measure Respiration. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 178

Placing the Electrodes for Measuring Respiration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 179

Selecting the Respiration Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 181

Selecting the Respiration Source and Switching Respiration On/Off. . . . . . . . . . . . . . . . . . . . . . 181

Changing how Respiration is Detected. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 182

Adjusting the Manual Respiration Detection Level . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 183

Setting Up the Respiration Wave . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 184

Changing the Size of the Respiration Wave . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 184

Changing the Speed of the Respiration Wave . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 184

Setting Up the Respiration Alarm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 184

Changing the Respiration Alarm Limits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 184

Changing the Apnea Alarm Delay . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 185

Enabling or Disabling Respiration and Apnea Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 185

Troubleshooting the Respiration Measurement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 186

If the RR Numeric is Still being Displayed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 186

If the RR Numeric Shows -?- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 186

Contents 13

Measuring Non-invasive Blood Pressure (NBP) . . . . . . . . . . . . . . . . . . . 187

Preparing to Measure NBP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 188

Starting and Stopping NBP Measurements... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 192

Making a Single NBP Measurement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 193

Making stat NBP Measurements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 193

Making Automatic NBP Measurements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 194

Using the NBP Cuff to Occlude Blood Vessels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 195

Understanding the NBP Numerics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 196

Selecting the NBP Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 197

Switching the NBP Measurement On. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 197

Setting Up the NBP Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 198

Changing the alarm limits. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 198

Enabling the alarms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 199

Troubleshooting the NBP Measurement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 200

If the NBP Numeric Shows -?- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 200

Measuring Pressure, Invasively (PRESS) . . . . . . . . . . . . . . . . . . . . . . . . . 203

Preparing to Measure Pressure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 204

Selecting a Label (and the Label Dependent Settings) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 206

Zeroing the Transducer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 207

Selecting the Pressure Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 209

Switching the Pressure Measurement On . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 209

Setting Up the Pressure Wave . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 210

Changing the Size of the Pressure Wave . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 210

Optimizing the Waveform . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 210

Non-Physiological Artifact Suppression . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 211

Changing the Speed of the Pressure Wave . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 211

Setting Up the PRESS Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 211

Changing the alarm limits. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 211

Enabling the alarms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 212

Setting PRESS as the source for the Pulse . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 213

Calibrating a Disposable Transducer (M1567A/M1568A) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 213

Entering a Known Calibration Factor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 213

Calibrating a CPJ840J6 Transducer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 214

Doing a Mercury Calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 215

Troubleshooting the Pressure Measurement. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 218

If the Pressure Numeric is Displayed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 218

If the Pressure and Pulse Numerics Show -?- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 218

If the Pulse Numeric Shows -?- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 219

14 Contents

Measuring the Oxygen Saturation of Arterial Blood (SpO2) . . . . . . . . . 221

Preparing and Measuring SpO2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 222

Applying the Reusable Transducers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 226

The Adult Finger Transducer (M1191A) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 226

Selecting the SpO
Switching the SpO

Setup. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 229

2

Measurement On . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 229

2

Setting Up the Tone Modulation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 230

Switching the Tone Modulation On . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 230

Changing the Volume of the QRS Tone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 230

Setting Up the SpO

Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 231

2

Changing the alarm limits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 231

Adjusting the Desaturation Alarm Limit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 232

Enabling the alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 232

Testing the Alarm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 232

Setting Up the Pleth Wave . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 233

Changing the Speed of the PLETH Wave . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 233

Setting PLETH as the source for the Pulse . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 233

Troubleshooting the SpO

/PLETH Measurement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 234

2

If the Pulse Numeric Shows -?- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 234

If the SpO

and Pulse Numerics Show -?- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 234

2

Measuring Temperature (TEMP) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 237

Preparing to Measure Temperature . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 238

Selecting the TEMP Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 239

Switching the TEMP Measurement On . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 239

Changing the TEMP Label . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 240

Selecting the ∆ TEMP Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 240

Switching the ∆TEMP Measurement On. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 241

Selecting the Differential Temperature Source . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 241

Setting Up the TEMP Alarms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 242

Changing the alarm limits. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 242

Enabling the alarms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 242

Troubleshooting the TEMP Measurement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 243

If the TEMP Numeric Shows -?- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 243

Measuring Carbon Dioxide Using the Mainstream Method (M3016A) . 245

The CO2 Measurement. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 246

Preparing to Measure CO

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 247

2

Contents 15

Selecting the CO2 Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 249

Switching the CO

Measurement On . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 249

2

Selecting the Respiration Rate Source and Switching AwRR On/Off . . . . . . . . . . . . . . . . . . . . . 250

Setting up the Corrections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 251

Setting Up the CO

Changing the CO
Enabling the CO

and AwRR Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 252

2

alarm limits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 252

2

alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 252

2

Changing the AwRR alarm limits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 252

Changing the Apnea Alarm Delay . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 253

Enabling or Disabling AwRR and Apnea Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 253

Troubleshooting the CO

If the CO
If the CO
If the CO
If the CO
If the CO

Numerics Show -?- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 254

2

Numeric is Displayed with a ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 255

2

Wave is Clipped . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 255

2

Readings are Low . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 255

2

Readings are High . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 255

2

Measurement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 254

2

Measuring Carbon Dioxide Using the Microstream Method (M3015A) 257

The CO2 Measurement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 258

Preparing to Measure CO

Selecting the Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 259

Setting up Microstream CO

Removing Exhaust Gases from the System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 261

Selecting the CO
Switching the CO

Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 262

2

Measurement On . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 262

2

Selecting the Respiration Rate Source and Switching AwRR On/Off . . . . . . . . . . . . . . . . . . . . . 263

Setting up the N
Setting Up the CO

O Correction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 264

2

2

Changing the CO
Enabling the CO

Changing the AwRR alarm limits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 265

Changing the Apnea Alarm Delay . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 265

Enabling or Disabling AwRR and Apnea Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 266

Troubleshooting the CO

If no CO
If the CO
If the CO
If the CO
If the CO
If the CO

Numeric and Wave are Displayed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 266

2

Numerics Show -?- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 266

2

numerics are displayed with a ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 268

2

Wave is Clipped . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 268

2

Values are Low . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 268

2

values are High . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 269

2

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 259

2

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 260

2

and AwRR Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 264

alarm limits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 264

2

alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 265

2

Measurement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 266

2

16 Contents

Examining Trends and Events . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 271

Viewing the Trend . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 272

Selecting a Short or Long Term Trend . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 272

Viewing the Earlier or Later Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 272

Viewing the Data for other Measurements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 272

Printing and Recording the Trend Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 273

Printing the Page of Data from the Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 273

Printing a Set of Trend Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 273

Recording Trend Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 273

Erasing all the Trend Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 274

Storing Events . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 274

Storing an Event Manually . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 274

Inserting a Reference Signal in the Event . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 274

Storing an Event Automatically . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 275

Reviewing Events . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 275

Keeping an Event for Future Reference . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 275

Reviewing the Numerics for an Event . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 276

Reviewing the Wave Strips for an Event . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 276

Printing or Recording an Event . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 277

Deleting an Event . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 277

Deleting all the Events . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 277

Stopping Printouts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 278

Stopping the Current Printout . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 278

Stopping All Printouts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 278

Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 279

General Notes on Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 280

Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 280

Disinfecting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 282

Preventing Cross Contamination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 285

Cleaning the Monitor, Server, Server Extension and Mounting. . . . . . . . . . . . . . . . . . . . . . . . . . 286

Cleaning, Disinfecting and Treating the Transducers

for the Prevention of Cross Contamination. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 287

ECG Cables and Leads . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 287

Cleaning the ECG Cables . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 287

Disinfecting the ECG Cables . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 288

Treating the ECG Cables to Prevent Cross Contamination . . . . . . . . . . . . . . . . . . . . . . . . 288

Contents 17

NBP Cuff . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 289

Cleaning the Disposable NBP Cuff . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 289

Cleaning and Treating the Reusable NBP Cuff

for the Prevention of Cross Contamination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 290

PRESS Transducer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 292

Cleaning the PRESS Transducer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 292

Treating the PRESS Transducer for the Prevention of Cross Contamination . . . . . . . . . . 293

SpO

Transducer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 295

2

TEMP Probes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 296

Mainstream CO

Cleaning the M1460A CO
Treating the M1460A CO

Transducer and Reusable Airway Adapters . . . . . . . . . . . . . . . . . . . . . . . . . . 297

2

Transducer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 297

2

Transducer for the Prevention of Cross Contamination . . . . 298

2

M1465A/14363A Airway Adapters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 299

Microstream CO

(Sidestream) Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 300

2

Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 301

Maintenance Checks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 302

Inspecting the Monitor,

Measurement Server and Measurement Server Extension . . . . . . . . . . . . . . . . . . . . . . . . . 304

Inspecting the Cables and Cords . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 305

Testing that the System Functions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 305

Finding Intermittent Status . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 307

Testing Visual and Auditory Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 308

Using Your Monitor in Patient Transport . . . . . . . . . . . . . . . . . . . . . . . . 309

Using a Vehicle 12V Supply . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 310

Using New Batteries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 310

Maintaining the Battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 311

Finding Out How Much Charge is in the Battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 311

Finding Out How Much Operating Time Remains . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 312

Changing the Battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 312

If the Battery is Discharged (Flat) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 313

If the Battery Needs Conditioning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 313

Troubleshooting Battery Operation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 314

Understanding the

Battery LED . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 314

Understanding Messages in the Battery Gauge . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 315

Understanding Battery Technical Alarms (INOPs) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 315

18 Contents

Installing Your Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 317

Warnings and Precautions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 318

Patient Safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 318

Patient Leakage Current . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 318

Preparing to Install Your Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 318

Power Source Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 318

Protecting against Electric Shock . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 319

Equipotential Grounding . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 320

Combining Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 320

Environment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 321

Explanation of symbols used: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 322

Installing Your Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 325

Unpacking the Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 325

Installing the Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 326

Connecting the Measurement Server... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 327

Attaching the Monitor to a Mount . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 329

Attaching the Measurement Server to a Mount . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 330

Connecting to the Information Center . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 331

Connecting to the Nurse Call Relay . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 331

Connecting to the ECG Output or Marker Input . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 331

Using an Additional Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 332

Basic Trouble shooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 333

Connecting a Printer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 335

Selecting a Printer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 335

Connecting a Local Printer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 337

Connecting a Remote Printer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 337

Trouble-shooting the Printer

Connection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 338

Connecting a Local Recorder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 339

Fitting and Removing the Rubber Bezel Protector . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 341

Disposing of the Monitor, Measurement Server and Measurement Server Extension . . . . . . . . 343

Configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 345

Who this Chapter is For . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 345

What you can Configure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 345

How do I get into Configuration Mode? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 346

How do I leave Configuration Mode? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 347

Contents 19

Configuration Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 348

How does Configuration Mode Work? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 348

How do I Configure a Quick Set? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 351

How do I configure General Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 352

Extra Configuration for the Bed to Bed Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 353

Changing What Happens When Another Monitor in the Care Group has an Alarm . . . . 353

Changing Whether the Care Group Status is Displayed . . . . . . . . . . . . . . . . . . . . . . . . . . 353

Extra Configuration for the ECG Measurement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 354

Selecting the Maximum Number of ECG Channels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 354

Selecting How ECG Filtering Changes during ESU . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 354

Selecting the ECG Wave Default Size . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 354

Selecting the Color for the ECG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 355

Setting the Tachycardia Alarm Limit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 355

Setting the Bradycardia Alarm Limit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 355

Setting the Lead Fallback mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 356

Displaying “All ECG ALARMS OFF” INOP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 356

Extra Configuration for the Arrhythmia Analysis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 357

Setting Time-out Periods for Arrhythmia Yellow Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . 357

Setting the Pause Alarm Threshold . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 357

Displaying an Arrhythmia Off Message . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 357

Displaying “SOME ECG ALARMS OFF” INOP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 358

Extra Configuration for the ST Measurement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 358

Adjusting the ISO, J and ST Points . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 358

Extra Configuration for the RESP Measurement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 359

Selecting the Color for the RESP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 359

Extra Configuration for the SpO

Changing the Averaging Time for SpO

Measurement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 359

2

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 359

2

Changing the Time Elapsed Before the Low Alarm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 359

Changing the Time Elapsed Before the High Alarm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 360

Selecting the Color for SpO

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 360

2

Selecting INOP Suppression during NBP Measurements . . . . . . . . . . . . . . . . . . . . . . . . . . 360

Setting the Desaturation Alarm Delay . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 360

Extra Configuration for the NBP Measurement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 361

Selecting the NBP Unit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 361

Selecting the Reference for the Measurement Method . . . . . . . . . . . . . . . . . . . . . . . . . . . . 361

Selecting the Color for the NBP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 361

Switch on a Beep at the end of the Measurement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 361

Selecting Clock-synchronized Start Time . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 361

Selecting the Pressure for Venipuncture Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 362

20 Contents

Extra Configuration for the PRESS Measurement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 362

Setting Up the PRESS Filter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 362

Setting Up to Measure Mean Pressure Only . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 362

Enabling PRESS Transducer Calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 363

Non-Physiological Artifact Suppression . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 363

Selecting the Unit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 363

Selecting the Color for the Pressure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 363

Extra Configuration for the TEMP Measurement. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 364

Selecting the Unit for the Temperature Measurement . . . . . . . . . . . . . . . . . . . . . . . . . . . . 364

Selecting the Color for TEMP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 364

Extra Configuration for the ∆TEMP Measurement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 364

Selecting the Unit for the ∆Temperature Measurement . . . . . . . . . . . . . . . . . . . . . . . . . . . 364

Selecting the Color for ∆TEMP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 365

Extra Configuration for the CO

Selecting the Unit for the CO

Selecting the Color for CO

Selecting Sampling Method for EtCO

Selecting ImCO

On/Off . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 365

2

Selecting Humidity Correction Method for CO

Measurement. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 365

2

Measurement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 365

2

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 365

2

(and ImCO2 for the Sidestream Method) . . . . . . . 365

2

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 366

2

Extra Configuration for Transferring A Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 366

Changing What Happens Automatically . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 366

Changing Which Settings are Used . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 367

Naming the Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 367

Entering the Hospital Name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 368

Configuring the Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 369

Selecting the Alarms Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 369

Changing How Long Alarms Stay Suspended . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 369

Let User be Reminded of Suspended Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 370

Changing How Alarms Behave Until Silenced . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 370

Changing the Alarm Reminder Behavior . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 371

Changing the Alarm Reminder Time . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 371

Changing Whether Numerics Blink . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 371

Changing the Conditions for the Nurse Call Relay . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 372

Enable Automatic Main Alarms Suspended State . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 372

Selecting Where to Make Alarm Recordings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 373

Extra Configuration for the Events . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 373

Setting Up So that Events are Stored Automatically . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 373

Contents 21

Extra Configuration for the Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 374

Configuring the QRS Sound . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 374

Configuring the Alarm Sound . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 374

Configuring the Prompt Volume . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 375

Setting the Brightness for Battery Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 375

Disabling the Measurement Server Keys . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 375

Changing Whether the Units are Displayed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 375

Changing ESU Filtering . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 376

Selecting Measurements for AutoLimits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 376

Configuring How to Exit from Windows . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 376

Changing Whether the Monitor Should be Connected to the Network . . . . . . . . . . . . . . 377

Changing Whether the Monitor can be Controlled Remotely . . . . . . . . . . . . . . . . . . . . . . 377

Making the Altitude Setting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 377

Changing Which Alarms Trigger a Recording . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 378

Changing Whether a Printer is to be attached . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 378

Selecting the Format for Short Reports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 378

Selecting the Format for Long Reports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 379

List of Configurable Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 380

General Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 380

Quick Set Configuration List for the Measurements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 380

Quick Set Configuration List for Monitoring Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 387

Monitor and Measurement Specifications . . . . . . . . . . . . . . . . . . . . . . . . 393

Monitor and Measurement Server Safety Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 394

Monitor Physical Specifications. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 394

Size . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 394

Weight . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 394

Monitor Environmental Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 395

Temperature Range (without wireless network) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 395

Temperature Range (with wireless network) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 395

Humidity Range . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 395

Altitude Range . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 395

Electrical Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 395

22 Contents

Monitor Performance Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 396

Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 396

Indicators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 396

Interfaces . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 396

Battery (optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 397

Real-time Clock . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 398

Active Settings and Stored Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 398

Trends . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 398

Measurement Server Physical Specifications. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 399

Size . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 399

Weight . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 399

Measurement Server Environmental Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 399

Temperature Range . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 399

Humidity Range . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 399

Altitude Range . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 399

ECG Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 400

Differential Input Impedance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 400

Common Mode Rejection Ratio . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 400

Electrode Offset Potential Tolerance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 400

Auxiliary Current . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 400

Baseline Recovery Time . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 400

Input Signal Range . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 400

Calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 400

Bandwidth . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 401

Arrhythmia Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 401

Cardiotach . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 401

PVC Rate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 401

Limit Alarms for Heart Rate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 401

Alarm Delay . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 402

Extreme Tachy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 402

Extreme Brady . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 402

Run PVCs Limit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 402

PVCs Rate Limit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 402

Vent Tach HR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 402

Vent Tach Run Limit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 403

Vent Rhythm Run Limit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 403

SVT HR Limit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 403

SVT Run Limit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 403

Asystole Threshold . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 403

Pause Threshold . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 403

Contents 23

ST Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 404

ST Numeric . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 404

ST High Limit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 404

ST Low Limit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 404

RESP Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 404

Bandwidth . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 404

Noise . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 404

Respiration Rate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 404

Calibration Signal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 405

Respiration Limit Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 405

Apnea Alarm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 405

SpO

Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 406

2

Range . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 406

Accuracy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 406

Resolution . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 406

Limit Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 406

Pulse Rate Measurement Range . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 407

Pulse Rate Limit Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 407

Display Update Period . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 407

SpO

Transducers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 407

2

NBP Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 408

Cuff Inflation Rate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 408

Auto Mode Repetition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 408

STAT Mode Cycle Time . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 408

Venipuncture Mode Inflation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 408

Adult/pediatric: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 408

Measurement Time . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 408

Accuracy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 409

Heart Rate Range . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 409

Measurement Validation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 409

Adult Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 409

Pediatric Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 409

Neonatal Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 410

24 Contents

PRESS Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 410

Input Sensitivity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 410

Zero Adjustment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 410

Gain Accuracy (excluding transducers) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 410

Overall Accuracy (including transducers) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 411

Transducer Output Impedance: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 411

Volume Displacement (CPJ840J6 Transducer) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 411

Measurement Range: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 411

Frequency Response: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 411

Limit Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 411

Pulse Rate Measurement Range . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 411

Pulse rate Limit Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 411

TEMP Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 412

Measurement Range . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 412

Average Time Constant . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 412

Test Temperature . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 412

Limit Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 412

Measurement Server Extension Physical Specifications

(M3015A and M3016A) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 412

Size . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 412

Weight . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 412

Measurement Server Extension Environmental Specifications

(M3015A and M3016A) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 413

Temperature Range . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 413

Humidity Range . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 413

Altitude Range . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 413

M3016A CO

Mainstream Measurement Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 413

2

Measurement Range . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 413

Warm-up Time . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 413

Accuracy (after 20 minutes warm-up and calibration) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 414

Resolution . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 414

Stability . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 414

Endtidal CO

Inspired minimum (imCO

(etCO2) Limit Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 414

2

) High Limit Alarm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 414

2

Rise Time . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 414

Contents 25

M3015A CO2 Microstream Measurement Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 415

Measurement Range . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 415

Warm-up Time . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 415

Accuracy (after 20 minutes warm-up) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 415

Resolution . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 415

Sample Flow Rate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 415

Rise Time . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 415

Gas Sampling Delay Time . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 416

Endtidal CO
Inspired minimum (imCO

(etCO2) Limit Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 416

2

) High Limit Alarm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 416

2

M3015A/M3016A AwRR Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 416

Range . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 416

Accuracy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 416

Limit Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 417

Apnea Alarm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 417

M3015A/M3016A Press Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 417

M3015A/M3016A Temp. Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 417

M3015A/M3016A Difference Temperature Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 418

Measurement Range . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 418

Accuracy (excluding probe) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 418

Electromagnetic Compatibility (EMC) Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 418

Accessories Compliant with EMC Standards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 418

Electromagnetic Emissions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 418

Electromagnetic Immunity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 419

Recommended Separation Distance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 420

Performing Safety and Performance Tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 423

Accessories and Ordering Information . . . . . . . . . . . . . . . . . . . . . . . . . . 425

ECG Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 426

Trunk Cable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 426

3-Electrode Cable Sets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 426

5-Electrode Cable Sets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 427

10-Electrode Cable Sets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 427

3-Electrode One Piece Cables . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 427

5-Electrode One Piece Cables . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 428

Set Combiner . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 428

Set Organizer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 428

Intra-Atrial (Not Available in the U.S.A.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 428

Bedsheet Clip . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 428

26 Contents

SpO

Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 429

2

Philips Reusable Transducers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 429

Disposable Transducers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 429

NBP Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 431

PRESS Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 434

Pressure Transducer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 434

Disposable Pressure Transducers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 434

Accessories for 1290C Pressure Transducers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 434

PULSION PiCCO Monitoring Kits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 434

Mainstream CO
Microstream CO

Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 435

2

Accessories (Sidestream) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 436

2

TEMP Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 437

Reusable Temperature Probes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 437

Disposable Temperature Probes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 437

Monitor Mounting Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 438

Monitor Accessory Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 438

Server Mounting Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 439

Recorder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 439

Recorder Mounting Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 439

Recorder Paper . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 439

Contents 27

28 Contents

Basic Operation

This chapter includes general operating principles of the monitor (how to read
the information, how to change measurements)

• A Quick Description of the Monitor. . . . . . . . . . . . . . . . . . . . . . . . . . . .30

• Before You Start to Use the Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . .36

• Basic Operation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .38

• Basic Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .44

• Summary of the SmartKeys . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .49

Note There are two versions of the M3046A monitor: M3 and M4. The M3 has 3 wave

channels and the M4 has 4 wave channels. The M4 can be used with the
Measurement Extensions M3015A and M3016A, which allow measurement of
CO

and a second pressure or second temperature.

Important
Information
about Moni­tor compati­bility

2

T o allow easy reco gnition of the M4, also from a distance, there is a yellow label
on the side of the carrying handle.

There are also different options available. The exact performance of your
monitor will depend on which options are i ncluded. Som e sections of this m anual
apply to particular options and may not be applicable to your monitor.

The Release E M3046A monitor is compatible with the M3001A Multi­Measurement Server. None of these parts are compatible with M3046A Release
D software or earlier, or any release of M3000A. To check which software
revisions are on your equipment, press Setup then select Revisions.

Basic Operation 29

A Quick Description of the Monitor

Alarm

WarningWarning

Do not use portable phones in the vicinity of the monitor. Portable phones
may generate excessive radiated fields which can disturb the specified
function of the monitor.

WarningWarning

DO NOT TOUCH THE PATIENT, OR TABLE OR INSTRUMENTS DURING

DEFIBRILLATION.

A Quick Description of the Monitor

This symbol indicates that you should consult accompanying documents
(this guide), and particularly any warning messages.

This symbol on the handle of the monitor indicates that the mon i tor h as a
wireless network interface.

Front Panel Keys

Alarm
Silence/Reset Key

On Off/Standby

On Off/Standby LED

Green when monito r is on

30 Basic Operation

For an explanation of any of the other symbols on this monitor, see “Explanation
of symbols used:” on page 322.

Indicator

Alarm Suspend
Key & Indicator

Silence

Reset

On
Off/Standby

Suspend Setup

AC Power
Battery

Setup
Key

Main
Screen

Main Screen
Key

Battery LED

Green

- Battery full (>95%)

- Battery charging

AC Power LED

Green when AC Power
is Connected

Yellow
Blinking Red

- Battery empty

Front of Monitor (M3046A)

l

c

Interface Port (optional)

P
p

Menu Highlight
Up Key

A Quick Des c ription of the Monitor

Menu Enter
Key

Menu
Highlight
Down Key

TouchStrips

Back of Monitor (M3046A)

Connector to
the Measurement
Server (≤48V)

Link bar

ECG Out/
Marker In (≤12V)

Equipotential
Grounding Post

AC Power
Connector

(100 to 240Va
50/60Hz)

Battery
Compartment

Infra-Red Printer/Seria

Locking Mechanism for
the Measurement Server

Catches for
attaching the
Measurement
Server

LAN/Software Update

Connector (≤5V)

Mounting Plate

rotective earth
in

Connector for an

additional display (≤3.3V)

Nurse Call Relay
Connector (≤36V)

Basic Operation

31

A Quick Description of the Monitor

Measurement Server (M3001A)

Connector
to Monitor

Start/Stop
(for NBP)

STAT
(for NBP)

Alarm
Silence/Reset

Measurement Connectors (M3001A)

SpO

ECG/Resp

Measurement
Connectors

NBP

2

32 Basic Operation

A Quick Des c ription of the Monitor

Measurement Server with Invasive Measurement Set (M3001A #C06, #C18)

Start/Stop
(for NBP)

Connector
to Monitor

Zero
(for Press)

Alarm
Silence/Reset

Measurement Connectors (M3001A #C06)

NBP

SpO

2

ECG/Resp

Press

Temp

Measurement
Connectors

Note:
If a Measurement Serv er Extension
with a second pressure capability is
connected, zero is appl ie d to both
pressures

Note:
Press and Temp cannot
be used at the same time.

Basic Operation

33

A Quick Description of the Monitor

Measurement Server Extensions (M3015A & M3016A)

Catches for
attaching the
Measurement
Server

Connectors
to Monitor &
Measurement
Server

Note:
Measurement Server Extensions
can only be removed with a de dic a te d tool,
and should be done by a biomed or qualified
service personnel. Do NOT re move while monitoring
a patient.

Measurement
Connectors

34 Basic Operation

M3015A with Microstream CO

2

M3015 #C06 with Microstream CO2 plus Invasive Pressure and

Temperature

M3016A #A01 with Mainstream CO

plus Invasive Pressure and

2

Temperature

M3016A #A02 Invasive Pressure and Temperature only (no CO

)

2

Measurement Server Extension Connectors

M3015A Measurement Server Extension

M3015A #C06 Measurement Server Extension

A Quick Des c ription of the Monitor

Note:
Press and Temp

cannot be used

at the same time
on the same Extension

M3016A Measurement Server Extension

Note:
Press and Temp
cannot be used

at the same time
on the same Extension

Sidestream CO

2

Press

Temp

Sidestream CO

2

Press

Temp

Mainstream CO

Basic Operation

(#A01 only)

2

35

Before You Start to Use the Monitor

Bed/MonitorLabel

Main Screen

Network Symbol

Patient Name

Wave

Wave Label

Doe, John

II

Pleth

ABP

NBP

135

Start/Stop

You can return to the display with the waves and the numerics at any time by
pressing the blue Main Screen ke y

QuickSet

1 mV

120

0

/

Patient Size

Auto

101

NBP STAT

Stop All

Time

Sinus Rhythm

60min

17:15

(120)

STOP

Zero

Caregroup Status Symbol

Paced/Non-Paced Symbol

HR

70

SpO

2

PVC
5

97

ABP

120

70

/

(91)

Resp

mean
120

90

12

Store Screen

Trends

Alarm Messages

(Caregroup bed)
(this bed)

90

Numeric

65

100

90

sys.
150
100

Alarm
Limits

Numeric
Label

Alarm Off
Symbol
(measurement)

SmartKey Label/Icon

Before You Start to Use the Monitor

Before you start to take measurements for a patient, carry out the following
checks on the M3046A Monitor, the M3001A Measurement Server and the
M3015A/M3016A Server Extensions, where present:

• Check for any mechanical damage.

• Check all the external leads, plug-ins and accessories.

• Check all the functions of the instrument which will be needed to monitor
the patient, and ensure that the instrument is in good working order.

36 Basic Operation

Before You Start to Use the Monitor

WarningWarning

Do not use the System for any monitoring procedure on a patient if the
monitor is not working properly, or if it is mechanically dam aged. Contact
the hospital biomedical engineer, or your supplier.

Step 1. Switch on the monitor. A self test is performed. (If there are any errors,

see “Basic Trouble shooting” on page 333).
After the self-test, the monitor is ready to use. If you need to make any changes
to the operation or the setup, see the section “Basic Operation”.

Step 2. Make sure the Measurement Server is connected to the monitor.
Step 3. If the patient is already attached to the Measurement Server, you should

see the configured waves and numerics on the display, otherwise

a. Attach any electrodes, probes, or transducers to the patient, or insert

any pressure catheters required for monitoring.

b. Connect the electrodes, probes and transducers to the Measurement

Server.

Basic Operation

37

Basic Operation

Basic Operation

You operate the monitor using

Pressure Sensitive
TouchStrips at
both sides of
the screen

Silence/Reset Suspend

The Corners of
the TouchStrips
activate the bottom
line in the pop-up
windows

23:11

Alarms Suspended

(120)

Stop All

Pedi

HR

100

SpO

2

97

ABP

120

70

/

(91)

17:15

Resp

mean
120

12

90

Store Event

Trends

Setup

Zero

Doe, John

II

Pleth

ABP

NBP

135

1 mV

120

0

Start/Stop

/

60min

101

NBP STAT

four hardkeys below the TouchStrip,

90
70

100

90

sys.
150
100

The arrows and the
dot on the

TouchStrip at both
sides of the screen

SmartKeys or softkeys
on the TouchStrip

Main Screen

below the screen

The Four Hardkeys

38 Basic Operation

Silence/Reset Use this to stop the audible alarm signal, and to reset alarms

indicators for measurements that are no longer in an alarm
condition.

Basic Operation

Suspend Use this to stop the monitor checking for patient and technical

(INOP) alarm conditions. To restart checking, press this key
again.
The Alarm Suspend indicator beside the key lights while the
alarms are suspended.
Depending on the configuration, the monitor may start
checking again automatically after a fixed time (the amount of
time for which the alarms will stay suspended is displayed in
this case).

Setup Use this key to setup the monitor. All of the monitor setup can

be accessed from the setup menu, along with the
measurements for the Measurement Server that is connected,
even if the measurement is not displayed on the screen.

Main Screen Use this key to return to the main screen with the waves and

numerics at any time.

The TouchStrip

The Arrows and the Dot

The TouchStrips at the left and right of the screen, and below it have two
pressure levels

Touch Press lightly on the TouchStrip to highlight something on the

screen. If you are on the main screen, touching the TouchStrip will
highlight the wave, numeric or SmartKey closest to your finger.

Press Press harder on the TouchStrip to select the currently highlighted

item.

Practice a few times to get to know the pressure difference between touching
and pressing reliably - you can practice by first highlighting and then selecting
the “Trends” SmartKey (press the blue Main Screen key to get back to the
main monitoring screen).

In a menu, touch the up or down arrow on the TouchStrip to move the highlight
to the next item.

If you hold your finger on the arrow, the highlight will continue moving through
the items in the menu.

Basic Operation

39

Basic Operation

Press on the dot to select the item.

Note—You can also glide your finger to “drag” the highlight.

If you glide your finger to the arrow at the top or bottom of the T ouch Strip
and hold it there, the highlight will continue moving through the items in
the menu at the same speed.
You can use this to move through a menu quickly.
You can continue using the arrow keys for moving the highlight to nearby
items.

The SmartKeys and Softkeys

The SmartKeys are at the bottom of the Main screen. They give you fast access
to selected functions. A selection of SmartKeys are made for your monitor at the
factory, but these can be changed by your biomedical engineering staff or
Philips representative.
You can get access to other SmartKeys by pressing the TouchStrip beneath the

and the symbols.

In certain circumstances, such as when you are admitting a patient or examining
trend data, the SmartKeys are replaced by softkeys.

To highlight a SmartKey or a softkey, lightly touch the TouchStrip beneath it.
To select a SmartKey or a softkey, press harder on the TouchStrip beneath it.

mean

/

135

Silence/Reset Suspend

101

Start/Stop

NBP STAT

(120)

Stop All

120

12

90

Store Event

Trends

Setup

Main Screen

Zero

40 Basic Operation

Basic Operation

97

High Limit
Low Limit

120

:

The Corner of the TouchStrip

Setting Up a
Measure­ment

1. If you have a window open on the screen, the left and right
lower corners of the TouchStrip activate the function displayed
on the bottom line of that window.

ABP

120

NBP

135

0

Start/Stop

HR from

ECG

/

60min

101

NBP STAT

(120)

Stop All

:

ECG

:

17:15

ABP

120

On

Zero

mean
120

More

90

Resp

12

Store Event

(91)

/

Trends

sys.
150
100

70

If the contents of a window is more than 8 lines long, the corners activate the
More to page down.
If you have paged down to the very bottom of a menu, the corners activate the
Exit, to close the menu.

Step 1. Highlight a measurement by lightly touching the TouchStrip beside the

numeric for that measurement. If there are two numerics next to each
other, move your finger on the TouchStrip until the one you want is
highlighted.

arms Suspended

HR

Non-paced mode

90
70

2.5 -3.0

1.2

2

100

90

sys.
150
100

70

/

33

100

ST

SpO

97

ABP

120

(91)

Resp

12

Trends

Store Event

Step 2. Select the highlighted measurement by pressing the TouchStrip.
The menu for that measurement is displayed.

Basic Operation

41

Basic Operation

100

100

100

Step 3. Highlight the setting yo u want us ing the up or down arro w on the

TouchStrip, or by gliding your finger along the TouchStrip.

SpO

2

100

97

ABP

120

On

Zero

mean
120

More

90

Resp

12

Store Event

(91)

90

sys.
150
100

70

/

Trends

Setup

Main Screen

art/Stop

Alarms

High Limi t

Low Limit
HR from

ECG

/

101

Suspend

60min

NBP STAT

Setup ECG

:
:
:

:

:

(120)

Stop All

On

120

65

ECG

17:15

Step 4. Select the setting by pressing the dot on the TouchStrip

Setup ECG

art/Stop

Alarms

Channel
High Limit

Lead

Low Limit

Size Up
Size Down

HR from
Alarms
High Limit

ECG

Low Limit

/

101

60min

NBP STAT

Setup ECG

:

:

:

:

:
:

:
:

:

:

(120)

Stop All

On

ECG 1

120

MCL

ECG

On

120

On

17:15

SpO

2

100

/

Trends

90

sys.
150
100

70

97

ABP

120

80

Zero

More

mean
120

More

90

Resp

12

Store Event

(91)

42 Basic Operation

If there are a number of possible settings, these will be displayed and you
highlight the setting you want, and then select it.

Setup ECG

el

mit

mit

wn

imit
mit

min

Setup ECG

:

:

On

ECG

120

:

:

MCL

:

ECG

:

:

On

:

:

:

On

120

17:15

80

145
140
135
130
125
120
115
110

Cancel

mean
120

SpO

97

ABP

120

(91)

Resp

2

100

90

sys.
150
100

70

/

If there are only two possible settings, selecting the setting will change the
setting.

Basic Operation

u

2

9

1

s

Setup ECG Channel 1

If you want to cancel editing without changing the setting, press the
bottom right or left hand corner to cancel.

Step 5. Continue editing settings until you have set up the measurement

Step 6. Press the blue Main Screen key, press the bottom right or left hand

corner to exit, or move the highlight to “Exit” at the very bottom of the
menu then press the TouchStrip.

Setting Up a Wave

Step 1. Highlight the wave by lightly touching the TouchStrip beside it

23:11

Alarms S

Doe, John

II

Pleth

ABP

NBP

1 mV

120

0

60min

Pedi

HR

ST
SpO

ABP

1

17:15

Re

mean

Select the highlighted wave by pressing the TouchStrip.
The list of waves are displayed.

Step 2. Press on the TouchStrip again to get the wave setup.
Step 3. Highlight the setti ng you wa nt to edit by touc hing or ho ldi ng your

finger on the up or down arrow on the TouchStrip, or by gliding your
finger along the TouchStrip.

Step 4. Select the setting by pressing the dot on the TouchStrip.

:

Lead
Size Up
Size Down

Next Channel
Setup ECG

/

rt/Stop

60min

101

NBP STAT

MCL

17:15

(120)

Stop All

SpO

2

100

/

Trends

90

sys.
150
100

70

97

ABP

120

(91)

More

Resp

mean
120

12

90

Zero

Store Event

Suspend

Setup

Main Screen

Basic Operation

43

Basic Setup

u

2

9

1

s

1

E

Basic Setup

If the setting has a number of possible settings, these will be displayed and
you highlight the setting you want, and then select it.
If the setting only has a two possible settings, selecting the setting will
change the setting.
If you want to cancel editing without changing the setting of a setting,
press the bottom right or left hand corner to cancel.

Step 5. Continue editing settings until you have set up the wave.

Step 6. Press the blue Main Screen key, press the bottom right or left hand

corner to exit, or move the highlight to “Exit” at the very bottom of the
menu then press the TouchStrip.

Selecting a Wave for the Screen

44 Basic Operation

Step 1. Highlight the position on the screen where you want the wave to be

placed by touching the TouchStrip beside the position.

23:11

Alarms S

NBP STAT

(120)

Stop All

Pedi

17:15

HR

ST
SpO

ABP

1

Re

mean
120

90

Zero

Store

Doe, John

II

1 mV

Pleth

ABP

120

0

NBP

60min

135/101

Start/Stop

Silence/Reset Suspend

Step 2. Select the position by pressing the TouchStr ip.

The available waves for the position are displayed (the wave is only
available if the measurement is switched on).

Basic Setup

Step 3. Highlight the wav e y ou want using th e u p or down arrow on the

TouchStrip, or by gliding your finger along the TouchStrip.

If you select Blank, the position will be kept clear (unless an ECG wave
cascades into the position).
(If you do not assign a wave, and do not mark the position Blank, then one will
be assigned automatically when you plug in a transducer that produces a wave.)

Step 4. Select the wave by pressing the TouchStrip.

If you want to exit editing without changing the wave, press the Main
Screen key.

You can also assign a wave to a position in the setup menu. Press the Setup key
then select Waves.

Setting the Waves Speed

Switching
Measure­ments On or
Off

Changing the Waves Speed does not affect the speed of respiratory waves. You
must set the speed of the respiratory waves separately (see “Changing the Speed
of the Respiration Wave” on page 184).

To set the wave speeds for all the waves on the screen,

Step 1. Press the Setup key.
Step 2. Move the highlight to “ Speed”.

This will set the speed for the waves except the respiration waves.

Step 3. Press on the TouchStrip.
Step 4. Select the appropriate setting.
Step 5. Select “Resp Speed”.

This will set the speed of the respiration waves.

Step 6. Select the appropriate setting.
Step 7. Exit the Setup menu.

To switch a particular measurement on or off, use the setup for that
measurement (see “Setting Up a Measurement” on page 41).

Basic Operation

45

Basic Setup

Checking and Changing the Alarm Limits

Printing a
Copy of the
Current
Measure­ments

Recording Strips Locally

Adjusting the Volume

To check or change the alarm limits for a particular measurement, use the setup
for that measurement (see “Setting Up a Measurement” on page 41).

Caution

Make sure that the printer or recorder is connected and switched on before you
start printing or recording.

To print a copy of the current measurements to a connected printer,
press the Print Screen SmartKey (you may have to press or

to find this SmartKey, if it is configured).

Two types of local recording can be made: a real-time recording and a delayed
recording.

A real-time recording is started by pressing the Local Record
SmartKey. When a recording is running, you can stop it by pressing
the key again.

A delayed recording can be started by pressing the Local
Delayed SmartKey. Pressing the key again will extend the
recording.

WarningWarning

If you switch the Alarm Volume off, you will not get any audible indication
of alarm con d i tions.

Local
Record

Local
Delayed

46 Basic Operation

Step 1. Highlight the QRS Volume SmartKey to see the current

setting for the volume of the QRS tone (you may have to press

or to find this SmartKey, if it is configured).

Step 2. Press the QRS Volume SmartKey repeatedly to select the volume of

the QRS tone,.
The volume can be set from 1 to 10 (or 0, which is off, if this has not been

Basic Setup

disabled). The current setting for the volume is displayed on the prompt
line as you press the SmartKey or touch it for 1/2 second.

Step 3. Highlight the Alarm Volume SmartKey to see the current

setting for the volume of the alarm tone (you may have to press

or to find this SmartKey, if it is configured).

Step 4. Press the Alarm Volume SmartKey repeatedly to select the volume

of the Alarm tone,.
The volume can be set from 1 to 10 (or 0, which is off, if this has not been
disabled). The current setting for the volume is displayed on the prompt
line as you press the SmartKey or touch it for 1/2 second.

OR

Step 1. Press the Setup key.
Step 2. If you want to change the setting for the QRS volume,

a. Move the highlight to “QRS Volume”.
b. Press on the TouchStrip.
c. Select the level for the QRS volume.

Step 3. If you want to change the setting for the alarm volume,

a. Move the highlight to “Alarm Volume”.
b. Press on the TouchStrip.
c. Select the appropriate setting for the alarm volume.

Step 4. Exit the Setup menu.

Adjusting the Screen Brightness

Step 1. To change the Brightness of the screen, press th e

Brightness SmartKey (you may have to press or to
find this SmartKey, if it is configured).
OR

a. Press the Setup key
b. Move the highlight to “Brightness”.

Step 2. Press on the TouchStrip.
Step 3. Select the appropriate set ting f or the scr een br ightness . 10 is t he

brightest, 1 the least bright and Optimum allows the monitor to adapt the
brightness automatically.

Step 4. Exit the Setup menu.
The brightness of the screen is reduced automatically when you power the
monitor from the battery, if it has been configured by your biomedical engineer.

Basic Operation

47

Basic Setup

Setting the Date and Time

WarningWarning

Changing the date or time will affect the storage of trends and events

Step 1. Highlight the area at the top left of the screen by touching the

TouchStrip beside it and select it by pressing the TouchStrip.
OR
Press the Setup key.

Step 2. Move the highlight to “ Date, Time”.
Step 3. Highlight, then select the appropriate setting for the Year, Month, Day,

Hour (in 24 hour format, only) and Minute as necessary.

Step 4. Highlight and select Store Date, Time to change the date and

time.

Recalling a QuickSet

The default sets that are set in the factory for the monitor are described in
“Selecting a QuickSet” on page 97. A QuickSet is broadly equivalent to a
Profile in the IntelliVue family of patient monitors.

Note—If you change the QuickSet, any currently active automatic NBP

measurement will be stopped.
Step 1. To get into the QuickSets menu, press the QuickSets

SmartKey (you may have to press or to find this
SmartKey, if it is configured).
OR

a. Highlight the area at the top left of the screen (where the current

QuickSet is displayed) by touching the TouchStrip beside it and
select it by pressing the TouchStrip.

OR

b. Press the Setup key.

c. Move the highlight to “QuickSets”.

Step 2. Press on the TouchStrip.
The current QuickSet is highlighted, and displayed with an asterisk (*) beside it.
It is also displayed at the top left of the screen.

Step 3. Highlight the setting you want, and press on the TouchStrip to select it.
Step 4. Exit the Setup menu.

48 Basic Operation

Summary of the SmartKeys

See “Printing a Copy of the Current Measurements” on
page 46

See “Adjusting the Screen Brightness” on page 47.

See page 47 or “Changing The Volume of the Alarm Chime”
on page 59.

See “Selecting the Patient Identification Menu” on page 94.

See page 48 or “Selecting a QuickSet” on page 97.

See page 46 or “Selecting the Volume of the Tone” on page

133.
See “Making a Single NBP Measurement” on page 193 and

“Making Automatic NBP Measurements” on page 194.
See “Making stat NBP Measurements” on page 193.

Summary of the SmartKeys

“Making a Single NBP Measurement” on page 193 and
“Making Automatic NBP Measurements” on page 194.

See “Using the NBP Cuff to Occlude Blood Vessels” on page

195.
See “Zeroing the Transducer” on page 207.

See “Viewing the Trend” on page 272.

See “Storing an Event Manually” on page 274.

See “Reviewing Events” on page 275.

See “Setting Automatic Alarm Limits” on page 59.

Basic Operation

49

Summary of the SmartKeys

See “Setting Automatic Alarm Limits” on page 59.

See “Reviewing Beat Labels” on page 161.

Switches on Standby mode.

See “Relearning Arrhythmia” on page 161.

See “Changing the Size of the ECG Wave” on page 142.

See “Recording and Printing at the Information Center” on
page 110.

Record

See “Recording and Printing at the Information Center” on
page 110.

Delayed

Rec.

See “Recording Strips Locally” on page 46.

50 Basic Operation

Local

Record

See “Recording Strips Locally” on page 46.

Local

Delayed

See “Viewing Information for Other Patients from the Bed­side” on page 115.

Recommendation for Alarm Configuration

Dealing with Alarms

This chapter is about recognizing alarms, responding to alarms, setting up
alarms, and recording alarms.

A list of the physiological patient alarms, and the technical alarms (INOPs) is
given at the end of the chapter.

• Recognizing Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52

• Dealing with Alarms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54

• Silencing Alarms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57

• Suspending Alarms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57

• Checking and Changing the Alarm Limits . . . . . . . . . . . . . . . . . . . . . . 58

• Changing The Volume of the Alarm Chime . . . . . . . . . . . . . . . . . . . . . 59

• Alarm Recording. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60

• Patient Alarm Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61

• Technical Alarm Messages (INOPs). . . . . . . . . . . . . . . . . . . . . . . . . . . 76

Recommendation for Alarm Configuration

When using Arrhythmia Analysis it is recommended that both visual and
audible alarms are set to latching, or at least the visual red alarms.

During attended monito r ing (for example in the Operating Room), latching for
visual and audible alarms may be configured to OFF.

During unattended monitoring, it is recommended that both visual and audible
alarms are set to latching for red and yellow alarms.

See “Latching and Non-Latching Alarms” on page 54 for a description of
latching and non-latching behavior.

See “Changing How Alarms Behave Until Silenced” on page 370, for how to
make VisLatching and AudLatching settings.

Dealing with Alarms

51

Recognizing Alarms

Recognizing Alarms

Patient Alarms

There are three types of patient alarm:

• A Red Alarm indicates a high priority patient alarm such as a life
threatening situation (for example, asystole).

• A Yellow Alarm indicates a lower priority patient alarm, (for example, a
blood pressure limit alarm).

• A Yellow Arrhythmia Alarm is specific to arrhythmia-related patient
conditions (for example, the ventricular bigeminy alarm).

Patient alarms are indicated by visual indicators and a sound.
The sound indicators for a patient alarm are as follows (if the volume has not

been turned down. See “Changing The Volume of the Alarm Chime” on
page 59):

• If there is a Red Alarm, the sound is higher pitched and repeated once a
second.

• If there is a Yellow Alarm (and no Red Alarms), the sound is lower
pitched and repeated every two seconds.

• If there is a Yellow Arrhythmia Alarm, the sound is at the same pitch as
the Yellow alarm but lasts for only 5 seconds.

The visual indicators for a patient alarm are:

• A message at the top right of the screen. Only the highest priority alarm
for a measurement is shown. If more than one measurement is in an alarm
condition, the message will change every 2 seconds, and it will have an
arrow ( ) at the side. [See “Reviewing Alarms” on following page for
how to see all current messages.]
For a red alarm, the message starts with three stars (***)
For all yellow alarms, the message starts with two stars (**)

• The numeric of the measurement in alarm blinks.

• A red or yellow lamp on the front panel blinks.

• If the alarm is due to the value for a measurement crossing an alarm limit,
and if this limit is displayed on the screen, then that alarm limit is
highlighted.

52 Dealing with Alarms

Reviewing Alarms

• The alarm condition is also indicated on any device connected to the

Nurse Call Relay at the rear of the monitor, if the monitor is so configured
(see “Changing the Conditions for the Nurse Call Relay”).

Technical Alarms

Technical alarms (referred to as INOPs) indicate that the monitor cannot
measure or detect alarm conditions reliably. They are signalled by a message at
the top left of the screen (only the highest priority technical alarm is displayed
for a measurement). If more than one measurement has a technical alarm, the
message will change every 2 seconds, and it will have an arrow ( ) at the side.
Technical alarm conditions which cause an interruption of valid data and alarm
detection (for example, LEADS OFF) have an audible indicator (a different
sound at the same pitch as the yellow patient alarm, and repeated every 2
seconds).
Technical alarms without this audible indicator indicate that there might be a
problem with the validity of the data.

Reviewing Alarms

If more than one measurement is in an alarm condition, the message shown at
the top right of the screen will change every two seconds and it will have an
arrow ( ) at the side. To see a list of all current alarm messages, press on the
TouchStrip next to the alarm message.

To review all recent alarms, press the softkey Review Alarms. A window
with all the latest alarms is displayed, including any changes in the Alarms On/
Off or Alarms Silenced status.

If there is more than one alarm active within a channel, only the one with the
highest priority will be displayed in the corresponding text field, but all affected
numerics blink if alarms are active.

Dealing with Alarms

53

Dealing with Alarms

Dealing with Alarms

Latching and
Non­Latching
Alarms

Red & Yellow Parameter

Alarms

Silence/
Reset has

NOT been
activated.

Alarm
condition is
present

Alarm
condition no
longer present.

Alarm latching behavior for audible and visual alarms can be set separately. In
the alarm setup you can choose between three possible settings for Visual
Latching (Red&Yellow, Red Only, OFF) and up to three choices for Audible
Latching:

• Latching for Red and Yellow alarms (AudLatching or VisLatching set to
<Red&Yell> in the alarm setup).

• Latching for Red alarms only (set to <Red Only> in the alarm setup).

• Non-latching for all alarms (AudLatching or VisLatching set to <Off> in
the alarm setup).

Note—VisLatching can never be set for fewer alarms than AudLatching (this

means that it is e.g. not possible to set VisLatching to <Off> and at the same
time AudLatching to <RedOnly>)

How to set the latching setting for the alarm is described in “Changing How
Alarms Behave Until Silenced” on page 370.

The following tables describe the alarm behaviors for parameter and arrhythmia
alarms:

Visual latching

Non-latching alarms Latching alarms

Audible alarm sounds. Visual alarm message shown. Numerics blink.

Audible and Visual

alarms and blinking

numerics

automatically

reset.

Audible alarm sounds.

Visual alarm message

shown. Numerics

blink.

Audible non-latching

Visual alarm message

shown.

Numerics blink.

Audible alarm

automatically

resets.

54 Dealing with Alarms

Dealing with Alarms

Red & Yellow Parameter

Alarms

Silence/
Reset has

been
activated.

Alarm
condition is
present.

Alarm
condition no
longer present

Yellow Arrhythmia

Alarms

Silence/
Reset has

NOT been

Alarm
condition is
present

activated.

Alarm
condition no
longer present.

Silence/
Reset has

been
activated.

Alarm
condition is
present.

Alarm
condition no
longer present.

Visual latching

Non-latching alarms Latching alarms

Audible non-latching

Audible alarm silenced. Audible alarm re-soun ds every 1, 2 or 3 mi nu tes

if configured.

Visual alarm message shown and numerics blink.

Audible and Visual alarms and blinking numerics reset.

Visual latching

Non-latching alarms Latching alarms

Audible non-latching

Audible alarm sounds for 5 seconds.

Visual alarm message shown and numeric blinks for at least 3 minutes.

Time-out period begins when alarm activated.

Visual alarm message disappears and numeric stops blinking after 3

minutes.

Visual alarm message shown and numeric blinks until condition clears.

Time-out period continues.

Visual alarm message disappears and numeric stops blinking.

Dealing with Alarms

55

Dealing with Alarms

Red Arrhythmia Alarms

Silence/
Reset has

NOT been

Alarm
condition is
present

activated.

Alarm
condition no
longer present.

Non-latching alarms Latching alarms

Audible alarm sounds. Visual alarm message shown. Numeric blinks.

Audible and Visual

alarms and blinking

numerics

automatically

reset.

Audible alarm sounds.

Visual alarm message

shown. Numerics

a

blink.

Visual latching
Audible non-latching

Visual alarm message

shown. Numerics

Audible alarm

automatically

Silence/
Reset has

been
activated.

Alarm
condition is
present.

Audible alarm silenced. Audible alarm re-soun ds every 1, 2 or 3 mi nu tes

if configured. Reminder can be configured to either remind (short

reminder tone) or to ReAlarm (treated as new alarm)

Visual alarm message shown and numerics blink.

Alarm
condition no

Audible and Visual alarms and blinking numerics reset.

longer present.

a. For episodic alarms such as V-Tach or pause alarms, this may result in a very short alarm

sound and visual message.

b. For episodic alarms such as V-Tach or pause alarms, this may result in a very short alarm

sound.

blink.

resets.

b

56 Dealing with Alarms

Silencing Alarms

Silencing Alarms

To stop the audible alarm indications, press the Silence/Reset key on the
Measurement Server (if it is enabled), or on the Monitor. If the patient is
centrally monitored, an alarm can also be silenced from the Philips Information
center (when Remote Silence is enabled, see “Configuring the Alarms” on page

369).
The visible alarm indicators will stop too, if the alarm conditions no longer exist.

Note Silencing an INOP which results from a disconnected transducer will normally

cause the associated measurement to be switched off. When such an INOP is
silenced from the Information Center, the measurement will not be switched off.

Suspending Alarms

To stop the monitor indicating alarms, press the Suspend key.
While the alarms are suspended the red light with a crossed bell beside the

Suspend key stays on, and the message Alarms Suspended is
displayed at the upper right corner of the screen.

The alarms can be suspended for 1 m inute, 2 minutes, 3 minutes or
infinitely. If the alarms have been suspended for 1, 2 or 3 minutes, the
remaining time is displayed with the Alarms Suspnd message. (See
“Changing How Long Alarms Stay Suspended” on page 369 about
configuring a restart period)

While alarms are suspended, no alarm messages are shown, INOPs are
shown, but there is no sound, and the Nurse Call relay is not active.

Dealing with Alarms

57

Checking and Changing the Alarm Limits

Restarting Suspended Alarms

• If the monitor has been configured to only stay suspended for 1, 2 or 3
minutes, the monitor will start indicating alarms again after the
suspension period, or as soon as you press the Suspend key a second
time.

• If the monitor has been configured to stay suspended infinitely, you
will have to press the Suspend key again to restart the monitor
checking for alarm conditions.

Checking and Changing the Alarm Limits

There are two ways to set alarm limits.
You can set individual limits for each measurement as described in the

“Changing the Alarms” section in each of the measurement chapters.
You can also use the AutoLimits function of the monitor which sets limits for

you based on the trended measurement values for each measurement. The limits
are set when you use one of the AutoLimits SmartKeys (see “Setting
Automatic Alarm Limits” below) and will remain unchanged until you set them
again or change them manually. There are two SmartKeys:

Limits Narrow Sets limits close to the currently measured values for

situations where it is critical for you to be informed
about small changes in the vital signs

Limits Wide Sets limits further away from the currently measured

The measurements to be affected by the AutoLimits setting can be configured in
the password-protected Config operating mode.

58 Dealing with Alarms

values for situations where small changes are not so
critical.

Changing The Volume of the Alarm Chime

Setting Automatic Alarm Limits

Caution When AutoLimits have been set, you must check the limits to ensure that

Step 1. Press the Limits Wide or Limits Narrow SmartKey (you may

have to press or to find these SmartKeys if they are configured).

Step 2. Select the appropriate setting: All for AutoLimits on all measurements

on the list or a specific measurement from the list for AutoLimits on that
measurement.

they are appropriate for your individual patient and their clinical condition.
Most limits can be seen next to the appropriate waves or numerics on the
Main Screen. If necessary, individual limits can be adjusted as described in
the “Changing the Alarms” section in each of the measurement chapters.

Changing The Volume of the Alarm Chime

WarningWarning

If you switch the Alarm Volume off, you will not get any audible indication
of alarm conditions.

Step 1. Highlight the Alarm Volume SmartKey to see the current

setting for the volume of the alarm tone (you may have to press

or to find this SmartKey, if it is configured).

Step 2. Press the Alarm Volume SmartKey repeatedly to select the volume

of the Alarm tone,.
The volume can be set from 1 to 10 (or 0, which is off, if this has not been
disabled). The current setting for the volume is displayed on the prompt
line as you press the SmartKey.

Dealing with Alarms

59

Alarm Recording

OR

Step 1. Press the Setup key.
Step 2. Move the highlight to “ Alarm Volume”.
Step 3. Press on the TouchStrip.
Step 4. Select the level for the alarm volume.
Step 5. Exit the Setup menu.

Alarm Recording

If a local recorder is connected to the monitor via the optional serial interface, or
if the monitor is connected to a network, you can make alarm recordings. In
configuration mode, you can select the local recorder or the Information Center,
or both, to record alarms (See “Selecting Where to Make Alarm Recordings” on
page 373). If one of the configured alarms occurs, a recording for that alarm is
requested from the Information Center or started at the local recorder.

60 Dealing with Alarms

Patient Alarm Messages

The alarms are listed alphabetically in the table (irrespective of their priority).
Technical alarms are listed in the section “Technical Alarm Messages (INOPs)”

on page 76.

Physiological Alarms

Patient Alarm Messages

Alarm Message

***ABP
DISCONNECT

Measurem
ent

Condition Visual Indication

PRESS Mean pressure is

continuously less than
10mmHg (1.3kPa)

** ABP HIGH PRESS Pressure above high

alarm limit
The s, d, or m after the
label indicates whether it
is the systolic, diastolic
or mean pressure that has
crossed the limit.

** ABP LOW PRESS Press ure below low

alarm limit
The s, d, or m after the
label indicates whether it
is the systolic, diastolic
or mean pressure that has
crossed the limit.

*** APNEA RESP The respiration has

stopped for longer than
the preset apnea time

ABP numeric
blinks,
Red alarm lamp

ABP numeric
blinks,
Yellow alarm lamp.
High limit is
highlighted only if
the pressure is
configure d for
single alarming

a

.

ABP numeric
blinks, Yellow
alarm lamp. Low
limit is highlighted
only if the pressure
is configured for
single alarming

a

.

RR numeric blinks,
Red alarm lamp

Audible
Indication

A chime
every
second.

A chime
every 2
seconds.

A chime
every 2
seconds.

A chime
every
second.

*** APNEA CO

AwRR

2

The respiration has
stopped for longer than
the preset apnea time

AwRR numeric
blinks,
Red alarm lamp

Dealing with Alarms

A chime
every
second.

61

Patient Alarm Messages

Physiological Alarms

Alarm Message

***ART
DISCONNECT

Measurem
ent

Condition Visual Indication

PRESS Mean pressure is

continuously less than
10mmHg (1.3kPa)

** ART HIGH PRESS Pressure above high

alarm limit
The s, d, or m after the
label indicates whether it
is the systolic, diastolic
or mean pressure that has
crossed the limit.

** ART LOW PRESS Pressure be low low

alarm limit
The s, d, or m after the
label indicates whether it
is the systolic, diastolic
or mean pressure that has
crossed the limit.

***Ao
DISCONNECT

PRESS Mean pressure is

continuously less than
10mmHg (1.3kPa)

ART numeric
blinks,
Red alarm lamp

ART numeric blinks
Yellow alarm lamp.
High limit is
highlighted only if
the pressure is
configure d for
single alarming

a

.

ART numeric blinks
Yellow alarm lamp.
Low limit is
highlighted only if
the pressure is
configure d for
single alarming

a

.

Ao numeric blinks,
Red alarm lamp

Audible
Indication

A chime
every
second.

A chime
every 2
seconds.

A chime
every 2
seconds.

A chime
every
second.

** Ao HIGH PRESS Pressure above high

alarm limit
The s, d, or m after the
label indicates whether it
is the systolic, diastolic
or mean pressure that has
crossed the limit.

62 Dealing with Alarms

Ao numeric blinks
Yellow alarm lamp.
High limit is
highlighted only if
the pressure is
configure d for
single alarming

a

A chime
every 2
seconds.

Physiological Alarms

Patient Alarm Messages

Alarm Message

Measurem
ent

Condition Visual Indication

** Ao LOW PRESS Press ure below low

alarm limit
The s, d, or m after the
label indicates whether it
is the systolic, diastolic
or mean pressure that has
crossed the limit.

*** ASYSTOLE ECG No QRS complex

detected for a period
greater than the set
asystole threshold.

** AWRR HIGH CO

AwRR

2

The airway respiration
rate has exceeded the
high alarm l imit

** AWRR LOW CO

AwRR

2

The airway respiration
rate has dropped below
the low alarm limit

Ao numeric blinks
and Yellow alarm
lamp. Low limit is
highlighted only if
the pressure is
configure d for
single alarming

a

.

HR numeric blinks,
Red alarm lamp

AwRR numeric
blinks and high
limit is highlighted,
Yellow alarm lamp.

AwRR numeric
blinks and low limit
is highlighted
Yellow alarm lamp

Audible
Indication

A chime
every 2
seconds.

A chime
every
second.

A chime
every 2
seconds.

A chime
every 2
seconds

** CVP HIGH PRESS Pressure above high

alarm limit
The s, d, or m after the
label indicates whether it
is the systolic, diastolic
or mean pressure that has
crossed the limit.

CVP numeric blinks
Yellow alarm lamp
High limit is
highlighted only if
the pressure is
configure d for
single alarming

a

Dealing with Alarms

A chime
every 2
seconds.

63

Patient Alarm Messages

Physiological Alarms

Alarm Message

Measurem
ent

Condition Visual Indication

** CVP LOW PRESS Pressure below low

alarm limit
The s, d, or m after the
label indicates whether it
is the systolic, diastolic
or mean pressure that has
crossed the limit.

*** DESAT SpO

2

The SpO2 value has
fallen below the
desaturation alarm limit.

/

**EtCO2 LOW msCO

ssCO

**EtCO2 HIGH msCO

ssCO

*** EXTREME

ECG The heart rate has

BRADY

2

2

2

2

EtCO2 has dropped
below the selected low
limit.

/

EtCO2 has exceeded the
selected high limit

dropped bel ow the
selected bradycardia
limit.

CVP numeric blinks
Yellow alarm lamp.
Low limit is
highlighted only if
the pressure is
configure d for
single alarming

a

.

Numeric flashes,
Red alarm lamp

EtCO2 numeric
blinks and low limit
is highlighted,
Yellow alarm lamp

EtCO2 numeric
blinks and high
limit is highlighted,
Yellow alarm lamp

HR numeric blinks,
Red alarm lamp

Audible
Indication

A chime
every 2
seconds.

Alarm
tone

A chime
every 2
seconds.

A chime
every 2
seconds.

A chime
every
second.

*** EXTREME
TACHY

ECG The heart rate has

exceeded the selected
tachycardia limit

** HR HIGH ECG The heart rate has

exceeded the high alarm
limit

64 Dealing with Alarms

HR numeric blinks,
Red alarm lamp

HR numeric blinks
and high limit is
highlighted,
Yellow alarm lamp.

A chime
every
second.

A chime
every 2
seconds.

Physiological Alarms

Patient Alarm Messages

Alarm Message

Measurem
ent

Condition Visual Indication

** HR LOW ECG The heart rate has

dropped below the low
alarm limit

** ICP HIGH PRESS Pressure above high

alarm limit
The s, d, or m after the
label indicates whether it
is the systolic, diastolic
or mean pressure that has
crossed the limit.

** ICP LOW PRES S Pressure below low

alarm limit
The s, d, or m after the
label indicates whether it
is the systolic, diastolic
or mean pressure that has
crossed the limit.

Audible
Indication

The sound switches off after 5
seconds if Arrhythmia is ON, and
the HR source is ECG

HR numeric blinks
and low limit is
highlighted,

A chime
every 2
seconds.

Yellow alarm lamp.
The sound switches off after 5

seconds if Arrhythmia is on, and
the HR source is ECG

ICP numeric blinks
and high limit is
highlighted, if the

A chime
every 2

seconds.
pressure is
configure d for
single alarming
Yellow alarm lamp

ICP numeric blinks
and low limit is
highlighted, if the

A chime

every 2

seconds.
pressure is
configure d for
single alarming
Yellow alarm lamp

**IMCO2 HIGH msCO

ssCO

/

2

2

ImCO2 has exceeded the
selected high limit

ImCO2 blinks and
high limit is
highlighted, Yellow

A chime

every 2

seconds.
alarm lamp

Dealing with Alarms

65

Patient Alarm Messages

Physiological Alarms

Alarm Message

** IRREGULAR

c

HR

Measurem
ent

ECG/
Arrhythmia

Condition Visual Indication

Consistently irregular
heart rhythm.

** LAP HIGH PRESS Pressure above high

alarm limit
The s, d, or m after the
label indicates whether it
is the systolic, diastolic
or mean pressure that has
crossed the limit.

** LAP LOW PRESS Pressure below low

alarm limit
The s, d, or m after the
label indicates whether it
is the systolic, diastolic
or mean pressure that has
crossed the limit.

** MISSED
BEAT

ECG/
Arrhythmia
(enhanced)

If HR is less than
120bpm, then an omitted
beat was detected.
If HR is greater than
120bpm then there was
no beat for 1 second.

HR numeric blinks,
Yellow alarm lamp

LAP numeric blinks
Yellow alarm lamp
High limit is
highlighted only if
the pressure is
configure d for
single alarming

a

LAP numeric blinks
and low limit is
highlighted, if the
pressure is
configure d for
single alarming
Yellow alarm lamp

Numeric flashes,
Yellow alarm lamp

Audible
Indication

A chime
every 2
seconds
for 5
seconds.

A chime
every 2
seconds.

A chime
every 2
seconds.

A chime
every 2
seconds
for 5
seconds.

** MULTI­FORM PVCs

c

66 Dealing with Alarms

ECG/
Arrhythmia

The occurrence of two
different shaped PVCs in
the last 300 beats,
repeated in the last 60
beats

PVC numeric
blinks,
Yellow alarm lamp

A chime
every 2
seconds
for 5
seconds.

Physiological Alarms

Patient Alarm Messages

Alarm Message

Measurem
ent

Condition Visual Indication

** NBP HIGH NBP NBP above the high

alarm limit.
The s, d, or m after the
label indicates whether it
is the systolic, diastolic
or mean pressure that has
crossed the limit.

** NBP LOW NBP NBP below th e low

alarm limit for.
The s, d, or m after the
label indicates whether it
is the systolic, diastolic
or mean pressure that has
crossed the limit.

** NON­SUSTAIN VT

c

ECG/
Arrhythmia

A short run of PVCs
were detected
accompanied by a
heartrate greater than the
ventricular tachycardia
limit.

NBP numeric blinks
Yellow alarm lamp.
High limit is
highlighted only if
the pressure is
configure d for
single alarming

a

NBP numeric blinks
and low limit is
highlighted, if the
pressure is
configure d for
single alarming
Yellow alarm lamp.

PVC numeric
blinks,
Yellow alarm lamp

Audible

Indication

A chime

every 2

seconds.

A chime

every 2

seconds.

A chime

every 2

seconds

for 5

seconds.

***P1
DISCONNECT

PRESS Mean pressure is

continuously less than
10mmHg (1.3kPa)

** P1 HIGH PRESS Pressure above high

alarm limit
The s, d, or m after the
label indicates whether it
is the systolic, diastolic
or mean pressure that has
crossed the limit.

P1 numeric blinks,
Red alarm lamp

P1 numeric blinks
and Yellow alarm
lamp.
High limit is
highlighted only if
the pressure is
configure d for
single alarming

a

Dealing with Alarms

A chime

every

second.

A chime

every 2

seconds.

67

Patient Alarm Messages

Physiological Alarms

Alarm Message

Measurem
ent

Condition Visual Indication

** P1 LOW PRE S S Pressure below low

alarm limit
The s, d, or m after the
label indicates whether it
is the systolic, diastolic
or mean pressure that has
crossed the limit.

** PACER NOT

b

CAPT

ECG/
Arrhythmia

A missed beat with a

pace pulse was detected.
(Paced
patients
only)

** PACER NT
PACING

b

ECG/
Arrhythmia

A missed beat without a

pace pulse was detected.
(Paced
patients
only)

** PAIR PVCs

c

ECG/
Arrhythmia

A non-ventricular

contraction, followed by

two ventricular

contractions followed by

a non-ventricular

contraction has been

detected.

P1 numeric blinks
and Yellow alarm
lamp. Low limit is
highlighted only if
the pressure is
configure d for
single alarming

a

.

HR numeric blinks,
Yellow alarm lamp

HR numeric blinks,
Yellow alarm lamp

PVC numeric
blinks,
Yellow alarm lamp

Audible
Indication

A chime
every 2
seconds.

A chime
every 2
seconds
for 5
seconds.

A chime
every 2
seconds
for 5
seconds.

A chime
every 2
seconds
for 5
seconds.

***PAP
DISCONNECT

68 Dealing with Alarms

PRESS Mean pressure is

continuously less than

10mmHg (1.3kPa)

PAP numeric
blinks,
Red alarm lamp

A chime
every
second.

Physiological Alarms

Patient Alarm Messages

Alarm Message

Measurem
ent

Condition Visual Indication

** PAP HIGH PRESS Pressure above high

alarm limit
The s, d, or m after the
label indicates whether it
is the systolic, diastolic
or mean pressure that has
crossed the limit.

** PAP LOW P R ESS Pressure be low low

alarm limit
The s, d, or m after the
label indicates whether it
is the systolic, diastolic
or mean pressure that has
crossed the limit.

** PAUSE

c

ECG/
Arrhythmia

No QRS complex
detected for a period
greater than the set pause
threshold.

** PVC/min

b

HIGH

ECG/
Arrhythmia

More premature
ventricular contractions
have been detected in a
minute than the limit.

PAP numeric blinks
Yellow alarm lamp.
High limit is
highlighted only if
the pressure is
configure d for
single alarming

a

PAP numeric blinks
Yellow alarm lamp.
Low limit is
highlighted only if
the pressure is
configure d for
single alarming

a

.

HR numeric blinks,
Yellow alarm lamp

PVC numeric
blinks,
Yellow alarm lamp

Audible
Indication

A chime
every 2
seconds.

A chime
every 2
seconds.

A chime
every 2
seconds.
for 5
seconds

A chime
every 2
seconds
for 5
seconds.

** PULSE HIGH PRESS

SpO

2

** PULSE LOW PRESS

SpO

2

The pulse rate has
exceeded the high alarm
limit

The pulse rate has
dropped below the low
alarm limit

Pulse numeric
blinks and high
limit is highlighted,
Yellow alarm lamp.

Pulse numeric
blinks and low limit
is highlighted,
Yellow alarm lamp.

Dealing with Alarms

A chime
every 2
seconds.

A chime
every 2
seconds.

69

Patient Alarm Messages

Physiological Alarms

Alarm Message

Measurem
ent

Condition Visual Indication

** RAP HIGH PRESS Pressure above high

alarm limit

The s, d, or m after the

label indicates whether it

is the systolic, diastolic

or mean pressure that has

crossed the limit.

** RAP LOW PRESS Pressure below low

alarm limit

The s, d, or m after the

label indicates whether it

is the systolic, diastolic

or mean pressure that has

crossed the limit.

** RR HIGH RESP The respiratio n ra te has

exceeded the high alarm

limit

** RR LOW RESP The respiration rate has

dropped below the low

alarm limit

RAP numeric blinks
Yellow alarm lamp.
High limit is
highlighted only if
the pressure is
configure d for
single alarming

a

RAP numeric blinks
and low limit is
highlighted only if
the pressure is
configure d for
single alarming

a

Yellow alarm lamp
RR numeric blinks

and high limit is
highlighted,
Yellow alarm lamp.

RR numeric blinks
and low limit is
highlighted,
Yellow alarm lamp.

Audible
Indication

A chime
every 2
seconds.

A chime
every 2
seconds.

A chime
every 2
seconds.

A chime
every 2
seconds.

** RUN PVCs

c

HIGH

70 Dealing with Alarms

ECG/
Arrhythmia

More than 2 consecutive

premature ventricular

contractions have been

detected.

PVC numeric
blinks,
Yellow alarm lamp

A chime
every 2
seconds
for 5
seconds.

Physiological Alarms

Patient Alarm Messages

Alarm Message

** R-ON-T PVCs

** SpO

** SpO

HIGH SpO

2

LOW SpO

2

Measurem
ent

c

ECG/
Arrhythmia

Condition Visual Indication

If the heart rate is less
than 100bpm, a PVC
with R to R interval less

PVC numeric
blinks,

Yellow alarm lamp
than one third of a second
and less than one third of

Audible
Indication

A chime
every 2
seconds
for 5

seconds.
the average R to R
interval, followed by a
compensatory pause.
Or two such ventricular
contractions without a
compensatory pause
within 5 minutes.

2

The arterial oxygen
saturation has exceeded
the high alarm limit

SpO2 numeric
blinks and high
limit is highlighted,

A chime

every 2

seconds.

Yellow alarm lamp.

2

The arterial oxygen
saturation has dropped
below the low alarm
limit

SpO

numeric

2

blinks and low limit
is highlighted,
Yellow alarm lamp.

A chime

every 2

seconds.

** ST<n> HIGH ECG/

Arrhythmia
(Adult
patients
only)

** ST<n> LOW ECG/

Arrhythmia
(Adult
patients
only)

The ST segment in lead
<n> is higher than the
limit.

The ST segment in lead
<n> is lower than the
limit.

ST numeric blinks,
Yellow alarm lamp

STnumeric blinks,
Yellow alarm lamp

Dealing with Alarms

A chime

every 2

seconds

A chime

every 2

seconds.

71

Patient Alarm Messages

Physiological Alarms

Alarm Message

** SVT

c

Measurem
ent

Condition Visual Indication

Arrhythmia A run of supraventricu lar

beats greater than the
SVT run limit has been
detected and the HR has
exceeded the SVT HR
limit.

** T1 HIGH TEMP The temperature has

exceeded the high alarm
limit

**T1 LOW TEMP The temperature has

dropped below the low
alarm limit

** Tart HIGH TEMP The temperature has

exceeded the high alarm
limit

**Tart LOW TEMP The temperature has

dropped below the low
alarm limit

HR numeric blinks,
Yellow alarm lamp

T1 numeric blinks
and high limit is
highlighted,
Yellow alarm lamp.

T1 numeric blinks
and low limit is
highlighted,
Yellow alarm lamp.

Tart numeric blinks
and high limit is
highlighted,
Yellow alarm lamp.

Tart numeric blinks
and low limit is
highlighted,
Yellow alarm lamp.

Audible
Indication

A chime
every 2
seconds
for 5
seconds.

A chime
every 2
seconds.

A chime
every 2
seconds.

A chime
every 2
seconds.

A chime
every 2
seconds.

** Tcore HIGH TEMP The temperature has

exceeded the high alarm
limit

**Tcore LOW TEMP The temperature has

dropped below the low
alarm limit

72 Dealing with Alarms

Tcore numeric
blinks and high
limit is highlighted,
Yellow alarm lamp.

Tcore numeric
blinks and low limit
is highlighted,
Yellow alarm lamp.

A chime
every 2
seconds.

A chime
every 2
seconds.

Physiological Alarms

Patient Alarm Messages

Alarm Message

Measurem
ent

Condition Visual Indication

** Tesop HIGH TEMP The temperature has

exceeded the high alarm
limit

**Tesop LOW TEMP The temperature has

dropped below the low
alarm limit

** Tnaso HIGH TEMP The temperature has

exceeded the high alarm
limit

**Tnaso LOW TEMP The temperature has

dropped below the low
alarm limit

** Trect HIGH TEMP The temperature has

exceeded the high alarm
limit

Tesop numeric
blinks and high
limit is highlighted,
Yellow alarm lamp.

Tesop numeric
blinks and low limit
is highlighted,
Yellow alarm lamp.

Tnaso numeric
blinks and high
limit is highlighted,
Yellow alarm lamp.

Tnaso numeric
blinks and low limit
is highlighted,
Yellow alarm lamp.

Trect numeric
blinks and high
limit is highlighted,
Yellow alarm lamp.

Audible

Indication

A chime

every 2

seconds.

A chime

every 2

seconds.

A chime

every 2

seconds.

A chime

every 2

seconds.

A chime

every 2

seconds.

**Trect LOW TEMP The temperature has

dropped below the low
alarm limit

** Tskin HIGH TEMP The temperature has

exceeded the high alarm
limit

Trect numeric
blinks and low limit
is highlighted,
Yellow alarm lamp.

Tskin numeric
blinks and high
limit is highlighted,
Yellow alarm lamp.

Dealing with Alarms

A chime

every 2

seconds.

A chime

every 2

seconds.

73

Patient Alarm Messages

Physiological Alarms

Alarm Message

Measurem
ent

Condition Visual Indication

**Tskin LOW TEMP The temperature has

dropped below the low
alarm limit

** Tven HIGH TEMP The temperature has

exceeded the high alarm
limit

**Tven LOW TEMP The temperature has

dropped below the low
alarm limit

***UAP
DISCONNECT

PRESS Mean pressure is

continuously less than
10mmHg (1.3kPa)

** UAP HIGH PRESS Pressure above high

alarm limit
The s, d, or m after the
label indicates whether it
is the systolic, diastolic
or mean pressure that has
crossed the limit.

Tskin numeric
blinks and low limit
is highlighted,
Yellow alarm lamp.

Tven numeric blinks
and high limit is
highlighted,
Yellow alarm lamp.

Tven numeric blinks
and low limit is
highlighted,
Yellow alarm lamp.

UAP numeric
blinks,
Red alarm lamp

UAP numeric blinks
Yellow alarm lamp.
High limit is
highlighted only if
the pressure is
configure d for
single alarming

a

Audible
Indication

A chime
every 2
seconds.

A chime
every 2
seconds.

A chime
every 2
seconds.

A chime
every
second.

A chime
every 2
seconds.

** UAP LOW PRESS Pressure below low

alarm limit
The s, d, or m after the
label indicates whether it
is the systolic, diastolic
or mean pressure that has
crossed the limit.

74 Dealing with Alarms

UAP numeric blinks
Yellow alarm lamp.
Low limit is
highlighted only if
the pressure is
configure d for
single alarming

a

.

A chime
every 2
seconds.

Physiological Alarms

Patient Alarm Messages

Alarm Message

Measurem
ent

Condition Visual Indication

** UVP HIGH PRESS Pressure above high

alarm limit
The s, d, or m after the
label indicates whether it
is the systolic, diastolic
or mean pressure that has
crossed the limit.

** UVP LOW PRESS Pressure below low

alarm limit
The s, d, or m after the
label indicates whether it
is the systolic, diastolic
or mean pressure that has
crossed the limit.

** VENT
BIGEMINY

c

*** VENT FIB/
TACH

ECG/
Arrhythmia

A dominant bigeminy
rhythm was detected.

ECG Fibrillatory waveform

for 4 consecutive
seconds.

UVP numeric blinks
Yellow alarm lamp.
High limit is
highlighted only if
the pressure is
configure d for
single alarming

a

UVP numeric blinks
Yellow alarm lamp.
Low limit is
highlighted only if
the pressure is
configure d for
single alarming

a

.

PVC numeric
blinks,
Yellow alarm lamp

HR numeric blinks,
Red alarm lamp

Audible

Indication

A chime

every 2

seconds.

A chime

every 2

seconds.

A chime

every 2

seconds

for 5

seconds.

A chime

every

second.

** VENT
RHYTHM

c

** VENT
TRIGEMINY

ECG/
Arrhythmia

A consecutive run of
PVCs has been detected
accompanied by a rate

PVC numeric
blinks,

Yellow alarm lamp
less than the limit for
ventricular tachycardia.

c

Arrhythmia

ECG/

A dominant trigeminy
rhythm was detected.

PVC numeric

blinks,

Yellow alarm lamp

A chime
every 2
seconds
for 5
seconds.

A chime
every 2
seconds
for 5
seconds.

Dealing with Alarms

75

Technical Alarm Messages (INOPs)

Physiological Alarms

Alarm Message

*** VTACH

b

Measurem
ent

ECG/
Arrhythmia

Condition Visual Indication

Ventricular tachycardia
has been detected

PVC numeric
blinks,
Red alarm lamp

a. If configured for m ul ti ple al arms (e.g. s&d&m), e.g. the string ‘Sys’ wi ll be highlighted if a systolic alarm is acti ve , and

likewise ‘Dia’ for diastolic or ‘Mean’ when mean pressure alarm is active.

b. These messages a ppear with Basic Ar rh y th mia
c. These messages only appear with the Enhanced Arrhythmia option

Audible
Indication

A chime
every
second.

Technical Alarm Messages (INOPs)

This table lists all of the technical alarm messages (in alphabetic order) that
could appear at the top left of the screen. If a status message with yellow text on
a blue background appears at the bottom of the screen, check with your
biomedica l department .

Technical Alarms (INOPs)

INOP Message

Measu­rement

What to do.

nothing on screen Contact your biomedical department.

(The connector to the screen is
disconnected.)

ABP INOPS PRESS See P1 INOPS
ALL ECG

ALARMS OFF

ECG/
Arrhyth

All ECG alarms have been switched
off or the HR source is not ECG

mia

ART INOPS PRESS See P1 INOPS

76 Dealing with Alarms

Visual
Indication

Audible
Indication

A beep
every 2
seconds.

Technical Alarms (INOPs)

Technical Alarm Messages (INOPs)

INOP Message

Measu­rement

What to do.

Ao INOPS PRESS See P1 INOPS
BAD SERVER

LINK

You cannot use this combination of
Monitor, Measurement Server and
cable.
Switch off the monitor and contact
your biomedical department.

BAD SERVER
LINK
plus
“Measurement
Server Revision
not supported”

An M3000A Measurement Server
with revision A software is
connected to an M3046A Monitor
with a software revision of B or later.
This combination does not allow

monitoring.
status message in
red.

BATTERY
EMPTY

Change the battery immediately. It is

nearly empty.
This INOP cannot
be suspended or
switched off.
This INOP repeats
every 3 minutes.

Visual
Indication

Audible
Indication

A beep
every 2
seconds.

BATTERY LOW Change the Battery.

The battery has less than 20 minutes

charge left.
BATTERY

MALFUNCT.

The status of the battery cannot be

determined.

If this is a new battery, leave the
This INOP cannot
be suspended or
switched off.
This INOP repeats
every 3 minutes.

battery in the monitor and wait to see

if the INOP clears after a few

minutes. If not, or if this is an older

battery, change the battery at the first

opportunity.

A beep
every 2
seconds.

Battery
Symbol

A beep
every 2
seconds.

Dealing with Alarms

77

Technical Alarm Messages (INOPs)

Technical Alarms (INOPs)

INOP Message

Measu­rement

What to do.

C LEAD OFF ECG Check that the chest electrode is in

place and securely attached.

CANNOT
ANALYZE ECG

CANNOT
ANALYZE ST

CHARGER
MALFUNCT.

Arrhyth­mia

Check all leads and review ECG
signal quality.

ST Review the ECG signal quality and

the placement of the ISO and J points
Contact your biomedical department.

(The battery charging hardware or
the battery is faulty)

CHECK INPUT
DEVICE

Make sure that nothing is pressing on
the keys or the TouchStrip of the
monitor.
If this is not the problem, contact
your biomedical department.
(The monitor has detected 5 minutes
or more of constant user interface
operation, or the user interface
hardware is faulty).

Visual
Indication

HR
numeric
might
display -?­for 10
seconds.

Battery
Symbol

Audible
Indication

A beep
every 2
seconds.

A beep
every 2
seconds.

None

78 Dealing with Alarms

Technical Alarms (INOPs)

Technical Alarm Messages (INOPs)

INOP Message

CHECK STATUS
LOG

CO

AUTO ZERO ssCO

2

Measu­rement

2

What to do.

An error condition occurred on the

monitor and information about it has

been saved in the Status Log. View

this information as described in

“Finding Intermittent Status” on

page 307. When you have viewed the

information, the INOP is cleared.

Note: Do not clear the status log, as

the information may be useful if

faults occu r which requ i re diagnos is

from a service engineer.

Auto Zero is in progress, no action

required.

Visual
Indication

Numeric is
displayed
with a ?
for the first
15
seconds.
After 15
seconds
the
numeric
displays

-?-

Audible
Indication

A beep
every 2
seconds

After 15
seconds, a
beep every
2 seconds

CO

EQUIP

2

MALF

msCO2/
ssCO

2

Contact your biomedical department.

[Either 1) the CO

hardware or

2

firmware in the M3015A

Measurement server extension is

incompatible with the M3001A

Measurement Server or M3046A

monitor, or 2) the CO

hardware is

2

faulty.]

CO

2

numeric
displays

A beep
every 2
seconds

-?-

Dealing with Alarms

79

Technical Alarm Messages (INOPs)

Technical Alarms (INOPs)

INOP Message

CO2 NO
TRANSDUCER

CO

CAL

2

FAILED

CO

CHECK CAL msCO

2

CO

SENSOR

2

WARMUP

Measu­rement

msCO

msCO

msCO2/
ssCO

2

What to do.

Make sure the CO2 transducer is

2

connected.
If you silence this INOP the CO
measurement will be switched off.

Make sure that the transducer is on

2

the correct cell and that the power
has not failed. Repeat the calibration.
If the problem persists, call your
biomedica l department.

Perform an accuracy check (see

2

“Preparing to Measure CO
page 247) and, if necessary,
recalibrate the transducer.

Wait for the sensor to reach operating
temperature (INOP disappears).

” on

2

Visual
Indication

CO

2

numeric

2

displays

Audible
Indication

A beep
every 2
seconds

-?­CO

2

numeric
displays

A beep
every 2
seconds

-?-

CO

2

numeric
displays

A beep
every 2
seconds

-?­CO2

numeric
displays

-?- for
ssCO

.

2

CO

2

A beep
every 2
seconds
for ssCO
None for
msCO

.

2

.

2

numeric is
displayed
with a ?
for msCO

2

WAIT CAL2 msCO

CO

2

CO

CAL

2

RUNNING

80 Dealing with Alarms

msCO

Start the CAL2 calibration cycle (see

2

“Preparing to Measure CO

” on

2

page 247)

Wait until calibration is complete. CO2

2

CO

2

numeric
displays

-?-

numeric
displays

-?-

None

None

Technical Alarms (INOPs)

Technical Alarm Messages (INOPs)

INOP Message

CO

CAL MODE msCO

2

CO

CHANGE

2

SCALE

PURGING ssCO

CO

2

CO

2

OVERRANGE

Measu­rement

msCO2/
ssCO

2

2

ssCO

2

What to do.

Start calibration, if required, or

2

switch cal mode off.

Switch to larger scale so that the

whole wave can be displayed.

The Measurement Extension is

purging the Filterline. This occurs

when an occlusion is detected in the

line or airway adapter. If the

occlusion is not removed by purgi ng,

the Measurement Extension will go

into Standby Mode and a “CO

OCCLUSION” INOP will be

displayed.

The CO2 value is higher than the

measurement range.

Visual
Indication

CO2

Audible
Indication

None
numeric
displays
instanta­neous CO

2

value.
CO2 wave

None
is clipped

CO

2

numeric is
displays

A beep

every 2

seconds

-?-

2

CO2
numeric
displays

A beep

every 2

seconds

-?-

CO

2

OCCLUSION

ssCO

The FilterLine or exhaust tube is

2

blocked to the extent that a
measurement sample cannot be
taken.
Check the FilterLine and exhaust
tube, then disconnect and reconnect
the FilterLine. If the INOP is still
displayed, use a new FilterLine.

CO

2

numeric
displays

A beep

every 2

seconds

-?-

Dealing with Alarms

81

Technical Alarm Messages (INOPs)

Technical Alarms (INOPs)

INOP Message

Measu­rement

CO2 NO TUBING ssCO

CO

UPDATE

2

ssCO

FW

CUFF NOT

NBP Disconnect the cuff from the

DEFLATED

This INOP cannot
be suspended or
switched off.

What to do.

The FilterLine is disconnected, or an

2

incorrect line is attached (only
Microstream accessories can be
used).
If you Silence this INOP, the
measurement will be switched off.

The software in the Measurement

2

Extension does not match the
software in the Measurement Server.
This is only likely to occur after a
repair or upgrade.
Contact your biomedical department

Measurement Server, or remove fr om
the patient.
You can Silence the INOP, but it
remains until the next measurement
is started.
Adult or pediatric patients: The NBP
cuff pressure has been greater than
15mmHg (2kPa) for more than 3
minutes.
Neonatal patients: The NBP cuff
pressure has been greater than
5mmHg (0.7kPa) for more than 1.5
minutes.

Visual
Indication

CO

2

numeric
displays

-?-

CO

2

numeric
displays

-?-

NBP
numeric
displays

-?­Prompt
message.
Cuff
deflates.

Audible
Indication

A beep
every 2
seconds

A beep
every 2
seconds

A beep
every 2
seconds.

CVP INOPS PRESS See P1 INOPS
ECG EQUIP

MALF

ECG Contact your biomedical department.

[The ECG hardware is faulty.]

82 Dealing with Alarms

HR
numeric
displays

-?-

A beep
every 2
seconds.

Technical Alarms (INOPs)

Technical Alarm Messages (INOPs)

INOP Message

Measu­rement

What to do.

ECG LEADS OFF ECG Make sure that the patient cable is

connected, these leads are connected
to the electrodes, and the electrodes
are attached.

ECG NOISY
SIGN.

ECG Remove any possible sources of

signal noise (such as power cords)
from the area around the cable or the
patient.
Make sure that the electrodes are
placed properly.
ECG signal may be saturated or
overloaded.

ECG OUT
MALFUNCT

ECG Contact your biomedical department.

[The monitor hardware is faulty.]

ICP INOPS PRESS See P1 INOPS
LA LEAD OFF ECG Check that the LA electrode is in

place and attached.

Visual
Indication

HR
numeric
displays

-?­Prompt

message.

Prompt
message.

HR
numeric
might
display -?­for 10
seconds.

Audible

Indication

A beep

every 2

seconds.

None

A beep

every 2

seconds.

A beep

every 2

seconds.

LAP INOPS PRESS See P1 INOPS
LL LEAD OFF ECG Check that the LL electrode is in

place and attached.

HR
numeric
might

A beep

every 2

seconds.
display -?­for 10
seconds.

Dealing with Alarms

83

Technical Alarm Messages (INOPs)

Technical Alarms (INOPs)

INOP Message

MEAS SERV UN­PLUGGED

MEASSERV
UNSUPPORTD

NBP CUFF
OVERPRESS

This alarm cannot
be suspended or
switched off.

NBP EQUIP
MALF

Measu­rement

What to do.

Monitor Make sure that the Measurement

Server is connected to the monitor.

Monitor The Measurement Server is not

supported by the monitor. Contact
your service personnel.

NBP Disconnect the cuff from the

Measurement Server, or remove fr om
the patient. Make sure that the rubber
tube to the NBP cuff is not kinked.
You can Silence the INOP, but it
remains until the next measurement
is started or the Stop All
SmartKey is pressed.
This INOP arises when NBP cuff
pressure increased above
overpressure safety limits.

NBP Make sure that the rubber tube to the

NBP cuff, or the cuff itself, is not
kinked. Check the tubing and cuff for
leakages.
If it is

NOT kinked and there are no

leaks, contact your biomedical
department.
The NBP hardware is faulty.
You can Silence the INOP, but it
remains until the next measurement
is started or the Stop All
SmartKey is pressed.

Visual
Indication

NBP
numeric
displays

-?­Prompt
message.
Cuff
deflates.

NBP
numeric
displays

-?­Prompt
message.

Audible
Indication

A beep
every 2
seconds.

A beep
every 2
seconds.

A beep
every 2
seconds.

A beep
every 2
seconds.

84 Dealing with Alarms

Technical Alarms (INOPs)

Technical Alarm Messages (INOPs)

INOP Message

NBP
INTERRUPTED

NBP MEASURE
FAILED

Measu­rement

What to do.

NBP Check the tubing and cuff for

leakages. Try repeating the
measurement.
If the INOP occurs repeatedly,
contact your biomedical department.
You can Silence the INOP, but it
remains until the next measurement
is started or the Stop All
SmartKey is pressed.
This INOP arises when the
measurement needed longer than the
maximum time for inflation,
deflation or the total measurement.

NBP Check that the patient type on the

monitor is correct.
Check the condition and suitability of
the patient (see “Preparing to
Measure NBP” on page 188).
Use another cuff to continue
measuring.
[No measurement could be made.]

Visual
Indication

NBP
numeric
displays

-?­Prompt
message.

NBP
numeric
displays

-?­Prompt
message.

Audible

Indication

A beep

every 2

seconds.

A beep

every 2

seconds.

NETWORK
DISCONN

With a wired network: check that the
network cable is connected. With a
wireless network: Check that the
monitor has not been moved out-of­range of an access point and that no
microwave oven or other non­monitoring wireless device is
interfering with the monitor.

Dealing with Alarms

85

Technical Alarm Messages (INOPs)

Technical Alarms (INOPs)

INOP Message

NO CENTRAL
MONITORING

Measu­rement

What to do.

Central monitoring has been
interrupted. With a wired network:
check that the network cable is
connected. With a wireless network:
Check that the monitor has not been
moved out-of-range of an access
point and that no microwave oven or
other non-monitoring w ireless device
is interfering with the monitor.
This INOP is affected by the
configuration of th e CentralMon
parameter, as described in “Changin g
Whether the Monitor Should be
Connected to the Network” on
page 377.

P1 EQUIP MALF PRESS Contact your biomedical department.

The pressure hardware is faulty.

P1 NO
TRANSDUCER

PRESS Make sure that the pressure

transducer is connected to the
Measurement Server.
If you Silence this INOP, the
measurement will be switched off.

Visual
Indication

P1
numeric
displays

-?­P1

numeric
displays

-?-

Audible
Indication

A beep
every 2
seconds.

A beep
every 2
seconds.

A beep
every 2
seconds.

P1 NOISY
SIGNAL

86 Dealing with Alarms

PRESS Change the source for the heart rate

to Pleth or ECG (see “Selecting the
Source for the Heart Rate Numeric”
on page 132).

Note—This INOP arises when the

pulse detector finds a pulse rate
above 350bpm.

Pulse
numeric
displays

-?-

A beep
every 2
seconds.

Technical Alarms (INOPs)

Technical Alarm Messages (INOPs)

INOP Message

P1 NON­PULSATILE

Measu­rement

What to do.

PRESS Change the source for the heart rate

to Pleth or ECG (see “Selecting the
Source for the Heart Rate Numeric”
on page 132).

Note—This INOP arises when the

pulse rate derived from the pressure
being measured is less than 25 beats
per minute.

P1 OVERRANGE PRESS M ak e sure that the measurement has

been properly prepared and zeroed,
and that the transducer is level with
the heart (see “Preparing to Measure
Pressure” on page 204).
If this does not get rid of the
message, exchange the transducer.

Note—This INOP arises when the

pressure measured was greater than
361mmHg or less than -41mmHg, or
if the wire to the transducer is
broken.

Visual
Indication

Pulse
numeric
displays

-?-

P1
numeric
displays

-?-

Audible

Indication

A beep

every 2

seconds.

A beep

every 2

seconds.

P1 REDUCE SIZE PRESS Increase the scale for the pressure

wave. (see “Changing the Size of the
Pressure Wave” on page 210).

P1 TRANSDUC
MAL

P1 ZERO +
CHECK CAL

PRESS Contact your biomedical depart ment.

The transducer is faulty.

PRESS Perform a zero (see “Zeroing the

Transducer” on page 207), and check
the calibration of the transducer (see
“Calibrating a CPJ840J6 Transducer”
on page 214).

None None

P1
numeric
displays

A beep

every 2

seconds.

-?­P1

None
numeric
displays

-?-

Dealing with Alarms

87

Technical Alarm Messages (INOPs)

Technical Alarms (INOPs)

INOP Message

Measu­rement

What to do.

PAP INOPS PRESS See P1 INOPS
RA LEAD OFF ECG Check that the RA electrode is in

place and attached.

RAP INOPS PRESS See P1 INOPS
RESP EQUIP

MALF

RESP Contact your biomedical department.

[The RESP hardware is faulty.]

RESP ERRATIC RESP Make sure that the electrode is

making good contact to the skin.

RESP LEADS
OFF

RESP Make sure that the patient cable is

connected, these leads are connected
to the electrodes, and the electrodes
are attached.

Visual
Indication

HR
numeric
might
display -?­for 10
seconds.

RR
numeric
displays

-?-

-?- next to
RR label.

RR
numeric
displays

-?-

Audible
Indication

A beep
every 2
seconds.

A beep
every 2
seconds.

None

A beep
every 2
seconds.

RL LEAD OFF ECG Check that the RL electrode is in

place and attached and make sure
that your monitor is configured for 1
channel only when using a three
electrode set.

SERVERLINK
MALF

Contact your biomedical department.
[The hardware for communicating
with the Measurement Server is
faulty.]

88 Dealing with Alarms

HR
numeric
might
display

-?- for 10
seconds.

A beep
every 2
seconds.

A beep
every 2
seconds.

Technical Alarms (INOPs)

Technical Alarm Messages (INOPs)

INOP Message

SOME ECG
ALARMS OFF

SPEAKER
MALFUNCTION

SpO

EQUIP

2

MALF

SpO

ERRATIC SpO

2

SpO

EXT.

2

UPDATE

SpO

2

INTERFERENCE

Measu­rement

Arrhyth
mia

SpO

2

2

SpO

2

SpO

2

What to do.

Additional Yellow Arrhythmia
Alarms have been switched off
compared with the current Quick Set

Contact your biomedical department.
[The hardware is faulty.]

Contact your biomedical department.
[The SpO

hardware is faulty.]

2

Make sure the SpO2 transducer is
correctly placed.
If this does not solve the problem,
make sure that the transducer is
working.

The update period of displayed
values is extended due to an NBP
measurement on the same limb or an
excessively noisy signal.

Cover the SpO2 transducer so that it
does not get as much ambient light.
If this does not solve the problem,
make sure that the transducer cable is
not damaged.
[The level of ambient light is so high
that the transducer cannot measure
the pulse, or the cable is picking up
interference.]

Visual
Indication

SpO

2

numeric
displays

-?­SpO

2

numeric
displays

-?-

SpO

2

numeric is
displayed
with a ?

SpO

2

numeric
displays

-?-

Audible

Indication

A beep

every 2

seconds.

A beep

every 2

seconds.

None

A beep

every 2

seconds.

Dealing with Alarms

89

Technical Alarm Messages (INOPs)

Technical Alarms (INOPs)

INOP Message

Measu­rement

SpO2 LOW PERF SpO

SpO

NO

2

SpO

TRANSDUCER

SpO

NOISY

2

SpO

SIGNAL

SpO

NON-

2

SpO

PULSATILE

What to do.

Accuracy may be compromised due

2

to very low perfusion. Stimulate
circulation at sensor site. If INOP
persists, change the measurement
site.

Make sure the SpO2 transducer is

2

connected.
If you Silence this INOP, the
measurement will be switched off.

Try to reduce patient movement, or

2

to relieve the cable strain on the
transducer (for example, the wrist
strap for the finger transducer)
[Excessive patient move ment or
electrical interference are causing
irregular pulse patterns.]

Try changing the application site of

2

the transducer, or stimulating
circulation at the current site.
[Pulse is too weak or is not
detectable, or the application site is
too thin].

Visual
Indication

SpO

2

numeric is
displayed
with a ?

SpO

2

numeric
displays

-?­SpO

2

numeric
displays

-?-

SpO

2

numeric
displays

-?-

Audible
Indication

None

A beep
every 2
seconds.

A beep
every 2
seconds.

A beep
every 2
seconds.

SpO

2

TRANSDUC
MALF

SpO

Change the SpO2 transducer as soon

2

as possible.
Return the faulty transducer to your
biomedica l department.

Tart INOPS TEMP See T1 INOPS
Tcore INOPS TEMP See T1 INOPS
Tesop INOPS TEMP See T1 INOPS

90 Dealing with Alarms

SpO

2

numeric
displays

-?-

A beep
every 2
seconds.

Technical Alarms (INOPs)

Technical Alarm Messages (INOPs)

INOP Message

T1 EQUIP MALF TEMP Contact your biomedical department.

T1 NO
TRANSDUCER

T1 OVERRANGE TEMP Try changing the application site of

Tnaso INOPS TEMP See T1 INOPS

Measu­rement

TEMP Make sure the TEMP probe is

What to do.

[The temperature hardware is faulty.]

connected to the Measurement
Server.
If you Silence this INOP, the
measurement will be switched off.

the transducer.
[The temperature is less than -1
greater than 45

°C.]

°C, or

Visual
Indication

T1
numeric
displays

-?­T1

numeric
displays

-?-

T1
numeric
displays

-?-

Audible

Indication

A beep

every 2

seconds.

A beep

every 2

seconds.

A beep

every 2

seconds.

Dealing with Alarms

91

Technical Alarm Messages (INOPs)

Technical Alarms (INOPs)

INOP Message

Measu­rement

What to do.

Trect INOPS TEMP See T1 INOPS
Tskin INOPS TEMP See T1 INOPS
Tven INOPS TEMP See T1 INOPS
UAP INOPS PRESS See P1 INOPS
UNSUPPORTED

LAN

Switch off the monitor and contact
your biomedical department.

UVP INOPS PRESS See P1 INOPS

Visual
Indication

Audible
Indication

92 Dealing with Alarms

Admitting and Discharging Patients

This chapter covers what you need to know to get your patient data onto the
monitor, how to transfer it from one monitor to another, and how to delete it.

• Selecting the Patient Identification Menu. . . . . . . . . . . . . . . . . . . . . . . .94

• Admitting A New Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .95

• Selecting a QuickSet. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .97

• Transferring A Patient To Another Monitor. . . . . . . . . . . . . . . . . . . . . .98

• Discharging a Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 03

Admitting and Discharging Patients 93

Selecting the Patient Identification Menu

Selecting the Patient Identification Menu

Press the Admit/Dischrg SmartKey ( you may have to press
or to find this SmartKey, if it is configured).

OR

Step 1. Highlight the patient name at the top left of t he screen (the date and

time, and the default sets will be highlighted at the same time).

Step 2. Scroll down through the list until Admit, Discharge... is

highlighted.

Step 3. Press on the TouchStrip.

OR

Step 1. Press the Setup key.
Step 2. Scroll down through the list until Admit, Discharge... is

highlighted.

Step 3. Press on the TouchStrip.

94 Admitting and Discharging Patients

Admitting A New Patient

Centrally monitored patients can be admitted at the Information Center, or at the
monitor.

Admitting A New Patient

Changing
the Patient
Identifica­tion

In the Patient Identification menu (see “Selecting the Patient Identification
Menu” on page 94).

Step 1. Press the Admit Patient softkey.
Step 2. Select th e Last Name field.
Step 3. Enter the patient’s last name

For each letter

a. Highlight then press the softkey with the letter you want.

Highlight then press the up/down-arrow softkey for lower case
letters and n umbers and symbols
You can backspace through what you have typed using the back
arrow(<).

b. When you have finished entering the name, highlight then press OK.

If you want to exit without changing anything, highlight then press
EX.

Step 4. Repeat the procedure for the First Name, MRN, and, if necessary, for

the additional information (Notes).
If the patient is monitored centrally, make sure that you enter all of the
mandatory information.
Make sure that the correct patient category and the correct pacemaker
setting is selected for the patient.

Step 5. When all data is entered, press the Confirm softkey to close this

window and return to the Patient Identification menu.

If the patient is monitored centrally, and you have missed any of the mandatory
information, a message is displayed, the patient remains unadmitted, and the
window does not close.
Enter the missing information and press the Confirm softkey again.

Changing the Patient Category

The Patient Category can be changed at the Monitor or at the central.
Make sure that the patient category is correct. The patient category selects which

algorithms are used to calculate the numerics.

Admitting and Discharging Patients

95

Admitting A New Patient

Adult For adult patients.
Pedi For pediatric patients.
Neo For neonatal patients.

If the patient category is not correct, then

Step 6. Select Patient Cat.
Step 7. Select the appropriate setting:

Changing

The pacemaker setting can be changed at the Monitor or at the central.

the Pace­maker Set­ting

Warning The pace pulse rejection must be switched on for paced patients. Switching

pace pulse rejection off for paced patients may result in pace pulses being
counted as regular QRS complexes which could prevent an asystole alarm
from being detected.

If the pacing status is not correct, then

Step 8. Select Paced.
Step 9. Select the appropriate setting:

Yes For paced patients.
No For non-paced patients.

Step 10. When you have finished entering all of the patient identification, press

the Main Screen key.

96 Admitting and Discharging Patients

Selecting a QuickSet

A QuickSet is a group of settings which has been defined and named in the
hospital. There are four different QuickSets which can be defined to match four
typical monitoring situation s on your unit. (F or Info rmat ion on defi ning
Quicksets see “Saving current settings to a Quick Set” on page 351.) By
selecting a QuickSet you can do the basic monitor setup in one step and need
only make any individual changes needed for a specific patient.

Step 1. To get into the QuickSets menu, press the QuickSets

SmartKey (you may have to press or to find this
SmartKey, if it is configured).
OR

Step 1. Highlight the patient name at the top left of t he screen (the dat e and

time, and the QuickSet will be highlighted at the same time).

Step 2. Scroll down through the list until Quick Sets is highlighted.
Step 3. Press on the TouchStrip.

OR

Step 1. Press the Setup key.
Step 2. Scroll down through the list until Quick Sets is highlighted.
Step 3. Press on the TouchStrip.

Note—If you change the QuickSet, any currently active automatic NBP

measurement will be stopped.

Selecting a QuickSet

Note—If the new QuickSet has a different patient category, the default set in the

Measurement Server will change automatically.

Step 4. Select the QuickSet you want from the list.

Warning After selecting a Quickset make sure that the patient category and the

pacemaker setting are correct for the patient.

Note—In addition to the four QuickSets configured by the user, the four factory

default are always available in the configuration operating mode (see “How do I
get into Configuration Mode?” on page 346). The factory default sets are listed
in “Quick Set Configuration List for the Measurements” on page 380 and
“Quick Set Configuration List for Monitoring Settings” on page 387.

Admitting and Discharging Patients

97

Transferring A Patient To Another Monitor

Transferring A Patient To Another Monitor

Caution

Make sure you do not need any of the trend data for the patient before you
transfer the patient.
Make sure you have a printout of the patient data before you transfer a patient.

Transfer­ring a Cen­trally
Monitored
Patient

Transferring

the Patient

Without

Equipment

Transferring

the Patient

With the

M3046A

Monitor

You can only transfer a patient that is being centrally monitored.
In the Patient Identification menu (see “Selecting the Patient Identification

Menu” on page 94).

Step 1. Select Admit/Discharge... from this menu.
Step 2. Press the Transfer softkey.
Step 3. Press the Confirm softkey to confirm that you want t o transfer t he

patient.
The message ‘Patient prepared for transfer’ is shown, the monitor enters
‘transfer mode’ and the Information Center puts the patient in the transfer
list.

If the patient is transferred without the monitor or Measurement Server, the
transfer must be completed by re-admitting the patient at the Information Center.

If the patient is transferred with the monitor, when the monitor is reconnected,
the Information Center detects that it is in ‘transfer mode’, and automatically re­admits the patient from the transfer list.

98 Admitting and Discharging Patients

Transferring A Patient To Another Monitor

Transferring

the Patient

With the

Measurement

Server

Aborting a

Transfer

If the patient is transferred with the Measurement Server, and the Measurement
Server is reconnected to a monitor:

Step 1. Press the Continue Meas Serv softkey.

The Information Center detects that it is in ‘transfer mode’, and

automatically re-admits the patient from the transfer list.
For more information on transferring the patient with a MMS, see “Attaching to
a New M3046A Monitor...” on page 100

If you disconnect the monitor from the network, and want to leave ‘transfer
mode’, in the Patient Identification menu (see “Selecting the Patient
Identification Menu” on page 94).

Step 1. Select Admit/Discharge... from this menu.
Step 2. Press the Clear Transfer softkey.
Step 3. Press the Confirm softkey to confirm that you want t o clear the

transfer.
If you have put the monitor into ‘transfer mode’, but in the end do not want to

transfer the patient, in the Patient Identification menu (see “Selecting the Patient
Identification Menu” on page 94).

Step 1. Select Admit/Discharge... from this menu.
Step 2. Press the Re-Admit softkey.
Step 3. Press the Confirm softkey to confirm that you want t o re-admit the

patient from the transfer list.

Transfer­ring the
Patient with
the Mea­surement
Server

Disconnecting

the

Measurement

Server

If the patient is centrally monitored, use the procedure described in
“Transferring a Centrally Monitored Patient” on page 98.

The M3046A monitor supports data transfer to and from the Philips IntelliVue
family (M800xA) of patient monitors via the M3001A Measurement Server.
You can remove the Measurement Server from one monitor (M3046A or
M800xA) and connect it to another (M3046A or M800xA). Pa tient data is stored
in the Measurement Server and the monitor, and, if the patient is centrally
monitored, in the Information Center.

When you disconnect the Measurement Server, and the alarms are not
suspended, the M3046A monitor detects this and displays the message
MeasServ UNPLUGGED, in the top left-hand corner of the screen. Press
Silence/Reset to clear the message.

Admitting and Discharging Patients

99

Transferring A Patient To Another Monitor

Attaching to

the Same

M3046A

Monitor

...

Attaching to a

New M3046A

Monitor...

If the patient data in the monitor and in the M3001A Measurement Server are
the same, measuring continues and you do not need to do anything.

If your biomedical department has not configured what happens when a
M3001A Measurement Server is attached to a new monitor, two sets of names
and identifications for that patient are displayed (one from the M3046A monitor
and one from the M3001A Measurement Server). You need to make the
following choice:

WarningWarning

After you have made your choice, make sure that the patient type and the
paced mode are correct for your patient.

• If you want to use the patient data from the M3001A Measurement

Server, press the Continue Meas Serv softkey.

• If you want to use the patient data from the M3046A monitor, press the

Continue Monitor softkey.

• If it is the same patient, but the data does not match, press the Same
Patient softkey. The patient information from the monitor is used, where
it is available.
The patient identification is displayed, and you can edit it (as described in
“Changing the Patient Identification” on page 95).

• If neither set of patient data is correct, press the New Patient softkey. The
patients in the monitor and measurement server are discharged, and you
can admit the new patient (as described in “Admitting A New Patient” on
page 95).

• If you do not want to make the choice at the moment, press Main
Screen.

Until you make the choice, Patient ??? will be displayed
where the patient name is normally displayed, and ? ? ? is
displayed where the patient category is normally displayed. The
Paced/Non-Paced symbol will also appear with question marks. The
symbol shows the status of the measurement server.

100 Admitting and Discharging Patients