Philips M8102A, IntelliVue MP2, M3016A, M3012A, M3014A Instructions For Use Manual

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Patient Monitoring

INSTRUCTIONS FOR USE

IntelliVue MP2

Patient Monitor

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

Printed in Germany 09/08

*M8102-9001B*

Part Number M8102-9001B

4512 610 28821

M8102-9001B

1Table Of Contents

1 Installation 1

Installation Checklist 1 Unpacking and Checking the Shipment 2 Mounting the Monitor 3 Mounting the External Power Supply (M8023A) 3 Connecting the Monitor to AC Mains 3 Checking Out the Monitor 5 Operating the Monitor 6 Setting the Date and Time 7 Checking Country-Specific Default Settings 7 Handing Over the Monitor 7

2 Basic Operation 9

Introducing the IntelliVue MP2 10 Controls, Indicators and Connectors 10 Extending Measurements 13 Operating and Navigating 16 Operating Modes 22 Understanding Screens 23 Using the XDS Remote Display 24 Using the Visitor Screen 24 Understanding Profiles 25 Understanding Settings 26 Changing Measurement Settings 27 Switching a Measurement On and Off 27 Adjusting a Measurement Wave 27 Using Labels 28 Changing Monitor Settings 30 Checking Your Monitor Revision 30 Getting Started 31 Disconnecting from AC Mains Power 32 Monitoring After a Power Failure 32 Networked Monitoring 32 Capturing Alarm Reports and Printing 33

3 What’s New? 35

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

4 Alarms 39

Visual Alarm Indicators 40 Audible Alarm Indicators 41 Acknowledging Alarms 42

Pausing or Switching Off Alarms 43 Alarm Limits 45 Reviewing Alarms 49 Latching Alarms 50 Testing Alarms 51 Alarm Behavior at On/Off 51 Alarm Recordings 51

5 Patient Alarms and INOPs 53

Patient Alarm Messages 53 Technical Alarm Messages (INOPs) 59

6 Managing Patients 83

Admitting a Patient 83 Quick Admitting a Patient 85 Editing Patient Information 85 Discharging a Patient 85 Transferring Patients 86

7 ECG, Arrhythmia, ST and QT Monitoring 89

Skin Preparation for Electrode Placement 89 Connecting ECG Cables 89 Selecting the Primary and Secondary ECG Leads 90 Checking Paced Status 90 Understanding the ECG Display 91 Monitoring Paced Patients 92 Changing the Size of the ECG Wave 93 Changing the Volume of the QRS Tone 94 Changing the ECG Filter Settings 94 Selecting Positions of Va and Vb Chest Leads (for 6-lead placement) 95 Choosing EASI or Standard Lead Placement 95 About ECG Leads 95 ECG Lead Fallback 96 ECG Lead Placements 96 Capture 12-Lead 100 EASI ECG Lead Placement 101 ECG and Arrhythmia Alarm Overview 102 Using ECG Alarms 103 ECG Safety Information 104 About Arrhythmia Monitoring 105 Switching Arrhythmia Analysis On and Off 106 Choosing an ECG Lead for Arrhythmia Monitoring 106 Understanding the Arrhythmia Display 107 Arrhythmia Relearning 110 Arrhythmia Alarms 111 About ST Monitoring 117

iii

Switching ST On and Off 117 Understanding the ST Display and Windows 118 Updating ST Baseline Snippets 119 About the ST Measurement Points 120 ST Alarms 122 Viewing ST Maps 122 About QT/QTc Interval Monitoring 127 QT Alarms 130 Switching QT Monitoring On and Off 131

8 Monitoring Pulse Rate 133

Entering the Setup Pulse Menu 133 System Pulse Source 133 Switching Pulse On and Off 134 Using Pulse Alarms 134

9 Monitoring Respiration Rate (Resp) 137

Lead Placement for Monitoring Resp 137 Understanding the Resp Display 138 Changing Resp Detection Modes 138 Changing the Size of the Respiration Wave 139 Changing the Speed of the Respiration Wave 140 Using Resp Alarms 140 Changing the Apnea Alarm Delay 140 Resp Safety Information 140

10 Monitoring SpO

143

SpO2 Sensors 143 Applying the Sensor 143 Connecting SpO2 Cables 144 Measuring SpO

144

SpO2 Signal Quality Indicator (Fast SpO2 only) 145 Assessing a Suspicious SpO2 Reading 145 Changing the Averaging Time 146 Setting the Measurement Mode 146 Understanding SpO2 Alarms 146 Pleth Wave 147 Perfusion Numeric 148 Perfusion Change Indicator 148 Setting SpO2/Pleth as Pulse Source 148 Setting Up Tone Modulation 148 Setting the QRS Volume 149

11 Monitoring NBP 151

Introducing the Oscillometric NBP Measurement 151 Preparing to Measure NBP 152

Starting and Stopping Measurements 154 Enabling Automatic Mode and Setting Repetition Time 154 Enabling Sequence Mode and Setting Up The Sequence 154 Choosing the NBP Alarm Source 154 Switching Pulse from NBP On/Off 155 Assisting Venous Puncture 155 Calibrating NBP 156

12 Monitoring Temperature 157

Making a Temp Measurement 157 Calculating Temp Difference 158

13 Monitoring Invasive Pressure 159

Setting up the Pressure Measurement 159 Zeroing the Pressure Transducer 161 Adjusting the Calibration Factor 162 Displaying a Mean Pressure Value Only 162 Changing the Pressure Wave Scale 163 Optimizing the Waveform 163 Non-Physiological Artifact Suppression 163 Choosing the Pressure Alarm Source 163 Calibrating Reusable Transducer CPJ840J6 165 Calculating Cerebral Perfusion 166

14 Monitoring Carbon Dioxide 167

Measuring CO2 using the CO2 Option or M3014A 168 Measuring Mainstream CO2 using M3016A 171 Measuring Microstream CO2 using M3015A 173 Setting up all CO2 Measurements 174

15 Assigning Two Devices to One Patient 177

How Can You Combine Devices? 177 Functions Available When the Telemetry Data Window is Displayed 181 Functions Available For Devices Connected Via SRR 182 General Telemetry-related Functions 182

16 Enhancing Telemetry Monitoring with the Monitor 185

17 Tre nd s 187

Viewing Trends 187 Setting Up Trends 189 Documenting Trends 192 Trends Databases 192 Screen Trends 193

18 Recording 199

Starting and Stopping Recordings 199 Overview of Recording Types 200 Creating and Changing Recordings Templates 200 Recorder Status Messages 201

19 Printing Patient Reports 203

Starting Report Printouts 203 Stopping Reports Printouts 204 Setting Up Reports 204 Setting Up Individual Print Jobs 205 Checking Printer Settings 206 Printing a Test Report 206 Switching Printers On Or Off for Reports 206 Dashed Lines on Reports 207 Unavailable Printer: Re-routing Reports 207 Checking Report Status and Printing Manually 207 Printer Status Messages 208 Sample Report Printouts 209

20 Care and Cleaning 213

General Points 213 Cleaning the Monitor 214 Disinfecting the Monitor 214 Sterilizing the Monitor 214 Cleaning, Sterilizing and Disinfecting Monitoring Accessories 215 Cleaning Batteries and the Battery Compartment 215

21 Using Batteries 217

Battery Power Indicators 218 Checking Battery Charge 220 Replacing a Battery 220 Optimizing Battery Performance 221 Battery Safety Information 222

22 Maintenance and Troubleshooting 225

Inspecting the Equipment and Accessories 225 Inspecting the Cables and Cords 225 Maintenance Task and Test Schedule 226 Troubleshooting 227 Disposing of the Monitor 227 Disposing of Empty Calibration Gas Cylinders 227

23 Accessories 229

ECG/Resp Accessories 229 NBP Accessories 233

Invasive Pressure Accessories 234 SpO2 Accessories 235 Temperature Accessories 239 Mainstream CO2 Accessories 239 Sidestream CO2 Accessories 240 Mainstream CO2 Accessories (for M3016A) 240 Microstream CO2 Accessories 240 Battery Accessories 241

24 Specifications 243

Intended Use 243 Manufacturer’s Information 244 Symbols 244 Installation Safety Information 246 Altitude Setting 246 Monitor Safety Specifications 246 EMC And Radio Regulatory Compliance 247 Out-Of-Hospital Transport - Standards Compliance 248 Monitor Performance Specifications 251 M4607A Battery Specifications 254 Measurement Specifications 255 Safety and Performance Tests 267

25 Default Settings Appendix 271

Country-Specific Default Settings 271 Alarm and Measurement Default Settings 277 Alarm Default Settings 277 ECG, Arrhythmia, ST and QT Default Settings 278 Pulse Default Settings 281 Respiration Default Settings 281 SpO2 Default Settings 282 NBP Default Settings 283 Temperature Default Settings 283 Invasive Pressure Default Settings 283 CO2 Default Settings 286

1Installation

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

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

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

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

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

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

Installation Checklist

Use this checklist to document your installation.

Step Ta s k Check Box

when Task

Done

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

“Unpacking and Checking the Shipment” on page 2).

❏

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

Monitor” on page 3).

❏

3 Insert the battery into the battery compartment (the battery must always be

in the battery compartment during use). Connect the monitor to AC mains via the external power supply using the supplied power cord (see “Connecting the Monitor to AC Mains” on page 3).

❏

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

Monitor” on page 5).

❏

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

Out the Monitor” on page 5).

❏

1 Installation Unpacking and Checking the Shipment

Unpacking and Checking the Shipment

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

Initial Inspection

Before unpacking, check the packaging and ensure that there are no signs of mishandling or damage.

Open the package carefully and remove the monitor and accessories. Check that the contents are complete and that the correct options and accessories have been delivered.

Claims for Damage

If the shipping cartons are damaged, contact the carrier.

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

Repacking

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

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

“Checking Country-Specific Default Settings” on page 7)

❏

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

Step Ta s k Check Box

when Task

Done

System Components, Accessories and Supplies Comments

Monitor with options as ordered 1 ECG accessories optional NBP accessories optional SpO2 accessories optional Pressure accessories optional Temperature accessories optional CO2 Accessories optional External Power Supply including AC power cord and MSL cable 1 Rechargeable battery 1 Instructions for Use 1 Quick Guide 1 Documentation CD-ROM (includes Service Guide and Instructions

for Use)

Mounting the Monitor 1 Installation

Mounting the Monitor

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

Mounting the External Power Supply (M8023A)

The external power supply (M8023A) can be rested on its rubber feet on a flat, level surface, or mounted as described in the Service Guide.

The following pictures show examples of correct ( ) and incorrect ( ) ways to mount the power supply.

Connecting the Monitor to AC Mains

The monitor is an electrical Class II device in which the protection against electric shock does not rely on basic insulation and a protective earth conductor but on double and/or reinforced insulation.

1 Installation Connecting the Monitor to AC Mains

The monitor has a wide-range external power supply (M8023A) that allows you to operate the monitor from an AC (alternating current) power source of 100 V to 240 V (± 10%) and 50/60 Hz (± 5%). The external power supply also charges the monitor’s battery.

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

supply (M8023A) to an earthed AC mains socket. Never adapt the mains plug from the power supply to fit an unearthed AC mains socket.

1 AC power cord. Connect to AC mains socket. 2 Connect LAN cable here. For connection to a PC or Information Center. 3 Measurement Link (MSL) cable. Supplies AC input power to the monitor for AC operation and

for battery charging. When there is a LAN connection to a PC or Information Center, the MSL cable also carries this data to and from the monitor.

4 Power-on LED. The green light is on when the external power supply is connected to AC

mains.

MSL Cable connects to power supply (M8023A)

Checking Out the Monitor 1 Installation

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

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

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

Checking Out the Monitor

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

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

Te s t Test or Inspection to be Performed

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

Are they free of damage?

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

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

Functionality Test After power up, touch the battery status indicator in the bottom right of the

screen. The battery status window should open. Press the blue Main Screen key to close the window and return to the main screen.

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

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

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

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

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

1 Installation Operating the Monitor

Operating the Monitor

To complete installation you will need to operate the monitor to check basic functionality. Here is a quick introduction to the monitor.

1 Switch on the monitor. After start-up the

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

2 Touch something on the screen (numerics,

waves, other screen items) to enter the corresponding menu. Touching the NBP numeric, for example, brings you to the Setup NBP menu.

3 Touch again to select an item on the menu and

work through the menu activities.

4 To access SmartKeys, press the SmartKeys

key. Main Setup is one of the SmartKeys.

5 If you cannot find a menu by

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

6 Press the Main Screen key to close all open

menus/windows and return to the main screen. Press again to enter the Change Screen window, where you can choose from a number of pre-configured screens.

Setting the Date and Time 1 Installation

Setting the Date and Time

To set the date and time:

1 Press the SmartKeys key to enter the SmartKeys window.

Select the Main Setup SmartKey to enter the Main Setup menu.

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

menu.

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

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

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

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

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

Checking Country-Specific Default Settings

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

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

patient category, alarm limits and paced setting.

If you need to enter configuration mode:

1 In the Main Setup menu, select Operating Modes.

2 Select Config and enter the passcode.

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

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

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

To leave configuration mode:

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

Handing Over the Monitor

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

1 Installation Handing Over the Monitor

Users must be adequately trained to use the monitor before monitoring a patient. To achieve this, they should have access to, and read, the following documentation delivered with the monitor:

• Instructions for Use (this book) - for full operating instructions

• Quick Guide - for quick reminders during use

Additionally, we recommend working through the Training Guide for self-training on the monitor before use (not available in all languages). The part number is M8102-944XB, where X is a digit dependent on the language. The English training guide is M8102-9441B.

2Basic Operation

These Instructions for Use are for clinical professionals using the IntelliVue MP2 (M8102A) patient monitor.

This basic operation section gives you an overview of the device and its functions. It tells you how to perform tasks that are common to all measurements (such as entering data, switching a measurement on and off, setting up and adjusting wave speeds, working with profiles). The alarms section gives an overview of alarms. The remaining sections tell you how to perform individual measurements, and how to care for and maintain the equipment.

Familiarize yourself with all instructions including warnings and cautions before starting to monitor patients. Read and keep the Instructions for Use that come with any accessories, as these contain important information about care and cleaning that is not repeated here.

This guide describes all features and options. Your monitor may not have all of them; they are not all available in all geographies. Your monitor is highly configurable. What you see on the screen, how the menus appear and so forth, depends on the way it has been tailored for your hospital and may not be exactly as shown here.

In this guide:

•A warning alerts you to a potential serious outcome, adverse event or safety hazard. Failure to observe a warning may result in death or serious injury to the user or patient.

•A caution alerts you to where special care is necessary for the safe and effective use of the product. Failure to observe a caution may result in minor or moderate personal injury or damage to the product or other property, and possibly in a remote risk of more serious injury.

• Monitor refers to the entire patient monitor. Display refers to the physical display unit. Display Screen and Screen refer to everything you see on monitor’s display, such as measurements, alarms, patient data and so forth.

2 Basic Operation Introducing the IntelliVue MP2

Introducing the IntelliVue MP2

The Philips IntelliVue MP2 monitor provides a comprehensive set of basic physiological measurements: ECG (including ST analysis and optional 10-lead ECG), NBP, SpO

, and optionally

invasive blood pressure, temperature and CO

. Through networking it provides information integration, documentation and information access. The MP2 can be used with adult, pediatric and neonatal patients in a hospital environment and during patient transport both inside and outside hospitals.

The monitor stores data in trend databases. You can see tabular trends (vital signs) and document them on a central printer. You can view measurement trend graphs, including horizon trends, to help you identify changes in the patient’s physiological condition.

The monitor can be powered by a rechargeable battery, or from AC mains using the external power supply (M8023A). For battery charging, care and status information, refer to the chapter “Using Batteries” on page 217.

Controls, Indicators and Connectors

MP2 Overview

1 On/Standby Switch 2 Power and battery indicators (see “MP2

Controls and Indicators” on page 11)

3 3.5-inch TFT LCD touchscreen QVGA

display

4 Alarm lamps (see “MP2 Controls and

Indicators” on page 11)

5 Built-in carrying handle 6 Battery eject button 7 Keys (see “MP2 Controls and Indicators”

on page 11)

8 Measurement connectors (see “MP2

Patient Connectors, Right Side” on page 12)

9 Battery

Controls, Indicators and Connectors 2 Basic Operation

MP2 Controls and Indicators

1 On/Standby switch 2 On/Standby LED. Green when

monitor is on. Red indicates an error.

3 Battery status LED. Yellow when

charging. Flashing red when battery is empty, or a battery malfunction is detected.

4 External power LED. Green when

monitor is powered from an external power source.

5 Alarms off indicator. When alarms are

suspended, the lamp is red, and the ALARMS OFF message appears on the screen.

6 Active INOP alarm lamp in light blue.

Stays lit until active INOP is acknowledged.

7 Active alarm lamp. Red or yellow,

depending on alarm level. Stays lit until active alarm is acknowledged.

8Silence key 9Alarms key: turns alarms On/Off, or

pauses them

10 SmartKeys key: brings up SmartKeys

on the screen

11 Main Screen key: closes all open

menus/windows and returns to the main screen, or selects current screen.

2 Basic Operation Controls, Indicators and Connectors

MP2 Patient Connectors, Right Side

1 Pressure (option) 2 Temperature (option) 3 Noninvasive blood pressure 4 SpO

5 ECG sync pulse output

(See page 252 for specifications)

6 ECG/Respiration 7 CO

(option)

Symbols (International) Text (English versions only)

MP2 Left Side

1 Loudspeaker 2 MSL Connector. Connects to the

external power supply via the MSL cable for AC mains operation, battery charging, and communication with a network.

Extending Measurements 2 Basic Operation

Extending Measurements

Your monitor is compatible with Philips measurement extensions for use with other IntelliVue patient monitoring devices. These allow you to add specific measurements to those already integrated into your monitor. These measurement extensions are referred to as MMS extensions.

The MMS extensions connect to the monitor and use the monitor’s settings and power. Trend data and measurement settings from the measurements in the extensions are stored in the monitor.

WARNING • Measurements from a MMS extension are only available when the extension is connected to the

monitor, and the monitor is running on AC mains via the external power supply (M8023A). Measurements from a MMS extension connected to the monitor are not available when the monitor is running on battery power.

• Any measurements on a MMS extension that conflict with those in the monitor cannot be used. For

example, only one CO

measurement is supported.

To separate an extension from the monitor, press the release lever and push the extension forward.

MMS Extension M3014A attached to the MP2

2 Basic Operation Extending Measurements

M3014A, M3015A and M3016A Measurement Extensions

The optional M3014A Capnography extension adds mainstream capnography, and optionally one pressure plus either a pressure or a temperature to the monitor. Cardiac Output and Continuous Cardiac Output are not available when used with the MP2.

The optional M3015A Microstream CO

extension adds microstream capnography and optionally

either pressure or temperature to the monitor. The optional M3016A Mainstream CO

extension adds

mainstream capnography and optionally either pressure or temperature to the monitor.

Only one CO

measurement at a time is supported.

Pressure connectors (red)

Inlet

Temperature connector (brown)

Microstream

connector CO

Mainstream/sidestream connector CO2 (optional)

Gas sample outlet

Cardiac Output connector

M3014A Capnography

M3015A Microstream

M3016A Mainstream

Extending Measurements 2 Basic Operation

M3012A Hemodynamic MMS Extension

When attached to the MP2 connected to the external power supply, the optional M3012A Hemodynamic extension adds temperature, pressure, and an additional pressure or a temperature to the monitor.

Cardiac Output and Continuous Cardiac Output are not available when used with the MP2.

Temperature connectors (brown)

Cardiac Output (orange; optional)

Pressure connectors (red)

MSL Connector to MP2

2 Basic Operation Operating and Navigating

Operating and Navigating

The principle method of operating your monitor is via the touchscreen. Almost every element on the screen is interactive. Screen elements include measurement numerics, information fields, alarms fields, waveforms and menus.

There are also four keys to the right of the screen (see also “MP2 Controls and Indicators” on page 11).

These let you:

Key with symbol (international)

Tex t r ep la ce s symbol (English versions only)

• Silence alarms: the Silence key acknowledges all active alarms by switching off audible alarm indicators and lamps.

• Switch alarms on or off, or pause alarms.

• Call up SmartKeys on the screen (see below).

• Close all open menus/windows and return to the main screen.

• If you are already in the main screen (no additional menus/ windows are open), then pressing this key opens the Change Screen window, where you can choose from a number of pre-configured screens.

• To temporarily disable the touchscreen operation, press and hold this key for 2 seconds. Press the key again to re-enable the touchscreen operation.

Operating and Navigating 2 Basic Operation

A typical main screen looks like this:

MP2 Screen Elements

Item Description Comments

1 Alarm volume off indicator is displayed when the alarm volume is set

to zero (0).

2 Patient name / alarm message field Patient name can be covered by alarm messages

or alarms On/Off/Paused message.

If red and yellow alarms are active at the same time, they rotate in the alarm field.

3 Patient category and bed label / INOP

message field

Patient category and bed label can be covered by INOP messages. If there are multiple red/ yellow/cyan INOPs active at the same time, they rotate in the INOP field.

4 Network connection indicator Documented in Information Center

Instructions for Use.

5 Measurement label Touch the measurement to enter the

measurement setup menu.

6 Paced status Displayed below the HR label.

All Sett. reset Profile Adult

Sys.

1mV

SpO

Doe, John

Sinus Rhythm

5 6

Adult

Bed9

NBP

Bed4

ST-I ST-V6

SpO

Adult

SpO2 LOW

APNEA

ST-I ST-V6

SpO

Bed4 Adult

ALL ECG ALARMS OFF

APNEA

ST-I ST-V6

SpO

2 Basic Operation Operating and Navigating

Using the Touchscreen

Touch a screen element to get to the actions linked to that element. For example, touch a measurement numeric and the setup menu for that measurement opens. Touch a wave to enter the setup menu for that wave.

Measurement Setup Menus

Each measurement has a setup menu where you can perform operations or change settings. Typically, the setup menu window covers the whole screen, with the exception of the INOP and alarm message fields, which are always displayed at the top. The following picture is for illustration purposes, and may not exactly represent what you see on the screen. We are using non invasive blood pressure as an example, but all measurement setup windows are similar and share the same basic layout and components.

Touch the measurement numeric on the screen to enter the setup menu.

7 Measurement numeric/values Touch the numeric to enter the measurement

setup menu.

8Measurement wave Touch the wave to enter the measurement

setup menu.

9 Status line Shows information and messages prompting

you for action.

10 Battery status indicator Gives information about remaining battery

charge, estimated operating time, maintenance requirements and malfunctions. See the chapter “Using Batteries” on page 217.

MP2 Screen Elements

Item Description Comments

SpO

Pulse 60

Auto 15 min

Bed4 Doe, John

Adult

No Central Monit.

NBPs HIGH

Alarms :

Sys.

Al. from :

Sys

Mode :

Auto

Repeat:

15 min

Start/

Stop

All

NBP

STAT

NBP meas. + autom. cycle started

NBP

Main screen

Measurement setup menu

Pulse 60

Auto 08:28

Setup NBP

Operating and Navigating 2 Basic Operation

Main Setup Menu

There is usually more than one way to enter a setup menu for a measurement, to change a setting or to execute a task. Some routes are more direct than others. You can use whichever method you find most convenient. Which routes are available to you, however, can vary depending on your monitor’s configuration.

For this reason, this book generally describes entry to a measurement’s setup menu via the Main Setup menu, as this route is always available and is not subject to configuration dependencies. You can get to all setup windows from the Main Setup menu. You enter the Main Setup menu by pressing the SmartKeys key, then selecting the Main Setup SmartKey.

SmartKeys

A SmartKey is a configurable graphical key on the screen allowing fast access to frequently used functions. Press the SmartKeys hard key to call up a set of SmartKeys on the screen. Although the selection of SmartKeys available on your monitor depends on the monitor configuration and on the options purchased, the SmartKeys window generally looks like this:

Key to measurement setup menu:

Item Description Comment

1 INOP and alarm message field. These are always displayed at the top of the screen. 2 Wave/numerics window. The main measurement numeric and wave (if applicable) are shown in

this window so that you do not lose sight of the current measurement while making changes in the menu.

3 Status/prompt message. Status/prompt messages related to the measurement menu are displayed

below the wave/numerics. General status/prompt messages on the main screen are covered by the measurement setup menu.

4 Next page arrows. The menu may have more than one page, as shown here. Move to another

page by touching these arrows.

5 Measurement menu buttons. Each button has two lines of text. To perform an operation on a

measurement, press one of the buttons. Some buttons lead directly to a task. For example, pressing the

Start/Stop button for noninvasive

blood pressure starts a measurement. Other buttons open a pop-up window, which can have more than one page, from which you make a selection. Again, using noninvasive blood pressure as an example, pressing the

Repeat Time button for setting the repetition time opens a pop-

up window from which you pick a time, scrolling if necessary.

Main Setup menu

From here you can get to all setup

menus

2 Basic Operation Operating and Navigating

Main Setup is one of the SmartKeys.

enter Main Setup menu - you can get to all setup windows using this key

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

enter profile menu, or revert to default profile

change Screen, or revert to default screen

previous Screen

quick admit a patient

enter patient identification menu to admit/discharge/transfer

end case to discharge a patient

lock touchscreen operation set alarm limits

change alarm volume

change screen brightness (not for independent displays)

change QRS volume change amplitude (size) of ECG wave

review beat labels (annotate arrhythmia wave)

re-learn arrhythmia

- start/stop manual NBP measurement

- start auto series

- stop current automatic measurement within series

start NBP STAT measurement

stop automatic or STAT NBP measurement and measurement series

start NBP measurement and measurement series

Touch to view more SmartKeys

No Central Monit.

NBPs HIGH

Start/

Stop

Measmt.

Select.

Admit/

Dischrge

Alarm Limits

Vitals

Trend

Profiles

Alarm

Volume

QRS

Volume

Monitor

Standby

SmartKeys

Operating and Navigating 2 Basic Operation

Pop-Up Keys

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

Using the On-Screen Keyboard

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

start veni puncture (inflate cuff to subdiastolic pressure)

stop current NBP measurement

set the NBP repeat time

access patient reports

switch CO

pump off zero invasive pressure transducer

new lead setup set standard or EASI lead placement

review vital signs trend review graph trend

unpair equipment and continue central monitoring with the monitor

unpair equipment and continue central monitoring with the telemetry device

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

access ST Map application

select measurement device

Adult

Bed10

Not Admitted

@!#

(

)

Alt

Clr

Shift

Back

Enter

Last Name

2 Basic Operation Operating Modes

Operating Modes

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

1 Select the Main Setup menu.

2 Select Operating Modes and choose the mode you require.

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

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

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

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

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

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

Standby Mode

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

Press the SmartKeys key .

Either select the Monitor Standby SmartKey Or select the Main Setup SmartKey, then select Monitor Standby.

The Standby screen looks like this:

Config

Understanding Screens 2 Basic Operation

The monitor enters Standby mode automatically after the End Case function is used to discharge a patient. Standby suspends patient monitoring. All waves and numerics disappear from the display but all settings and patient data information are retained. A special Standby screen is displayed.

If a patient location is entered at the Information Center, this will also be displayed on the Standby screen (availability depends on Information Center revision).

To resume monitoring,

♦ Select anything on the screen or press any key.

Understanding Screens

Your monitor comes with a set of pre-configured Screens, optimized for common monitoring scenarios. A Screen defines the overall selection, size and position of waves and numerics on the monitor screen when you switch on. You can easily switch between different Screens during monitoring. Screens do NOT affect alarm settings, patient category and so forth.

Switching to a Different Screen

To switch to a different Screen:

1 After closing any open menus or windows, press the Main Screen key to access the Change

Screens menu.

2 Choose the new Screen from the Change Screens menu.

Changing a Screen’s Content

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

To change the selection of elements on a Screen,

1 Select the element you want to change. For example, touch the wave to enter the wave setup menu,

or touch the numeric to enter the numeric setup menu.

2 From the menu that appears, select Change Wave or Change Numeric, and then select the

wave or numeric you want.

STANDBY

Press any key or select any field on the screen

to resume monitoring

2 Basic Operation Using the XDS Remote Display

In the Change Screen menu, the changed Screen is shown linked to the original Screen and marked with an asterisk.

Up to three modified Screens can be accessed via the Change Screen menu.

To recall Screens, select the name of the Screen in the Change Screen menu

After a patient discharge, the monitor’s default Screen is shown. Modified Screens are still available in the Change Screen menu.

If the monitor is switched off and then on again, modified Screens are erased from the monitor’s memory and cannot be recalled. If a modified Screen was the last active Screen when the monitor was switched off, it is retained (unless Automat. Default is set to Yes in Configuration Mode).

Using the XDS Remote Display

Using the IntelliVue XDS solution it is possible to view an independent monitor screen on an external display. The XDS solution consists of a medical grade PC-based hardware platform, XDS application software and the XDS connectivity option on the monitor. Depending on the configuration you can also operate the monitor from the external display. The XDS must be connected to the same Local Area Network (LAN) as the monitor.

It is also possible to use an existing PC, connected to the same LAN, to host the XDS Application software.

For more details, including limitations and restrictions, refer to the Instructions for Use for the XDS Application.

Using the Visitor Screen

If a visitor Screen is configured for your monitor, you can use it to clear the screen of all waves and numerics but continue to monitor the patient with active alarms and trend storage at the bedside and Information Center. You can change the name of the visitor Screen in Configuration Mode.

To activate this Screen,

1 Press the Main Screen key to open the Change Screen menu.

2 Select the name of the visitor Screen configured for your monitor from the list of available Screens.

To select a Screen with waves and numerics again,

♦ Touch the gray rectangle in the center of the screen showing the visitor Screen’s name, or press the

Main Screen key, to open the Change Screen menu and then select a Screen from the list.

1 Wave B

1 Big Wave

Vital Signs B

2 Waves A

2 Waves B

Change Screen

Understanding Profiles 2 Basic Operation

Understanding Profiles

Profiles are predefined monitor configurations. They let you change the configuration of the whole monitor so you can adapt it to different monitoring situations. The changes that occur when you change a complete profile are more far reaching than those made when you change a Screen. Screens affect only what is shown on the display. Profiles affect all monitor and measurement settings.

The settings that are defined by Profiles are grouped into three categories. Each category offers a choice of ‘settings blocks’ customized for specific monitoring situations. These categories are:

Display (screens)

– Each profile can have a choice of many different predefined screens. When you change the

profile, the screen selection configured for the new profile becomes active.

• Measurement Settings

– Each profile can have a choice of different predefined measurement settings. These relate directly

to individual measurements, for example, measurement on/off, measurement color, alarms limits, NBP alarm source, NBP repeat time, temperature unit (

F or oC) pressure unit (mmHg or kPa).

• Monitor Settings

– Each profile can have a choice of different predefined monitor settings. These relate to the

monitor as a whole; for example, display brightness, alarms off/paused, alarm volume, QRS tone volume, tone modulation, prompt tone volume, wave speed, resp wave speed, pulse source.

You can change from one complete profile to another or swap individual settings blocks (display screen/monitor settings/measurement settings) to change a subset of a profile. Changes you make to any element within the settings blocks are not saved when you discharge the patient, unless you save them in Configuration Mode.

Depending on your monitor configuration, when you switch on or discharge a patient the monitor either continues with the previous profile, or resets to the default profile configured for that monitor.

PAP ZERO+CHECK CAL

Doe, John

Profile : Profile Adult

Patient Category : Adult

Paced : No

Display : Vital Signs

Profiles

Measmnt.Settings : Measmt. Adult

Measmnt. Adult

Measmnt. Pedi

Please Confirm

To activate the highlighted settings block select Confirm

PAP ZERO+CHECK CAL

Doe, John

Confirm

Cancel

Profile

Patient

Profiles Menu, showing current settings Available choices in measurement menu. Confirm your

choice when prompted.

Please Confirm

2 Basic Operation Understanding Settings

WARNING If you switch to a different profile, the patient category and paced status normally change to the setting

specified in the new profile. However some profiles may be setup to leave the patient category and paced status unchanged. Always check the patient category, paced status, and all alarms and settings, when you change profiles.

When you leave Demonstration Mode, the monitor uses the default profile.

Swapping a Complete Profile

1 Press the SmartKeys key and

– Either select Main Setup and then Profiles in the Setup menu.

– Or select the Profiles SmartKey .

2 In the Profiles menu, select Profile.

3 Chose a profile from the pop-up list.

4 Confirm your selection.

Swapping a Settings Block

1 Select the Main Setup SmartKey and then Profiles in the Main Setup menu, or

select the Profiles SmartKey.

2 In the Profiles menu, select Display or Measmnt. Settings or

Monitor Settings to call up a list of the settings blocks in each category.

3 Choose a settings block from the pop-up list.

4 Confirm your selection.

Default Profile

Your monitor has a default profile that it uses when you leave Demonstration, or Service modes, or when you discharge a patient. This profile is indicated by a diamond .

Locked Profiles

Some profiles are locked, so that you cannot change them, even in Configuration Mode. These are indicated by this lock symbol.

Understanding Settings

Each aspect of how the monitor works and looks is defined by a setting. There are a number of different categories of settings, including,

Screen Settings, to define the selection and appearance of elements on each individual Screen

Measurement settings, to define settings unique to each measurement, for example, high and low

alarm limits

Changing Measurement Settings 2 Basic Operation

Monitor settings, including settings that affect more than one measurement or Screen and define

general aspects of how the monitor works, for example, alarm volume, reports and recordings, and display brightness.

You must be aware that, although many settings can be changed in Monitoring Mode, permanent changes to settings can only be done in the monitor’s Configuration Mode. All settings are reset to the stored defaults:

• when you discharge a patient

• when you load a Profile

• when the monitor is switched off for more than one minute (if Automat. Default is set to Yes).

Changing Measurement Settings

Each measurement has a setup menu in which you can adjust all of its settings. You can enter a setup menu:

• via the measurement numeric - select the measurement numeric to enter its setup menu. For example, to enter the Setup ECG menu, select the HR (heart rate) numeric.

•via the Main Setup SmartKey - if you want to setup a measurement when the measurement is switched off, use the Main Setup SmartKey and select Measurements. Then select the measurement name from the popup list. With this permanent key you can access any setup menu in the monitor.

• via the Measurement Selection key.

Switching a Measurement On and Off

When a measurement is off, its waves and numerics are removed from the monitor’s screen. The monitor stops data acquisition and alarming for this measurement.

1 Enter the measurement’s setup menu and select the measurement.

2 Select the measurement name to toggle between on and off. The screen display indicates the active

setting.

Adjusting a Measurement Wave

To quickly adjust wave-related measurement settings (such as speed or size), select the measurement wave itself. This displays the measurement Wave menu, which has only wave-related measurement settings.

Changing Wave Speeds

Lowering the wave speed compresses the wave and lets you view a longer time period. Increasing the speed expands the waveform, giving you a more detailed view.

The monitor distinguishes two groups of wave speed settings,

• RespiratorySpeed, for CO

waves.

• Global Speed, for all waves not included in the other group.

2 Basic Operation Using Labels

Changing the Wave Group Speed

The wave speed group setting defines the speed of all the waves in the group.

To change the wave speed of a wave speed group,

1 Select Main Setup -> User Interface

2 Select Global Speed or RespiratorySpeed, as required

3 Select a value from the list of available speeds.

Changing Wave Speed for a Channel

To change the wave speed of an individual wave channel,

1 Enter the Wave menu for a measurement by selecting its wave. 2 Select Change Speed.

3 To set the speed to the wave group speed, select RespiratorySpeed or Global Speed.

To set an individual channel speed, select a numeric value from the list of available speeds. This overrides the wave group speed setting and sets the speed for the individual wave channel on the monitor Screen. The wave channel speed is independent of the wave (label) depicted in the channel, if you change the wave, the new wave will retain the set channel speed.

Using Labels

You can measure up to three invasive pressures and temperatures simultaneously. The monitor uses labels to distinguish between them. The default settings defined in the profile (such as measurement color, wave scale, and alarm settings) are stored within each label. When you assign a label to a measurement, the monitor automatically applies these default settings to the measurement. The labels assigned are used throughout the monitor, in reports, recordings, and in trends.

Changing Measurement Labels (e.g. Pressure)

To change a measurement label of a measurement with multiple labels (invasive pressure or temperature),

1 Enter the Wave menu of the measurement.

2 Select Label.

3 Choose a label from the list.

The monitor automatically applies the scale, color, etc. settings stored in the Profile for the label you select. You can change scale settings in Monitoring Mode, but color can only be changed in the monitor’s Configuration Mode.

Any labels already being used in the monitor are shown “grayed-out” in the list and cannot be selected.

Resolving Label Conflicts

Each label must be unique, that is, it can only be assigned once. If you have a MMS Extension equipped with a pressure measurement connected to the monitor, there is a potential conflict with, for example, the ABP label. If you manually enter measurement values these may also conflict with existing labels on the monitor.

Depending on your configuration, the monitor will either

Using Labels 2 Basic Operation

• display the Measurement Selection window automatically for you to resolve the conflict

• take no action, you must enter the Measurement Selection window and resolve the conflict

All the currently available measurements are depicted in the Measurement Selection window. Any measurement labels causing a label conflict are shown in red. If a measurement is connected but currently unavailable, for example, because it was deactivated due to a label conflict, that measurement is shown “grayed-out”. If a MMS Extension is not available, for example if monitor is running on battery power and not an external power source, the MMS Extension is not displayed.

A MMS Extension is only shown in the Measurement Selection window when the monitor is connected to the external power supply (M8023A) and running on AC mains power, and not when running on battery power.

To resolve a label conflict:

1 Press the SmartKeys key and

– Either select Main Setup and then Meas. Selection – Or select the Meas. Select. SmartKey

to display the Measurement Selection window.

2 Select the label to be corrected.

3 Use the measurement selection keys to resolve the conflict. Select either:

– Change Label: to assign a different label to the conflicting label. – De-activate: to disable the conflicting measurement. It retains its label for future use but

becomes invisible to the monitor, as though it had been unplugged.

– Setup <Measurement label>: to enter the Setup menu for the measurement and change

the conflicting device’s label to a different label.

4 Select the De-activate pop-up key to disable the conflicting measurement.

measurement selection key

PAP ZERO+CHECK CAL

ABP Tcore

NBP

SpO

ECG Resp

Temp

PAP

Measurement Selection

*** APNEA

De-

Activate

Setup SpO

Change

Label

CPP

Temp

Unavailable measurements are grayed-out

2 Basic Operation Changing Monitor Settings

Label Compatibility

When a new measurement is introduced, or new labels for an existing measurement, these labels will not be shown on older Information Centers, and consequently not on the Overview screen sourced from the Information Center.

When a patient is transferred from a monitor with these new labels to one with an older software revision, the labels will be replaced with a generic label for that measurement. The settings for that generic label will then be used.

If it is critical that the measurement labels are available at the Information Center and after transfers, the older monitors and the Information Center must be upgraded to the appropriate software revision.

Changing Monitor Settings

To change monitor settings such as brightness, or QRS tone volume:

1 Press the SmartKeys key .

2 Either Enter the Main Setup menu by selecting the SmartKey . Select the setting you

want to change, or select User Interface to enter a submenu where you can change user interface settings.

Or Select the appropriate SmartKey for the setting you want to change.

Adjusting the Screen Brightness

1 Select the Brightness SmartKey. 2 Select the appropriate setting for the screen brightness. 10 is the brightest, 1 is the least

bright. Optimum is suitable for most monitoring locations and optimizes power usage for battery powered monitors.

Your monitor may be configured with a lower brightness for Standby mode and also for transport to conserve battery power. These settings can only be changed in the monitor’s Configuration Mode.

Setting the Date and Time

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

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

1 In the Main Setup menu, select Date, Time.

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

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

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

Checking Your Monitor Revision

1 Select Main Setup -> Revision to open the Monitor Revision menu. 2 Select the correct device from the device pop-up keys.

Getting Started 2 Basic Operation

3 From the Monitor Revision menu, select the monitor component for which you need

revision information.

Getting Started

Once you understand the basic operation principles, you can get ready for monitoring.

Inspecting the Monitor

WARNING If the monitor is mechanically damaged, or if it is not working properly, do not use it for any

monitoring procedure on a patient. Contact your service personnel.

1 Before you start to make measurements, carry out the following checks on the monitor.

– Check for any mechanical damage. – Check all the external cables, plug-ins and accessories.

2 Always ensure that the battery is loaded in the battery compartment when monitoring a patient,

even when the monitor is running on external power.

3 If you are using battery power, ensure that the battery has sufficient power for monitoring. Before

using a battery for the first time, you must charge it, following the instructions given in the section on Charging Batteries.

4 Measurements from measurement extensions attached to the monitor are only available when the

monitor is operating from AC mains power. The measurement extensions are not active when the monitor is operating from battery power.

5 Check all the functions of the instrument that you need to monitor the patient, and ensure that the

instrument is in good working order.

Switching On

Press the on/off switch on the monitor for one second. The monitor performs a self test and is then ready to use. If you see a message such as CO

SENSOR WARMUP wait until it disappears before

starting to monitor that measurement.

Power On/Power Off Behavior

The general rules determining the behavior of the monitor when connected to, or disconnected from power are as follows:

• A monitor that was switched on prior to a temporary power loss switches on again when power is restored.

• A monitor that was switched off prior to a temporary power loss remains off when power is restored.

• When AC mains power is lost, a battery powered monitor continues to run without interruption on battery power.

Setting up the Measurements

1 Decide which measurements you want to make.

2 Basic Operation Disconnecting from AC Mains Power

2 Connect the required patient cables and sensors. The connectors are color-coded to the patient

cables and sensors for easy identification.

WARNING When connecting devices for acquiring measurements, always position cables and tubing carefully to

avoid entanglement or potential strangulation.

Starting Monitoring

After you switch on the monitor,

1 Admit your patient to the monitor. 2 Check that the profile, alarm limits, alarm and QRS volumes, patient category and paced status

and so forth are appropriate for your patient. Change them if necessary.

3 Refer to the appropriate measurement section for details of how to perform the measurements you

require.

Disconnecting from AC Mains Power

To disconnect the monitor from AC mains power, unplug the power cord for the external power supply (M8023A) from the mains socket.

Monitoring After a Power Failure

If external power is disconnected or there is a power failure, the monitor continues to run on its rechargeable battery.

If the monitor is without any power (no external power or the battery is empty) for less than one minute, monitoring will resume with all active settings unchanged. If the monitor is without power for more than one minute, the behavior depends on your configuration. If Automat. Default is set to Yes, the default profile will be loaded when power is restored. If Automat. Default is set to No, all active settings are retained, if power is restored within 48 hours. The Automat. Default setting is made in Configuration Mode.

Networked Monitoring

You can connect your monitor to an Information Center on a network, using one of the optional interfaces:

• Standard wired LAN

• Wireless LAN

• IntelliVue Instrument Telemetry System (IIT)

WARNING Do not connect patient monitors to the standard hospital network.

Capturing Alarm Reports and Printing 2 Basic Operation

If your monitor is connected to a network, a network symbol is displayed in the upper left corner next to the bed label. To see details about the monitoring equipment and technical information about the network, select the Main Setup SmartKey to enter the Setup menu, then select Bed Information.

Be aware that some network-based functions may be limited for monitors on wireless networks in comparison to those on wired networks.

Capturing Alarm Reports and Printing

You can print out standard reports, alarm reports and trends with the IntelliVue PC Printing Solution. This is a software package which allows you to print to a standard, off-the-shelf printer or to an electronic file such as PDF. You can download the IntelliVue PC Printing Solution free-of-charge from the Internet and install it on an existing PC.

Capturing Alarm Reports

The monitor can be set up to automatically capture alarm reports, triggered by selected alarms. The necessary settings must be made in Configuration mode.

When one of the selected alarms occurs, the monitor automatically captures the alarm and creates a report which is stored in the database. As soon as the monitor is connected to a PC or network with the IntelliVue PC Printing Solution software, it will automatically print the reports, or send them to a patient-specific folder as an electronic file.

2 Basic Operation Capturing Alarm Reports and Printing

3What’s New?

This section lists the most important new features and improvements to the monitor and its user interface introduced with each release. Further information is provided in other sections of this book.

You may not have all of these features, depending on the monitor configuration purchased by your hospital.

What’s New in Release G.0?

Short Range Radio Interface for MP2

A short range radio interface is now available for the MP2 monitor. This allows a telemetry transceiver with a short range radio adapter to be assigned to the monitor, resulting in a direct connection. The measurement data from the telemetry transceiver appear directly on the monitor screen with a minimal delay and are combined with the monitor data in one sector at the Information Center.

IntelliVue XDS Solution Using the IntelliVue XDS solution it is possible to view an independent monitor screen on an external

display. The XDS solution consists of a medical grade PC-based hardware platform, XDS application software and the XDS connectivity option on the monitor. Depending on the configuration you can also operate the monitor from the external display. The XDS must be connected to the same Local Area Network (LAN) as the monitor.

It is also possible to use an existing PC, connected to the same LAN, to host the XDS Application software.

New Fields in the Admission Form

A Middle Name field is now available in the admission form - whether it appears is configurable. Two additional ID fields, Lifetime Id and Encounter Id, can also be configured to appear and their names can be customized to fit hospital requirements.

SpO

Enhancements

• Additional SpO

Labels - SpO2pr and SpO2po labels have been added.

• New manual measurement mode when telemetry devices are connected via a short range radio link.

• Signal Quality Indicator displayed with the SpO

numerics.

ECG Enhancements

•New */**Afib yellow alarm when an atrial fibrillation waveform is detected.

• QT View window - shows current wave and baseline wave with Q and T points marked so that you can verify that the QT algorithm detects correct Q and T points.

3What’s New? What’s New in Release F.0?

What’s New in Release F.0?

QT/QTc Interval Monitoring

QT interval monitoring is used to assist in the detection of prolonged QT interval syndrome. The QT interval is measured and the heart-rate corrected QT value, QTc, is calculated. The monitor also provides a 'QTc value which tracks variation in the QT interval in relation to a baseline value. High alarm limits can be set for QTc and 'QTc enabling alarm notification.

Manual Data Entry

Measurement values (for example lab data or manually measured temperatures) can be entered manually into the monitor and stored in the database. They can then be used for trends, reports and also be displayed as a numeric on screen, if required.

Horizon Trend Enhancements

The trend indicator arrow indicates how the patient trend has developed in a set time period. This period is now configurable and can be set to 10 minutes, 5 minutes or 2 minutes. The horizon (or baseline) can now be set to a range or to a specific value.

Connecting an MP5 to a Monitor (Companion Mode is indicated)

The MP5 monitor can be connected to one of the MP20 to MP90 monitors (then called the host monitor) and used like an MMS. This provides monitoring continuity in transport situations allowing measurement data and patient demographics from the MP5 to be transferred to another monitor. When the MP5 is connected to a host monitor, no alarms will be announced on the MP5.

NBP - Programmable Measurement Sequence

Up to four measurement cycles can be set up which will run consecutively. For each cycle you can set the number of measurements and the interval between them. By setting the last cycle to run continuously you can have regular measurements continue after the sequence has run.

New Printing Options For Reports

Reports can now also be printed via an external PC-based print server or to an internal print database, when no printer is available (for example, during transport). As soon as a printer becomes available, the reports stored in the database will print automatically.

Manual Pairing At Monitor

Previously, devices could only be manually paired at the Information Center. You can now pair devices at the monitor as long as the monitor is already connected to the Information Center.

Moving Windows And Menus

Windows and menus can now be moved on the monitor screen. Using touch or a mouse you can select the title of a window and then “drag” it across the screen. Some positions on the screen are not allowed, such as ones overlapping the alarm field or the monitor info line.

Invasive Pressure Changes

Wave cursor - A cursor is now available on the realtime pressure wave to allow you to define a position

and store the corresponding value.

Reduced alarm limit steps in lower ranges - The alarm limits setting in 2 mmHg steps is now possible in ranges up to 50 mmHg (previously up to 30 mmHg).

What’s New in Release F.0? 3What’s New?

New Patient Check

The monitor can be configured to ask you in certain situations: after a specified power-off period, after a specified standby period and when no basic vitals (HR, RR, Pulse, SpO

, NBP) have been measured for a specified period, whether a new patient is now being monitored. By selecting the Yes pop-up key you can discharge the previous patient and reset settings.

New Smart Keys

A SmartKey is available for New Lead Setup when a new ECG lead set with fewer leads than previously is being used.

Better Visibility Of Gridlines

The brightness of the gridlines on the realtime waves has been increased for better visibility.

3What’s New? What’s New in Release F.0?

4Alarms

The alarm information here applies to all measurements. Measurement-specific alarm information is discussed in the sections on individual measurements.

The monitor has two different types of alarm: patient alarms and INOPs.

Patient Alarms are red and yellow alarms. A red alarm indicates a high priority patient alarm such as a potentially life threatening situation (for example, asystole). A yellow alarm indicates a lower priority patient alarm (for example, a respiration alarm limit violation). Additionally there are short yellow alarms, most of which are specific to arrhythmia-related patient conditions (for example, ventricular bigeminy).

INOPs are technical alarms, they indicate that the monitor cannot measure or detect alarm conditions reliably. If an INOP interrupts monitoring and alarm detection (for example, LEADS OFF), the monitor places a question mark in place of the measurement numeric and an audible indicator tone will be sounded. INOPs without this audible indicator indicate that there may a problem with the reliability of the data, but that monitoring is not interrupted.

Most INOPs are light blue, however there are a small number of INOPS which are always yellow or red to indicate a severity corresponding to red and yellow alarms. The following INOPs can also be configured as red or yellow INOPs to provide a severity indication:

• ECG LEADS OFF

• ECG/ARRH ALARM OFF (yellow only, no red INOP)

• CUFF OVERPRESS

• CUFF NOT DEFLATED

• OCCLUSION

• TELE DISCONNECT.

• Replace TeleBatt

All monitors in a unit should have the same severity configured for these INOPs. Alarms are indicated after the alarm delay time. This is made up of the system delay time plus the

trigger delay time for the individual measurement. See the specifications section for details.

If more than one alarm is active, the alarm messages are shown in the alarm status area in succession. An arrow symbol next to the alarm message informs you that more than one message is active.

n** HR HIGH

4Alarms Visual Alarm Indicators

The monitor sounds an audible indicator for the highest priority alarm. If more than one alarm condition is active in the same measurement, the monitor announces the most severe. Your monitor may be configured to increase alarm indicator volume automatically during the time when the alarm is not acknowledged.

Visual Alarm Indicators

Alarm message: An alarm message text appears in the alarm status area at the top of the screen indicating the source of the alarm. There is a field for INOPs (light blue, red or yellow) and a field for patient alarms, which is shared for red and yellow alarms. If more than one measurement is in an alarm condition, the message changes every two seconds, and has an arrow ( ) at the side. If both red and yellow alarm conditions are active simultaneously, they alternate every two seconds in the patient alarms field. The background color of the alarm message matches the alarm priority: red for red alarms, yellow for yellow alarms, light blue for standard INOPs, red for red INOPs and yellow for yellow INOPs. The asterisk symbols (*) beside the alarm message match the alarm priority: *** for red alarms, ** for yellow alarms, * for short yellow alarms. Standard INOPs do not have a symbol, red and yellow INOPs have exclamation marks beside the alarm message: !!! for red INOPs and !! for yellow INOPs.

Depending on how your monitor is configured, it may display alarm limit violation messages

• in text form, for example “**SpO

LOW” or

• in numeric form, for example “**SpO

94<96”, where the first number shows the maximum

deviation from the alarm limit, and the second number shows the currently set limit.

Flashing numeric: The numeric of the measurement in alarm flashes.

Bright alarm limits: If the alarm was triggered by an alarm limit violation, the corresponding alarm

limit on the monitor screen is shown more brightly if Show AlarmLimits is enabled and there is sufficient room on the screen.

Alarm lamp: A lamp on the monitor’s front panel flashes. The alarm lamp is divided into two sections. The right one flashes for a patient alarm, except for short yellow alarms where the lamp will light for approximately six seconds. The color is yellow or red corresponding to the highest priority patient alarm currently present. The left one lights continuously for a light blue INOP and flashes for yellow or red INOPs as follows:

If only patient alarms are present, and no INOPs, the patient alarms will use both left and right sections to flash (for red and yellow alarms) or light for approximately six seconds (for short yellow alarms). If only INOPs are present, and no patient alarms, red and yellow INOPs will use both left and right sections to flash but light blue INOPs will always light continuously in the left section only.

INOP Lamp Color

Modulation (how long the lamp is on or off while flashing)

On Off

Yellow 1.0 seconds 1.0 seconds Red 0.25 seconds 0.25 seconds

Audible Alarm Indicators 4Alarms

Audible Alarm Indicators

The audible alarm indicators configured for your monitor depend on which alarm standard applies in your hospital. Audible alarm indicator patterns are repeated until you acknowledge the alarm by switching it off or pausing it, or until the alarm condition ceases (if audible alarm indication is set to non-latching).

WARNING • Do not rely exclusively on the audible alarm system for patient monitoring. Adjustment of alarm

volume to a low level or off during patient monitoring may result in patient danger. Remember that the most reliable method of patient monitoring combines close personal surveillance with correct operation of monitoring equipment.

Alarm Tone Configuration

The audible alarm indicators of your monitor are configurable. In the monitor’s Configuration Mode, you can:

• increase the alarm volume of unacknowledged alarms at regular intervals

• change the interval between alarm sounds (ISO/IEC Standard alarms only)

• change the base volume of the red and yellow alarm tones and the INOP tones

• change the alarm sound to suit the different alarm standards valid in different countries.

Traditional Audible Alarms (HP/Agilent/Philips/Carenet)

• Red alarms and red INOPs: A high pitched sound is repeated once a second.

• Two-star yellow alarms and yellow INOPs: A lower pitched sound is repeated every two seconds.

• One-star yellow alarms (short yellow alarms): The audible indicator is the same as for yellow alarms,

but of shorter duration.

• Standard INOPs: an INOP tone is repeated every two seconds.

ISO/IEC Standard Audible Alarms

• Red alarms and red INOPs: A high pitched tone is repeated five times, followed by a configurable

pause.

• Two-star yellow alarms and yellow INOPs: A lower pitched tone is repeated three times, followed by

a configurable pause.

• One-star yellow alarms (short yellow alarms): The audible indicator is the same as for yellow alarms,

but of shorter duration.

• Standard INOPs: a lower pitched tone is repeated twice, followed by a pause.

Changing the Alarm Tone Volume

4Alarms Acknowledging Alarms

♦

If you want to see a numerical indication of the current alarm volume on a scale from zero to 10, or change the setting, select the Alarm Volume SmartKey. The volume scale pops up. The current setting is indented. To change the setting, select the required number on the scale. Any settings that are inactive (“grayed out”) have been disabled in the monitor’s Configuration Mode.

When the alarm volume is set to zero (off), the alarm volume symbol reflects this. If you switch the alarm volume off, you will not get any audible indication of alarm conditions.

Minimum Volume for No Central Monitoring INOP

If your monitor is connected to an Information Center, and the connection is interrupted, the INOP message No Central Monit. will appear within 30 seconds, accompanied by an INOP tone. To help ensure that this INOP, and any other active alarm, is not overlooked, the INOP and alarm tones may be configured to have a minimum volume. In this case, INOP and alarm tones will sound even if the monitor alarm volume is set to zero.

Minimum Volume for Severe Yellow or Red INOPs

Severe yellow or red INOPs require action to ensure the well-being of the patient. Therefore the minimum volume for the INOP tone is set to at least alarm volume 8, irrespective of the current alarm volume setting. The INOP tone will sound even if the monitor alarm volume is set to zero.

The severe INOPs for which this applies are: Cuff Not Deflated (configurable to yellow or red)

NBP Cuff Overpress (configurable to yellow or red)

Insert Battery (yellow)

Acknowledging Alarms

To acknowledge all active alarms and INOPs, press the Silence key. This switches off the audible alarm indicators and alarm lamps.

A check mark beside the alarm message indicates that the alarm has been acknowledged. If the monitor is configured to re-alarm, a dashed check mark will be shown.

If the condition that triggered the alarm is still present after the alarm has been acknowledged, the alarm message stays on the screen with a check mark symbol beside it, except for NBP alarms. When an NBP alarm is acknowledged the alarm message disappears.

If the alarm condition is no longer present, all alarm indicators stop and the alarm is reset.

Switching off the alarms for the measurement in alarm, or switching off the measurement itself, also stops alarm indication.

Alarm

Volume

APNEA

Pausing or Switching Off Alarms 4Alarms

Acknowledging Disconnect INOPs

Acknowledging an INOP that results from a disconnected transducer switches off the associated measurement. The only exception is ECG/Resp: acknowledging a disconnect INOP for ECG leads does not switch off the ECG and Resp measurements. Acknowledging a disconnect INOP at the Information Center switches off the audible INOP indicator but does not switch off the measurement.

Alarm Reminder (ReAlarm)

If Alarm Reminder is configured on for your monitor, you will get an audible reminder of alarm conditions that remain active after you have acknowledged the alarm. This reminder may take the form of a repetition of the alarm tone for a limited time, or an unlimited repetition of the alarm tone (this is the same as a new alarm). Alarm reminder is not available for standard, light blue INOPs but for yellow and red INOPs.

In Configuration Mode, you can set the interval between silencing the alarm and sounding the reminder tone to one, two, or three minutes.

The alarm reminder behavior at the Information Center is different to that at the monitor. Refer to the Information Center Instructions for Use for further information.

Pausing or Switching Off Alarms

If you want to temporarily prevent alarms from sounding, for example while you are moving a patient, you can pause alarms. Depending on your monitor configuration, alarms are paused for one, two, or three minutes, or infinitely.

To view the alarm pause setting chosen for your unit,

1 Select Main Setup -> Alarms -> Alarm Settings

2 Check the Alarms Off setting.

This setting can only be changed in Configuration Mode.

To Pause All Alarms

♦ Press the Alarms key.

♦ If your monitor is configured to infinite pause time, the lamp next to the

alarms off symbol is red, and pressing this key switches alarms off.

Depending on the configuration, you may need to select Confirm to complete the change.

To Switch All Alarms Off

You can only switch alarms off permanently if your monitor is configured to allow infinite alarms pause.

Alarms

Off

4Alarms Pausing or Switching Off Alarms

♦

Press the Alarms key.

Pausing alarms infinitely is the same as switching them off.

To Switch Individual Measurement Alarms On or Off

1 Select the measurement numeric to enter its setup menu. 2 Select Alarms to toggle between On and Off.

The alarms off symbol is shown beside the measurement numeric.

While Alarms are Paused or Off

• The red Alarms Paused lamp on the monitor front panel is lit.

•

In the alarm field, the monitor displays the message

ALARMS PAUSED or ALARMS OFF, together with the alarms paused symbol and the remaining pause time in minutes and seconds, or alarms off symbol.

• No alarms are sounded and no alarm messages are

shown.

• INOP messages are shown but no INOP tones are

sounded. The only exceptions are the INOPs CUFF NOT DEFLATED, CUFF OVERPRESS and INOPs

relating to empty, missing and malfunctioning batteries. These INOPs switch the alarms on, and the INOP tones are sounded, even if alarms are paused or

off. You need to remove the INOP condition first before you can switch the alarm tones off again.

If a NO SENSOR or NO TRANSDUCER INOP is present and alarms are paused or switched off, the measurement in question is switched off.

Restarting Paused Alarms

♦ To manually switch on alarm indication again after a pause, press the Alarms key again.

Alarm indication starts again automatically after the pause period expires. If the monitor is configured to stay paused infinitely, you must select ALARMS OFF again to restart alarm indication.

Resetting Arrhythmia Alarm Timeouts

♦ To reset the arrhythmia alarm timeout period, press the Alarms key and then press it again.

Extending the Alarm Pause Time

If your monitor has extended alarm pause enabled, you can extend the alarm pause time. Use this to prevent alarms being indicated, for example, while you are washing a patient or carrying out a procedure. Only extend the alarm pause time when you are sure that clinical personnel are available to monitor the patient’s condition closely.

To extend the alarm pause time to five or 10 minutes,

ALARMS PAUSED 1:28

ALARMS OFF

Alarm Limits 4Alarms

1 Select one of the alarm fields. This calls up the Review Alarms window. 2 Select either the pop-up key Pause Al. 5 min or the pop-up key Pause Al. 10 min.

Each time you select one of these pop-up keys, the Alarm Pause Time is reset to five (or 10) minutes.

Alarm Limits

The alarm limits you set determine the conditions that trigger yellow and red limit alarms. For some measurements (for example, SpO

), where the value ranges from 100 to 0, setting the high alarm limit

to 100 switches the high alarm off. In these cases, the alarms off symbol is not displayed.

WARNING Be aware that the monitors in your care area may each have different alarm settings, to suit different

patients. Always check that the alarm settings are appropriate for your patient before you start monitoring.

Viewing Individual Alarm Limits

You can usually see the alarm limits set for each measurement next to the measurement numeric on the main screen.

If your monitor is not configured to show the alarm limits next to the numeric, you can see them in the appropriate measurement setup menu. Select the measurement numeric to enter the menu and check the limits.

Viewing All Alarm Limits

The Alarm Limits overview window lists the currently set alarm limits for all measurements. If an Apnea alarm delay time is set, this is also shown. The ALARMS OFF symbol is shown beside the measurement label of any measurement whose alarm switched off.

To open the Alarm Limits window, either select one of the alarm fields then select the

Alarm Limits pop-up key, or select the Alarm Limits SmartKey, if configured.

120

Alarm limits

4Alarms Alarm Limits

♦

Select Show ST Limits to expand the list of ST leads and view the currently set alarm limits. Selecting Hide ST Limits hides the list again.

You can use the pop-up keys that open with the Alarm Limits window to perform common tasks:

– All Lim. Narrow/All Lim. Wide to set narrow or wide alarm AutoLimits for all

measurements.

These pop-up keys are not available in the window for changing individual alarm limits which you access by selecting the measurement label in the Alarm Limits window.

Changing Alarm Limits

To change individual measurement alarm limits using the measurement’s Setup Menu,

1 In the measurement’s setup menu, select the alarm limit you want to change. This calls up a list of

available values for the alarm limit.

2 Select a value from the list to adjust the alarm limit.

For example, to change the alarm limits for SpO

Graphic view of current yellow and red alarm limits and currently monitored measurement value Off indicates the measurement is switched off

Measurement labels, with alarms off symbol where appropriate

Set narrow or wide alarm AutoLimits for all measurements

SpO

NBPs

ABPs

Off

'QTc

All Lim. Narrow

All Lim. Wide

Alarm Limits

• Touch the high limit on the alarm limits menu button. Choose the high alarm limit from the pop-up list that opens.

• Touch the low limit on the alarm limits menu button. Choose the low alarm limit from the pop-up list that opens.

Alarm Limits 4Alarms

Alternatively, you can use the keys in the measurement Change Limits window, which you access by selecting the measurement label in the Alarm Limits window.

To change alarm limits,

1 Enter the Alarm Limits window.

2 To set the high alarm limit, select the high yellow alarm field to open a pop-up list of high alarm

limits. Select a limit from the list. Repeat to set the low yellow alarm field.

If you set the yellow alarm limit outside the red alarm limit, the monitor will automatically set the red alarm to the yellow alarm limit.

1 Parameter label 2 High red alarm (view only) 3

High yellow alarm field

Select to open a pop-up list of high alarm limits

Alarms On/Off key - select to toggle between alarms on or off

Preview Alarm AutoLimits for a measurement before applying

Select to apply wide AutoLimits

Select to apply narrow AutoLimits

Low yellow alarm field

Select to open a pop-up list of low alarm limits

Low red alarm (view only)

Graphic view of alarm limits with currently measured value

Alarms On/Off

ABPs

4Alarms Alarm Limits

When an ST measurement is in the Change Limits window there are also two pop-up keys available labeled All ST Narrow/All ST Wide. With these keys you can set Auto Limits for all ST Leads.

About Automatic Alarm Limits (AutoLimits)

The monitor can automatically set alarm limits suited to your individual patient, using the Automatic Alarm Limits function. This tells the monitor to adapt the alarm limits of selected measurements to the measured vital signs within a defined safe limit. The monitor calculates safe AutoLimits for each patient based on the measured values from the last 12 seconds.

The wide and narrow limits have a fixed relationship to the measured value within the nonpathological range. Outside of this range, no auto limits are calculated. To set values outside of the non-pathological range, limits must be changed manually, based on the clinician’s judgement about the specific patient.

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 your patient’s vital signs.

Limits Wide sets limits further away from the currently measured values for situations where small changes are not so critical.

♦ Use the keys in the Change Limits window to apply AutoLimits for individual measurements.

These keys are not available if AutoLimits have been disabled for the measurement in the monitor’s Configuration Mode.

AutoLimits are not available for all measurements. The list of measurements for which AutoLimits can be used is defined in the monitor’s Configuration mode.

Use the Change Limits window to check AutoLimits before you apply them to ensure that they are appropriate for your individual patient and their clinical condition. Once applied, AutoLimits are shown on the monitor screen just like manually-set alarm limits. If the AutoLimits are not appropriate for your patient, you must set alarm limits manually. The limits remain unchanged until you set them again or change them manually.

1 Wide alarm limits 2 Narrow alarm limits 3Alarm Limits 4 Measurement value

2 1

Reviewing Alarms 4Alarms

Documenting Alarm Limits

To print a list of all current alarm limit settings on an available printer:

1 Select the Main Setup SmartKey. 2 Select Reports from the Main Setup menu.

3 Select Alarm Limits.

Reviewing Alarms

You can see which alarms and INOPs are currently active in the respective alarms and INOPs fields at the top of the screen.

To review the history of alarms and INOPs, select the alarms or INOPs field to open the Review Alarms window.

All alarms and INOPs are erased from the Review Alarms window when you discharge a patient, or if you change to Demonstration Mode.

Review Alarms Window

The Review Alarms window contains a list of the most recent alarms and INOPs with date and time information.

If configured to do so, each alarm is shown with the alarm limit active when the alarm was triggered and the maximum value measured beyond this limit. The Review Alarms window also shows when the monitor was switched on (after being switched off for longer than 1 minute) and any changes made to the Alarms On/Off, Standby, Silence or ECG source.

When you select an item from the list, you can get additional information about that item. If you select a high or low limit alarm in the list, the Graphical Trends window will open to provide further data. If you select an alert other than a high or low alarm, a help text window opens with more information. Some items in the list are simply log items not related to a patient alert as such (for example, Alarms On or Alarms Off). You cannot see any further information if you select one of these items. When you close these windows you will return to the Review Alarms window.

The information in the Review Alarms window is deleted when a patient is discharged, and when you leave Demonstration Mode.

Review Alarms

23 Apr 14:08:30

***Apnea

23 Apr 14:08:30

Alarms Silenced

23 Apr 14:08:19

**AwRR LOW (14<15)

23 Apr 14:42:55

**SpO

NON-PULSAT.

Alarm

Limits

PauseAl.

5 MIn

PauseAl.

10 MIn

4Alarms Latching Alarms

The Review Alarms window pop-up keys appear when the window is opened. If alarm pause extension is disabled, the pause pop-up keys are inactive.

Latching Alarms

The alarm latching setting for your monitor defines how the alarm indicators behave when you do not acknowledge them. When alarms are set to non-latching, their indicators end when the alarm condition ends. Switching alarm latching on means that visual and/or audible alarm indications are still displayed or announced by the monitor after the alarm condition ends. The indication lasts until you acknowledge the alarm.

Viewing the Alarm Latching Settings

To see the alarm latching setting for your monitor

1 In the monitor’s Main Setup menu, select Alarms.

2 Select Alarm Settings, and see the Visual Latching and Audible Latching

settings.

This setting can only be changed in Configuration Mode. You should be aware of the settings chosen for your unit. There are three possible choices each for visual and audible latching, Red, Red and Yellow, and Off. These choices can be combined to give the following settings:

R = red alarms, Y = yellow alarms

Alarm Latching Behavior

All INOPs are non-latching. See “Yellow Arrhythmia Alarms” on page 112 for information on one-star yellow alarms latching behavior.

Alarm Limits

Pause Al. 5 Min.

Pause Al. 10 Min.

Visual Latching

R&Y R&Y R&Y RROff

Audible latching

R&Y ROffROffOff

Red and Yellow Measurement Alarms

Non-latching alarms

Visual and audible latching

Visual latching, audible non-latching

Alarm has not been acknowledged.

Alarm condition still present.

Alarm tone on. Alarm lamp on. Alarm message. Flashing numerics.

Alarm condition no longer present.

All audible and visual alarm indicators automatically stop.

Alarm tone on. Alarm lamp on. Alarm message. Flashing numerics.

Alarm message. Flashing numerics. Audible alarm indicators automatically stop.

Alarm has been acknowledged.

Alarm condition still present.

Alarm tone off. Alarm lamp off. Alarm message. Flashing numerics. Audible alarm reminder (if configured).

Alarm condition no longer present.

Audible and visual alarm indicators automatically stop.

Testing Alarms 4Alarms

Te s t i n g A l a r m s

When you switch the monitor on, a selftest is started. You must check that the alarms lamps light, one after the other, and that you hear a single tone. This indicates that the visible and audible alarm indicators are functioning correctly. For further testing of individual measurement alarms, perform the measurement on yourself (for example SpO

or CO2) or use a simulator. Adjust alarm limits and check

that appropriate alarm behavior is observed.

Alarm Behavior at On/Off

When you switch alarms on, the settings defined in the currently active Profile are used. If the monitor is switched off for longer than one minute and then switched on again, or after a loss of

power lasting longer than one minute, or when a patient is discharged, the monitor can be configured to restore either the alarm settings from the monitor's configured default Profile, or the most recently used alarm settings. After any of these situations, you should check that the alarm settings are appropriate for your patient, and if necessary, select the correct Profile and patient category.

If power is lost for less than one minute, the alarm settings prior to the power loss are restored.

Alarm Recordings

You can set up your monitor so that it automatically triggers alarm recordings at the Information Center, or if configured, to a printer as a realtime report.

1 Press the Main Setup SmartKey.

2 Select Alarms from the Main Setup menu.

3 Select Alarm Recording from the Alarms menu to open the Alarm Recordings menu.

4 Select a measurement from those listed for which you want to change the alarm condition that

triggers an alarm recording. This opens a pop-up list.

5 For the desired measurement(s), choose the alarm condition to trigger an alarm recording:

Red Only: an alarm recording will automatically be triggered when the measurement enters a red alarm condition.

Red&Yell: both yellow and red alarms will trigger an alarm recording. Off: disables automatic alarm recording.

Refer to the chapter “Recording” for details of how to set up a recording.

4Alarms Alarm Recordings

5Patient Alarms and INOPs

This chapter lists patient alarms and technical alarms (INOPs) alphabetically, irrespective of their priority. INOPs start on page 59. All alarms and INOPs are listed here; the ones which can appear on your monitor will depend on the model and the individual options.

Patient Alarm Messages

The measurement labels and abbreviations for pressure, temperature, SpO2, and anesthetic agent alarms are explained in the individual chapters.

Some alarms may be shown at the Information Center in shortened form, when transferred through IntelliVue Instrument Telemetry. These shortened alarm texts are included in the list and identified with the note “at Information Center”.

Note that yellow arrhythmia alarms may be shown with one or with two stars, depending on your monitor configuration and the Information Center revision you are using.

Refer to your IntelliBridge Device Driver Instructions for Use for patient alarms from connected external devices.

Alarm Message From Condition Indication

*/**AFIB ECG/

Arrhythmia

Atrial fibrillation waveform detected yellow alarm lamp, short

yellow audible alarm.

***APNEA or ***APNEA mm:ss sec

***APNEA >10min

, Resp,

Spirometry

Respiration has stopped for longer than the preset apnea time. “mm:ss” denotes the Apnea duration in minutes and seconds.

numeric flashes, red alarm lamp, alarm tone.

***ASYSTOLE ECG No QRS detected for a period greater

than the asystole threshold (in the absence of Vfib or chaotic ECG).

numeric flashes, red alarm lamp, alarm tone.

**awRR HIGH CO2, Resp,

AGM

The airway respiration rate has exceeded the high alarm limit.

numeric flashes and high limit is highlighted, yellow alarm lamp, alarm tone.

**awRR LOW CO2, Resp,

AGM

The airway respiration rate has dropped below the low alarm limit.

numeric flashes and low limit is highlighted, yellow alarm lamp, alarm tone.

**BIS HIGH BIS The Bispectral Index value has

exceeded the high alarm limit.

numeric flashes and high limit is highlighted, yellow alarm lamp, alarm tone.

5 Patient Alarms and INOPs Patient Alarm Messages

**BIS LOW BIS The Bispectral Index value has dropped

below the low alarm limit.

numeric flashes and low limit is highlighted, yellow alarm lamp, alarm tone.

***BRADY/P xxx<yyy

or ***BRADY xxx<yyy

Press, SpO2The heart rate from the Pulse signal has

fallen below the bradycardia limit. xxx denotes the lowest measured value; yyy is the bradycardia limit.

numeric flashes and alarm limit is highlighted, red alarm lamp, alarm tone.

**CCO/CCI HIGH CCO Continuous Cardiac Output or CC

Index is above the high alarm limit.

numeric flashes and high alarm limit is highlighted, yellow alarm lamp, alarm tone.

**CCO/CCI LOW CCO Continuous Cardiac Output or CC

Index is below the low alarm limit.

numeric flashes and low alarm limit is highlighted, yellow alarm lamp, alarm tone.

**CPP HIGH CPP The CPP value has exceeded the high

alarm limit.

numeric flashes and high limit is highlighted, yellow alarm lamp, alarm tone

**CPP LOW CPP The CPP value has fallen below the low

alarm limit.

numeric flashes and low limit is highlighted, yellow alarm lamp, alarm tone.

***DESAT or ***DESAT xxx<yyy

SpO

The SpO2 value has fallen below the desaturation alarm limit. xxx denotes the lowest measured value, and yyy is the desaturation limit.

numeric flashes, red alarm lamp, alarm tone.

**etCO2 HIGH CO2, Resp,

AGM

The end tidal CO2 high alarm limit has been exceeded.

numeric flashes and high limit is highlighted, yellow alarm lamp, alarm tone.

**etCO2 LOW CO2, Resp,

AGM

The end tidal CO2 value has fallen below the low alarm limit.

numeric flashes and low limit is highlighted, yellow alarm lamp, alarm tone.

**etO2 HIGH O2, AGM The end tidal O2 high alarm limit has

been exceeded.

numeric flashes and high limit is highlighted, yellow alarm lamp, alarm tone.

**etO2 LOW O2, AGM The end tidal O2 value has fallen below

the low alarm limit.

numeric flashes, and low limit is highlighted, yellow alarm lamp, alarm tone.

*/**/*** EVENT:<GRP>

Event surveillance

An event has occurred and the event notification is configured to alarm. <GRP> is the event group

event group name flashes, yellow or red alarm lamp and alarm tone

*/**/*** EVENT

at Information center

Event surveillance

An event has occurred and the event notification is configured to alarm. Check on the monitor for more details on event group.

(on monitor) event group name flashes, yellow or red alarm lamp and alarm tone

***EXTREME BRADY ECG The bradycardia limit has been

exceeded.

numeric flashes and alarm limit is highlighted, red alarm lamp, alarm tone.

***EXTREME TACHY ECG The tachycardia limit has been

exceeded.

numeric flashes and alarm limit is highlighted, red alarm lamp, alarm tone.

Alarm Message From Condition Indication

Patient Alarm Messages 5 Patient Alarms and INOPs

**HR HIGH ECG The heart rate high alarm limit has

been exceeded.

numeric flashes and high limit is highlighted, yellow alarm lamp, alarm tone. If configured to short yellow, the sound switches off after 5 seconds if Arrhythmia is On.

**HR LOW ECG The heart rate has fallen below the low

alarm limit.

numeric flashes and low limit is highlighted, yellow alarm lamp, alarm tone. If configured to short yellow, the sound switches off after 5 seconds if Arrhythmia is On.

*/**IRREGULAR HR ECG/

Arrhythmia

Consistently irregular heart rhythm. numeric flashes, yellow alarm

lamp, short yellow audible alarm.

*/**MISSED BEAT ECG/

Arrhythmia

No beat detected for 1.75*R-R interval, or if HR>120bpm no beat detected for one second (non-paced patients only).

numeric flashes, yellow alarm lamp, short yellow audible alarm.

*/**MULTIFORM PVCs ECG/

Arrhythmia

Two differently shaped Vs detected, each occurring at least twice within the last 300 beats and at least once within the last 60 beats.

numeric flashes, yellow alarm lamp, short yellow audible alarm.

**NBP HIGH NBP The measured NBP value is above the

high alarm limit. s, d, or m after the label indicates whether the systolic, diastolic or mean pressure has crossed the limit.

numeric flashes and high limit is highlighted, yellow alarm lamp, alarm tone.

**NBP LOW NBP The measured NBP value is below the

low alarm limit. s, d, or m after the label indicates whether the systolic, diastolic or mean pressure has crossed the limit.

numeric flashes and low limit is highlighted, yellow alarm lamp, alarm tone.

*/**NON-SUSTAIN VT ECG/

Arrhythmia

A run of Vs having a ventricular HR>V-Tach HR limit, but lasting for less than the V-Tach Run limit has been detected.

numeric flashes, yellow alarm lamp, short yellow audible alarm.

*/**PACER NOT CAPT ECG/

Arrhythmia (paced patients only)

A missed beat with a pace pulse was detected.

numeric flashes, yellow alarm lamp, short yellow audible alarm.

*/**PACER NT PACING ECG/

Arrhythmia (paced patients only)

A missed beat without a pace pulse was detected.

numeric flashes, yellow alarm lamp, short yellow audible alarm.

*/**PAIR PVCs ECG/

Arrhythmia

A non-ventricular contraction, followed by two ventricular contractions, followed by a non-ventricular contraction has been detected.

numeric flashes, yellow alarm lamp, short yellow audible alarm.

*/**PAUSE ECG/

Arrhythmia

No beat detected for a period greater than the pause threshold.

numeric flashes, yellow alarm lamp, short yellow audible alarm.

Alarm Message From Condition Indication

5 Patient Alarms and INOPs Patient Alarm Messages

***<Pressure> DISCONNECT

PRESS The pressure is non-pulsatile and the

mean pressure is continuously less than 10mmHg (1.3kPa). This alarm occurs only with arterial pressures (P, ABP, ART, Ao, BAP, FAP, PAP, UAP, P1, P2, P3, P4).

numeric flashes, red alarm lamp, alarm tone.

***<Pressure> HIGH PRESS The measured pressure value is above

the extreme high alarm limit. s, d, or m after the label indicates whether the systolic, diastolic or mean pressure has crossed the limit.

numeric flashes, high limit is highlighted, red alarm lamp, alarm tone.

**<Pressure> HIGH PRESS The measured pressure value is above

the high alarm limit. s, d, or m after the label indicates whether the systolic, diastolic or mean pressure has crossed the limit.

numeric flashes, high limit is highlighted, yellow alarm lamp, alarm tone.

***<Pressure> LOW PRESS The measured pressure value is below

the extreme low alarm limit. s, d, or m after the label indicates whether the systolic, diastolic or mean pressure has crossed the limit.

numeric flashes and low limit is highlighted, red alarm lamp, alarm tone.

**<Pressure> LOW PRESS The measured pressure value is below

the low alarm limit. s, d, or m after the label indicates whether the systolic, diastolic or mean pressure has crossed the limit.

numeric flashes and low limit is highlighted, yellow alarm lamp, alarm tone.

**Pulse HIGH PRESS

SpO

The pulse rate has exceeded the high alarm limit.

numeric flashes and high limit is highlighted, yellow alarm lamp, alarm tone.

**Pulse LOW PRESS

SpO

The pulse rate has dropped below the low alarm limit.

numeric flashes and low limit is highlighted, yellow alarm lamp, alarm tone.

*/**PVCs/min HIGH ECG/

Arrhythmia

More premature ventricular contractions have been detected in a minute than the limit.

numeric flashes, yellow alarm lamp, short yellow audible alarm.

**QTc HIGH ECG/QT QTc value has exceeded the QTc high

limit for more than 5 minutes

numeric flashes, yellow alarm lamp, alarm tone.

**'QTc HIGH ECG/QT 'QTc value has exceeded the 'QTc

high limit for more than 5 minutes

numeric flashes, yellow alarm lamp, alarm tone.

*/**R-ON-T PVCs ECG/

Arrhythmia

For HR <100, a PVC with R-R interval < 1/3 the average interval followed by a compensatory pause of 1.25 x average R-R interval or two such Vs without compensatory pause occurring within 5 minutes of each other. (When HR >100, 1/3 R-R interval is too short for detection.).

numeric flashes, yellow alarm lamp, short yellow audible alarm.

**RR HIGH RESP The respiration rate has exceeded the

high alarm limit.

numeric flashes and high limit is highlighted, yellow alarm lamp, alarm tone.

Alarm Message From Condition Indication

Patient Alarm Messages 5 Patient Alarms and INOPs

**RR LOW RESP The respiration rate has dropped below

the low alarm limit.

numeric flashes and low limit is highlighted, yellow alarm lamp, alarm tone.

*/**RUN PVCs HIGH ECG/

Arrhythmia

A run of PVCs greater than 2 was detected.

numeric flashes, yellow alarm lamp, short yellow audible alarm.

**<SO2 label> HIGH SvO2/SO2The the measured intravascular oxygen

saturation has exceeded the high limit.

numeric flashes and high alarm limit is highlighted, yellow alarm lamp, alarm tone.

**<SO2 label> LOW SvO2/SO2The measured intravascular oxygen

saturation has fallen below the low limit.

numeric flashes and low alarm limit is highlighted, yellow alarm lamp, alarm tone.

**<SpO2 label> HIGH SpO

The arterial oxygen saturation has exceeded the high alarm limit.

numeric flashes and high limit is highlighted, yellow alarm lamp, alarm tone.

**<SpO2 label> LOW SpO

The arterial oxygen saturation has fallen below the low alarm limit.

numeric flashes and low limit is highlighted, yellow alarm lamp, alarm tone.

**ST<n> HIGH ECG/ST The ST elevation in lead <n> is higher

than the limit.

numeric flashes and high alarm limit is highlighted, yellow alarm lamp, alarm tone.

**ST<n> LOW ECG/ST The ST depression in lead <n> is lower

than the limit.

numeric flashes and low alarm limit is highlighted, yellow alarm lamp, alarm tone.

**ST MULTI <n>,<n> ECG/ST The ST depression or elevation is

outside of the limit in two or more leads <n> and <n>

numeric flashes, yellow alarm lamp, alarm tone

**ST MULTI

at Information Center

ECG/ST The ST depression or elevation is

outside of the limit in two or more leads. Check on the monitor for more details about which leads are affected.

(on monitor) numeric flashes, yellow alarm lamp, alarm tone

*/**SVT ECG/

Arrhythmia

A run of supraventricular beats greater than the SVT run limit has been detected and the HR has exceeded the SVT HR limit.

numeric flashes, yellow alarm lamp, alarm tone.

***TACHY/P xxx>yyy or ***TACHY xxx>yyy

Press, SpO2The heart rate from the Pulse signal has

exceeded the tachycardia limit. xxx denotes the highest measured value; yyy is the tachycardia limit.

numeric flashes, alarm limit is highlighted, red alarm lamp, alarm tone.

**Tblood HIGH C.O. The blood temperature value has

exceeded the high alarm limit.

numeric flashes, high alarm limit is highlighted, yellow alarm lamp, alarm tone.

**Tblood LOW C.O. The blood temperature value has fallen

below the low alarm limit.

numeric flashes, low alarm limit is highlighted, yellow alarm lamp, alarm tone.

**tcpO2 HIGH/ **tcpCO

HIGH

tcGas The tcpO

or tcpCO2 value has

exceeded the high alarm limit.

numeric flashes, high alarm limit is highlighted, yellow alarm lamp, alarm tone.

**tcpO2 LOW/ **tcpCO

LOW

tcGas The tcpO

or tcpCO2 value has fallen

below the low alarm limit.

numeric flashes, low alarm limit is highlighted, yellow alarm lamp, alarm tone.

Alarm Message From Condition Indication

5 Patient Alarms and INOPs Patient Alarm Messages

*/**/***TELE ALARM Telemetry This is a generic alarm from the

telemetry system. The specific alarm cause is indicated in the alarm message in the Telemetry Data Window.

yellow or red alarm lamp and alarm tone

**<Temperature label> HIGH

TEMP The temperature has exceeded the high

alarm limit.

numeric flashes and high limit is highlighted, yellow alarm lamp, alarm tone.

**<Temperature label> LOW

TEMP The temperature has fallen below the

low alarm limit.

numeric flashes and low limit is highlighted, yellow alarm lamp, alarm tone.

*/**VENT BIGEMINY ECG/

Arrhythmia

A dominant rhythm of N, V, N, V (N = supraventricular beat, V = ventricular beat) was detected.

numeric flashes, yellow alarm lamp, short yellow audible alarm.

***VENT FIB/TACH ECG A fibrillatory waveform for 4

consecutive seconds was detected.

numeric flashes, red alarm lamp, alarm tone.

*/**VENT RHYTHM ECG/

Arrhythmia

A dominant rhythm of adjacent Vs > vent rhythm limit and ventricular HR < VTach HR limit was detected.

numeric flashes, yellow alarm lamp, short yellow audible alarm.

*/**VENT TRIGEMINY ECG/

Arrhythmia

A dominant rhythm of N, N, V, N, N, V (N = supraventricular beat, V = ventricular beat) was detected.

numeric flashes, yellow alarm lamp, short yellow audible alarm.

***VTACH ECG,

Arrhythmia

Ventricular tachycardia has been detected (Consecutive PVCs exceed VTach Run limit and HR exceeds V-Tach HR limit).

numeric flashes, red alarm lamp, alarm tone.

**/***VueLink ALARM

at Information Center

VueLink A yellow (**) or red (***) patient alarm

is present on the VueLink module. Check the monitor display for more detailed alarm information.

(on monitor) yellow or red alarm lamp, alarm tone

Alarm Message From Condition Indication

Technical Alarm Messages (INOPs) 5 Patient Alarms and INOPs

Technical Alarm Messages (INOPs)

If an INOP interrupts monitoring and alarm detection, the measurement numeric will be replaced by -?-. If an INOP may lead to unreliable measurement values, a ? appears next to the numeric.

INOP Message, Indication Source What to do

ABP INOPS PRESS See <Pressure label> INOPS (under Pressure).

ALL ECG ALARMS OFF ECG/

Arrhythmia

All ECG alarms have been switched off, or the HR alarm source is not ECG. To resume ECG alarm generation, switch ECG alarms on or select ECG as the alarms source.

Ao INOPS PRESS See <Pressure label> INOPS (under Pressure).

ART INOPS PRESS See <Pressure label> INOPS (under Pressure).

AWF CHANGE SCALE Spirometry Airway flow signal exceeds range of selected scale. Adjust scale

to display complete wave.

AWP CHANGE SCALE Spirometry Airway pressure signal exceeds range of selected scale. Adjust

scale to display complete wave

AWV CHANGE SCALE Spirometry Airway volume signal exceeds range of selected scale. Adjust

scale to display complete wave.

Bad Serverlink

INOP tone

Monitor 1) An MMS with an incompatible software revision is

connected to the monitor. This combination does not allow monitoring, OR

2) You cannot use this combination of monitor, MMS and cable. Switch off the monitor and contact your service personnel.

BAP INOPS PRESS See <Pressure label> INOPS (under Pressure).

BATT EMPTY

INOP tone, battery LED flashes During this INOP, alarms cannot be paused or switched off.

Battery The estimated remaining battery-powered operating time is less

than 10 minutes. Replace the battery immediately.

If the condition persists and the monitor is not connected to mains power, this INOP is re-issued two minutes after you acknowledge it.

BATT INCOMPAT

INOP tone

Battery The battery cannot be used with this monitor. Replace with the

correct battery

(M4607A).

BATT LOW

INOP tone

Battery The estimated battery-powered operating time remaining is less

than 20 minutes.

BATT MALFUNCTION

INOP tone, battery LED flashes During this INOP, alarms cannot be paused or switched off unless the monitor is connected to mains power.

Battery The monitor cannot determine the battery status. If this INOP

persists, replace the faulty battery. If the condition persists and the monitor is not connected to mains power, this INOP is reissued two minutes after you acknowledge it.

Place the battery in a different monitor or in a battery charger. If the same INOP is shown, contact your service personnel.

BATTERIES EMPTY or BATT 1/ BATT 2 EMPTY

INOP tone, battery LED flashes During this INOP, alarms cannot be paused or switched off.

Batteries The estimated remaining battery-powered operating time of

the indicated battery or batteries is less than 10 minutes. Replace the batteries immediately.

If the condition persists and the monitor is not connected to mains power, this INOP is re-issued two minutes after you acknowledge it.

BATTERIES INCOMP or BATT 1/ BATT 2 INCOMPAT

INOP tone

Batteries The indicated battery or batteries cannot be used with this

monitor. Replace with the correct battery or batteries as specified in this book.

5 Patient Alarms and INOPs Technical Alarm Messages (INOPs)

BATTERIES LOW or BATT 1/ BATT 2 LOW

INOP tone

Batteries The estimated battery-powered operating time remaining is less

than 20 minutes.

BATTERIES MALFUNC. or BATT 1/BATT 2/ BATTERY MALFUNCT.

INOP tone, battery LED flashes During this INOP, alarms cannot be paused or switched off unless the monitor is connected to mains power.

Batteries The monitor cannot determine the battery status. If this INOP

persists, replace the faulty battery or batteries. If the condition persists and the monitor is not connected to mains power, this INOP is re-issued two minutes after you acknowledge it.

Place the batteries in a different monitor or in a battery charger. If the same INOP is shown, contact your service personnel.

BATTERY LOW T Telemetry The battery in the Telemetry device is low and must be

replaced soon.

BATT 1/BATT 2 MISSING

INOP tone. During this INOP, alarms cannot be paused or switched off.

Batteries The monitor requires two batteries but can detect only one

battery. Insert the missing battery immediately.

BIS CABLE INCOMPAT

INOP tone.

BIS The semi-reusable sensor cable connected is unknown or not

supported by your software revision. Replace it with a Philipssupported sensor cable.

BIS CABLE USAGE

INOP tone.

BIS The semi-reusable sensor cable has exceeded the maximum

number of uses. Replace the cable.

BIS DSC DISCONN

INOP tone

BIS DSC is not properly connected OR either DSC or BIS engine

may be faulty. Make sure that the DSC is properly connected to the BIS Engine. If INOP persists, replace DSC with a known good one of the same type. If INOP persists replace BIS engine. Silencing this INOP switches the measurement off.

BIS DSC INCOMPT

INOP tone

BIS DSC is not supported by the BIS engine or new DSC

connected to an old BIS engine. A software upgrade may be required. Contact your service personnel.

BIS DSC MALFUNC BIS Electrocautery used during self-test OR malfunction in the

DSC hardware. Make sure not to use electrocautery during the self-test procedure. Disconnect and reconnect the DSC to the BIS engine. If the INOP persists, replace the DSC or contact your service personnel.

BIS DSC UPDATE

INOP tone

BIS DSC update currently being carried out. This INOP will

disappear when the DSC update is finished. Do not disconnect the DSC during the update. No action is needed.

BIS ELECTR. DISC

INOP tone.

BIS One or more electrodes are not connected to the semi-reusable

sensor cable. Check all electrode connections.

BIS ENGINE DISCONN

INOP tone

BIS BIS engine not connected OR Module Cable defective.

Make sure that the Module Cable is properly connected. If INOP persists, replace the Module Cable. Silencing this INOP switches the measurement off.

BIS ENGINE INCOMPT

INOP tone

BIS BIS engine software is not supported. A software upgrade may

be required. Contact your service personnel. MP20/30 - BIS engine not supported.

INOP Message, Indication Source What to do

Technical Alarm Messages (INOPs) 5 Patient Alarms and INOPs

BIS ENGINE MALFUNC

INOP tone

BIS Malfunction in the BIS engine hardware. Disconnect and

reconnect the BIS engine. If the INOP persists, replace BIS engine.

BIS EQUIP MALF

INOP tone

BIS There is a malfunction in the BIS hardware. Unplug and replug

the BIS module. If the INOP persists, contact your service personnel.

BIS HIGH IMPEDANCE

INOP tone may sound

BIS Impedance of one or more electrode(s) is above the valid range,

most often caused by bad skin preparation. Check the sensor montage and press the electrode pads firmly. If this INOP persists, replace the sensor(s) in question using correct skin preparation. If INOP persists, contact your service personnel.

BIS IMPEDANCE CHCK

INOP tone may sound

BIS The Cyclic Impedance check is running. It will stop

automatically if all impedances are within the valid range. If any electrodes do not pass the impedance test, check the sensor montage and press the electrode pads firmly. To manually stop the Cyclic Impedance Check, select

Cyclic Check off in the Setup BIS menu.

BIS ISOELECTRC EEG BIS No discernible EEG activity is detected for longer than one

minute. Check the patient. Check that the electrodes are properly connected.

BIS LEAD OFF

INOP tone may sound

BIS One or more electrodes have no skin contact and therefore

impedances cannot be measured. Check the sensor montage and press the electrode pads firmly. If this INOP persists, replace the sensor(s) in question, using correct skin preparation.

BIS OVERCURRENT

INOP tone

BIS Unplug and replug the BIS module or, f or the MP20/MP30,

disconnect and reconnect the BISx from the Interface board. If the INOP persists, contact your service personnel.

BIS SENSOR DISCONN

INOP tone

BIS The sensor is not properly connected to the patient interface

cable (PIC) and/or the PIC is not properly connected to the DSC or BISx, or the sensor or PIC or DSC or BISx may be faulty. Check all the connections. Disconnect and reconnect the sensor, PIC, DSC, BISx. If the INOP persists, replace the sensor. If the INOP persists, replace PIC. If INOP persists, contact your service personnel. Silencing this INOP switches the measurement off.

BIS SENSOR INCOMPT

INOP tone

BIS Unsupported sensor connected or sensor type unknown or not

supported by your software revision. Replace the sensor, using only Philips supported sensors.

BIS SENSOR MALFUNC

INOP tone

BIS Malfunction in the sensor hardware, most often caused by

liquids permeating into the connectors OR patient interface cable (PIC) or DSC or BISx may be faulty. Replace the sensor. Manually initiate a Cyclic Impedance Check. Make sure all electrodes pass the test. Make sure that the both sides of the PIC connector (between PIC and sensor) are dry. If you are not sure that the connector is dry, replace the PIC until it has dried. If this INOP persists, contact your service personnel.

INOP Message, Indication Source What to do

5 Patient Alarms and INOPs Technical Alarm Messages (INOPs)

BIS SENSOR USAGE

INOP tone

BIS Excessive sensor usage. Replace sensor.

A Cyclic Impedance Check will start automatically.

BIS SQI < 15% (INOP tone)

BIS SQI < 50% (no INOP tone)

BIS If the signal quality is below 50%, BIS numerics cannot be

reliably derived. If the signal quality is below 15%, no BIS numerics can be derived. This may occur as a result of artifacts such as those generated from motion or the presence of electrocautery devices. Make sure the sensor is properly attached to the patient. Manually initiate a Cyclic Impedance Check. Make sure all electrodes pass the test. Make sure the patient is completely relaxed (even small motions of the facial muscles affect the signal quality).

BIS UNPLUGGED

INOP tone

BIS Plug in the BIS module. Silencing this INOP switches off the

measurement.

BISx DISCONNECTED

INOP tone

BIS The BISx is not connected to the BIS module or the BIS

interface board. Silencing this INOP switches the measurement off.

BISx INCOMPATIBLE

INOP tone

BIS The BISx software is not compatible with the BIS module or

with the MP20/MP30 monitor software. A software upgrade may be required. Contact your service personnel.

BISx MALFUNCTION

INOP tone

BIS The BISx is faulty. Disconnect and reconnect it to the module

or BIS interface board. If the INOP persists, replace the BISx. MP20/MP30 - Malfunction on interface board. If the INOP persists, contact your service personnel.

CANNOT ANALYZE ECG ECG/

Arrhythmia

The arrhythmia algorithm cannot reliably analyze the ECG data. Check the ECG signal quality of the selected primary and secondary leads. If necessary, improve lead position or reduce patient motion. If you have arrhythmia analysis on, and you are not getting a reliable HR because the signal is below a minimum amplitude, unstable, or contains artifact, and you have tried to improve the system performance by choosing another lead and changing electrodes, you should consider turning arrhythmia analysis off.

CANNOT ANALYZE QT QT The QT algorithm cannot generate a valid QT value for more

than 10 minutes, or 1 minute in the initial phase.

CANNOT ANALYZE ST ST The ST algorithm cannot generate a valid ST value. Possible

causes are large variations in the measured ST values for consecutive beats, or ventricular paced beats. Review the ECG signal quality and the ST measurement points. If the patient has a ventricular pacemaker, ST analysis is not possible.

CCI NO BSA

CCI numeric unavailable INOP tone

C.O. CCI cannot be calculated because the patient's body surface

area is unknown. Enter the patient weight and height to provide the BSA for CCI calculation.

CCO BAD PRESS SIGN

numeric is replaced by -?INOP tone

C.O. The arterial pressure wave can currently not be used for pulse

contour calculation for CCO or CCI measurement. Possible causes are air bubbles in the tubing or a physiological condition, for example severe arrhythmia.

INOP Message, Indication Source What to do

Technical Alarm Messages (INOPs) 5 Patient Alarms and INOPs

CCO NO <Pressure label>

numeric is replaced by -?INOP tone may sound

C.O. CCO/CCI cannot be calculated. Make sure that the pressure

chosen in the

Setup CCO menu under CCO From

matches the pressure measured with the arterial catheter for CCO measurement. A pressure from an external device cannot be used. Select another pressure label, either ABP, Ao, ART, B AP, FA P, o r U A P.

CCO NO CALIBRATION

numeric is replaced by -?-

C.O. The CCO measurement is currently not calibrated.

CCO NO PRESS

at Information Center

C.O. CCO/CCI cannot be calculated. Make sure that the pressure

chosen in the

Setup CCO menu under CCO From

CCO NOT SUPPORTED

numeric is replaced by -?INOP tone

C.O. A catheter for transpulmonary C.O. measurements has been

unplugged and replaced with a Right Heart C.O. catheter, or the measurement mode has been changed manually. Silencing this INOP switches the measurement off.

CCO/CCI OVERRANGE

numeric is replaced by -?INOP tone

C.O. The measured CCO or CCI value is not within the specified

range for CCO/CCI measurement.

CCO <Pressure label> INVALID

numeric is replaced by -?INOP tone may sound

C.O. The arterial pressure selected for pulse contour calculation for

CCO is available but currently invalid. Make sure the pressure transducer is connected and the zero calibration is valid.

CCO PRESS INVALID

at Information Center

C.O. The arterial pressure selected for pulse contour calculation for

CCO is available but currently invalid. Make sure the pressure transducer is connected and the zero calibration is valid.

CCO PRESS OVERRANG

numeric is replaced by -?INOP tone

C.O. The mean value of the arterial pressure values used for pulse

contour calculation for CCO is below 0 mmHg or above 300 mmHg.

CCO PULSE OVERRANG

numeric is replaced by -?INOP tone

C.O. The pulse rate of the pressure used for pulse contour

calculation for CCO is below 30 bpm or above 240 bpm.

CCO/Tbl NO TRANSD

Numeric is replaced by -?INOP tone

C.O. No transducer attached to the module or catheter

disconnected.

CCO RECALIBRATE

numeric is replaced by -?-

C.O. The most recent CCO or CCI calibration was made over 8

hours ago or the arterial pressure measurement used for CCO calculation has been zeroed after the CCO calibration was performed. You should recalibrate CCO or CCI with transpulmonary C.O. measurements at least every 8 hours or when the hemodynamic condition of the patient has changed. The pressure measurement must be zeroed before a CCO calibration.

CENTRAL:TELE ONLY

INOP tone

Monitor System connectivity via telemetry device is limited (No alarms,

only local numerics) when in companion mode and host monitor does not have system connectivity. Only telemetry device parameters can be displayed at central station.

Charge BATT1/BATT2 now

INOP tone

Batteries Battery must be charged. Connect the monitor to mains power

or exchange the battery.

INOP Message, Indication Source What to do

5 Patient Alarms and INOPs Technical Alarm Messages (INOPs)

CHARGER MALFUNC

INOP tone, battery LED may flash

Batteries There is a problem with the battery charger in the monitor.

Connect the monitor to mains power and contact your service personnel.

Check Alarm Lamps

INOP tone.

Monitor Perform a visual check of the alarm lamp to establish whether

there is a problem. Contact your service personnel to check the internal connections to the alarm lamps.

CHECK BATT TEMP

INOP tone

Battery The temperature of one or both batteries is too high. Check

that ventilation openings (if applicable) are not blocked and monitor is not exposed to heat.

Check DrugSettings

INOP tone

Monitor There was a problem loading the drug settings. Check that the

settings are complete and correct.

Check ECG Settings

INOP tone

Telemetry Synchronization of ECG settings between the monitor and

Information Center has failed. Check that the ECG settings in use are appropriate.

!!CHECK ECG SOURCE

INOP tone

Monitor The telemetry device and the monitor both have valid ECG

signals. Unpair the telemetry device and the monitor if they are no longer used for the same patient.

Check Flex Texts

INOP tone

Monitor Check the names of the monitor menus, for example the labels

for screens, profiles, event or trend group names, before you resume monitoring. If they are unexpected, there may be a problem with the monitor software. Contact your service personnel.

CheckInternVoltage

at Information Center

Monitor Potential problem with alarm lamps, display or interfaces

detected. Contact your service personnel. This INOP will appear on the monitor as

Check Monitor Func.

Check Keyboard

INOP tone

Monitor Perform a visual and functional check of the keyboard. Contact

your service personnel.

Check Main Board 2

INOP tone.

Monitor There is a problem with the second main board in the monitor.

Contact your service personnel.

Check Monitor Func

INOP tone.

Monitor Potential problem with alarm lamps, display or interfaces

detected. Contact your service personnel. This INOP may appear on the Information Center as

CheckInternVoltage.

Check Monitor Temp

INOP tone

Monitor The temperature inside the monitor is too high. Check that the

monitor ventilation is not obstructed. If the situation continues, contact your service personnel.

Check Mouse Device

INOP tone.

Monitor Perform a visual and functional check of the mouse input

device. Contact your service personnel.

Check MSL Voltage

INOP tone

Monitor/ MultiMeasuremt Module

There is a problem with the voltage of the Measurement Link (MSL). Contact your service personnel.

Check Network Conf

INOP tone

Monitor The monitor is receiving network topology information from

more than one source, e.g. the Database Server and an Application Server. Contact your service personnel.

Check Nurse Relay

INOP tone

Monitor There is a problem with the connection to the nurse relay.

Contact your service personnel.

!!Check Pairing

INOP tone

Monitor There is a problem with device pairing. Check that the monitor

and telemetry device are correctly paired.

INOP Message, Indication Source What to do

Technical Alarm Messages (INOPs) 5 Patient Alarms and INOPs

Check Screen Res

INOP tone

Monitor The Screen you have selected uses a resolution which is not

supported by the display. The monitor will show a generic Screen instead until you select a different Screen.

Contact your service personnel if you want the Screen deleted from the Profile(s) to avoid this in future.

Check Settings

INOP tone

Monitor If this INOP appears, check the monitor and patient settings

before you resume monitoring. If the settings are unexpected, there may be a problem with the monitor software. Contact your service personnel.

Check SpeedPoint

INOP tone.

Monitor Perform a visual and functional check of the SpeedPoint input

device. Contact your service personnel.

Check Touch Input

INOP tone

Monitor Perform a visual and functional check of the touch input

device. Contact your service personnel.

Check Waves

INOP tone

Monitor The options purchased with this monitor may not support the

number of waves required to show the selected Screen, so some waves or high resolution trends are missing from the Screen. Select a different Screen with fewer waves.

Contact your service personnel if you want the Screen deleted from the Profile(s) to avoid this in future.

CHK ECG Sync Cable

INOP tone

Monitor The ECG Sync is detecting an invalid signal, or the ECG Sync

cable is disconnected.

Chk IndepDsp Cable Monitor The monitor cannot communicate with the D80 Intelligent

Display. Check the MSL coupling cable. The end with the grey connector must be connected to the Intelligent Display.

CHK MSL Connection

INOP tone

Monitor Check that the MSL connector or cable are properly

connected. Check the cable and connector for damage.

Chk SpO2T Settings

INOP tone

Telemetry Synchronization of SpO2T settings between the monitor and

Information Center has failed. Check that the SpO

T settings

in use are appropriate.

C LEAD OFF

HR Numeric is replaced by -?- for 10 seconds. INOP tone.

ECG The C electrode (AAMI: V electrode) has become detached

from the patient or the lead set has been changed. Reattach the electrode or select

New Lead Setup in the Setup ECG

menu to confirm the new lead set.

CO2 AUTO ZERO

Numeric is replaced by a -?if the Autozero lasts >15 sec, INOP tone sounds.

The automatic zero calibration is in progress. This typically takes 10 seconds. During this time the CO

values may not be updated, or they may be replaced by -?-. Wait until the zero calibration is complete to resume monitoring.

CO2 CAL MODE

numeric displays current CO2

value for accuracy check

Currently no calibration is running. Accuracy can be checked by placing the transducer on the two cells of the calstick and starting calibration. To start monitoring, leave Cal. Mode.

CO2 CAL RUNNING

Numeric is replaced by a -?-

Wait until calibration is finished.

CO2 CHANGE SCALE CO

The CO2 wave is clipped. Select a more appropriate wave scale to display the whole wave.

CO2 CHK ADAPTER

Numeric is replaced by a -?INOP tone.

Check that the sensor is connected to the airway adapter, clean the airway adapter, if necessary. Perform a zero calibration. If the INOP persists, contact your service personnel.

CO2 CHECK CAL

Numeric is replaced by a -?INOP tone.

The CO2 value is outside the measurement range. Perform an accuracy check for both calstick cells and, if necessary, recalibrate the transducer.

INOP Message, Indication Source What to do

5 Patient Alarms and INOPs Technical Alarm Messages (INOPs)

CO2 DEACTIVATED

INOP tone.

The CO2 measurement label in the measurement device has been deactivated by deactivating the label in the Measurement Selection window. The measurement automatically disappears from the display. To switch the measurement on again, reactivate the measurement label in the Measurement Selection window.

C.O. DEACTIVATED

INOP tone.

C.O. The Cardiac Output measurement label in the measurement

device has been deactivated by deactivating the label in the Measurement Selection window. The measurement automatically disappears from the display. To switch the measurement on again, reactivate the measurement label in the Measurement Selection window.

C.O. EQUIP MALF

Numeric is replaced by a -?INOP tone.

C.O. There is a problem with the C.O. hardware. Contact your

service personnel.

CO2 EQUIP MALF

Numeric is replaced by -?INOP tone.

The Measurement Extension is faulty. Unplug and replug the Multi-Measurement Module with Extension. If you are using the mainstream method, unplug and replug the transducer or try another transducer. If the INOP persists, contact your service personnel.

CO2 FAILED CAL

Numeric is replaced by -?INOP tone.

Make sure that the Cal cell was changed between CAL1 and CAL2. Repeat the calibration. If the INOP reappears, try another transducer. If the INOP persists, contact your service personnel.

CO2 NO SENSOR

Numeric is replaced by -?INOP tone.

There is no CO2 sensor connected. If you silence this INOP the CO

measurement will be switched off.

CO2 NO TRANSDUC

Numeric is replaced by -?INOP tone.

There is no CO2 transducer connected. If you replace the transducer, the new transducer must be calibrated. If you silence this INOP the CO

measurement will be switched off.

CO2 NO TUBING

Numeric is replaced by -?INOP tone.

Either the sample line is disconnected, or an incorrect line is attached. Check the connection. If necessary, connect another sample line (Use only the approved accessories). If you silence this INOP, the measurement will be switched off.

(!!/!!!)CO2 OCCLUSION

Numeric is replaced by a -?INOP tone.

The sample line or exhaust tube is blocked. Check the tubing, then disconnect and reconnect the sample line. If the INOP persists, connect a new sample line.

CO2 OVERRANGE

Numeric is replaced by -?INOP tone.

The CO2 value is higher than the measurement range. If you suspect a false high value, contact your service personnel.

CO2 PUMP OFF

Numeric is replaced by a -?-.

The pump has been switched off for fifteen minutes. To switch it on again, select Pump On in the Setup CO

menu.

CO2 PURGING

Numeric is replaced by a -?INOP tone.

The Filterline is being purged to remove an occlusion in the line or airway adapter. If the occlusion is removed, the INOP will disappear. If not, the INOP

CO2 OCCLUSION is

displayed.

CO2 SENS. WARMUP

Numeric is displayed with a -?Microstream CO

: INOP tone.

Mainstream CO

: no INOP tone

Wait until the sensor reaches operating temperature and the INOP disappears.

INOP Message, Indication Source What to do

Technical Alarm Messages (INOPs) 5 Patient Alarms and INOPs

C.O. UNPLUGGED

numeric is replaced by -?INOP tone.

C.O. Plug in the C.O. module. Silencing this INOP switches off the

measurement.

CO2 UPDATE FW

Numeric is replaced by a -?INOP tone.

The software in the Measurement Extension does not match the software in the MMS. Contact your service personnel.

CO2 WAIT CAL2

Numeric is replaced by a -?-

Calibration on the first calstick cell is complete. Place the transducer on the other calstick cell and start the CAL2 calibration cycle.

CO2 ZERO FAILED

Numeric is replaced by a -?INOP tone.

An error occurred during the last zero calibration. Check the airway adapter and clean, if necessary. Perform another zero calibration. If the INOP persists, contact your service personnel.

CO2 ZERO REQU’D

Numeric is replaced by a -?INOP tone

Perform zero calibration for the CO2 sensor. If the INOP persists, contact your service personnel.

CO2 ZERO RUNNING CO

Wait until zero calibration is finished.

CPP CHK SOURCES

Numeric is replaced by a -?-

CPP Not all measurements or values required to perform the

calculation are available. Check the measurement sources.

CPP CHK UNITS

Numeric is replaced by a -?-

CPP The monitor has detected a conflict in the units used for this

calculation. Check the unit settings.

!!/!!!CUFF NOT DEFLAT

Numeric is displayed with a -?Severe yellow/red INOP tone.

During this INOP, alarms cannot be paused or switched off.

NBP Remove the cuff from the patient. Make sure that the tubing is

not kinked or twisted and that the correct patient category is selected. Try repeating the measurement. You can silence the INOP, but the INOP message remains visible until the next NBP measurement is started or the

Stop All SmartKey is selected.

[Adult or pediatric patients: The NBP cuff pressure has exceeded 15mmHg (2kPa) for more than 3 minutes. Neonatal patients: The NBP cuff pressure has exceeded 5mmHg (0.7kPa) for more than 90 seconds.]

!!/!!!CUFF OVERPRESS

Numeric displayed with -?- ;

Severe yellow/red INOP tone.

During this INOP, alarms cannot be paused or switched off.

NBP The NBP cuff pressure exceeds the overpressure safety limits.

Remove the cuff from the patient. Make sure that the tubing is not kinked or twisted and that the correct patient category is selected. Try restarting the measurement. You can silence this INOP, but the INOP message remains visible until the next measurement is started or the

Stop

All

SmartKey is selected.

CVP INOPS PRESS See <Pressure label> INOPS (under Pressure).

DEVICE CHECK SETUP

INOP tone.

IntelliBridge Device identification completed, but communication could

not be established due to timeout.

IntelliBridge INOP abbreviations may differ slightly depending on the device category.

DEVICE CHECK CONF.

INOP tone.

IntelliBridge Device identification completed, but communication could

not be established due to error.

IntelliBridge INOP abbreviations may differ slightly depending on the device category.

DEVICE DEMO DATA

INOP tone

IntelliBridge The device connected to the IntelliBridge module reports demo

data but the monitor is not in DEMO mode.

INOP Message, Indication Source What to do

5 Patient Alarms and INOPs Technical Alarm Messages (INOPs)

DEVICE REAL DATA

INOP tone

IntelliBridge The monitor is in DEMO mode but the device connected to

the IntelliBridge module reports data that are not flagged as demo data.

<Device> UNPLUGGED

INOP tone.

IntelliBridge The IntelliBridge module has been unplugged from the rack, or

the whole rack has been disconnected. Silencing this INOP switches off the measurement.

IntelliBridge INOP abbreviations may differ slightly depending on the device category.

DEVICE UNSUPPORTED

INOP tone.

IntelliBridge Device identification completed, but no appropriate device

driver installed.

IntelliBridge INOP abbreviations may differ slightly depending on the device category.

<EC10/EC40> EQUIP MALF

INOP tone.

IntelliBridge Malfunction in the IntelliBridge module. If this message

appears repeatedly, the module must be replaced. Contact your service personnel.

ECG/ARRH ALARM OFF

!!ECG/AR ALARM OFF

ECG All ECG alarms have been switched off, or the HR alarm

source is not ECG. To resume ECG alarm generation, switch ECG alarms on or select ECG as the alarm source.

ECG EQUIP MALF

Numeric is displayed with a -?INOP tone.

ECG Contact your service personnel.

The ECG hardware is faulty.

ECG EQUIP MALF T

Numeric is displayed with a -?INOP tone.

Monitor Contact your service personnel.

The ECG in the Telemetry device is faulty.

(!!/!!!)<ECG LEAD> LEAD OFF

Numeric is displayed with a -?INOP tone.

ECG Not all the required leads for ECG monitoring are connected.

Check the ECG connections and make sure that the electrode indicated by <ECG lead> [RA, LA, LL, RL, V or C] electrodes is attached. In EASI mode, all 5 electrodes must be connected.

ECG EL. NOISY <ECG LEAD> ECG The ECG signal from the named ECG electrodes [RA, LA, LL,

RL, V (or C)] is noisy. Check the ECG connections and make sure that the electrode indicated is attached.

(!!/!!!)ECG LEADS OFF ECG Check that all of the required ECG leads are attached, and that

none of the electrodes have been displaced.

ECG NOISY SIGNAL

INOP tone.

ECG The ECG signal is too noisy. Check that the electrodes are

properly placed and have not dried out. Remove any possible sources of signal noise (such as power cords) from the area around the cable and the patient. The ECG signal may be saturated or overloaded.

EcgOut EQUIP MALF

INOP tone

ECG Check that the ECG out cable is securely connected. Contact

your service personnel.

EEG EQUIP MALF

INOP tone

EEG The EEG hardware is faulty. Contact your service personnel.

EEG IMPEDANCE HIGH or EEG1 and/or EEG2 IMPED. HIGH

EEG The signal electrode in one or both channels exceeds the user-

selected impedance limit, or the impedance of a single electrode exceeds the limit. Check the impedance. If the impedance is too high, reconnect the electrodes according to the EEG monitoring setup guidelines. If the INOP persists, contact your service personnel.

EEG<X> LEAD OFF <n>

[X = channel, n = electrode]

EEG Reconnect specified electrode.

INOP Message, Indication Source What to do

Technical Alarm Messages (INOPs) 5 Patient Alarms and INOPs

EEG<X> LEAD OFF

[X = channel] at Information Center

EEG One or more electrodes are not connected. Check in the EEG

Impedance/Montage

window on the monitor which

electrode(s) are affected and reconnect the electrodes.

EEG<X> LEADS OFF

[X = channel]

EEG Two or more electrodes are not connected. Check in the EEG

Impedance/Montage

window which electrodes are

affected and reconnect the electrodes.

EEG LINE NOISE

EEG 1 or 2 LINE NOISE

EEG Excessive line noise has been detected in either channel EEG1

or EEG2, or in both EEG channels. Keep all cables together and away from metallic bodies, other cables & radiated fields.

EEG MUSCLE NOISE

EEG 1 or 2 MUSCLE NOISE

EEG Too much power above 30 Hz has been detected in channel

EEG1 or EEG2, or both. Check the Electrode-to-Skin Impedance and reposition the electrode away from possible muscle activity, if necessary.

EEG NO TRANSDUCER

INOP tone

EEG The trunk cable is disconnected from the EEG plug-in module.

Reconnect the trunk cable. Silencing this INOP switches the measurement off.

EEG UNPLUGGED

INOP tone

EEG Plug in module. Silencing this INOP switches off the

measurement.

EEG OVERRANGE, or

EEG<X> OVERRANGE

EEG Input signal is too high in one or both channels. This is usually

caused by interfering signals such as line noise or electrosurgery. X denotes the EEG channel.

FAP INOPS PRESS See <Pressure label> INOPS (under Pressure).

FMS UNPLUGGED

INOP tone.

FMS Make sure that the Flexible Module Rack is connected to the

monitor. All FMS measurements are off while the FMS is unplugged.

FMS UNSUPPORTED

INOP tone.

FMS The Flexible Module Rack is not supported by your monitor.

Contact your service personnel.

IC1/IC2 INOPS PRESS See <Pressure label> INOPS (under Pressure).

ICP INOPs PRESS See <Pressure label> INOPS (under Pressure).

Indep.Dsp Malfunc. Display A problem has occurred with the second main display. Contact

your service personnel.

Indep.Dsp NotSupp. Display The monitor does not support a second main display. The

monitor software is incompatible. Contact your service personnel.

!!INSERT BATTERY

Severe yellow INOP tone.

During this INOP, alarms cannot be paused or switched off.

Battery X2/MP2 only: There is no battery in the battery compartment.

You cannot operate the monitor on AC mains while the battery compartment is open (not sealed with a battery). Load a battery immediately.

Intell.Dsp Malf.

INOP tone

Display There is a problem with the Intelligent Display. Check the

MSL coupling cable then contact your service personnel.

Intell.Dsp Missing Display The monitor has lost contact with the connected Intelligent

Display. Contact your service personnel.

Intell.Dsp Unsupp. Display The monitor does not support the connected Intelligent

Display. The monitor software is incompatible.

Internal.Comm.Malf

INOP tone

Monitor There is a problem with I2C Bus communication in the

monitor. Contact your service personnel.

INVALID LEADSET Telemetry

INOP Message, Indication Source What to do

5 Patient Alarms and INOPs Technical Alarm Messages (INOPs)

LA LEAD OFF

Numeric is replaced by -?- for 10 seconds; INOP tone.

ECG The LA electrode has become detached from the patient or the

lead set has been changed. Reattach the electrode or select

New

Lead Setup

in the Setup ECG menu to confirm the

new lead set.

LAP INOPs PRESS See <Pressure label> INOPS (under Pressure).

LEADSET UNPLUGGED Telemetry The leadset has been unplugged from the telemetry device.

LL LEAD OFF

Numeric is replaced by -?- for 10 seconds; INOP tone.

ECG The LL electrode has become detached from the patient or the

lead set has been changed. Reattach the electrode or select

New

Lead Setup

in the Setup ECG menu to confirm the

new lead set.

MCC Reversed

INOP tone

Monitor The MSL coupling cable is reversed. Connect the end with the

grey connector to the Intelligent Display.

MCC Unsupported

INOP tone

Monitor An MSL coupling cable has been connected to a device which

does not support MSL coupling.

Meas. DEACTIVATED An X2 or MP5 has been connected to a host monitor

(companion mode) and all derived measurements have been deactivated and/or measurements with a label conflict. The measurements can only be reactivated by disconnecting the measurement device from the host monitor.

MEASSRV UNSUPPORTD

INOP tone

MMS The Multi-Measurement module is not supported by the

monitor. Contact your service personnel.

MMS Ext. EQUIP MALF

INOP tone

MMS Extension

Loss of communication between the Multi-Measurement Module and the MMS extension. Contact your service personnel.

MMS Ext. UNPLUGGED

INOP tone

MMS Extension

The MMS extension has been disconnected from the MultiMeasurement Module.

MMS Ext. Unpowered

INOP tone

MMS Extension

The MMS extension cannot operate while the MultiMeasurement Module is running on battery power.

MMSExt.Unsupported

INOP tone

MMS Extension

The MMS extensions not supported by your monitor. Contact your service personnel.

MMS UNPLUGGED INOP tone.

MMS Make sure that the Multi-Measurement Module is connected

to the monitor. All MMS measurements are off while the MMS is unplugged.

MMS UNSUPPORTED INOP tone.

MMS The Multi-measurement Module is not supported by your

monitor. Contact your service personnel.

!!/!!!MORE BED ALARMS

At Information Center

Monitor The monitor is associated with a telemetry device and is

sending data to the Information Center via the telemetry device. There are currently more alarms at the bedside than can be transmitted to the Information Center.

MSL Power High Monitor The power consumption of the devices connected to the

Measurement Link (MSL) cable is too high. If this situation continues, the MSL will be switched off. Contact your service personnel.

MSL Power Off

INOP tone.

Monitor The power consumption of the devices connected to the

Measurement Link (MSL) cable was too high for too long and the MSL has been switched off. Contact your service personnel.

MSL Power Overload

INOP tone.

Monitor The power consumption of the devices connected to the

Measurement Link (MSL) cable is much too high or there has been a short circuit. The MSL has been switched off. Contact your service personnel.

INOP Message, Indication Source What to do

Technical Alarm Messages (INOPs) 5 Patient Alarms and INOPs

NBP Deactivated

INOP tone.

NBP The NBP measurement label in the measurement device has

been deactivated by deactivating the label in the Measurement Selection window. The measurement automatically disappears from the display. To switch the measurement on again, reactivate the measurement label in the Measurement Selection window.

NBP EQUIP MALF

Numeric is replaced by -?INOP tone.

NBP Remove the cuff from the patient. The NBP hardware is faulty.

Contact your service personnel. You can silence this INOP, but the INOP message remains visible until the next measurement is started or the

Stop

All

SmartKey is selected.

NBP INTERRUPTED

Numeric is replaced by -?INOP tone.

NBP Check the tubing and cuff for leakages or kinks. Check that

you are using the correct cuff size and placement, and that the correct patient category is selected. Try restarting the measurement. If the INOP occurs repeatedly, contact your service personnel. You can silence this INOP, but the INOP message remains visible until the next measurement is started or the

Stop

All

SmartKey is selected. This INOP arises when the measurement needed longer than the maximum time for inflation, deflation or the total measurement.

NBP MEASURE FAILED

Numeric may be displayed with a -?INOP tone.

NBP Check that you are using the correct cuff size and placement,

and that the correct patient category is selected. Try restarting the measurement. You can silence this INOP, but the INOP message remains visible until the next measurement is started or the

Stop

All

SmartKey is selected. Check the condition and suitability of the patient for NBP monitoring. Use another cuff to continue measuring.

No Central Monit.

INOP tone

Monitor There is a problem with the communication to the network.

Central monitoring is currently not possible (no patient alarms or information). Check the connection. Contact your service personnel.

!!/!!! NO DEVICE DATA

NO DEVICE DATA

IntelliBridge Communication with connected device has been lost.

NO ECG AT CENTRAL Monitor The ECG measured with the monitor ECG is not being sent to

the Information Center via the telemetry device.

NO ECG SOURCE Telemetry A telemetry device is paired with the monitor but the

Information Center is not detecting a valid ECG signal from either of them.

NO PPV FROM MeasSrv

at Information Center

MMS or FMS

The measurement device does not supply a beat-to-beat arterial pressure value. Contact your service personnel.

NO PPV FROM <Device> MMS or

FMS

The measurement device does not supply a beat-to-beat arterial pressure value. Contact your service personnel.

OUT OF AREA Telemetry The telemetry device has left the access point coverage area.

P/P1/P2/P3/P4 INOPS PRESS See <Pressure label> INOPS (under Pressure).

PAP INOPS PRESS See <Pressure label> INOPS (under Pressure).

PPV BAD <Pressure Label> SIGNAL

PPV The arterial pressure source selected for PPV is not providing a

pulsatile signal.

INOP Message, Indication Source What to do

5 Patient Alarms and INOPs Technical Alarm Messages (INOPs)

PPV BAD SIGNAL

at Information Center

PPV The arterial pressure source selected for PPV is not providing a

pulsatile signal.

PPV CHK SOURCES PPV The arterial pressure source selected for PPV is unplugged or

switched off. When this INOP has displayed for 1 minute PPV will be switched off.

<Pressure label> ARTIFACT

Numeric questionable

PRESS A non-physiological event is detected (for example, a flush or

blood sample). A resulting high limit alarm will be suppressed.

<Pressure label> DEACTIVATED

INOP tone

PRESS A Pressure measurement label in the measurement device or

extension has been deactivated, either by connecting a Temp transducer in the shared Press/Temp socket, or by deactivating the label in the Measurement Selection window.

The measurement automatically disappears from the display.

To switch the measurement on again, either reconnect a Pressure transducer or reactivate the measurement label in the Measurement Selection window.

<Pressure label> EQUIP MALF

Numeric is replaced by -?INOP tone.

PRESS Contact your service personnel.

The pressure hardware is faulty.

<Pressure label> NO TRANSDUCER

Numeric is replaced by -?INOP tone.

PRESS Make sure that the pressure transducer is connected to the

measurement device or module. If you silence this INOP, the measurement will be switched off.

<Pressure label> NOISY SIGNAL

Pulse numeric is replaced by -?INOP tone.

PRESS This INOP can only arise when a pressure is selected as the

pulse source. It occurs when the pulse detector finds a pulse rate above 350bpm. This is usually caused by movement artifact or electrical interference.

<Pressure label> NONPULSATILE

Pulse numeric is replaced by -?INOP tone.

PRESS This INOP can only arise when a pressure is selected as the

pulse source. It occurs when the pulse rate being measured is less than 25 beats per minute or the amplitude is less than three mmHg. Check the catheter and connections to the patient.

<Pressure label> OVERRANGE

Numeric is replaced by -?INOP tone.

PRESS Make sure that the measurement has been properly prepared

and zeroed, and that the transducer is level with the heart. If this INOP persists, try another transducer. Possible causes are a measured pressure outside the allowed pressure range, or a broken wire to the transducer.

<Pressure label> REDUCE SIZE

PRESS Increase the scale for the pressure wave.

<Pressure label> UNPLUGGED

INOP tone.

PRESS A Pressure measurement label has been deactivated, either by

unplugging a module, or by deactivating the label in the Measurement Selection window.

The measurement automatically disappears from the display.

To switch the measurement on again, either replug the module or reactivate the measurement label in the Measurement Selection window.

<Pressure label> ZERO+CHECK CAL

Numeric is replaced by -?-

PRESS Perform a zero and check the calibration of the transducer.

INOP Message, Indication Source What to do

Technical Alarm Messages (INOPs) 5 Patient Alarms and INOPs

<pTemp label> CHECK PROBE

Numeric is replaced by -?INOP tone.

Predictive Te m p

Check that the probe holder is correctly installed and that a compatible probe is in use. If the INOP does not clear, remove the probe from the holder then replace it. If the INOP still does not clear, disconnect and reconnect the probe.

<pTemp label> DEACTIVATED

INOP tone.

Predictive Te m p

The Predictive temperature has been deactivated.

<pTemp label> EQUIP MALF

Numeric is replaced by -?INOP tone.

Predictive Te m p

The Predictive Temperature hardware is defective. Contact your service personnel.

<pTemp label> INCOMPAT. Predictive

Te m p

The Predictive Temperature version is not supported by the monitor.

<pTemp label> MEAS FAILED

Numeric is replaced by -?INOP tone.

Predictive Te m p

The ambient temperature is outside the specified range (10 to 40°C /50 to 104°F). Bring the temperature into range to continue monitoring. If the INOP does not clear, disconnect and reconnect the probe.

<pTemp label> NO PROBE

Numeric is replaced by -?INOP tone.

Predictive Te m p

Connect a probe to the Predictive temperature unit.

<pTemp label> OVERRANGE

Numeric is replaced by -?INOP tone.

Predictive Te m p

The temperature at the measurement site is out of range. Check that the probe is correctly located. If the INOP does not clear, disconnect and reconnect the probe.

<pTemp label> PROBE MALF

Numeric is replaced by -?INOP tone.

Predictive Te m p

The connected probe may be defective. Disconnect and reconnect the probe. If the INOP does not clear, try another probe.

pTaxil INOPS Predictive

Te m p

See <pTemp label> INOPS

pToral INOPS Predictive

Te m p

See <pTemp label> INOPS

pTrect INOPS Predictive

Te m p

See <pTemp label> INOPS

(!!)PW:Action Required Protocol

Wa tc h

The protocol currently running requires a user response. Check which pop-up window is displayed and provide the appropriate response.

PW:Check Settings Protocol

Wa tc h

Contact your service personnel. Settings could not be loaded or interpreted correctly

PW in conflict Protocol

Wa tc h

There is a patient information mismatch which has not yet been resolved (>15 minutes).

RA LEAD OFF

Numeric is replaced by -?INOP tone.

ECG The RA electrode has become detached from the patient or the

lead set has been changed. Reattach the electrode or select

New

Lead Setup

in the Setup ECG menu to confirm the

new lead set.

RAP INOPS PRESS See <Pressure label> INOPS (under Pressure).

Rem.Alarmdev.Malf

INOP tone

Monitor There is a problem with the connection to the remote alert

device. Contact your service personnel to check the remote alert device and its connections.

Rem. Display Malf. Remote

display

There is a problem with an input device at the remote display. Perform a visual and functional check of all input devices. Contact your service personnel.

INOP Message, Indication Source What to do

5 Patient Alarms and INOPs Technical Alarm Messages (INOPs)

!!/!!! REPLACE BATTERY T

Severe yellow/red INOP tone.

During this INOP, alarms cannot be paused or switched off.

Telemetry The battery in the telemetry device is almost empty and must

be replaced.

RESP EQUIP MALF

Numeric is replaced by -?INOP tone.

RESP Contact your service personnel. The RESP hardware is faulty.

RESP ERRATIC

Numeric is replaced by -?-

RESP The monitor has detected too many artifacts in the measured

Resp signal. Check that the RA and LL electrodes are correctly attached and have not dried out.

RESP LEADS OFF

Numeric is replaced by -?INOP tone.

RESP Not all the required leads for Resp monitoring are attached.

Make sure that the RA and LL leads are attached.

RL LEAD OFF

Numeric is replaced by -?- for 10 seconds; INOP tone.

ECG The RL electrode has become detached from the patient or the

lead set has been changed. Reattach the electrode or select

New

Lead Setup

in the Setup ECG menu to confirm the

new lead set.

Settings Malfunc.

INOP tone.

Monitor The monitor cannot use the predefined settings for

monitoring. Contact your service personnel.

<SO2 Label> CAL FAILED

Numeric is replaced by -?INOP tone.

The calibration failed. Check the catheter-to-Optical-Module connection. Manually restart the calibration. Try another catheter and Optical Module. If the catheter is already inserted, perform an in-vivo calibration.

<SO2 Label> CAL MODE

Numeric is replaced by -?INOP tone.

Pre-insertion calibration is complete, but the catheter tip is still inside the optical reference. The catheter is now ready for insertion.

<SO2 Label>CAL REQUIRED

Numeric is replaced by -?INOP tone.

There is no valid calibration data in the Optical Module. Perform either a pre-insertion or an in-vivo calibration.

<SO2 Label> CANNOT MEAS

Numeric is replaced by -?INOP tone.

The signal is out of the normal range, and no oxygen saturation can be derived. Perform an in-vivo calibration. If the INOP persists, try another Optical Module and catheter.

<SO2 Label>CONFIG ERROR

Numeric is replaced by -?INOP tone.

The Optical Module has been configured to SaO2 Mode. Use Change to Venous in the setup menu to reconfigure to venous saturation mode.

<SO2 Label> CONN OPTMOD

Numeric is replaced by -?INOP tone.

The Optical Module was disconnected during data storage. Reconnect the Optical Module for at least 20 seconds.

<SO2 Label> EQUIP MALF

Numeric displays -?-. INOP tone

The SO2/SvO2 Module or Optical Module is faulty. Unplug and replug the Optical Module and SO

/SvO2 module. Exchange the modules. If the INOP persists, contact your service personnel.

SO2 INCOMPATIBLE

INOP tone

The SO2 Module or Optical Module is not supported. Contact your service personnel.

<SO2 Label> IN-VIVO CAL SO

The in-vivo calibration is not yet complete. Lab values must be stored to the Optical Module to complete the calibration. Either continue with the next steps of the current calibration or recall the previous calibration.

INOP Message, Indication Source What to do

Technical Alarm Messages (INOPs) 5 Patient Alarms and INOPs

<SO2 Label>LIGHT INTENS

Numeric is replaced by -?INOP tone.

The intensity changed considerably since the last light intensity calibration. This may indicate that the catheter tip is positioned against a blood vessel wall or that there is low blood flow. Reposition the catheter (and perform a Light Intensity Calibration).

<SO2 Label> LOW LIGHT

Numeric is replaced by -?INOP tone.

The optical signal levels are too low. Check that the catheter is either in the optical reference or inserted into the patient. Check the catheter-to-Optical Module connection. If INOP persists, try another catheter and Optical Module.

<SO2 Label> NO OPTMOD

Numeric is replaced by -?INOP tone.

Connect the Optical Module. If the INOP persists, try another Optical Module. Silencing this INOP switches the measurement off.

<SO2 Label> OPTMOD MALF SO

The Optical Module memory is faulty, and calibration data cannot be stored for transport or during power failure. If this capability is needed, use another Optical Module.

<SO2 Label> PRE-INS CAL

Numeric displays -?INOP tone

The pre-insertion calibration is running. This typically takes one minute. During this time alarms are switched off. Wait until the calibration is complete.

<SO2 Label> UNPLUGGED

Numeric displays -?-. INOP tone

Measurement switched on and SO2/SvO2 module unplugged from the rack.

SO2 UPGRADE

INOP tone

The SO2 module is currently in upgrade mode.

Monitoring is not possible in this mode.

<SO2 Label> WARMUP

Numeric is displayed with ?

The Optical Module has not yet reached the operating temperature. Wait a few minutes until warm-up is finished.

SOME ECG ALRMS OFF Arrhythmia This message appears (if configured to do so) when the on/off

settings of the yellow arrhythmia alarms differ from the current Profile.

Speaker Malfunct.

INOP tone

Monitor Contact your service personnel to check the speaker and the

connection to the speaker.

SPIRO MALFUNCTION Spirometry Module failure detected. Contact your service personnel.

SPIRO INCOMPATIBLE Spirometry Module revision not compatible with the host monitor

software revision. Contact your service personnel.

SPIRO UPGRADE Spirometry The module is running a firmware upgrade. Wait until upgrade

is completed before resuming monitoring.

SPIRO CANNOT MEAS Spirometry Measurement is at its limit, e.g. ambient pressure out of range.

SPIRO PURGE FAILED Spirometry The purge operation could not be completed successfully.

Check for kinked sensor tubings, hard occlusions and make sure that the pump is running and all valves are switching.

SPIRO UNKN. SENSOR Spirometry An unknown sensor ID code was detected. Use only the sensors

listed in the Accessories chapter.

SPIRO ALARMS SUPPR Spirometry Alarming is suppressed for the spirometry module.

SPIRO PURGING Spirometry A purge operation is in progress - no data update on the screen.

Wait until purge is complete.

SPIRO NO SENSOR Spirometry No sensor detected. Make sure the correct sensor is attached to

the breathing circuit.

INOP Message, Indication Source What to do

5 Patient Alarms and INOPs Technical Alarm Messages (INOPs)

SPIRO NO BREATH Spirometry No breath was detected for more than 25 seconds. Breath

derived numerics are not available.

SPIRO GAS COMPENS? Spirometry Gas compensation is set to “gas analyzer” but not all gases

necessary for compensation are measured by a gas monitor. Some of the fall-back values provided by the user are used. Measurement accuracy might be reduced.

SPIRO PATIENT CAT. Spirometry Mismatch of patient size configured in the host monitor and

sensor type plugged into the module. Check the instructions on selecting the correct sensor in the Spirometry chapter.

'SpO

CHK SOURCES

Numeric is replaced by -?-

SpO

Difference

Not all measurements or values required to perform the calculation are available. Check measurement sources.

'SpO

CHK UNITS

Numeric is replaced by -?-

SpO

Difference

The monitor has detected a conflict in the units used for this calculation. Check the unit settings.

<SpO2 label> DEACTIVATED

INOP tone

SpO

The SpO2 measurement label in the measurement device has been deactivated by deactivating the label in the Measurement Selection window. The measurement automatically disappears from the display. To switch the measurement on again, reactivate the measurement label in the Measurement Selection window.

<SpO2 label> EQUIP MALF

Numeric is replaced by -?INOP tone.

SpO

The MMS or module is faulty. Unplug and replug the MMS or module. If the INOP persists, contact your service personnel.

<SpO2 label> ERRATIC

Numeric is replaced by -?INOP tone.

SpO

Check the sensor placement. Try another adapter cable and sensor. If the INOP persists, contact your service personnel.

<SpO2 label> EXTD. UPDATE

Label is displayed with a -?(questionable numeric)

SpO

The update period of displayed values is extended due to an NBP measurement on the same limb or an excessively noisy signal.

<SpO2 label> INTERFERNCE

Numeric is replaced by -?INOP tone.

SpO

There is too much interference, caused by a high level of ambient light and/or electrical interference. Cover the sensor to minimize ambient light. If the INOP persists, make sure that the sensor cable is not damaged or positioned too close to power cables.

<SpO2 label> LOW PERF

Label is displayed with a -?(questionable numeric)

SpO

Accuracy may be compromised due to very low perfusion. Stimulate circulation at sensor site. If INOP persists, change the measurement site.

<SpO2 label> NOISY SIGN.

Numeric is replaced by -?INOP tone.

SpO

Excessive patient movement or electrical interference is causing irregular pulse patterns. Try to reduce patient movement or to relieve the cable strain on the sensor.

<SpO2 label> NON-PULSAT.

Numeric is replaced by -?INOP tone.

SpO

Check the perfusion at measurement site. If necessary, stimulate circulation or change measurement site. If the INOP is due to NBP measurement on the same limb, wait until the NBP measurement is finished.

<SpO2 label> NO SENSOR

Numeric is replaced by -?INOP tone.

SpO

Make sure the SpO2 sensor is connected. If the INOP persists, try another adapter cable and sensor. If you silence this INOP, the measurement will be switched off.

<SpO2 LABEL> POOR SIGNAL

Label is displayed with a -?(questionable numeric)

SpO

The signal condition of the SpO2 measurement is poor and measurement accuracy may be compromised.

INOP Message, Indication Source What to do

Technical Alarm Messages (INOPs) 5 Patient Alarms and INOPs

<SpO2 LABEL> PULSE?

Numeric is replaced by -?INOP tone

SpO

The detectable pulsations of the SpO2 signal are outside the specified pulse rate range.

<SpO2 LABEL> SEARCHING

Numeric unavailable

SpO

SpO2 is analyzing the patient signal to derive Pulse, SpO2 and Perf values. Please wait until the search analysis is complete.

<SpO2 label> SENSOR MALF

Numeric is replaced by -?INOP tone.

SpO

The SpO2 sensor or adapter cable is faulty. Try another adapter cable and sensor. If the INOP persists, contact your service personnel.

<SpO2 LABEL> SENSOR OFF

Numeric is replaced by -?INOP tone

SpO

The SpO2 sensor is not properly applied to the patient. Apply the sensor following the instructions supplied by the manufacturer.

<SpO2 LABEL> UNKN.SENSOR

Numeric is replaced by a -?-

SpO

The connected sensor or adapter cable is not supported by the SpO

measurement. Use only specified sensors and cables.

<SpO2 LABEL> UNPLUGGED

Numeric is replaced by -?INOP tone

SpO

An SpO2 measurement label has been deactivated, either by unplugging a module, or by deactivating the label in the Measurement Selection window.

The measurement automatically disappears from the display.

To switch the measurement on again, either replug the module or reactivate the measurement label in the Measurement Selection window.

<SpO2 LABEL> UPGRADE

Label is displayed with a -?-, numeric is unavailable

SpO

The SpO2 measurement is currently in UPGRADE mode. Monitoring is not possible in this mode.

Sp - vO2 CHK SOURCES

Numeric is replaced by -?-

Sp - vO2Not all measurements or values required to perform the

calculation are available. Check measurement sources.

Sp - vO2 CHK UNITS

Numeric is replaced by -?-

Sp - vO2The monitor has detected a conflict in the units used for this

calculation. Check the unit settings.

SRR INTERFERENCE

INOP tone

Monitor The short range radio connection has interference from

another device. Try using another channel.

SRR INVALID CHAN

INOP tone

Monitor The channel configuration of the Short Range Radio is invalid.

Check channel and channel mask configuration.

SRR MALFUNCTION Malfunction in the short range radio device. If the INOP

persists contact your service personnel.

SVR/SVRI CHK SOURCES

Numeric is replaced by -?-

SVR/SVRI Not all measurements or values required to perform the

calculation are available. Check measurement sources.

SVR/SVRI CHK UNITS

Numeric is replaced by -?-

SVR/SVRI The monitor has detected a conflict in the units used for this

calculation. Check the unit settings.

SVR/SVRI SET CVP USED

Numeric is replaced by -?-

SVR/SVRI A CVP value is required for this calculation, but is not

currently being measured. The monitor is using the CVP value preset in the

Setup SVR menu.

T/T1/T2/T3/T4 INOPs TEMP See <Temp label> INOPs (under Temp)

TAAP DISABLED

INOP tone

Monitor The currently selected telemetry configuration on the monitor

does not allow connection of telemetry devices to the monitor.

Tamb INOPs TEMP See <Temp label> INOPs (under Temp)

Tart INOPs TEMP See <Temp label> INOPs (under Temp)

INOP Message, Indication Source What to do

5 Patient Alarms and INOPs Technical Alarm Messages (INOPs)

Tblood NO TRANSDUC

Numeric is replaced by -?INOP tone

C.O. No transducer attached to the module or catheter

disconnected.

Tblood OVERRANGE

Numeric is replaced by -?-

C.O. Tblood out of range 17°C - 43°C.

Tcereb INOPS TEMP See <Temp label> INOPs (under Temp)

Tcore INOPs TEMP See <Temp label> INOPs (under Temp).

tcpO2 (or tcpCO2 or tcGas) CAL FAILED

Numeric is replaced by -?INOP tone.

tcGas A calibration failed. Check the calibration unit, gas pressure,

and tubing connections, then restart the calibration. If the calibration has failed more than once, remembrane the transducer and restart the calibration. If this INOP persists, contact your service personnel.

tcpO2 (or tcpCO2 or tcGas) CAL REQUIRD

Numeric is replaced by -?INOP tone.

tcGas Calibration is required before applying the transducer to the

patient. Insert a membraned transducer into the calibration chamber on the module, connect the calibration unit to the calibration chamber, open the gas valve and start the calibration. If this INOP occurs during a calibration, there may be a module or transducer malfunction: contact your service personnel.

tcpO2 (or tcpCO2 or tcGas) CAL RUNNING

Numeric displays first -?- , then numeric is displayed with a ?

tcGas Wait until the tcpO2/tcpCO2 calibration is finished.

tcpO2 (or tcpCO2 or tcGas) CHECK TIME

tcGas Site Timer due to time out in 15 minutes or less.

tcpO2 (or tcpCO2 or tcGas) CHANGE SITE

If Heat Switch Off is configured to Yes, numeric is replaced by -?INOP tone.

tcGas Site Timer has timed out. Change the application site to avoid

skin burns. To reset the Site Timer, either calibrate and change the measurement site, or change the measurement site and reset the Site Timer manually by selecting the appropriate site time from the

Setup TCGas menu.

tcpO2 (or tcpCO2 or tcGas) EQUIP MALF

Numeric is replaced by -?INOP tone.

tcGas There is a malfunction in the transducer or module. Connect

another transducer. If this INOP persists, contact your service personnel.

tcpO2 (or tcpCO2 or tcGas) NO TRANSDUC

Numeric is replaced by -?INOP tone.

tcGas No transducer is connected to the tcpO2/tcpCO2 module.

Silencing the alarm switches off the measurement.

tcpO2 (or tcpCO2 or tcGas) STABILIZING

Numeric is displayed with a ?

tcGas The transducer has not yet reached the selected temperature

and/or skin hyperemization is not yet finished. This INOP will disappear within three minutes.

tcpO2 (or tcpCO2 or tcGas) UNPLUGGED

Numeric is replaced by -?INOP tone.

tcGas The measurement is switched on but the module is unplugged.

The measurement automatically disappears from the display. Silencing this INOP switches off the measurement.

TELE CONFIG UNSUPP

INOP tone

Monitor Telemetry device not supported (companion mode)

INOP Message, Indication Source What to do

Technical Alarm Messages (INOPs) 5 Patient Alarms and INOPs

!!/!!!TELE DISCONNECT

INOP tone

Telemetry Telemetry transceiver was disconnected or short range radio

link was lost. For cable connections; check Telemetry interface, cable connection and setup. For short range radio connections: if the telemetry transceiver has not moved out-of-range, check for interference sources close to the monitor (bluetooth devices, DECT phones, cellular phones, microwaves, etc.) If this INOP persists, ask your service personnel to survey the interference sources.

TELE EQUIP MALF

INOP tone

Monitor The telemetry device has a malfunction. Disconnect and

reconnect the telemetry device. If the INOP reappears, replace the telemetry device.

TELE INCOMPATIBLE Monitor SRR-enabled telemetry device is not supported by this central

software revision. Please check configuration.

!!/!!! TELE INOP

Severe yellow/red INOP tone.

Telemetry Check for further details at the Information Center or in the

Telemetry Data window on the monitor.

Tele Sync Unsupp.

INOP tone

Telemetry The MMS in use does not support synchronization of ECG

and SpO

settings between the monitor and central station after a telemetry device has been paired. Use an MMS with revision E.0 or above.

TELE UNSUPPORTED

INOP tone

Monitor This telemetry device is not supported for direct connection to

the monitor.

<'Temp> CHK SOURCES

Numeric is replaced by -?-

TEMP Difference

Not all measurements or values required to perform the calculation are available. Check measurement sources.

<'Temp> CHK UNITS

Numeric is replaced by -?-

TEMP Difference

The monitor has detected a conflict in the units used for this calculation. Check the unit settings.

<Temp label> DEACTIVATED

INOP tone

TEMP A Temp measurement label in the measurement device has

been deactivated, either by connecting a Pressure transducer in the shared Press/Temp socket, or by deactivating the label in the Measurement Selection window.

The measurement automatically disappears from the display.

To switch the measurement on again, either reconnect a Temp transducer or reactivate the measurement label in the Measurement Selection window.

<Temp label> EQUIP MALF

Numeric is replaced by -?INOP tone.

TEMP Contact your service personnel.

The temperature hardware is faulty.

<Temp label> NO TRANSDUCER

Numeric is replaced by -?INOP tone.

TEMP Make sure the TEMP probe is connected to the MMS or

module. If you silence this INOP, the measurement will be switched off.

<Temp label> UNPLUGGED

INOP tone

TEMP A Temp measurement label has been deactivated, either by

unplugging a module, or by deactivating the label in the Measurement Selection window.

The measurement automatically disappears from the display.

To switch the measurement on again, either replug the module or reactivate the measurement label in the Measurement Selection window.

INOP Message, Indication Source What to do

5 Patient Alarms and INOPs Technical Alarm Messages (INOPs)

<Temp label> OVERRANGE

Numeric is replaced by -?INOP tone.

TEMP Try changing the application site of the transducer.

[The temperature is less than -1

qC, or greater than 45qC.]

Tesoph INOPS TEMP See <Temp label> INOPs (under Temp).

TEXT UPLOAD FAILED

INOP tone

IntelliBridge Incoming text from the IntelliBridge modules exceeds the

maximum limit. Try unplugging one of the IntelliBridge modules. If the INOP occurs repeatedly contact your service personnel; a software upgrade may be necessary.

TimeExpired:<timer label> INOP tone

Monitor The time has expired for the timer indicated in the INOP text.

Clearing the timer clears the INOP.

Tnaso INOPS TEMP See <Temp label> INOPs (under Temp).

Trect INOPS TEMP See <Temp label> INOPs (under Temp).

Tskin INOPS TEMP See <Temp label> INOPs (under Temp).

Ttymp INOPS TEMP See <Temp label> INOPs (under Temp)

Tven INOPS TEMP See <Temp label> INOPs (under Temp).

Tvesic INOPS TEMP See <Temp label> INOPs (under Temp)

UAP INOPS PRESS See <Pressure label> INOPS (under Pressure).

Unsupported LAN

INOP tone

Monitor There is a problem with the communication to the network

and central monitoring is currently not possible. Check the connection. If the INOP persists, switch off the monitor and contact your service personnel.

User I/F Malfunct. INOP tone.

Monitor Perform a visual and functional check of all the monitor input

devices. Contact your service personnel.

UVP INOPS PRESS See <Pressure label> INOPS (under Pressure).

V LEAD OFF

Numeric is replaced by -?- for 10 seconds; INOP tone.

ECG The V electrode (IEC: C electrode) has become detached from

the patient or the lead set has been changed. Reattach the electrode or select

New Lead Setup in the Setup ECG

menu to confirm the new lead set.

<VueLink option> CHK CABLE

INOP tone.

VueLink No cable or the wrong cable connected to the VueLink module,

or incorrect device selected. Silencing this INOP switches the measurement off. VueLink INOP abbreviations may differ slightly depending on the device category.

<VueLink option> CHK CONF.

INOP tone.

VueLink The wrong external device has been selected on the VueLink

module, or the external device has not been correctly setup, or the wrong cable has been used to connect the device to the VueLink module. VueLink INOP abbreviations may differ slightly depending on the device category.

INOP Message, Indication Source What to do

Technical Alarm Messages (INOPs) 5 Patient Alarms and INOPs

<VueLink option> CHECK SETUP

INOP tone.

VueLink No information was received from the external device. The

device may be switched off or disconnected. VueLink INOP abbreviations may differ slightly depending on the device category.

VueLnk EQUIP MALF

INOP tone.

VueLink Malfunction in the VueLink module. If this message appears

repeatedly, the module must be replaced. Contact your service personnel. VueLink INOP abbreviations may differ slightly depending on the device category.

VueLnk NO CONFIG

INOP tone.

VueLink The VueLink module has not been configured during

installation. The installation process should be completed by either your biomedical engineering department or the Philips service engineer. VueLink INOP abbreviations may differ slightly depending on the device category.

VueLnk UNPLUGGED

INOP tone.

VueLink The VueLink module has been unplugged from the rack, or the

whole rack has been disconnected. The measurement automatically disappears from the display. Silencing this INOP switches off the measurement. VueLink INOP abbreviations may differ slightly depending on the device category.

INOP Message, Indication Source What to do

5 Patient Alarms and INOPs Technical Alarm Messages (INOPs)

6Managing Patients

Use the Patient Demographics window and its associated pop-up keys to admit, discharge, and transfer (ADT) patients.

All patient demographic and ADT information is shared between the patient monitor and the Information Center, for example, patients admitted to the monitor are automatically admitted to a connected Information Center.

Admitting a Patient

The monitor displays physiological data and stores it in the trends as soon as a patient is connected. This lets you monitor a patient who is not yet admitted. It is however important to admit patients properly so that you can identify your patient on recordings, reports, and networked devices.

During admission you enter data that the monitor needs for safe and accurate operation. For example, the patient category setting determines the algorithm the monitor uses to process and calculate some measurements, the safety limits that apply for some measurements, and the alarm limit ranges.

NOTE It is strongly recommended that the same patient data fields be configured to be mandatory at the

monitor and the Information Center.

To admit a patient,

1 Select the patient name field or select the Admit/Dischrge SmartKey to open the

Patient Demographics window.

Adult

SBed10

Doe, John

Patient Demographics

Last Name : Doe

First Name : John

MRN : 12345678

Patient Cat.

Tr a ns f e r

: Adult

Dischrge

Patient

End

Case

Admit

Patient

6 Managing Patients Admitting a Patient

2 Clear any previous patient data by selecting the Dischrge Patient or End Case pop-up

key and then Confirm. If you do not discharge the previous patient, you will not be able to distinguish data from the

previous and current patients, for example, in the trend database.

3 Select Admit Patient.

4 Enter the patient information: select each field and use the on-screen keyboard or choose from the

pop-up list of alternatives to input information. – Last Name: Enter the patient’s last name (family name), for example Smith. – First Name: Enter the patient’s first name, for example Joseph. – Middle Name (if configured to appear): Enter the patient’s middle name. – Lifetime Id, Encounter Id: Whether these fields appear and how they are labelled can

be configured for your hospital. One or both fields may be displayed and the labels may read:

MRN, Case Id, Visit Id, etc. Enter the appropriate data for the fields displayed. – Patient Cat: Choose the patient category, either Adult, Pediatric, or Neonatal. – Paced: Choose Yes or No (You must use “Yes” if your patient has a pacemaker). – Height: Enter the patient’s height. – Weight: Enter the patient’s weight. – BSA: The monitor calculates the body surface area automatically. – Date Of Birth: Enter the patient’s date of birth. Enter this in the form dd/mm/yyyy. – Age: The monitor calculates the patient age automatically. – Gender: Choose Male or Female. – Notes: Enter any extra information about the patient or treatment.

5 Select Confirm. The patient status changes to admitted.

Patient Category and Paced Status

The patient category setting determines the algorithm the monitor uses to process and calculate some measurements, the safety limits that apply for some measurements, and the alarm limit ranges.

The paced setting determines whether the monitor shows pacemaker pulses or not. When Paced is set to No, pace pulses are filtered and therefore do not show in the ECG wave.

WARNING Patient Category and Paced status will always contain a value, regardless of whether the

patient is fully admitted or not. If you do not specify settings for these fields, the monitor uses the default settings from the current profile, which might not be correct for your patient.

Patient category Changing the patient category may change the arrhythmia and NBP alarm limits. Always check alarm limits to make sure that they are appropriate for your patient.

Paced status For paced patients, you must set Paced to Yes. If it is incorrectly set to No, the monitor could mistake a pace pulse for a QRS and fail to alarm during asystole.

Admitting a Centrally-Monitored Patient

You can admit a patient at either the bedside or the Information Center. When you admit a patient, the patient’s name appears on the bedside monitor and the Information Center.

Quick Admitting a Patient 6 Managing Patients

If you do not fill in all patient information required by the Information Center, the Information Center may reject the admission. Complete all the required fields and try again to admit the patient.

Quick Admitting a Patient

Use Quick Admit only if you do not have the time or information to fully admit a patient. Complete the rest of the patient demographic details later.

1 Select the Quick Admit SmartKey.

2 Enter the required data (ID fields or Last Name depending on configuration) with the keyboard.

3 Select Enter.

4 In the confirmation window, select Confirm to discharge the previous patient (if confirmation is

configured).

5 Check that patient category and paced status are correct for the new patient.

If the monitor is connected to an Information Center and only the ID field is entered, the patient name is set to - - - at the Information Center. Complete the rest of the demographic details as soon as possible to fully identify the patient on the network, on the monitor and on printed reports. To complete the details, select Admit Patient again and complete all required fields.

Editing Patient Information

To edit the patient information after a patient has been admitted, select the patient name field on the Main Screen to open the Patient Demographics window, and make the required changes.

Discharging a Patient

WARNING Always perform a discharge before starting monitoring for a new patient, even if your previous patient

was not admitted. Failure to do so can lead to data being attributed to the wrong patient.

A discharge:

– clears the information in the Patient Demographics window – erases all patient data (including trend data) from the monitor and Information Center. This

ensures that data from a previous patient are not mixed with data from the new patient. – resets patient category and paced settings to the settings defined in the default Profile – resets all monitor and measurement settings as well as the active Screen to the settings defined in

the default Profile – discharges the patient from the Information Center.

When a patient is discharged from the monitor or from an Information Center, all patient data is deleted. Make sure that you have printed out any required reports before discharging. Check that a functioning central printer is available before you use End Case.

To discharge a patient,

1 Select the patient name field or select the Admit/Dischrge SmartKey to open the

Patient Demographics window and associated pop-up keys.

6 Managing Patients Transferring Patients

Select the pop-up key for either:

– End Case - to print any configured end case reports or vital signs recording, discharge the

patient and clear the patient database, then enter standby mode. If an End Case SmartKey is

configured for your monitor, you can also select this instead and then confirm.

To see which end case reports are set up for your monitor, select Main Setup -> Reports ->

Auto Reports. For each auto report, if End Case Report is set to On, this report will be printed when you select End Case. See the section on AutoReports for information on setting up end case reports.

– Dischrge Patient - to discharge the patient without printing any reports.

New Patient Check

The monitor can be configured to ask you in certain situations:

• after a specified power-off period

• after a specified standby period

• when no basic vitals (HR, RR, Pulse, SpO

, NBP) have been measured for a specified period

whether a new patient is now being monitored. The pop-up window is entitled Is this a new Patient?. The monitor offers a Yes key to discharge the previous patient and begin monitoring a new patient and a No key to continue monitoring with the current patient data and settings.

The time periods for the three conditions can be configured independently.

Transferring Patients

To save you from having to enter the same patient data multiple times and enable patient transfer without loss of data, patient demographic information is shared between patient monitors and Information Centers.

Transferring a Centrally-Monitored Patient with the Monitor

Scenario: A centrally-monitored patient is moved with the monitor to another monitoring location on the same Information Center database server without interrupting the collection of patient trend information.

1 Select the patient name field or select the Admit/Dischrge SmartKey to open the

Patient Demographics window, then select the Transfer pop-up key. If the patient is

not admitted or not monitored by an Information Center, the Transfer key is inactive (“grayed-out”).

This step preserves the patient’s demographic data during the transfer.

2 At the new location, connect the monitor to the network (only needed for wired networks). If the

monitor detects a patient mismatch, a window will open showing your patient’s data and asking Complete transfer of this patient?.

3 Select Yes to complete the transfer.

4 Verify that the settings for patient category and paced mode are correct.

If you accidentally transfer a patient, use Re-Admit to restore this patient’s data to the Information Center. If you are not connected to the network, select Clear Transfer to leave transfer mode. The patient data remains in the monitor.

Transferring Patients 6 Managing Patients

Data Exchange Between Information Centers

You can transfer demographic data and trend data from one IIC to another by selecting Transfer on the patient monitor. Trend data is not shared between Information Centers and monitors.

Resolving Patient Information Mismatch

When you connect together devices which store patient demographic data, for example:

• an MMS and a monitor,

• an X2 or MP5 and a host monitor,

• a monitor and an Information Center,

the system compares patient category, paced status, and unique patient identification in order to synchronize this information. If configured to do so, the monitor indicates a mismatch if the information is not identical.

WARNING 1 When a monitor is connected to an Information Center by the wireless IntelliVue Instrument

Telemetry interface, the patient data will automatically be merged in the case of a transfer. This means there is no patient discharge at the monitor and settings and trend data will be retained. You will see a message on the monitor and the Patient Demographics window will automatically appear so that you can check the data and change it if necessary.

2 It is important to resolve the mismatches as soon as they are identified. Failure to do so could result

in using incorrect/confusing data to make clinical decisions. Certain settings, for example Paced and Patient Category, may not match between the Information Center and the monitor. If the Paced status is set incorrectly, the system could mistake a pace pulse for a QRS and fail to alarm in the case of asystole. It is important that the Patient Category is set correctly so the ECG can be analyzed correctly and initial arrhythmia alarm limits set. In the case where an MP5 or X2 with an IntelliVue Instrument Telemetry interface is declared as a “telemetry device” at the Information Center and is connected to a host monitor, it is important to resolve an existing mismatch between the monitor and the Information Center before disconnecting the MP5/X2. Failure to do so discharges the MP5/X2 and synchronizes the demographics and settings to the Information Center.

Manually Resolving Patient Mismatch

The source of the patient mismatch is indicated by question marks (???) and displayed in the status line at the bottom of the screen (Patient ???, Patient Category ??? or Paced ???).

The Select Patient window automatically opens so you can decide which patient data to use. You do not have to resolve the mismatch immediately, but the indicators remain until you do.

For some common mismatch situations, the monitor will simplify the resolution by suggesting a solution for the mismatch. For example, when a patient arrives after transport and the Transfer key has been selected, the monitor will show this patient’s data and ask Complete transfer of this patient?. You can then select Yes to complete the transfer. If you select No you will go to the Select Patient window.

After you resolve the mismatch, the monitor displays a confirmation window that shows the patient that has been selected and where data will be erased, if applicable. Confirm your choice. The monitor automatically displays the Patient Demographics window after confirmation. Verify that the settings shown are correct for the patient.

6 Managing Patients Transferring Patients

Gender, date of birth, height, weight, and nursing notes do not generate a mismatch. If these fields are different on different devices, the monitor resolves them itself. For example, it may take date of birth from the Information Center, whilst taking gender from the monitor. Always check the Patient Demographics after combining patients, to ensure that you are satisfied with the results. Change them if necessary.

WARNING After resolving a patient mismatch, check that the monitor settings (especially patient category, paced

status and alarm limits) are correct for the patient.

Patient Mismatch - If One Set of Patient Data is Correct

♦ If there is a mismatch between an

Information Center and a monitor, choose the data set you want to continue using for this patient by selecting one of the sectors in the Select Patient window.

Patient Mismatch - If Neither Patient Data Set is Correct

A patient mismatch where neither set of patient data is correct might occur if you connect a new MMS to a monitor in order to prepare for a new patient, before you actually start measuring.

♦ Select New Patient if you are sure that none of the information is correct. This discharges all

patients, erases all data in both the monitor and MMS, resets all settings to the default Profile, and lets you admit a new patient.

Patient Mismatch - If Both Patient Data Sets Are Correct

A patient mismatch where both sets of patient data are correct might occur if you admit a new patient at the monitor (or Information Center) before the patient arrives at your unit and then connect the MMS that was used during the patient transport to the monitor.

♦ Select Same Patient if the patient information is different, but you are sure it is the same

patient. This merges the demographics and updates them in the Information Center, monitor, and MMS, according to this table. Be aware that your monitor may be configured to merge trend data from the MMS and the monitor, and to upload measurement settings from the MMS to the monitor.

Select Patient

DOE, JOHN F 1234HG9556, 2008/00123 Adult Non-Paced

MILLER,

Adult Paced Same Patient New Patient

7ECG, Arrhythmia, ST and QT

Monitoring

The electrocardiogram (ECG) measures the electrical activity of the heart and displays it on the monitor as a waveform and a numeric. This section also tells you about arrhythmia monitoring (see page 105), ST monitoring (see page 117) and QT monitoring (see page 127).

Skin Preparation for Electrode Placement

Good electrode-to-skin contact is important for a good ECG signal, as the skin is a poor conductor of electricity.

1 Select sites with intact skin, without impairment of any kind. 2 Clip or shave hair from sites as necessary.

3 Wash sites thoroughly with soap and water, leaving no soap residue.

We do not recommend using ether or pure alcohol, because this dries the skin and increases the resistance.

4 Dry skin thoroughly.

5 Gently abrade the skin using ECG skin preparation paper to remove dead skin cells to improve the

conductivity of the electrode site.

Connecting ECG Cables

1 Attach the clips or snaps to the electrodes before placing them. If you are not using pre-gelled

electrodes, apply electrode gel to the electrodes before placement.

2 Place the electrodes on the patient according to the lead placement you have chosen.

7 ECG, Arrhythmia, ST and QT Monitoring Selecting the Primary and Secondary ECG Leads

3 Attach the electrode cable to the patient cable.

4 Plug the patient cable into the white ECG connector on the monitor. An ECG waveform and

numeric appears on the monitor display.

CAUTION To protect the monitor from damage during defibrillation, for accurate ECG information and to

protect against noise and other interference, use only ECG electrodes and cables specified by Philips.

Selecting the Primary and Secondary ECG Leads

The monitor uses the primary and secondary lead to compute HR and to analyze and detect cardiac arrhythmias. They are also available for recordings and for display on the Information Center.

The secondary lead is only used if your monitor is configured for multi-lead (instead of single-lead) arrhythmia analysis.

To select a lead as primary or secondary lead:

♦ In the Setup ECG menu, select Primary or Secondary, then select the appropriate lead.

You can assign any available lead whether it is currently displayed or not.

Checking Paced Status

It is important to set the paced status correctly when you start monitoring ECG.

♦ To change the paced status in the Setup ECG menu, select Paced to toggle between Yes or

No.

1 - ECG Connector

You should choose a lead as primary or secondary lead that has the following characteristics:

• the QRS complex should be either completely above or below the baseline and it should not be biphasic

• the QRS complex should be tall and narrow

• the P-waves and T-waves should be less than 0.2 mV

Understanding the ECG Display 7 ECG, Arrhythmia, ST and QT Monitoring

WARNING Pace pulse rejection must be switched on for paced patients by setting “Paced” to Yes. Switching pace

pulse rejection off for paced patients may result in pace pulses being counted as regular QRS complexes, which could prevent an asystole event from being detected. When changing profiles, and at admission/discharge, always check that paced status is correct for the patient.

Some pace pulses can be difficult to reject. When this happens, the pulses are counted as a QRS complex, and could result in an incorrect HR and failure to detect cardiac arrest or some arrhythmias. Make sure that pace pulses are detected correctly by checking the pace pulse markers on the display. Keep pacemaker patients under close observation.

Understanding the ECG Display

Your display may be configured to look slightly different.

ECG HR numeric: This is the heart rate derived from the monitored ECG.

Pace pulse markers: These are shown if the Paced status has been set to Yes, the pacer spikes are not

configured to have a fixed size, and the patient has a paced signal.

Pacer Spikes: The pacer spikes are shown in white, unless the ECG wave is white, then they will be green. If the pacer spikes have been configured to have a fixed size, they will be displayed in the background as a dotted line.

1 Lead label of the displayed wave 2 1 mV calibration bar 3Pacer spikes 4 Pace pulse markers 5 Current heart rate 6 Current heart rate alarm limits 7 EASI lead placement label 8 ECG Filter label

EASI

HR bpm

Paced Rhythm

7 ECG, Arrhythmia, ST and QT Monitoring Monitoring Paced Patients

Defibrillator synchronization marks: If an HP/Agilent/Philips defibrillator is connected, the

synchronization marks (vertical lines on the ECG wave) are shown on the ECG wave. The synchronization marks will be shown in yellow, unless the ECG wave is yellow, then they will be green.

If so configured, the monitor can supply its own synchronization marks; in this case the synchronization marks from a defibrillator will not be shown.

ST numerics in ECG wave: ST numerics can be configured to show underneath the ECG wave on the left side.

Monitoring Paced Patients

An ECG optimized for monitoring a paced patient should look like this:

You should choose a lead as primary or secondary lead that has these characteristics:

• the normal QRS complex should be either completely above or below the baseline and it should not be biphasic. For paced patients, the QRS complexes should be at least twice the height of pace pulses.

• the QRS complex should be tall and narrow

• the P-waves and the T-waves should be less than 0.2 mV.

For ease of identification on the screen, the pacer spikes can be configured to have a fixed size. They are then shown in the background as a dotted lines. The length of the dotted line is fixed to the wave channel height and is independent of the actual pacer amplitude.

1 Pacer spikes configured to have a fixed size

1Normal Beats 2 Pace Pulses/Beats

Philips M8102A, IntelliVue MP2, M3016A, M3012A, M3014A Instructions For Use Manual

Specifications and Main Features

Frequently Asked Questions

User Manual