Philips MP20, MP60, MP40, MP30, MP50 User Manual

IntelliVue MP20/30, MP40/50 and MP60/70/80/90

INSTRUCTIONS FOR USE

IntelliVue Patient Monitor

MP20/30, MP40/50, MP60/70/80/90

Release D.0 with Software Revision D.00.xx

Patient Monitoring

Part Number M8000-9001G Printed in Germany 02/06 4512 610 13551

*M8000-9001G*

M8000-9001G

	Table Of Contents
	1 Basic Operation	1
Introducing the IntelliVue Family		1
	IntelliVue MP20/MP30	2
	MP20/MP30 Major Parts and Keys	3
	IntelliVue MP40/MP50	4
	MP40/MP50 Major Parts and Keys	4
	IntelliVue MP60/MP70	5
	MP60/MP70 Major Parts and Keys	6
	IntelliVue MP80/MP90	6
	MP80/MP90 Major Parts and Keys	7
	D80 Intelligent Display	7
	Remote Alarm Device	7
	Docking Station	8
Related Products		8
	Flexible Module Server (M8048A)	8
	Measurement Modules	9
	Multi-Measurement Server (M3001A)	10
	Measurement Server Extensions	11
	M3014A, M3015A and M3016A Capnography Extensions	12
	M3012A Hemodynamic Measurement Server Extension	13
Operating and Navigating		14
	Selecting Screen Elements	15
	Using the Setup Menu	15
	Using the Touchscreen	15
	Disabling Touchscreen Operation	15
	Using the SpeedPoint	16
	Using the Navigation Point	17
	Using a Mouse or Trackball	17
	Using Keys	17
	Permanent Keys	17
	SmartKeys	18
	Hardkeys	19
	Pop-Up Keys	19
	Using the On-Screen Keyboard	20
	Using the On-Screen Calculator	20
Operating Modes		21
	Standby Mode	21
Understanding Screens		22
	Switching to a Different Screen	22
	Changing a Screen’s Content	22
Using Additional Displays		23
	Using the Visitor Screen	24

i

Understanding Profiles		24
	Swapping a Complete Profile	25
	Swapping a Settings Block	26
	Default Profile	26
	Locked Profiles	26
Understanding Settings		26
	Changing Measurement Settings	26
	Switching a Measurement On and Off	27
	Switching Numerics On and Off	27
	Adjusting a Measurement Wave	27
Changing Wave Speeds		27
	Changing the Wave Group Speed	27
	Changing Wave Speed for a Channel	28
Freezing Waves		28
	Freezing An Individual Wave	28
	Freezing All Waves	28
	Measuring Frozen Waves	28
	Changing The Wave Speed	29
	Updating The Frozen Wave	29
	Releasing Frozen Waves	29
Using Labels		29
	About Label Sets	29
	Changing Measurement Labels (e.g. Pressure)	29
	Resolving Label Conflicts	30
Changing Monitor Settings		31
	Adjusting the Screen Brightness	31
	Adjusting Touch Tone Volume	31
	Setting the Date and Time	31
Checking Your Monitor Revision		32
Getting Started		32
	Inspecting the Monitor	32
	Switching On	32
	Setting up the Measurement Servers and Modules	32
	Starting Monitoring	33
Disconnecting from Power		33
	Monitoring After a Power Failure	33
Networked Monitoring		33
Using Remote Applications		33
	Remote Application Popup Keys	34
	2 What’s New?	35
What’s New in Release D.0?		35
What’s New in Release C.0?		36
What’s New in Release B.1?		37
What’s New in Release B.0?		38
What’s New in Release A.2?		39

ii

	3 Alarms	41
Visual Alarm Indicators		42
Audible Alarm Indicators		42
	Alarm Tone Configuration	42
	Traditional Audible Alarms (HP/Agilent/Philips/Carenet)	43
	ISO/IEC Standard 9703-2 Audible Alarms	43
	Changing the Alarm Tone Volume	43
	Minimum Volume for No Central Monitoring INOP	43
Acknowledging Alarms		44
	Acknowledging Disconnect INOPs	44
	Alarm Reminder (ReAlarm)	44
Pausing or Switching Off Alarms		44
	To Pause All Alarms	45
	To Switch All Alarms Off	45
	To Switch Individual Measurement Alarms On or Off	45
	While Alarms are Paused or Off	45
	Restarting Paused Alarms	46
	Resetting Arrhythmia Alarm Timeouts	46
	Extending the Alarm Pause Time	46
Alarm Limits		46
	Viewing Individual Alarm Limits	46
	Viewing All Alarm Limits	47
	Changing Alarm Limits	48
	About Automatic Alarm Limits (AutoLimits)	49
	Documenting Alarm Limits	49
Reviewing Alarms		50
	Alarm Messages Window	50
	Review Alarms Window	50
Understanding Alarm Messages		51
Latching Alarms		51
	Viewing the Alarm Latching Settings	51
	Alarm Latching Behavior	52
Testing Alarms		52
Alarm Behavior at On/Off		52
	4 Patient Alarms and INOPs	53
Patient Alarm Messages		53
Technical Alarm Messages (INOPs)		59
	5 Managing Patients	77
Admitting a Patient		77
	Patient Category and Paced Status	78
	Admitting a Centrally-Monitored Patient	78
Quick Admitting a Patient		78
Editing Patient Information		79

iii

Discharging a Patient		79
Transferring Patients		80
	Transferring a Centrally-Monitored Patient	80
	Transferring a Patient with an MMS (no Central Station)	81
Data Upload from an MMS		81
Data Exchange Between Information Centers		82
Resolving Patient Information Mismatch		82
	Manually Resolving Patient Mismatch	82
	Patient Mismatch - If One Set of Patient Data is Correct	83
	Patient Mismatch - If Neither Patient Data Set is Correct	83
	Patient Mismatch - If Both Patient Data Sets Are Correct	84
	Automatically Resolving Patient Mismatch	84
Care Groups		84
	Understanding the Care Group Overview Bar	85
	Viewing the My Care Group Window	86
	Viewing the Other Bed Window	87
	Other Bed Pop-Up Keys	88
	Visual Alarm Status Information in the Other Bed Window	88
	Care Group Alarms	88
	Telemetry Data Overview	89
	Unpairing a Telemetry Device	89
	Telemetry Data Overview Screen Element	90
	Silencing Telemetry Alarms from the Bedside	90
	Suspending Telemetry Alarms	90
	Using Standby	90
	6 ECG, Arrhythmia, and ST Monitoring	91
Skin Preparation for Electrode Placement		91
Connecting ECG Cables		91
Selecting the Primary and Secondary ECG Leads		92
Checking Paced Status		92
Understanding the ECG Display		93
Monitoring Paced Patients		93
	Setting the Paced Status (Pace Pulse Rejection)	94
	Avoiding Pace Pulse Repolarization Tails	94
Changing the Size of the ECG Wave		94
	To Change the Size of an Individual ECG Wave	94
	To Change the Size of all the ECG Waves	95
Changing the Volume of the QRS Tone		95
Changing the ECG Filter Settings		95
Choosing EASI or Standard Lead Placement		96
About ECG Leads		96
	ECG Leads Monitored	96
	Changing Lead Sets	96
ECG Lead Fallback		97
ECG Lead Placements		97

iv

Standard 3-Lead Placement	98
Standard 5-Lead Placement	98
Chest Electrode Placement	99
10-Lead Placement	100
Conventional 12-Lead ECG	100
Modified 12-Lead ECG	101
Choosing Standard or Modified Electrode Placement	101
Labelling 12-Lead ECG Reports	101
Capture 12-Lead	102
EASI ECG Lead Placement	102
ECG, Arrhythmia, and ST Alarm Overview	104
Using ECG Alarms	105
Extreme Alarm Limits	105
ECG Alarms Off Disabled	105
HR Alarms When Arrhythmia Analysis is Switched Off	105
HR Alarms When Arrhythmia Analysis is Switched On	105
ECG Safety Information	105
About Arrhythmia Monitoring	107
Arrhythmia Options	107
Where Can I Find More Information?	107
Switching Arrhythmia Analysis On and Off	108
Choosing an ECG Lead for Arrhythmia Monitoring	108
Aberrantly-Conducted Beats	108
Atrial Fibrillation and Flutter	108
Intermittent Bundle Branch Block	109
Understanding the Arrhythmia Display	109
Viewing Arrhythmia Waves	109
Arrhythmia Beat Labels	109
Arrhythmia Status Messages	110
Rhythm Status Messages	110
Ectopic Status Messages	111
Arrhythmia Relearning	111
Initiating Arrhythmia Relearning Manually	111
Automatic Arrhythmia Relearn	112
Arrhythmia Relearn and Lead Fallback	112
Arrhythmia Alarms	112
Yellow Arrhythmia Alarms	113
Arrhythmia Alarms and Latching	113
Switching Individual Arrhythmia Alarms On and Off	113
Switching All Yellow Arrhythmia Alarms On or Off	113
Adjusting the Arrhythmia Alarm Limits	113
Arrhythmia Alarm Timeout Periods	113
What is a Timeout Period?	114
Resetting the Timeout Period	114
How are Yellow Arrhythmia Alarms Indicated?	114
Behavior of Unsilenced Arrhythmia Alarms	114

v

	Behavior of Silenced Arrhythmia Alarms	114
	Arrhythmia Alarm Chaining	115
	Understanding PVC-Related Alarms	116
About ST Monitoring		117
Switching ST On and Off		117
	Selecting ST Leads for Analysis	117
Understanding the ST Display		118
Updating ST Baseline Snippets		119
Recording ST Segments		119
About the ST Measurement Points		120
	Adjusting ST Measurement Points	120
ST Alarms		122
	Singleor Multi-lead ST Alarming	122
	Changing ST Alarm Limits	122
Viewing ST Maps		122
	Current View	122
	Trend View	123
	Viewing an ST Map	124
	Working in the ST Map Task Window	124
	Switching Between ST Map Views	124
	Displaying an ST Reference Baseline	125
	Updating an ST Map Reference Baseline	125
	Changing the Scale of the ST Map	125
	Changing the Trending Interval	125
	Printing an ST Map Report	125
	7 Monitoring Pulse Rate	127
Entering the Setup Pulse Menu		127
System Pulse Source		127
Switching Pulse On and Off		128
Using Pulse Alarms		128
	Selecting the Active Alarm Source: HR or Pulse?	128
	Alarm Source Selection Disabled	129
	Changing HR/Pulse Alarm Limits	129
	Extreme Alarm Limits	129
	QRS Tone	129
	8 Monitoring Respiration Rate (Resp)	131
Lead Placement for Monitoring Resp		131
	Optimizing Lead Placement for Resp	131
	Cardiac Overlay	131
	Lateral Chest Expansion	132
	Abdominal Breathing	132
Understanding the Resp Display		132
Changing Resp Detection Modes		132
	Auto Detection Mode	132

vi

Manual Detection Mode	133
Resp Detection Modes and Cardiac Overlay	133
Changing the Size of the Respiration Wave	133
Changing the Speed of the Respiration Wave	134
Using Resp Alarms	134
Changing the Apnea Alarm Delay	134
Resp Safety Information	134

	9 Monitoring SpO2		137
SpO2 Sensors		137
Applying the Sensor		137
Connecting SpO2 Cables		138
Measuring SpO2		138
Assessing a Suspicious SpO2 Reading		139
Understanding SpO2 Alarms		140
	Alarm Delays	140
	Adjusting the Alarm Limits	140
	Adjusting the Desat Limit Alarm	140
Pleth Wave		140
Perfusion (Pleth) Indicator		141
Setting SpO2/Pleth as Pulse Source		141
Setting Up Tone Modulation		141
Setting the QRS Volume		141
Calculating SpO2 Difference		141
10 Monitoring NBP		143
Introducing the Oscillometric NBP Measurement		143
	Measurement Limitations	144
	Measurement Methods	144
	Reference Method	144
Preparing to Measure NBP		144
	Correcting the Measurement if Limb is not at Heart Level	145
	Understanding the NBP Numerics	145
Starting and Stopping Measurements		146
Enabling Automatic Mode and Setting Repetition Time		146
Choosing the NBP Alarm Source		147
Assisting Venous Puncture		147
Calibrating NBP		147
11 Monitoring Temperature		149
Making a Temp Measurement		149
	Selecting a Temperature for Monitoring	149
	Extended Temperature Label Set	150
Calculating Temp Difference		150

vii

12 Monitoring Invasive Pressure		151
Setting up the Pressure Measurement		151
	Selecting a Pressure for Monitoring	152
	Extended Pressure Label Set	152
Zeroing the Pressure Transducer		152
	Zeroing ICP (or IC1/IC2)	153
	Determining a Pressure’s Most Recent Zero	153
	Zeroing a Pressure Measurement	153
	Using the Zero Hardkey	153
	Zeroing All Pressures Simultaneously	153
	Troubleshooting the Zero	154
Adjusting the Calibration Factor		154
Displaying a Mean Pressure Value Only		154
Changing the Pressure Wave Scale		154
Optimizing the Waveform		155
Non-Physiological Artifact Suppression		155
Choosing the Pressure Alarm Source		155
Calibrating Reusable Transducer CPJ840J6		156
	Making the Pressure Calibration	156
	Troubleshooting the Pressure Calibration	157
Calculating Cerebral Perfusion		157
Calculating Pulse Pressure Variation		157
Measuring Pulmonary Artery Wedge Pressure		158
Editing the Wedge		159
Identifying the Pressure Analog Output Connector		160
13 Monitoring Cardiac Output		161
Hemodynamic Parameters		162
Using the C.O. Procedure Window		163
Accessing the Setup C.O. and Setup CCO Menus		164
Entering the HemoCalc Window		164
Measuring C. O. Using the PiCCO Method		164
	Measuring Continuous Cardiac Output	164
	Measuring Systemic Vascular Resistance	164
	Setting Up the PiCCO C.O. Measurement	165
	Performing PiCCO C.O. Measurements	166
	Editing PiCCO C.O. Measurements	166
	Saving and Calibrating PiCCO C.O. Measurements	167
	CCO Calibration Status Indicators	167
Measuring C.O. Using the Right Heart Thermodilution Method		168
	Setting up RH C.O. Measurements	168
	Ice-Bath Setup for RH Thermodilution C.O. Measurements	168
	Setting the Computation Constant	169
	Performing RH C.O. Measurements	169
	Editing and Saving RH C.O. Measurements	169

viii

Documenting C.O. Measurements		169
C.O. Injectate Guidelines		170
	Guidelines for Right Heart Thermodilution C.O. Injectate	170
	Guidelines for PiCCO C.O. Injectate	170
	Injectate Volume, Patient Weight and ETVI Values (PiCCO Only)	170
C.O./CCO Curve Alert Messages		171
C.O./CCO Prompt Messages		172
C.O./CCO Warning Messages		173
C.O./CCO Safety Information		173
14 Monitoring Carbon Dioxide		175
Using the Capnography Extension (M3014A)		176
	Preparing to Measure Mainstream CO2	176
	Preparing to Measure Sidestream CO2	177
	Using the Sidestream Sensor Holder	178
	Removing Exhaust Gases from the System	179
Using the Mainstream CO2 Extension (M3016A)		179
	Preparing to Measure Mainstream CO2	179
	Checking Transducer Accuracy	179
	Calibrating the Transducer	180
	Attaching and Removing the CO2 Transducer	180
Using the Microstream CO2 Extension (M3015A)		181
	Preparing to Measure Microstream CO2	181
	Using Microstream Accessories	181
	Using the FilterLine and Airway Adapter	182
	Removing Exhaust Gases from the System	182
	Suppressing Zero Calibration	183
Setting up Mainstream and Sidestream CO2		183
	Adjusting the CO2 Wave Scale	183
	Setting up CO2 Corrections	183
	Suppressing Sampling (not Mainstream CO2)	184
	Changing CO2 Alarms	184
	Changing the Apnea Alarm Delay	184
	Deriving Alarms From awRR	184
	Changing awRR Alarm Limits	184
15 Monitoring Airway Flow, Volume and Pressure		187
Attaching the Flow Sensor		188
Zero Calibration		190
Automatic Purging		190
	Adult Mode	191
	Neonatal and Pediatric Modes	191
Manual Purging		191
Gas Compensation		191
Setting up Spirometry		192
	Optimizing Scale Settings	192

ix

	Spirometry Values Window	192
	Alarms and Alarm Limits	192
	Changing the Apnea Alarm Delay	192
	Automatic Alarm Suppression	193
	Choosing Measured AWV Components	193
	Setting the Gas Compensation Mode	193
	Changing the Type of Balance Gas	193
	Changing the Concentration of Inspired O2 and the Inspired Agents	193
	Changing the Temperature of the Inspired Gas	194
16 Monitoring tcGas		195
Identifying tcGas Module Components		195
Setting the tcGas Sensor Temperature		196
Using the tcGas Site Timer		196
	Setting the tcGas Site Timer	196
	Restarting the tcGas SiteTimer	197
	Disabling the tcGas Site Timer	197
Setting the tcGas Barometric Pressure		197
Remembraning the tcGas Transducer		197
	New/Dried Out Transducers	198
	Storing tcGas Transducers	198
Calibrating the tcGas Transducer		199
	Calibration Failure	200
	Troubleshooting tcGas Calibration	200
Applying the tcGas Transducer		201
	Selecting the tcGas HeatPowerDisplay Mode	202
	Zeroing the tcGas Relative Heat Power	202
Finishing tcGas Monitoring		202
TcGas Corrections		202
	Temperature Correction for tcpCO2	202
	Metabolism Correction for tcpCO2	202
17 Monitoring SvO2		203
Preparing to Monitor SvO2		204
Carrying out a Pre-insertion Calibration		204
Inserting the Catheter		205
Performing a Light Intensity Calibration		205
Performing In-Vivo Calibration		206
	Setting Up the In-Vivo Calibration	206
	Making the In-Vivo Calibration	206
Calculating Oxygen Extraction		206
18 Monitoring EEG		207
EEG Monitoring Setup		208
Using the EEG Impedance/Montage Window		208
	Choosing an EEG Electrode Montage	209

x

	Changing the Impedance Limit	209
	About Electrode-to-Skin Impedance	210
	Impedance Indicators	210
About Compressed Spectral Arrays (CSA)		211
	Changing CSA Settings	212
Changing EEG Settings		212
	Switching EEG Numerics On and Off	212
	Changing the Scale of the EEG Waves for Display	212
	Changing Filter Frequencies	213
	Changing the Speed of the EEG Wave	213
EEG Reports		213
EEG Safety Information		214
EEG and Electrical Interference		214
19 Monitoring BIS		215
BIS Monitoring Setup		216
	Monitoring BIS Using the DSC and BIS Engine	216
	Monitoring BIS using the BISx	217
	Manufacturer’s Information	218
BIS Continuous Impedance Check		218
BIS Cyclic Impedance Check		218
	Starting a Cyclic Impedance Check	218
	Stopping a Cyclic Impedance Check	218
BIS Window		219
	BIS Impedance Indicators	219
Changing the BIS Smoothing Rate		220
Switching BIS and Individual Numerics On and Off		220
Changing the Scale of the EEG Wave		220
Switching BIS Filters On or Off		220
BIS Safety Information		221
20 Trends		223
Viewing Trends		223
	Viewing Graphic Trends	224
	Viewing Vital Signs Trends	224
	Trends Pop-Up Keys	225
Setting Up Trends		225
	Making Segment Settings	226
	Expanded View	226
	Trend Scales for Segment Measurements	226
	Optimum Scale	226
	Trend Group	226
	No. of Segments	226
	Trend Groups	227
	Trend Interval	227
	Trend Priority	227

xi

	Trend Parameter Scales	227
	Graphical Trend Presentation	228
Documenting Trends		228
Trends Databases		229
	Aperiodic Trends Database	229
	Trending Multiple-Value Measurements	229
Screen Trends		229
	Setting the Screen Trend Time	230
	Changing the Selection of Screen Trends Displayed	231
	Activating the Cursor for Screen Trends	231
	Changing the Screen Trend View	231
	Tabular View	231
	Horizon View	232
	Setting the Horizon	232
	Setting the Horizon Trend Scale	232
21 Calculations		233
Viewing Calculations		233
	Calculations Windows	234
	Calculations Pop-Up Keys	234
Reviewing Calculations		235
Performing Calculations		235
Entering Values for Calculations		236
	Automatic Value Substitution	236
	Automatic Unit Conversion	236
	Manual Unit Conversion	236
	BSA Formula	236
Documenting Calculations		237
22 High Resolution Trend Waves		239
Changing the Hi-Res Trend Waves Displayed		239
Hi-Res Trend Wave Scales		239
Hi-Res Trend Waves and OxyCRG		239
Printing Hi-Res Trend Wave Reports		240
Hi-Res Trend Wave Recordings		240
23 Event Surveillance		241
Levels of Event Surveillance		241
Event Groups		242
Event Episodes		242
Events Pop-Up Keys		243
Event Triggers		244
	Event Retriggering	245
	Event Notification	245
	Setting Triggers for NER and Basic Event Surveillance	245
	Setting Triggers and Notification for Advanced Event Surveillance	246

xii

Triggering Events Manually

246

The Events Database		247
Viewing Events		247
	Event Counter	247
	Counting Combi-Events	248
	Counting Neonatal Event Review (NER) Events	248
	Event Summary Window	249
	Event Review Window	249
	Event Episode Window	250
Annotating Events		251
Documenting Events		251
	Documenting Event Review	251
	Documenting an Event Episode	252
	Event Recordings	252
	Event Review Recordings	252
	Event Episode Recordings	253
	Event Reports	253
	Event Review Reports	254
	Event Episode Reports	255
	Event Summary Reports	255
24 Recording		257
Starting and Stopping Recordings		258
	Quickstarting Recordings	258
	Extending Recordings	259
	Stopping Recordings	259
	Recording Without a Template	259
Overview of Recording Types		259
All ECG Waves Recordings		260
Creating and Changing Recordings Templates		260
Changing ECG Wave Gain		261
Recording Priorities		262
Sample Recording Strip		262
	Recording Strip Code	262
	Recorded Waveforms	263
	Maintaining Recording Strips	263
Reloading Paper		264
Recorder Status Messages		265
25 Printing Patient Reports		267
Starting Reports Printouts		267
Stopping Reports Printouts		268
Setting Up Reports		268
	Setting Up ECG Reports	268
	Setting Up Vital Signs and Graphic Trend Reports	269
	Setting Up Auto Reports	269

xiii

Setting Up Individual Print Jobs		270
Checking Printer Settings		270
Printing a Test Report		271
Switching Printers On Or Off for Reports		271
Dashed Lines on Reports		271
Unavailable Printer: Re-routing Reports		271
Printer Status Messages		272
Sample Report Printouts		272
	Alarm Limits Report	273
	Realtime Report	274
	Cardiac Output Report	275
	ECG Reports	276
	Other Reports	276
26 Using the Drug Calculator		277
Accessing the Drug Calculator		277
Performing Drug Calculations		278
	About the Rule of Six	278
	Performing Calculations for a Non-Specific Drug	278
	Performing Calculations for a Specific Drug	279
Charting Infusion Progress		280
Using the Titration Table		280
Documenting Drug Calculations		280
27 VueLink Modules		281
Connecting an External Device		282
Changing VueLink Waves and Numerics Displayed		282
Viewing the VueLink Device Data Window		282
Using VueLink Screens		283
Switching VueLink On and Off		283
Alarms/INOPs From External Devices		283
Language Conflict with External Device Drivers		284
28 Using Timers		285
Viewing Timers		285
	Notification	285
	Timer Types	286
Timer Setup Pop-up Keys		286
Setting Up Timers		286
	Timer Label	286
	Run Time	287
	Timer Counting Direction	287
Displaying Timers On The Main Screen		287
	Main Screen Timer Pop-up Keys	288
Displaying A Clock On The Main Screen		288

xiv

29 Respiratory Loops		289
Viewing Loops		289
Capturing and Deleting Loops		290
Showing/Hiding Loops		290
Changing Loops Display Size		291
Using the Loops Cursor		291
Changing Loops Type		291
Setting Up Source Device		291
Documenting Loops		292
30 Care and Cleaning		293
General Points		293
Cleaning		294
Disinfecting		294
Cleaning Monitoring Accessories		294
Sterilizing		295
Cleaning the Recorder Printhead (M1116B only)		295
Cleaning the Batteries and Battery Compartment		295
31 Using the Batteries		297
Battery Power Indicators		298
	Battery LED	298
	Battery Status on the Main Screen	298
	Battery Status Window	300
	Viewing Individual Battery Status	300
	Recording Battery Status	300
	Printing Battery Reports	300
Checking Battery Charge		300
Replacing Batteries		301
Optimizing Battery Performance		301
	Display Brightness Setting	302
	Charging Batteries	302
	Conditioning Batteries	302
	Unequally-Charged Batteries	302
Battery Safety Information		303
32 Maintenance and Troubleshooting		305
Inspecting the Equipment and Accessories		305
Inspecting the Cables and Cords		305
Maintenance Task and Test Schedule		306
Troubleshooting		307
Disposing of the Monitor		307
Disposing of Empty Calibration Gas Cylinders		307

xv

33 Accessories		309
ECG/Resp Accessories		309
	Trunk Cables	309
	3-Electrode Cable Sets	309
	5-Electrode Cable Sets	310
	10-Electrode Cable Sets	310
	3-Electrode One Piece Cables	310
	5-Electrode One Piece Cables	310
	Set Combiners and Organizers	311
NBP Accessories		311
	Adult/Pediatric Multi-Patient Comfort Cuffs and Disposable Cuffs	311
	Reusable Cuff Kits	311
	Adult/Pediatric Antimicrobial Coated Reusable cuffs	312
	Adult/Pediatric Soft Single Patient Single-Hose Disposable Cuffs	312
	Neonatal/Infant Cuffs (Disposable, non-sterile)	312
Invasive Pressure Accessories		313
SpO2 Accessories		313
Temperature Accessories		318
Cardiac Output (C.O.) Accessories		319
Mainstream CO2 Accessories (for M3014A)		320
Sidestream CO2 Accessories (for M3014A)		320
Mainstream CO2 Accessories (for M3016A)		320
Microstream CO2 Accessories		321
Spirometry Accessories		321
tcGas Accessories		322
EEG Accessories		322
BIS Accessories		322
	BIS Sensors	323
	Other BIS Accessories	323
SvO2 Accessories		323
Recorder Accessories		324
34 Installation and Specifications		325
Intended Use		325
Indication for Use		325
Manufacturer’s Information		326
	BIS Manufacturer’s Information	326
	Trademark Acknowledgement	327
Symbols		328
Installation Safety Information		329
	Connectors	329
	MP20/MP30	330
	MP40/MP50	331
	MP60/MP70	332
	MP80/MP90	334

xvi

802.11 Bedside Adapter (Wireless Network Adapter)

335

Altitude Setting		336
Monitor Safety Specifications		336
	Physical Specifications	337
	Environmental Specifications	339
M4605A Battery Specifications		341
Monitor Performance Specifications		342
Measurement Specifications		348
	ECG/Arrhythmia/ST	348
	Respiration	350
	SpO2	350
	NBP	352
	Invasive Pressure and Pulse	354
	Temp	355
	CO2	356
	Interfering Gas and Vapor Effects On CO2 Measurement Values	359
	Spirometry	359
	Cardiac Output / Continuous Cardiac Output	361
	tcGas	362
	SvO2	363
	EEG	363
	BIS	364
Safety and Performance Tests		365
	Electromagnetic Compatibility (EMC) Specifications	365
	Accessories Compliant with EMC Standards	365
	Electromagnetic Emissions	365
	Avoiding Electromagnetic Interference (Resp and BIS)	365
	Electromagnetic Immunity	366
	Recommended Separation Distance	366
	Recommended separation distances from portable and mobile RF communication equipment367
	Electrosurgery Interference/Defibrillation/Electrostatic Discharge	368
	Fast Transients/Bursts	368
	Restart time	368
35 Default Settings Appendix		369
Alarm Default Settings		370
ECG, Arrhythmia, and ST Default Settings		370
Pulse Default Settings		373
Respiration Default Settings		374
SpO2 Default Settings		374
NBP Default Settings		375
Temperature Default Settings		375
Invasive Pressure Default Settings		376
Cardiac Output Default Settings		377
CO2 Default Settings		378
Spirometry Default Settings		378

xvii

tcGas Default Settings	379
SvO2 Default Settings	379
EEG Default Settings	380
BIS Default Settings	380
VueLink Default Settings	381

xviii

1

Basic Operation

These Instructions for Use are for clinical professionals using the IntelliVue MP20/MP30 (M8001A/ M8002A), MP40/50 (M8003A/M8004A) and MP60/70/80/90 (M8005A/M8007A/M8008A/ M8010A) patient monitors. Unless otherwise specified, the information here is valid for all the above IntelliVue patient monitors.

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

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

Introducing the IntelliVue Family

The Philips IntelliVue family of patient monitors offers a monitoring solution optimized for the surgical, cardiac, medical and neonatal care environments. Combining patient surveillance and data management, it allows multi-measurement monitoring by linking separate modules with “plug-and- play” convenience.

1

1 Basic Operation

Introducing the IntelliVue Family

Your monitor stores data in trend, event, and calculation databases. You can see tabular trends (vital signs) and document them on a local or remote printer. You can view measurement trend graphs, with up to three measurements combined in each graph, to help you identify changes in the patient’s physiological condition. You can view fast-changing measurement trends with beat to beat resolution and see up to four high resolution trend segments. Event surveillance enhances documentation and review of physiologically significant events by automatically detecting and storing up to 50 userdefined clinical events over a 24 hour period.

There is a choice of monitor configurations, as explained below. All models can also use computer devices such as a mouse, a trackball and a keyboard.

IntelliVue MP20/MP30

The IntelliVue MP20/MP30 (M8001A/M8002A) patient monitor has a 10-inch TFT LCD flat panel SVGA display. The standard input devices for the MP30 are the Touchscreen and integrated navigation point; the MP20 is supplied with an integrated navigation point only. Up to six waves can be shown on MP20/MP30 Screens (USA - up to four waves). 12 ECG traces can be shown on the 12-Lead ECG Screen.

The MP20/MP30 can be connected to one MultiMeasurement Server (MMS) and any one of the measurement server extensions. There is an optional built-in recorder. The Flexible Module Server (M8048A) and all plug-in modules cannot be used with the MP20/MP30. With an optional Interface board Bispectral Index (BIS) monitoring is possible.

MP20Junior and MP20L are options of MP20 (M8001A) and are not referred to separately in these Instructions for Use.

2

Introducing the IntelliVue Family

MP20/MP30 Major Parts and Keys

MP20/MP30 left side

1 2 3

4

5 6 7

MP20/MP30 front panel

1

2

3

4

5

6

7

1 Basic Operation

1Color-coded alarm lamps

2Alarms off lamp

3Model indicator

4ECG out

5Navigation Point

6Part number and serial number

7Mounting quick-release lever

1On/Standby switch

2On/Standby LED

3Error LED

4Battery status LED

5AC power operation LED

6“read the documentation” symbol

7Mounting quick-release lever

MP20/MP30 LED Colors and their Meanings

On/Standby LED	Green when monitor is switched on
Error LED	Red if there is a problem with the monitor
Battery LED	Green, yellow, and red.
	See the section on Using the Batteries for details
AC Power LED	Green while the monitor is connected to AC power (mains)

3

1 Basic Operation

Introducing the IntelliVue Family

IntelliVue MP40/MP50

The IntelliVue MP40/MP50 (M8003A/M8004A) patient monitor has a 12-inch TFT LCD flat panel SVGA display. The standard input devices for the MP50 are the Touchscreen and integrated navigation point; the MP40 is supplied with an integrated navigation point only. Up to six waves can be shown on MP40/MP50 Screens, 12 ECG traces can be shown on the 12-Lead ECG Screen.

The MP40/MP50 can be connected to one MultiMeasurement Server (MMS) and any one of the measurement server extensions. The IntelliVue family plug-in measurement modules can be connected to its

four integrated plug-in module slots with plug-and-play convenience (the only exception is the SvO2 module, M1021A, which cannot be used with the MP40/MP50). The Flexible Module Server (M8048A) cannot be used with the MP40/MP50.

MP40/MP50 Major Parts and Keys

MP40/MP50 left side

1 Color-coded alarm lamps

2 Alarms off lamp

3 Model indicator

4 ECG out

5 Navigation Point

6 Part number and serial number

7 Mounting quick-release lever

8 Plug-in module slots

4

Introducing the IntelliVue Family

1 Basic Operation

MP40/MP50 front panel

1 On/Standby switch

2 On/Standby LED

3 Error LED

4 Battery status LED

5 AC power operation LED

6 “read the documentation” symbol

7 Mounting quick-release lever

1

2

3

4

5

6

7

MP40/MP50 LED Colors and their Meanings

On/Standby LED	Green when monitor is switched on
Error LED	Red if there is a problem with the monitor
Battery LED	Green, yellow, and red.
	See the section on Using the Batteries for details
AC Power LED	Green while the monitor is connected to AC power (mains)

IntelliVue MP60/MP70

The IntelliVue MP60/MP70 (M8005A/M8007A) patient monitors integrate the display unit, with a 15” color LCD display, and the data processing unit into one. Up to eight waves can be shown on the screens, as well as the 12-Lead ECG Screen. The MP60 uses the SpeedPoint as its primary input device while the MP70 uses touch screen operation but may have an optional SpeedPoint.

The monitors can be connected to the Multi-Measurement Server (MMS) and any one of the measurement server extensions, and to the Flexible Module Server (M8048A). The IntelliVue family plug-in measurement modules can be connected to its FMS module slots with plug-and-play convenience.

The MP60/MP70 has two integrated slots for plug-in modules. You can combine one each of the following modules in these slots: Pressure, Temperature, C.O., SpO2 and VueLink. Two of the same type of module cannot be used. You can also use the two-slot recorder module in the integrated slots.

5

1 Basic Operation

Introducing the IntelliVue Family

MP60/MP70 Major Parts and Keys

1

2

3

4

5

11

10 9

8

7

6

1Color coded alarm lamps

2Alarms Off lamp

3Display

4Model indicator

5SpeedPoint (optional for MP70)

6Part number and serial number

7Mounting quick-release lever

8AC power LED

9Error LED

10Power on/standby switch

11Power on LED

IntelliVue MP80/MP90

Note: The MP80 monitor (M8008A) is not available in the USA.

The IntelliVue MP80/MP90 (M8008A/M8010A) patient monitors have the display and the processing unit as separate components. They offer both touchscreen and the Remote SpeedPoint as standard input devices. The MP80 can display up to 8 waves simultaneously and the MP90 up to 12 waves.

The monitors can be connected to the Multi-Measurement Server (MMS) and any one of the measurement server extensions, and to the Flexible Module Server (M8048A). The IntelliVue family plug-in measurement modules can be connected to its FMS module slots. The MP90 can be connected to two Flexible Module Servers (FMS). The MP90 has the capability for two displays and can have a third main display with the D80 Intelligent Display.

6

Introducing the IntelliVue Family

1 Basic Operation

MP80/MP90 Major Parts and Keys

AC Power LED

Power on LED

Power on Switch

Error LED

Display Unit

Processing Unit

D80 Intelligent Display

The D80 Intelligent Display can be used as a third main display with the MP90 monitor. You then have three displays able to be configured individually and to be operated independently.

Remote Alarm Device

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

1

2

1

2

3

3

4

5

4 5

Two color coded alarm lamps (right-hand lamp flashes red or yellow for patient alarms, left-hand lamp flashes light blue for INOPs)

Alarms off lamp - when illuminated it indicates that all alarms are deactivated.

Speaker - for alarm tones, QRS tones and so forth

Monitor power on /standby switch. Press to switch monitor on remotely. Press and hold for one second to turn monitor off.

Power on LED - green when monitor is on

7

1 Basic Operation

Related Products

Docking Station

MP20/30/ The docking station provides quick mounting and connections in a one-step operation. By placing the 40/50 only monitor on the docking station and closing the lever you can make the connection to power and to a

wired network, if present.

WARNING If the docking station is in a tilted position, you must hold the monitor in place while closing the locking lever.

When using the monitor for transport directly after use on the docking station, insert the batteries before placing the monitor on the docking station.

Data Connector	Power Connector

Open Position

Power On LED

Locked Position

Related Products

Related products extend the measurement capabilities of your monitor. None of the related devices have their own power on/standby switches. They take their power from the monitor, and switch on automatically when you turn on the monitor. A green power-on LED indicates when they are drawing power from the monitor. A permanently illuminated, or flashing, red LED indicates a problem with the unit that requires the attention of qualified service personnel.

Flexible Module Server (M8048A)

MP60/70/80 /90 only

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

With the MP60/70/80 you can connect only one FMS. With the MP90 (M8010A) you can connect two FMSs to use up to 10 measurement modules. For individual modules, the maximum that can be used simultaneously in an FMS is: five pressure modules, four temperature modules, four VueLink modules.

Connect the FMS to the monitor via the measurement server link cable (MSL). Use the MSL connector on the left-hand side to connect additional measurement servers. Use the connector on the right to connect to the monitor.

8

Related Products 1 Basic Operation

1	2	3		1	Multi-Measurement
				2	Server
					Measurement server
					mount
				3	Flexible Module Server
				4	Power on LED
				5	Interruption indicator
		4		5

Measurement Modules

You can use up to eight measurement modules with the Flexible Module Server (M8048A), two additional modules in the integrated module slots in the MP60/MP70, and up to four in the integrated slots in the MP40/MP50. Available modules are:

•Invasive blood pressure (M1006B)

•Temperature (M1029A)

•Oxygen saturation of arterial blood (SpO2) (M1020B)

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

•Transcutaneous gas (M1018A)

•Mixed venous oxygen saturation - SvO2 (M1021A) MP60/70/80/90 monitor only

•Recorder (M1116B)

•VueLink device interface (M1032A)

•EEG (M1027A)

•Bispectral Index - BIS (M1034A)

•Spirometry (M1014A)

You can plug and unplug modules during monitoring. Insert the module until the lever on the module clicks into place. Remove a module by pressing the lever upwards and pulling the module out. Reconnecting a module to the same monitor restores its label and measurement settings, such as alarms limits. If you connect it to a different monitor, the module remembers only its label.

The connector socket on the front of each module is the same color as the corresponding connector plug on the transducer or patient cable.

Press the Setup key on the module’s front to display the measurement’s setup menu on the monitor screen. When the setup menu is open, a light appears above the key. Some modules have a second key. On the pressure module, for example, it initiates a zeroing procedure.

9

1 Basic Operation

Related Products

Example Module (Pressure)

1Module name

2Setup key LED

3Setup key to enter setup menu of measurement modules or VueLink device data window

4Connector socket for patient cable/ transducer

5Second module-specific key, for example Zero

1

2

3

4

PRESS

Press

5

Multi-Measurement Server (M3001A)

The Multi-Measurement Server (MMS) can simultaneously monitor 3-, 5- or 10-lead ECG (including arrhythmia and ST monitoring), respiration, SpO2, NBP and either invasive pressure or temperature. Depending on the monitor model, you can connect it to the monitor via a cable or mount it either on the left side of the FMS or on the back of the monitor, as shown here.

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

10