Part Number M8000-9001G
Printed in Germany 02/06
4512 610 13551
*M8000-9001G*
M8000-9001G
1Table Of Contents
1 Basic Operation1
Introducing the IntelliVue Family1
IntelliVue MP20/MP302
MP20/MP30 Major Parts and Keys3
IntelliVue MP40/MP504
MP40/MP50 Major Parts and Keys4
IntelliVue MP60/MP705
MP60/MP70 Major Parts and Keys6
IntelliVue MP80/MP906
MP80/MP90 Major Parts and Keys7
D80 Intelligent Display7
Remote Alarm Device7
Docking Station8
Related Products8
Flexible Module Server (M8048A) 8
Measurement Modules9
Multi-Measurement Server (M3001A)10
Measurement Server Extensions11
M3014A, M3015A and M3016A Capnography Extensions12
M3012A Hemodynamic Measurement Server Extension13
Operating and Navigating14
Selecting Screen Elements15
Using the Setup Menu15
Using the Touchscreen15
Disabling Touchscreen Operation15
Using the SpeedPoint16
Using the Navigation Point 17
Using a Mouse or Trackball17
Using Keys17
To Pause All Alarms45
To Switch All Alarms Off45
To Switch Individual Measurement Alarms On or Off45
While Alarms are Paused or Off45
Restarting Paused Alarms 46
Resetting Arrhythmia Alarm Timeouts46
Extending the Alarm Pause Time 46
Alarm Limits46
Viewing Individual Alarm Limits46
Viewing All Alarm Limits47
Changing Alarm Limits48
About Automatic Alarm Limits (AutoLimits)49
Documenting Alarm Limits49
Reviewing Alarms50
Alarm Messages Window50
Review Alarms Window50
Understanding Alarm Messages51
Latching Alarms51
Viewing the Alarm Latching Settings51
Alarm Latching Behavior52
Patient Category and Paced Status78
Admitting a Centrally-Monitored Patient78
Quick Admitting a Patient78
Editing Patient Information79
iii
Discharging a Patient79
Transferring Patients80
Transferring a Centrally-Monitored Patient80
Transferring a Patient with an MMS (no Central Station)81
Data Upload from an MMS81
Data Exchange Between Information Centers82
Resolving Patient Information Mismatch82
Manually Resolving Patient Mismatch82
Patient Mismatch - If One Set of Patient Data is Correct83
Patient Mismatch - If Neither Patient Data Set is Correct83
Patient Mismatch - If Both Patient Data Sets Are Correct84
Automatically Resolving Patient Mismatch84
Care Groups84
Understanding the Care Group Overview Bar85
Viewing the My Care Group Window86
Viewing the Other Bed Window87
Other Bed Pop-Up Keys88
Visual Alarm Status Information in the Other Bed Window88
Care Group Alarms 88
Telemetry Data Overview89
Unpairing a Telemetry Device89
Telemetry Data Overview Screen Element90
Silencing Telemetry Alarms from the Bedside90
Suspending Telemetry Alarms90
Using Standby90
6 ECG, Arrhythmia, and ST Monitoring91
Skin Preparation for Electrode Placement91
Connecting ECG Cables91
Selecting the Primary and Secondary ECG Leads92
Checking Paced Status92
Understanding the ECG Display93
Monitoring Paced Patients93
Setting the Paced Status (Pace Pulse Rejection)94
Avoiding Pace Pulse Repolarization Tails94
Changing the Size of the ECG Wave94
To Change the Size of an Individual ECG Wave94
To Change the Size of all the ECG Waves95
Changing the Volume of the QRS Tone95
Changing the ECG Filter Settings95
Choosing EASI or Standard Lead Placement96
About ECG Leads96
ECG Leads Monitored96
Changing Lead Sets 96
ECG Lead Fallback97
ECG Lead Placements97
iv
Standard 3-Lead Placement98
Standard 5-Lead Placement98
Chest Electrode Placement99
10-Lead Placement100
Conventional 12-Lead ECG100
Modified 12-Lead ECG101
Choosing Standard or Modified Electrode Placement101
Labelling 12-Lead ECG Reports101
Capture 12-Lead102
EASI ECG Lead Placement102
ECG, Arrhythmia, and ST Alarm Overview 104
Using ECG Alarms105
Extreme Alarm Limits105
ECG Alarms Off Disabled105
HR Alarms When Arrhythmia Analysis is Switched Off105
HR Alarms When Arrhythmia Analysis is Switched On105
ECG Safety Information105
About Arrhythmia Monitoring107
Arrhythmia Options107
Where Can I Find More Information?107
Switching Arrhythmia Analysis On and Off108
Choosing an ECG Lead for Arrhythmia Monitoring108
Aberrantly-Conducted Beats108
Atrial Fibrillation and Flutter108
Intermittent Bundle Branch Block109
Understanding the Arrhythmia Display109
Viewing Arrhythmia Waves109
Arrhythmia Beat Labels109
Arrhythmia Status Messages110
Rhythm Status Messages110
Ectopic Status Messages111
Yellow Arrhythmia Alarms113
Arrhythmia Alarms and Latching 113
Switching Individual Arrhythmia Alarms On and Off113
Switching All Yellow Arrhythmia Alarms On or Off113
Adjusting the Arrhythmia Alarm Limits113
Arrhythmia Alarm Timeout Periods113
What is a Timeout Period?114
Resetting the Timeout Period114
How are Yellow Arrhythmia Alarms Indicated?114
Behavior of Unsilenced Arrhythmia Alarms114
v
Behavior of Silenced Arrhythmia Alarms114
Arrhythmia Alarm Chaining115
Understanding PVC-Related Alarms116
About ST Monitoring117
Switching ST On and Off117
Selecting ST Leads for Analysis117
Understanding the ST Display118
Updating ST Baseline Snippets119
Recording ST Segments119
About the ST Measurement Points120
Adjusting ST Measurement Points120
ST Alarms122
Single- or Multi-lead ST Alarming122
Changing ST Alarm Limits122
Viewing ST Maps122
Current View122
Tre n d Vi e w123
Viewing an ST Map124
Working in the ST Map Task Window124
Switching Between ST Map Views124
Displaying an ST Reference Baseline125
Updating an ST Map Reference Baseline125
Changing the Scale of the ST Map125
Changing the Trending Interval125
Printing an ST Map Report125
7 Monitoring Pulse Rate127
Entering the Setup Pulse Menu127
System Pulse Source 127
Switching Pulse On and Off128
Using Pulse Alarms128
Selecting the Active Alarm Source: HR or Pulse?128
Alarm Source Selection Disabled129
Changing HR/Pulse Alarm Limits129
Extreme Alarm Limits129
QRS Tone129
8 Monitoring Respiration Rate (Resp)131
Lead Placement for Monitoring Resp131
Optimizing Lead Placement for Resp131
Cardiac Overlay131
Lateral Chest Expansion132
Abdominal Breathing132
Understanding the Resp Display132
Changing Resp Detection Modes132
Auto Detection Mode132
vi
Manual Detection Mode133
Resp Detection Modes and Cardiac Overlay133
Changing the Size of the Respiration Wave133
Changing the Speed of the Respiration Wave134
Using Resp Alarms134
Changing the Apnea Alarm Delay134
Resp Safety Information134
9 Monitoring SpO
2
SpO2 Sensors137
Applying the Sensor137
Connecting SpO2 Cables138
Measuring SpO
2
138
Assessing a Suspicious SpO2 Reading139
Understanding SpO2 Alarms140
Alarm Delays140
Adjusting the Alarm Limits140
Adjusting the Desat Limit Alarm140
Pleth Wave140
Perfusion (Pleth) Indicator141
Setting SpO2/Pleth as Pulse Source141
Setting Up Tone Modulation141
Setting the QRS Volume141
Calculating SpO2 Difference141
Correcting the Measurement if Limb is not at Heart Level145
Understanding the NBP Numerics145
Starting and Stopping Measurements146
Enabling Automatic Mode and Setting Repetition Time146
Choosing the NBP Alarm Source147
Assisting Venous Puncture147
Calibrating NBP147
137
11 Monitoring Temperature149
Making a Temp Measurement149
Selecting a Temperature for Monitoring149
Extended Temperature Label Set 150
Calculating Temp Difference150
vii
12 Monitoring Invasive Pressure151
Setting up the Pressure Measurement151
Selecting a Pressure for Monitoring152
Extended Pressure Label Set152
Zeroing the Pressure Transducer152
Zeroing ICP (or IC1/IC2)153
Determining a Pressure’s Most Recent Zero153
Zeroing a Pressure Measurement153
Using the Zero Hardkey153
Zeroing All Pressures Simultaneously153
Troubleshooting the Zero154
Adjusting the Calibration Factor154
Displaying a Mean Pressure Value Only154
Changing the Pressure Wave Scale 154
Optimizing the Waveform155
Non-Physiological Artifact Suppression155
Choosing the Pressure Alarm Source155
Calibrating Reusable Transducer CPJ840J6156
Making the Pressure Calibration156
Troubleshooting the Pressure Calibration157
Calculating Cerebral Perfusion157
Calculating Pulse Pressure Variation157
Measuring Pulmonary Artery Wedge Pressure158
Editing the Wedge159
Identifying the Pressure Analog Output Connector160
13 Monitoring Cardiac Output161
Hemodynamic Parameters162
Using the C.O. Procedure Window163
Accessing the Setup C.O. and Setup CCO Menus164
Entering the HemoCalc Window164
Measuring C. O. Using the PiCCO Method 164
Measuring Continuous Cardiac Output164
Measuring Systemic Vascular Resistance164
Setting Up the PiCCO C.O. Measurement165
Performing PiCCO C.O. Measurements166
Editing PiCCO C.O. Measurements166
Saving and Calibrating PiCCO C.O. Measurements167
CCO Calibration Status Indicators167
Measuring C.O. Using the Right Heart Thermodilution Method168
Setting up RH C.O. Measurements168
Ice-Bath Setup for RH Thermodilution C.O. Measurements168
Setting the Computation Constant169
Performing RH C.O. Measurements169
Editing and Saving RH C.O. Measurements169
Preparing to Measure Mainstream CO
Preparing to Measure Sidestream CO
Using the Sidestream Sensor Holder178
Removing Exhaust Gases from the System179
2
2
Using the Mainstream CO2 Extension (M3016A)179
Preparing to Measure Mainstream CO
Checking Transducer Accuracy179
Calibrating the Transducer180
Attaching and Removing the CO2 Tra n s d uc er180
2
Using the Microstream CO2 Extension (M3015A)181
Preparing to Measure Microstream CO2 181
Using Microstream Accessories181
Using the FilterLine and Airway Adapter182
Removing Exhaust Gases from the System182
Suppressing Zero Calibration183
Setting up Mainstream and Sidestream CO
Adjusting the CO2 Wave Sc al e183
Setting up CO2 Corrections183
Suppressing Sampling (not Mainstream CO2)184
Changing CO2 Alarms184
Changing the Apnea Alarm Delay184
Deriving Alarms From awRR184
Changing awRR Alarm Limits184
2
176
177
179
183
15 Monitoring Airway Flow, Volume and Pressure 187
Attaching the Flow Sensor188
Zero Calibration190
Automatic Purging190
Adult Mode191
Neonatal and Pediatric Modes191
Manual Purging191
Gas Compensation191
Setting up Spirometry192
Optimizing Scale Settings192
ix
Spirometry Values Window192
Alarms and Alarm Limits192
Changing the Apnea Alarm Delay192
Automatic Alarm Suppression193
Choosing Measured AWV Components193
Setting the Gas Compensation Mode193
Changing the Type of Balance Gas193
Changing the Concentration of Inspired O2 and the Inspired Agents193
Changing the Temperature of the Inspired Gas194
16 Monitoring tcGas195
Identifying tcGas Module Components195
Setting the tcGas Sensor Temperature196
Using the tcGas Site Timer 196
Setting the tcGas Site Timer196
Restarting the tcGas SiteTimer197
Disabling the tcGas Site Timer197
Setting the tcGas Barometric Pressure197
Remembraning the tcGas Transducer197
New/Dried Out Transducers198
Storing tcGas Transducers198
Temperature Correction for tcpCO
Metabolism Correction for tcpCO
2
2
202
202
17 Monitoring SvO
Preparing to Monitor SvO
2
2
204
Carrying out a Pre-insertion Calibration 204
Inserting the Catheter205
Performing a Light Intensity Calibration205
Performing In-Vivo Calibration206
Setting Up the In-Vivo Calibration206
Making the In-Vivo Calibration206
Calculating Oxygen Extraction206
18 Monitoring EEG207
EEG Monitoring Setup208
Using the EEG Impedance/Montage Window208
Choosing an EEG Electrode Montage209
x
203
Changing the Impedance Limit209
About Electrode-to-Skin Impedance210
Impedance Indicators210
About Compressed Spectral Arrays (CSA)211
Changing CSA Settings212
Changing EEG Settings212
Switching EEG Numerics On and Off212
Changing the Scale of the EEG Waves for Display212
Changing Filter Frequencies213
Changing the Speed of the EEG Wave213
EEG Reports213
EEG Safety Information214
EEG and Electrical Interference214
19 Monitoring BIS215
BIS Monitoring Setup216
Monitoring BIS Using the DSC and BIS Engine216
Monitoring BIS using the BISx217
Manufacturer’s Information218
BIS Continuous Impedance Check218
BIS Cyclic Impedance Check218
Starting a Cyclic Impedance Check218
Stopping a Cyclic Impedance Check218
BIS Window219
BIS Impedance Indicators219
Changing the BIS Smoothing Rate220
Switching BIS and Individual Numerics On and Off220
Changing the Scale of the EEG Wave220
Switching BIS Filters On or Off220
BIS Safety Information 221
20 Trends223
Viewing Trends223
Viewing Graphic Trends 224
Viewing Vital Signs Trends224
Tre n d s Po p- Up Ke ys225
Setting Up Trends225
Making Segment Settings226
Expanded View226
Trend Scales for Segment Measurements226
Optimum Scale226
Tr e n d Gr ou p2 2 6
No. of Segments226
Tre n d Gr ou ps227
Tre n d In te r va l 227
Tre n d Pr io ri ty227
Setting the Screen Trend Time230
Changing the Selection of Screen Trends Displayed231
Activating the Cursor for Screen Trends231
Changing the Screen Trend View231
Tabular View231
Horizon View232
Setting the Horizon232
Setting the Horizon Trend Scale232
Event Retriggering245
Event Notification245
Setting Triggers for NER and Basic Event Surveillance245
Setting Triggers and Notification for Advanced Event Surveillance246
Quickstarting Recordings258
Extending Recordings259
Stopping Recordings259
Recording Without a Template259
Overview of Recording Types259
All ECG Waves Recordings260
Creating and Changing Recordings Templates260
Changing ECG Wave Gain261
Recording Priorities262
Sample Recording Strip262
Recording Strip Code262
Recorded Waveforms263
Maintaining Recording Strips263
Reloading Paper264
Recorder Status Messages265
25 Printing Patient Reports267
Starting Reports Printouts267
Stopping Reports Printouts268
Setting Up Reports268
Setting Up ECG Reports268
Setting Up Vital Signs and Graphic Trend Reports269
Setting Up Auto Reports269
xiii
Setting Up Individual Print Jobs270
Checking Printer Settings270
Printing a Test Report271
Switching Printers On Or Off for Reports271
Dashed Lines on Reports271
Unavailable Printer: Re-routing Reports271
Printer Status Messages272
Sample Report Printouts272
Accessing the Drug Calculator277
Performing Drug Calculations278
About the Rule of Six278
Performing Calculations for a Non-Specific Drug278
Performing Calculations for a Specific Drug279
Charting Infusion Progress280
Using the Titration Table280
Documenting Drug Calculations280
27 VueLink Modules281
Connecting an External Device 282
Changing VueLink Waves and Numerics Displayed282
Viewing the VueLink Device Data Window282
Using VueLink Screens283
Switching VueLink On and Off283
Alarms/INOPs From External Devices283
Language Conflict with External Device Drivers284
28 Using Timers285
Viewing Timers285
Notification285
Timer Types286
Timer Setup Pop-up Keys286
Setting Up Timers286
Timer Label286
Run Time287
Timer Counting Direction287
Displaying Timers On The Main Screen287
Main Screen Timer Pop-up Keys288
Displaying A Clock On The Main Screen288
xiv
29 Respiratory Loops289
Viewing Loops289
Capturing and Deleting Loops290
Showing/Hiding Loops290
Changing Loops Display Size291
Using the Loops Cursor291
Changing Loops Type291
Setting Up Source Device291
Documenting Loops292
30 Care and Cleaning293
General Points293
Cleaning294
Disinfecting294
Cleaning Monitoring Accessories294
Sterilizing295
Cleaning the Recorder Printhead (M1116B only)295
Cleaning the Batteries and Battery Compartment295
31 Using the Batteries297
Battery Power Indicators298
Battery LED298
Battery Status on the Main Screen298
Battery Status Window300
Inspecting the Equipment and Accessories305
Inspecting the Cables and Cords305
Maintenance Task and Test Schedule306
Troubleshooting307
Disposing of the Monitor307
Disposing of Empty Calibration Gas Cylinders307
xv
33 Accessories309
ECG/Resp Accessories309
Tr un k C ab le s309
3-Electrode Cable Sets309
5-Electrode Cable Sets310
10-Electrode Cable Sets310
3-Electrode One Piece Cables310
5-Electrode One Piece Cables310
Set Combiners and Organizers311
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-andplay” convenience.
1
1 Basic OperationIntroducing 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 Family1 Basic Operation
1
4
5
6
7
3
MP20/MP30 Major Parts and Keys
MP20/MP30 left side
12
2
3
4
5
6
7
1Color-coded alarm lamps
2Alarms off lamp
3Model indicator
4ECG out
5Navigation Point
6Part number and serial number
7Mounting quick-release lever
MP20/MP30 front panel
123 4 567
MP20/MP30 LED Colors and their Meanings
On/Standby LED
Error LED
Battery LED
AC Power LED
Green when monitor is switched on
Red if there is a problem with the monitor
Green, yellow, and red.
See the section on Using the Batteries for details
Green while the monitor is connected to AC power (mains)
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
3
1 Basic OperationIntroducing 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 SvO
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
2
MP40/MP50 left side
1Color-coded alarm lamps
2Alarms off lamp
3Model indicator
4ECG out
5Navigation Point
6Part number and serial number
7Mounting quick-release lever
8Plug-in module slots
4
Introducing the IntelliVue Family1 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
4567
32
MP40/MP50 LED Colors and their Meanings
On/Standby LED
Error LED
Battery LED
AC Power LED
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.
Green when monitor is switched on
Red if there is a problem with the monitor
Green, yellow, and red.
See the section on Using the Batteries for details
Green while the monitor is connected to AC power (mains)
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., SpO
and VueLink. Two of the same
2
type of module cannot be used. You can also use the two-slot recorder module in the integrated slots.
5
1 Basic OperationIntroducing the IntelliVue Family
MP60/MP70 Major Parts and Keys
1Color coded alarm lamps
1
2
3
4
5
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
11
8
910
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.
7
6
6
Introducing the IntelliVue Family1 Basic Operation
MP80/MP90 Major Parts and Keys
AC Power LED
Power on LED
Display 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
5
Error LED
Processing Unit
2
1Two color coded alarm lamps (right-hand lamp flashes
red or yellow for patient alarms, left-hand lamp flashes
light blue for INOPs)
2Alarms off lamp - when illuminated it indicates that all
3
4
alarms are deactivated.
3Speaker - for alarm tones, QRS tones and so forth
4Monitor power on /standby switch. Press to switch
monitor on remotely. Press and hold for one second to
turn monitor off.
5Power on LED - green when monitor is on
Power on Switch
7
1 Basic OperationRelated Products
Docking Station
MP20/30/
40/50 only
WARNINGIf the docking station is in a tilted position, you must hold the monitor in place while closing the
The docking station provides quick mounting and connections in a one-step operation. By placing the
monitor on the docking station and closing the lever you can make the connection to power and to a
wired network, if present.
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
Open Position
Power On LED
Power Connector
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.
Locked Position
8
Related Products1 Basic Operation
1
1
2
3
Multi-Measurement
Server
2
Measurement server
mount
3
Flexible Module Server
4Power on LED
5
Interruption indicator
5
4
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 (SpO
) (M1020B)
2
• Cardiac output (M1012A), and Continuous cardiac output with M1012A Option #C10
• Transcutaneous gas (M1018A)
• Mixed venous oxygen saturation - SvO
(M1021A) MP60/70/80/90 monitor only
2
• 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 OperationRelated 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
Multi-Measurement Server (M3001A)
The Multi-Measurement Server (MMS) can simultaneously monitor 3-, 5- or 10-lead ECG (including
arrhythmia and ST monitoring), respiration, SpO
Depending on the monitor model, you can connect it to the monitor via a cable or mount it either on
the left side of the FMS or on the back of the monitor, as shown here.
PRESS
1
2
3
80x80
Press
5
4
, NBP and either invasive pressure or temperature.
2
10
MMS mounted on rear of MP40/MP50
(left) and MP60/MP70
Related Products1 Basic Operation
M3001A Connectors and Symbols
1White ECG/Resp connector
2Blue SpO
5
3Red NBP connector
4 & 5Combined pressure (red) and temperature
(brown) connector - connect either invasive
4
3
pressure transducer or temperature probe.
You might have a version of the MMS that
does not have this connector.
connector
2
2
1
6
NBP Start/Stop key -
6
7
starts or stops NBP
measurements
7
NBP STAT key - starts NBP
3
STAT series of
measurements
9
8
Measurement Server Extensions
The measurement server extensions connect to the MMS and use the MMS settings and power. Trend
data and measurement settings from the measurements in the extensions are stored in the measurement
server. To separate an extension from the MMS, press the release lever down, and push the server
forward.
OR
Zero key - initiates a zero procedure for the
connected pressure transducer when
pressed and held for a second
8
Silence: acknowledges all active
alarms by switching off audible
alarm indicators and lamps
9
MSL cable connector to the monitor
11
1 Basic OperationRelated Products
WARNINGThe measurement server extensions can only function when they are connected to a measurement
server. If the measurement server is removed during monitoring, the measurements from both the
measurement server and the measurement server extension are lost.
M3014A, M3015A and M3016A Capnography Extensions
The M3014A Capnography Extension adds mainstream capnography, and optionally one pressure
plus either a pressure or a temperature, Cardiac Output and Continuous Cardiac Output to the MMS.
The optional M3015A Microstream CO
either pressure or temperature to the MMS. The optional M3016A Mainstream CO
mainstream capnography and optionally either pressure or temperature to the MMS.
Extension adds microstream capnography and optionally
2
Extension adds
2
M3014A Capnography
4
M3016A Mainstream
Pressure connectors (red)
1
Temperature connector (brown)
2
Mainstream connector CO2 (optional)
3
Cardiac Output connector
4
M3015A Microstream
1
1
2
2
3
7
6
5
1
2
Inlet
5
Microstream
6
Gas sample outlet
7
connector CO
2
12
Related Products1 Basic Operation
M3012A Hemodynamic Measurement Server Extension
Connection to MMS
The M3012A Hemodynamic
Measurement Server Extension
(HMSE) can be connected to the
M3001A Multi-Measurement Server to
provide the following additional
measurements: Temperature, Pressure,
an additional Pressure or Temperature,
and C.O. and CCO measurements.
Pressure connectors
(red)
Cardiac Output (orange;
optional)
Temperature connectors (brown)
13
1 Basic OperationOperating and Navigating
Operating and Navigating
Everything you need to operate the monitor is contained on its screen. Almost every element on the
screen is interactive. Screen elements include measurement numerics, waveforms, screen keys,
information fields, alarms fields and menus.
The configurability of the monitor means that often you can access the same element in different ways.
For example, you might be able to access an item through its on-screen setup menu, via a hard key, or
via a SmartKey. These Instructions for Use always describe how to access items via an on-screen menu.
You may use whichever way you find most convenient.
2
1
ABP Zero done at 11 Nov 02 7:31 am
1816
17
3
5
4
67 8
9
10
11
15
14
13
12
Monitor information lineOther screen elements
14
network connection indicator
1
(documented in Information
Center Instructions for Use)
bed label
2
patient identification
3
patient category
4
paced status
5
date and time
6
access the profiles menu
7
current screen name/enter
8
change screen menu
adjust alarm volume/level
9
indicator
alarm status area - shows active alarm messages
10
status line - shows information messages and prompting you for action
11
close all open menus and windows and return to main screen
12
enter Main Setup menu
13
scroll right to display more SmartKeys
14
SmartKeys - these change according to your monitor’s configuration
configuration. If pause duration is infinite, this key is labeled Alarms Off. Select again to
immediately re-enable alarm indicators.
Silence - acknowledges all active alarms by switching off audible alarm indicators and
18
lamps permanently or temporarily, if alarm reminder (ReAlarm) is configured on.
Operating and Navigating1 Basic Operation
Selecting Screen Elements
Select a screen element to tell the monitor to carry out the actions linked to the element. For example,
select the Patient Identification element to call up the Patient Demographics window, or
select the HR numeric to call up the Setup ECG menu. Select the ECG wave segment to call up the
ECG lead menu.
Note that the space between each line of a menu may be configured to wide or narrow to facilitate your
most common method of operation, either touch, Speedpoint or navigation point, or mouse.
Using the Setup Menu
MP20/MP30/
MP40/MP50
Only
Setup
Alarm Messages
Alarm Limits
Alarm Volume
My Care Group
Change Screens
Profiles
Admit/Dischrg
Paced No
Network
Bed Informatio n
Date, Time
For the MP20/MP30 and MP40/MP50 monitors, the
elements at the top of the Screen are grouped together for
ease of navigation. Select any item at the top of the Screen
to open the Setup menu; scroll down the menu to
highlight the element you want then press the navigation
point to select the element.
Using the Touchscreen
Select screen elements by pressing them directly on the monitor’s screen.
Disabling Touchscreen Operation
♦To temporarily disable touchscreen operation of the monitor, press and hold the Main
Screen permanent key. A padlock will appear on the Main Screen permanent key.
♦Press and hold the Main Scre en permanent key again to re-enable the touchscreen operation.
15
1 Basic OperationOperating and Navigating
Using the SpeedPoint
1
2
3
4
5
integrated SpeedPoint
(MP60/MP70 only)
1Silence - acknowledges all active alarms by switching off audible alarm indicators and lamps. Behavior
3Main Screen - close all open menus and windows and return to the main screen.
4Back - go back one step to the previous menu.
5SpeedPoint knob - rotate and tilt to highlight elements. Press to select.
6Function keys on remote SpeedPoint - function identical to the first five SmartKeys configured for a
screen.
7On/standby key
6
7
Remote SpeedPoint
(all monitors)
Rotate the SpeedPoint knob left or right. With each click, the highlight jumps to the neighboring
screen element. Alternatively, tilt the knob to move it in the direction of a screen element. A cursor
moves across the screen, following the direction of the knob. Any screen element under the cursor is
highlighted. When you reach the screen element you want, press the knob to select the element.
Using the remote SpeedPoint, you can operate the monitor from a distant location such as at the foot
of the bed. The remote SpeedPoint can be used with all monitors.
16
Operating and Navigating1 Basic Operation
Using the Navigation Point
MP20/MP30/
MP40/MP50
Only
1Silence - acknowledges all active alarms by
switching off audible alarm indicators and
lamps. Exact behavior depends on permanent
key configuration
2Alarms Off/Pause Alarms - pauses alarm
indicators. Exact behavior depends on Pause
Alarms permanent key configuration
3Main Screen -
windows and return to the main screen.
4Back - takes you back one step to the previous
menu.
5Navigation Point knob
closes all open menus and
To use the navigation point, rotate it left or right. With each click, the highlight jumps to the
neighboring screen element. The element under the cursor is highlighted. When you reach the screen
element you want, press the knob to select the element.
Using a Mouse or Trackball
If you are using a mouse or trackball, select screen elements by clicking on them (press and release the
left mouse button). While you are moving the mouse, a cursor appears and a highlight shows your
current position.
Using Keys
The monitor has four different types of keys.
Permanent Keys
A permanent key is a graphical key that remains on the screen all the time to give you fast access to
functions.
configuration. If pause duration is infinite, this key is labeled
Select again to immediately re-enable alarm indicators.
Silence - acknowledges all active alarms by switching off audible alarm indicators and
lamps.
Alarms Off.
Main Screen - close all open menus and windows and return to the main screen.
Main Setup - enter main setup menu.
17
1 Basic OperationOperating and Navigating
SmartKeys
A SmartKey is a configurable graphical key, located at the bottom of the main screen. It gives you fast
access to functions. The selection of SmartKeys available on your monitor depends on your monitor
configuration and on the options purchased.
enter profile menu, or
revert to default profile
show BIS Sensor
freeze wavesquick admit a patient
set alarm limits
change alarm volume end case to discharge a patient
change QRS volume
enter standby mode - suspends patient
monitoring. All waves and numerics
disappear from the display. All settings
and patient data information are
retained.
change Screen, or
revert to default screen
previous Screen
enter patient identification menu to
admit/discharge/transfer
view information for patients in other
beds
change screen brightness (not for
independent displays)
18
review beat labels (annotate
arrhythmia wave)
change amplitude (size) of ECG waveenter cardiac output procedure
- start/stop manual NBP measurement
- start auto series
- stop current automatic measurement
within series
start veni puncture (inflate cuff to
subdiastolic pressure)
stop automatic or STAT NBP
measurement and measurement series
set the NBP repeat time
Operating and Navigating1 Basic Operation
start a delayed recording
set wide automatic alarm limitsset narrow automatic alarm limits
access wedge procedure windowaccess the Loops window
review vital signs trendreview graph trend
access event surveillanceaccess calculations
access the calculatoraccess the Drug Calculator
gas analyzer - exit standby modesuppress zero for all gas measurements
unpair equipmentaccess ST Map application
Realtime Record SmartKey to access popup recording keys
Hardkeys
Pop-Up Keys
start 12-Lead Capture (only available
if Information Center is connected)
access EEG CSAaccess the EEG montage
display VueLink informationaccess timers
access the spirometry data windowswitch CO
access remote applications (if Application
Server is connected)
pump off
2
A hardkey is a physical key on a monitoring device, such as the zero pressure key on the MMS or a
setup key on a module.
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.
19
1 Basic OperationOperating and Navigating
Using the On-Screen Keyboard
Use this as you would a conventional keyboard. Enter the information by selecting one character after
another. Use the
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.
If a conventional keyboard is connected to the monitor, you can use this instead of or in combination
with the on-screen keyboard.
Shift and capital Lock keys to access uppercase letters. Use the Back key to delete
Using the On-Screen Calculator
You can use the on-screen calculator to perform any of
the standard operations for which you would normally
use a handheld calculator.
♦To access the on-screen calculator, select the
Calculator SmartKey, or select Main Setup
-> Calculations -> Calculator.
Calculator
MR
MC
M+
√
Back
C/CE
20
Operating Modes1 Basic Operation
Operating Modes
When you switch the monitor on, it starts up in monitoring mode. To change to a different mode:
1Select the Main Setup menu.
2Select 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 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,
♦
♦select Main Setup, followed by Monito r St andby.
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.
Config
select the Monitor Standby SmartKey or
21
1 Basic OperationUnderstanding Screens
Understanding Screens
Your monitor comes with a set of preconfigured Screens, optimized for common monitoring scenarios
such as OR adult, or ICU neonatal. A Screen defines the overall selection, size and position of waves,
numerics and SmartKeys 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.
When you switch from a complex to a less complex Screen layout, some measurements may not be
visible but are still monitored in the background. If you switch to a more complex Screen with, for
example, four invasive pressure waves but you have only two pressures connected to the monitor, the
“missing” two pressures are either left blank or the available space is filled by another measurement.
Switching to a Different Screen
1To switch to a different Screen, select the current Screen name in the monitor info line,
or select the Change Screen SmartKey.
2Choose the new Screen from the pop-up list.
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, high-res waves, or trends. Be aware that these changes cannot be stored
permanently in Monitoring Mode.
To change the selection of elements on a Screen,
1Select the element you want to change.
2From the menu that appears, select Change Wave, Change Numeric, or
Change HiResTrend, and then select the wave or numeric you want, or select the highresolution trend wave you want from the list of available waves.
If you do not see Change Numeric in the menu, this Screen may be configured to always
display the numeric beside its wave. Changing the wave will automatically change the numeric.
The changed Screen is shown with an asterisk in the monitor info line.
22
Using Additional Displays1 Basic Operation
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, either
♦select the name of the Screen in the
Change Screen menu
or
♦use the previous/next arrows at the top of the
Change Screen menu to move back and forth in the
Screen history. The ten most recently-used Screens
including up to three modified Screens can be
accessed.
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 configured to Yes).
Change Screen
6 Waves A
Split Screen A
Loops
Cardiac Output
Vital Signs A
Vital Signs A*
Using Additional Displays
A second display, showing the same Screen as the main display, can be connected to any of the
monitors, for viewing only.
The MP90 can have two main displays and additionally, as a third main display, the D80 Intelligent
Display connected. All main displays can be configured and operated individually using standard input
devices.
For MP90 monitors with multiple displays and multiple input devices, the usage and behavior can be
configured according to specific requirements at installation (for example, use for two independent
operators or tracking of mouse input across two displays). For details refer to the Service Guide.
When two operators are using two displays, the scope of an action depends on the type of operation:
• Patient monitoring operations such as Silence or Pause alarms take effect for the monitor as a
whole, the results will be seen on both displays.
• Display operations such as the Mai n Screen key and Back hardkey will take effect only on the
display being operated.
If you are operating two displays with one remote SpeedPoint, to navigate from one display to another:
1Move the highlight to the Main Screen key and then turn one click further.
The highlighting moves to a special “jump” field at the edge of the Screen
2Press the knob on the SpeedPoint to confirm; the highlighting will automatically move to the other
display.
The content of each Screen can be changed individually as described in the previous section. If you are
operating two or three displays, you can choose Screens for all displays from one location:
23
1 Basic OperationUnderstanding Profiles
Select Profiles in the monitor info line of the first display,
1
2Select Display 1, Display 2, or Display 3 then select the Screen you want to display
on the that display from the list of available Screens.
When two displays are mounted next to each other or one above the other, a special Screen can be
assigned which spans across both displays. The Screen content for these Tall and Wide Screens can
then use the increased area available with two displays. These Screens appear in the Screen list with a
special Tall Screen or Wide Screen symbol.
Certain windows (for example: cardiac output procedure) can only be shown on one display at a time.
If you try to open one of these windows when it is already shown on another display, you will see a
blank grey window with a cross through it.
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, select the Screen name in the monitor info line to open the Screen
menu, then select the name of the visitor Screen configured for your monitor from the list of
available Screens.
♦Select any element on the Screen to open the Screen menu and select a different Screen to show
waves and numerics again.
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. If you are using a second
display, each display can have its own individual screen selection. 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 (
• 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.
o
F or oC) pressure unit (mmHg or kPa).
24
Understanding Profiles1 Basic Operation
Profiles
Profile: Profile A
Patient Category: Adult
Paced: No
Display : S-014
Meas Settings: Me as ur em ent A
Monitor Settings: Monitor A
Profiles Menu, showing current settingsAvailable choices in measurement
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.
You might find it helpful to think of the three categories in terms of a restaurant menu. The Screens
are like the first course, offering you a choice of “starters” (many different screen configurations from
which you can choose the one that best suits your requirements). The Monitor Settings category is like
the main course, offering a choice of different “main dishes” from which you can pick one. The
Measurement Settings are like the dessert course. From these you build your meal. You can choose one
from the “starters”, one from the main course, then one from the dessert or simply pick one or two
courses without having a full meal.
Measurement A
Measurement B
Measurement C
Measurement D
menu
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.
WARNINGIf 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
1Select Profiles in the monitor info line, or select the Profiles SmartKey.
2In the Profiles menu, select Profile.
3Chose a profile from the pop-up list.
4Confirm your selection.
25
1 Basic OperationUnderstanding Settings
Swapping a Settings Block
1Select Profiles in the monitor info line, or select the Profiles SmartKey.
2In the Profiles menu, select Display or Measmnt. Settings or
Monitor Settings
3Choose a settings block from the pop-up list.
4Confirm your selection.
to call up a list of the settings blocks in each category.
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
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:
26
• via the measurement numeric - select the measurement numeric to enter its setup menu. For
example, to enter the
• via the Setup hardkey (on plug-in modules) - press the Setup hardkey on the module front.
Setup ECG menu, select the HR (heart rate) numeric.
Changing Wave Speeds1 Basic Operation
•via the Main Setu p 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 SmartKey you can access any setup menu in the
monitor.
• via the Measurement Selection key.
This guide always describes the entry method using the setup menu. But you can use any method you
prefer.
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. A measurement automatically
switches off if you disconnect its module or measurement server. If you disconnect a transducer, the
monitor replaces the measurement numeric with question marks.
1Enter the measurement’s setup menu and select the measurement.
2Select the measurement name to toggle between on and off. The screen display indicates the active
setting.
Switching Numerics On and Off
For some measurements, such as EEG, you can choose which numerics to view on the screen.
♦In the measurement’s setup menu, select the numeric name to toggle between on and off.
For example in the Setup EEG menu, select the EEG numeric name to toggle between on and
off.
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
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 three groups of wave speed settings,
• RespiratorySpeed, for all respiratory waves: CO
• EEG Speed, for all EEG and BIS waves
• Global Speed, for all waves not included in the other two groups.
Wave menu, which has only wave-
, Resp. anesthetic agents and O
2
2
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,
1Select Main Setup -> User Interface
2Select Global Speed, RespiratorySpeed, or EEG Speed as required
27
1 Basic OperationFreezing Waves
Select a value from the list of available speeds.
3
Changing Wave Speed for a Channel
To change the wave speed of an individual wave channel,
1Enter the Wave menu for a measurement by selecting its wave.
2Select Change Speed.
3To set the speed to the wave group speed, select RespiratorySpeed, EEG Speed, 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 set 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.
Freezing Waves
You can freeze waves on the screen and measure parts of the wave using cursors. The waves are frozen
with a history of 20 seconds so that you can go back and measure what you have seen.
Freezing An Individual Wave
To freeze a wave,
1Enter the Wave menu for the measurement by selecting the wave on the screen.
2Select Freeze Wave.
The realtime wave is replaced with the frozen wave.
Freezing All Waves
To freeze all waves on the screen,
1Select the Freeze Waves SmartKey.
All realtime waves are replaced with frozen waves.
Measuring Frozen Waves
To measure a frozen wave,
1Select the frozen wave.
If you are using touch, this automatically positions the vertical cursor. The cursor can be
repositioned by touching the required point on the wave, or
2Using the Speedpoint or another pointing device or touch: use the right/left arrow keys to move
the vertical cursor.
The vertical cursor moves through the time axis and the current value is displayed next to the
cursor.
28
3Use the up/down arrow keys to activate and move the horizontal cursor.
The horizontal cursor measures the wave value, which is displayed above the cursor line.
Using Labels1 Basic Operation
Changing The Wave Speed
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.
To change the wave speed:
1Select the frozen wave.
2Select Change Speed.
3Select a speed from the list.
Updating The Frozen Wave
To update the wave, that is freeze the current wave:
1Select the frozen wave.
2Select Freeze Again.
Releasing Frozen Waves
To release frozen waves,
1Select a frozen wave.
2Select Unfr eeze Waves.
All frozen waves are released.
Using Labels
You can measure multiple invasive pressures, temperatures, and SpO2 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.
About Label Sets
Your monitor may be configured to use a Restricted or Full label set. The Full label set
provides extra labels for Pressure and Temp. See the sections in this Instructions for Use on Pressure
and Temp for more information.
If you connect a measurement server from a monitor using a Full label set to an IntelliVue monitor
using a Restricted label set or an M3/M4 monitor, any additional labels switch to labels available
in the target monitor. This may cause a label conflict with other monitored measurements.
Be aware that connecting a monitor using the Full label set to an Information Center with certain
software revisions may affect the availability of measurement information from the additional labels on
the Information Center. See the Information Center documentation and your monitor’s
Configuration Guide for information on label set compatibility.
Changing Measurement Labels (e.g. Pressure)
To change a measurement label of a measurement with multiple labels (invasive pressure, temperature,
or SpO
),
2
29
1 Basic OperationUsing Labels
Enter the Wave menu of the measurement.
1
2Select Label.
3Choose 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.
Give me an example Let’s imagine you used a Press module to monitor your previous patient’s CVP.
Now you want to use the same module to measure ABP with a new patient. You’ve set up your arterial
line. When you connect the pressure transducer to the module, the pressure shown on the screen still
uses the CVP color and wave scale and is labeled CVP. To rectify this, just change the pressure label to
ABP. Now the pressure has the correct color, the wave is shown in the correct scale, and the
appropriate alarm limits for ABP are active.
Resolving Label Conflicts
Each label must be unique, that is, it can only be assigned once. You cannot monitor two pressures
labelled “ICP” at the same time. If you need to use two identical pressures, you must assign different
labels to them, for example, P and ICP.
Measurement labels are stored in the measurement device (module or measurement server). If you try
to use two measurement devices that have identical labels, this causes a label conflict in the monitor.
Depending on your configuration, the monitor will either
• resolve the conflict automatically, by assigning a new, generic label
to the most recently connected conflicting label (e.g. a second FAP
label could be changed to ABP)
measurement selection key
with question marks
•display the Measurement Selection window automatically
indicating a label conflict
for you to resolve the conflict
• take no action, you must enter the Measurement Selection window and resolve the conflict
All the currently available measurement devices are depicted in the Measurement Selection
window. Any measurement labels causing a label conflict are shown in red. If a measurement device is
connected but currently unavailable, for example, because it was deactivated due to a label conflict, the
device is shown “grayed-out”.
Conflicting measurement
Measurement Selection
labels are shown in red
SpO2
SpO2BIS
Tskin C.O.
EcgRspNBPABP
De-activated labels are
grayed-out
CO2
Temp
30
To resolve a label conflict,
1Select the measurement selection key or select Main Setup -> Measurement Selection
to display the Measuremen t Se lection window.
Changing Monitor Settings1 Basic Operation
2Select the device whose label you want to correct.
3Use the measurement selection pop-up keys to resolve the conflict. Select either:
– Change Label to assign a different label to the conflicting label
– De-activate: to disable the conflicting device. It retains its label for future use but becomes
invisible to the monitor, as though it had been unplugged. When the device has been deactivated
the question marks under the measurement selection key will be replaced by XXX.
– Setup <Measurement label>: to enter the Setup menu for the measurement and change
the conflicting device’s label to a different label.
♦To change monitor settings such as date and time, brightness, or QRS tone volume, select the
Main Setup SmartKey and then select the setting you want to change, or select User
Interface to enter a submenu where you can change user interface settings.
Adjusting the Screen Brightness
1Select the Brightness SmartKey.
2Select the appropriate setting for the screen brightness. 10 is the brightest, 1 is the least
bright.
Your monitor may be configured with a lower brightness for Standby mode and also (for battery
powered monitors) for transport to conserve battery power.These settings can only be changed in the
monitor’s Configuration Mode.
If you are using an MP80 or MP90 with an external display, the Brightness SmartKey does not
adjust the brightness of this display. See the instructions supplied with the external display for
instructions.
Adjusting Touch Tone Volume
The touch tone volume is the tone you hear when you select any field on the monitor screen. To adjust
the touch tone volume,
1In the Main Setup menu, select User Interface
2Select TouchToneVolume, then select the appropriate setting for the touch tone volume: 10 is
the loudest and 1 is the quietest. Selecting zero switches the touch tone volume off.
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.
WARNINGChanging the date or time will affect the storage of trends and events.
1Select the Date, Time screen element from the monitor’s info line to enter the Date, Time
menu.
31
1 Basic OperationChecking Your Monitor Revision
2Select, 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.
3Select Stor e Date, Time to change the date and time.
Checking Your Monitor Revision
1Select Main Setup -> Revision to open the Monitor Revision menu.
2Select the correct device from the device pop-up keys.
3From 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
WARNINGIf 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.
1Before you start to make measurements, carry out the following checks on the monitor including
all connected Measurement Servers, modules, or measurement server extensions.
– Check for any mechanical damage.
– Check all the external cables, plug-ins and accessories.
2Plug the power cord into the AC power source. If you are using battery power, ensure that the
battery has sufficient power for monitoring. When you use a battery for the first time, you must
charge it, following the instructions given in the section on Charging Batteries.
3Check 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
starting monitoring that measurement. Connected devices usually take their power from the
monitor. External devices such as gas monitors and those connected via VueLink have their own
power switches.
CO2 Sensor Warmup wait until it disappears before
CAUTIONWhen using an MP90 monitor with a D80 Intelligent Display, always switch power on directly at the
MP90 or at a remote SpeedPoint or remote alarm device directly connected to the MP90.
Setting up the Measurement Servers and Modules
1Decide which measurements you want to make.
32
Disconnecting from Power1 Basic Operation
Connect the required modules, Measurement Servers, or measurement server extensions.
2
3Check that you have the correct patient cables and transducers plugged in. The connectors are
color-coded to the patient cables and transducers for easy identification.
Starting Monitoring
After you switch on the monitor,
1Admit your patient to the monitor.
2Check 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.
3Refer to the appropriate measurement section for details of how to perform the measurements you
require.
Disconnecting from Power
The On/Standby switch does not disconnect the monitor from the ac power source. To disconnect,
unplug the power cable.
Monitoring After a Power Failure
If the monitor is without power 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
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 Care Group, the monitoring equipment, and technical
information about the network,
♦MP20/MP30/MP40/MP50 - select the monitor info line to enter the Setup menu, then select
Bed Information.
♦MP60/MP70/MP80/MP90 - in the monitor info line, select the bed label.
Be aware that some network-based functions may be limited for monitors on wireless networks in
comparison to those on wired networks.
Using Remote Applications
If your monitor is connected to a Philips Application Server, you can access applications hosted
remotely on the Application Server and display and operate them on the bedside monitor screen. The
Application Server provides portal technology to allow information access through a web browser,
terminal emulation, or served applications. The applications available depend on the Application
Server configuration: see the device documentation for details. A Remote Application window can also
be embedded in a monitoring Screen.
To display remote applications on the monitor,
33
1 Basic OperationUsing Remote Applications
In the Main Setup menu, select Remote Applics, or select the
1
Remote Applications SmartKey.
2Select the required application from the pop-up list of available applications.
3Operate the application with your preferred monitor input device: touchscreen, SpeedPoint,
navigation point, keyboard or mouse.
Remote Application Popup Keys
Pop-Up KeysSelecting this pop-up key lets you....
Minimize
minimize the Remote Application window; the session continues running in the
background. Select the Remote Application symbol to show the window at full size
again.
Keyboard
Refresh
Close
start a keyboard application to show a keyboard on the display. This key is not available
if the keyboard application is not installed or not supported on the Philips Application
Server.
update the content of the Remote Application window.
close the Remote Application session.
The Remote Application window occupies a pre-defined area on the monitor Screen. The maximum
size of the area depends on the resolution of your display. If the pre-defined area for the Remote
Application covers the full monitor Screen (on independent second displays only), the pop-up keys are
not displayed. In this case a small window appears with two keys: one (with the Remote Application
symbol) to display the pop-up keys and another to move the small window if it is obstructing viewing.
If you change the monitor Screen while a Remote Application is running, and the pre-defined area on
the second Screen is smaller, the Remote Application cannot be shown at full size. You must select a
suitable monitor Screen to display the Remote Application again.
34
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 D.0?
M1014A Spirometry Module
The spirometry module produces a real time wave for flow, volume and pressure of respiratory gases
together with numerics for analysis of ventilatory mechanics. It is designed to be used in combination
with Philips-branded airway flow sensors and combined CO
M3014A Capnography Extension
2
2What’s New?
/airway flow sensors.
2
The M3014A Capnography Extension offers an additional measurement method - sidestream CO
with the M2741A sensor.
M8016A 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.
IntelliVue 802.11 Bedside Adapter
The 802.11 Bedside Adapter is a wireless ethernet adapter which can be built in to the patient monitor
(option J35). It provides wireless connectivity to standard IEEE 802.11a/b/g wireless networks.
Improved Multiple Display Support
• Wide and Tall screen layouts are supported which allow screen content to be spread over two screens
next to each other (wide acreen) or one above the other (tall screen).
• An additional main display used for a surgeon can be configured not to show alarm information.
The permanent keys and SmartKeys can also be configured not to display.
• Input devices can be assigned to an operator, independent of physical connector location.
New SmartKeys
For the new spirometry module there is a SmartKey to provide direct access to the spirometry data
window. For microstream and sidestream CO
SmartKey CO2 Pump Off.
, sampling can now be suppressed directly with the
2
2
35
2What’s New?What’s New in Release C.0?
What’s New in Release C.0?
IntelliVue MP80
The MP80 patient monitor is a new addition to the IntelliVue patient monitor family. The
functionality is similar to that of the MP70 but with the flexibility of component modularity as in the
MP90.
M3014A Capnography Extension
The M3014A Capnography Extension offers a new measurement combination - mainstream CO
cardiac output, invasive pressure and invasive pressure/temperature.
M8045A Docking Station
The docking station provides quick mounting and connections for the MP20/MP30/MP40/MP50 in
a one-step operation. By placing the monitor on the docking station and closing the lever you can
make the connection to AC power and to a network, if present.
BIS Interface Board
This interface board allows use of Bispectral Index monitoring with the MP20 and MP30.
Timers Application
The new Timers application allows you to set timers to notify you when a specific time period has
expired. The timers can have varying characteristics and can be located on the Main screen for easy
viewing.
IntelliVue Instrument Telemetry (USA only)
Wireless network capabilities via the IntelliVue Instrument Telemetry network using a built-in
interface (MP20/MP30) or an external adapter (MP40/MP50).
Remote Applications
Remote applications can now be embedded in a monitoring Screen. The display colors for remote
applications have been enhanced.
Basic Operation
,
2
36
• Selection and order of SmartKeys can now be configured in the monitor’s Configuration mode.
• A new SmartKey exits Standby mode at the gas monitor.
• Direct operation of a second independent display with the MP90, using standard input devices.
• Networked monitors can now show Telemetry information for the “Own Bed” in an overview
window or embedded in a Screen.
• Overview bed information can be configured to display in the colors used at the Information Center
(with Information Center System G or higher).
• Support for Unit-based Care Group model for up to 64 beds (with Information Center System G or
higher).
• Battery status information on the main screen now includes estimated monitoring time available
during battery charging.
• Barcode reader support during patient admission.
• Direct entry to graphical trends when a limit alarm is selected in alarm review and to the event
episode window when an event alarm is selected.
• MP90: screen trends can now also be viewed on the second display.
What’s New in Release B.1?2What’s New?
Trends
• In graphical trends, a segment menu allows direct adjustment of trend scales, automatic scale
optimization, expanded view for an individual segment.
• In graphical and horizon Screen Trends a cursor is available.
• In the Vital Signs window, the values can be shown with the parameter color.
Events
• Events can be configured to be signaled as alarms (advanced event surveillance only).
• Deviation triggers can be set which trigger an event when measured values change by a defined
amount over a set time (advanced event surveillance only).
• Up to six event groups can be active simultaneously (advanced event surveillance only).
Measurements
• Pulse Pressure Variation is a new derived measurement calculated from beat-to-beat arterial pressure
values.
• MAC value calculations
Applications
• Improved Drug Calculator meeting JCAHO requirements.
• The ST Map application shows ST changes over time in two multi-axis spider diagrams.
• Freeze and measure waves on the Main Screen.
What’s New in Release B.1?
IntelliVue MP20/MP30
The MP20/MP30 patient monitor is a new addition to the IntelliVue patient monitor family. It is
smaller and lighter than the MP40/MP50 monitors and can be powered by battery. It can be used with
the measurement server and server extensions and has a built-in recorder.
Basic Operation
• New Measurement Selection window makes it easier to resolve measurement label conflicts
• New Previous/Next Screen function provides access to the ten most recently modified Screens
• Wave speeds can now be set for individual wave channels
Trends
• Cursor in graphical trend window improves navigation in the trends database
• Vital Signs and Graphical Trend screen elements can be embedded on a Screen
• New band style format for displaying trends of measurements with multiple numerics
• Horizon trend is a new format for screen trends, showing the deviation from a stored baseline
• Aperiodic measurements now stored with a timestamp in Vital Signs
• New symbol representing NBP measurements in Graphical Trends
Measurements
• ST numerics in the Alarm Limits window can be shown and hidden
37
2What’s New?What’s New in Release B.0?
• ST Point can be set directly by selecting a numeric value
• New NBP countdown timer shows the time remaining until the next NBP measurement in a series
• Networked monitors can now show Other Bed information embedded on Screen
• Additional labels available for Pressure and Temp
• Additional options for SpO
• Suppress Zero function for Microstream CO
Applications
• Drug Calculator can now be configured to include a list of commonly-used drugs
• Cursor in the Loops window improves navigation through the stored loops
• Volume-flow loops added to the list of respiratory loops types
• Loops Report for documentation of stored loops
• EEG CSA can now be called up and viewed in a window over the currently displayed Screen
, support for an extended list of accessories
2
What’s New in Release B.0?
IntelliVue MP40/MP50 The MP40/MP50 patient monitor is a new addition to the IntelliVue
patient monitor family. It uses the same measurement devices as the MP60/MP70/MP90 monitors
and shares the same technological platform and user interface, but is more compact in size and can be
operated by battery.
M3012A Measurement Server Extension The new Hemodynamic Measurement Server Extension
extends measurement capability by adding two additional pressures and Cardiac Output.
M1020B SpO
measurement without the need to use the VueLink module. Two options are available:
Module New SpO2 measurement module, M1020B, enables dual SpO2
2
2
38
– Option A01 for use with Philips reusable and disposable sensors and Nellcor “R-Cal” disposable
sensors.
– Option A02 for use with Nellcor OxiMax sensors, including the MAX-FAST forehead sensor.
M1020B Option A02 for use with Nellcor OxiMax sensors may not be available in all countries.
PV Loops: compares graphic representations of airway waves to help detect changes in the patient
airway condition.
High-resolution waves per Screen: the number of high-resolution waves that can be shown on a
Screen is increased, limited only by the Axx Option purchased.
Alarms symbols: New alarm symbols are introduced, and “short” yellow alarms were renamed “onestar” yellow alarms (yellow arrhythmia alarms).
Aperiodic measurements available as Screen Trends: patient trend information for NBP, C.O., C.I.,
and Wedge can now be permanently displayed on the Screen in tabular and graphical form.
What’s New in Release A.2?2What’s New?
What’s New in Release A.2?
12-Lead ECG recordings: 12-Lead ECG waves and numerics can be sent to a connected recorder
High-Resolution Trend Report: high-resolution trend report can be sent to a connected printer
ST Snippets ST snippets, showing a one second wave segment for each measured ST lead, can be
permanently displayed on the Screen or called up as required.
EEG Wave Speed: new EEG-specific wave speeds have been added to the list of wave speeds available
Drug Calculator: this new feature helps you to calculate drug dosages for your patients
On-Screen Calculator: a mathematics calculator can be used on the Screen
Visitor Screen: this new Screen is designed to hide sensitive patient information from the Screen.
Monitoring and alarm generation function as usual.
Touch selection volume control: The volume of the audio prompt given when a screen element is
selected is now adjustable
VueL i nk in te rf ace: the VueLink on-screen appearance and controls are improved
M3001A: Trend upload from the Multi-Measurement Server (M3001A) improved
Screen Trends: lets you display patient trend information in graphic form permanently on the Screen
Alarm Limits Page: lets you view and control alarm settings for all measurements in one window
New Option for Event Surveillance: a new neonatal event review option #C04 is introduced
Second display To simultaneously show two different Screens, a second display can be connected to
the MP90. The second display is for viewing only.
39
2What’s New?What’s New in Release A.2?
40
3
3Alarms
The alarm information here applies to all measurements. Measurement-specific alarm information is
discussed in the sections on individual measurements.
The monitor has three alarm levels: red, yellow, and INOP.
Red and yellow alarms are patient 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). Yellow arrhythmia alarms 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.
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.
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.
↑ ** HR HIGH
41
3AlarmsVisual Alarm Indicators
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. If more than one measurement is in an alarm condition, the message
changes every two seconds, and has an arrow ( ) at the side. The background color of the alarm
message matches the alarm priority: red for red alarms, yellow for yellow alarms, and light blue for
INOPs. The asterisk symbols (*) beside the alarm message match the alarm priority: *** for red alarms,
** for yellow alarms, * for yellow arrhythmia alarms. INOPs are displayed without asterisks.
Depending on how your monitor is configured, it may display alarm limit violation messages
• in text form, for example “**SpO2 LOW” or
• in numeric form, for example “**SpO2 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.
Alarm lamp: A lamp on the monitor’s front panel flashes. This has the same color as the alarm
priority.
Nurse call systems: Alarm conditions are indicated on any device connected to the nurse call relay, if
configured to do so.
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).
WAR NI NGDo 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 9703-2 alarms only)
42
• 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.
Audible Alarm Indicators3Alarms
Traditional Audible Alarms (HP/Agilent/Philips/Carenet)
• Red alarms: A high pitched sound is repeated once a second.
• Two-star yellow alarms: A lower pitched sound is repeated every two seconds.
• One-star yellow alarms (arrhythmia alarms): The audible indicator is the same as for yellow alarms,
but of shorter duration.
• INOPs: an INOP tone is repeated every two seconds.
ISO/IEC Standard 9703-2 Audible Alarms
• Red alarms: A high pitched tone is repeated five times, followed by a pause.
• Two-star yellow alarms: A lower pitched tone is repeated three times, followed by a pause.
• One-star yellow alarms (arrhythmia alarms): The audible indicator is the same as for yellow alarms,
but of shorter duration.
• INOPs: a lower pitched tone is repeated twice, followed by a pause.
Changing the Alarm Tone Volume
♦The alarm volume symbol at the top right of the monitor screen gives you an
indication of the current volume. To change the volume, select the volume symbol
and then select the required volume from the pop-up selection.
♦If you want to see a numerical indication of the current alarm volume on a scale
from zero to 10, 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.
Alarm
43
3AlarmsAcknowledging Alarms
Acknowledging Alarms
To acknowledge all active alarms and INOPs, select the Silence permanent
key. This switches off the audible alarm indicators and alarm lamps. Alternatively,
you can acknowledge alarms by pressing the Silence hardkey on the MMS or
on the SpeedPoint. The hardkeys follow the behavior configured for the
permanent key.
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.
Silence
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.
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.
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.
Unplugging an MMS or a plug-in module automatically switches off its measurements.
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). There is no alarm reminder for INOPs.
In Configuration Mode, you can set the interval between silencing the alarm and sounding the
reminder tone to one, two, or three minutes.
APNEA
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,
1Select Main Setup -> Alarm Sett in gs
2Check the Alarms Off setting.
This setting can only be changed in Configuration Mode.
44
Pausing or Switching Off Alarms3Alarms
To Pause All Alarms
♦Select the Pause Alarms permanent key. If your monitor is configured to
infinite pause time, the permanent key is labelled Alarms O ff, and selecting it
switches alarms off.
♦Or press the Alarms hardkey on the SpeedPoint or Navigation Point. The hardkey
follows the behavior configured for the permanent key.
Pause
Alarms
To Switch All Alarms Off
You can only switch alarms off permanently if your monitor is configured to allow infinite alarms
pause and the permanent key is labelled Alarms Off.
♦Select the Alarms Off permanent key.
♦Or press the Alarms hardkey on the SpeedPoint or Navigation Point. The
hardkey follows the behavior configured for the permanent key.
Pausing alarms infinitely is the same as switching them off.
Alarms
Off
To Switch Individual Measurement Alarms On or Off
1Select the measurement numeric to enter its setup menu.
2Select 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 Battery/Batteries Empty, Battery/Batteries Malfunction, Batt 1/2 Missing, and NBP Cuff Overpressure.
These INOPs are sounded even if alarms are paused or off.
ALARMS PAUSED 1:28
ALARMS OFF
• The nurse call relay is not active.
If a disconnect INOP is present and alarms are paused or switched off, the measurement in question is
switched off.
45
3AlarmsAlarm Limits
Restarting Paused Alarms
♦To manually switch on alarm indication again after a pause, select the permanent key
Pause Alarms (or Alarms Off) 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, select the Alarms Off or Paus e Al ar ms
permanent key and then reselect it.
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,
1Select one of the alarm fields. This calls up the Alarm Messages window.
2Select 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, BIS and SpO
alarm limit to 100 switches the high alarm off, and setting the low alarm limit to 0 switches it off. In
these cases, the alarms off symbol is not displayed.
WARNINGBe 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
HR
120
85
50
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.
), where the value ranges from 100 to 0, setting the high
2
46
Alarm Limits3Alarms
Viewing All Alarm Limits
The Alarm L imits 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 any alarm field to open the Alarm
Messages window, then select the Alarm Limi ts pop-up key, or select the Alarm
Limits SmartKey, if configured.
Alarm Limits
ST-V4
ST-V5
ST-V6
SpO2
Pulse (SpO2)
NBPs
Graphic view of current
yellow and red alarm
limits and currently
monitored measurement
value
Off indicates the
measurement is switched
off
ABPs
PAPd
awRR
Apnea Time
Measurement labels, with alarms
off symbol where appropriate
♦Select Show ST Limits to expand the list of ST leads and view the currently set alarm limits.
Off
sec
Current 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 Al. On/All Al. Off,
– All Lim. Narrow/All Lim. Wide to set narrow or wide alarm AutoLimits for all
measurements.
– Print Limits/Record Limits to print a list of all current alarm limit settings on a
connected printer or recorder.
47
3AlarmsAlarm Limits
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,
1in 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.
2Select a value from the list to adjust the alarm limit.
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.
High red alarm (view only)
HR
Alarms
On/Off
High yellow alarm field
Up/down arrow keys for
changing high yellow 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
Up/down arrow keys for
changing low yellow alarm limits
Graphic view of alarm limits
with currently measured value
Low red alarm (view only)
Low yellow alarm field
To change alarm limits,
1In the Change Lim its window,
– if you are using touch, select the up or down arrow buttons to adjust the high and low alarm
limits as required.
– if you are using a SpeedPoint or Navigation Point, position the cursor in the high yellow alarm
field, then press the knob inwards. Rotate the knob to the left or right to adjust the limit. Press
the knob again to set the displayed limit.
2Repeat to set the low yellow alarm limit.
Alarm Limits3Alarms
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.
When an ST measurement is in the Change Limits window there are also two pop-up keys
available labeled All ST Narrow/Al l 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 defined safe limits never exceed the non-pathological range.
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.
Alarm
limits
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.
Documenting Alarm Limits
The alarm limits pop-up keys appear with the Alarm Limits and Change Limits windows.
Lower limit
clamps
Upper limit
clamps
High alarm limit, wide
High alarm limit, narrow
Low alarm limit, narrow
Low alarm limit, wide
Measurement value
♦Select the Print Limits pop-up key to print an overview of all alarm limits on a connected
printer.
♦Select the Record Limits pop-up key to send a recording of the alarm limits to a recorder.
49
3AlarmsReviewing Alarms
Reviewing Alarms
To review the currently active alarms and INOPs, select any of the alarm status areas on the monitor
screen. The Alarm Messages window pops up. All alarms and INOPs are erased from the
monitor’s alarm history when you discharge a patient, or if you change to Demonstration Mode.
Alarm Messages Window
The Alarm Messages window shows all the currently active alarms and INOPs in chronological
order, beginning at the top with the most recent. INOPs are shown on the left hand side and patient
alarms are shown on the right hand side. Any active red alarms are shown first, followed by yellow
alarms. Acknowledged alarms or INOPs are shown with the check mark symbol.
The Alarm Messages window pop-up keys appear when the window is opened. If alarm pause
extension is disabled, the pause pop-up keys are inactive (“grayed-out”). Selecting the Review
Alarms pop-up key opens the Review Alarms window.
Alarm
Limits
Review Alarms Window
The Review Alarms window
contains a list of up to 100 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 any changes made to
the Alarms On/Off or Silence status.
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 alarm resulting
from an event alarm notification, the Event Episode window for that event will open. 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, when the
monitor is switched off for longer than one minute, and when you leave Demonstration Mode.
Review
Alarms
Pause Al.
5 Min.
Review Alarms
5 Apr 16:55:18 *** Apnea
5 Apr 16:55:18 ** ABPs HIGH (120 >95)
5 Apr 16:55:18 Ala rm s On
5 Apr 16:45:15 ** SpO2 NO N-PULS AT.
5 Apr 16:44:57 Ala rm s Of f
5 Apr 16:44: 46 ** awRR LOW (14< 15)
5 Apr 16:44: 39 ** SpO2 LOW (95< 99)
5 Apr 16:44:28 ** AB Ps HIG H
Pause Al.
10 Min.
50
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. Selecting the Active Alarms pop-up key
opens the Alarm Me ssages window.
Alarm
Limits
Active
Alarms
Pause Al.
5 Min.
Pause Al.
10 Min.
Understanding Alarm Messages3Alarms
Understanding Alarm Messages
If you do not immediately understand an INOP or alarm message, refer to its help text.
♦In the Al ar m Me ss ag es window, select the INOP message. This calls up a help window with
an explanation of the INOP message and, where appropriate, a suggested solution for the problem.
Alarm Messages
Resp LEADS OFF
LL LEAD OFF
** awRR LOW
The lead LL has become detached from the
patient or the lead set has been changed.
Attach the miss in g el ec trode or select <New
Lead Setup> to co nf ir m th e ne w lead set
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
1In the monitor’s Main Setup menu, select Alarms.
2Select Alar m 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:
Visual Latchi ng
Audible latching
R = red alarms, Y = yellow alarms
R&YR&YR&YRROff
R&YROffROffOff
51
3AlarmsTesting Alarms
Alarm Latching Behavior
Red and Yellow Measurement
Alarms
Alarm has not been
acknowledged.
Alarm has been
acknowledged.
All INOPs except DISCONNECT and UNPLUGGED INOPs from measurement servers and modules
are non-latching. See “Yellow Arrhythmia Alarms” on page 113 for information on short yellow
arrhythmia alarms latching behavior.
Testing Alarms
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 indidual measurement alarms, perform the
measurement on yourself (for example SpO
that appropriate alarm behavior is observed.
Alarm condition
still present.
Alarm condition
no longer present.
Alarm condition
still present.
Alarm condition
no longer present.
Non-latching
alarms
Alarm tone on. Alarm lamp on. Alarm message. Flashing numerics.
All audible and visual
alarm indicators
automatically stop.
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.
52
4Patient Alarms and INOPs
This chapter lists patient alarms and technical alarms (INOPs) alphabetically, irrespective of their
priority. INOPs start on page 59.
For information on alarms and INOPs from the gas modules refer to your Gas Module Instructions for
Use.
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 (USA only). These shortened alarm texts are included in the list and
identified with the note “at Information Center”.
4
Note that yellow arrhythmia alarms (“short yellow 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 Gas Module Instructions for Use for patient alarms and INOPs from the gas modules.
Alarm MessageFromConditionIndication
***APNEA or
***APNEA xxx sec
***ASYSTOLEECGNo QRS detected for a period greater
**awRR HIGHCO2, Resp,
**awRR LOWCO2, Resp,
**BIS HIGHBISThe Bispectral Index value has exceeded
**BIS LOWBISThe Bispectral Index value has dropped
CO2, Resp,
AGM
AGM
AGM
Respiration has stopped for longer than
the preset apnea time. “xxx” denotes the
Apnea duration.
than the asystole threshold (in the
absence of Vfib or chaotic ECG).
The airway respiration rate has exceeded
the high alarm limit.
The airway respiration rate has dropped
below the low alarm limit.
the high alarm limit.
below the low alarm limit.
numeric flashes, red alarm
lamp, alarm tone.
numeric flashes, red alarm
lamp, alarm tone.
numeric flashes and high limit
is highlighted, yellow alarm
lamp, alarm tone.
numeric flashes and low limit
is highlighted, yellow alarm
lamp, alarm tone.
numeric flashes and high limit
is highlighted, yellow alarm
lamp, alarm tone.
numeric flashes and low limit
is highlighted, yellow alarm
lamp, alarm tone.
53
4 Patient Alarms and INOPsPatient Alarm Messages
Alarm MessageFromConditionIndication
***BRADY (Pulse)
or
***BRADY xxx<yyy
**CCO/CCI HIGHCCOContinuous Cardiac Output or CC
**CCO/CCI LOWCCOContinuous Cardiac Output or CC
**CPP HIGHCPPThe CPP value has exceeded the high
**CPP LOWCPPThe CPP value has fallen below the low
***DESAT or
***DESAT xxx<yyy
**et <Agent label>
HIGH
**et <Agent label>
LOW
**etCO2 HIGHCO2, Resp,
**etCO2 LOWCO2, Resp,
**etO2 HIGHO2, AGMThe end tidal O2 high alarm limit has
**etO2 LOWO2, AGMThe end tidal O2 value has fallen below
*/**/***
EVENT:<GRP>
*/**/*** EVENT
at Information center
***EXTREME BRADYECGThe bradycardia limit has been
***EXTREME TACHYECGThe tachycardia limit has been
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.
Index is above the high alarm limit.
Index is below the low alarm limit.
alarm limit.
alarm limit.
SpO
2
AGM The end tidal agent high alarm limit has
AGM The end tidal agent value has fallen
AGM
AGM
Event
surveillance
Event
surveillance
The SpO2 value has fallen below the
desaturation alarm limit. xxx denotes
the lowest measured value, and yyy is
the desaturation limit.
been exceeded.
below the low alarm limit.
The end tidal CO2 high alarm limit has
been exceeded.
The end tidal CO2 value has fallen
below the low alarm limit.
been exceeded.
the low alarm limit.
An event has occurred and the event
notification is configured to alarm.
<GRP> is the event group
An event has occurred and the event
notification is configured to alarm.
Check on the monitor for more details
on event group.
exceeded.
exceeded.
numeric flashes and alarm
limit is highlighted, red alarm
lamp, alarm tone.
numeric flashes and high alarm
limit is highlighted, yellow
alarm lamp, alarm tone.
numeric flashes and low alarm
limit is highlighted, yellow
alarm lamp, alarm tone.
numeric flashes and high limit
is highlighted, yellow alarm
lamp, alarm tone
numeric flashes and low limit
is highlighted, yellow alarm
lamp, alarm tone.
numeric flashes, red alarm
lamp, alarm tone.
numeric flashes and high limit
is highlighted, yellow alarm
lamp, alarm tone.
numeric flashes and low alarm
limit is highlighted, yellow
alarm lamp, alarm tone.
numeric flashes and high limit
is highlighted, yellow alarm
lamp, alarm tone.
numeric flashes and low limit
is highlighted, yellow alarm
lamp, alarm tone.
numeric flashes and high limit
is highlighted, yellow alarm
lamp, alarm tone.
numeric flashes, and low limit
is highlighted, yellow alarm
lamp, alarm tone.
event group name flashes,
yellow or red alarm lamp and
alarm tone
(on monitor) event group
name flashes, yellow or red
alarm lamp and alarm tone
numeric flashes and alarm
limit is highlighted, red alarm
lamp, alarm tone.
numeric flashes and alarm
limit is highlighted, red alarm
lamp, alarm tone.
54
Patient Alarm Messages4 Patient Alarms and INOPs
Alarm MessageFromConditionIndication
**HR HIGHECGThe heart rate high alarm limit has been
exceeded.
**HR LOWECGThe heart rate has fallen below the low
alarm limit.
**imCO2 HIGHCO2, Resp,
AGM
**in <Agent label>
HIGH
**in <Agent label>
LOW
**inN2O HIGHN2O, AGMThe inspired N2O high alarm limit has
**inO2 HIGHO2, AGMThe inspired O2 high alarm limit has
**inO2 LOWO2, AGMThe inspired O2 value has fallen below
***inO2 LOW OXYGEN O2, AGMThe inspired O2 value has fallen below
*/**IRREGULAR HR ECG/
*/**MISSED BEATECG/
*/**MULTIFORM PVCs ECG/
**NBP HIGHNBPThe measured NBP value is above the
**NBP LOWNBPThe measured NBP value is below the
AGMThe inspired agent high alarm limit has
AGMThe inspired agent value has fallen
Arrhythmia
Arrhythmia
Arrhythmia
The inspired minimum CO2 high alarm
limit has been exceeded.
numeric flashes and high limit
is highlighted, yellow alarm
lamp, alarm tone.
numeric flashes and low limit
is highlighted, yellow alarm
lamp, alarm tone.
numeric flashes, yellow alarm
lamp, short yellow audible
alarm.
numeric flashes, red alarm
lamp, alarm tone.
numeric flashes, yellow alarm
lamp, short yellow audible
alarm.
numeric flashes, yellow alarm
lamp, short yellow audible
alarm.
numeric flashes, yellow alarm
lamp, short yellow audible
alarm.
(on monitor) yellow or red
alarm lamp, alarm tone
58
Technical Alarm Messages (INOPs)4 Patient Alarms and INOPs
Technical Alarm Messages (INOPs)
The measurement labels and abbreviations for pressure, temperature, SpO2, anesthetic agent, and
VueLink INOP messages are explained in the individual chapters.
INOP tone, battery LED flashes
During this INOP, alarms cannot be
paused or switched off.
BATTERIES INCOMPAT or BATT
1/BATT 2 INCOMPAT
INOP tone
BATTERIES LOW or BATT 1/
BATT 2 LOW
INOP tone
BATTERIES MALF or BATT 1/
BATT 2 MALFUNCTION
INOP tone, battery LED flashes
During this INOP, alarms cannot be
paused or switched off unless the
monitor is connected to mains power.
BATT 1/BATT 2 MISSING
INOP tone.
During this INOP, alarms cannot be
paused or switched off.
Monitor1) An MMS with an incompatible software revision is
BatteriesThe estimated remaining battery-powered operating time of
BatteriesThe indicated battery or batteries cannot be used with this
BatteriesThe estimated battery-powered operating time remaining is less
BatteriesThe monitor cannot determine the battery status. If this INOP
BatteriesThe monitor requires two batteries but can detect only one
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.
to display complete wave.
scale to display complete wave
scale to display complete wave.
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.
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.
monitor. Replace with the correct batteries
than 20 minutes.
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. Insert the missing battery immediately.
(M4605A).
59
4 Patient Alarms and INOPsTechnical Alarm Messages (INOPs)
INOP Message, IndicationSourceWhat to do
BIS CABLE INCOMPAT
INOP tone.
BIS CABLE USAGE
INOP tone.
BIS DSC DISCONN
INOP tone
BIS DSC INCOMPT
INOP tone
BIS DSC MALFUNCBISElectrocautery used during self-test OR malfunction in the
BIS DSC UPDATE
INOP tone
BIS ELECTR. DISC
INOP tone.
BIS ENGINE DISC.
INOP tone
BIS ENGINE INCOMPT
INOP tone
BIS ENGINE MALFUNC
INOP tone
BIS EQUIP MALF
INOP tone
BIS HIGH IMPEDANCE
INOP tone may sound
BIS IMPEDANCE CHCK
INOP tone may sound
BISThe semi-reusable sensor cable connected is unknown or not
supported by your software revision. Replace it with a Philipssupported sensor cable.
BISThe semi-reusable sensor cable has exceeded the maximum
number of uses. Replace the cable.
BISDSC 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.
BISDSC 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.
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.
BISDSC 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.
BISOne or more electrodes are not connected to the semi-reusable
sensor cable. Check all electrode connections.
BISBIS 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.
BISBIS engine software is not supported. A software upgrade may
be required. Contact your service personnel.
MP20/30 - BIS engine not supported.
BISMalfunction in the BIS engine hardware. Disconnect and
reconnect the BIS engine. If the INOP persists, replace BIS
engine.
BISThere is a malfunction in the BIS hardware. Unplug and replug
the BIS module. If the INOP persists, contact your service
personnel.
BISImpedance 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.
BISThe 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.
60
Technical Alarm Messages (INOPs)4 Patient Alarms and INOPs
INOP Message, IndicationSourceWhat to do
BIS ISOELECTRC EEGBISNo 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 OVERCURRENT
INOP tone
BIS SENSOR DISCONN
INOP tone
BIS SENSOR INCOMPAT
INOP tone
BIS SENSOR MALFUNC
INOP tone
BIS SENSOR USAGE
INOP tone
BIS SQI < 15% (INOP tone)
OR
BIS SQI < 50% (no INOP tone)
BIS UNPLUGGED
INOP tone
BISx DISCONNECTED
INOP tone
BISOne 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.
BISUnplug 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.
BISThe 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.
BISUnsupported sensor connected or sensor type unknown or not
supported by your software revision. Replace the sensor, using
only Philips supported sensors.
BISMalfunction 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.
BISExcessive sensor usage. Replace sensor.
A Cyclic Impedance Check will start automatically.
BISIf 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).
BISPlug in the BIS module. Silencing this INOP switches off the
measurement.
BISThe BISx is not connected to the BIS module or the BIS
interface board. Silencing this INOP switches the measurement
off.
61
4 Patient Alarms and INOPsTechnical Alarm Messages (INOPs)
INOP Message, IndicationSourceWhat to do
BISx INCOMPATIBLE
INOP tone
BISx MALFUNCTION
INOP tone
CANNOT ANALYZE ECGECG/
CANNOT ANALYZE STSTThe ST algorithm cannot generate a valid ST value. Possible
CCI NO BSA
CCI numeric unavailable
INOP tone
CCO BAD PRESS SIGN
numeric is replaced by -?INOP tone
CCO NO <Pressure label>
numeric is replaced by -?INOP tone may sound
CCO NO CALIBRATION
numeric is replaced by -?-
CCO NO PRESS
at Information Center
CCO NOT SUPPORTED
numeric is replaced by -?INOP tone
CCO/CCI OVERRANGE
numeric is replaced by -?INOP tone
CCO <Pressure label>
INVALID
numeric is replaced by -?INOP tone may sound
BISThe 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.
BISThe 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.
The arrhythmia algorithm cannot reliably analyze the ECG
Arrhythmia
C.O.CCI cannot be calculated because the patient's body surface
C.O.The arterial pressure wave can currently not be used for pulse
C.O.CCO/CCI cannot be calculated. Make sure that the pressure
C.O.The CCO measurement is currently not calibrated.
C.O.CCO/CCI cannot be calculated. Make sure that the pressure
C.O.A catheter for transpulmonary C.O. measurements has been
C.O.The measured CCO or CCI value is not within the specified
C.O.The arterial pressure selected for pulse contour calculation for
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.
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.
area is unknown. Enter the patient weight and height to
provide the BSA for CCI calculation.
contour calculation for CCO or CCI measurement. Possible
causes are air bubbles in the tubing or a physiological
condition, for example severe arrhythmia.
chosen in the
matches the pressure measured with the arterial catheter for
CCO measurement. A VueLink pressure cannot be used. Select
a n o t h e r p r e s s u re l a b e l , e i t h e r A B P, A o , AR T, BA P, F A P, o r U A P.
chosen in the
matches the pressure measured with the arterial catheter for
CCO measurement. A VueLink pressure cannot be used. Select
a n o t h e r p r e s s u re l a b e l , e i t h e r A B P, A o , AR T, BA P, F A P, o r U A P.
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.
range for CCO/CCI measurement.
CCO is available but currently invalid. Make sure the pressure
transducer is connected and the zero calibration is valid.
Setup CCO menu under CCO From
Setup CCO menu under CCO From
62
Technical Alarm Messages (INOPs)4 Patient Alarms and INOPs
INOP Message, IndicationSourceWhat to do
CCO PRESS INVALID
at Information Center
CCO PRESS OVERRANG
numeric is replaced by -?INOP tone
CCO PULSE OVERRANG
numeric is replaced by -?INOP tone
CCO/Tbl NO TRANSD
Numeric is replaced by -?INOP tone
CCO RECALIBRATE
numeric is replaced by -?-
Charge BATT1/BATT2 now
INOP tone
CHARGER MALFUNCT
INOP tone, battery LED may flash
Check Alarm Lamps
INOP tone.
CHECK BATT TEMP
INOP tone
Check Flex Texts
INOP tone
CheckInternVoltage
at Information Center
Check Keyboard
INOP tone
Check Main Board 2
INOP tone.
Check MCCMonitorThe monitor cannot communicate with the D80 Intelligent
Check Monitor Func
INOP tone.
Check Monitor Temp
INOP tone
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.
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.
C.O.The pulse rate of the pressure used for pulse contour
calculation for CCO is below 30 bpm or above 240 bpm.
C.O.No transducer attached to the module or catheter
disconnected.
C.O.The most recent CCO or CCI calibration was made over 8
hours ago. 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.
BatteriesBattery must be charged. Connect the monitor to mains power
or exchange the battery.
BatteriesThere is a problem with the battery charger in the monitor.
Connect the monitor to mains power and contact your service
personnel.
MonitorPerform 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.
BatteryThe temperature of one or both batteries is too high. Check
that ventilation openings are not blocked and monitor is not
exposed to heat.
MonitorCheck 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.
MonitorPotential problem with alarm lamps, display or interfaces
detected. Contact your service personnel. This INOP will
appear on the monitor as Check Monitor Func.
MonitorPerform a visual and functional check of the keyboard. Contact
your service personnel.
MonitorThere is a problem with the second main board in the monitor.
Contact your service personnel.
Display. Check the MSL coupling cable. The end with the grey
connector must be connected to the Intelligent Display.
MonitorPotential problem with alarm lamps, display or interfaces
detected. Contact your service personnel. This INOP may
appear on the Information Center as
CheckInternVoltage.
MonitorThe temperature inside the monitor is too high. Check that the
monitor ventilation is not obstructed. If the situation
continues, contact your service personnel.
63
4 Patient Alarms and INOPsTechnical Alarm Messages (INOPs)
INOP Message, IndicationSourceWhat to do
Check Mouse Device
INOP tone.
Check MSL Voltage
INOP tone
Check Network Conf
INOP tone
Check Nurse Relay
INOP tone
Check Screen Res
INOP tone
MonitorPerform a visual and functional check of the mouse input
device. Contact your service personnel.
Monitor/
Measuremt
There is a problem with the voltage of the Measurement Server
Link (MSL). Contact your service personnel.
Server
MonitorThe monitor is receiving network topology information from
more than one source, e.g.the Database Server and an
Application Server. Contact your service personnel.
MonitorThere is a problem with the connection to the nurse relay.
Contact your service personnel.
MonitorThe 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
MonitorIf 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.
MonitorPerform a visual and functional check of the SpeedPoint input
device. Contact your service personnel.
Check Touch InputMonitorPerform a visual and functional check of the touch input
device. Contact your service personnel.
Check Waves
INOP tone
MonitorThe 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 IndepDsp CableMonitorThe 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.
C LEAD OFF
HR Numeric is replaced by -?- for 10
seconds. INOP tone.
ECGThe 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.
CO2 CAL MODE
numeric displays current CO2
CO
2
value for accuracy check
CO2 CAL RUNNING
CO
CO
CO
2
The automatic zero calibration is in progress. This typically
takes 10 seconds. During this time the CO
values may not be
2
updated, or they may be replaced by -?-. Wait until the zero
calibration is complete to resume monitoring.
2
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.
2
Wait until calibration is finished.
Numeric is replaced by a - ? CO2 CHANGE SCALECO
2
The CO2 wave is clipped. Select a more appropriate wave scale
to display the whole wave.
CO2 CHECK ADAPTER
Numeric is replaced by a - ? INOP tone.
CO
2
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.
64
Technical Alarm Messages (INOPs)4 Patient Alarms and INOPs
INOP Message, IndicationSourceWhat to do
CO2 CHECK CAL
Numeric is replaced by a - ? INOP tone.
C.O. EQUIP MALF
Numeric is replaced by a - ? INOP tone.
CO2 EQUIP MALF
Numeric is replaced by - ? INOP tone.
CO2 FAILED CAL
Numeric is replaced by -?INOP tone.
CO2 NO SENSOR
Numeric is replaced by - ? INOP tone.
CO2 NO TRANSDUC
Numeric is replaced by - ? INOP tone.
CO2 NO TUBING
Numeric is replaced by - ? INOP tone.
CO2 OCCLUSION
Numeric is replaced by a - ? INOP tone.
CO2 OVERRANGE
Numeric is replaced by - ? INOP tone.
CO2 PUMP OFF
Numeric is replaced by a - ? -.
CO2 PURGING
Numeric is replaced by a - ? INOP tone.
CO2 SENSOR WARMUP
Numeric is displayed with a - ? Microstream CO
Mainstream CO
: INOP tone.
2
: no INOP tone
2
C.O. UNPLUGGED
numeric is replaced by -?INOP tone.
CO2 UPDATE FW
Numeric is replaced by a - ? INOP tone.
CO2 WAIT CAL2
Numeric is replaced by a - ? -
CO
2
The CO2 value is outside the measurement range. Perform an
accuracy check for both calstick cells and, if necessary,
recalibrate the transducer.
C.O. There is a problem with the C.O. hardware. Contact your
service personnel.
CO
2
The Measurement Server Extension is faulty. Unplug and
replug the Measurement Server 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.
CO
2
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.
CO
CO
2
2
There is no CO2 sensor connected. If you silence this INOP
measurement will be switched off.
the CO
2
There is no CO2 transducer connected. If you replace the
transducer, the new transducer must be calibrated. If you
measurement will be switched off.
2
CO
silence this INOP the CO
2
Either the FilterLine is disconnected, or an incorrect line is
attached. Check the connection. If necessary, connect another
Microstream Filterline (only Microstream accessories can be
used).
If you silence this INOP, the measurement will be switched off.
CO
2
The FilterLine or exhaust tube is blocked. Check the FilterLine
and exhaust tube, then disconnect and reconnect the
FilterLine. If the INOP persists, connect a new FilterLine.
CO
2
The CO2 value is higher than the measurement range. If you
suspect a false high value, contact your service personnel.
CO
CO
2
2
The pump has been switched off for fifteen minutes. To switch
it on again, select Pump On in the Setup CO
menu.
2
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.
CO
2
Wait until the sensor reaches operating temperature and the
INOP disappears.
C.O.Plug in the C.O. module. Silencing this INOP switches off the
measurement.
CO
2
The software in the Measurement Server Extension does not
match the software in the MMS. Contact your service
personnel.
CO
2
Calibration on the first calstick cell is complete. Place the
transducer on the other calstick cell and start the CAL2
calibration cycle.
65
4 Patient Alarms and INOPsTechnical Alarm Messages (INOPs)
INOP Message, IndicationSourceWhat to do
CO2 ZERO FAILED
Numeric is replaced by a - ? INOP tone.
CO
2
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 REQUIRED
Numeric is replaced by a - ? -
CO
2
Perform zero calibration for the CO2 sensor. If the INOP
persists, contact your service personnel.
INOP tone
CO2 ZERO RUNNINGCO
CPP CHK SOURCES
CPPNot all measurements or values required to perform the
Numeric is replaced by a - ? -
CPP CHK UNITS
CPPThe monitor has detected a conflict in the units used for this
Numeric is replaced by a - ? -
CUFF NOT DEFLATED
NBPRemove the cuff from the patient. Make sure that the tubing is
Numeric is displayed with a - ? INOP tone.
During this INOP, alarms cannot be
paused or switched off.
2
Wait until zero calibration is finished.
calculation are available. Check the measurement sources.
calculation. Check the unit settings.
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.]
ECGNot 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>ECGThe 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 NOISY SIGN.
INOP tone.
ECGThe 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
EEG EQUIP MALFUNC
ECGCheck that the ECG out cable is securely connected. Contact
your service personnel.
EEGThe EEG hardware is faulty. Contact your service personnel.
INOP tone
EEG IMPEDANCE HIGH or
EEG1 and/or EEG2 IMPED.
HIGH
EEGThe 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>
EEGReconnect specified electrode.
[X = channel, n = electrode]
66
Technical Alarm Messages (INOPs)4 Patient Alarms and INOPs
IC1/IC2INOPSPRESSSee <Pressure label> INOPS (under Pressure).
ICP INOPsPRESSSee <Pressure label> INOPS (under Pressure).
Indep.Dsp Malfunc.DisplayA problem has occurred with the second main display. Contact
Indep.Dsp NotSupp.DisplayThe monitor does not support a second main display. The
Intell.Dsp Malf.
INOP tone
Intell.Dsp MissingDisplayThe monitor has lost contact with the connected Intelligent
Intell.Dsp Unsupp.DisplayThe monitor does not support the connected Intelligent
Internal.Comm.Malf
INOP tone
LA LEAD OFF
Numeric is replaced by -?- for 10
seconds; INOP tone.
LAP INOPsPRESSSee <Pressure label> INOPS (under Pressure).
EEGOne 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.
EEGTwo or more electrodes are not connected. Check in the EEG
Impedance/Montage window which electrodes are
affected and reconnect the electrodes.
EEGExcessive 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.
EEGToo 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.
EEGThe trunk cable is disconnected from the EEG plug-in module.
Reconnect the trunk cable.Silencing this INOP switches the
measurement off.
EEG Plug in module. Silencing this INOP switches off the
measurement.
EEGInput 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.
FMSMake sure that the Flexible Module Server is connected to the
monitor. All FMS measurements are off while the FMS is
unplugged.
FMSThe Flexible Module Server is not supported by your monitor.
Contact your service personnel.
your service personnel.
monitor software is incompatible. Contact your service
personnel.
DisplayThere is a problem with the Intelligent Display. Check the
MSL coupling cable then contact your service personnel.
Display. Contact your service personnel.
Display. The monitor software is incompatible.
MonitorThere is a problem with I2C Bus communication in the
monitor. Contact your service personnel.
ECGThe LA electrode has become detached from the patient or the
lead set has been changed. Reattach the electrode or select
Lead Setup
new lead set.
in the Setup ECG menu to confirm the
New
67
4 Patient Alarms and INOPsTechnical Alarm Messages (INOPs)
INOP Message, IndicationSourceWhat to do
LEADS OFF
Numeric is replaced by -?- for 10
seconds; INOP tone.
LL LEAD OFF
Numeric is replaced by -?- for 10
seconds; INOP tone.
MCC ReversedMonitorThe MSL coupling cable is reversed. Connect the end with the
MCC UnsupportedMonitorAn MSL coupling cable has been connected to a device which
Measserv UnsupportdMonitorThe measurement server is not supported by the monitor.
MMS UNPLUGGED
INOP tone.
MMS UNSUPPORTED
INOP tone.
MSL Power HighMonitorThe power consumption of the devices connected to the
MSL Power Off
INOP tone.
MSL Power Overload
INOP tone.
NBP CUFF OVERPRESS
Numeric displayed with -?- ; INOP
tone.
During this INOP, alarms cannot be
paused or switched off.
NBP EQUIP MALF
Numeric is replaced by -?INOP tone.
ECGCheck that all of the required ECG leads are attached, and that
none of the electrodes have been displaced.
ECGThe LL electrode has become detached from the patient or the
lead set has been changed. Reattach the electrode or select
Lead Setup
new lead set.
grey connector to the Intelligent Display.
does not support MSL coupling.
Contact your service personnel.
MMSMake sure that the Multi-Measurement Server is connected to
the monitor. All MMS measurements are off while the MMS is
unplugged.
MMSThe Multi-measurement Server is not supported by your
monitor. Contact your service personnel.
Measurement Server Link (MSL) cable is too high. If this
situation continues, the MSL will be switched off. Contact
your service personnel.
MonitorThe power consumption of the devices connected to the
Measurement Server Link (MSL) cable was too high for too
long and the MSL has been switched off. Contact your service
personnel.
MonitorThe power consumption of the devices connected to the
Measurement Server Link (MSL) cable is much too high or
there has been a short circuit. The MSL has been switched off.
Contact your service personnel.
NBPThe 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.
NBPRemove 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.
in the Setup ECG menu to confirm the
New
68
Technical Alarm Messages (INOPs)4 Patient Alarms and INOPs
INOP Message, IndicationSourceWhat to do
NBP INTERRUPTED
Numeric is replaced by -?INOP tone.
NBP MEASURE FAILED
Numeric may be displayed with a -?INOP tone.
No Central Monit.
INOP tone
NO PPV FROM MeasSrv
at Information Center
NO PPV FROM <Server>MMS or
P/P1/P2/P3/P4 INOPSPRESSSee <Pressure label> INOPS (under Pressure).
PAP INOPSPRESSSee <Pressure label> INOPS (under Pressure).
PPV BAD <Pressure Label>
SIGNAL
PPV BAD SIGNAL
at Information Center
PPV CHK SOURCESPRESSThe arterial pressure source selected for PPV is unplugged or
<Pressure label> ARTIFACT
Numeric displayed with -?-
<Pressure label>
DEACTIVATED
INOP tone
NBPCheck 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.
NBPCheck that you are using the correct cuff size and placement,
and that the correct patient category is selected. Try restarting
the measurement.
If numerics are displayed, the monitor is able to measure mean
only and the alarm source is set to S, D or S&D.
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.
MonitorThere 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.
MMS or
FMS
FMS
PRESSThe arterial pressure source selected for PPV is not providing a
PRESSThe arterial pressure source selected for PPV is not providing a
PRESSA non-physiological event is detected (for example, a flush or
PRESSA Pressure measurement label in the measurement server or
The measurement server does not supply a beat-to-beat arterial
pressure value. Contact your service personnel.
The measurement server does not supply a beat-to-beat arterial
pressure value. Contact your service personnel.
pulsatile signal.
pulsatile signal.
switched off. When this INOP has displayed for 1 minute PPV
will be switched off.
blood sample). A resulting high limit alarm will be suppressed.
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.
69
4 Patient Alarms and INOPsTechnical Alarm Messages (INOPs)
PRESSMake sure that the pressure transducer is connected to the
measurement server or module server.
If you silence this INOP, the measurement will be switched off.
PRESSThis 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.
PRESSThis 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.
PRESSMake 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.
PRESSIncrease the scale for the pressure wave.
PRESSContact your service personnel.
The transducer is faulty.
PRESSA 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.
PRESSPerform a zero and check the calibration of the transducer.
ECGThe RA electrode has become detached from the patient or the
lead set has been changed. Reattach the electrode or select
Lead Setup
new lead set.
MonitorThere is a problem with the connection to the remote alert
device. Contact your service personnel to check the remote
alert device and its connections.
RESPContact your service personnel. The RESP hardware is faulty.
in the Setup ECG menu to confirm the
New
70
Technical Alarm Messages (INOPs)4 Patient Alarms and INOPs
INOP Message, IndicationSourceWhat to do
RESP ERRATIC
Numeric is replaced by -?-
RESP LEADS OFF
Numeric is replaced by -?INOP tone.
RL LEAD OFF
Numeric is replaced by -?- for 10
seconds; INOP tone.
Settings Malfunc.
INOP tone.
SOME ECG ALARMS OFFArrhythmia This message appears (if configured to do so) when the on/off
Speaker Malfunct.
INOP tone
SPIRO MALFUNCTIONSpirometry Module failure detected. Contact your service personnel.
SPIRO INCOMPATIBLESpirometry Module revision not compatible with the host monitor
SPIRO UPGRADESpirometry The module is running a firmware upgrade. Wait until upgrade
SPIRO CANNOT MEASSpirometry Measurement is at its limit, e.g. ambient pressure out of range.
SPIRO PURGE FAILEDSpirometry The purge operation could not be completed successfully.
SPIRO UNKN. SENSORSpirometry An unknown sensor ID code was detected. Use only the sensors
SPIRO ALARMS SUPPRSpirometry Alarming is suppressed for the spirometry module.
SPIRO PURGINGSpirometry A purge operation is in progress - no data update on the screen.
SPIRO NO SENSORSpirometry No sensor detected. Make sure the correct sensor is attached to
SPIRO NO BREATHSpirometry No breath was detected for more than 25 seconds. Breath
SPIRO GAS COMPENS?Spirometry Gas compensation is set to “gas analyzer” but not all gases
SPIRO PATIENT CAT.Spirometry Mismatch of patient size configured in the host monitor and
∆SpO
CHK SOURCES
2
Numeric is replaced by -?-
∆SpO
CHK UNITS
2
Numeric is replaced by -?-
RESPThe 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.
RESPNot all the required leads for Resp monitoring are attached.
Make sure that the RA and LL leads are attached.
ECGThe RL electrode has become detached from the patient or the
lead set has been changed. Reattach the electrode or select
Lead Setup
new lead set.
MonitorThe monitor cannot use the predefined settings for
monitoring. Contact your service personnel.
settings of the yellow arrhythmia alarms differ from the current
Profile.
MonitorContact your service personnel to check the speaker and the
connection to the speaker.
software revision. Contact your service personnel.
is completed before resuming monitoring.
Check for kinked sensor tubings, hard occlusions and make
sure that the pump is running and all valves are switching.
listed in the Accessories chapter.
Wait until purge is complete.
the breathing circuit.
derived numerics are not available.
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.
sensor type plugged into the module. Check the instructions
on selecting the correct sensor in the Spirometry chapter.
SpO
2
Difference
SpO
2
Difference
Not all measurements or values required to perform the
calculation are available. Check measurement sources.
The monitor has detected a conflict in the units used for this
calculation. Check the unit settings.
in the Setup ECG menu to confirm the
New
71
4 Patient Alarms and INOPsTechnical Alarm Messages (INOPs)
INOP Message, IndicationSourceWhat to do
<SpO2 label> DEACTIVATED
INOP tone
<SpO2 label> EQUIP MALF
Numeric is replaced by -?INOP tone.
<SpO2 label> ERRATIC
Numeric is replaced by -?INOP tone.
<SpO2 label> EXTD. UPDATE
Label is displayed with a -?(questionable numeric)
<SpO2 label> INTERFERNCE
Numeric is replaced by -?INOP tone.
<SpO2 label> LOW PERF
Label is displayed with a -?(questionable numeric)
<SpO2 label> NOISY SIGN.
Numeric is replaced by -?INOP tone.
<SpO2 label> NON-PULSAT.
Numeric is replaced by -?INOP tone.
<SpO2 label> NO SENSOR
Numeric is replaced by -?INOP tone.
<SpO2 LABEL> POOR SIGNAL
Label is displayed with a - ? (questionable numeric)
<SpO2 LABEL> PULSE?
Numeric is replaced by -?INOP tone
<SpO2 LABEL> SEARCHING
Numeric unavailable
<SpO2 label> SENSOR MALF
Numeric is replaced by -?INOP tone.
<SpO2 LABEL> SENSOR OFF
Numeric is replaced by -?INOP tone
<SpO2 LABEL> UNKN.SENSOR
Numeric is replaced by a - ? -
SpO
SpO
SpO
SpO
SpO
SpO
SpO
SpO
SpO
SpO
SpO
SpO
SpO
SpO
SpO
2
You have connected a measurement server that uses a label the
monitor has already assigned to a different source. To activate
the new source, choose a new label in the Measurement
Selection window.
2
The MMS is faulty. Unplug and replug the MMS. If the INOP
persists, contact your service personnel.
2
Check the sensor placement. Try another adapter cable and
sensor. If the INOP persists, contact your service personnel.
2
The update period of displayed values is extended due to an
NBP measurement on the same limb or an excessively noisy
signal.
2
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.
2
Accuracy may be compromised due to very low perfusion.
Stimulate circulation at sensor site. If INOP persists, change
the measurement site.
2
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.
2
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.
2
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.
2
The signal condition of the SpO2 measurement is poor and
measurement accuracy may be compromised.
2
The detectable pulsations of the SpO2 signal are outside the
specified pulse rate range.
2
SpO2 is analyzing the patient signal to derive Pulse, SpO2 and
Perf values. Please wait until the search analysis is complete.
2
The SpO2 sensor or adapter cable is faulty. Try another adapter
cable and sensor. If the INOP persists, contact your service
personnel.
2
The SpO2 sensor is not properly applied to the patient. Apply
the sensor following the instructions supplied by the
manufacturer.
2
The connected sensor or adapter cable is not supported by the
SpO
measurement. Use only specified sensors and cables.
2
72
Technical Alarm Messages (INOPs)4 Patient Alarms and INOPs
INOP Message, IndicationSourceWhat to do
<SpO2 LABEL> UPGRADE
SpO
Label is displayed with a -?-, numeric is
unavailable
Sp - vO2 CHK SOURCES
Sp - vO2Not all measurements or values required to perform the
Numeric is replaced by -?-
Sp - vO2 CHK UNITS
Sp - vO2The monitor has detected a conflict in the units used for this
Numeric is replaced by -?-
SvO2 CAL FAILED
Sv
O2 numeric is displayed with ?
SvO2 CAL MODE
Sv
O2 numeric is replaced by -?-
SvO2 CAL REQUIRED
O2 numeric is replaced by -?-.
Sv
Sv
Sv
Sv
INOP tone may sound
SvO2 CONFIGURATION
O2 numeric is replaced by -?-.
Sv
Sv
INOP tone
SvO2 CONNCT OPTMOD
Sv
O2 numeric is replaced by -?-.
Sv
INOP tone
SvO2 EQUIP MALF
O2 numeric is replaced by -?-.
Sv
Sv
INOP tone
SvO2 IN-VIVO CALIB
O2 numeric is replaced by -?-.
Sv
SvO2 LIGHT INTENS
O2 numeric is replaced by -?- or
Sv
Sv
Sv
numeric is displayed with ?
INOP tone with -?- display
SvO2 LOW LIGHT
O2 numeric is replaced by -?- or
Sv
Sv
numeric is displayed with ?
INOP tone may sound
SvO2 NO OPTMOD
O2 numeric is replaced by -?-.
Sv
Sv
INOP tone
SvO2 OPTMOD DEFECTSvO
SvO2 OPTMOD WARMUP
Sv
O2 numeric is displayed with ?
SvO2 PRE-INS CALIB
O2 numeric is replaced by -?-
Sv
Sv
Sv
INOP tone
2
The SpO2 measurement is currently in UPGRADE mode.
Monitoring is not possible in this mode.
calculation are available. Check measurement sources.
calculation. Check the unit settings.
O
2
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.
O
2
Pre-insertion calibration is complete, but the catheter tip is still
inside the optical reference. The catheter is now ready for
insertion.
O
2
There is no valid calibration data in the Optical Module.
Perform either a pre-insertion or an in-vivo calibration.
O
2
The Optical Module has been configured to SaO2 Mode. Use
Change to SvO2 in the Setup SvO2 menu to
reconfigure to SvO
O
2
The Optical Module was disconnected during data storage.
Mode.
2
Reconnect the Optical Module for at least 20 seconds.
O
2
The SvO2 Module or Optical Module is faulty. Unplug and
replug the Optical Module and SvO
module. Exchange the
2
modules. If the INOP persists, contact your service personnel.
O
2
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.
O
2
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.
O
2
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.
O
2
Connect the Optical Module. If the INOP persists, try another
Optical Module. Silencing this INOP switches the
measurement off.
2
The Optical Module memory is faulty, and calibration data
cannot be stored for transport or during power failure. If this
feature is needed, use another Optical Module.
O
2
The Optical Module has not yet reached the operating
temperature. Wait a few minutes until warm-up is finished.
O
2
The pre-insertion calibration is running. This typically takes
one minute. During this time Sv
O2 alarms are switched off.
Wait until the calibration is complete.
73
4 Patient Alarms and INOPsTechnical Alarm Messages (INOPs)
Numeric displays first -?- , then
numeric is displayed with a ?
tcpO2 (or tcpCO2 or tcGas)
CHECK TIME
tcpO2 (or tcpCO2 or tcGas)
CHANGE SITE
If Heat Switch Off is configured to Yes,
numeric is replaced by -?INOP tone.
O
Sv
2
Sv
O
2
SVR/SVRINot all measurements or values required to perform the
SVR/SVRIThe monitor has detected a conflict in the units used for this
SVR/SVRIA CVP value is required for this calculation, but is not
C.O.No transducer attached to the module or catheter
C.O.Tblood out of range 17°C - 43°C.
tcGasA calibration failed. Check the cal. unit, gas pressure, and
tcGasCalibration is required before applying the transducer to the
tcGasWait until the tcpO2/tcpCO2 calibration is finished.
tcGasSite Timer due to time out in 15 minutes or less.
tcGasSite Timer has timed out. Change the application site to avoid
The signal is out of the normal range, and no SvO2 value can
be derived. Perform an in-vivo calibration. If the INOP
persists, try another Optical Module and catheter.
Measurement switched on and SvO2 module unplugged from
the rack.
The measurement automatically disappears from the display.
Silencing this INOP switches off the measurement.
calculation are available. Check measurement sources.
calculation. Check the unit settings.
currently being measured. The monitor is using the CVP value
preset in the Setup SVR menu.
disconnected.
tubing connections, then restart the cal. If the cal. has failed
more than once, remembrane the transducer and restart the
calibration. If this INOP persists, contact your service
personnel.
patient.
Insert a membraned transducer into the cal. chamber on the
module, connect the cal. unit to the cal. 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.
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.
74
Technical Alarm Messages (INOPs)4 Patient Alarms and INOPs
tcGasThere is a malfunction in the transducer or module. Connect
another transducer. If this INOP persists, contact your service
personnel.
tcGasNo transducer is connected to the tcpO2/tcpCO2 module.
Silencing the alarm switches off the measurement.
tcGasThe transducer has not yet reached the selected temperature
and/or skin hyperemization is not yet finished. This INOP will
disappear within three minutes.
tcGasThe measurement is switched on but the module is unplugged.
The measurement automatically disappears from the display.
Silencing this INOP switches off the measurement.
TEMP
Difference
TEMP
Difference
TEMPA Temp measurement label in the measurement server or
TEMPContact your service personnel.
TEMPMake sure the TEMP probe is connected to the MMS or
TEMPA Temp measurement label has been deactivated, either by
TEMPTry changing the application site of the transducer.
MonitorThe time has expired for the timer indicated in the INOP text.
Not all measurements or values required to perform the
calculation are available. Check measurement sources.
The monitor has detected a conflict in the units used for this
calculation. Check the unit settings.
extension 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.
The temperature hardware is faulty.
module.
If you silence this INOP, the measurement will be switched off.
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.
[The temperature is less than -1
Clearing the timer clears the INOP.
°C, or greater than 45°C.]
75
4 Patient Alarms and INOPsTechnical Alarm Messages (INOPs)
UVP INOPSPRESSSee <Pressure label> INOPS (under Pressure).
V LEAD OFF
Numeric is replaced by -?- for 10
seconds; INOP tone.
<VueLink option> CHK
CABLE
INOP tone.
<VueLink option> CHK
CONF.
INOP tone.
<VueLink option> CHECK
SETUP
INOP tone.
VueLnk EQUIP MALF
INOP tone.
VueLnk NO CONFIG
INOP tone.
VueLnk UNPLUGGED
INOP tone.
MonitorThere 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.
MonitorPerform a visual and functional check of all the monitor input
devices. Contact your service personnel.
ECGThe V electrode (IEC: C electrode) has become detached from
the patient or the lead set has been changed. Reattach the
electrode or select
menu to confirm the new lead set.
VueLinkNo 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.
VueLinkThe 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 modu l e .
VueLink INOP abbreviations may differ slightly depending on
the device category.
VueLinkNo 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.
VueLinkMalfunction 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.
VueLinkThe 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.
VueLinkThe 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.
New Lead Setup in the Setup ECG
76
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.
5
5Managing Patients
To admit a patient,
1Select the patient name field or select the
Admit/Dischrge SmartKey to open the
Patient Demographics window.
2Clear any previous patient data by selecting
Dischrge Patient or End Case
the
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.
3Select Admi t Patient.
4Enter the patient information: select each
field and use the on-screen keyboard or
choose from the pop-up list of alternatives to
input information. If a conventional
keyboard or a barcode scanner is connected to the monitor you can use this to enter patient
information.
–
Last name: Enter the patient’s last name (family name), for example Smith.
Patient Demographics
Last Name
First Name
MRN
Patient Cat.
Paced
Height
Weight
BSA (D)
Date of Birth
Age
Gender
Notes (1):
Notes (2):
Adult
No
77
5 Managing PatientsQuick Admitting a Patient
– First name: Enter the patient’s first name, for example Joseph.
– MRN: Enter the patient’s medical record number (MRN), for example 12345678.
– 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.
–
5Select 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.
WARNINGPatient 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
could mistake a pace pulse for a QRS and fail to alarm during asystole.
Paced to Yes. If it is incorrectly set to No, the monitor
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.
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. If you do not, the patient name will not be written on
reports and on information stored in the database or sent to an Information Center.
78
1Select the Quick Admit SmartKey.
2Enter the required data (MRN or Last Name depending on configuration) with the keyboard or a
barcode scanner.
Editing Patient Information5 Managing Patients
Select Enter.
3
4In the confirmation window, select Confirm to discharge the previous patient (if confirmation is
configured).
5Check that patient category and paced status are correct for the new patient.
If the monitor is connected to an Information Center and only the MRN is entered, the patient name
is set to - - - . The patient name field on the monitor shows
space on printed reports is blank. To fully admit this patient, select Admit
complete all required fields.
Not Admitted and the patient name
Patient again and
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
You should always perform a discharge even if your previous patient was not admitted. A discharge:
– clears the information in the Patient Demographics window
– erases all patient data (such as trend, event, and calculation data) from the monitor, measurement
servers 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 local or central printer is available before you use End Case.
To discharge a patient,
1Select the patient name field to display the Patient Demographics window and associated
pop-up keys.
2Select 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.
79
5 Managing PatientsTransferring Patients
Transferring Patients
To save you from having to enter the same patient data multiple times and enable patient transfer
without loss of data, information can be shared between measurement servers, patient monitors, and
Information Centers.
– patient demographic information is shared between connected measurement servers, patient
monitors, and Information Centers
– measurement settings and calibration data can be uploaded from an MMS to a patient monitor, if
configured
– trend information can be uploaded from an MMS to a patient monitor, if configured.
Different sets of patient- and measurement-related data are stored in the monitor and the MultiMeasurement Server. Understanding this will help you to understand what happens to patient data
when you transfer patients.
Patient InformationStored in MonitorStored in MMS and extensions
Patient demographics (name,
DOB, MRN)
Monitor settings (alarm pause
time, alarm volume)
Measurement settings for all
measurements (alarm limits,
measurement on/off, etc.)
Trend data
Calculation data (HemoCalc
data)
Events data
WARNINGIf the monitor is not battery-powered, you cannot monitor during transport.
yesyes
yesno
yesyes, for all MMS and extensions
measurements
yes, for all MMS and extensions
measurements (up to a maximum
of 16 or 32, depending on your
database configuration)
yesno
yesno
most recent 8 hours of
information, for all MMS and
extensions measurements
Transferring a Centrally-Monitored Patient
80
Scenario: A centrally-monitored patient is moved to another monitoring location on the same
Information Center database server without interrupting the collection of patient trend information.
1Before you disconnect the MMS from the monitor, select the patient name in the monitor info line
to enter 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.
2Remove the MMS and any connected extensions from the monitor.
3Connect the MMS to the transfer monitor and monitor your patient during the move.
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