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

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

INSTRUCTIONS FOR USE

IntelliVue Patient Monitor

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

Release D.0 with Software Revision D.00.xx
Patient Monitoring
Part Number M8000-9001G Printed in Germany 02/06 4512 610 13551
*M8000-9001G*
M8000-9001G
1Table Of Contents
1 Basic Operation 1
Introducing the IntelliVue Family 1
IntelliVue MP20/MP30 2 MP20/MP30 Major Parts and Keys 3 IntelliVue MP40/MP50 4 MP40/MP50 Major Parts and Keys 4 IntelliVue MP60/MP70 5 MP60/MP70 Major Parts and Keys 6 IntelliVue MP80/MP90 6 MP80/MP90 Major Parts and Keys 7 D80 Intelligent Display 7 Remote Alarm Device 7 Docking Station 8
Related Products 8
Flexible Module Server (M8048A) 8 Measurement Modules 9 Multi-Measurement Server (M3001A) 10 Measurement Server Extensions 11
M3014A, M3015A and M3016A Capnography Extensions 12 M3012A Hemodynamic Measurement Server Extension 13
Operating and Navigating 14
Selecting Screen Elements 15 Using the Setup Menu 15 Using the Touchscreen 15 Disabling Touchscreen Operation 15 Using the SpeedPoint 16 Using the Navigation Point 17 Using a Mouse or Trackball 17 Using Keys 17
Permanent Keys 17 SmartKeys 18 Hardkeys 19 Pop-Up Keys 19
Using the On-Screen Keyboard 20 Using the On-Screen Calculator 20
Operating Modes 21
Standby Mode 21
Understanding Screens 22
Switching to a Different Screen 22 Changing a Screen’s Content 22
Using Additional Displays 23
Using the Visitor Screen 24
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Understanding Profiles 24
Swapping a Complete Profile 25 Swapping a Settings Block 26 Default Profile 26 Locked Profiles 26
Understanding Settings 26
Changing Measurement Settings 26 Switching a Measurement On and Off 27 Switching Numerics On and Off 27 Adjusting a Measurement Wave 27
Changing Wave Speeds 27
Changing the Wave Group Speed 27 Changing Wave Speed for a Channel 28
Freezing Waves 28
Freezing An Individual Wave 28 Freezing All Waves 28 Measuring Frozen Waves 28 Changing The Wave Speed 29 Updating The Frozen Wave 29 Releasing Frozen Waves 29
Using Labels 29
About Label Sets 29 Changing Measurement Labels (e.g. Pressure) 29 Resolving Label Conflicts 30
Changing Monitor Settings 31
Adjusting the Screen Brightness 31 Adjusting Touch Tone Volume 31 Setting the Date and Time 31
Checking Your Monitor Revision 32 Getting Started 32
Inspecting the Monitor 32 Switching On 32 Setting up the Measurement Servers and Modules 32 Starting Monitoring 33
Disconnecting from Power 33
Monitoring After a Power Failure 33
Networked Monitoring 33 Using Remote Applications 33
Remote Application Popup Keys 34
2 What’s New? 35
What’s New in Release D.0? 35 What’s New in Release C.0? 36
What’s New in Release B.1? 37
What’s New in Release B.0? 38 What’s New in Release A.2? 39
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3 Alarms 41
Visual Alarm Indicators 42 Audible Alarm Indicators 42
Alarm Tone Configuration 42
Traditional Audible Alarms (HP/Agilent/Philips/Carenet) 43 ISO/IEC Standard 9703-2 Audible Alarms 43
Changing the Alarm Tone Volume 43 Minimum Volume for No Central Monitoring INOP 43
Acknowledging Alarms 44
Acknowledging Disconnect INOPs 44 Alarm Reminder (ReAlarm) 44
Pausing or Switching Off Alarms 44
To Pause All Alarms 45 To Switch All Alarms Off 45 To Switch Individual Measurement Alarms On or Off 45 While Alarms are Paused or Off 45 Restarting Paused Alarms 46 Resetting Arrhythmia Alarm Timeouts 46 Extending the Alarm Pause Time 46
Alarm Limits 46
Viewing Individual Alarm Limits 46 Viewing All Alarm Limits 47 Changing Alarm Limits 48 About Automatic Alarm Limits (AutoLimits) 49 Documenting Alarm Limits 49
Reviewing Alarms 50
Alarm Messages Window 50 Review Alarms Window 50
Understanding Alarm Messages 51 Latching Alarms 51
Viewing the Alarm Latching Settings 51 Alarm Latching Behavior 52
Testing Alarms 52 Alarm Behavior at On/Off 52
4 Patient Alarms and INOPs 53
Patient Alarm Messages 53 Technical Alarm Messages (INOPs) 59
5 Managing Patients 77
Admitting a Patient 77
Patient Category and Paced Status 78 Admitting a Centrally-Monitored Patient 78
Quick Admitting a Patient 78 Editing Patient Information 79
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Discharging a Patient 79 Transferring Patients 80
Transferring a Centrally-Monitored Patient 80 Transferring a Patient with an MMS (no Central Station) 81
Data Upload from an MMS 81 Data Exchange Between Information Centers 82 Resolving Patient Information Mismatch 82
Manually Resolving Patient Mismatch 82
Patient Mismatch - If One Set of Patient Data is Correct 83 Patient Mismatch - If Neither Patient Data Set is Correct 83 Patient Mismatch - If Both Patient Data Sets Are Correct 84
Automatically Resolving Patient Mismatch 84
Care Groups 84
Understanding the Care Group Overview Bar 85 Viewing the My Care Group Window 86 Viewing the Other Bed Window 87
Other Bed Pop-Up Keys 88 Visual Alarm Status Information in the Other Bed Window 88
Care Group Alarms 88 Telemetry Data Overview 89
Unpairing a Telemetry Device 89 Telemetry Data Overview Screen Element 90 Silencing Telemetry Alarms from the Bedside 90 Suspending Telemetry Alarms 90
Using Standby 90
6 ECG, Arrhythmia, and ST Monitoring 91
Skin Preparation for Electrode Placement 91 Connecting ECG Cables 91 Selecting the Primary and Secondary ECG Leads 92 Checking Paced Status 92 Understanding the ECG Display 93 Monitoring Paced Patients 93
Setting the Paced Status (Pace Pulse Rejection) 94 Avoiding Pace Pulse Repolarization Tails 94
Changing the Size of the ECG Wave 94
To Change the Size of an Individual ECG Wave 94 To Change the Size of all the ECG Waves 95
Changing the Volume of the QRS Tone 95 Changing the ECG Filter Settings 95 Choosing EASI or Standard Lead Placement 96 About ECG Leads 96
ECG Leads Monitored 96 Changing Lead Sets 96
ECG Lead Fallback 97 ECG Lead Placements 97
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Standard 3-Lead Placement 98 Standard 5-Lead Placement 98 Chest Electrode Placement 99 10-Lead Placement 100 Conventional 12-Lead ECG 100
Modified 12-Lead ECG 101
Choosing Standard or Modified Electrode Placement 101 Labelling 12-Lead ECG Reports 101
Capture 12-Lead 102 EASI ECG Lead Placement 102 ECG, Arrhythmia, and ST Alarm Overview 104 Using ECG Alarms 105
Extreme Alarm Limits 105 ECG Alarms Off Disabled 105 HR Alarms When Arrhythmia Analysis is Switched Off 105 HR Alarms When Arrhythmia Analysis is Switched On 105
ECG Safety Information 105 About Arrhythmia Monitoring 107
Arrhythmia Options 107 Where Can I Find More Information? 107
Switching Arrhythmia Analysis On and Off 108 Choosing an ECG Lead for Arrhythmia Monitoring 108
Aberrantly-Conducted Beats 108 Atrial Fibrillation and Flutter 108 Intermittent Bundle Branch Block 109
Understanding the Arrhythmia Display 109
Viewing Arrhythmia Waves 109 Arrhythmia Beat Labels 109 Arrhythmia Status Messages 110
Rhythm Status Messages 110 Ectopic Status Messages 111
Arrhythmia Relearning 111
Initiating Arrhythmia Relearning Manually 111 Automatic Arrhythmia Relearn 112
Arrhythmia Relearn and Lead Fallback 112
Arrhythmia Alarms 112
Yellow Arrhythmia Alarms 113 Arrhythmia Alarms and Latching 113 Switching Individual Arrhythmia Alarms On and Off 113 Switching All Yellow Arrhythmia Alarms On or Off 113 Adjusting the Arrhythmia Alarm Limits 113 Arrhythmia Alarm Timeout Periods 113
What is a Timeout Period? 114 Resetting the Timeout Period 114
How are Yellow Arrhythmia Alarms Indicated? 114
Behavior of Unsilenced Arrhythmia Alarms 114
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Behavior of Silenced Arrhythmia Alarms 114 Arrhythmia Alarm Chaining 115
Understanding PVC-Related Alarms 116
About ST Monitoring 117 Switching ST On and Off 117
Selecting ST Leads for Analysis 117
Understanding the ST Display 118 Updating ST Baseline Snippets 119 Recording ST Segments 119 About the ST Measurement Points 120
Adjusting ST Measurement Points 120
ST Alarms 122
Single- or Multi-lead ST Alarming 122 Changing ST Alarm Limits 122
Viewing ST Maps 122
Current View 122 Tre n d Vi e w 123 Viewing an ST Map 124 Working in the ST Map Task Window 124
Switching Between ST Map Views 124 Displaying an ST Reference Baseline 125 Updating an ST Map Reference Baseline 125 Changing the Scale of the ST Map 125 Changing the Trending Interval 125 Printing an ST Map Report 125
7 Monitoring Pulse Rate 127
Entering the Setup Pulse Menu 127 System Pulse Source 127 Switching Pulse On and Off 128 Using Pulse Alarms 128
Selecting the Active Alarm Source: HR or Pulse? 128 Alarm Source Selection Disabled 129 Changing HR/Pulse Alarm Limits 129 Extreme Alarm Limits 129 QRS Tone 129
8 Monitoring Respiration Rate (Resp) 131
Lead Placement for Monitoring Resp 131
Optimizing Lead Placement for Resp 131 Cardiac Overlay 131 Lateral Chest Expansion 132 Abdominal Breathing 132
Understanding the Resp Display 132 Changing Resp Detection Modes 132
Auto Detection Mode 132
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Manual Detection Mode 133 Resp Detection Modes and Cardiac Overlay 133
Changing the Size of the Respiration Wave 133 Changing the Speed of the Respiration Wave 134 Using Resp Alarms 134 Changing the Apnea Alarm Delay 134 Resp Safety Information 134
9 Monitoring SpO
2
SpO2 Sensors 137 Applying the Sensor 137 Connecting SpO2 Cables 138 Measuring SpO
2
138
Assessing a Suspicious SpO2 Reading 139 Understanding SpO2 Alarms 140
Alarm Delays 140 Adjusting the Alarm Limits 140 Adjusting the Desat Limit Alarm 140
Pleth Wave 140 Perfusion (Pleth) Indicator 141 Setting SpO2/Pleth as Pulse Source 141 Setting Up Tone Modulation 141 Setting the QRS Volume 141 Calculating SpO2 Difference 141
10 Monitoring NBP 143
Introducing the Oscillometric NBP Measurement 143
Measurement Limitations 144 Measurement Methods 144 Reference Method 144
Preparing to Measure NBP 144
Correcting the Measurement if Limb is not at Heart Level 145 Understanding the NBP Numerics 145
Starting and Stopping Measurements 146 Enabling Automatic Mode and Setting Repetition Time 146 Choosing the NBP Alarm Source 147 Assisting Venous Puncture 147 Calibrating NBP 147
137
11 Monitoring Temperature 149
Making a Temp Measurement 149
Selecting a Temperature for Monitoring 149 Extended Temperature Label Set 150
Calculating Temp Difference 150
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12 Monitoring Invasive Pressure 151
Setting up the Pressure Measurement 151
Selecting a Pressure for Monitoring 152 Extended Pressure Label Set 152
Zeroing the Pressure Transducer 152
Zeroing ICP (or IC1/IC2) 153 Determining a Pressure’s Most Recent Zero 153 Zeroing a Pressure Measurement 153 Using the Zero Hardkey 153 Zeroing All Pressures Simultaneously 153 Troubleshooting the Zero 154
Adjusting the Calibration Factor 154 Displaying a Mean Pressure Value Only 154 Changing the Pressure Wave Scale 154 Optimizing the Waveform 155 Non-Physiological Artifact Suppression 155 Choosing the Pressure Alarm Source 155 Calibrating Reusable Transducer CPJ840J6 156
Making the Pressure Calibration 156 Troubleshooting the Pressure Calibration 157
Calculating Cerebral Perfusion 157 Calculating Pulse Pressure Variation 157 Measuring Pulmonary Artery Wedge Pressure 158 Editing the Wedge 159 Identifying the Pressure Analog Output Connector 160
13 Monitoring Cardiac Output 161
Hemodynamic Parameters 162 Using the C.O. Procedure Window 163 Accessing the Setup C.O. and Setup CCO Menus 164 Entering the HemoCalc Window 164 Measuring C. O. Using the PiCCO Method 164
Measuring Continuous Cardiac Output 164 Measuring Systemic Vascular Resistance 164 Setting Up the PiCCO C.O. Measurement 165 Performing PiCCO C.O. Measurements 166 Editing PiCCO C.O. Measurements 166 Saving and Calibrating PiCCO C.O. Measurements 167 CCO Calibration Status Indicators 167
Measuring C.O. Using the Right Heart Thermodilution Method 168
Setting up RH C.O. Measurements 168
Ice-Bath Setup for RH Thermodilution C.O. Measurements 168
Setting the Computation Constant 169 Performing RH C.O. Measurements 169 Editing and Saving RH C.O. Measurements 169
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Documenting C.O. Measurements 169 C.O. Injectate Guidelines 170
Guidelines for Right Heart Thermodilution C.O. Injectate 170 Guidelines for PiCCO C.O. Injectate 170 Injectate Volume, Patient Weight and ETVI Values (PiCCO Only) 170
C.O./CCO Curve Alert Messages 171 C.O./CCO Prompt Messages 172 C.O./CCO Warning Messages 173 C.O./CCO Safety Information 173
14 Monitoring Carbon Dioxide 175
Using the Capnography Extension (M3014A) 176
Preparing to Measure Mainstream CO Preparing to Measure Sidestream CO
Using the Sidestream Sensor Holder 178 Removing Exhaust Gases from the System 179
2
2
Using the Mainstream CO2 Extension (M3016A) 179
Preparing to Measure Mainstream CO Checking Transducer Accuracy 179 Calibrating the Transducer 180 Attaching and Removing the CO2 Tra n s d uc er 180
2
Using the Microstream CO2 Extension (M3015A) 181
Preparing to Measure Microstream CO2 181 Using Microstream Accessories 181 Using the FilterLine and Airway Adapter 182 Removing Exhaust Gases from the System 182 Suppressing Zero Calibration 183
Setting up Mainstream and Sidestream CO
Adjusting the CO2 Wave Sc al e 183 Setting up CO2 Corrections 183 Suppressing Sampling (not Mainstream CO2) 184 Changing CO2 Alarms 184 Changing the Apnea Alarm Delay 184 Deriving Alarms From awRR 184 Changing awRR Alarm Limits 184
2
176 177
179
183
15 Monitoring Airway Flow, Volume and Pressure 187
Attaching the Flow Sensor 188 Zero Calibration 190 Automatic Purging 190
Adult Mode 191 Neonatal and Pediatric Modes 191
Manual Purging 191 Gas Compensation 191 Setting up Spirometry 192
Optimizing Scale Settings 192
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Spirometry Values Window 192 Alarms and Alarm Limits 192
Changing the Apnea Alarm Delay 192 Automatic Alarm Suppression 193
Choosing Measured AWV Components 193 Setting the Gas Compensation Mode 193 Changing the Type of Balance Gas 193 Changing the Concentration of Inspired O2 and the Inspired Agents 193 Changing the Temperature of the Inspired Gas 194
16 Monitoring tcGas 195
Identifying tcGas Module Components 195 Setting the tcGas Sensor Temperature 196 Using the tcGas Site Timer 196
Setting the tcGas Site Timer 196 Restarting the tcGas SiteTimer 197 Disabling the tcGas Site Timer 197
Setting the tcGas Barometric Pressure 197 Remembraning the tcGas Transducer 197
New/Dried Out Transducers 198 Storing tcGas Transducers 198
Calibrating the tcGas Transducer 199
Calibration Failure 200 Troubleshooting tcGas Calibration 200
Applying the tcGas Transducer 201
Selecting the tcGas HeatPowerDisplay Mode 202 Zeroing the tcGas Relative Heat Power 202
Finishing tcGas Monitoring 202 TcGas Corrections 202
Temperature Correction for 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 Catheter 205 Performing a Light Intensity Calibration 205 Performing In-Vivo Calibration 206
Setting Up the In-Vivo Calibration 206 Making the In-Vivo Calibration 206
Calculating Oxygen Extraction 206
18 Monitoring EEG 207
EEG Monitoring Setup 208 Using the EEG Impedance/Montage Window 208
Choosing an EEG Electrode Montage 209
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203
Changing the Impedance Limit 209 About Electrode-to-Skin Impedance 210 Impedance Indicators 210
About Compressed Spectral Arrays (CSA) 211
Changing CSA Settings 212
Changing EEG Settings 212
Switching EEG Numerics On and Off 212 Changing the Scale of the EEG Waves for Display 212 Changing Filter Frequencies 213 Changing the Speed of the EEG Wave 213
EEG Reports 213 EEG Safety Information 214 EEG and Electrical Interference 214
19 Monitoring BIS 215
BIS Monitoring Setup 216
Monitoring BIS Using the DSC and BIS Engine 216 Monitoring BIS using the BISx 217 Manufacturer’s Information 218
BIS Continuous Impedance Check 218 BIS Cyclic Impedance Check 218
Starting a Cyclic Impedance Check 218 Stopping a Cyclic Impedance Check 218
BIS Window 219
BIS Impedance Indicators 219
Changing the BIS Smoothing Rate 220 Switching BIS and Individual Numerics On and Off 220 Changing the Scale of the EEG Wave 220 Switching BIS Filters On or Off 220 BIS Safety Information 221
20 Trends 223
Viewing Trends 223
Viewing Graphic Trends 224 Viewing Vital Signs Trends 224 Tre n d s Po p- Up Ke ys 225
Setting Up Trends 225
Making Segment Settings 226
Expanded View 226 Trend Scales for Segment Measurements 226 Optimum Scale 226 Tr e n d Gr ou p 2 2 6 No. of Segments 226
Tre n d Gr ou ps 227 Tre n d In te r va l 227 Tre n d Pr io ri ty 227
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Trend Parameter Scales 227 Graphical Trend Presentation 228
Documenting Trends 228 Trends Databases 229
Aperiodic Trends Database 229 Trending Multiple-Value Measurements 229
Screen Trends 229
Setting the Screen Trend Time 230 Changing the Selection of Screen Trends Displayed 231 Activating the Cursor for Screen Trends 231 Changing the Screen Trend View 231
Tabular View 231 Horizon View 232 Setting the Horizon 232 Setting the Horizon Trend Scale 232
21 Calculations 233
Viewing Calculations 233
Calculations Windows 234 Calculations Pop-Up Keys 234
Reviewing Calculations 235 Performing Calculations 235 Entering Values for Calculations 236
Automatic Value Substitution 236 Automatic Unit Conversion 236 Manual Unit Conversion 236 BSA Formula 236
Documenting Calculations 237
22 High Resolution Trend Waves 239
Changing the Hi-Res Trend Waves Displayed 239 Hi-Res Trend Wave Scales 239 Hi-Res Trend Waves and OxyCRG 239 Printing Hi-Res Trend Wave Reports 240 Hi-Res Trend Wave Recordings 240
23 Event Surveillance 241
Levels of Event Surveillance 241 Event Groups 242 Event Episodes 242 Events Pop-Up Keys 243 Event Triggers 244
Event Retriggering 245 Event Notification 245 Setting Triggers for NER and Basic Event Surveillance 245 Setting Triggers and Notification for Advanced Event Surveillance 246
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Triggering Events Manually 246
The Events Database 247 Viewing Events 247
Event Counter 247
Counting Combi-Events 248 Counting Neonatal Event Review (NER) Events 248
Event Summary Window 249 Event Review Window 249 Event Episode Window 250
Annotating Events 251 Documenting Events 251
Documenting Event Review 251 Documenting an Event Episode 252 Event Recordings 252
Event Review Recordings 252 Event Episode Recordings 253
Event Reports 253
Event Review Reports 254 Event Episode Reports 255 Event Summary Reports 255
24 Recording 257
Starting and Stopping Recordings 258
Quickstarting Recordings 258 Extending Recordings 259 Stopping Recordings 259 Recording Without a Template 259
Overview of Recording Types 259 All ECG Waves Recordings 260 Creating and Changing Recordings Templates 260 Changing ECG Wave Gain 261 Recording Priorities 262 Sample Recording Strip 262
Recording Strip Code 262 Recorded Waveforms 263 Maintaining Recording Strips 263
Reloading Paper 264 Recorder Status Messages 265
25 Printing Patient Reports 267
Starting Reports Printouts 267 Stopping Reports Printouts 268 Setting Up Reports 268
Setting Up ECG Reports 268 Setting Up Vital Signs and Graphic Trend Reports 269 Setting Up Auto Reports 269
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Setting Up Individual Print Jobs 270 Checking Printer Settings 270 Printing a Test Report 271 Switching Printers On Or Off for Reports 271 Dashed Lines on Reports 271 Unavailable Printer: Re-routing Reports 271 Printer Status Messages 272 Sample Report Printouts 272
Alarm Limits Report 273 Realtime Report 274 Cardiac Output Report 275 ECG Reports 276 Other Reports 276
26 Using the Drug Calculator 277
Accessing the Drug Calculator 277 Performing Drug Calculations 278
About the Rule of Six 278 Performing Calculations for a Non-Specific Drug 278 Performing Calculations for a Specific Drug 279
Charting Infusion Progress 280 Using the Titration Table 280 Documenting Drug Calculations 280
27 VueLink Modules 281
Connecting an External Device 282 Changing VueLink Waves and Numerics Displayed 282 Viewing the VueLink Device Data Window 282 Using VueLink Screens 283 Switching VueLink On and Off 283 Alarms/INOPs From External Devices 283 Language Conflict with External Device Drivers 284
28 Using Timers 285
Viewing Timers 285
Notification 285 Timer Types 286
Timer Setup Pop-up Keys 286 Setting Up Timers 286
Timer Label 286 Run Time 287 Timer Counting Direction 287
Displaying Timers On The Main Screen 287
Main Screen Timer Pop-up Keys 288
Displaying A Clock On The Main Screen 288
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29 Respiratory Loops 289
Viewing Loops 289 Capturing and Deleting Loops 290 Showing/Hiding Loops 290 Changing Loops Display Size 291 Using the Loops Cursor 291 Changing Loops Type 291 Setting Up Source Device 291 Documenting Loops 292
30 Care and Cleaning 293
General Points 293 Cleaning 294 Disinfecting 294 Cleaning Monitoring Accessories 294 Sterilizing 295 Cleaning the Recorder Printhead (M1116B only) 295 Cleaning the Batteries and Battery Compartment 295
31 Using the Batteries 297
Battery Power Indicators 298
Battery LED 298 Battery Status on the Main Screen 298 Battery Status Window 300
Viewing Individual Battery Status 300 Recording Battery Status 300 Printing Battery Reports 300
Checking Battery Charge 300 Replacing Batteries 301 Optimizing Battery Performance 301
Display Brightness Setting 302 Charging Batteries 302 Conditioning Batteries 302 Unequally-Charged Batteries 302
Battery Safety Information 303
32 Maintenance and Troubleshooting 305
Inspecting the Equipment and Accessories 305 Inspecting the Cables and Cords 305 Maintenance Task and Test Schedule 306 Troubleshooting 307 Disposing of the Monitor 307 Disposing of Empty Calibration Gas Cylinders 307
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33 Accessories 309
ECG/Resp Accessories 309
Tr un k C ab le s 309 3-Electrode Cable Sets 309 5-Electrode Cable Sets 310 10-Electrode Cable Sets 310 3-Electrode One Piece Cables 310 5-Electrode One Piece Cables 310 Set Combiners and Organizers 311
NBP Accessories 311
Adult/Pediatric Multi-Patient Comfort Cuffs and Disposable Cuffs 311 Reusable Cuff Kits 311 Adult/Pediatric Antimicrobial Coated Reusable cuffs 312 Adult/Pediatric Soft Single Patient Single-Hose Disposable Cuffs 312 Neonatal/Infant Cuffs (Disposable, non-sterile) 312
Invasive Pressure Accessories 313 SpO2 Accessories 313 Temperature Accessories 318 Cardiac Output (C.O.) Accessories 319 Mainstream CO2 Accessories (for M3014A) 320 Sidestream CO2 Accessories (for M3014A) 320 Mainstream CO2 Accessories (for M3016A) 320 Microstream CO2 Accessories 321 Spirometry Accessories 321 tcGas Accessories 322 EEG Accessories 322 BIS Accessories 322
BIS Sensors 323 Other BIS Accessories 323
SvO2 Accessories 323 Recorder Accessories 324
34 Installation and Specifications 325
Intended Use 325 Indication for Use 325 Manufacturer’s Information 326
BIS Manufacturer’s Information 326 Trademark Acknowledgement 327
Symbols 328 Installation Safety Information 329
Connectors 329
MP20/MP30 330 MP40/MP50 331 MP60/MP70 332 MP80/MP90 334
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802.11 Bedside Adapter (Wireless Network Adapter) 335
Altitude Setting 336 Monitor Safety Specifications 336
Physical Specifications 337 Environmental Specifications 339
M4605A Battery Specifications 341 Monitor Performance Specifications 342 Measurement Specifications 348
ECG/Arrhythmia/ST 348 Respiration 350 SpO
2
NBP 352 Invasive Pressure and Pulse 354 Te m p 355 CO
2
Interfering Gas and Vapor Effects On CO
Spirometry 359 Cardiac Output / Continuous Cardiac Output 361 tcGas 362 SvO
2
EEG 363 BIS 364
Measurement Values 359
2
350
356
363
Safety and Performance Tests 365
Electromagnetic Compatibility (EMC) Specifications 365
Accessories Compliant with EMC Standards 365
Electromagnetic Emissions 365
Avoiding Electromagnetic Interference (Resp and BIS) 365
Electromagnetic Immunity 366 Recommended Separation Distance 366 Recommended separation distances from portable and mobile RF communication equipment367
Electrosurgery Interference/Defibrillation/Electrostatic Discharge 368 Fast Transients/Bursts 368 Restart time 368
35 Default Settings Appendix 369
Alarm Default Settings 370 ECG, Arrhythmia, and ST Default Settings 370 Pulse Default Settings 373 Respiration Default Settings 374 SpO2 Default Settings 374 NBP Default Settings 375 Temperature Default Settings 375 Invasive Pressure Default Settings 376 Cardiac Output Default Settings 377 CO2 Default Settings 378 Spirometry Default Settings 378
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tcGas Default Settings 379 SvO2 Default Settings 379 EEG Default Settings 380 BIS Default Settings 380 VueLink Default Settings 381
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1

1Basic Operation

These Instructions for Use are for clinical professionals using the IntelliVue MP20/MP30 (M8001A/ M8002A), MP40/50 (M8003A/M8004A) and MP60/70/80/90 (M8005A/M8007A/M8008A/ M8010A) patient monitors. Unless otherwise specified, the information here is valid for all the above IntelliVue patient monitors.
The basic operation section gives you an overview of the monitor and its functions. It tells you how to perform tasks that are common to all measurements (such as entering data, switching a measurement on and off, setting up and adjusting wave speeds, working with profiles). The alarms section gives an overview of alarms. The remaining sections tell you how to perform individual measurements, and how to care for and maintain the equipment.
Familiarize yourself with all instructions including warnings and cautions before starting to monitor patients. Read and keep the Instructions for Use that come with any accessories, as these contain important information about care and cleaning that is not repeated here.
This guide describes all features and options. Your monitor may not have all of them; they are not all available in all geographies. Your monitor is highly configurable. What you see on the screen, how the menus appear and so forth, depends on the way it has been tailored for your hospital and may not be exactly as shown here.
In this guide:
•A warning alerts you to a potential serious outcome, adverse event or safety hazard. Failure to
observe a warning may result in death or serious injury to the user or patient.
•A caution alerts you to where special care is necessary for the safe and effective use of the product.
Failure to observe a caution may result in minor or moderate personal injury or damage to the product or other property, and possibly in a remote risk of more serious injury.
Monitor refers to the entire patient monitor. Display refers to the physical display unit. Display Screen and Screen refer to everything you see on monitor’s display, such as measurements, alarms, patient data and so forth.
Introducing the IntelliVue Family
The Philips IntelliVue family of patient monitors offers a monitoring solution optimized for the surgical, cardiac, medical and neonatal care environments. Combining patient surveillance and data management, it allows multi-measurement monitoring by linking separate modules with “plug-and­play” convenience.
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1 Basic Operation Introducing the IntelliVue Family
Your monitor stores data in trend, event, and calculation databases. You can see tabular trends (vital signs) and document them on a local or remote printer. You can view measurement trend graphs, with up to three measurements combined in each graph, to help you identify changes in the patient’s physiological condition. You can view fast-changing measurement trends with beat to beat resolution and see up to four high resolution trend segments. Event surveillance enhances documentation and review of physiologically significant events by automatically detecting and storing up to 50 user­defined clinical events over a 24 hour period.
There is a choice of monitor configurations, as explained below. All models can also use computer devices such as a mouse, a trackball and a keyboard.
IntelliVue MP20/MP30
The IntelliVue MP20/MP30 (M8001A/M8002A) patient monitor has a 10-inch TFT LCD flat panel SVGA display. The standard input devices for the MP30 are the Touchscreen and integrated navigation point; the MP20 is supplied with an integrated navigation point only. Up to six waves can be shown on MP20/MP30 Screens (USA - up to four waves). 12 ECG traces can be shown on the 12-Lead ECG Screen.
The MP20/MP30 can be connected to one Multi­Measurement Server (MMS) and any one of the measurement server extensions. There is an optional built-in recorder. The Flexible Module Server (M8048A) and all plug-in modules cannot be used with the MP20/MP30. With an optional Interface board Bispectral Index (BIS) monitoring is possible.
MP20Junior and MP20L are options of MP20 (M8001A) and are not referred to separately in these Instructions for Use.
2
Introducing the IntelliVue Family 1 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
1 Color-coded alarm lamps
2 Alarms off lamp
3 Model indicator
4 ECG out
5 Navigation Point
6 Part number and serial number
7 Mounting quick-release lever
MP20/MP30 front panel
123 4 5 67
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 Operation Introducing the IntelliVue Family
IntelliVue MP40/MP50
The IntelliVue MP40/MP50 (M8003A/M8004A) patient monitor has a 12-inch TFT LCD flat panel SVGA display. The standard input devices for the MP50 are the Touchscreen and integrated navigation point; the MP40 is supplied with an integrated navigation point only. Up to six waves can be shown on MP40/MP50 Screens, 12 ECG traces can be shown on the 12-Lead ECG Screen.
The MP40/MP50 can be connected to one Multi­Measurement Server (MMS) and any one of the measurement server extensions. The IntelliVue family plug-in measurement modules can be connected to its four integrated plug-in module slots with plug-and-play convenience (the only exception is the 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
1 Color-coded alarm lamps
2 Alarms off lamp
3 Model indicator
4 ECG out
5 Navigation Point
6 Part number and serial number
7 Mounting quick-release lever
8 Plug-in module slots
4
Introducing the IntelliVue Family 1 Basic Operation
MP40/MP50 front panel
1
On/Standby switch
2
On/Standby LED
3
Error LED
4
Battery status LED
5
AC power operation LED
6 “read the documentation” symbol
7
Mounting quick-release lever
1
456 7
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.
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1 Basic Operation Introducing the IntelliVue Family
MP60/MP70 Major Parts and Keys
1 Color coded alarm lamps
1
2
3
4
5
2 Alarms Off lamp
3Display
4Model indicator
5 SpeedPoint (optional for MP70)
6 Part number and serial number
7 Mounting quick-release lever
8AC power LED
9Error LED
10 Power on/standby switch
11 Power on LED
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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.
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Introducing the IntelliVue Family 1 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
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1 Two color coded alarm lamps (right-hand lamp flashes
red or yellow for patient alarms, left-hand lamp flashes light blue for INOPs)
2 Alarms off lamp - when illuminated it indicates that all
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4
alarms are deactivated.
3 Speaker - for alarm tones, QRS tones and so forth
4 Monitor power on /standby switch. Press to switch
monitor on remotely. Press and hold for one second to turn monitor off.
5 Power on LED - green when monitor is on
Power on Switch
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1 Basic Operation Related Products
Docking Station
MP20/30/
40/50 only
WARNING If 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
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Related Products 1 Basic Operation
1
1
2
3
Multi-Measurement Server
2
Measurement server mount
3
Flexible Module Server
4 Power 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)
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• 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
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• 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.
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1 Basic Operation Related Products
Example Module (Pressure)
1Module name
2Setup key LED
3 Setup key to enter setup menu of
measurement modules or VueLink device data window
4 Connector socket for patient cable/
transducer
5 Second 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 Products 1 Basic Operation
M3001A Connectors and Symbols
1 White ECG/Resp connector
2 Blue SpO
5
3 Red 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
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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
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Silence: acknowledges all active alarms by switching off audible alarm indicators and lamps
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MSL cable connector to the monitor
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1 Basic Operation Related Products
WARNING The 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
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Related Products 1 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)
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1 Basic Operation Operating 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.
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ABP Zero done at 11 Nov 02 7:31 am
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5
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9
10
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Monitor information line Other screen elements
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network connection indicator
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(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
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current screen name/enter
8
change screen menu
adjust alarm volume/level
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indicator
alarm status area - shows active alarm messages
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status line - shows information messages and prompting you for action
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close all open menus and windows and return to main screen
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enter Main Setup menu
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scroll right to display more SmartKeys
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SmartKeys - these change according to your monitor’s configuration
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scroll left to display more SmartKeys
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Pause Alarms - pauses alarm indicators. Pause duration depends on monitor
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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
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lamps permanently or temporarily, if alarm reminder (ReAlarm) is configured on.
Operating and Navigating 1 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.
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1 Basic Operation Operating and Navigating
Using the SpeedPoint
1
2
3
4
5
integrated SpeedPoint (MP60/MP70 only)
1 Silence - acknowledges all active alarms by switching off audible alarm indicators and lamps. Behavior
follows the Silence permanent key configuration.
2 Alarms Off/Pause Alarms- pauses alarm indicators. Behavior follows the Pause Alarms permanent key
configuration.
3 Main Screen - close all open menus and windows and return to the main screen.
4 Back - go back one step to the previous menu.
5 SpeedPoint knob - rotate and tilt to highlight elements. Press to select.
6 Function keys on remote SpeedPoint - function identical to the first five SmartKeys configured for a
screen.
7 On/standby key
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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.
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Operating and Navigating 1 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
3 Main Screen -
windows and return to the main screen.
4Back - takes you back one step to the previous
menu.
5 Navigation 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.
Pause Alarms - pauses alarm indicators. Pause duration depends on monitor
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.
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1 Basic Operation Operating 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 waves quick 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)
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review beat labels (annotate arrhythmia wave)
change amplitude (size) of ECG wave enter 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)
access patient reports zero invasive pressure transducer
re-learn arrhythmia
start NBP STAT measurement
stop automatic or STAT NBP measurement and measurement series
set the NBP repeat time
Operating and Navigating 1 Basic Operation
start a delayed recording
set wide automatic alarm limits set narrow automatic alarm limits
access wedge procedure window access the Loops window
review vital signs trend review graph trend
access event surveillance access calculations
access the calculator access the Drug Calculator
gas analyzer - exit standby mode suppress zero for all gas measurements
unpair equipment access 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 CSA access the EEG montage
display VueLink information access timers
access the spirometry data window switch CO
access remote applications (if Application Server is connected)
pump off
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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.
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1 Basic Operation Operating 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
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Operating Modes 1 Basic Operation
Operating Modes
When you switch the monitor on, it starts up in monitoring mode. To change to a different mode:
1 Select the Main Setup menu. 2 Select Operating Modes and choose the mode you require.
Your monitor has four operating modes. Some are passcode protected.
Monitoring Mode: This is the normal, every day working mode that you use for monitoring patients. You can change elements such as alarm limits, patient category and so forth. When you discharge the patient, these elements return to their default values. Changes can be stored permanently only in Configuration Mode. You may see items, such as some menu options or the altitude setting, that are visible but ‘grayed out’ so that you can neither select nor change them. These are for your information and can be changed only in Configuration Mode.
Demonstration Mode: Passcode protected, this is for demonstration purposes only. You must not change into Demonstration Mode during monitoring. In Demonstration Mode, all stored trend information is deleted from the monitor’s memory.
Configuration Mode: Passcode protected, this mode is for personnel trained in configuration tasks. These tasks are described in the Configuration Guide. During installation the monitor is configured for use in your environment. This configuration defines the default settings you work with when you switch on, the number of waves you see and so forth.
Service Mode: Passcode protected, this is for trained service personnel.
When the monitor is in Demonstration Mode, Configuration Mode, or Service Mode, this is indicated by a box with the mode name in the center of the Screen and 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 Operation Understanding 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
1 To switch to a different Screen, select the current Screen name in the monitor info line,
or select the Change Screen SmartKey.
2 Choose 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,
1 Select the element you want to change. 2 From 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.
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Using Additional Displays 1 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:
1 Move 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
2 Press 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:
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1 Basic Operation Understanding Profiles
Select Profiles in the monitor info line of the first display,
1 2 Select 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).
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Understanding Profiles 1 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 settings Available 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.
WARNING If you switch to a different profile, the patient category and paced status normally change to the setting
specified in the new profile. However some profiles may be setup to leave the patient category and paced status unchanged. Always check the patient category, paced status, and all alarms and settings, when you change profiles.
When you leave Demonstration Mode, the monitor uses the default profile.
Swapping a Complete Profile
1 Select Profiles in the monitor info line, or select the Profiles SmartKey. 2 In the Profiles menu, select Profile.
3 Chose a profile from the pop-up list.
4 Confirm your selection.
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1 Basic Operation Understanding Settings
Swapping a Settings Block
1 Select Profiles in the monitor info line, or select the Profiles SmartKey. 2 In the Profiles menu, select Display or Measmnt. Settings or
Monitor Settings
3 Choose a settings block from the pop-up list.
4 Confirm 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:
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• 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 Speeds 1 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.
1 Enter the measurement’s setup menu and select the measurement.
2 Select the measurement name to toggle between on and off. The screen display indicates the active
setting.
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,
1 Select Main Setup -> User Interface 2 Select Global Speed, RespiratorySpeed, or EEG Speed as required
27
1 Basic Operation Freezing 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,
1 Enter the Wave menu for a measurement by selecting its wave. 2 Select Change Speed. 3 To set the speed to the wave group speed, select RespiratorySpeed, 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,
1 Enter the Wave menu for the measurement by selecting the wave on the screen. 2 Select Freeze Wave.
The realtime wave is replaced with the frozen wave.
Freezing All Waves
To freeze all waves on the screen,
1 Select the Freeze Waves SmartKey.
All realtime waves are replaced with frozen waves.
Measuring Frozen Waves
To measure a frozen wave,
1 Select 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
2 Using 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.
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3 Use 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 Labels 1 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:
1 Select the frozen wave. 2 Select Change Speed.
3 Select a speed from the list.
Updating The Frozen Wave
To update the wave, that is freeze the current wave:
1 Select the frozen wave. 2 Select Freeze Again.
Releasing Frozen Waves
To release frozen waves,
1 Select a frozen wave. 2 Select 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 Operation Using Labels
Enter the Wave menu of the measurement.
1 2 Select Label.
3 Choose a label from the list.
The monitor automatically applies the scale, color, etc. settings stored in the Profile for the label you select. You can change scale settings in Monitoring Mode, but color can only be changed in the monitor’s Configuration Mode.
Any labels already being used in the monitor are shown “grayed-out” in the list and cannot be selected.
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
SpO2 BIS
Tskin C.O.
EcgRsp NBP ABP
De-activated labels are grayed-out
CO2
Temp
30
To resolve a label conflict,
1 Select the measurement selection key or select Main Setup -> Measurement Selection
to display the Measuremen t Se lection window.
Changing Monitor Settings 1 Basic Operation
2 Select the device whose label you want to correct.
3 Use 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.
Modify Driver (VueLink only) - change the VueLink device driver.
Changing Monitor Settings
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
1 Select the Brightness SmartKey.
2 Select 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,
1 In the Main Setup menu, select User Interface 2 Select 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.
WARNING Changing the date or time will affect the storage of trends and events.
1 Select the Date, Time screen element from the monitor’s info line to enter the Date, Time
menu.
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1 Basic Operation Checking Your Monitor Revision
2 Select, in turn, the Year, Month, Day, Hour (in 24 hour format, only) and Minute as
necessary. Select the correct values from the pop-up list.
3 Select Stor e Date, Time to change the date and time.
Checking Your Monitor Revision
1 Select Main Setup -> Revision to open the Monitor Revision menu.
2 Select the correct device from the device pop-up keys. 3 From the Monitor Revision menu, select the monitor component for which you need
revision information.
Getting Started
Once you understand the basic operation principles, you can get ready for monitoring.
Inspecting the Monitor
WARNING If the monitor is mechanically damaged, or if it is not working properly, do not use it for any
monitoring procedure on a patient. Contact your service personnel.
1 Before you start to make measurements, carry out the following checks on the monitor including
all connected Measurement Servers, modules, or measurement server extensions. – Check for any mechanical damage.
– Check all the external cables, plug-ins and accessories.
2 Plug 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.
3 Check all the functions of the instrument that you need to monitor the patient, and ensure that the
instrument is in good working order.
Switching On
Press the on/off switch on the monitor for one second. The monitor performs a self test and is then
ready to use. If you see a message such as
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
CAUTION When 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
1 Decide which measurements you want to make.
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Disconnecting from Power 1 Basic Operation
Connect the required modules, Measurement Servers, or measurement server extensions.
2
3 Check 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,
1 Admit your patient to the monitor.
2 Check that the profile, alarm limits, alarm and QRS volumes, patient category and paced status
and so forth are appropriate for your patient. Change them if necessary.
3 Refer to the appropriate measurement section for details of how to perform the measurements you
require.
Disconnecting from 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,
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1 Basic Operation Using Remote Applications
In the Main Setup menu, select Remote Applics, or select the
1
Remote Applications SmartKey.
2 Select the required application from the pop-up list of available applications.
3 Operate the application with your preferred monitor input device: touchscreen, SpeedPoint,
navigation point, keyboard or mouse.
Remote Application Popup Keys
Pop-Up Keys Selecting 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
3Alarms Visual 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 NG Do not rely exclusively on the audible alarm system for patient monitoring. Adjustment of alarm
volume to a low level or off during patient monitoring may result in patient danger. Remember that the most reliable method of patient monitoring combines close personal surveillance with correct operation of monitoring equipment.
Alarm Tone Configuration
The audible alarm indicators of your monitor are configurable. In the monitor’s Configuration Mode, you can:
• increase the alarm volume of unacknowledged alarms at regular intervals
• change the interval between alarm sounds (ISO/IEC Standard 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 Indicators 3Alarms
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
3Alarms Acknowledging 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,
1 Select Main Setup -> Alarm Sett in gs 2 Check the Alarms Off setting.
This setting can only be changed in Configuration Mode.
44
Pausing or Switching Off Alarms 3Alarms
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
1 Select the measurement numeric to enter its setup menu. 2 Select Alarms to toggle between On and Off.
The alarms off symbol is shown beside the measurement numeric.
While Alarms are Paused or Off
• The red Alarms Paused lamp on the monitor front panel is lit.
In the alarm field, the monitor displays the message
Alarms Paused or Alarms Off, together with the alarms paused symbol and the remaining pause time in minutes and seconds, or alarms off symbol.
• No alarms are sounded and no alarm messages are shown.
• INOP messages are shown but no INOP tones are sounded.
The only exceptions are the INOPs 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
3Alarms Alarm 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,
1 Select one of the alarm fields. This calls up the Alarm Messages window. 2 Select either the pop-up key Pause Al. 5 min or the pop-up key Pause Al. 10 min .
Each time you select one of these pop-up keys, the Alarm Pause Time is reset to five (or 10) minutes.
Alarm Limits
The alarm limits you set determine the conditions that trigger yellow and red limit alarms. For some measurements (for example, 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.
WARNING Be aware that the monitors in your care area may each have different alarm settings, to suit different
patients. Always check that the alarm settings are appropriate for your patient before you start monitoring.
Viewing Individual Alarm Limits
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 Limits 3Alarms
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
3Alarms Alarm 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,
1 in the measurement’s setup menu, select the alarm limit you want to change. This calls up a list of
available values for the alarm limit.
2 Select a value from the list to adjust the alarm limit.
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
48
15-min trend, showing alarm limits and monitored measurement values (MP40/50/60/70/90 only)
Graphic view of alarm limits with currently measured value
Low red alarm (view only)
Low yellow alarm field
To change alarm limits,
1 In 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.
2 Repeat to set the low yellow alarm limit.
Alarm Limits 3Alarms
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
3Alarms Reviewing 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 Messages 3Alarms
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
1 In the monitor’s Main Setup menu, select Alarms. 2 Select 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&Y R&Y R&Y RROff
R&Y ROffROffOff
51
3Alarms Testing 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.
Audible alarm acknowledged. Alarm lamp off. Alarm message. Flashing numerics. Audible alarm reminder (if configured).
Audible and visual alarm indicators automatically stop.
or CO2) or use a simulator. Adjust alarm limits and check
2
Visual and audible latching
Alarm tone on. Alarm lamp on. Alarm message. Flashing numerics.
Visual latching, audible non-latching
Alarm message. Flashing numerics. Audible alarm indicators automatically stop.
Alarm Behavior at On/Off
When you switch alarms on, the settings defined in the currently active Profile are used.
If the monitor is switched off for longer than one minute and then switched on again, or after a loss of power lasting longer than one minute, or when a patient is discharged, the monitor can be configured to restore either the alarm settings from the monitor's configured default Profile, or the most recently used alarm settings. After any of these situations, you should check that the alarm settings are appropriate for your patient, and if necessary, select the correct Profile and patient category.
If power is lost for less than one minute, the alarm settings prior to the power loss are restored.
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 Message From Condition Indication
***APNEA or ***APNEA xxx sec
***ASYSTOLE ECG No QRS detected for a period greater
**awRR HIGH CO2, Resp,
**awRR LOW CO2, Resp,
**BIS HIGH BIS The Bispectral Index value has exceeded
**BIS LOW BIS The 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 INOPs Patient Alarm Messages
Alarm Message From Condition Indication
***BRADY (Pulse) or ***BRADY xxx<yyy
**CCO/CCI HIGH CCO Continuous Cardiac Output or CC
**CCO/CCI LOW CCO Continuous Cardiac Output or CC
**CPP HIGH CPP The CPP value has exceeded the high
**CPP LOW CPP The CPP value has fallen below the low
***DESAT or ***DESAT xxx<yyy
**et <Agent label> HIGH
**et <Agent label> LOW
**etCO2 HIGH CO2, Resp,
**etCO2 LOW CO2, Resp,
**etO2 HIGH O2, AGM The end tidal O2 high alarm limit has
**etO2 LOW O2, AGM The end tidal O2 value has fallen below
*/**/*** EVENT:<GRP>
*/**/*** EVENT
at Information center
***EXTREME BRADY ECG The bradycardia limit has been
***EXTREME TACHY ECG The 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 Messages 4 Patient Alarms and INOPs
Alarm Message From Condition Indication
**HR HIGH ECG The heart rate high alarm limit has been
exceeded.
**HR LOW ECG The heart rate has fallen below the low
alarm limit.
**imCO2 HIGH CO2, Resp,
AGM
**in <Agent label> HIGH
**in <Agent label> LOW
**inN2O HIGH N2O, AGM The inspired N2O high alarm limit has
**inO2 HIGH O2, AGM The inspired O2 high alarm limit has
**inO2 LOW O2, AGM The inspired O2 value has fallen below
***inO2 LOW OXYGEN O2, AGM The inspired O2 value has fallen below
*/**IRREGULAR HR ECG/
*/**MISSED BEAT ECG/
*/**MULTIFORM PVCs ECG/
**NBP HIGH NBP The measured NBP value is above the
**NBP LOW NBP The measured NBP value is below the
AGM The inspired agent high alarm limit has
AGM The inspired agent value has fallen
Arrhythmia
Arrhythmia
Arrhythmia
The inspired minimum CO2 high alarm limit has been exceeded.
been exceeded.
below the AGT low alarm limit.
been exceeded.
been exceeded.
the low alarm limit.
18 vol.%.
Consistently irregular heart rhythm. numeric flashes, yellow alarm
No beat detected for 1.75*R-R interval, or if HR>120bpm no beat detected for one second (non-paced patients only).
Two differently shaped Vs detected, each occurring at least twice within the last 300 beats and at least once within the last 60 beats.
high alarm limit. s, d, or m after the label indicates whether the systolic, diastolic or mean pressure has crossed the limit.
low alarm limit. s, d, or m after the label indicates whether the systolic, diastolic or mean pressure has crossed the limit.
numeric flashes and high limit is highlighted, yellow alarm lamp, alarm tone. The sound switches off after 5 seconds if Arrhythmia is On.
numeric flashes and low limit is highlighted, yellow alarm lamp, alarm tone. The sound switches off after 5 seconds if Arrhythmia is On.
numeric flashes and high limit is highlighted, yellow alarm lamp, alarm tone.
numeric flashes, high limit is highlighted, yellow alarm lamp, alarm tone.
numeric flashes, low limit is highlighted, yellow alarm lamp, alarm tone.
numeric flashes, high limit is highlighted, yellow alarm lamp, alarm tone.
numeric flashes, high limit is highlighted, yellow alarm lamp, alarm tone.
numeric flashes, low limit is highlighted, yellow alarm lamp, alarm tone.
numeric flashes, low limit is highlighted, red alarm lamp, alarm tone.
lamp, short yellow audible alarm.
numeric flashes, yellow alarm lamp, short yellow audible alarm.
numeric flashes, yellow alarm lamp, short yellow audible alarm.
numeric flashes and high limit is highlighted, yellow alarm lamp, alarm tone.
numeric flashes and low limit is highlighted, yellow alarm lamp, alarm tone.
55
4 Patient Alarms and INOPs Patient Alarm Messages
Alarm Message From Condition Indication
*/**NON-SUSTAIN VT ECG/
Arrhythmia
A run of Vs having a ventricular HR>V­Tach HR limit, but lasting for less than the V-Tach Run limit has been detected.
*/**PACER NOT CAPT ECG/
Arrhythmia
A missed beat with a pace pulse was
detected. (paced patients only)
*/**PACER NT PACING
ECG/ Arrhythmia
A missed beat without a pace pulse was
detected. (paced patients only)
*/**PAIR PVCs ECG/
Arrhythmia
A non-ventricular contraction, followed
by two ventricular contractions,
followed by a non-ventricular
contraction has been detected.
*/**PAUSE ECG/
Arrhythmia
***<Pressure>
PRESS The pressure is non-pulsatile and the
DISCONNECT
No beat detected for a period greater
than the pause threshold.
mean pressure is continuously less than
10mmHg (1.3kPa). This alarm occurs
only with arterial pressures (P, ABP,
ART, Ao, BAP, FAP, PAP, UAP).
**<Pressure> HIGH PRESS The measured pressure value is above
the high alarm limit. s, d, or m after the
label indicates whether the systolic,
diastolic or mean pressure has crossed
the limit.
**<Pressure> LOW PRESS The measured pressure value is below
the low alarm limit. s, d, or m after the
label indicates whether the systolic,
diastolic or mean pressure has crossed
the limit.
**PULSE HIGH PRESS
SpO
2
**PULSE LOW PRESS
SpO
2
*/**PVCs/min HIGH ECG/
Arrhythmia
The pulse rate has exceeded the high
alarm limit.
The pulse rate has dropped below the
low alarm limit.
More premature ventricular
contractions have been detected in a
minute than the limit.
*/**R-ON-T PVCs ECG/
Arrhythmia
For HR <100, a PVC with R-R interval
< 1/3 the average interval followed by a
compensatory pause of 1.25 x average
R-R interval or two such Vs without
compensatory pause occurring within 5
minutes of each other. (When HR
>100, 1/3 R-R interval is too short for
detection.).
numeric flashes, yellow alarm lamp, short yellow audible alarm.
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.
numeric flashes, yellow alarm lamp, short yellow audible alarm.
numeric flashes, red alarm lamp, alarm tone.
numeric flashes, 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.
numeric flashes, yellow alarm lamp, short yellow audible alarm.
numeric flashes, yellow alarm lamp, short yellow audible alarm.
56
Patient Alarm Messages 4 Patient Alarms and INOPs
Alarm Message From Condition Indication
**RR HIGH RESP The respiration rate has exceeded the
high alarm limit.
**RR LOW RESP The respiration rate has dropped below
the low alarm limit.
*/**RUN PVCs HIGH ECG/
Arrhythmia
**<SpO2 label>
SpO
HIGH
**<SpO2 label> LOW SpO
2
2
A run of PVCs greater than 2 was
detected.
The arterial oxygen saturation has
exceeded the high alarm limit.
The arterial oxygen saturation has fallen
below the low alarm limit.
**ST<n> HIGH ECG/
Arrhythmia
**ST<n> LOW ECG/
Arrhythmia
**ST MULTI <n>,<n> ECG/
Arrhythmia
The ST elevation in lead <n> is higher
than the limit.
The ST depression in lead <n> is lower
than the limit.
The ST depression or elevation is
outside of the limit in two or more leads
<n> and <n>
**ST MULTI
at Information Center
ECG/ Arrhythmia
The ST depression or elevation is
outside of the limit in two or more
leads. Check on the monitor for more
details about which leads are affected.
**SvO2 HIGH SvO
2
The SvO2 value has exceeded the high
limit.
**SvO2 LOW SvO
2
The SvO2 value has fallen below the low
limit.
*/**SVT ECG/
Arrhythmia
A run of supraventricular beats greater
than the SVT run limit has been
detected and the HR has exceeded the
SVT HR limit.
***TACHY (Pulse) or ***TACHY xxx>yyy
Press, SpO2The heart rate from the Pulse signal has
exceeded the tachycardia limit. xxx
denotes the highest measured value; yyy
is the tachycardia limit.
**Tblood HIGH C.O. The blood temperature value has
exceeded the high alarm limit.
**Tblood LOW C.O. The blood temperature value has fallen
below the low alarm limit.
**tcpO2 HIGH/ **tcpCO2 HIGH
tcGas The tcpO2 or tcpCO2 value has
exceeded the high alarm limit.
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 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 alarm limit is highlighted, yellow alarm lamp, alarm tone.
numeric flashes and low alarm limit is highlighted, yellow alarm lamp, alarm tone.
numeric flashes, yellow alarm lamp, alarm tone
(on monitor) numeric flashes, yellow 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, yellow alarm lamp, alarm tone.
numeric flashes, alarm limit is highlighted, red alarm lamp, alarm tone.
numeric flashes, high alarm limit is highlighted, yellow alarm lamp, alarm tone.
numeric flashes, low alarm limit is highlighted, yellow alarm lamp, alarm tone.
numeric flashes, high alarm limit is highlighted, yellow alarm lamp, alarm tone.
57
4 Patient Alarms and INOPs Patient Alarm Messages
Alarm Message From Condition Indication
**tcpO2 LOW/ **tcpCO2 LOW
**<Temperature label> HIGH
**<Temperature label> LOW
*/**VENT BIGEMINY ECG/
***VENT FIB/TACH ECG A fibrillatory waveform for 4
*/**VENT RHYTHM ECG/
*/**VENT TRIGEMINY ECG/
***VTACH ECG,
**/***VueLink ALARM
at Information Center
tcGas The tcpO2 or tcpCO2 value has fallen
below the low alarm limit.
TEMP The temperature has exceeded the high
alarm limit.
TEMP The temperature has fallen below the
low alarm limit.
A dominant rhythm of N, V, N, V (N = Arrhythmia
Arrhythmia
Arrhythmia
Arrhythmia
VueLink A yellow (**) or red (***) patient alarm
supraventricular beat, V = ventricular
beat) was detected.
consecutive seconds was detected.
A dominant rhythm of adjacent Vs >
vent rhythm limit and ventricular HR <
VTach HR limit was detected.
A dominant rhythm of N, N, V, N, N,
V (N = supraventricular beat, V =
ventricular beat) was detected.
Ventricular tachycardia has been
detected (Consecutive PVCs exceed V-
Tach Run limit and HR exceeds V-Tach
HR limit).
is present on the VueLink module.
Check the monitor display for more
detailed alarm information.
numeric flashes, 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, 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 Message, Indication Source What to do
ABP INOPS PRESS See <Pressure label> INOPS (under Pressure). ALL ECG ALARMS OFF ECG/
Arrhythmia
Ao INOPS PRESS See <Pressure label> INOPS (under Pressure).
ART INOPS PRESS See <Pressure label> INOPS (under Pressure).
AWF CHANGE SCALE Spirometry Airway flow signal exceeds range of selected scale. Adjust scale
AWP CHANGE SCALE Spirometry Airway pressure signal exceeds range of selected scale. Adjust
AWV CHANGE SCALE Spirometry Airway volume signal exceeds range of selected scale. Adjust
Bad Serverlink
INOP tone
BAP INOPS PRESS See <Pressure label> INOPS (under Pressure). BATTERIES EMPTY or BATT 1/
BATT 2 EMPTY
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.
Monitor 1) An MMS with an incompatible software revision is
Batteries The estimated remaining battery-powered operating time of
Batteries The indicated battery or batteries cannot be used with this
Batteries The estimated battery-powered operating time remaining is less
Batteries The monitor cannot determine the battery status. If this INOP
Batteries The 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 INOPs Technical Alarm Messages (INOPs)
INOP Message, Indication Source What to do
BIS CABLE INCOMPAT
INOP tone.
BIS CABLE USAGE
INOP tone.
BIS DSC DISCONN
INOP tone
BIS DSC INCOMPT
INOP tone
BIS DSC MALFUNC BIS Electrocautery 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
BIS The semi-reusable sensor cable connected is unknown or not
supported by your software revision. Replace it with a Philips­supported sensor cable.
BIS The semi-reusable sensor cable has exceeded the maximum
number of uses. Replace the cable.
BIS DSC is not properly connected OR either DSC or BIS engine
may be faulty. Make sure that the DSC is properly connected to the BIS Engine. If INOP persists, replace DSC with a known good one of the same type. If INOP persists replace BIS engine. Silencing this INOP switches the measurement off.
BIS DSC 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.
BIS DSC update currently being carried out. This INOP will
disappear when the DSC update is finished. Do not disconnect the DSC during the update. No action is needed.
BIS One or more electrodes are not connected to the semi-reusable
sensor cable. Check all electrode connections.
BIS BIS engine not connected OR Module Cable defective.
Make sure that the Module Cable is properly connected. If INOP persists, replace the Module Cable. Silencing this INOP switches the measurement off.
BIS BIS engine software is not supported. A software upgrade may
be required. Contact your service personnel. MP20/30 - BIS engine not supported.
BIS Malfunction in the BIS engine hardware. Disconnect and
reconnect the BIS engine. If the INOP persists, replace BIS engine.
BIS There is a malfunction in the BIS hardware. Unplug and replug
the BIS module. If the INOP persists, contact your service personnel.
BIS Impedance of one or more electrode(s) is above the valid range,
most often caused by bad skin preparation. Check the sensor montage and press the electrode pads firmly. If this INOP persists, replace the sensor(s) in question using correct skin preparation. If INOP persists, contact your service personnel.
BIS The Cyclic Impedance check is running. It will stop
automatically if all impedances are within the valid range. If any electrodes do not pass the impedance test, check the sensor montage and press the electrode pads firmly. To manually stop the Cyclic Impedance Check, select
Cyclic Check Off in the Setup BIS menu.
60
Technical Alarm Messages (INOPs) 4 Patient Alarms and INOPs
INOP Message, Indication Source What to do
BIS ISOELECTRC EEG BIS No discernible EEG activity is detected for longer than one
minute. Check the patient. Check that the electrodes are properly connected.
BIS LEAD OFF
INOP tone may sound
BIS 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
BIS One or more electrodes have no skin contact and therefore
impedances cannot be measured. Check the sensor montage and press the electrode pads firmly. If this INOP persists, replace the sensor(s) in question, using correct skin preparation.
BIS Unplug and replug the BIS module or, f or the MP20/MP30,
disconnect and reconnect the BISx from the Interface board. If the INOP persists, contact your service personnel.
BIS The sensor is not properly connected to the patient interface
cable (PIC) and/or the PIC is not properly connected to the DSC or BISx, or the sensor or PIC or DSC or BISx may be faulty. Check all the connections. Disconnect and reconnect the sensor, PIC, DSC, BISx. If the INOP persists, replace the sensor. If the INOP persists, replace PIC. If INOP persists, contact your service personnel. Silencing this INOP switches the measurement off.
BIS Unsupported sensor connected or sensor type unknown or not
supported by your software revision. Replace the sensor, using only Philips supported sensors.
BIS Malfunction in the sensor hardware, most often caused by
liquids permeating into the connectors OR patient interface cable (PIC) or DSC or BISx may be faulty. Replace the sensor. Manually initiate a Cyclic Impedance Check. Make sure all electrodes pass the test. Make sure that the both sides of the PIC connector (between PIC and sensor) are dry. If you are not sure that the connector is dry, replace the PIC until it has dried. If this INOP persists, contact your service personnel.
BIS Excessive sensor usage. Replace sensor.
A Cyclic Impedance Check will start automatically.
BIS If the signal quality is below 50%, BIS numerics cannot be
reliably derived. If the signal quality is below 15%, no BIS numerics can be derived. This may occur as a result of artifacts such as those generated from motion or the presence of electrocautery devices. Make sure the sensor is properly attached to the patient. Manually initiate a Cyclic Impedance Check. Make sure all electrodes pass the test. Make sure the patient is completely relaxed (even small motions of the facial muscles affect the signal quality).
BIS Plug in the BIS module. Silencing this INOP switches off the
measurement.
BIS The 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 INOPs Technical Alarm Messages (INOPs)
INOP Message, Indication Source What to do
BISx INCOMPATIBLE
INOP tone
BISx MALFUNCTION
INOP tone
CANNOT ANALYZE ECG ECG/
CANNOT ANALYZE ST ST The 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
BIS The BISx software is not compatible with the BIS module or
with the MP20/MP30 monitor software. A software upgrade may be required. Contact your service personnel.
BIS The BISx is faulty. Disconnect and reconnect it to the module
or BIS interface board. If the INOP persists, replace the BISx. MP20/MP30 - Malfunction on interface board. If the INOP persists, contact your service personnel.
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, Indication Source What 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 MCC Monitor The 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.
Batteries Battery must be charged. Connect the monitor to mains power
or exchange the battery.
Batteries There is a problem with the battery charger in the monitor.
Connect the monitor to mains power and contact your service personnel.
Monitor Perform a visual check of the alarm lamp to establish whether
there is a problem. Contact your service personnel to check the internal connections to the alarm lamps.
Battery The temperature of one or both batteries is too high. Check
that ventilation openings are not blocked and monitor is not exposed to heat.
Monitor Check the names of the monitor menus, for example the labels
for screens, profiles, event or trend group names, before you resume monitoring. If they are unexpected, there may be a problem with the monitor software. Contact your service personnel.
Monitor Potential problem with alarm lamps, display or interfaces
detected. Contact your service personnel. This INOP will appear on the monitor as Check Monitor Func.
Monitor Perform a visual and functional check of the keyboard. Contact
your service personnel.
Monitor There 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.
Monitor Potential problem with alarm lamps, display or interfaces
detected. Contact your service personnel. This INOP may appear on the Information Center as CheckInternVoltage.
Monitor The temperature inside the monitor is too high. Check that the
monitor ventilation is not obstructed. If the situation continues, contact your service personnel.
63
4 Patient Alarms and INOPs Technical Alarm Messages (INOPs)
INOP Message, Indication Source What 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
Monitor Perform 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
Monitor The monitor is receiving network topology information from
more than one source, e.g.the Database Server and an Application Server. Contact your service personnel.
Monitor There is a problem with the connection to the nurse relay.
Contact your service personnel.
Monitor The Screen you have selected uses a resolution which is not
supported by the display. The monitor will show a generic Screen instead until you select a different Screen.
Contact your service personnel if you want the Screen deleted from the Profile(s) to avoid this in future.
Check Settings
INOP tone
Monitor If this INOP appears, check the monitor and patient settings
before you resume monitoring. If the settings are unexpected, there may be a problem with the monitor software. Contact your service personnel.
Check Speedpoint
INOP tone.
Monitor Perform a visual and functional check of the SpeedPoint input
device. Contact your service personnel.
Check Touch Input Monitor Perform a visual and functional check of the touch input
device. Contact your service personnel.
Check Waves
INOP tone
Monitor The options purchased with this monitor may not support the
number of waves required to show the selected Screen, so some waves or high resolution trends are missing from the Screen. Select a different Screen with fewer waves.
Contact your service personnel if you want the Screen deleted from the Profile(s) to avoid this in future.
Chk IndepDsp Cable Monitor The monitor cannot communicate with the D80 Intelligent
Display. Check the MSL coupling cable. The end with the grey connector must be connected to the Intelligent Display.
C LEAD OFF
HR Numeric is replaced by -?- for 10 seconds. INOP tone.
ECG The C electrode (AAMI: V electrode) has become detached
from the patient or the lead set has been changed. Reattach the electrode or select
New Lead Setup in the Setup ECG
menu to confirm the new lead set.
CO2 AUTO ZERO
Numeric is replaced by a - ? ­if the Autozero lasts >15 sec, INOP tone sounds.
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 SCALE CO
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, Indication Source What 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 INOPs Technical Alarm Messages (INOPs)
INOP Message, Indication Source What 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 RUNNING CO CPP CHK SOURCES
CPP Not all measurements or values required to perform the
Numeric is replaced by a - ? -
CPP CHK UNITS
CPP The monitor has detected a conflict in the units used for this
Numeric is replaced by a - ? -
CUFF NOT DEFLATED
NBP Remove 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.]
CVP INOPS PRESS See <Pressure label> INOPS (under Pressure). ECG EQUIP MALF
Numeric is displayed with a - ? -
ECG Contact your service personnel.
The ECG hardware is faulty.
INOP tone.
<ECG LEAD> LEAD OFF
Numeric is displayed with a - ? ­INOP tone.
ECG Not all the required leads for ECG monitoring are connected.
Check the ECG connections and make sure that the electrode indicated by <ECG lead> [RA, LA, LL, RL, V or C] electrodes is attached. In EASI mode, all 5 electrodes must be connected.
ECG EL. NOISY <ECG LEAD> ECG The ECG signal from the named ECG electrodes [RA, LA, LL,
RL, V (or C)] is noisy. Check the ECG connections and make sure that the electrode indicated is attached.
ECG NOISY SIGN.
INOP tone.
ECG The ECG signal is too noisy. Check that the electrodes are
properly placed and have not dried out. Remove any possible sources of signal noise (such as power cords) from the area around the cable and the patient. The ECG signal may be saturated or overloaded.
EcgOut EQUIP MALF
INOP tone
EEG EQUIP MALFUNC
ECG Check that the ECG out cable is securely connected. Contact
your service personnel.
EEG The EEG hardware is faulty. Contact your service personnel.
INOP tone
EEG IMPEDANCE HIGH or EEG1 and/or EEG2 IMPED. HIGH
EEG The signal electrode in one or both channels exceeds the user-
selected impedance limit, or the impedance of a single electrode exceeds the limit. Check the impedance. If the impedance is too high, reconnect the electrodes according to the EEG monitoring setup guidelines.If the INOP persists, contact your service personnel.
EEG<X> LEAD OFF <n>
EEG Reconnect specified electrode.
[X = channel, n = electrode]
66
Technical Alarm Messages (INOPs) 4 Patient Alarms and INOPs
INOP Message, Indication Source What to do
EEG<X> LEAD OFF
[X = channel] at Information Center
EEG<X> LEADS OFF
[X = channel]
EEG LINE NOISE EEG 1 or 2 LINE NOISE
EEG MUSCLE NOISE EEG 1 or 2 MUSCLE NOISE
EEG NO TRANSDUCER
INOP tone
EEG UNPLUGGED
INOP tone
EEG OVERRANGE, or EEG<X> OVERRANGE
FAP INOPS PRESS See <Pressure label> INOPS (under Pressure). FMS UNPLUGGED
INOP tone.
FMS UNSUPPORTED
INOP tone.
IC1/IC2INOPS PRESS See <Pressure label> INOPS (under Pressure). ICP INOPs PRESS See <Pressure label> INOPS (under Pressure). Indep.Dsp Malfunc. Display A problem has occurred with the second main display. Contact
Indep.Dsp NotSupp. Display The monitor does not support a second main display. The
Intell.Dsp Malf.
INOP tone
Intell.Dsp Missing Display The monitor has lost contact with the connected Intelligent
Intell.Dsp Unsupp. Display The 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 INOPs PRESS See <Pressure label> INOPS (under Pressure).
EEG One or more electrodes are not connected. Check in the EEG
Impedance/Montage window on the monitor which electrode(s) are affected and reconnect the electrodes.
EEG Two or more electrodes are not connected. Check in the EEG
Impedance/Montage window which electrodes are affected and reconnect the electrodes.
EEG Excessive line noise has been detected in either channel EEG1
or EEG2, or in both EEG channels. Keep all cables together and away from metallic bodies, other cables & radiated fields.
EEG Too much power above 30 Hz has been detected in channel
EEG1 or EEG2, or both. Check the Electrode-to-Skin Impedance and reposition the electrode away from possible muscle activity, if necessary.
EEG The 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.
EEG Input signal is too high in one or both channels. This is usually
caused by interfering signals such as line noise or electrosurgery. X denotes the EEG channel.
FMS Make sure that the Flexible Module Server is connected to the
monitor. All FMS measurements are off while the FMS is unplugged.
FMS The Flexible Module Server is not supported by your monitor.
Contact your service personnel.
your service personnel.
monitor software is incompatible. Contact your service personnel.
Display There 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.
Monitor There is a problem with I2C Bus communication in the
monitor. Contact your service personnel.
ECG The 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 INOPs Technical Alarm Messages (INOPs)
INOP Message, Indication Source What 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 Reversed Monitor The MSL coupling cable is reversed. Connect the end with the
MCC Unsupported Monitor An MSL coupling cable has been connected to a device which
Measserv Unsupportd Monitor The measurement server is not supported by the monitor.
MMS UNPLUGGED
INOP tone.
MMS UNSUPPORTED INOP tone.
MSL Power High Monitor The 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.
ECG Check that all of the required ECG leads are attached, and that
none of the electrodes have been displaced.
ECG The 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.
MMS Make sure that the Multi-Measurement Server is connected to
the monitor. All MMS measurements are off while the MMS is unplugged.
MMS The 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.
Monitor The 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.
Monitor The 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.
NBP The NBP cuff pressure exceeds the overpressure safety limits.
Remove the cuff from the patient. Make sure that the tubing is not kinked or twisted and that the correct patient category is selected. Try restarting the measurement. You can silence this INOP, but the INOP message remains visible until the next measurement is started or the Stop All SmartKey is selected.
NBP Remove the cuff from the patient. The NBP hardware is faulty.
Contact your service personnel. You can silence this INOP, but the INOP message remains visible until the next measurement is started or the Stop All SmartKey is selected.
in the Setup ECG menu to confirm the
New
68
Technical Alarm Messages (INOPs) 4 Patient Alarms and INOPs
INOP Message, Indication Source What 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 INOPS PRESS See <Pressure label> INOPS (under Pressure). PAP INOPS PRESS See <Pressure label> INOPS (under Pressure). PPV BAD <Pressure Label>
SIGNAL PPV BAD SIGNAL
at Information Center
PPV CHK SOURCES PRESS The arterial pressure source selected for PPV is unplugged or
<Pressure label> ARTIFACT
Numeric displayed with -?-
<Pressure label> DEACTIVATED
INOP tone
NBP Check the tubing and cuff for leakages or kinks. Check that
you are using the correct cuff size and placement, and that the correct patient category is selected. Try restarting the measurement. If the INOP occurs repeatedly, contact your service personnel. You can silence this INOP, but the INOP message remains visible until the next measurement is started or the Stop All SmartKey is selected. This INOP arises when the measurement needed longer than the maximum time for inflation, deflation or the total measurement.
NBP Check 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.
Monitor There is a problem with the communication to the network.
Central monitoring is currently not possible (no patient alarms or information). Check the connection. Contact your service personnel.
MMS or FMS
FMS
PRESS The arterial pressure source selected for PPV is not providing a
PRESS The arterial pressure source selected for PPV is not providing a
PRESS A non-physiological event is detected (for example, a flush or
PRESS A 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 INOPs Technical Alarm Messages (INOPs)
INOP Message, Indication Source What to do
<Pressure label> EQUIP MALF
Numeric displayed with -?­INOP tone.
<Pressure label> NO TRANSDUCER
Numeric is replaced by -?­INOP tone.
<Pressure label> NOISY SIGNAL
Pulse numeric is replaced by -?­INOP tone.
<Pressure label> NON­PULSATILE
Pulse numeric is replaced by -?­INOP tone.
<Pressure label> OVERRANGE
Numeric is replaced by -?­INOP tone.
<Pressure label> REDUCE SIZE
<Pressure label> TRANSDUC MALF
Numeric is replaced by -?­INOP tone.
<Pressure label> UNPLUGGED
<Pressure label> ZERO+CHECK CAL
Numeric is replaced by -?-
RA LEAD OFF
Numeric is replaced by -?­INOP tone.
RAP INOPS PRESS See <Pressure label> INOPS (under Pressure).
Rem.Alarmdev.Malf
INOP tone
RESP EQUIP MALF
Numeric is replaced by -?­INOP tone.
PRESS Contact your service personnel.
The pressure hardware is faulty.
PRESS Make 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.
PRESS This INOP can only arise when a pressure is selected as the
pulse source. It occurs when the pulse detector finds a pulse rate above 350bpm. This is usually caused by movement artifact or electrical interference.
PRESS This INOP can only arise when a pressure is selected as the
pulse source. It occurs when the pulse rate being measured is less than 25 beats per minute or the amplitude is less than three mmHg. Check the catheter and connections to the patient.
PRESS Make sure that the measurement has been properly prepared
and zeroed, and that the transducer is level with the heart. If this INOP persists, try another transducer. Possible causes are a measured pressure outside the allowed pressure range, or a broken wire to the transducer.
PRESS Increase the scale for the pressure wave.
PRESS Contact your service personnel.
The transducer is faulty.
PRESS A Pressure measurement label has been deactivated, either by
unplugging a module, or by deactivating the label in the Measurement Selection window.
The measurement automatically disappears from the display.
To switch the measurement on again, either replug the module or reactivate the measurement label in the Measurement Selection window.
PRESS Perform a zero and check the calibration of the transducer.
ECG The 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.
Monitor There is a problem with the connection to the remote alert
device. Contact your service personnel to check the remote alert device and its connections.
RESP Contact 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, Indication Source What 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 OFF Arrhythmia This message appears (if configured to do so) when the on/off
Speaker Malfunct.
INOP tone
SPIRO MALFUNCTION Spirometry Module failure detected. Contact your service personnel. SPIRO INCOMPATIBLE Spirometry Module revision not compatible with the host monitor
SPIRO UPGRADE Spirometry The module is running a firmware upgrade. Wait until upgrade
SPIRO CANNOT MEAS Spirometry Measurement is at its limit, e.g. ambient pressure out of range. SPIRO PURGE FAILED Spirometry The purge operation could not be completed successfully.
SPIRO UNKN. SENSOR Spirometry An unknown sensor ID code was detected. Use only the sensors
SPIRO ALARMS SUPPR Spirometry Alarming is suppressed for the spirometry module. SPIRO PURGING Spirometry A purge operation is in progress - no data update on the screen.
SPIRO NO SENSOR Spirometry No sensor detected. Make sure the correct sensor is attached to
SPIRO NO BREATH Spirometry 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 -?-
RESP The monitor has detected too many artifacts in the measured
Resp signal. Check that the RA and LL electrodes are correctly attached and have not dried out.
RESP Not all the required leads for Resp monitoring are attached.
Make sure that the RA and LL leads are attached.
ECG The 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.
Monitor The monitor cannot use the predefined settings for
monitoring. Contact your service personnel.
settings of the yellow arrhythmia alarms differ from the current Profile.
Monitor Contact 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 INOPs Technical Alarm Messages (INOPs)
INOP Message, Indication Source What 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, Indication Source What 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 DEFECT SvO
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 INOPs Technical Alarm Messages (INOPs)
INOP Message, Indication Source What to do
SvO2 UNABL TO MEAS
Sv
O2 numeric is replaced by -?-.
INOP tone
SvO2 UNPLUGGED
O2 numeric is replaced by -?-.
Sv INOP tone
SVR/SVRI CHK SOURCES
Numeric is replaced by -?-
SVR/SVRI CHK UNITS
Numeric is replaced by -?-
SVR/SVRI SET CVP USED
Numeric is replaced by -?-
T/T1/T2/T3/T4 INOPs TEMP See <Temp label> INOPs (under Temp) Tamb INOPs TEMP See <Temp label> INOPs (under Temp) Tart INOPs TEMP See <Temp label> INOPs (under Temp) Tblood NO TRANSDUC
Numeric is replaced by -?­INOP tone
Tblood OVERRANGE
Numeric is replaced by -?-
Tcereb INOPS TEMP See <Temp label> INOPs (under Temp) Tcore INOPs TEMP See <Temp label> INOPs (under Temp). tcpO2 (or tcpCO2 or tcGas)
CAL FAILED
Numeric is replaced by -?­INOP tone.
tcpO2 (or tcpCO2 or tcGas) CAL REQUIRD
Numeric is replaced by -?­INOP tone.
tcpO2 (or tcpCO2 or tcGas) CAL RUNNING
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/SVRI Not all measurements or values required to perform the
SVR/SVRI The monitor has detected a conflict in the units used for this
SVR/SVRI A 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.
tcGas A calibration failed. Check the cal. unit, gas pressure, and
tcGas Calibration is required before applying the transducer to the
tcGas Wait until the tcpO2/tcpCO2 calibration is finished.
tcGas Site Timer due to time out in 15 minutes or less.
tcGas Site 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
INOP Message, Indication Source What to do
tcpO2 (or tcpCO2 or tcGas) EQUIP MALF
Numeric is replaced by -?­INOP tone.
tcpO2 (or tcpCO2 or tcGas) NO TRANSDUC
Numeric is replaced by -?­INOP tone.
tcpO2 (or tcpCO2 or tcGas) STABILIZING
Numeric is displayed with a ?
tcpO2 (or tcpCO2 or tcGas) UNPLUGGED
Numeric is replaced by -?­INOP tone.
<Temp> CHK SOURCES
Numeric is replaced by -?-
<Temp> CHK UNITS
Numeric is replaced by -?-
<Temp label> DEACTIVATED
INOP tone
<Temp label> EQUIP MALF
Numeric is replaced by -?­INOP tone.
<Temp label> NO TRANSDUCER
Numeric is replaced by -?­INOP tone.
<Temp label> UNPLUGGED
INOP tone
<Temp label> OVERRANGE
Numeric is replaced by -?­INOP tone.
Tesoph INOPS TEMP See <Temp label> INOPs (under Temp). TimeExpired:<timer label>
INOP tone
Tnaso INOPS TEMP See <Temp label> INOPs (under Temp). Trect INOPS TEMP See <Temp label> INOPs (under Temp). Tskin INOPS TEMP See <Temp label> INOPs (under Temp).
tcGas There is a malfunction in the transducer or module. Connect
another transducer. If this INOP persists, contact your service personnel.
tcGas No transducer is connected to the tcpO2/tcpCO2 module.
Silencing the alarm switches off the measurement.
tcGas The transducer has not yet reached the selected temperature
and/or skin hyperemization is not yet finished. This INOP will disappear within three minutes.
tcGas The measurement is switched on but the module is unplugged.
The measurement automatically disappears from the display. Silencing this INOP switches off the measurement.
TEMP Difference
TEMP Difference
TEMP A Temp measurement label in the measurement server or
TEMP Contact your service personnel.
TEMP Make sure the TEMP probe is connected to the MMS or
TEMP A Temp measurement label has been deactivated, either by
TEMP Try changing the application site of the transducer.
Monitor The 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 INOPs Technical Alarm Messages (INOPs)
INOP Message, Indication Source What to do
Ttymp INOPS TEMP See <Temp label> INOPs (under Temp) Tven INOPS TEMP See <Temp label> INOPs (under Temp). Tvesic INOPS TEMP See <Temp label> INOPs (under Temp) UAP INOPS PRESS See <Pressure label> INOPS (under Pressure). Unsupported LAN
INOP tone
User I/F Malfunct. INOP tone.
UVP INOPS PRESS See <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.
Monitor There is a problem with the communication to the network
and central monitoring is currently not possible. Check the connection.If the INOP persists, switch off the monitor and contact your service personnel.
Monitor Perform a visual and functional check of all the monitor input
devices. Contact your service personnel.
ECG The V electrode (IEC: C electrode) has become detached from
the patient or the lead set has been changed. Reattach the electrode or select menu to confirm the new lead set.
VueLink No cable or the wrong cable connected to the VueLink module,
or incorrect device selected. Silencing this INOP switches the measurement off. VueLink INOP abbreviations may differ slightly depending on the device category.
VueLink The wrong external device has been selected on the VueLink
module, or the external device has not been correctly setup, or the wrong cable has been used to connect the device to the VueLink modu l e . VueLink INOP abbreviations may differ slightly depending on the device category.
VueLink No information was received from the external device. The
device may be switched off or disconnected. VueLink INOP abbreviations may differ slightly depending on the device category.
VueLink Malfunction in the VueLink module. If this message appears
repeatedly, the module must be replaced. Contact your service personnel. VueLink INOP abbreviations may differ slightly depending on the device category.
VueLink The VueLink module has not been configured during
installation. The installation process should be completed by either your biomedical engineering department or the Philips service engineer. VueLink INOP abbreviations may differ slightly depending on the device category.
VueLink The VueLink module has been unplugged from the rack, or the
whole rack has been disconnected. The measurement automatically disappears from the display. Silencing this INOP switches off the measurement. VueLink INOP abbreviations may differ slightly depending on the device category.
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,
1 Select the patient name field or select the
Admit/Dischrge SmartKey to open the
Patient Demographics window.
2 Clear 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.
3 Select Admi t Patient.
4 Enter the patient information: select each
field and use the on-screen keyboard or choose from the pop-up list of alternatives to input information. 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 Patients Quick 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.
5 Select Confirm. The patient status changes to admitted.
Patient Category and Paced Status
The patient category setting determines the algorithm the monitor uses to process and calculate some measurements, the safety limits that apply for some measurements, and the alarm limit ranges.
The paced setting determines whether the monitor shows pacemaker pulses or not. When Paced is set to No, pace pulses are filtered and therefore do not show in the ECG wave.
WARNING Patient Category and Paced status will always contain a value, regardless of whether the
patient is fully admitted or not. If you do not specify settings for these fields, the monitor uses the default settings from the current profile, which might not be correct for your patient.
Patient category Changing the patient category may change the arrhythmia and NBP alarm limits. Always check alarm limits to make sure that they are appropriate for your patient.
Paced status For paced patients, you must set 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.
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1 Select the Quick Admit SmartKey.
2 Enter the required data (MRN or Last Name depending on configuration) with the keyboard or a
barcode scanner.
Editing Patient Information 5 Managing Patients
Select Enter.
3 4 In the confirmation window, select Confirm to discharge the previous patient (if confirmation is
configured).
5 Check that patient category and paced status are correct for the new patient.
If the monitor is connected to an Information Center and only the 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,
1 Select the patient name field to display the Patient Demographics window and associated
pop-up keys.
2 Select the pop-up key for either:
End Case - to print any configured end case reports or vital signs recording, discharge the
patient and clear the patient database, then enter standby mode. If an End Case SmartKey is configured for your monitor, you can also select this instead and then confirm.
To see which end case reports are set up for your monitor, select Main Setup -> Reports ->
Auto Reports. For each auto report, if End Case Report is set to On, this report will be printed when you select End Case. See the section on AutoReports for information on setting up end case reports.
Dischrge Patient - to discharge the patient without printing any reports.
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5 Managing Patients Transferring 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 Information Stored in Monitor Stored 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
WARNING If the monitor is not battery-powered, you cannot monitor during transport.
yes yes
yes no
yes yes, 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)
yes no
yes no
most recent 8 hours of information, for all MMS and extensions measurements
Transferring a Centrally-Monitored Patient
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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.
1 Before 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.
2 Remove the MMS and any connected extensions from the monitor.
3 Connect the MMS to the transfer monitor and monitor your patient during the move.
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