Philips MP40-50 IntelliVue User manual

M8000-9001F

1Table Of Contents

1 Basic Operation 1

Introducing the IntelliVue Family 1

IntelliVue MP20/MP20Junior/MP30 2 MP20/MP30 Major Parts and Keys 2 IntelliVue MP40/MP50 3 MP40/MP50 Major Parts and Keys 4 IntelliVue MP60/MP70 5 MP60/MP70 Major Parts and Keys 5 MP80/MP90 Major Parts and Keys 6 Remote Alarm Device 6 Docking Station 7

Related Products 7

Flexible Module Server (M8048A) 7 Measurement Modules 8 Multi-Measurement Server (M3001A) 9 Measurement Server Extensions 10

M3014A, M3015A and M3016A Capnography Extensions 10 M3012A Hemodynamic Measurement Server Extension 11

Operating and Navigating 12

Selecting Screen Elements 13 Using the Setup Menu 13 Using the Touchscreen 13 Disabling Touchscreen Operation 13 Using the SpeedPoint 14 Using the Navigation Point 15 Using a Mouse or Trackball 15 Using Keys 15

Permanent Keys 15 SmartKeys 16 Hardkeys 17 Pop-Up Keys 17

Using the On-Screen Keyboard 17 Using the On-Screen Calculator 18

Operating Modes 19

Standby Mode 19

Understanding Screens 20

Switching to a Different Screen 20 Changing a Screen’s Content 20

Using a Second Display 21

Using the Visitor Screen 21

Understanding Profiles 22

Swapping a Complete Profile 23

Swapping a Settings Block 23 Default Profile 23 Locked Profiles 23

Understanding Settings 24

Changing Measurement Settings 24 Switching a Measurement On and Off 24 Switching Numerics On and Off 25 Adjusting a Measurement Wave 25

Changing Wave Speeds 25

Changing the Wave Group Speed 25 Changing Wave Speed for a Channel 25

Freezing Waves 26

Freezing An Individual Wave 26 Freezing All Waves 26 Measuring Frozen Waves 26 Changing The Wave Speed 26 Updating The Frozen Wave 26 Releasing Frozen Waves 27

Using Labels 27

About Label Sets 27 Changing Measurement Labels (e.g. Pressure) 27 Resolving Label Conflicts 28

Changing Monitor Settings 29

Adjusting the Screen Brightness 29 Adjusting Touch Tone Volume 29 Setting the Date and Time 29

Checking Your Monitor Revision 29 Getting Started 30

Inspecting the Monitor 30 Switching On 30 Setting up the Measurement Servers and Modules 30 Starting Monitoring 30

Disconnecting from Power 31

Monitoring After a Power Failure 31

Networked Monitoring 31 Using Remote Applications 31

Remote Application Popup Keys 32

2 What’s New? 33

What’s New in Release C.0? 33

What’s New in Release B.1? 34

What’s New in Release B.0? 35 What’s New in Release A.2? 37

3 Alarms 39

Visual Alarm Indicators 40

Audible Alarm Indicators 40

Alarm Tone Configuration 40

Traditional Audible Alarms (HP/Agilent/Philips/Carenet) 41 ISO/IEC Standard 9703-2 Audible Alarms 41

Changing the Alarm Tone Volume 41 Minimum Volume for No Central Monitoring INOP 41

Acknowledging Alarms 42

Acknowledging Disconnect INOPs 42 Alarm Reminder (ReAlarm) 42

Pausing or Switching Off Alarms 42

To Pause All Alarms 43 To Switch All Alarms Off 43 To Switch Individual Measurement Alarms On or Off 43 While Alarms are Paused or Off 43 Restarting Paused Alarms 44 Resetting Arrhythmia Alarm Timeouts 44 Extending the Alarm Pause Time 44

Alarm Limits 44

Viewing Individual Alarm Limits 44 Viewing All Alarm Limits 45 Changing Alarm Limits 46 About Automatic Alarm Limits (AutoLimits) 47 Documenting Alarm Limits 47

Reviewing Alarms 48

Alarm Messages Window 48 Review Alarms Window 48

Understanding Alarm Messages 49 Latching Alarms 49

Viewing the Alarm Latching Settings 49 Alarm Latching Behavior 50 Silencing Latched Alarms from an Information Center 50

Testing Alarms 50 Alarm Behavior at On/Off 50

4 Patient Alarms and INOPs 51

Patient Alarm Messages 51 Technical Alarm Messages (INOPs) 57

5 Managing Patients 75

Admitting a Patient 75

Patient Category and Paced Status 76 Admitting a Centrally-Monitored Patient 76

Quick Admitting a Patient 76 Editing Patient Information 77 Discharging a Patient 77 Transferring Patients 78

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Transferring a Centrally-Monitored Patient 78 Transferring a Patient with an MMS (no Central Station) 79

Data Upload from an MMS 79 Data Exchange Between Information Centers 80 Resolving Patient Information Mismatch 80

Manually Resolving Patient Mismatch 80

Patient Mismatch - If One Set of Patient Data is Correct 81 Patient Mismatch - If Neither Patient Data Set is Correct 81 Patient Mismatch - If Both Patient Data Sets Are Correct 82

Automatically Resolving Patient Mismatch 82

Care Groups 82

Understanding the Care Group Overview Bar 83 Viewing the My Care Group Window 84 Viewing the Other Bed Window 85

Other Bed Pop-Up Keys 86 Visual Alarm Status Information in the Other Bed Window 86

Care Group Alarms 86 Telemetry Data Overview 87

Unpairing a Telemetry Device 87 Telemetry Data Overview Screen Element 87 Silencing Telemetry Alarms from the Bedside 88 Suspending Telemetry Alarms 88

Using Standby 88

6 ECG, Arrhythmia, and ST Monitoring 89

Skin Preparation for Electrode Placement 89 Connecting ECG Cables 89 Selecting the Primary and Secondary ECG Leads 90 Checking Paced Status 90 Understanding the ECG Display 91 Monitoring Paced Patients 91

Setting the Paced Status (Pace Pulse Rejection) 92 Avoiding Pace Pulse Repolarization Tails 92

Changing the Size of the ECG Wave 92

To Change the Size of an Individual ECG Wave 92 To Change the Size of all the ECG Waves 93

Changing the Volume of the QRS Tone 93 Changing the ECG Filter Settings 93 Choosing EASI or Standard Lead Placement 94 About ECG Leads 94

ECG Leads Monitored 94 Changing Lead Sets 94

ECG Lead Fallback 95 ECG Lead Placements 95

Standard 3-Lead Placement 96 Standard 5-Lead Placement 96

Chest Electrode Placement 97 10-Lead Placement 98 Conventional 12-Lead ECG 98

Modified 12-Lead ECG 99

Choosing Standard or Modified Electrode Placement 99 Labelling 12-Lead ECG Reports 99

Capture 12-Lead 100 EASI ECG Lead Placement 100 ECG, Arrhythmia, and ST Alarm Overview 102 Using ECG Alarms 103

Extreme Alarm Limits 103 ECG Alarms Off Disabled 103 HR Alarms When Arrhythmia Analysis is Switched Off 103 HR Alarms When Arrhythmia Analysis is Switched On 103

ECG Safety Information 103 About Arrhythmia Monitoring 105

Arrhythmia Options 105 Where Can I Find More Information? 105

Switching Arrhythmia Analysis On and Off 106 Choosing an ECG Lead for Arrhythmia Monitoring 106

Aberrantly-Conducted Beats 106 Atrial Fibrillation and Flutter 106 Intermittent Bundle Branch Block 107

Understanding the Arrhythmia Display 107

Viewing Arrhythmia Waves 107 Arrhythmia Beat Labels 107 Arrhythmia Status Messages 108

Rhythm Status Messages 108 Ectopic Status Messages 109

Arrhythmia Relearning 109

Initiating Arrhythmia Relearning Manually 109 Automatic Arrhythmia Relearn 110

Arrhythmia Relearn and Lead Fallback 110

Arrhythmia Alarms 110

Yellow Arrhythmia Alarms 111 Arrhythmia Alarms and Latching 111 Switching Individual Arrhythmia Alarms On and Off 111 Switching All Yellow Arrhythmia Alarms On or Off 111 Adjusting the Arrhythmia Alarm Limits 111 Arrhythmia Alarm Timeout Periods 111

What is a Timeout Period? 112 Resetting the Timeout Period 112

How are Yellow Arrhythmia Alarms Indicated? 112

Behavior of Unsilenced Arrhythmia Alarms 112 Behavior of Silenced Arrhythmia Alarms 112 Arrhythmia Alarm Chaining 113

Understanding PVC-Related Alarms 114

About ST Monitoring 115 Switching ST On and Off 115

Selecting ST Leads for Analysis 115

Understanding the ST Display 116 Updating ST Baseline Snippets 117 Recording ST Segments 117 About the ST Measurement Points 118

Adjusting ST Measurement Points 118

ST Alarms 120

Single- or Multi-lead ST Alarming 120 Changing ST Alarm Limits 120

Viewing ST Maps 120

Current View 120 Tre n d V i ew 121 Viewing an ST Map 122 Working in the ST Map Task Window 122

Switching Between ST Map Views 122 Displaying an ST Reference Baseline 123 Updating an ST Map Reference Baseline 123 Changing the Scale of the ST Map 123 Changing the Trending Interval 123 Printing an ST Map Report 123

7 Monitoring Pulse Rate 125

Entering the Setup Pulse Menu 125 System Pulse Source 125 Switching Pulse On and Off 126 Using Pulse Alarms 126

Selecting the Active Alarm Source: HR or Pulse? 126 Alarm Source Selection Disabled 127 Changing HR/Pulse Alarm Limits 127 Extreme Alarm Limits 127 QRS Tone 127

8 Monitoring Respiration Rate (Resp) 129

Lead Placement for Monitoring Resp 129

Optimizing Lead Placement for Resp 129 Cardiac Overlay 129 Lateral Chest Expansion 130 Abdominal Breathing 130

Understanding the Resp Display 130 Changing Resp Detection Modes 130

Auto Detection Mode 130 Manual Detection Mode 131 Resp Detection Modes and Cardiac Overlay 131

Changing the Size of the Respiration Wave 131 Changing the Speed of the Respiration Wave 131 Using Resp Alarms 132 Changing the Apnea Alarm Delay 132 Resp Safety Information 132

9 Monitoring SpO

SpO2 Sensors 133 Applying the Sensor 133 Connecting SpO2 Cables 134 Measuring SpO

134

Assessing a Suspicious SpO2 Reading 135 Understanding SpO2 Alarms 136

Adjusting the Alarm Limits 136 Adjusting the Desat Limit Alarm 136

Pleth Wave 136 Perfusion (Pleth) Indicator 137 Setting SpO2/Pleth as Pulse Source 137 Setting Up Tone Modulation 137 Setting the QRS Volume 137 Calculating SpO2 Difference 137

10 Monitoring NBP 139

Introducing the Oscillometric NBP Measurement 139

Measurement Limitations 140 Measurement Methods 140 Reference Method 140

Preparing to Measure NBP 140

Correcting the Measurement if Limb is not at Heart Level 141 Understanding the NBP Numerics 141

Starting and Stopping Measurements 142 Enabling Automatic Mode and Setting Repetition Time 142 Choosing the NBP Alarm Source 143 Assisting Venous Puncture 143 Calibrating NBP 143

133

11 Monitoring Temperature 145

Making a Temp Measurement 145

Selecting a Temperature for Monitoring 145 Extended Temperature Label Set 146

Calculating Temp Difference 146

12 Monitoring Invasive Pressure 147

Setting up the Pressure Measurement 147

Selecting a Pressure for Monitoring 148 Extended Pressure Label Set 148

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Zeroing the Pressure Transducer 148

Zeroing ICP (or IC1/IC2) 149 Determining a Pressure’s Most Recent Zero 149 Zeroing a Pressure Measurement 149 Using the Zero Hardkey 149 Zeroing All Pressures Simultaneously 150 Troubleshooting the Zero 150

Adjusting the Calibration Factor 150 Displaying a Mean Pressure Value Only 150 Changing the Pressure Wave Scale 151 Optimizing the Waveform 151 Non-Physiological Artifact Suppression 151 Choosing the Pressure Alarm Source 151 Calibrating Reusable Transducer CPJ840J6 152

Making the Pressure Calibration 152 Troubleshooting the Pressure Calibration 153

Calculating Cerebral Perfusion 153 Calculating Pulse Pressure Variation 153 Measuring Pulmonary Artery Wedge Pressure 154 Editing the Wedge 155 Identifying the Pressure Analog Output Connector 155

13 Monitoring Cardiac Output 157

Hemodynamic Parameters 158 Using the C.O. Procedure Window 159 Accessing the Setup C.O. and Setup CCO Menus 160 Entering the HemoCalc Window 160 Measuring C. O. Using the PiCCO Method 160

Measuring Continuous Cardiac Output 160 Measuring Systemic Vascular Resistance 160 Setting Up the PiCCO C.O. Measurement 161 Performing PiCCO C.O. Measurements 162 Editing PiCCO C.O. Measurements 162 Saving and Calibrating PiCCO C.O. Measurements 163 CCO Calibration Status Indicators 163

Measuring C.O. Using the Right Heart Thermodilution Method 164

Setting up RH C.O. Measurements 164

Ice-Bath Setup for RH Thermodilution C.O. Measurements 164

Setting the Computation Constant 165 Performing RH C.O. Measurements 165 Editing and Saving RH C.O. Measurements 165

Documenting C.O. Measurements 165 C.O. Injectate Guidelines 166

Guidelines for Right Heart Thermodilution C.O. Injectate 166 Guidelines for PiCCO C.O. Injectate 166 Injectate Volume, Patient Weight and ETVI Values (PiCCO Only) 166

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C.O./CCO Curve Alert Messages 167 C.O./CCO Prompt Messages 168 C.O./CCO Warning Messages 169 C.O./CCO Safety Information 169

14 Monitoring Carbon Dioxide 171

Using the Capnography Extension (M3014A) 172

Preparing to Measure Mainstream CO Attaching and Removing the CO2 Sensor 172 Zeroing the CO2 Sensor 173

Using the Mainstream CO2 Extension (M3016A) 174

Preparing to Measure Mainstream CO Checking Transducer Accuracy 174 Calibrating the Transducer 175 Attaching and Removing the CO2 Tra n s d u c e r 175

Using the Microstream CO2 Extension (M3015A) 176

Preparing to Measure Microstream CO2 176 Setting up Microstream CO2 Measurements 176 Using Microstream Accessories 176 Using the FilterLine and Airway Adapter 177 Removing Exhaust Gases from the System 177 Suppressing Zero Calibration 177 Suppressing Sampling 178

Setting up Mainstream and Microstream 178

Adjusting the CO2 Wave S c ale 178 Setting up CO2 Corrections 178 Changing CO2 Alarms 179 Changing the Apnea Alarm Delay 179 Deriving Alarms From awRR 180 Changing awRR Alarm Limits 180

172

174

15 Monitoring tcGas 181

Identifying tcGas Module Components 181 Setting the tcGas Sensor Temperature 182 Using the tcGas Site Timer 182

Setting the tcGas Site Timer 182 Restarting the tcGas SiteTimer 183 Disabling the tcGas Site Timer 183

Setting the tcGas Barometric Pressure 183 Remembraning the tcGas Transducer 183

New/Dried Out Transducers 184 Storing tcGas Transducers 184

Calibrating the tcGas Transducer 185

Calibration Failure 186 Troubleshooting tcGas Calibration 186

Applying the tcGas Transducer 187

Selecting the tcGas HeatPowerDisplay Mode 188 Zeroing the tcGas Relative Heat Power 188

Finishing tcGas Monitoring 188 TcGas Corrections 188

Temperature Correction for tcpCO Metabolism Correction for tcpCO

188 188

16 Monitoring SvO

Preparing to Monitor SvO

190

Carrying out a Pre-insertion Calibration 190 Inserting the Catheter 191 Performing a Light Intensity Calibration 191 Performing In-Vivo Calibration 192

Setting Up the In-Vivo Calibration 192 Making the In-Vivo Calibration 192

Calculating Oxygen Extraction 192

17 Monitoring EEG 193

EEG Monitoring Setup 194 Using the EEG Impedance/Montage Window 194

Choosing an EEG Electrode Montage 195 Changing the Impedance Limit 195 About Electrode-to-Skin Impedance 196 Impedance Indicators 196

About Compressed Spectral Arrays (CSA) 197

Displaying CSAs 198

Changing EEG Settings 198

Switching EEG Numerics On and Off 198 Changing the Scale of the EEG Waves for Display 198 Changing Filter Frequencies 199 Changing the Speed of the EEG Wave 199

EEG Reports 199 EEG Safety Information 200 EEG and Electrical Interference 200

189

18 Monitoring BIS 201

BIS Monitoring Setup 202

Monitoring BIS Using the DSC and BIS Engine 202 Monitoring BIS using the BISx 203 Manufacturer’s Information 204

BIS Continuous Impedance Check 204 BIS Cyclic Impedance Check 204

Starting a Cyclic Impedance Check 204 Stopping a Cyclic Impedance Check 204

BIS Window 205

BIS Impedance Indicators 205

Changing the BIS Smoothing Rate 206 Switching BIS and Individual Numerics On and Off 206 Changing the Scale of the EEG Wave 206 Switching BIS Filters On or Off 206 BIS Safety Information 207

19 Trends 209

Viewing Trends 209

Viewing Graphic Trends 210 Viewing Vital Signs Trends 210 Tre n ds Po p - U p K e y s 211

Setting Up Trends 211

Making Segment Settings 212

Expanded View 212 Trend Scales for Segment Measurements 212 Optimum Scale 212 Tr e n d Gr o u p 2 1 2 No. of Segments 212

Tre n d Gr o u p s 213 Tre n d I n te r v a l 213 Tre n d Pr i o r i t y 213 Trend Parameter Scales 213 Graphical Trend Presentation 214

Documenting Trends 214 Trends Databases 215

Aperiodic Trends Database 215 Trending Multiple-Value Measurements 215

Screen Trends 215

Setting the Screen Trend Time 216 Changing the Selection of Screen Trends Displayed 217 Activating the Cursor for Screen Trends 217 Changing the Screen Trend View 217

Tabular View 217 Horizon View 218 Setting the Horizon 218 Setting the Horizon Trend Scale 218

20 Calculations 219

Viewing Calculations 219

Calculations Windows 220 Calculations Pop-Up Keys 220

Reviewing Calculations 221 Performing Calculations 221 Entering Values for Calculations 222

Automatic Value Substitution 222 Automatic Unit Conversion 222

Manual Unit Conversion 222 BSA Formula 222

Documenting Calculations 223

21 High Resolution Trend Waves 225

Changing the Hi-Res Trend Waves Displayed 225 Hi-Res Trend Wave Scales 225 Hi-Res Trend Waves and OxyCRG 225 Printing Hi-Res Trend Wave Reports 226 Hi-Res Trend Wave Recordings 226

22 Event Surveillance 227

Levels of Event Surveillance 227 Event Groups 228 Event Episodes 228 Events Pop-Up Keys 229 Event Triggers 230

Event Retriggering 231 Event Notification 231 Setting Triggers for NER and Basic Event Surveillance 231 Setting Triggers and Notification for Advanced Event Surveillance 232 Triggering Events Manually 233

The Events Database 233 Viewing Events 233

Event Counter 233

Counting Combi-Events 234 Counting Neonatal Event Review (NER) Events 234

Event Summary Window 235 Event Review Window 235 Event Episode Window 236

Annotating Events 237 Documenting Events 237

Documenting Event Review 237 Documenting an Event Episode 238 Event Recordings 238

Event Review Recordings 238 Event Episode Recordings 239

Event Reports 239

Event Review Reports 240 Event Episode Reports 241 Event Summary Reports 241

23 Using Timers 243

Viewing Timers 243

Notification 243 Timer Types 244

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Timer Setup Pop-up Keys 244 Setting Up Timers 244

Timer Label 244 Run Time 245 Timer Counting Direction 245

Displaying Timers On The Main Screen 245

Main Screen Timer Pop-up Keys 246

Displaying A Clock On The Main Screen 246

24 Recording 247

Starting and Stopping Recordings 248

Quickstarting Recordings 248 Extending Recordings 249 Stopping Recordings 249 Recording Without a Template 249

Overview of Recording Types 249 All ECG Waves Recordings 250 Creating and Changing Recordings Templates 250 Changing ECG Wave Gain 251 Recording Priorities 252 Sample Recording Strip 252

Recording Strip Code 252 Recorded Waveforms 253 Maintaining Recording Strips 253

Reloading Paper 254 Recorder Status Messages 255

25 Printing Patient Reports 257

Starting Reports Printouts 257 Stopping Reports Printouts 258 Setting Up Reports 258

Setting Up ECG Reports 258 Setting Up Vital Signs and Graphic Trend Reports 259 Setting Up Auto Reports 259

Setting Up Individual Print Jobs 260 Checking Printer Settings 260 Switching Printers On Or Off for Reports 261 Dashed Lines on Reports 261 Unavailable Printer: Re-routing Reports 261 Printer Status Messages 262 Sample Report Printouts 262

Alarm Limits Report 263 Realtime Report 264 Cardiac Output Report 265 ECG Reports 266 Other Reports 266

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26 Using the Drug Calculator 267

Accessing the Drug Calculator 267 Performing Drug Calculations 268

About the Rule of Six 268 Performing Calculations for a Non-Specific Drug 268 Performing Calculations for a Specific Drug 269

Charting Infusion Progress 270 Using the Titration Table 270 Documenting Drug Calculations 270

27 VueLink Modules 271

Connecting an External Device 272 Changing VueLink Waves and Numerics Displayed 272 Viewing the VueLink Device Data Window 272 Using VueLink Screens 273 Switching VueLink On and Off 273 Alarms/INOPs From External Devices 273 Language Conflict with External Device Drivers 274

28 Respiratory Loops 275

Viewing Loops 275 Capturing and Deleting Loops 276 Showing/Hiding Loops 276 Changing Loops Display Size 277 Using the Loops Cursor 277 Changing Loops Type 277 Source Device 277 Documenting Loops 278

29 Care and Cleaning 279

General Points 279 Cleaning 280 Disinfecting 280 Cleaning Monitoring Accessories 280 Sterilizing 281 Cleaning the Recorder Printhead (M1116B only) 281 Cleaning the Batteries and Battery Compartment 281

30 Using the Batteries 283

Battery Power Indicators 284

Battery LED 284 Battery Status on the Main Screen 284 Battery Status Window 286

Viewing Individual Battery Status 286 Recording Battery Status 286

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Printing Battery Reports 286

Checking Battery Charge 286 Replacing Batteries 287 Optimizing Battery Performance 287

Display Brightness Setting 288 Charging Batteries 288 Conditioning Batteries 288 Unequally-Charged Batteries 288

Battery Safety Information 289

31 Maintenance and Troubleshooting 291

Inspecting the Equipment and Accessories 291 Inspecting the Cables and Cords 291 Maintenance Task and Test Schedule 292 Troubleshooting 293 Disposing of the Monitor 293 Disposing of Empty Calibration Gas Cylinders 293

32 Accessories 295

ECG/Resp Accessories 295

Tr u nk C a b l e s 295 3-Electrode Cable Sets 295 5-Electrode Cable Sets 296 10-Electrode Cable Sets 296 3-Electrode One Piece Cables 296 5-Electrode One Piece Cables 296 Set Combiners and Organizers 297

NBP Accessories 297

Adult/Pediatric Multi-Patient Comfort Cuffs and Disposable Cuffs 297 Reusable Cuff Kits 297 Adult/Pediatric Antimicrobial Coated Reusable cuffs 298 Adult/Pediatric Soft Single Patient Single-Hose Disposable Cuffs 298 Neonatal/Infant Cuffs (Disposable, non-sterile) 298

Invasive Pressure Accessories 299 SpO2 Accessories 299 Temperature Accessories 303 Cardiac Output (C.O.) Accessories 304 Mainstream CO2 Accessories (for M3014A) 304 Mainstream CO2 Accessories (for M3016A) 305 Microstream CO2 Accessories 306 tcGas Accessories 306 EEG Accessories 307 BIS Accessories 307

BIS Sensors 307 Other BIS Accessories 308

SvO2 Accessories 308

Recorder Accessories 309

33 Installation and Specifications 311

Intended Use 311 Indication for Use 311 Manufacturer’s Information 312

BIS Manufacturer’s Information 312 Responsibility of the Manufacturer 312 Trademark Acknowledgement 313

Symbols 314 Installation Safety Information 315

Connectors 315

MP20/MP30 316 MP40/MP50 317 MP60/MP70 318 MP80/MP90 320

Altitude Setting 321 Monitor Safety Specifications 321

Physical Specifications 322 Environmental Specifications 323

M4605A Battery Specifications 326 Monitor Performance Specifications 326 Measurement Specifications 332

ECG/Arrhythmia/ST 332 Respiration 334 SpO

NBP 336 Invasive Pressure and Pulse 337 Te m p 339 CO

Cardiac Output / Continuous Cardiac Output 341 tcGas 342 SvO

EEG 343 BIS 344

Safety and Performance Tests 345

Electromagnetic Compatibility (EMC) Specifications 345

Accessories Compliant with EMC Standards 345

Electromagnetic Emissions 345

Avoiding Electromagnetic Interference (Resp and BIS) 345

Electromagnetic Immunity 346 Recommended Separation Distance 346 Recommended separation distances from portable and mobile RF communication equipment347

Electrosurgery Interference/Defibrillation/Electrostatic Discharge 348 Fast Transients/Bursts 348 Restart time 348

334

339

343

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34 Default Settings Appendix 349

Alarm Default Settings 350 ECG, Arrhythmia, and ST Default Settings 350 Pulse Default Settings 353 Respiration Default Settings 354 SpO2 Default Settings 354 NBP Default Settings 355 Temperature Default Settings 355 Invasive Pressure Default Settings 356 Cardiac Output Default Settings 357 CO2 Default Settings 358 tcGas Default Settings 358 SvO2 Default Settings 359 EEG Default Settings 359 BIS Default Settings 359 VueLink Default Settings 360

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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 in this book.

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

In this guide:

•A warning alerts you to a potential serious outcome, adverse event or safety hazard. Failure to

observe a warning may result in death or serious injury to the user or patient.

•A caution alerts you to where special care is necessary for the safe and effective use of the product.

Failure to observe a caution may result in minor or moderate personal injury or damage to the product or other property, and possibly in a remote risk of more serious injury.

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

Introducing the IntelliVue Family

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

1 Basic Operation Introducing the IntelliVue Family

6 7

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/MP20

The IntelliVue MP20/MP20Junior/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, MP20Junior - up to 3 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 is an option of MP20 (M8001A) and is not referred to separately in these Instructions for Use.

Junior

/MP30

MP20/MP30 Major Parts and Keys

MP20/MP30 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

Introducing the IntelliVue Family 1 Basic Operation

MP20/MP30 front panel

On/Standby switch

On/Standby LED

Error LED

Battery status LED

AC power operation LED

6 “read the documentation”

symbol

Mounting quick-release lever

123 4 5 67

MP20/MP30 LED Colors and their Meanings

On/Standby LED

Error LED

Battery LED

AC Power LED

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.

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 Basic Operation Introducing the IntelliVue Family

MP40/MP50 Major Parts and Keys

MP40/MP50 left side

1 Color-coded alarm lamps

2 Alarms off lamp

3 Model indicator

4 ECG out

5 Navigation Point

6 Part number and serial number

7 Mounting quick-release lever

8 Plug-in module slots

MP40/MP50 front panel

456 7

MP40/MP50 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)

On/Standby switch

On/Standby LED

Error LED

Battery status LED

AC power operation LED

6 “read the documentation”

symbol

Mounting quick-release lever

Introducing the IntelliVue Family 1 Basic Operation

IntelliVue MP60/MP70

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

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

The MP60/MP70 has two integrated slots for plug-in modules. You can combine one each of the following modules in these slots: Pressure, Temperature, C.O., SpO the two-slot recorder module in the integrated slots.

and VueLink. You can also use

MP60/MP70 Major Parts and Keys

1 Color coded alarm lamps

891011 7

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

1 Basic Operation Introducing the IntelliVue Family

MP80/MP90 Major Parts and Keys

In the MP80 and MP90, the display and the processing unit are separate components. They offer both touchscreen and the Remote SpeedPoint as standard input devices.

AC Power LED

Power on LED

Display Unit

Remote Alarm Device

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

Error LED

Processing Unit

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

alarms are deactivated.

3 Speaker - for alarm prompts, 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