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

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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

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

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

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

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

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

SpO2 Sensors 137 Applying the Sensor 137 Connecting SpO2 Cables 138 Measuring SpO

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

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

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

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

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

202 202

17 Monitoring SvO

Preparing to Monitor SvO

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

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

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

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

NBP 352 Invasive Pressure and Pulse 354 Te m p 355 CO

Interfering Gas and Vapor Effects On CO

Spirometry 359 Cardiac Output / Continuous Cardiac Output 361 tcGas 362 SvO

EEG 363 BIS 364

Measurement Values 359

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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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.

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.

Introducing the IntelliVue Family 1 Basic Operation

6 7

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

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)

On/Standby switch

On/Standby LED

Error LED

Battery status LED

AC power operation LED

6 “read the documentation” symbol

Mounting quick-release lever

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

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

Introducing the IntelliVue Family 1 Basic Operation

MP40/MP50 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

456 7

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.

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

type of module cannot be used. You can also use the two-slot recorder module in the integrated slots.

1 Basic Operation Introducing the IntelliVue Family

MP60/MP70 Major Parts and Keys

1 Color coded alarm lamps

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

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.

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.

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 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

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