How it Works
Philips
Loading...
MX400
Table of contents
Loading...

Philips MX400, MX700, MX800, MX450, MX500 Instructions For Use Manual

...
Instructions for Use
IntelliVue Patient Monitor
MX400/450/500/550/600/700/800
MX400/450/500/550 Release K with Rev. K.1x.xx MX600/700/800 Release J with Revison J.xx.xx
Patient Monitoring
1Table of Contents
Safety Information 14 Security Information 15 Introducing the Monitor 16 Devices for Acquiring Measurements 18 Operating and Navigating 27 Operating Modes 36 Understanding Screens 37 Connecting Additional Displays to the Monitor 38 Using the XDS Remote Display 39 Using the Visitor Screen 39 Understanding Profiles 39 Understanding Settings 41 Changing Wave Speeds 42 Freezing Waves 42 Using Labels 44 Entering Measurements Manually 46 Changing Monitor Settings 47 Checking Your Monitor Revision 48 Getting Started 48 Disconnecting from Power 49 Networked Monitoring 50 Using the Integrated PC 50 Using Your Monitor with a Monitor in Companion Mode 52
What's New in Release K.1 (for MX400/450/500/550 only) 55 What's New in Release K.0 55 What's New in Release J.0 56
Visual Alarm Indicators 60 Audible Alarm Indicators 61 Acknowledging Alarms 63 Pausing or Switching Off Alarms 64 Alarm Limits 67 Reviewing Alarms 71 Latching Alarms 72 Testing Alarms 73 Alarm Behavior at Power On 73
3
Alarm Recordings 73
Patient Alarm Messages 75 Technical Alarm Messages (INOPs) 81
5 Managing Patients and Equipment 105
Patient Concepts 105 Equipment Concepts 105 Managing Patients 106 Managing Equipment 119 Care Groups 126 Information Center Compatibility 132
6 ECG, Arrhythmia, ST and QT Monitoring 133
Skin Preparation for Electrode Placement 133 Connecting ECG Cables 133 Selecting the Primary and Secondary ECG Leads 134 Checking Paced Mode 134 Understanding the ECG Display 134 Monitoring Paced Patients 135 Changing the Size of the ECG Wave 136 Changing the Volume of the QRS Tone 137 Changing the ECG Filter Settings 137 Selecting Positions of Va and Vb Chest Leads (for 6-lead placement) 138 Choosing EASI or Standard Lead Placement 138 About ECG Leads 138 ECG Lead Fallback 139 ECG Lead Placements 139 EASI ECG Lead Placement 145 Capture 12-Lead 146 ECG and Arrhythmia Alarm Overview 149 Using ECG Alarms 151 ECG Safety Information 152 About Arrhythmia Monitoring 154 Switching Arrhythmia Analysis On and Off 154 Choosing an ECG Lead for Arrhythmia Monitoring 155 Atrial Fibrillation Alarm 155 Aberrantly-Conducted Beats 156 Intermittent Bundle Branch Block 156 Understanding the Arrhythmia Display 156 Arrhythmia Relearning 159 Arrhythmia Alarms 160 About ST Monitoring 164 Switching ST or STE On and Off 165 Understanding the ST Display 166
4
Updating ST Baseline Snippets 168 Recording ST Segments 168 About the ST Measurement Points 168 ST Alarms 171 STE Alarms 171 Viewing ST Maps 172 About QT/QTc Interval Monitoring 175 QT Alarms 178 Switching QT Monitoring On and Off 179
7 Monitoring Pulse Rate 181
Entering the Setup Pulse Menu 181 System Pulse Source 181 Switching Pulse On and Off 182 Using Pulse Alarms 182
8 Monitoring Respiration Rate (Resp) 185
Lead Placement for Monitoring Resp 185 Understanding the Resp Display 186 Changing Resp Detection Modes 186 Changing the Size of the Respiration Wave 187 Changing the Speed of the Respiration Wave 188 Using Resp Alarms 188 Changing the Apnea Alarm Delay 188 Resp Safety Information 188
9 Monitoring SpO2 191
SpO2 Sensors 191 Applying the Sensor 191 Connecting SpO2 Cables 192 Measuring SpO2 192 SpO2 Signal Quality Indicator (FAST SpO2 only) 193 Assessing a Suspicious SpO2 Reading 194 Changing the Averaging Time 194 Understanding SpO2 Alarms 194 Pleth Wave 200 Perfusion Numeric 200 Perfusion Change Indicator 200 Setting SpO2/Pleth as Pulse Source 200 Setting Up Tone Modulation 201 Setting the QRS Volume 201 Calculating SpO2 Difference 201
10 Monitoring NBP 203
Introducing the Oscillometric NBP Measurement 203 Preparing to Measure NBP 205
5
Starting and Stopping Measurements 207 Enabling Automatic Mode and Setting Repetition Time 208 Enabling Sequence Mode and Setting Up The Sequence 208 Choosing the NBP Alarm Source 209 Switching Pulse from NBP On/Off 209 Assisting Venous Puncture 210 Calibrating NBP 210
11 Monitoring Temperature 211
Making a Temp Measurement 211 Calculating Temp Difference 212
12 Monitoring Invasive Pressure 213
Setting up the Pressure Measurement 213 Zeroing the Pressure Transducer 215 Adjusting the Calibration Factor 217 Displaying a Mean Pressure Value Only 217 Changing the Pressure Wave Scale 217 Optimizing the Waveform 217 Using the Wave Cursor 217 Non-Physiological Artifact Suppression 218 Choosing the Pressure Alarm Source 218 Calibrating Reusable Transducer CPJ840J6 219 Calculating Cerebral Perfusion Pressure 221 Calculating Pulse Pressure Variation 221 Measuring IAP 222 Measuring Pulmonary Artery Wedge Pressure 222 Editing the Wedge 223 Identifying the Pressure Analog Output Connector 224
13 Monitoring Cardiac Output 225
Hemodynamic Parameters 226 Using the C.O. Procedure Window 226 Accessing the Setup C.O. and Setup CCO Menus 228 Entering the HemoCalc Window 228 Measuring C. O. Using the PiCCO Method 228 Measuring C.O. Using the Right Heart Thermodilution Method 233 Documenting C.O. Measurements 235 C.O. Injectate Guidelines 235 C.O./CCO Curve Alert Messages 236 C.O./CCO Prompt Messages 238 C.O./CCO Warning Messages 238 C.O./CCO Safety Information 239
14 Monitoring Carbon Dioxide 241
Measurement Principles 242
6
Measuring CO2 using M3014A or X2 242 Measuring Mainstream CO2 using M3016A 246 Measuring Microstream CO2 using M3015A/B 248 Setting up all CO2 Measurements 250 Understanding the IPI Numeric 252
15 Monitoring Airway Flow, Volume and Pressure 255
Attaching the Flow Sensor 256 Zero Calibration 258 Automatic Purging 258 Manual Purging 259 Gas Compensation 259 Setting up Spirometry 260
16 Monitoring tcGas 263
Identifying tcGas Module Components 263 Setting the tcGas Sensor Temperature 264 Using the tcGas Site Timer 264 Setting the tcGas Barometric Pressure 265 Remembraning the tcGas Transducer 265 Calibrating the tcGas Transducer 265 Applying the tcGas Transducer 267 Finishing tcGas Monitoring 268 Zeroing the tcGas Relative Heat Power 268 TcGas Corrections 268
17 Monitoring Intravascular Oxygen Saturation 271
Selecting a Measurement Label 272 Preparing to Monitor with the M1021A Wide Module 272 Preparing to Monitor with the M1011A Narrow Module 275 Further Information for Both Modules 277
18 Monitoring EEG 279
EEG Monitoring Setup 279 Using the EEG Impedance/Montage Window 280 About Compressed Spectral Arrays (CSA) 282 Changing EEG Settings 283 EEG Reports 284 EEG Safety Information 284 EEG and Electrical Interference 284
19 Monitoring BIS 285
BIS Monitoring Setup 286 BIS Continuous Impedance Check 288 BIS Cyclic Impedance Check 288 BIS Window 289
7
Changing the BIS Smoothing Rate 290 Switching BIS and Individual Numerics On and Off 290 Changing the Scale of the EEG Wave 290 Switching BIS Filters On or Off 290 BIS Safety Information 291
20 Monitoring NMT 293
Stimulation Modes 294 Preparing to Measure NMT 295 Taking NMT Measurements 296 Changing the NMT Measurement Settings 298 Alarms 299 Understanding NMT Numerics 299
21 Guardian Early Warning Scoring 301
Performing the Scoring Procedure 301 Understanding Guardian Early Warning Scoring 303 Viewing EWS Trend Data 304 Using Different Types of Scoring 305
22 Using a Telemetry Device and a Monitor (PIIC only) 307
How Can You Combine Devices? 307 Use Models With Telemetry 309
23 Trends 311
Viewing Trends 311 Setting Up Trends 315 Documenting Trends 319 Trends Databases 319 Screen Trends 320
24 Calculations 325
Viewing Calculations 326 Reviewing Calculations 327 Performing Calculations 327 Entering Values for Calculations 328 Documenting Calculations 329
25 High Resolution Trend Waves 331
Changing the Hi-Res Trend Waves Displayed 331 Hi-Res Trend Wave Scales 331 Hi-Res Trend Waves and OxyCRG 331 Printing Hi-Res Trend Wave Reports 332 Hi-Res Trend Wave Recordings 332
8
26 Event Surveillance 333
Levels of Event Surveillance 333 Event Groups 334 Event Episodes 334 Events Pop-Up Keys 335 Event Triggers 336 The Events Database 339 Viewing Events 340 Annotating Events 342 Documenting Events 342
27 ProtocolWatch 349
SSC Sepsis Protocol 349
28 Recording 357
Paper-Strip Recording 357 Electronic Recording 365
29 Printing Patient Reports 369
Starting Report Printouts 369 Stopping Reports Printouts 371 Setting Up Reports 371 Setting Up Individual Print Jobs 372 Checking Printer Settings 373 Printing a Test Report 374 Switching Printers On or Off for Reports 374 Dashed Lines on Reports 374 Unavailable Printer: Re-routing Reports 374 Checking Report Status and Printing Manually 375 Printer Status Messages 375 Sample Report Printouts 376
30 Using the Drug Calculator 381
Accessing the Drug Calculator 382 Performing Drug Calculations 382 Charting Infusion Progress 385 Using the Titration Table 385 Documenting Drug Calculations 386
31 VueLink Modules 387
Connecting an External Device 388 Changing VueLink Waves and Numerics Displayed 388 Viewing the VueLink Device Data Window 389 Using VueLink Screens 389 Switching VueLink On and Off 389 Alarms/INOPs From External Devices 389
9
Language Conflict with External Device Drivers 390
32 IntelliBridge EC10 391
Connecting an External Device 391 Changing Waves and Numerics Displayed 392 Viewing the IntelliBridge Device Data Window 392 Using Screens with External Device Data 393 Alarms/INOPs from External Devices 393
33 Using Timers 395
Viewing Timers 395 Timer Setup Pop-up Keys 396 Setting Up Timers 396 Displaying a Timer On The Main Screen 397 Displaying A Clock On The Main Screen 398
34 Respiratory Loops 399
Viewing Loops 399 Capturing and Deleting Loops 400 Showing/Hiding Loops 400 Changing Loops Display Size 400 Using the Loops Cursor 400 Changing Loops Type 401 Setting Up Source Device 401 Documenting Loops 401
35 Laboratory Data 403
Viewing Received Data 403
36 Using Batteries 405
Battery Power Indicators 405 Checking Battery Charge 407 When Battery Lifetime is Expired 407 Replacing a Battery 407 Optimizing Battery Performance 408 Battery Safety Information 409
37 Care and Cleaning 411
General Points 411 Cleaning the Equipment 412 Disinfecting the Equipment 412 Sterilizing the Equipment 413 Cleaning, Sterilizing and Disinfecting Monitoring Accessories 413 Cleaning the SO2 Optical Module 413 Cleaning the Recorder Printhead (M1116B only) 413 Cleaning Batteries and the Battery Compartment 414
10
38 Maintenance and Troubleshooting 415
Inspecting the Equipment and Accessories 415 Inspecting the Cables and Cords 416 Maintenance Task and Test Schedule 416 Troubleshooting 417 Returning Equipment for Repair 417 Disposing of the Monitor 417 Disposing of Empty Calibration Gas Cylinders 418
39 Accessories 419
ECG/Resp Accessories 419 NBP Accessories 423 Invasive Pressure Accessories 426 SpO2 Accessories 429 Temperature Accessories 435 Cardiac Output (C.O.) Accessories 436 Mainstream CO2 Accessories 437 Sidestream CO2 Accessories 437 Mainstream CO2 Accessories (for M3016A) 438 Microstream CO2 Accessories 438 Spirometry Accessories 439 tcGas Accessories 439 EEG Accessories 440 BIS Accessories 440 SO2 Accessories for M1021A 440 SO2 Accessories for M1011A 441 NMT Accessories 441 Recorder Accessories 442 Battery Accessories 442
40 Specifications 443
Indications for Use 443 Restricted Availability 444 Use Environment 444 Manufacturer's Information 444 Symbols 445 Installation Safety Information 447 Monitor Mounting Precautions 455 Altitude Setting 456 Monitor Safety Specifications 456 Physical Specifications 457 Environmental Specifications 458 EMC and Radio Regulatory Compliance 462 Monitor Performance Specifications 464 Interface Specifications 470 Display Specifications 474
11
M4605A Battery Specifications 475 Measurement Specifications 475 Safety and Performance Tests 495
41 Default Settings Appendix 501
Country-Specific Default Settings 501 Alarm and Measurement Default Settings 508 Alarm Default Settings 508 ECG, Arrhythmia, ST and QT Default Settings 509 Pulse Default Settings 512 Respiration Default Settings 513 SpO2 Default Settings 513 NBP Default Settings 514 Temperature Default Settings 514 Invasive Pressure Default Settings 515 Cardiac Output Default Settings 517 CO2 Default Settings 518 Spirometry Default Settings 518 tcGas Default Settings 519 Intravascular Oxygen Saturation Default Settings 519 SvO2 Default Settings 520 ScvO2 Default Settings 520 EEG Default Settings 520 BIS Default Settings 521 NMT Default Settings 521 VueLink Default Settings 522
Index 523
12

1Introduction

These Instructions for Use are for clinical professionals using the IntelliVue MX400/MX450, MX500/ MX550, and MX600/MX700/MX800 patient monitor.
This 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.
1
MX400/
MX450
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.
Whenever a monitor's identifier appears to the left of a heading or paragraph, it means that the information applies to that monitor only. Where the information applies to all models, no distinction is made.
For installation, repair, testing and troubleshooting instructions, refer to the Service Guide for your monitor model.
Rx only: U.S. Federal Law restricts this device to sale by or on the order of a physician.
13
1Introduction

Safety Information

The following warnings apply to the monitors in general. Warnings that apply to specific measurements or procedures can be found in the corresponding chapters.

Electrical Hazards and Interference

WARNING
Grounding: To avoid the risk of electric shock, the monitor must be grounded during operation. If a three-wire receptacle is not available, consult the hospital electrician. Never use a three-wire to two­wire adapter.
Electrical shock hazard: Do not open the monitor or measurement device. Contact with exposed electrical components may cause electrical shock. Refer servicing to qualified service personnel.
Leakage currents: If multiple instruments are connected to a patient, the sum of the leakage currents may exceed the limits given in IEC/EN 60601-1, IEC 60601-1-1, UL 60601-1. Consult your service personnel.
Radio frequency interference: The monitor generates, uses and radiates radio-frequency energy, and if it is not installed and used in accordance with its accompanying documentation, may cause interference to radio communications.

Use Environment

WARNING
Explosion Hazard: Do not use in the presence of flammable anesthetics or gases, such as a flammable anesthetic mixture with air, oxygen or nitrous oxide. Use of the devices in such an environment may present an explosion hazard.
Positioning Equipment: The monitor should not be used next to or stacked with other equipment. If you must stack the monitor, check that normal operation is possible in the necessary configuration before you start monitoring patients.
Environmental Specifications: The performance specifications for the monitors, measurements and accessories apply only for use within the temperature, humidity and altitude ranges specified in “Environmental Specifications” on page 458.
Liquid Ingress: If you spill liquid on the equipment, battery, or accessories, or they are accidentally immersed in liquid, contact your service personnel or Philips service engineer. Do not operate the equipment before it has been tested and approved for further use.
Prohibited Environments: The monitors are not intended for use in an MRI environment or in an oxygen-enriched environment (for example, hyperbaric chambers).
14

Alarms

WARNING
• Do not rely exclusively on the audible alarm system for patient monitoring. Adjustment of alarm
• Be aware that the monitors in your care area may each have different alarm settings, to suit

Accessories

WARNING
Philips' approval: Use only Philips-approved accessories. Using other accessories may compromise device functionality and system performance and cause a potential hazard.
Reuse: Never reuse disposable transducers, sensors, accessories and so forth that are intended for single use, or single patient use only. Reuse may compromise device functionality and system performance and cause a potential hazard.
1 Introduction
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.
different patients. Always check that the alarm settings are appropriate for your patient before you start monitoring.
Electromagnetic compatibility: Using accessories other than those specified may result in increased electromagnetic emission or decreased electromagnetic immunity of the monitoring equipment.
Damage: Do not use a damaged sensor or one with exposed electrical contacts.
Cables and tubing: Always position cables and tubing carefully to avoid entanglement or potential
strangulation.
MR Imaging: During MR imaging, remove all transducers, sensors and cables from the patient. Induced currents could cause burns.

Security Information

Protecting Personal Information

Protecting personal health information is a primary component of a security strategy. Each facility using the monitors must provide the protective means necessary to safeguard personal information consistent with country laws and regulations, and consistent with the facility’s policies for managing this information. Protection can only be realized if you implement a comprehensive, multi-layered strategy (including policies, processes, and technologies) to protect information and systems from external and internal threats.
As per its intended use, the patient monitor operates in the patient vicinity and contains personal and sensitive patient data. It also includes controls to allow you to adapt the monitor to the patient's care model. To ensure the patient's safety and protect their personal health information you need a security concept that includes:
15
1Introduction
• Physical security access measures - access to the monitor must be limited to authorized users. It is essential that you consider physical security measures to ensure that unauthorized users cannot gain access.
• Operational security measures - for example, ensuring that patients are discharged after monitoring in order to remove their data from the monitor.
• Procedural security measures - for example, assigning only staff with a specific role the right to use the monitors.
In addition, any security concept must consider the requirements of local country laws and regulations.
Always consider data security aspects of the network topology and configuration when connecting patient monitors to shared networks. Your medical facility is responsible for the security of the network, where sensitive patient data from the monitor may be transferred.
Note: Log files generated by the monitors and measurement modules are used for system troubleshooting and do not contain patient data.

About HIPAA Rules

If applicable, your facility’s security strategy should include the standards set forth in the Health Insurance Portability and Accountability Act of 1996 (HIPAA), introduced by the United States Department of Health and Human Services. You should consider both the security and the privacy rules and the HITECH Act when designing policies and procedures. For more information, please visit http://www.hhs.gov/ocr/privacy/.

About the EU Directives

If applicable, your facility’s security strategy should include the practices set forth in the Directive on the protection of individuals with regard to the processing of personal data and on the free movement of such data (Directive 95/46/EC of the European Parliament and of the Council of 24 October 1995). In addition, your facility should also take into account any additional, more stringent standards put forward by any individual EU countries; that is, Germany, France, and so on. For more information, please visit http://eur-lex.europa.eu/en/dossier/dossier_27.htm.

Philips Product Security Policy Statement

Additional security and privacy information can be found on the Philips product security web site at http://www.healthcare.philips.com/main/support/equipment-performance/product-security/ index.wpd

Manufacturer Disclosure Statement for Medical Device Security – MDS2

You can view the Manufacturer Disclosure Statements for Medical Device Security (MDS2) for specific devices at http://www.healthcare.philips.com/main/support/equipment-performance/ product-security/index.wpd

Introducing the Monitor

16
The IntelliVue MX400/MX450, MX500/MX550, and MX600/MX700/MX800 patient monitor offers a monitoring solution optimized for the high-end surgical, cardiac, medical and neonatal care environments. Combining patient surveillance and data management, it allows multi-measurement monitoring by linking separate modules. The MX600 uses the navigation knob as primary input device
1 Introduction
and the MX400/MX450, MX500/MX550, and MX700/MX800 use the touch screen as primary input device. All monitors have a remote control for convenient access to the five main keys and numeric data input.
The monitor stores data in trend, event, and calculation databases. You can see tabular trends (vital signs) and document them on a 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 user-defined clinical events over a 24 hour period.
MX600/700/
With the optional Integrated PC, you have computer functionality directly in the monitor. You can use standard applications (e.g. Web browsers), connect to the hospital network or intranet, and run a
800
second independent display with content from the patient monitor.
An IntelliVue X2 can be connected to your monitor, where it acts as a multi-measurement module, acquiring measurements for the host monitor. When the X2 is disconnected from the original host monitor, it continues to monitor the patient as a fully independent, battery powered patient monitor, eliminating the need for a separate transport monitor. On connection to a new host monitor, the X2 resumes its role as multi-measurement module, ensuring fully continuous monitoring.

Major Parts and Keys

MX400/450/500/550
The MX400/450/500/550 monitors have the same parts, controls and indicators. Here the MX400 is shown.
1 Color coded alarm lamps 2 Alarms Off lamp 3 Power on/Standby switch with
integrated LED: Green - On/ Standby, Red - Error
4 AC power LED 5 Battery LED 6 Mounting quick-release lever
(when this is pressed the monitor is not fixed on the mounting)
7 Service number and serial
number
8 Device type
17
1Introduction
MX600/700
1 Color coded alarm lamps 2 Alarms Off lamp 3 Power on/Standby switch with
integrated LED: Green - On/ Standby, Red - Error
4 AC power LED 5 Mounting quick-release lever
(when this is pressed the monitor is not fixed on the mounting)
6 Part number and serial number 7 Hardkeys (Silence, Alarms Off,
Main Screen)
8 Navigation knob
MX800
1 Color coded alarm lamps 2 Alarms Off lamp 3 Power on/Standby switch with
4 AC power LED 5 Mounting quick-release lever
6 Part number and serial number

Devices for Acquiring Measurements

integrated LED: Green - On/ Standby, Red - Error
(when this is pressed the monitor is not fixed on the mounting)
18
The patient monitor acquires patient measurements using the devices described in this section. You can also extend the measurement capabilities of your monitor with such devices. Of these measurement devices, only the X2 has its own power on/standby switch, and can be powered from an external power supply or a rechargeable battery when not directly connected to the monitor (refer to the IntelliVue X2 Instructions for Use for details). All the rest take their power exclusively 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.
All symbols used on the front panels are explained in “Symbols” on page 445.
WARNING
When connecting devices for acquiring measurements, always position cables and tubing carefully to avoid entanglement or potential strangulation.

Flexible Module Rack (M8048A)

1 Introduction
MX600/ MX700/
MX800
The 8-slot flexible module rack (FMS-8) lets you use up to eight plug-in physiological measurement modules. For the MX800, you can connect two FMSs to use up to 10 measurement modules.
The maximum number of specific module types that can be used simultaneously in an FMS-8 is: five pressure modules, four temperature modules, four VueLink or IntelliBridge modules (any combination).
When two FMSs are used, in total a maximum of 10 pressure modules can be used.
Connect the FMS to the monitor via the measurement link cable (MSL). Use the MSL connector on the left-hand side to connect an additional MMS. Use the connector on the right to connect to the monitor.

4-Slot Flexible Module Rack (FMS-4)

1 X1 Multi-Measurement Module 2 Multi-Measurement Module
mount
3 Flexible Module Rack FMS-8 4 Power on LED 5 Interruption indicator
MX600/ MX700/
MX800
The 4-Slot flexible module rack (FMS-4) lets you use up to four plug-in physiological measurement modules.
19
1Introduction
The maximum number of specific module types that can be used simultaneously in an FMS-4 is: four pressure modules, four temperature modules, four VueLink or IntelliBridge modules (any combination).
Connect the FMS to the monitor via the measurement link cable (MSL). Use the MSL connector on the left-hand side (if you have the appropriate option) to connect an additional MMS. Use the connector on the back to connect to the monitor.

Measurement Modules

MX500/
MX550
MX600/ MX700/
MX800
You can use up to three plug-in modules in the optional module slots. Available modules are:
• Invasive blood pressure (M1006B)
• Temperature (M1029A)
• Oxygen saturation of arterial blood (SpO
) (M1020B)
2
• Cardiac output (M1012A), and Continuous cardiac output with M1012A Option #C10
• Intravascular Oxygen Saturation - ScvO2 or SvO2 (M1011A)
• Spirometry (M1014A)
• EEG (M1027A)
• NMT (865383)
• IntelliBridge EC10 (865115)
• Recorder (M1116B/C)
You can use up to eight measurement modules with the Flexible Module Rack (M8048A). Available modules are:
• Invasive blood pressure (M1006B)
• Temperature (M1029A)
• Oxygen saturation of arterial blood (SpO
) (M1020B)
2
• Cardiac output (M1012A), and Continuous cardiac output with M1012A Option #C10
MX500/550/
600/700/800
20
• Transcutaneous gas (M1018A)
• Mixed venous oxygen saturation - SvO
• Intravascular Oxygen Saturation - ScvO
(M1021A)
2
or SvO2 (M1011A)
2
• EEG (M1027A)
• Bispectral Index - BIS (M1034A)
• Spirometry (M1014A)
• NMT (865383)
• VueLink device interface (M1032A)
• IntelliBridge EC10 (865115)
• Recorder (M1116B/C)
You can plug in 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. A measurement automatically switches on when you plug the module in, and switches off when you
unplug it. 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.
Example Module (SpO2)
MX500/550/
600/700/800
1 Introduction
1 Module name
2 Setup key LED
3 Setup key to enter setup menu of measurement modules or
external device data window. Some modules have a second module-specific key next to this one, for example Zero.
4 Connector socket for patient cable/transducer

X1 Multi-Measurement Module (M3001A)

The X1 Multi-Measurement Module (MMS) can simultaneously monitor 3-, 5-, 6- or 10-lead ECG (including arrhythmia and ST monitoring), respiration, SpO
temperature.
You can connect it to the monitor via a cable or mount it on the left side of the FMS.
, NBP and either invasive pressure or
2
21
1Introduction
X1 Connectors and Symbols
1 White ECG/Resp connector

X2 Multi-Measurement Module (M3002A)

The X2 Multi-Measurement Module (MMS) can simultaneously monitor 3-, 5-, 6- or 10-lead ECG (including arrhythmia and ST monitoring), respiration, SpO
temperature, or CO
The X2 has the added capability to operate as a stand-alone monitor, and can be powered by a rechargeable battery. This makes it particularly suited to transport situations. When the X2 is disconnected from the original host monitor, it continues to monitor the patient as a stand-alone monitor running on battery power, eliminating the need for a separate transport monitor. When the X2 is connected to a new host monitor, it resumes its role as MMS, ensuring fully continuous monitoring. For details of using the X2 as a stand-alone monitor, refer to the IntelliVue X2 Instructions for Use.
. It has a color touchscreen display.
2
2 Blue SpO
3 Red NBP connector
4 Combined pressure (red) and temperature
connector
2
(brown) connector - connect either invasive pressure transducer or temperature probe. You might have a version of the MMS that does not have this connector.
5 NBP STAT key - starts NBP STAT series
of measurements or Zero key - initiates a zero procedure for the connected pressure transducer when pressed and held for a second
6 NBP Start/Stop key - starts or stops NBP
measurements
7 Silence: acknowledges all active alarms by
switching off audible alarm indicators and lamps
, NBP and either invasive pressure and
2
22
When connected to a host monitor (
Companion Mode is indicated), the X2 takes power from the
host, including that required for battery charging. The X2 can also be powered by AC mains when not connected to a host monitor using the optionally available external power supply (M8023A). See the IntelliVue X2 Instructions for Use for details.
X2 Overview
1 Introduction
1 On/Standby switch
2 Power and battery indicators (see “X2
Controls and Indicators” on page 23)
3 3.5-inch TFT LCD touchscreen QVGA
display
4 Alarm lamps (see “X2 Controls and
Indicators” on page 23)
5 Battery eject button
6 Hard keys (see “X2 Controls and
Indicators” on page 23)
7 Measurement connectors (see “X2 Patient
Connectors, Right Side” on page 24)
8 Battery compartment
X2 Controls and Indicators
1 External power LED. Green when monitor is powered from an external power source.
2 Battery status LED. Yellow when charging. Flashing red when battery is empty.
3 On/Standby LED. Green when monitor is on. Red indicates an error.
4 On/Standby switch. Disabled when X2 is connected to a host monitor
5 Main Screen key: closes all open menus/windows and returns to the main screen.
6 SmartKeys key: brings up SmartKeys on the screen.
7 Alarms key: turns alarms On/Off, or pauses them.
23
1Introduction
8
Silence key
9 Active alarm lamp. Red or yellow, depending on alarm level. Blinks until active alarm is
acknowledged.
10 Active INOP alarm lamp in light blue. Blinks until active INOP is acknowledged.
11 Alarms off indicator. When alarms are suspended, the lamp is red (or yellow when yellow alarms
are suspended), and the alarms off symbol is shown.
X2 Patient Connectors, Right Side
1 Pressure (option)
2 Temperature (option)
3 Noninvasive blood pressure
X2 Left Side
4 SpO
5 ECG sync pulse output
6 ECG/Respiration
7 CO
2
(option in place of
2
Pressure and Temperature)
1 Loudspeaker
2 MSL Connector. Connects to the external power
supply or a host monitor via the MSL cable for AC mains operation, battery charging, and communication with a network.
24

MMS Extensions

The MMS extensions connect to the X1 and X2 MMS and use the MMS settings and power. Trend data and measurement settings from the measurements in the extensions are stored in the MMS.
WARNING
• The MMS extensions can only function when they are connected to an MMS. If the MMS is removed during monitoring, the measurements from both the MMS and the extension are lost.
• Measurements from an MMS extension connected to an X2 are not available when the X2 is running on its own battery power. They are only available when the X2 is powered from AC mains, when connected to a host monitor or the external power supply (M8023A), or from the Battery Extension.
To separate an extension from the MMS, press the release lever down, and push the MMS forward.
1 Introduction
M3014A, M3015A, M3015B and M3016A Capnography MMS Extensions
The optional M3014A Capnography extension adds mainstream capnography or sidestream capnography, and optionally one pressure plus either a pressure or a temperature, Cardiac Output and Continuous Cardiac Output to the MMS.
M3014A
1 Pressure connectors (red)
2 Temperature connector (brown)
3 Mainstream/sidestream connector CO
4 Cardiac Output connector
2
25
1Introduction
The optional M3015A Microstream CO2 extension adds microstream capnography and optionally either pressure or temperature to the MMS. The optional M3015B Microstream CO microstream capnography, two pressures and a temperature to the MMS.
M3015A M3015B
1 Pressure connectors (red) - M3015A optional
extension adds
2
MX600/700/
800
2 Temperature connector (brown) - M3015A optional
3 Inlet
4 Microstream connector CO
5 Gas sample outlet
2
The optional M3016A Mainstream CO2 extension adds mainstream capnography and optionally either pressure or temperature to the MMS.
M3016A
1 Pressure connector (red)
2 Temperature connector (brown)
3 Mainstream/sidestream connector CO
2
(optional)
26
When a capnography extension is connected to an X2 MMS with CO will be automatically deactivated in favor of the one in the X2. If you prefer to use the CO
, the CO2 from the extension
2
2
measurement on the extension, you can activate it via the measurement selection key (see “Resolving Label Conflicts” on page 44).
The cardiac output measurement in the M3014A is deactivated when the extension is used with an X2 MMS, even if the X2 is connected to an external power supply. The cardiac output measurement is only available when the X2 is connected to a host monitor.
M3012A Hemodynamic MMS Extension
The M3012A Hemodynamic extension can be connected to the M3001A Multi-Measurement Module to provide the following additional measurements: Temperature, Pressure, an additional Pressure or Temperature, and C.O. and CCO measurements.
1 Introduction
1 Cardiac Output (orange; optional)
2 Connection to MMS
3 Pressure connectors (red)
4 Temperature connectors (brown)
The cardiac output measurement is deactivated when the extension is used with an X2 MMS unless the X2 is connected to a host monitor.

Using MMSs in a Mixed Software Environment

When an MMS is used with monitors having different software revisions, be aware that functionality set up in a monitor with a newer revision will disappear when the MMS is connected to a monitor with an older revision without that functionality. For example, if an X2 is used with a revision H monitor and has been set up to alarm on Afib, this alarm will no longer exist when the X2 is connected to a revision G monitor. If you work in a mixed software environment, inform yourself about the differences between revisions by referring to the What's New chapter.

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 typical operator's position is in front of the monitor.
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.
27
1Introduction
MX400
On the MX400, the permanent keys and the key to access the SmartKeys are on the right of the screen.
Monitor information line Other screen elements
network connection indicator
1
(documented in Troubleshooting in the Service Guide)
bed label - gives access to Equipment
2
window
patient category symbol
3
patient name
4
date and time
5
current screen name/enter Change Screen
6
menu
alarm status area - shows active alarm
7
messages or Alarms Off symbol when alarms are switched off
alarms off/alarm volume indicator
8
Silence - acknowledges all active alarms by switching off audible alarm indicators
9
and lamps permanently or temporarily, if alarm reminder (ReAlarm) is configured on.
Pause Alarms or Alarms Off - stops alarms being announced for a set time or
10
switches them off. Select again to immediately switch alarms on again. Can be configured not to appear here.
SmartKeys -displays a block of SmartKeys. These change according to your
11
monitor's configuration
close all open menus and windows and return to main screen
12
battery indicator with remaining battery time
13
status messages indicator - clicking this area displays any pending status messages
14
measurement selection symbol - opens Measurement Selection window to resolve
15
label conflicts
28
MX450/500/550/600/700/800
1 Introduction
Monitor information line Other screen elements
network connection indicator
1
(documented in Troubleshooting in the Service Guide)
bed label - gives access to Equipment
2
window
patient category symbol
3
patient name
4
date and time
5
access the Profiles menu or Profile
6
name, depending on configuration
current screen name/enter Change
7
Screen menu
adjust alarm volume/level indicator
8
alarm status area - shows active alarm
9
messages or Alarms Off symbol when alarms are switched off
The status line shows messages with information and prompts you for possible
10
actions (MX400/450/500/550 do not have a reserved space for this feature).
remote application symbol or iPC symbol (MX600/700/800 only)
11
measurement selection symbol - opens Measurement Selection window to
12
resolve label conflicts
close all open menus and windows and return to main screen
13
enter Main Setup menu
14
scroll right to display more SmartKeys
15
SmartKeys - these change according to your monitor's configuration
16
scroll left to display more SmartKeys
17
Pause Alarms or Alarms Off - stops alarms being announced for a set time or
18
switches them off. Select again to immediately switch alarms on again. Can be configured not to appear here.
Silence - acknowledges all active alarms by switching off audible alarm indicators
19
and lamps permanently or temporarily, if alarm reminder (ReAlarm) is configured on.
29
1Introduction

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 HR numeric to call up the 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, remote control or a pointing device such as a mouse.
Setup ECG menu. Select the ECG wave segment to call up the ECG Lead

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
Patient Demographics window, or select the
Main Screen permanent key.
Press and hold the Main Screen permanent key again to re-enable the touchscreen operation.

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.

Moving Windows

You can move windows and menus using the Touchscreen or a mouse. To move a window,
1 Select the title of the window and keep your finger on the title, or the mouse button pressed.
2 Move your finger on the Touchscreen, or move the mouse, to move the window.
3 Take your finger off the screen, or release the mouse button, to place the window in the final
position.
The new position is only active until the window or menu is closed. Not all locations on the screen can be a target position, a window cannot overlap the monitor info line, the alarms and INOPs or the status line.

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.
30
Loading...
+ 504 hidden pages
Buy Points How it Works FAQ Contact Us Questions and Suggestions Privacy Policy Cookie Policy Terms of Use