Philips MX800 User Guide

IntelliVue MX800 Patient Monitor

Philips 865240 Technical Data Sheet

The Philips IntelliVue MX800 patient monitor offers

a flexible and modular monitoring solution, designed

to suit a broad spectrum of needs. The monitor can

be connected to the Philips Multi-Measurement

Module (MMS) family with its extensions, plug-in

measurement modules and the IntelliVue anesthetic

gas modules to extend its functionality with plug-

and-play convenience. Dedicated configurations are

available for the anesthesia, critical and cardiac, and

neonatal care environments. The integrated PC

(iPC) allows access to relevant patient information

residing on the hospital’s intranet.

Features

• Intuitive user interface.

• Simple menu hierarchy gives fast access to all basic

monitoring tasks.

• Screen layouts are easily adjustable, allowing

flexible display of measurement information.

• Previous/Next Screen function provides access to

the ten most recently used screens including the

last three modified screens.

• Temperature, height, and weight can be configured

either in metric or imperial units. Pressure

measurements can be displayed in kPa or mmHg.

Gases can be displayed in kPa or mmHg.

• Patient data management with tabular and graphic

trends, and high resolution trends to track changes

with beat-to-beat resolution.

• Drug, ventilation, hemodynamic, and oxygenation

calculations.

• User or case-specific profiles enable rapid case turnover.

• Patented automatic alarm limits help clinicians provide care more

efficiently.

• Event Surveillance including Neonatal Event Review for automatic

detection of patient status deterioration.

• Bed-to-bed overview provides clinicians with an overview of all the

patient beds in their care.

• Choice of input devices: Touchscreen, remote control, trackball,

mouse, keyboard or barcode reader.

• Capable of functioning in a wireless infrastructure.

• Graphical measurement window shows which measurements are

being measured by which device, making it easier to resolve

measurement label conflicts.

• Timers application allows you to set timers to notify you when a

specific time period has expired.

• Second independent display capability using Independent Display

interface, the iPC or IntelliVue XDS.

• The iPC can host Windows applications and safely share the display

with the MX800's realtime system or drive a second display,

independent of size and resolution. The content displayed on the

second display can be different from the content on the main display

of the MX800 and can show either realtime vital signs information,

PC applications or both at the same time. A separate isolated LAN

interface allows access to the hospital’s backbone independent of the

MX800. 5 USB interfaces provide connectivity to external computer

devices, e.g. printers or input devices such as the touch interface of

the selected display

• Bedside information access using the iPC, Portal technology and/or

IntelliVue XDS Clinical Workstation.

Intended Use

The IntelliVue MX800 is intended to be used for monitoring, recording,

and alarming of multiple physiological parameters of adults, pediatrics,

and neonates in hospital environments by trained health care

professionals.

U.S. Federal Law restricts this device to sale by or on the order of a

physician.

Modularity

The monitor’s functionality can be extended by connecting Philips plug-

in modules, the multi-measurement module (MMS) family with

extensions, and anesthetic gas modules with plug-and-play convenience.

The monitors are available as standalone or networked solutions.

The monitors’ modular design allows new capabilities to be added in

the future as monitoring requirements change. This upgradability gives

the security of knowing that the monitor can be enhanced and updated

as practices and technologies advance, protecting long-term

investments.

Main Components

Display

The monitor has a color 19” LCD TFT display with a wide viewing

angle, providing high resolution waveform and data presentation.

The MX800 integrates the display and the processing unit into one

device. One external slave display can be connected to a built-in DVI-I

port.

A second independent display can be connected via the optional

Independent Display Interface, the iPC or the IntelliVue XDS. Multiple

display resolutions including widescreen formats are supported on the

Independent Display Interface and the iPC as well as on the XDS

display.

Integrated PC (iPC)

The iPC is a fan-less, medical grade PC residing within the MX800 and

as such designed for continuous operation in the patient vicinity.

The iPC uses MS Windows 7 (or XP) as operating system and can host

respective applications. These applications can either be:

– Windows applications, such as Internet Explorer,

– Philips applications such as iSite clients or an application launch pad,

– Third party applications or

– Hospital owned and developed software.

The iPC is designed as an "open" PC and such can be serviced and

maintained by the hospital’s IT department as well as by Philips.

A separate isolated LAN interface allows access to the hospital’s

backbone independent of the MX800.

The iPC can safely share the main display with the MX800 (single

display setup) and/or be used with a standard or a medical grade display

(dual display setup), either provided by Philips or another manufacturer.

The iPC supports displays with or without touch operation.

The iPC has five USB 2.0 ports supporting High-Speed mode for

computer peripherals such as keyboard, mouse, barcode reader, touch

display etc.

User Interface

The color graphical user interface is designed for fast and intuitive

operation, and ensures that clinicians quickly feel at ease using the

monitor.

SmartKeys with intuitive icons allow monitoring tasks to be performed

quickly and easily, directly on the monitor screen.

Waves and numerics are color-coded.

The MX800 displays up to twelve waves simultaneously. For 12-lead

ECG monitoring it can display 12 real-time ECG waves, with a rhythm

strip and all ST values.

The Basic Help provides on-screen operating help, explaining INOP

and alarm messages.

Touchscreen Operation

The touchscreen is the primary method of operation for the MX800

monitors. The touchscreen displays have resistive touch surfaces.

Remote Control

The 865244 Remote Control can be connected to the MX800 monitor

via USB and then used for remote operation of the monitor.

Input Devices

Supported input devices include USB-compatible off-the-shelf

computer accessories such as mouse, keyboard, trackball or barcode

reader. All input devices can be used individually or in combination.

Mouse

Any specified USB mouse or trackball may be used for data entry.

Computer Keyboard

A computer keyboard can be connected to the monitor via a USB

connection and used for data entry.

Simulated Keyboard

If alpha or numeric data entry is required, for example to enter patient

demographics, a pop-up keyboard will automatically appear on the

screen.

Barcode Reader

A USB barcode reader in “keyboard emulation mode” can be used via a

USB connection.

Multi-Measurement Module

The M3001A Multi-

Measurement Module

(MMS) can be

connected without

cables onto the side of

the Flexible Module

Rack (FMS). The MMS

can also be connected

to the monitor or FMS

with cables in order to

place it in patient vicinity. It sends measurement waves and numerics to

the monitor screen and generates alarms and INOPs. Patient

demographic details are stored in the MMS. Eight hours of patient

trends can be transferred to the monitor.

The MMS provides measurement data for Electrocardiogram (ECG)/ Arrhythmia, Respiration, Oxygen Saturation of Arterial Blood (SpO

Non-Invasive Blood Pressure (NBP), and Invasive Pressure or

Temperature. It features 12-lead ECG capability, multi-lead arrhythmia,

and 12-lead ST analysis.

An MMS Extension can optionally be slotted onto the Multi-

Measurement Module to add:

• an additional Invasive Pressure and Temperature Measurement, a

third Invasive Pressure or Temperature Measurement (one at a time)

and optionally a Cardiac Output/Continuous Cardiac Output measurement (M3012A), or

• an additional Invasive Pressure Measurement, a third Invasive Pressure

or Temperature Measurement (one at a time), an integrated

mainstream or sidestream CO2 measurement and optionally a

Cardiac Output/Continuous Cardiac Output measurement (M3014A), or

• an additional Invasive Pressure or Temperature measurement (one at

a time) and a Microstream® CO

measurement (M3015A).

X2 Multi-Measurement Module

The M3002A X2

Multi-Measurement

Module can be

connected without

cables onto the side of

the Flexible Module

Rack (FMS). The X2

can also be connected

to the monitor or FMS

with cables in order to

place it in patient

vicinity. It sends

IntelliVue X2 Multi-Measurement Module

measurement waves

and numerics to the

monitor screen and generates alarms and INOPs. Up to 24 hours of

patient trends are stored in the X2, as well as patient demographic

details. Eight hours of patient trends can be transferred to the host

monitor.

The X2 provides measurement data for Electrocardiogram (ECG)/ Arrhythmia, Respiration, Oxygen Saturation of Arterial Blood (SpO

CO2, Non-Invasive Blood Pressure (NBP), and Invasive Pressure or

Temperature. It features 12-lead ECG capability, multi-lead arrhythmia,

and 12-lead ST analysis.

An MMS Extension can optionally be slotted onto the X2 to add:

• an additional Invasive Pressure and Temperature Measurement, a

third Invasive Pressure or Temperature Measurement (one at a time)

and optionally a Cardiac Output/Continuous Cardiac Output measurement (M3012A), or

• an additional Invasive Pressure Measurement, a third Invasive Pressure

or Temperature Measurement (one at a time), an integrated

mainstream or sidestream CO2 measurement and optionally a

Microstream is a registered trademark of Oridion Systems Ltd.

Cardiac Output/Continuous Cardiac Output measurement (M3014A), or

• an additional Invasive Pressure or Temperature measurement (one at

a time) and a Microstream® CO

measurement (M3015A).

The X2 can also be used as a stand-alone monitor.

Mounting

The mounting options available enable flexible, space saving placement

of the monitors for an ergonomic work space.

Applications for Specific Care Settings

Flexible Module Rack with Plug-In Modules

The Flexible Module Rack has eight slots for plug-in measurement

modules.

Individual plug-in measurement modules are available to measure:

– M1006B Invasive Blood Pressure

– M1011A Intravascular Oxygen Saturation Module (SO

)

– M1012A Cardiac Output/Continuous Cardiac Output

– M1014A Spirometry

– M1018A Transcutaneous Gas

– M1020B SpO

– M1021A Mixed Venous Oxygen Saturation (SvO2)

– M1027A Electroencephalograph (EEG)

– M1029A Temperature

– M1034A Bispectral Index (BISTM)

Additional plug-in modules available are:

– M1116B Thermal Array Recorder

– M1032A VueLink Device Interface.

– 865115 EC10 IntelliBridge

Anesthesia Features

•The IntelliVue G1 and G5 and the Anesthetic Gas Module (AGM)

measure the five most commonly used anesthetic gases, as well as

O and CO2.

•The BIS module assesses the level of consciousness in the OR,

providing a measure of the effect of anesthetic agents.

• VueLink provides an external device interfacing capability to

Anesthesia Machines and other external instruments which have a

serial RS-232 and/or analog output. It generates alarms and provides

up to two waves and six numerics, depending on the device.

•The IntelliBridge EC10 Module provides external device interface

capability to external devices at the bedside which have a serial RS-

232 and/or LAN output.

•The EEG module determines coma prognosis and extent of cerebral

insult. CSA information can be either permanently displayed on

specially designed screens or viewed in a separate window.

• Screens provide flexible viewing of patient information during

different procedures or phases of an anesthesia case.

• Respiratory Loops

The IntelliVue Patient monitor can generate three types of

respiratory loops and display one real-time loop and up to 6 stored

loops simultaneously. This assists in early detection of patient airway

problems (e.g. atelactasis, bronchospasm) and ventilator problems

(e.g. leaks and kinked tubes).

•The Spirometry Module provides airway pressure, volume and flow

measurements to monitor changes in respiratory status.

IntelliVue Anesthetic Gas Modules

Versatile IntelliVue G1 and G5 gas modules measure the five most

commonly used anesthetic gases, as well as N2O and CO2. They all

provide inspiration and expiration values for display on Philips IntelliVue

patient monitors and the values required for MAC calculation in the

IntelliVue patient monitors. The IntelliVue G1 gas module measures the

single agent chosen by the clinician. The IntelliVue G5 features

automatic agent identification and mixed-agent measurement capability.

Advanced O2 technology based on paramagnetic measurements is

optional with the G1 and included standard with the G5.

Additionally, the AGM (Anesthetic Gas Module) offers auto-ID and

single agent measurement capabilities.

Microstream is a registered trademark of Oridion Systems Ltd.

Bispectral Index and BIS are registered trademarks of Aspect Medical Systems, Inc.

Critical and Cardiac Care Features

• The monitor performs multi-lead arrhythmia detection analysis on

the patient’s ECG waveform at the bedside. It analyzes for ventricular

arrhythmias, calculates heart rate, and generates alarms, including

asystole, bradycardia, and ventricular fibrillation.

• Up to 12 leads of ST segment analysis can be performed on adult

patients at the bedside, measuring ST segment elevation and

depression and generating alarms and events. The user can trend ST

changes, set high and low alarm limits, and set both ST and isoelectric

measurement points. ST points can be set either relative to the J-

point or directly by selecting a numeric value.

• QT/QTc interval monitoring provides the measured QT interval,

the calculated heart-rate corrected QTc value and a ΔQTc value,

which tracks variation in the QT interval in relation to a baseline

value.

•SO2 and ScvO2 measurements provide guidance for the treatment of

sepsis treatment protocols.

• The Parameter Histogram View of the Vital Signs Trend allows the

clinician to see, at a glance, the stability of the patient's condition for a

selected time period.

• ST Map application shows ST changes over time in two multi-axis

spider diagrams.

• 12-lead ECG data can be measured, using either the EASI placement

method with five standard electrodes or conventional electrode

placement with 10 electrodes.1

12 real-time ECG waveforms can be displayed simultaneously on all

IntelliVue models.

• High performance pulse oximetry technologies perform accurately

even in cases with low perfusion.

• Choice of Microstream, sidestream and mainstream CO2 monitoring

for high quality measurements with intubated and non-intubated

patients.

• Continuous cardiac output and advanced hemodynamic assessment

are provided using the PiCCOTM method without a pulmonary

catheter.

• Clinical calculations enable stored and manually entered data to be

used to perform hemodynamic, ventilation and oxygenation

calculations. Calculated data is displayed in both indexed and non-

indexed format.

• BIS monitoring provides sedation assessment in critical and cardiac

care environments.

• Spirometry measurements help to manage ventilator settings and

weaning.

Neonatal Monitoring Features

• Transcutaneous gas (TcGas) monitoring helps to optimize

respiratory therapy in neonates.

• Dual-Pulse Oximetry capability allows the clinician to measure pre

and post-ductal saturations.

• The Oxygen CardioRespiroGram (oxyCRG) screens provide a

simultaneous presentation of up to three High-Resolution Trends:

• beat-to-beat heart rate (btbHR)

• an oxygenation measurement trend (SpO2 or tcpO2)

• compressed respiration rate.

• This customized display gives clinicians a convenient overview of the

neonatal patient’s most important vital signs, helping them to identify

significant events.

• Continuous oxyCRG recordings can be made at the bedside on the

M1116B Recorder.

• Dual SpO2 measurement provides clinical support through

comparison and trending of the pulse oximetry values from two

distinct patient sites.

• Trended values can also be viewed in the form of a histogram. The

SpO2 histograms can be trend histograms or real-time histograms

with 1-second samples.

• In Event Surveillance, in the NER group, you can run a Car Seat

Assessment Record (CAR). This is a special period of event

surveillance for neonates during a car seat test. During the CAR

period, a real-time SpO2 histogram is also generated with 1-second

samples.

IntelliVue Applications

Clinical Decision Support

Clinicians are continuously drawing mental images from their

observations of patients’ vital signs. The IntelliVue’s clinical decision

support applications offer this dynamic “minds eye view” directly on

the monitoring screen display.

ProtocolWatch

ProtocolWatch allows clinicians to run clinical protocols that can

monitor developments in the patient’s condition. The SSC Sepsis

Protocol runs on the ProtocolWatch application and is used in

screening for severe sepsis and monitoring its treatment.

ST Map

ST Map provides a graphical display that can help clinicians to recognize

ST changes and their location in the heart more easily. ST Map collects

ST values created from the frontal (limb leads) and horizontal (chest

leads) plane into an integrated display. The maps are multi-axis

portraits of the patient’s ST segments as measured with the ST/AR

arrhythmia algorithm.

Advanced Event Surveillance

Events are electronic records of episodes in the patient’s condition.

They can be used to drive alert notification to assist compliance to any

protocol that is being used by the clinician.

Horizon Display

Horizon trends provide clinicians with a graphical visualization tool that

allows the end user to detect at a glance the patients’ current clinical

status. By combining parameters together on the display, the clinician is

assisted in their cognitive process of pattern recognition.

EASI-derived 12-lead ECGs and their measurements are approximations to conventional 12-lead ECGs. As the 12-lead ECG derived with EASI is not exactly identical to the 12-lead conventional ECG obtained from an electrocardiograph, it should not be used for diagnostic purposes. PiCCO

is a trademark of Pulsion Medical Systems AG.

Loops

Up to six loops of each type can be stored and compared to detect

respiratory changes more easily.

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