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 plugin 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.
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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 MultiMeasurement 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 (SpO2), 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 MultiMeasurement 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® CO21 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 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 (SpO2), 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
1 Microstream is a registered trademark of Oridion Systems Ltd.
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Cardiac Output/Continuous Cardiac Output measurement (M3014A), or
•an additional Invasive Pressure or Temperature measurement (one at a time) and a Microstream® CO21 measurement (M3015A).
The X2 can also be used as a stand-alone monitor.
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 (SO2)
–M1012A Cardiac Output/Continuous Cardiac Output
–M1014A Spirometry
–M1018A Transcutaneous Gas
–M1020B SpO2
–M1021A Mixed Venous Oxygen Saturation (SvO2)
–M1027A Electroencephalograph (EEG)
–M1029A Temperature
–M1034A Bispectral Index (BISTM)2
Additional plug-in modules available are:
–M1116B Thermal Array Recorder
–M1032A VueLink Device Interface.
–865115 EC10 IntelliBridge
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.
1Microstream is a registered trademark of Oridion Systems Ltd.
2Bispectral Index and BIS are registered trademarks of Aspect Medical Systems, Inc.
Mounting
The mounting options available enable flexible, space saving placement of the monitors for an ergonomic work space.
Applications for Specific Care Settings
Anesthesia Features
•The IntelliVue G1 and G5 and the Anesthetic Gas Module (AGM) measure the five most commonly used anesthetic gases, as well as N2O 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 RS232 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.
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 QTc value, which tracks variation in the QT interval in relation to a baseline value.
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•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.2
•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 nonindexed 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.
1EASI-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.
2PiCCOTM is a trademark of Pulsion Medical Systems AG.
•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.
Loops
Up to six loops of each type can be stored and compared to detect respiratory changes more easily.
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