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WLANBV2
User Manual
130 pgs2.29 Mb0
User Manual
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Philips WLANBV2 User Manual

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Page 1
Instructions for Use
IntelliVue Patient Monitor
MP2
Release J with Software Revision J.xx.xx
Patient Monitoring
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1Table of Contents
1 Installation 11
2 Basic Operation 19
3 What's New? 45
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4 Alarms 51
5 Patient Alarms and INOPs 65
6 Managing Patients and Equipment 89
7 ECG, Arrhythmia, ST and QT Monitoring 107
Skin Preparation for Electrode Placement 107 Connecting ECG Cables 107 Selecting the Primary and Secondary ECG Leads 108 Checking Paced Mode 108 Understanding the ECG Display 109 Monitoring Paced Patients 110 Changing the Size of the ECG Wave 111 Changing the Volume of the QRS Tone 112 Changing the ECG Filter Settings 112 Selecting Positions of Va and Vb Chest Leads (for 6-lead placement) 112 Choosing EASI or Standard Lead Placement 113 About ECG Leads 113 ECG Lead Fallback 114 ECG Lead Placements 114 Capture 12-Lead 119 EASI ECG Lead Placement 122 ECG and Arrhythmia Alarm Overview 123 Using ECG Alarms 124 ECG Safety Information 125
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About Arrhythmia Monitoring 127 Switching Arrhythmia Analysis On and Off 127 Choosing an ECG Lead for Arrhythmia Monitoring 127 Understanding the Arrhythmia Display 129 Arrhythmia Relearning 132 Arrhythmia Alarms 133 About ST Monitoring 137 Switching ST or STE On and Off 138 Understanding the ST Display and Windows 139 Updating ST Baseline Snippets 141 About the ST Measurement Points 142 ST Alarms 144 STE Alarms 144 Viewing ST Maps 145 About QT/QTc Interval Monitoring 148 QT Alarms 152 Switching QT Monitoring On and Off 153
8 Monitoring Pulse Rate 155
Entering the Setup Pulse Menu 155 System Pulse Source 155 Switching Pulse On and Off 156 Using Pulse Alarms 156
9 Monitoring Respiration Rate (Resp) 159
Lead Placement for Monitoring Resp 159 Understanding the Resp Display 160 Changing Resp Detection Modes 160 Changing the Size of the Respiration Wave 161 Changing the Speed of the Respiration Wave 162 Using Resp Alarms 162 Changing the Apnea Alarm Delay 162 Resp Safety Information 162
10 Monitoring SpO2 165
SpO2 Sensors 165 Applying the Sensor 165 Connecting SpO2 Cables 166 Measuring SpO2 166 Understanding the SpO2 Numerics 168 Assessing a Suspicious SpO2 Reading 169 Changing the Averaging Time 169 Setting the Measurement Mode 169 Understanding SpO2 Alarms 170 Pleth Wave 175 Perfusion Numeric 175
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Perfusion Change Indicator 175 Setting SpO2/Pleth as Pulse Source 175 Setting Up Tone Modulation 176 Setting the QRS Volume 176
11 Monitoring NBP 177
Introducing the Oscillometric NBP Measurement 177 Preparing to Measure NBP 179 Starting and Stopping Measurements 180 Enabling Automatic Mode and Setting Repetition Time 182 Enabling Sequence Mode and Setting Up The Sequence 182 Choosing the NBP Alarm Source 182 Switching Pulse from NBP On/Off 183 Assisting Venous Puncture 183 Calibrating NBP 183
12 Monitoring Temperature 185
Making a Temp Measurement 185 Calculating Temp Difference 186
13 Monitoring Invasive Pressure 187
Setting up the Pressure Measurement 187 Zeroing the Pressure Transducer 189 Adjusting the Calibration Factor 190 Displaying a Mean Pressure Value Only 191 Changing the Pressure Wave Scale 191 Optimizing the Waveform 191 Non-Physiological Artifact Suppression 191 Choosing the Pressure Alarm Source 191 Calibrating Reusable Transducer CPJ840J6 192 Calculating Cerebral Perfusion Pressure 194
14 Monitoring Carbon Dioxide 195
Measurement Principles 196 Measuring CO2 using the CO2 Option or M3014A 196 Measuring Mainstream CO2 using M3016A 200 Measuring Microstream CO2 using M3015A/B 203 Setting up all CO2 Measurements 204 Understanding the IPI Numeric 206
15 Using a Telemetry Device and a Monitor (PIIC only) 209
How Can You Combine Devices? 209 Unpairing the Monitor and Telemetry Device 211 Temporarily Stopping the Short Range Radio Connection 212
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16 Enhancing Telemetry Monitoring with the Monitor 213
Monitor and Telemetry Transceiver Requirements 213
17 Trends 215
Viewing Trends 215 Setting Up Trends 218 Documenting Trends 221 Trends Databases 221 Screen Trends 222
18 Recording 227
Starting and Stopping Recordings 227 Overview of Recording Types 228 Creating and Changing Recordings Templates 228 Recorder Status Messages 229
19 Printing Patient Reports 231
Starting Report Printouts 231 Stopping Reports Printouts 232 Setting Up Reports 232 Setting Up Individual Print Jobs 234 Checking Printer Settings 234 Printing a Test Report 234 Switching Printers On or Off for Reports 235 Dashed Lines on Reports 235 Unavailable Printer: Re-routing Reports 235 Checking Report Status and Printing Manually 236 Printer Status Messages 237 Sample Report Printouts 238
20 Care and Cleaning 241
General Points 241 Cleaning the Monitor 242 Disinfecting the Monitor 242 Sterilizing the Monitor 243 Cleaning, Sterilizing and Disinfecting Monitoring Accessories 243 Cleaning Batteries and the Battery Compartment 243
21 Using Batteries 245
Battery Power Indicators 246 Checking Battery Charge 248 When Battery Lifetime is Expired 248 Replacing a Battery 249 Optimizing Battery Performance 250 Battery Safety Information 252
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22 Maintenance and Troubleshooting 253
Inspecting the Equipment and Accessories 253 Inspecting the Cables and Cords 254 Maintenance Task and Test Schedule 254 Troubleshooting 254 Disposing of the Monitor 255 Disposing of Empty Calibration Gas Cylinders 255
23 Accessories 257
ECG/Resp Accessories 257 Invasive Pressure Accessories 261 5-Electrode One Piece Cables 261 Set Combiners and Organizers 261 NBP Accessories 262 SpO2 Accessories 264 Temperature Accessories 268 Mainstream CO2 Accessories 269 Sidestream CO2 Accessories 269 Mainstream CO2 Accessories (for M3016A) 270 Microstream CO2 Accessories 270 Battery Accessories 271
24 Specifications 273
Indications for Use 273 Use Environment 273 Restricted Availability 274 Manufacturer's Information 274 Symbols 275 Installation Safety Information 276 Monitor Mounting Precautions 277 Altitude Setting 277 Monitor Safety Specifications 277 EMC And Radio Regulatory Compliance 278 Out-Of-Hospital Transport - Standards Compliance 279 Physical Specifications 280 Environmental Specifications 281 Monitor Performance Specifications 282 Monitor Interface Specifications 284 865297 Battery Extension Specifications 285 M4607A Battery Specifications 286 M4605A Battery Specifications 286 Measurement Specifications 287 Safety and Performance Tests 299
25 Default Settings Appendix 305
Country-Specific Default Settings 305
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Alarm and Measurement Default Settings 313 Alarm Default Settings 313 ECG, Arrhythmia, ST and QT Default Settings 314 Pulse Default Settings 316 Respiration Default Settings 317 SpO2 Default Settings 317 NBP Default Settings 318 Temperature Default Settings 319 Invasive Pressure Default Settings 319 CO2 Default Settings 321
Index 323
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1Installation

Installation should be carried out by qualified service personnel, either by the hospital's biomedical department, or by Philips Support.
If you have purchased a "customer-installable bundle", it is assumed that your own hospital personnel will install and, if necessary, configure the monitor. You can contact Philips Support for assistance if required; any assistance will be associated with additional costs.
For mechanical and electrical installation, you need technically qualified personnel with a knowledge of english. Additionally, for monitor configuration, you need clinically qualified personnel with a knowledge of the use environment. For further information on Installation, refer to the Service Guide.
WARNING
• Monitor configuration settings must be specified by authorized hospital personnel.
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• For installation of the device as part of a system, always refer to the Service Guide.
• As the first step in preparing the monitor for use, follow the installation instructions given in this chapter.

Installation Checklist

Use this checklist to document your installation.
Step Ta sk Check Box
1 Perform initial inspection of delivery, unpack and check the shipment (see
“Unpacking and Checking the Shipment” on page 12).
2 Mount the monitor as appropriate for your installation (see “Mounting
the Monitor” on page 13).
3 Insert the battery into the battery compartment (the battery must always
be in the battery compartment during use). Connect the monitor to AC mains via the external power supply using the supplied power cord (see “Connecting the Monitor to AC Mains” on page 13).
4 Perform Visual, Power On and Functional test blocks (see “Checking
Out the Monitor” on page 15).
when Task Done
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1 Installation
Step Ta sk Check Box
when Task Done
5 Perform Safety Tests, if required by local laws and regulations (see
“Checking Out the Monitor” on page 15).
6 Check/set the time and date (see “Setting the Date and Time” on
page 17).
7 Check that the country-specific default settings are appropriate (see
“Checking Country-Specific Default Settings” on page 17)
8 Perform System Test as necessary (see the Service Guide)

Unpacking and Checking the Shipment

The monitor and any supporting options ordered are supplied packed in protective shipping cartons.

Initial Inspection

Before unpacking, check the packaging and ensure that there are no signs of mishandling or damage.
Open the package carefully and remove the monitor and accessories.
Check that the contents are complete and that the correct options and accessories have been delivered.
System Components, Accessories and Supplies Comments
Monitor with options as ordered 1 ECG accessories optional NBP accessories optional SpO
accessories optional
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Pressure accessories optional Temperature accessories optional CO
Accessories optional
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External Power Supply including AC power cord and MSL cable 1 Rechargeable battery 1 Instructions for Use 1 Quick Guide 1 Documentation DVD (includes Service Guide and Instructions for Use) 1

Claims for Damage

If the shipping cartons are damaged, contact the carrier.
If any of the equipment is damaged, contact both the carrier and your local Philips service organization for repair or replacement arrangements.
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1 Installation

Repacking

Retain the original packing carton and material, in case you need to return equipment to Philips for service. If you no longer have the original packing materials, Philips can advise you on alternatives.

Mounting the Monitor

The monitor can be rested on a flat, level surface, hung on the bed rail, or mounted on a wall or on a rollstand. See the Service Guide for details.

Mounting the External Power Supply (M8023A)

The external power supply (M8023A) can be rested on its rubber feet on a flat, level surface, or mounted as described in the Service Guide.
The following pictures show examples of correct and incorrect ways to mount the power supply.

Connecting the Monitor to AC Mains

The monitor is an electrical Class II device in which the protection against electric shock does not rely on basic insulation and a protective earth conductor but on double and/or reinforced insulation.
The monitor has a wide-range external power supply (M8023A) that allows you to operate the monitor from an AC (alternating current) power source of 100 V to 240 V (± 10%) and 50/60 Hz (± 5%). The external power supply also charges the monitor's battery.
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1 Installation
1
MSL Cable connects to power supply (M8023A)
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1 AC power cord. Connect to AC mains socket.
2 Connect LAN cable here. For connection to a PC or Information Center.
3 Measurement Link (MSL) cable. Supplies AC input power to the monitor for AC operation and for
battery charging. When there is a LAN connection to a PC or Information Center, the MSL cable also carries this data to and from the monitor.
4 Power-on LED. The green light is on when the external power supply is connected to AC mains.
WARNING
• Always use the supplied power cord with the earthed mains plug to connect the external power supply (M8023A) to an earthed AC mains socket. Never adapt the mains plug from the power supply to fit an unearthed AC mains socket.
• Do not use AC mains extension cords or multiple portable socket-outlets. If a multiple portable socket-outlet without an approved isolation transformer is used, the interruption of its protective
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earthing may result in enclosure leakage currents equal to the sum of the individual earth leakage currents, so exceeding allowable limits.
• Do not connect any devices that are not supported as part of a system.
• Any non-medical device placed and operated in the patient's vicinity must be powered via an approved isolation transformer that ensures mechanical fixing of the power cords and covering of any unused power outlets.

Checking Out the Monitor

The following table defines which tests and inspections need to be performed, and when they are required.
Test Test or Inspection to be Performed
Visual Inspect the monitor, measurement accessories and cables for any damage.
Are they free of damage?
Power On Power on the monitor. Does it start up successfully without errors? Do all
alarm lamps light up during power up? After start up, the monitor sounds a tone, and you can see the monitoring main screen (normally with measurement wave channels and numeric positions).
Functionality Test After power up, touch the battery status indicator in the bottom right of
the screen. The
Screen
key to close the window and return to the main screen.
Safety Tests (1) to (4) Perform safety tests (1) to (4), as described in the Service Guide, for
standalone devices if required by local laws and regulations, and each time you combine equipment to form a system, or exchange system components. Details of the safety tests and procedures are described in the Service Guide. These safety tests are derived from international standards but may not always be sufficient to meet local requirements.
System Perform the system test according to IEC 60601-1-1, if applicable, after
combining equipment to form a system (see the Service Guide).
1 Installation
Battery Status window should open. Press the blue Main
For test and inspection information regarding repairs, upgrades and all other service events, refer to the Service Guide.
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Operating the Monitor

To complete installation you will need to operate the monitor to check basic functionality. Here is a quick introduction to the monitor.
• Switch on the monitor. After start-up the monitor display will become active. You operate the monitor using the touch screen.
• Touch again to select an item on the menu and work through the menu activities.
• Touch something on the screen (numerics, waves, other screen items) to enter the corresponding menu. Touching the NBP numeric, for example, brings you to the
Setup NBP menu.
• To access SmartKeys, press the SmartKeys
Main Setup is one of the SmartKeys.
key.
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• If you cannot find a menu by touching the screen you can always use the SmartKey which will get you to all menus on the monitor.
Main Setup
• Press the Main Screen key to close all open menus/windows and return to the main screen. Press again to enter the
Screen
menu, where you can choose from a
number of pre-configured screens.
Change
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Setting the Date and Time

To set the date and time:
1 Press the SmartKeys key to enter the SmartKeys window.
2 Select the Main Setup SmartKey to enter the Main Setup menu.
3 Select Date, Time to enter the Date, Time menu.
4 Select, in turn, the Year, Month, Day, Hour (in 24 hour format, only) and Minute as necessary.
Select the correct values from the pop-up list.
5 Select Store Date, Time to change the date and time.
If your monitor is connected to an Information Center, the date and time are automatically taken from this. Once it is set, the internal clock retains the setting even when you switch off the monitor.

Checking Country-Specific Default Settings

Some settings are made in the factory to match the typical requirements in a specific country. Line frequency, units for weight and height, and ECG cable colors (AAMI or IEC) have been set to appropriate values. If you suspect that these settings may not match your institution’s requirements, check the settings and change them if necessary as described in the Configuration Guide.
1 Installation
WARNING
Before starting monitoring, check that the current configuration meets your requirements, especially patient category, alarm limits and paced setting.
If you need to enter configuration mode:
1 In the Main Setup menu, select Operating Modes.
2 Select Config and enter the passcode.
The passcode for configuration mode is given in the Service Guide.
The monitor displays while you are in configuration mode.
Before you leave configuration mode, always be sure to store any changes you made. You must store changes made to each Settings Block and to each Profile, individually. As it may be difficult to remember whether the settings you changed belong to a Monitor Settings block or a Measurement Settings block, we recommend that you store each block before you leave configuration mode.
To leave configuration mode:
•In the
Main Setup menu, select Operating Modes and then select Monitoring.
Config at the right hand side of the status line and in the center of the Screen
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Handing Over the Monitor

If you are handing over the monitor to the end-users directly after configuration, make sure that it is in Monitoring mode.
WARNING
Users must be adequately trained to use the monitor before monitoring a patient. To achieve this, they should have access to, and read, the following documentation delivered with the monitor:
• Instructions for Use (this book) - for full operating instructions
• Quick Guide - for quick reminders during use
Additionally, we recommend working through the Training Guide for self-training on the monitor before use (not available in all languages). Both documents and the training guide are included on the documentation DVD delivered with the monitor.
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2Basic Operation

These Instructions for Use are for clinical professionals using the IntelliVue MP2 (M8102A) 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.
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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. Screen refers to everything you see on the monitor's display, such as measurements, alarms, patient data and so forth.
Rx only: U.S. Federal Law restricts this device to sale by or on the order of a physician.

Introducing the IntelliVue MP2

The Philips IntelliVue MP2 monitor provides a comprehensive set of basic physiological measurements: ECG (including ST analysis and optional 10-lead ECG), NBP, SpO
invasive blood pressure, temperature and CO integration, documentation and information access. The MP2 can be used with adult, pediatric and
neonatal patients in a hospital environment and during patient transport both inside and outside hospitals.
. Through networking it provides information
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, and optionally
2
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2 Basic Operation
The monitor stores data in trend databases. You can see tabular trends (vital signs) and document them on a central printer. You can view measurement trend graphs, including horizon trends, to help you identify changes in the patient's physiological condition.
The monitor can be powered by a rechargeable battery, or from AC mains using the external power supply (M8023A). For battery charging, care and status information, refer to the chapter “Using Batteries” on page 245.

Controls, Indicators and Connectors

MP2 Overview

1 On/Standby Switch
2 Power and battery indicators (see “” on
page 20)
3 3.5-inch TFT LCD touchscreen QVGA
display
4 Alarm lamps (see “” on page 20)
5 Built-in carrying handle
6 Battery eject button
7 Keys (see “” on page 20)
8 Measurement connectors (see “MP2
Patient Connectors, Right Side” on page 22)
9 Battery
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MP2 Controls and Indicators

1 On/Standby switch
2 On/Standby LED. Green when monitor is on. Red indicates an error.
2 Basic Operation
3 Battery status LED. Yellow when charging. Flashing red when battery is empty, or a battery
malfunction is detected.
4 External power LED. Green when monitor is powered from an external power source.
5 Alarms off indicator. When alarms are suspended, the lamp is red, and the ALARMS OFF message
appears on the screen.
6 Active INOP alarm lamp in light blue. Stays lit until active INOP is acknowledged.
7 Active alarm lamp. Red or yellow, depending on alarm level. Stays lit until active alarm is
acknowledged.
8 Silence key
9 Alarms key: turns alarms On/Off, or pauses them
10 SmartKeys key: brings up SmartKeys on the screen
11 Main Screen key: closes all open menus/windows and returns to the main screen, or selects
current screen.
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2 Basic Operation

MP2 Patient Connectors, Right Side

1 Pressure (option)
2 Temperature (option)
3 Noninvasive blood pressure

MP2 Left Side

4 SpO
5 ECG sync pulse output (See “Monitor Performance
6 ECG/Respiration
7 CO
1 Loudspeaker
2 MSL Connector. Connects to the external power supply via
the MSL cable for AC mains operation, battery charging, and communication with a network.
2
Specifications” on page 282 for specifications)
(option)
2

Extending Measurements

Your monitor is compatible with Philips measurement extensions for use with other IntelliVue patient monitoring devices. These allow you to add specific measurements to those already integrated into your monitor. These measurement extensions are referred to as MMS extensions. During patient transport, the monitor with the connected MMS extension can be powered by the Battery Extension (see “Using the Battery Extension” on page 26).
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2 Basic Operation
MMS Extension M3014A attached to the MP2
The MMS extensions connect to the monitor and use the monitor's settings. Trend data and measurement settings from the measurements in the extensions are stored in the monitor.
WARNING
• Measurements from an MMS extension are only available when the extension is connected to the monitor, and the monitor is running on external power. This is the case when the monitor is running on AC mains via the external power supply (M8023A) or is attached to the Battery Extension (865297). Measurements from an MMS extension connected to the monitor are not available when the monitor is running on its own battery power.
• Any measurements on an MMS extension that conflict with those in the monitor cannot be used. For example, only one CO
measurement is supported.
2
To separate an extension from the monitor, press the release lever and push the extension forward.
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2 Basic Operation

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
The optional M3015A Microstream CO
extension adds microstream capnography and optionally
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either pressure or temperature to the MMS. The optional M3015B Microstream CO microstream capnography, two pressures and a temperature to the MMS.
M3015A M3015B
2
extension adds
2
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1 Pressure connectors (red) - M3015A optional
2 Temperature connector (brown) - M3015A optional
3 Gas sample outlet
4 Microstream connector CO
and Inlet
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2 Basic Operation
The optional M3016A Mainstream CO2 extension adds mainstream capnography and optionally either pressure or temperature to the MMS.
M3016A
1 Pressure connectors (red)
2 Temperature connector (brown)

M3012A Hemodynamic MMS Extension

1 Cardiac Output (orange; optional)
2 Connection to MMS
3 Pressure connectors (red)
4 Temperature connectors (brown)
3 Mainstream/sidestream connector CO
(optional)
2
When attached to the MP2 connected to the external power supply, the optional M3012A Hemodynamic extension adds temperature, pressure, and an additional pressure or a temperature to the monitor.
Cardiac Output and Continuous Cardiac Output are not available when used with the MP2.
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2 Basic Operation

Using the Battery Extension

To provide enough power for the use of an MMS Extension during transport, you can use the Battery Extension (865297). The Battery Extension provides additional battery power for situations when no mains power is available and can typically power the monitor with MMS Extension for at least 6 hours.
Connecting the Battery Extension
To connect to the Battery Extension, place the monitor with MMS Extension onto the Battery Extension, and then slide it across so that the connection is made and it is firmly seated.
LED Indicators
The Battery Extension has two LED indicators. The power LED lights green when the Battery Extension is connected to external power.
The battery charge led gives battery status information:
To remove the monitor with MMS Extension, press the release lever and push the monitor across to release the connection.
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LED indication Status
External power available
green Battery fully charged. yellow Battery charging.
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red flashing (short on phase) Battery maintenance required. red flashing (long on phase) Battery Extension malfunction. off No battery inserted in the Battery Extension.
External power not available
yellow flashing (short on phase) Battery Extension is charging the monitor battery (monitor
is switched off).
red flashing (short on-phase) If the monitor is running, this indicates very low battery
charge (<10 minutes running time left). If the monitor is not running, this indicates that battery maintenance is required.
red flashing (long on-phase) Battery Extension cannot provide power to the monitor.
Either the Battery Extension needs charging, or it has a malfunction.

IntelliVue Cableless Measurements

The IntelliVue Cableless Measurements (IntelliVue CL SpO2 Pod and IntelliVue CL NBP Pod) are patient-worn measurement devices which provide measurement values on their built-in screen and
communicate them to the monitor using a wireless short range radio (SRR) interface.
2 Basic Operation
Measurement Device Main Parts and Keys
All IntelliVue Cableless Measurement devices have a display and 3 keys:
1 Integrated monochrome LCD display
2 Hardkeys
3 Measurement identifier
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2 Basic Operation

Operating and Navigating

The principle method of operating your monitor is via the touchscreen. Almost every element on the screen is interactive. Screen elements include measurement numerics, information fields, alarms fields, waveforms and menus. The typical operator's position is in front of the monitor.
There are also four keys to the right of the screen (see also “” on page 20).
These let you: Key with symbol
(international)
• Silence alarms: the Silence key acknowledges all active alarms by switching off audible alarm indicators and lamps.
• Switch alarms on or off, or pause alarms.
• Call up SmartKeys on the screen (see below).
• Close all open menus/windows and return to the main screen.
• If you are already in the main screen (no additional menus/windows are open), then pressing this key opens
Change Screen menu, where you can choose from a
the number of pre-configured screens.
• To temporarily disable the touchscreen operation, press and hold this key for 2 seconds. Press the key again to re­enable the touchscreen operation.
A typical main screen looks like this:
Text replaces symbol (English versions only)
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2 Basic Operation
MP2 Screen Elements
Item Description Comments
1 Alarm volume off indicator
is displayed when the alarm volume
is set to zero (0).
2 Patient name / alarm message field Patient name can be covered by alarm
messages or alarms On/Off/Paused message.
If red and yellow alarms are active at the same time, they rotate in the alarm field.
3 Patient category and bed label / INOP
message field
Patient category and bed label can be covered by INOP messages. If there are multiple red/yellow/cyan INOPs active at the same time, they rotate in the INOP field.
4 Network connection indicator Documented in Information Center
Instructions for Use.
5 Measurement label Touch the measurement to enter the
measurement setup menu. 6 Paced status Displayed below the HR label. 7 Measurement numeric/values Touch the numeric to enter the measurement
setup menu. 8 Measurement wave Touch the wave to enter the measurement
setup menu. 9 Status line Shows information and messages prompting
you for action. 10 Measurement Selection key Opens the
Measurement Selection window
which shows all measurements and where
they are physically located. From here you
can also enter the measurement setups. 11 Battery status indicator Gives information about remaining battery
charge, estimated operating time,
maintenance requirements and malfunctions.
See the chapter “Using Batteries” on
page 245.
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2 Basic Operation

Using the Touchscreen

Touch a screen element to get to the actions linked to that element. For example, touch a measurement numeric and the setup menu for that measurement opens. Touch a wave to enter the setup menu for that wave.

Measurement Setup Menus

Each measurement has a setup menu where you can change settings. Typically, the setup menu window covers the whole screen, except the INOP and alarm message fields, which are always displayed at the top. The following picture is an example, and may not show exactly what you see on the screen. All measurement setup windows are similar and share the same basic layout.
Touch the measurement numeric on the screen to enter the setup menu.
Key to measurement setup menu:
Item Description Comment
1 INOP and alarm
message field.
2 Wave/numerics
window.
3 Status/prompt
message.
4 Next page arrows. The menu may have more than one page, as shown here. Move to
5 Measurement menu
keys.
These are always displayed at the top of the screen.
The main measurement numeric and wave (if applicable) are shown in this window so that you do not lose sight of the current measurement while making changes in the menu.
Status/prompt messages related to the measurement menu are displayed below the wave/numerics. General status/prompt messages on the main screen are covered by the measurement setup menu.
another page by touching these arrows. Each button has two lines of text. To perform an operation on a
measurement, press one of the keys. Some keys lead directly to a task. For example, pressing the blood pressure starts a measurement. Other keys open a pop-up window, which can have more than one page, from which you make a selection. Again, using noninvasive blood pressure as an example, pressing the time opens a pop-up window from which you pick a time, scrolling if necessary.
Repeat Time key for setting the repetition
Start/ Stop key for noninvasive
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Main Setup Menu

There is usually more than one way to enter a setup menu for a measurement, to change a setting or to execute a task. Some routes are more direct than others. You can use whichever method you find most convenient. Which routes are available to you, however, can vary depending on your monitor’s configuration.
2 Basic Operation
For this reason, this book generally describes entry to a measurement’s setup menu via the menu, as this route is always available and is not subject to configuration dependencies. You can get to all setup windows from the SmartKeys key, then selecting the

SmartKeys

A SmartKey is a configurable graphical key on the screen allowing fast access to frequently used functions. Press the SmartKeys hard key to call up a set of SmartKeys on the screen. Although the selection of SmartKeys available on your monitor depends on the monitor configuration and on the options purchased, the
Main Setup
Main Setup menu. You enter the Main Setup menu by pressing the
Main Setup SmartKey.
SmartKeys window generally looks like this:
1 Scroll to see more
SmartKeys
enter Main Setup menu - you can get to all setup windows using this key
enter profile menu, or revert to default profile
previous Screen quick admit a patient
enter patient identification menu to admit/discharge/transfer
enter standby mode - suspends patient monitoring. All waves and numerics disappear from the display. All settings and patient data information are retained.
change Screen, or revert to default screen
end case to discharge a patient
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2 Basic Operation
lock touchscreen operation set alarm limits
change alarm volume change screen brightness (not for
independent displays)
change QRS volume change amplitude (size) of ECG wave
review beat labels (annotate
re-learn arrhythmia
arrhythmia wave)
- start/stop manual NBP
start NBP STAT measurement
measurement
- start auto series
- stop current automatic measurement within series
stop automatic or STAT NBP measurement and measurement
start NBP measurement and measurement series
series start veni puncture (inflate cuff to
stop current NBP measurement
subdiastolic pressure)
set the NBP repeat time access patient reports
switch CO
pump off zero invasive pressure transducer
2
new lead setup set standard or EASI lead placement
review vital signs trend review graph trend

Pop-Up Keys

Pop-up keys are task-related graphical keys that appear automatically on the monitor screen when required. For example, the
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unpair equipment and continue central monitoring with the monitor
start 12-Lead Capture (only available
unpair equipment and continue central monitoring with the telemetry device
access ST Map application
if Information Center is connected)
select measurement device start an SpO
access NBP mode selection and
open the
Equipment window
setup, with direct start/stop function
Confirm pop-up key appears only when you need to confirm a change.
measurement
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Using the On-Screen Keyboard

Use this as you would a conventional keyboard. Enter the information by selecting one character after another. Use the single characters, or use the entered and close the on-screen keyboard.
Shift and capital Lock keys to access uppercase letters. Use the Back key to delete
Clr key to delete entire entries. Select Enter to confirm what you have

Operating Modes

When you switch the monitor on, it starts up in monitoring mode. To change to a different mode:
1 Select the Main Setup menu.
2 Select Operating Modes and choose the mode you require.
Your monitor has four operating modes. Some are passcode protected.
• Monitoring Mode: This is the normal, every day working mode that you use for monitoring patients. You can change elements such as alarm limits, patient category and so forth. When you discharge the patient, these elements return to their default values. Changes can be stored permanently only in Configuration Mode. You may see items, such as some menu options or the altitude setting, that are visible but ‘grayed out’ so that you can neither select nor change them. These are for your information and can be changed only in Configuration Mode.
2 Basic Operation
• Demonstration Mode: Passcode protected, this is for demonstration purposes only. You must not change into Demonstration Mode during monitoring. In Demonstration Mode, all stored trend information is deleted from the monitor’s memory.
• Configuration Mode: Passcode protected, this mode is for personnel trained in configuration tasks. These tasks are described in the Configuration Guide. During installation the monitor is configured for use in your environment. This configuration defines the default settings you work with when you switch on, the number of waves you see and so forth.
• Service Mode: Passcode protected, this is for trained service personnel.
When the monitor is in Demonstration Mode, Configuration Mode, or Service Mode, this is indicated by a box with the mode name in the center of the Screen and a symbol in the bottom right-hand corner. Select the mode box in the center of the screen to change to a different mode.

Standby Mode

Standby mode can be used when you want to temporarily interrupt monitoring.
To enter Standby mode,
1 Press the SmartKeys key .
2 Either select the Monitor Standby SmartKey
Or select the
The Standby screen is a neutral screen with information about the monitor and instructions on how to leave Standby mode.
Main Setup SmartKey, then select Monitor Standby.
The monitor enters Standby mode automatically after the End Case function is used to discharge a patient. Standby suspends patient monitoring. All waves and numerics disappear from the display but all settings and patient data information are retained. The Standby screen is displayed.
If a temporary patient location has been entered at the monitor or at the Information Center, this location will also be displayed on the Standby screen.
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2 Basic Operation
To resume monitoring,
• Select anything on the screen or press any key.
When monitoring is resumed, alarms are paused for 1 minute to allow time to finish plugging in the measurement cables.

Understanding Screens

Your monitor comes with a set of pre-configured Screens, optimized for common monitoring scenarios such as OR adult, or ICU neonatal. A Screen defines the overall selection, size and position of waves, numerics and other elements on the monitor screen when you switch on. You can easily switch between different Screens during monitoring. Screens do NOT affect alarm settings, patient category and so forth.

Switching to a Different Screen

To switch to a different Screen:
1 After closing any open menus or windows, press the Main Screen key to access the Change
Screen
menu.
2 Choose the new Screen from the Change Screen menu.

Changing a Screen’s Content

If you do not want to change the entire Screen content, but only some parts of it, you can substitute individual waves, numerics, or trends. Be aware that these changes cannot be stored permanently in Monitoring Mode.
To change the selection of elements on a Screen,
1 Select the element you want to change. For example, touch the wave to enter the wave setup menu,
or touch the numeric to enter the numeric setup menu.
2 From the menu that appears, select Change Wave or Change Numeric, and then select the wave
or numeric you want.
In the
Change Screen menu, the changed Screen is shown linked to the original Screen and marked
with an asterisk.
Up to three modified Screens can be accessed via the
To recall Screens, select the name of the Screen in the
After a patient discharge, the monitor’s default Screen is shown. Modified Screens are still available in
Change Screen menu.
the
If the monitor is switched off and then on again, modified Screens are erased from the monitor’s memory and cannot be recalled. If a modified Screen was the last active Screen when the monitor was switched off, it is retained unless the monitor is configured to revert to the default.
Change Screen menu.
Change Screen menu.

Using the XDS Remote Display

Using the IntelliVue XDS solution it is possible to view an independent monitor screen on an external display. The XDS solution consists of a medical grade PC-based hardware platform, XDS application software and the XDS connectivity option on the monitor. Depending on the configuration you can
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also operate the monitor from the external display. The XDS must be connected to the same Local Area Network (LAN) as the monitor.
It is also possible to use an existing PC, connected to the same LAN, to host the XDS Application software.
For more details, including limitations and restrictions, refer to the IntelliVue XDS Application Instructions for Use.

Using the Visitor Screen

If a visitor Screen is configured for your monitor, you can use it to clear the screen of all waves and numerics but continue to monitor the patient with active alarms and trend storage at the bedside and Information Center. You can change the name of the visitor Screen in Configuration Mode.
To activate this Screen,
1 Press the Main Screen key to open the Change Screen menu.
2 Select the name of the visitor Screen configured for your monitor from the list of available
Screens.
To select a Screen with waves and numerics again,
2 Basic Operation
• Touch the gray box in the center of the screen showing the visitor Screen's name, or press the Main Screen key, to open the
Change Screen menu and then select a Screen from the list.

Understanding Profiles

Profiles are predefined monitor configurations. They let you change the configuration of the whole monitor so you can adapt it to different monitoring situations. The changes that occur when you change a complete profile are more far reaching than those made when you change a Screen. Screens affect only what is shown on the display. Profiles affect all monitor and measurement settings.
The settings that are defined by Profiles are grouped into three categories. Each category offers a choice of 'settings blocks' customized for specific monitoring situations. These categories are:
• Display (screens) Each profile can have a choice of many different predefined screens. When you change the profile, the screen selection configured for the new profile becomes active.
• Measurement Settings Each profile can have a choice of different predefined measurement settings. These relate directly
to individual measurements, for example, measurement on/off, measurement color, alarms limits, NBP alarm source, NBP repeat time, temperature unit (°F or °C), pressure unit (mmHg or kPa).
• Monitor Settings Each profile can have a choice of different predefined monitor settings. These relate to the
monitor as a whole; for example, display brightness, alarms off/paused, alarm volume, QRS tone volume, tone modulation, prompt tone volume, wave speed, resp wave speed, pulse source.
You can change from one complete profile to another or swap individual settings blocks (display/ monitor settings/measurement settings) to change a subset of a profile. Changes you make to any element within the settings blocks are not saved when you discharge the patient, unless you save them in Configuration Mode.
Depending on your monitor configuration, when you switch on or discharge a patient the monitor either continues with the previous profile, or resets to the default profile configured for that monitor.
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2 Basic Operation
WARNING
If you switch to a different profile, the patient category and paced status normally change to the setting specified in the new profile. However some profiles may be set up to leave the patient category and paced status unchanged. Always check the patient category, paced status, and all alarms and settings, when you change profiles.
When you leave Demonstration Mode, the monitor uses the default profile.

Swapping a Complete Profile

1 Press the SmartKeys hard key and
– Either select – Or select the
2 In the Profiles menu, select Profile.
3 Chose a profile from the pop-up list.
Main Setup and then Profiles in the Main Setup menu.
Profiles SmartKey
.
4 Confirm your selection.

Swapping a Settings Block

1 Select the Main Setup SmartKey and then Profiles in the Main Setup menu.
2 Select the Profile Details key.
3 In the Profile Details menu, select Display or Measmnt.Settings or Monitor Settings to call up a
list of the settings blocks in each category.
4 Choose a settings block from the pop-up list.
5 Confirm your selection.

Default Profile

Your monitor has a default profile that it uses when you leave Demonstration mode, or when you discharge a patient. This profile is indicated by a diamond shaped symbol.

Understanding Settings

Each aspect of how the monitor works and looks is defined by a setting. There are a number of different categories of settings, including,
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Screen Settings, to define the selection and appearance of elements on each individual Screen
Measurement settings, to define settings unique to each measurement, for example, high and low
alarm limits
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2 Basic Operation
Monitor settings, including settings that affect more than one measurement or Screen and define general aspects of how the monitor works, for example, alarm volume, reports and recordings, and display brightness.
You must be aware that, although many settings can be changed in Monitoring Mode, permanent changes to settings can only be done in the monitor's Configuration Mode. All settings are reset to the stored defaults:
• when you discharge a patient
• when you load a Profile
• when the monitor is switched off for more than one minute (if
Automat. Default is set to Yes).

Changing Measurement Settings

Each measurement has a setup menu in which you can adjust all of its settings. You can enter a setup menu:
• via the measurement numeric - select the measurement numeric to enter its setup menu. For example, to enter the
•via the
• via the Measurement Selection key.
Main Setup SmartKey - if you want to setup a measurement when the measurement is
switched off, use the measurement name from the pop-up list. With this permanent key you can access any setup menu in the monitor.
Setup ECG menu, select the HR (heart rate) numeric.
Main Setup SmartKey and select Measurements. Then select the

Switching a Measurement On and Off

When a measurement is off, its waves and numerics are removed from the monitor’s screen. The monitor stops data acquisition and alarming for this measurement.
1 Enter the measurement’s setup menu and select the measurement.
2 Select the measurement name to toggle between on and off. The screen display indicates the active
setting.
If you disconnect a transducer, the monitor replaces the measurement numeric with question marks. If you silence the resulting INOP, the measurement is switched off. Also if you pause or switch off alarms, the measurement may be switched off completely, depending on monitor configuration.

Adjusting a Measurement Wave

To quickly adjust wave-related measurement settings (such as speed or size), select the measurement wave itself. This displays the measurement wave menu, which has only wave-related measurement settings.

Changing Wave Speeds

Lowering the wave speed compresses the wave and lets you view a longer time period. Increasing the speed expands the waveform, giving you a more detailed view.
The monitor distinguishes two groups of wave speed settings,
RespiratorySpeed, for CO
•
waves.
2
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2 Basic Operation
• Global Speed, for all waves not included in the other group.
Changing the Wave Group Speed
The wave speed group setting defines the speed of all the waves in the group.
To change the wave speed of a wave speed group,
1 Select Main Setup and then select User Interface
2 Select Global Speed or RespiratorySpeed, as required
3 Select a value from the list of available speeds.
Changing Wave Speed for a Channel
To change the wave speed of an individual wave channel,
1 Enter the wave menu for a measurement by selecting its wave.
2 Select Change Speed.
3 To set the speed to the wave group speed, select RespiratorySpeed or Global Speed.
To set an individual channel speed, select a numeric value from the list of available speeds. This overrides the wave group speed setting and sets the speed for the individual wave channel on the monitor Screen. The wave channel speed is independent of the wave (label) depicted in the channel, if you change the wave, the new wave will retain the set channel speed.

Using Labels

You can measure up to three invasive pressures and temperatures simultaneously. The monitor uses the labels to distinguish between them. The default settings defined in the profile (such as measurement color, wave scale, and alarm settings) are stored within each label. When you assign a label to a measurement, the monitor automatically applies these default settings to the measurement. The labels assigned are used throughout the monitor, in reports, recordings, and in trends.

Changing Measurement Labels (e.g. Pressure)

To change a measurement label of a measurement with multiple labels (e.g. invasive pressure or temperature),
1 Enter the wave menu of the measurement.
2 Select Label.
3 Choose a label from the list.
The monitor automatically applies the scale, color, etc. settings stored in the Profile for the label you select. You can change scale settings in Monitoring Mode, but color can only be changed in the monitor's Configuration Mode.
Any labels already being used in the monitor are shown "grayed-out" in the list and cannot be selected.

Resolving Label Conflicts

Each label must be unique, that is, it can only be assigned once. If you have an MMS Extension equipped with a pressure measurement connected to the monitor, there is a potential conflict with, for example, the ABP label. If you manually enter measurement values these may also conflict with existing labels on the monitor.
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Depending on your configuration, the monitor will either
2 Basic Operation
•display the
• take no action, you must enter the
Measurement Selection window automatically for you to resolve the conflict
Measurement Selection window (using the measurement
selection key) and resolve the conflict
Measurement selection key
All the currently available measurements are depicted in the
Measurement Selection window. Any
measurement labels causing a label conflict are shown in red. If a measurement is connected but currently unavailable, for example, because it was deactivated due to a label conflict, that measurement is shown "grayed-out". If an MMS Extension is not available, for example if monitor is running on battery power and not an external power source, the MMS Extension is not displayed.
1 Unavailable measurement shown grayed-out
An MMS Extension is only shown in the
Measurement Selection window when the monitor is
connected to the external power supply (M8023A) and running on AC mains power, and not when running on battery power.
To resolve a label conflict:
1 Press the SmartKeys key and
– Either select
Main Setup and then Meas. Selection
– Or select the Measmt. Select. SmartKey to display the
2 Select the label to be corrected.
3 Use the measurement selection keys to resolve the conflict. Select either:
Change Label: to assign a different label to the conflicting label.
–
Measurement Selection window.
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2 Basic Operation
– De- Activate: to disable the conflicting measurement. It retains its label for future use but
becomes invisible to the monitor, as though it had been unplugged.
Setup <Measurement Label>: to enter the Setup menu for the measurement and change the
–
conflicting device’s label to a different label.

Label Compatibility

When a new measurement is introduced, or new labels for an existing measurement, these labels will not be shown on older Information Centers, and consequently not on the Overview screen sourced from the Information Center.
When a patient is transferred from a monitor with these new labels to one with an older software revision, the labels will be replaced with a generic label for that measurement. The settings for that generic label will then be used.
If it is critical that the measurement labels are available at the Information Center and after transfers, the older monitors and the Information Center must be upgraded to the appropriate software revision.

Using IntelliVue Cableless Measurements

The IntelliVue CL SpO2 Pod or IntelliVue CL NBP Pod can be used together with a monitor with an SRR interface for continuous monitoring. They communicate their measurement values via short
range radio to the monitor. The Cableless Measurements allow the patients more mobility without giving up continuous vital signs monitoring.

Adding a Cableless Measurement Device

When using an IntelliVue CL SpO2 Pod or an IntelliVue CL NBP Pod for continuous monitoring, you need to assign the cableless measurement device to the monitor.
1 Select the Measurement Selection key
2 Select the Add Cbleless pop-up key
This opens the Measurements and telemetry devices:
If the device you want to add is not visible, press one of the keys on the device to make the connection and display the device in the window.
3 Select the cableless measurement device to be added. The device confirms the successful addition
with a tone. If the corresponding internal measurement in the patient monitor is active, you will be asked to
confirm that it should be deactivated in favor of the cableless measurement device.
Add Cableless window, which shows any available IntelliVue Cableless
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Adding a device can also be done directly on the cableless measurement devices. See the IntelliVue Cableless Measurements Instructions for Use for details.
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WARNING
Short Range Radio connections are subject to interruption due to interference from other radio sources in the vicinity, including microwaves, bluetooth devices, WLAN devices (802.11b,g,n) and cordless phones. Depending on the strength and duration of the interference, the interruption may occur for an extended period. A loss of connection, due to moving out-of-range, interference, or for other reasons, is indicated with a
Disconnect or cl SpO₂ Disconnect INOP at the host monitor. Correct channel configuration is
important, refer to the Configuration Guide for details.
No Host Monitoring INOP on the NBP or SpO

Removing a Cableless Measurement Device

To remove a cableless measurement device from a monitor and end the assignment:
1 Select the Measurement Selection key.
2 Select the cableless measurement device to be removed.
3 Select the Remove pop-up key.
2 Basic Operation
Pods, or a cl NBP
2

Changing Monitor Settings

To change monitor settings such as brightness, or QRS tone volume:
1 Press the SmartKeys key .
2 Either Select the appropriate SmartKey for the setting you want to change
Or Enter the to enter a submenu where you can change the settings.

Adjusting the Screen Brightness

1 Select the Brightness SmartKey.
2 Select the appropriate setting for the screen brightness. 10 is the brightest, 1 is the least bright.
Optimum is suitable for most monitoring locations and optimizes power usage for battery
powered monitors.
Your monitor may be configured with a lower brightness for Standby mode and also for transport to conserve battery power. These settings can only be changed in the monitor’s Configuration Mode.

Setting the Date and Time

Enter the Main Setup menu by selecting the Main Setup SmartKey, then select Date, Time to enter the
Date, Time menu.
Main Setup menu by selecting the Main Setup SmartKey; then select User Interface
1 Select, in turn, the Year, Month, Day, Hour (in 24 hour format, only) and Minute as necessary.
Select the correct values from the pop-up list.
2 Select Store Date, Time to change the date and time.
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2 Basic Operation
If your monitor is connected to an Information Center, the date and time are automatically taken from this. Once it is set, the internal clock retains the setting even when you switch off the monitor.

Checking Your Monitor Revision

1 Select Main Setup then select Revisions to open the Monitor Revision menu.
2 Select the correct device from the device pop-up keys.
3 From the Monitor Revision menu, select the monitor component for which you need revision
information.

Getting Started

Once you understand the basic operation principles and have completed the Training Program, you can get ready for monitoring.

Inspecting the Monitor

WARNING
If the monitor is mechanically damaged, or if it is not working properly, do not use it for any monitoring procedure on a patient. Contact your service personnel.
1 Before you start to make measurements, carry out the following checks on the monitor.
– Check for any mechanical damage. – Check all the external cables, plug-ins and accessories.
2 Always ensure that the battery is loaded in the battery compartment when monitoring a patient,
even when the monitor is running on external power.
3 If you are using battery power, ensure that the battery has sufficient power for monitoring. When
you use a battery for the first time, you must charge it, following the instructions given in the section on charging batteries in the Using Batteries chapter.
4 Check all the functions of that you need to monitor the patient, and ensure that the monitor is in
good working order.
NOTE
Measurements from an MMS extension are only available when the extension is connected to the monitor, and the monitor is running on external power. This is the case when the monitor is running on AC mains via the external power supply (M8023A) or is attached to the Battery Extension (865297).

Switching On

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Press the power on/standby switch on the monitor for one second. The monitor performs a self test during which all lamps will light up and a tone will be sounded, and is then ready to use. If you see a message such as measurement.
CO₂ Sens Warmup wait until it disappears before starting to monitor that
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Power On/Power Off Behavior

The general rules determining the behavior of the monitor when connected to, or disconnected from power are as follows:
• A monitor that was switched on prior to a temporary power loss switches on again when power is restored.
• A monitor that was switched off prior to a temporary power loss remains off when power is restored.
• When AC mains power is lost, a battery powered monitor continues to run without interruption on battery power.

Setting up the Measurements

1 Decide which measurements you want to make.
2 Connect the required patient cables and sensors. The connectors are color-coded to the patient
cables and sensors for easy identification.
WARNING
When connecting devices for acquiring measurements, always position cables and tubing carefully to avoid entanglement or potential strangulation.
2 Basic Operation
3 If using IntelliVue Cableless Measurements,
–apply the SpO
measurements Instructions for Use.
– assign the cableless measurements to the monitor:
- select the Measurement Selection key
- select the
- select the cableless measurement device to be assigned
If the internal measurement in the patient monitor is active, you will need to confirm that it should be deactivated in favor of the assigned cableless measurement device.
sensors and/or NBP cuffs to the patient as described in the cableless
2
Add Cbleless pop-up key

Starting Monitoring

After you switch on the monitor,
1 Admit your patient to the monitor.
2 Check that the profile, alarm limits, alarm and QRS volumes, patient category and paced status and
so forth are appropriate for your patient. Change them if necessary.
3 Refer to the appropriate measurement chapter for further details of how to perform the
measurements you require.

Disconnecting from AC Mains Power

To disconnect the monitor from AC mains power, unplug the power cord for the external power supply (M8023A) from the mains socket.
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2 Basic Operation

Monitoring After a Power Failure

If external power is disconnected or there is a power failure, the monitor continues to run on its rechargeable battery.
If the monitor is without any power (no external power or the battery is empty) for less than one minute, monitoring will resume with all active settings unchanged. If the monitor is without power for more than one minute, the behavior depends on your configuration. If Automat. Default is set to
Yes, the default profile will be loaded when power is restored. If Automat. Default is set to No, all
active settings are retained, if power is restored within 48 hours. The in Configuration Mode.

Networked Monitoring

You can connect your monitor to an Information Center on a network, using one of the optional interfaces:
• Standard wired LAN
• Wireless LAN
• IntelliVue Instrument Telemetry System (IIT).
Automat. Default setting is made
WARNING
Do not connect patient monitors to the standard hospital network.
If your monitor is connected to a network, a network symbol is displayed in the upper left corner next to the bed label. To see details about the monitoring equipment and technical information about the network, select the
Information
Be aware that some network-based functions may be limited for monitors on wireless networks in comparison to those on wired networks.
Main Setup SmartKey to enter the Main Setup menu, then select Bed
.

Capturing Alarm Reports and Printing

You can print out standard reports, alarm reports and trends with the IntelliVue XDS Solution. This is a software package which allows you to print to a standard, off-the-shelf printer or to an electronic file such as PDF. You can download the IntelliVue XDS Solution free-of-charge from the Internet and install it on an existing PC.

Capturing Alarm Reports

The monitor can be set up to automatically capture alarm reports, triggered by selected alarms. The necessary settings must be made in Configuration mode.
44
When one of the selected alarms occurs, the monitor automatically captures the alarm and creates a report which is stored in the database. As soon as the monitor is connected to a PC or network with the IntelliVue XDS Solution software, it will automatically print the reports, or send them to a patient­specific folder as an electronic file.
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3What's New?

This section lists the most important new features and improvements to the monitor and its user interface introduced with each release. Further information is provided in other sections of this book.
You may not have all of these features, depending on the monitor configuration purchased by your hospital.

What's New in Release J.0

Flexible, Patient-oriented Workflow (with PIIC iX only)

With the IntelliVue Information Center iX, more flexible, patient-oriented workflows are supported for admitting, tracking and transferring patients. This allows you to adapt monitor use to the patient data flow models in your specific facility and department.
3
Managing Patients
When the patient monitor is connected to an IntelliVue Information Center iX, an extended comparison of patient data allows more intelligent admission and transfer procedures. A key can be used to search through the patient lists at the Information Center and other connected systems and take over the corresponding data found.
Flexible Transfer
A transfer can be initiated in the unit at the monitor, on patient arrival or patient departure, or centrally at the Information Center.
Managing Equipment
When used together with an Information Center iX, extended equipment management functionality is now available. Depending on how equipment is used in your facility, there are various ways to associate devices with patients, beds or monitors.
Additionally there are mechanisms to automatically free up equipment that is no longer used. Using the
Equipment window you have an overview of all equipment being used for a patient, together with
new patient and caregiver data.

Alarm Functionality Enhancements

• Pause Yellow Alarms (with PIIC iX only) - up until now, the Pause Alarms / Alarms Off key switched off or paused all red and yellow alarms. Now an alarm priority configuration setting is available to have only yellow alarms affected.
Find Patient
Pause Alarms / Alarms Off not allowed - when the alarm priority is set to Not Allowed, alarms
• can no longer be switched off or paused. The
Pause Alarms / Alarms Off key is disabled.
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3What's New?
• Pause Alarms / Alarms Off key can be removed from the screen - a configuration setting removes the permanent key from the screen to avoid unintentional switching off of alarms. Alarms can still be switched off or paused, in the
• Alarms paused after Standby mode - alarms are automatically paused for 1 minute after Standby mode to allow time for patient connection.
Alarms menu, under Main Setup.

Capture 12-Lead ECG Enhancements (with PIIC iX only)

The existing 12-Lead ECG capture functionality has been extended to offer:
• Download of analysis results from the IntelliVue Information Center.
• Download of 12-Lead captures from the IntelliVue Information Center for review at the patient monitor.
• Analysis results included in reports and additional report selections with ST Map.
• Remote operation of the 12-Lead Export function at the IntelliVue Information Center.
• Remote operation of the 12-Lead Lock/Unlock function at the IntelliVue Information Center.
• New filter settings that are used as a default for future 12-Lead captures.

New "End Afib" and "End Irregular HR" Alarms

The end of an atrial fibrillation or irregular HR phase is announced with an ** End AFIB or **End
Irregular HR
alarm. The delay time before the alarm is announced can be configured.

Integrated Pulmonary Index for Microstream CO2

An Integrated Pulmonary Index (IPI) numeric is provided, that is an indication of the patient's overall ventilatory status based on four measurement parameters: etCO
, awRR, pulse rate and SpO2.
2

Improved Visibility of Gridlines in Overlapping Waves

Visibility of the gridlines for overlapping waves has been improved, and you can now configure gridlines to be shown in white, if you prefer, in a thin or thick style.

Timeout for "Aged" Numerics

NBP and SpO2 numerics from intermittent measurements can be configured to be grayed out or to disappear from the screen after a set time. This avoids older numerics being misinterpreted as current
data. The time can be set individually for SpO
and NBP in Configuration mode.
2

What's New in Release H.0

Battery Extension
The new Battery Extension provides additional battery power for situations when no mains power is available, for example during transport, and can typically power the monitor with MMS Extension for at least 6 hours.
46
New Design for the User Interface
The user interface for the patient monitors has been redesigned to bring the presented information into the foreground, letting the structural elements such as keys and frames retreat into the
Page 47
background. Additionally special regard was given to improved usability and compatibility with standard software products.
12 Lead ECG Enhancements
You can now preview the 12-Lead ECG at the bedside before you send it to the Information Center. A new dedicated 12-Lead ECG Report can be printed in diagnostic quality from the bedside.
Support For Use of IntelliVue Cableless Measurement Devices
The new Cableless Measurement Devices are patient-worn, battery powered measurement devices for
and NBP. The devices provide measurement values on the built-in display and communicate
SpO
2
them to the monitor using a wireless short range radio (SRR) interface. They can also be controlled via SRR from an assigned patient monitor.
Vital Signs Trend Based on NBP Measurement Times
You can now have the NBP measurement determine the interval between the columns on the Vital Signs trend. Each NBP measurement will generate a column in the trend table. The values for the other measurements are added to the column to provide a complete vital signs set for the NBP measurement time.

What's New in Release G.0?

3What's New?
Short Range Radio Interface for MP2
A short range radio interface is now available for the MP2 monitor. This allows a telemetry transceiver with a short range radio adapter to be assigned to the monitor, resulting in a direct connection. The measurement data from the telemetry transceiver appear directly on the monitor screen with a minimal delay and are combined with the monitor data in one sector at the Information Center.
IntelliVue XDS Solution
Using the IntelliVue XDS solution it is possible to view an independent monitor screen on an external display. The XDS solution consists of a medical grade PC-based hardware platform, XDS application software and the XDS connectivity option on the monitor. Depending on the configuration you can also operate the monitor from the external display. The XDS must be connected to the same Local Area Network (LAN) as the monitor.
It is also possible to use an existing PC, connected to the same LAN, to host the XDS Application software.
New Fields in the Admission Form
A Middle Name field is now available in the admission form - whether it appears is configurable. Two additional ID fields, Lifetime Id and Encounter Id, can also be configured to appear and their names can be customized to fit hospital requirements.
SpO2 Enhancements
• Additional SpO
• New manual measurement mode when telemetry devices are connected via a short range radio link.
Labels - SpO₂pr and SpO₂po labels have been added.
2
• Signal Quality Indicator displayed with the SpO
ECG Enhancements
•New
* AFIB / ** AFIB yellow alarm when an atrial fibrillation waveform is detected.
numerics.
2
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3What's New?
• QT View window - shows current wave and baseline wave with Q and T points marked so that you can verify that the QT algorithm detects correct Q and T points.

What's New in Release F.0?

QT/QTc Interval Monitoring
QT interval monitoring is used to assist in the detection of prolonged QT interval syndrome. The QT interval is measured and the heart-rate corrected QT value, QTc, is calculated. The monitor also provides a QTc value which tracks variation in the QT interval in relation to a baseline value. High alarm limits can be set for QTc and QTc enabling alarm notification.
Manual Data Entry
Measurement values (for example lab data or manually measured temperatures) can be entered manually into the monitor and stored in the database. They can then be used for trends, reports and also be displayed as a numeric on screen, if required.
Horizon Trend Enhancements
The trend indicator arrow indicates how the patient trend has developed in a set time period. This period is now configurable and can be set to 10 minutes, 5 minutes or 2 minutes. The horizon (or baseline) can now be set to a range or to a specific value.
NBP - Programmable Measurement Sequence
Up to four measurement cycles can be set up which will run consecutively. For each cycle you can set the number of measurements and the interval between them. By setting the last cycle to run continuously you can have regular measurements continue after the sequence has run.
New Printing Options For Reports
Reports can now also be printed via an external PC-based print server or to an internal print database, when no printer is available (for example, during transport). As soon as a printer becomes available, the reports stored in the database will print automatically.
Manual Pairing At Monitor
Previously, devices could only be manually paired at the Information Center. You can now pair devices at the monitor as long as the monitor is already connected to the Information Center.
Moving Windows And Menus
Windows and menus can now be moved on the monitor screen. Using touch or a mouse you can select the title of a window and then "drag" it across the screen. Some positions on the screen are not allowed, such as ones overlapping the alarm field or the monitor info line.
Invasive Pressure Changes
Wave cursor - A cursor is now available on the realtime pressure wave to allow you to define a
position and store the corresponding value.
Reduced alarm limit steps in lower ranges - The alarm limits setting in 2 mmHg steps is now possible in ranges up to 50 mmHg (previously up to 30 mmHg).
48
New Patient Check
The monitor can be configured to ask you in certain situations: after a specified power-off period, after a specified standby period and when no basic vitals (HR, RR, Pulse, SpO
for a specified period, whether a new patient is now being monitored. By selecting the you can discharge the previous patient and reset settings.
, NBP) have been measured
2
Yes pop-up key
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New Smart Keys
3What's New?
A SmartKey is available for
New Lead Setup when a new ECG lead set with fewer leads than
previously is being used.
Better Visibility Of Gridlines
The brightness of the gridlines on the realtime waves has been increased for better visibility.
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3What's New?
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4Alarms

The alarm information here applies to all measurements. Measurement-specific alarm information is discussed in the sections on individual measurements.
The monitor has two different types of alarm: patient alarms and INOPs.
Patient Alarms
Patient Alarms are red and yellow alarms. A red alarm indicates a high priority patient alarm such as a potentially life threatening situation (for example, asystole). A yellow alarm indicates a lower priority patient alarm (for example, a respiration alarm limit violation). Additionally there are short yellow alarms, most of which are specific to arrhythmia-related patient conditions (for example, ventricular bigeminy).
INOPs
INOPs are technical alarms, they indicate that the monitor cannot measure or detect alarm conditions reliably. If an INOP interrupts monitoring and alarm detection (for example, places a question mark in place of the measurement numeric and an audible indicator tone will be sounded. INOPs without this audible indicator indicate that there may be a problem with the reliability of the data, but that monitoring is not interrupted.
4
Leads Off), the monitor
Most INOPs are light blue, however there are a small number of INOPs which are always yellow or red to indicate a severity corresponding to red and yellow alarms. The following INOPs can also be configured as red or yellow INOPs to provide a severity indication:
ECG Leads Off
•
• NBP Cuff Overpress
• Cuff Not Deflated
• Occlusion
• <SpO₂ Label> No Pulse
• <Press Label> No Pulse
• Tele Disconnected
• Battery Empty / Replace Battery
All monitors in a unit should have the same severity configured for these INOPs.
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4 Alarms
Alarm Delays
There is a delay between a physiological event at the measurement site and the corresponding alarm indication at the monitor. This delay has two components:
• The general measurement delay time is the time between the occurrence of the physiological event and when this event is represented by the displayed numerical values. This delay depends on the algorithmic processing and, for certain measurements (SpO
BIS), on the configured averaging time. The longer the averaging time configured, the longer the time needed until the numerical values reflect the physiological event.
• The time between the displayed numerical values crossing an alarm limit and the alarm indication on the monitor. This delay is the sum of the alarm delay configured for the specific measurement plus the system alarm delay. The system alarm delay is the processing time the system needs for any alarm on the monitor to be indicated after the measurement has triggered the alarm. See the performance specifications in the Specifications chapter for the system alarm delay specification.
, EEG and
2
The alarm delay configured for a specific measurement is normally a fixed time. For SpO possible to configure a Smart Alarm Delay that is calculated using an intelligent algorithm. See “Smart
Alarm Delays” on page 171 in the SpO
Multiple Alarms
If more than one alarm is active, the alarm messages are shown in the alarm status area in succession. An arrow symbol next to the alarm message informs you that more than one message is active.
The monitor sounds an audible indicator for the highest priority alarm. If more than one alarm condition is active in the same measurement, the monitor announces the most severe. Your monitor may be configured to increase alarm indicator volume automatically during the time when the alarm is not acknowledged.

Visual Alarm Indicators

Alarm Message

An alarm message text appears in the alarm status area at the top of the screen indicating the source of the alarm. There is a field for INOPs (light blue, red or yellow) and a field for patient alarms, which is shared for red and yellow alarms. If more than one measurement is in an alarm condition, the message changes every two seconds, and has an arrow at the side. If both red and yellow alarm conditions are active simultaneously, they alternate every two seconds in the patient alarms field. The background color of the alarm message matches the alarm priority: red for red alarms, yellow for yellow alarms, light blue for standard INOPs, red for red INOPs and yellow for yellow INOPs. The asterisk symbols (*) beside the alarm message match the alarm priority: *** for red alarms, ** for yellow alarms, * for short yellow alarms. Standard INOPs do not have a symbol, red and yellow INOPs have exclamation marks beside the alarm message: !!! for red INOPs and !! for yellow INOPs.
chapter for more details.
2
it is also
2
Depending on how your monitor is configured, it may display alarm limit violation messages
• in text form, for example
• in numeric form, for example deviation from the alarm limit, and the second number shows the currently set limit.

Flashing Numeric

The numeric of the measurement in alarm flashes.
52
** SpO₂ Low or
**Pulse xxx>yyy where the first number shows the maximum
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Bright Alarm Limits

If the alarm was triggered by an alarm limit violation, the corresponding alarm limit on the monitor screen is shown more brightly if screen.

Alarm Lamp

A lamp on the monitor's front panel flashes. The alarm lamp is divided into two sections. The right one flashes for a patient alarm, except for short yellow alarms where the lamp will light for approximately six seconds. The color is yellow or red corresponding to the highest priority patient alarm currently present. The left one lights continuously for a light blue INOP and flashes for yellow or red INOPs as follows:
INOP Lamp Color On Off
Yellow 1.0 seconds 1.0 seconds Red 0.25 seconds 0.25 seconds
If only patient alarms are present, and no INOPs, the patient alarms will use both left and right sections to flash (for red and yellow alarms) or light for approximately six seconds (for short yellow alarms). If only INOPs are present, and no patient alarms, red and yellow INOPs will use both left and right sections to flash but light blue INOPs will always light continuously in the left section only.
4 Alarms
Show ALarmLimits is enabled and there is sufficient room on the

Audible Alarm Indicators

The audible alarm indicators configured for your monitor depend on which alarm standard applies in your hospital. Audible alarm indicator patterns are repeated until you acknowledge the alarm by switching it off or pausing it, or until the alarm condition ceases (if audible alarm indication is set to non-latching).
WARNING
• Do not rely exclusively on the audible alarm system for patient monitoring. Adjustment of alarm 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.

Alarm Tone Configuration

The audible alarm indicators of your monitor are configurable. In the monitor's Configuration Mode, you can:
• increase the alarm volume of unacknowledged alarms at regular intervals
• change the interval between alarm sounds (ISO/IEC Standard alarms only)
• change the base volume of the red and yellow alarm tones and the INOP tones
• change the alarm sound to suit the different alarm standards valid in different countries.
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4 Alarms
Traditional Audible Alarms (HP/Agilent/Philips/Carenet)
• Red alarms and red INOPs: A high pitched sound is repeated once a second.
• Two-star yellow alarms and yellow INOPs: A lower pitched sound is repeated every two seconds.
• One-star yellow alarms (short yellow alarms): The audible indicator is the same as for yellow alarms, but of shorter duration.
• Standard INOPs: an INOP tone is repeated every two seconds.
ISO/IEC Standard Audible Alarms
• Red alarms and red INOPs: A high pitched tone is repeated five times, followed by a configurable pause.
• Two-star yellow alarms and yellow INOPs: A lower pitched tone is repeated three times, followed by a configurable pause.
• One-star yellow alarms (short yellow alarms): The audible indicator is the same as for yellow alarms, but of shorter duration.
• Standard INOPs: a lower pitched tone is repeated twice, followed by a pause.

Changing the Alarm Tone Volume

If you want to change the alarm volume setting, or see where the current setting is on a scale from zero to 10, select the To change the setting, select the required number on the scale. Any settings that are inactive ("grayed out") have been disabled in the monitor's Configuration Mode.
Alarm Volume SmartKey. The volume scale pops up. The current setting is indented.
When the alarm volume is set to zero (off), the alarm volume symbol reflects this. If you switch the alarm volume off, you will not get any audible indication of alarm conditions.

Minimum Volume for No Central Monitoring INOP

If your monitor is connected to an Information Center, and the connection is interrupted, the INOP message ensure that this INOP, and any other active alarm, is not overlooked, the INOP and alarm tones may be configured to have a minimum volume. In this case, INOP and alarm tones will sound even if the monitor alarm volume is set to zero.
No Central Monit. will appear within 30 seconds, accompanied by an INOP tone. To help

Minimum Volume for Severe Yellow or Red INOPs

Severe yellow or red INOPs require action to ensure the well-being of the patient. Therefore the minimum volume for the INOP tone is set to at least alarm volume 8, irrespective of the current alarm volume setting. The INOP tone will sound even if the monitor alarm volume is set to zero.
The severe INOPs for which this applies are:
Cuff Not Deflated (configurable to yellow or red)
NBP Cuff Overpress (configurable to yellow or red)
!! Insert Battery (yellow)
Battery Empty / Replace Battery (configurable to light blue, yellow or red)
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Acknowledging Alarms

To acknowledge all active alarms and INOPs, press the Silence key. This switches off the audible alarm indicators and alarm lamps.
A check mark beside the alarm message indicates that the alarm has been acknowledged . If the
monitor is configured to re-alarm, a dashed check mark will be shown .
If the condition that triggered the alarm is still present after the alarm has been acknowledged, the alarm message stays on the screen with a check mark symbol beside it, except for NBP alarms and alarms from other intermittent measurements. When such an alarm is acknowledged the alarm message disappears.
If the alarm condition is no longer present, all alarm indicators stop and the alarm is reset.
Switching off the alarms for the measurement in alarm, or switching off the measurement itself, also stops alarm indication.
4 Alarms

Acknowledging Disconnect INOPs

Acknowledging an INOP that results from a disconnected transducer switches off the associated measurement. The only exception is ECG/Resp: acknowledging a disconnect INOP for ECG leads does not switch off the ECG and Resp measurements. Acknowledging a disconnect INOP at the Information Center switches off the audible INOP indicator but does not switch off the measurement.

Alarm Reminder

If Alarm Reminder is configured on for your monitor, you will get an audible reminder of alarm conditions that remain active after you have acknowledged the alarm. This reminder may take the form of a repetition of the alarm tone for a limited time, or an unlimited repetition of the alarm tone (this is the same as a new alarm). yellow and red INOPs.
In Configuration Mode, you can set the interval between silencing the alarm and sounding the reminder tone to one, two, or three minutes.
The alarm reminder behavior at the Information Center is different to that at the monitor. Refer to the Information Center Instructions for Use for further information.
Alarm Reminder is not available for standard, light blue INOPs but for
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4 Alarms

Pausing or Switching Off Alarms

If you want to temporarily prevent alarms from sounding, for example while you are moving a patient, you can pause alarms. Depending on your monitor configuration, alarms are paused for one, two, or three minutes, or infinitely. Infinite alarm pause is equivalent to switching the alarms off.
To view the alarm pause setting chosen for your unit,
1 Select Main Setup, Alarms, then Alarm Settings
2 Check the Alarms Off setting.
This setting can only be changed in Configuration Mode.
There are some settings made in Configuration Mode that can affect the availability of the pause alarms functionality.
• The Alarms key can be disabled to avoid unintentional switching off of alarms. In this case you can only pause alarms or switch alarms off permanently in the
• The Alarms key can be configured to pause or switch off red and yellow alarms, yellow alarms only, or not to function at all. If it is configured not to function, you cannot pause alarms or switch alarms off permanently.
Alarms menu, under Main Setup.

To Pause All Alarms

• Press the Alarms key.
• If your monitor is configured to infinite pause time, the lamp next to the alarms off symbol is red or yellow, depending on the configuration, and pressing this key switches alarms off.
Depending on the configuration, you may need to select

To Switch All Alarms Off

You can only switch alarms off permanently if your monitor is configured to allow infinite alarms pause.
• Press the Alarms key.
Pausing alarms infinitely is the same as switching them off.
Confirm to complete the change.

To Switch Individual Measurement Alarms On or Off

1 Select the measurement numeric to enter its setup menu.
2 Select Alarms to switch between on and off.
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The alarms off symbol is shown beside the measurement numeric.

While Alarms are Paused or Off

When red alarms are paused or off:
• The red Alarms Paused lamp on the monitor front panel is lit. In the alarm field, the monitor displays the message
the alarms paused symbol or the alarms off symbol.
When yellow alarms are paused or off:
• The yellow Alarms Paused lamp on the monitor front panel is lit. In the alarm field, the monitor displays the message
together with the alarms paused symbol or the alarms off symbol.
For red and yellow alarms:
Alarms Paused Alarms Off
4 Alarms
Al. Paused x:yy or Alarms Off, together with
YellowPaused x:yy or Yellow Alarms Off,
• No alarms are sounded and no alarm messages are shown.
• INOP messages are shown but no INOP tones are sounded. The only exceptions are the INOPs Cuff Not Deflated, NBP Cuff Overpress and INOPs relating
to empty, missing and malfunctioning batteries.
These INOPs switch the alarms on, and the INOP tones are sounded, even if alarms are paused or off. You need to remove the INOP condition first before you can switch the alarm tones off again.
If a disconnect INOP is present and alarms are paused or switched off, the measurement in question may be switched off, depending on monitor configuration.

Restarting Paused Alarms

To manually switch on alarm indication again after a pause, press the Alarms key again.
Alarm indication starts again automatically after the pause period expires. If the monitor is configured to stay paused infinitely, you must select
Alarms Off again to restart alarm indication.

Resetting Arrhythmia Alarm Timeout s

To reset the arrhythmia alarm timeout period, press the Alarms key and then press it again.

Extending the Alarm Pause Time

If your monitor has extended alarm pause enabled, you can extend the alarm pause time. Use this to prevent alarms being indicated, for example, while you are washing a patient or carrying out a procedure. Only extend the alarm pause time when you are sure that clinical personnel are available to monitor the patient's condition closely.
To extend the alarm pause time to five or 10 minutes,
1 Select one of the alarm fields. This calls up the Alarm Messages window.
2 Select either the pop-up key PauseAl. 5 Min or the pop-up key PauseAl. 10 Min. Each time you
select one of these pop-up keys, the Alarm Pause Time is reset to five (or 10) minutes.
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4 Alarms

Alarm Limits

The alarm limits you set determine the conditions that trigger yellow and red limit alarms. For some measurements (for example, SpO
to 100 switches the high alarm off. In these cases, the alarms off symbol is not displayed.
WARNING
Be aware that the monitors in your care area may each have different alarm settings, to suit different patients. Always check that the alarm settings are appropriate for your patient before you start monitoring.

Viewing Individual Alarm Limits

You can usually see the alarm limits set for each measurement next to the measurement numeric on the main screen.
), where the value ranges from 100 to 0, setting the high alarm limit
2
If your monitor is not configured to show the alarm limits next to the numeric, or if the numeric is so small that the limits cannot be displayed, you can see them in the appropriate measurement setup menu. Select the measurement numeric to enter the menu and check the limits.

Viewing All Alarm Limits

The Alarm Limits overview window lists the currently set alarm limits for all measurements. If an Apnea alarm delay time is set, this is also shown. The alarms off symbol is shown beside the measurement label of any measurement whose alarm switched off.
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4 Alarms
To open the Alarm Limits window, either select one of the alarm fields then select the Alarm Limits pop-up key, or select the
Alarm Limits SmartKey, if configured.
1 Graphic view of current yellow
and red alarm limits and currently monitored measurement value.
Off
indicates the measurement is switched off
2 Measurement labels, with alarms
off symbol where appropriate
3 Set narrow or wide alarm
AutoLimits for all measurements
Select
Show ST Limits to expand the list of ST leads and view the currently set alarm limits. Selecting
Hide ST Limits hides the list again.
You can use the pop-up keys that open with the
All Lim. Narrow/All Lim. Wide to set narrow or wide alarm AutoLimits for all measurements.
–
These pop-up keys are not available in the window for changing individual alarm limits which you access by selecting the measurement label in the

Changing Alarm Limits

To change individual measurement alarm limits using the measurement's Setup Menu,
1 In the measurement's setup menu, select the alarm limit you want to change. This calls up a list of
available values for the alarm limit.
2 Select a value from the list to adjust the alarm limit.
For example, to change the alarm limits for SpO
• Touch the high limit on the alarm limits menu button.
• Choose the high alarm limit from the pop-up list that opens.
• Touch the low limit on the alarm limits menu button.
Alarm Limits window to perform common tasks:
Alarm Limits window.
:
2
• Choose the low alarm limit from the pop-up list that opens.
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4 Alarms
Alternatively, you can use the keys in the measurement alarm limits window, which you access by selecting the measurement label in the
Alarm Limits window.
1 Parameter label
2 High red alarm (view only)
3 High yellow alarm field. Select to
open a pop-up list of high alarm limits
4 Alarms On/Off key - select to
toggle between alarms on or off
5 Preview Alarm AutoLimits for a
measurement before applying
6 Select to apply wide AutoLimits
7 Select to apply narrow AutoLimits
8 Low yellow alarm field. Select to
open a pop-up list of low alarm limits
To change alarm limits,
1 Enter the Alarm Limits window.
2 To set the high alarm limit, select the high yellow alarm field to open a pop-up list of high alarm
limits. Select a limit from the list. Repeat to set the low yellow alarm field.
If you set the yellow alarm limit outside the red alarm limit, the monitor will automatically set the red alarm to the yellow alarm limit.
When an ST measurement is in the alarm limits window there are also two pop-up keys available labeled
All ST Narrow/All ST Wide. With these keys you can set Auto Limits for all ST Leads.

About Automatic Alarm Limits

The monitor can automatically set alarm limits suited to your individual patient, using the Automatic Alarm Limits function (AutoLimits). This tells the monitor to adapt the alarm limits of selected measurements to the measured vital signs within a defined safe limit. The monitor calculates safe AutoLimits for each patient based on the measured values from the last 12 seconds.
The wide and narrow limits have a fixed relationship to the measured value within the non­pathological range. Outside of this range, no auto limits are calculated. To set values outside of the
9 Low red alarm (view only)
10 Graphic view of alarm limits with
currently measured value
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4 Alarms
non-pathological range, limits must be changed manually, based on the clinician's judgment about the specific patient.
1 Wide alarm limits
2 Narrow alarm limits
3 Alarm Limits
4 Measurement value
Limits Narrow sets limits close to the currently measured values for situations where it is critical for
you to be informed about small changes in your patient's vital signs.
Limits Wide sets limits further away from the currently measured values for situations where small
changes are not so critical.
Use the keys in the measurement alarm limits window to apply AutoLimits for individual measurements. These keys are not available if AutoLimits have been disabled for the measurement in the monitor's Configuration Mode.
AutoLimits are not available for all measurements. The list of measurements for which AutoLimits can be used is defined in the monitor's Configuration mode.
Use the measurement alarm limits window to check AutoLimits before you apply them to ensure that they are appropriate for your individual patient and their clinical condition. Once applied, AutoLimits are shown on the monitor screen just like manually-set alarm limits. If the AutoLimits are not appropriate for your patient, you must set alarm limits manually. The limits remain unchanged until you set them again or change them manually.

Documenting Alarm Limits

To print a list of all current alarm limit settings on an available printer:
1 Select the Main Setup SmartKey.
2 Select Reports from the Main Setup menu.
3 Select Alarm Limits.

Reviewing Alarms

You can see which alarms and INOPs are currently active in the respective alarms and INOPs fields at the top of the screen.
To review the history of alarms and INOPs, select the alarms or INOPs field to open the
Alarms
All alarms and INOPs are erased from the you change to Demonstration Mode.
window.
Review Alarms window when you discharge a patient, or if
Review
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4 Alarms

Review Alarms Window

The Review Alarms window contains a list of the most recent alarms and INOPs with date and time information.
If configured to do so, each alarm is shown with the alarm limit active when the alarm was triggered and the maximum value measured beyond this limit. The monitor was switched on (after being switched off for longer than 1 minute) and any actions related to switching alarms on and off, entering or leaving Standby mode, silencing alarms or changing the ECG source.
When you select an item from the list, you can get additional information about that item. If you select a high or low limit alarm in the list, the you select an alert other than a high or low alarm, a help text window opens with more information. Some items in the list are simply log items not related to a patient alert as such (for example, Alarms On or Alarms Off). You cannot see any further information if you select one of these items. When you close these windows you will return to the
The information in the Review Alarms window is deleted when a patient is discharged, and when you leave Demonstration Mode.
The
Review Alarms window pop-up keys appear when the window is opened. If alarm pause
extension is disabled, the pause pop-up keys are inactive.
Review Alarms window also shows when the
Graphical Trends window will open to provide further data. If
Review Alarms window.

Latching Alarms

The alarm latching setting for your monitor defines how the alarm indicators behave when you do not acknowledge them. When alarms are set to non-latching, their indicators end when the alarm condition ends. Switching alarm latching on means that visual and/or audible alarm indications are still displayed or announced by the monitor after the alarm condition ends. The indication lasts until you acknowledge the alarm.

Viewing the Alarm Latching Settings

To see the alarm latching setting for your monitor
1 In the monitor's Main Setup menu, select Alarms.
2 Select Alarm Settings, and see the Visual Latching and Audible Latching settings.
This setting can only be changed in Configuration Mode. You should be aware of the settings chosen for your unit. There are three possible choices each for visual and audible latching, red only, red and yellow, and off. These choices can be combined to give the following settings:
Visual Latching Audible Latching
Red&Yellow Red&Yellow
Red&Yellow Red Only
Red&Yellow Off
Red Only Red Only
Red Only Off
Off Off
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Alarm Latching Behavior

4 Alarms
Red & Yellow Measurement Alarms
Alarm has not been acknowledged.
Alarm has been acknowledged.
Alarm condition still present.
Alarm condition no longer present.
Alarm condition still present.
Alarm condition no longer present.
All INOPs are non-latching. See “Yellow Arrhythmia Alarms” on page 133 for information on one­star yellow alarms latching behavior.

Testing Alarms

When you switch the monitor on, a selftest is started. You must check that the alarms lamps light, one after the other, and that you hear a single tone. This indicates that the visible and audible alarm indicators are functioning correctly. For further testing of individual measurement alarms, perform the measurement on yourself (for example SpO
that appropriate alarm behavior is observed.
Non-latching alarms Visual and audible latching Visual latching, audible
non-latching
Alarm tone on. Alarm lamp on. Alarm message. Flashing numerics.
All audible and visual alarm indicators automatically stop.
Alarm tone off. Alarm lamp off. Alarm message. Flashing numerics. Audible alarm reminder (if configured).
Audible and visual alarm indicators automatically stop.
Alarm tone on. Alarm lamp on. Alarm message. Flashing numerics.
Alarm tone on. Alarm lamp on. Alarm message. Flashing numerics.
Alarm tone off. Alarm lamp off. Alarm message. Flashing numerics. Audible alarm reminder (if configured).
Audible and visual alarm indicators automatically stop.
or CO2) or use a simulator. Adjust alarm limits and check
2
Alarm tone on. Alarm lamp on. Alarm message. Flashing numerics.
Alarm message. Flashing numerics. Audible alarm indicators automatically stop.
Alarm tone off. Alarm lamp off. Alarm message. Flashing numerics. Audible alarm reminder (if configured).
Audible and visual alarm indicators automatically stop.

Alarm Behavior at Power On

If the monitor is switched off for longer than one minute and then switched on again (or after a loss of power lasting longer than one minute, or when a patient is discharged), the monitor can be configured to:
• restore the alarm settings from the monitor's configured default Profile,
• restore the most recently used alarm settings, or
• switch the alarms off.
After any of these situations, you should check that the alarm settings are appropriate for your patient and monitoring situation, and if necessary, select the correct Profile and patient category.
If power is lost for less than one minute, the alarm on/off condition prior to the power loss is restored.
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Alarm Recordings

You can set up your monitor so that it automatically triggers alarm recordings locally or at the Information Center, or if configured, to a printer as a realtime report.
1 Press the Main Setup SmartKey.
2 Select Alarms from the Main Setup menu.
3 Select Alarm Recording from the Alarms menu to open the Alarm Recordings menu.
4 Select a measurement from those listed for which you want to change the alarm condition that
triggers an alarm recording. This opens a pop-up list.
5 For the desired measurement(s), choose the alarm condition to trigger an alarm recording:
Red Only: an alarm recording will automatically be triggered when the measurement enters a red
alarm condition.
Red&Yellow: both yellow and red alarms will trigger an alarm recording. Off: disables automatic alarm recording.
Refer to the "Recording" chapter for details of how to set up a recording.
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5Patient Alarms and INOPs

This chapter lists patient alarms alphabetically, and technical alarms (INOPs) arranged by the source of the INOP and then alphabetically, irrespective of their priority. All alarms and INOPs are listed here; the ones which can appear on your monitor will depend on the model and the individual options.

Patient Alarm Messages

The measurement labels and abbreviations for pressure, temperature, SpO2, and anesthetic agent alarms are explained in the individual chapters.
Some alarms may be shown at the Information Center in shortened form, when transferred through IntelliVue Instrument Telemetry. These shortened alarm texts are included in the list and identified with the note "at Information Center".
5
Alarm Message From Condition Indication
* AFIB ECG/Arrhythmia Atrial fibrillation waveform detected yellow alarm lamp, short yellow
alarm tone
*** Apnea *** Apnea x:yy *** Apnea >10 min
*** Asystole ECG No QRS detected for a period greater than the
** awRR High CO
** awRR Low CO
** BIS High BIS The Bispectral Index value has exceeded the
** BIS Low BIS The Bispectral Index value has dropped below
*** Brady/P xxx<yyy *** Brady xxx < yyy
, Resp,
CO
2
Spirometry
, Resp, AGM The airway respiration rate has exceeded the
2
, Resp, AGM The airway respiration rate has dropped below
2
Press, SpO
2
Respiration has stopped for longer than the preset apnea time. "x:yy" denotes the Apnea duration in minutes and seconds
asystole threshold (in the absence of Vfib or chaotic ECG)
high alarm limit.
the low alarm limit.
high alarm limit.
the low alarm limit.
The heart rate from the Pulse signal has fallen below the bradycardia limit. xxx denotes the lowest measured value; yyy is the bradycardia limit.
numeric flashes, red alarm lamp, alarm tone
numeric flashes, red alarm lamp, alarm tone
numeric flashes and high limit is highlighted, yellow alarm lamp, alarm tone
numeric flashes and low limit is highlighted, yellow alarm lamp, alarm tone
numeric flashes and high limit is highlighted, yellow alarm lamp, alarm tone
numeric flashes and low limit is highlighted, yellow alarm lamp, alarm tone
numeric flashes and alarm limit is highlighted, red alarm lamp, alarm tone
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5 Patient Alarms and INOPs
Alarm Message From Condition Indication
** CCO High ** CCI High
** CCO Low ** CCI Low
** CPP High CPP The CPP value has exceeded the high alarm
** CPP Low CPP The CPP value has fallen below the low alarm
*** Desat *** Desat xx < yy
** EC10 Alarm *** EC10 Alarm
at Information Center
* End AFIB ECG/Arrhythmia No Atrial fibrillation waveform was detected
* End Irregular HR ECG/Arrhythmia No irregular HR was detected for the
** etCO₂ High CO2, AGM The end tidal CO2 high alarm limit has been
** etCO₂ Low CO
** etO₂ High O
** etO₂ Low O
* Event ** Event *** Event
at Information center
* Event:<Event Group> ** Event:<Event Group> *** Event:<Event Group>
*** Extreme Brady ECG The bradycardia limit has been exceeded. numeric flashes and alarm limit is
CCO Continuous Cardiac Output or CC Index is
above the high alarm limit.
CCO Continuous Cardiac Output or CC Index is
below the low alarm limit.
limit.
limit.
SpO
2
The SpO2 value has fallen below the desaturation alarm limit. xx denotes the lowest measured value, and yy is the desaturation limit.
EC10 Intellibridge A yellow (**) or red (***) patient alarm is
present on the IntelliBridge module. Check the monitor display for more detailed alarm information.
for the configured Afib End delay time
configured irregular HR End delay time
exceeded.
, AGM The end tidal CO2 value has fallen below the
2
low alarm limit.
, AGM The end tidal O2 high alarm limit has been
2
exceeded.
, AGM The end tidal O2 value has fallen below the low
2
alarm limit.
Event surveillance An event has occurred and the event
notification is configured to alarm. Check on the monitor for more details on event group.
Event surveillance An event has occurred and the event
notification is configured to alarm.
numeric flashes and high alarm limit is highlighted, yellow alarm lamp, alarm tone
numeric flashes and low alarm limit is highlighted, yellow alarm lamp, alarm tone
numeric flashes and high limit is highlighted, yellow alarm lamp, alarm tone
numeric flashes and low limit is highlighted, yellow alarm lamp, alarm tone
numeric flashes, red alarm lamp, alarm tone
(on monitor) yellow or red alarm lamp; the alarm text is defined by the Intellibridge device driver
yellow alarm lamp, short yellow alarm tone
yellow alarm lamp, short yellow alarm tone
numeric flashes and high limit is highlighted, yellow alarm lamp, alarm tone
numeric flashes and low limit is highlighted, yellow alarm lamp, alarm tone
numeric flashes and high limit is highlighted, yellow alarm lamp, alarm tone
numeric flashes, and low limit is highlighted, yellow alarm lamp, alarm tone
(on monitor) event group name flashes, yellow or red alarm lamp and alarm tone
event group name flashes, yellow or red alarm lamp and alarm tone
highlighted, red alarm lamp, alarm tone
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5 Patient Alarms and INOPs
Alarm Message From Condition Indication
* HR High ** HR High
* HR Low ** HR Low
** IPI Low CO
* Irregular HR ECG/Arrhythmia Consistently irregular heart rhythm. numeric flashes, yellow alarm lamp,
* Missed Beat ECG/Arrhythmia No beat detected for 1.75*R-R interval, or if
* More Alarms ** More Alarms *** More Alarms
* Multiform PVCs ECG/Arrhythmia Two differently shaped Vs detected, each
** NBP High NBP The measured NBP value is above the high
** NBP Low NBP The measured NBP value is below the low
* Non-Sustain VT ECG/Arrhythmia A run of Vs having a ventricular HR>V-Tach
*OtherMonAlarm ** OtherMon Alarm *** OtherMon Alarm
* Pacer Not Capt ECG/Arrhythmia
* Pacer Not Pacing ECG/Arrhythmia
ECG The heart rate has risen above the high alarm
limit.
ECG The heart rate has fallen below the low alarm
limit.
2
other assigned devices
another assigned monitor
(paced patients only)
(paced patients only)
The IPI value has fallen below the low alarm limit.
HR>120 bpm no beat detected for one second (non-paced patients only).
There is more than one physiological alarm of the corresponding severity active on the devices that monitor this patient. For details, check the information displayed at the Information Center.
occurring at least twice within the last 300 beats and at least once within the last 60 beats.
alarm limit. s, d, or m after the label indicates whether the systolic, diastolic or mean pressure has crossed the limit.
alarm limit. s, d, or m after the label indicates whether the systolic, diastolic or mean pressure has crossed the limit.
HR limit, but lasting for less than the V-Tach Run limit has been detected.
Another monitor used for the patient is in an alarm condition. Check the detailed alarm information at the Information Center.
A missed beat with a pace pulse was detected. numeric flashes, yellow alarm lamp,
A missed beat without a pace pulse was detected.
numeric flashes and high limit is highlighted, yellow alarm lamp, alarm tone. If configured to short yellow, the sound switches off after 5 seconds if Arrhythmia is switched on.
numeric flashes and low limit is highlighted, yellow alarm lamp, alarm tone. If configured to short yellow, the sound switches off after 5 seconds if Arrhythmia is switched on.
numeric flashes, and low limit is highlighted, yellow alarm lamp, alarm tone
short yellow audible alarm
numeric flashes, yellow alarm lamp, short yellow audible alarm
yellow or red alarm lamp and alarm tone
numeric flashes, yellow alarm lamp, short yellow audible alarm
numeric flashes and high limit is highlighted, yellow alarm lamp, alarm tone
numeric flashes and low limit is highlighted, yellow alarm lamp, alarm tone
numeric flashes, yellow alarm lamp, short yellow audible alarm
yellow or red alarm lamp and alarm tone
short yellow audible alarm
numeric flashes, yellow alarm lamp, short yellow audible alarm
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5 Patient Alarms and INOPs
Alarm Message From Condition Indication
* Pair PVCs ECG/Arrhythmia A non-ventricular contraction, followed by two
ventricular contractions, followed by a non­ventricular contraction has been detected.
* Pause ECG/Arrhythmia No beat detected for a period greater than the
pause threshold.
*** <Press Label> Disconnect
PRESS The pressure is non-pulsatile and the mean
pressure is continuously less than 10 mmHg (1.3 kPa). This alarm occurs only with arterial press ur e s (P, AB P, A RT, Ao , BA P, FAP, PAP, UAP, P1, P2, P3, P4).
*** <Press Label> High PRESS The measured pressure value is above the
extreme high alarm limit. s, d, or m after the label indicates whether the systolic, diastolic or mean pressure has crossed the limit.
** <Press Label> High PRESS The measured pressure value is above the high
alarm limit. s, d, or m after the label indicates whether the systolic, diastolic or mean pressure has crossed the limit.
*** <Press Label> Low PRESS The measured pressure value is below the
extreme low alarm limit. s, d, or m after the label indicates whether the systolic, diastolic or mean pressure has crossed the limit.
** <Press Label> Low PRESS The measured pressure value is below the low
alarm limit. s, d, or m after the label indicates whether the systolic, diastolic or mean pressure has crossed the limit.
** Pulse High PRESS, SpO
The pulse rate has exceeded the high alarm
2
limit.
** Pulse Low PRESS, SpO
The pulse rate has dropped below the low
2
alarm limit.
* PVCs/min High ECG/Arrhythmia More premature ventricular contractions have
been detected in a minute than the limit.
** QTc High ECG/QT QTc value has exceeded the QTc high limit for
more than 5 minutes
** ΔQTc High ECG/QT QTc value has exceeded the QTc high limit
for more than 5 minutes
* R-ON-T PVCs ECG/Arrhythmia For HR <100, a PVC with R-R interval < 1/3
the average interval followed by a compensatory pause of 1.25 x average R-R interval or two such Vs without compensatory pause occurring within 5 minutes of each other. (When HR >100, 1/3 R-R interval is too short for detection.).
** RR High RESP The respiration rate has exceeded the high
alarm limit.
numeric flashes, yellow alarm lamp, short yellow audible alarm
numeric flashes, yellow alarm lamp, short yellow audible alarm
numeric flashes, red alarm lamp, alarm tone
numeric flashes, high limit is highlighted, red alarm lamp, alarm tone
numeric flashes, high limit is highlighted, yellow alarm lamp, alarm tone
numeric flashes and low limit is highlighted, red alarm lamp, alarm tone
numeric flashes and low limit is highlighted, yellow alarm lamp, alarm tone
numeric flashes and high limit is highlighted, yellow alarm lamp, alarm tone
numeric flashes and low limit is highlighted, yellow alarm lamp, alarm tone
numeric flashes, yellow alarm lamp, short yellow audible alarm
numeric flashes, yellow alarm lamp, alarm tone
numeric flashes, yellow alarm lamp, alarm tone
numeric flashes, yellow alarm lamp, short yellow audible alarm
numeric flashes and high limit is highlighted, yellow alarm lamp, alarm tone
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5 Patient Alarms and INOPs
Alarm Message From Condition Indication
** RR Low RESP The respiration rate has dropped below the low
alarm limit.
* Run PVCs High ECG/Arrhythmia A run of PVCs greater than 2 was detected. numeric flashes, yellow alarm lamp,
** <SO₂ Label> High SvO
/SO
2
2
The the measured intravascular oxygen saturation has exceeded the high limit.
** <SO₂ Label> Low SvO
/SO
2
2
The measured intravascular oxygen saturation has fallen below the low limit.
** <SpO₂ Label> High SpO
2
The arterial oxygen saturation has exceeded the high alarm limit.
** <SpO₂ Label> Low SpO
2
The arterial oxygen saturation has fallen below the low alarm limit.
** ST Multi <n>,<n> ECG/ST Two contiguous ST leads <n> and <n> have
exceeded elevation or depression limits for more than 60 seconds. The limit violations for both leads must be with respect to same limit; either both above the high limit or both below the low limit.
** ST Multi
at Information Center
ECG/ST The ST depression or elevation is outside of
the limit in two or more leads. Check on the monitor
** STE <n>,<n> ECG/ST Two contiguous leads <n> and <n> are above
their respective STE limits
** ST-<n> High ECG/ST The ST elevation in lead <n> is higher than the
limit. Lead is not contiguous with any other lead.
** ST-<n> Low ECG/ST The ST depression in lead <n> is lower than
the limit. Lead is not contiguous with any other lead.
* SVT ECG/Arrhythmia A run of supraventricular beats greater than the
SVT run limit has been detected and the HR has exceeded the SVT HR limit.
*** Tachy xxx > yy ECG The tachycardia limit has been exceeded numeric flashes and alarm limit is
*** Tachy/P xxx>yy
or
*** Tachy xxx > yy
Press, SpO
, ECG The tachycardia limit has been exceeded. xxx
2
denotes the highest measured value; yy is the tachycardia limit.
** Tblood High C.O. The blood temperature value has exceeded the
high alarm limit.
** Tblood Low C.O. The blood temperature value has fallen below
the low alarm limit.
numeric flashes and low limit is highlighted, yellow alarm lamp, alarm tone
short yellow audible alarm
numeric flashes and high alarm limit is highlighted, yellow alarm lamp, alarm tone
numeric flashes and low alarm limit is highlighted, yellow alarm lamp, alarm tone
numeric flashes and high limit is highlighted, yellow alarm lamp, alarm tone
numeric flashes and low limit is highlighted, yellow alarm lamp, alarm tone
numeric flashes, yellow alarm lamp, alarm tone
(on monitor) numeric flashes, yellow alarm lamp, alarm tone
numeric flashes, yellow alarm lamp, alarm tone
numeric flashes and high alarm limit is highlighted, yellow alarm lamp, alarm tone
numeric flashes and low alarm limit is highlighted, yellow alarm lamp, alarm tone
numeric flashes, yellow alarm lamp, alarm tone
highlighted, red alarm lamp, alarm tone
numeric flashes, alarm limit is highlighted, red alarm lamp, alarm tone
numeric flashes, high alarm limit is highlighted, yellow alarm lamp, alarm tone
numeric flashes, low alarm limit is highlighted, yellow alarm lamp, alarm tone
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5 Patient Alarms and INOPs
Alarm Message From Condition Indication
** tcpO₂ High ** tcpCO₂ High
** tcpO₂ Low ** tcpCO₂ Low
* Tele Alarm ** Tele Alarm *** Tele Alarm
** <Temp Label> High TEMP The temperature has exceeded the high alarm
** <Temp Label> Low TEMP The temperature has fallen below the low alarm
*T-Mon Alarm ** T-Mon Alarm *** T-Mon Alarm
** TOFcnt High NMT TOFcnt value has exceeded the high alarm
* Vent Bigeminy ECG/Arrhythmia A dominant rhythm of N, V, N, V (N =
*** Vent Fib/Tach ECG A fibrillatory waveform for 4 consecutive
* Vent Rhythm ** Vent Rhythm
* Vent Trigeminy ECG/Arrhythmia A dominant rhythm of N, N, V, N, N, V (N =
*** VTach ECG, Arrhythmia Ventricular tachycardia has been detected
** VueLink Alarm *** VueLink Alarm
at Information Center
tcGas The tcpO2 or tcpCO2 value has exceeded the
high alarm limit.
tcGas The tcpO
the low alarm limit.
an assigned telemetry device
an assigned transport monitor
ECG/Arrhythmia A dominant rhythm of adjacent Vs > vent
VueLink A yellow (**) or red (***) patient alarm is
A telemetry device used for the patient is in an alarm condition. Check the detailed alarm information at the Information Center.
limit.
limit.
A transport monitor used for the patient is in an alarm condition. Check the detailed alarm information at the Information Center.
limit
supraventricular beat, V = ventricular beat) was detected.
seconds was detected.
rhythm limit and ventricular HR < VTach HR limit was detected.
supraventricular beat, V = ventricular beat) was detected.
(Consecutive PVCs exceed V-Tach Run limit and HR exceeds V-Tach HR limit).
present on the VueLink module. Check the monitor display for more detailed alarm information.
or tcpCO2 value has fallen below
2
numeric flashes, high alarm limit is highlighted, yellow alarm lamp, alarm tone
numeric flashes, low alarm limit is highlighted, yellow alarm lamp, alarm tone
yellow or red alarm lamp and alarm tone
numeric flashes and high limit is highlighted, yellow alarm lamp, alarm tone
numeric flashes and low limit is highlighted, yellow alarm lamp, alarm tone
yellow or red alarm lamp and alarm tone
numeric flashes and high limit is highlighted, yellow alarm lamp, alarm tone
numeric flashes, yellow alarm lamp, short yellow audible alarm
numeric flashes, red alarm lamp, alarm tone
numeric flashes, yellow alarm lamp, short yellow audible alarm
numeric flashes, yellow alarm lamp, short yellow audible alarm
numeric flashes, red alarm lamp, alarm tone
(on monitor) yellow or red alarm lamp; the alarm text is defined by the VueLink device driver
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Technical Alarm Messages (INOPs)

If an INOP interrupts monitoring and alarm detection, the measurement numeric will be replaced by
-?-. If an INOP may lead to unreliable measurement values, a ? appears next to the numeric.
5 Patient Alarms and INOPs
The measurement labels and abbreviations for pressure, temperature and SpO explained in the individual measurement chapters.

Monitor INOPs

INOP Message, Indication What to do
Bad MSL
INOP tone
Central: Tele Only
INOP tone
Check Alarm Lamps
INOP tone
Check DrugSettings
INOP tone
!!Check ECG Source
Yellow tone
!! Check Equipment
INOP tone/Yellow tone
Check Flex Texts
INOP tone
Check Keyboard
INOP tone
Check Main Board 2
INOP tone
Check Monitor Func
INOP tone
Check Monitor Temp
INOP tone
Check Mouse
INOP tone
Check MSL Voltage
INOP tone
Check Network Conf
INOP tone
!! Check Pairing
Yellow tone
!!Check Patient ID
Yellow tone
1) An MMS with an incompatible software revision is connected to the monitor. This combination does not allow monitoring, OR
2) You cannot use this combination of monitor, MMS and cable. Switch off the monitor and contact your service personnel.
System connectivity via telemetry device is limited (No alarms, only local numerics) when in companion mode and host monitor does not have system connectivity. Only telemetry device parameters can be displayed at central station.
Perform a visual check of the alarm lamp to establish whether there is a problem. Contact your service personnel to check the internal connections to the alarm lamps.
There was a problem loading the drug settings. Check that the settings are complete and correct.
The telemetry device and the monitor both have valid ECG signals. Unpair the telemetry device and the monitor if they are no longer used for the same patient.
There is an equipment status dispute relating to one or more of the devices assigned to this patient. See the Equipment window for details.
Check the names of the monitor menus, for example the labels for screens, profiles, event or trend group names, before you resume monitoring. If they are unexpected, there may be a problem with the monitor software. Contact your service personnel.
Perform a visual and functional check of the keyboard. Contact your service personnel.
There is a problem with the second main board in the monitor. Contact your service personnel.
Potential problem with alarm lamps, display or interfaces detected. Contact your service personnel.
The temperature inside the monitor is too high. Check that the monitor ventilation is not obstructed. If the situation continues, contact your service personnel.
Perform a visual and functional check of the mouse input device. Contact your service personnel.
There is a problem with the voltage of the Measurement Link (MSL). Contact your service personnel.
The monitor is receiving network topology information from more than one source, e.g. the Database Server and an Application Server. Contact your service personnel.
There is a problem with device pairing. Check that the monitor and telemetry device are correctly paired.
There is a mismatch between patient data in two connected devices. Resolve the mismatch to allow settings and data synchronization.
INOP messages are
2
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5 Patient Alarms and INOPs
INOP Message, Indication What to do
Check Screen Res.
INOP tone
Check Settings
INOP tone
Check SpeedPoint
INOP tone
Check Touch Input
INOP tone
Check Waves
INOP tone
Chk ECG Sync Cable
INOP tone
Chk IndepDsp Cable The monitor cannot communicate with the D80 Intelligent Display. Check the MSL coupling cable.
Chk <Measurement Label>Settings
Chk MSL Connection
INOP tone
Internal.Comm.Malf
INOP tone
MCC Reversed
INOP tone
MCC Unsupported
INOP tone
Meas. Deactivated An X2 or MP5 has been connected to a host monitor (companion mode) and all derived
!!More Bed Alarms !!!More Bed Alarms
at Information Center
More INOPs !! More INOPs !!! More INOPs
MSL Power High The power consumption of the devices connected to the Measurement Link (MSL) cable is too high.
MSL Power Off
INOP tone
MSL Power Overload
INOP tone
The Screen you have selected uses a resolution which is not supported by the display. The monitor will show a generic Screen instead until you select a different Screen.
Contact your service personnel if you want the Screen deleted from the Profile(s) to avoid this in future.
If this INOP appears, check the monitor and patient settings before you resume monitoring. If the settings are unexpected, there may be a problem with the monitor software. Contact your service personnel.
Perform a visual and functional check of the SpeedPoint input device. Contact your service personnel.
Perform a visual and functional check of the touch input device. Contact your service personnel.
The options purchased with this monitor may not support the number of waves required to show the selected Screen, so some waves or high resolution trends are missing from the Screen. Select a different Screen with fewer waves.
Contact your service personnel if you want the Screen deleted from the Profile(s) to avoid this in future.
The ECG Sync is detecting an invalid signal, or the ECG Sync cable is disconnected.
The end with the gray connector must be connected to the Intelligent Display.
Synchronization of the settings for the measurement cited, has failed. Check that settings are appropriate for your patient.
Check that the MSL cable is properly connected. If this is the case, try using another MSL cable, to check if your cable is defective. If this does not help, the device connected via the MSL cable may be defective, contact your service personnel.
There is a problem with I2C Bus communication in the monitor. Contact your service personnel.
The MSL coupling cable is reversed. Connect the end with the gray connector to the Intelligent Display.
An MSL coupling cable has been connected to a device which does not support MSL coupling.
measurements have been deactivated and/or measurements with a label conflict. The measurements can only be reactivated by disconnecting the measurement device from the host monitor.
The monitor is associated with a telemetry device and is sending data to the Information Center via the telemetry device. There are currently more alarms at the bedside than can be transmitted to the Information Center.
There is more than one technical alarm of the corresponding severity active on the devices that monitor this patient. For details check the information displayed at the Information Center.
If this situation continues, the MSL will be switched off. Contact your service personnel.
The power consumption of the devices connected to the Measurement Link (MSL) cable was too high for too long and the MSL has been switched off. Contact your service personnel.
The power consumption of the devices connected to the Measurement Link (MSL) cable is much too high or there has been a short circuit. The MSL has been switched off. Contact your service personnel.
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5 Patient Alarms and INOPs
INOP Message, Indication What to do
No Central Monit.
INOP tone
No ECG at Central The ECG measured with the monitor ECG is not being sent to the Information Center via the
OtherMon INOP !! OtherMon INOP !!! OtherMon INOP
Rem.AlarmDev.Malf.
INOP tone
Settings Malfunc.
INOP tone
Speaker Malfunct.
INOP tone
SRR Incompatible
INOP tone
SRR Interference
INOP tone
SRR Invalid Chan
INOP tone
SRR Malfunction
INOP tone
TAAP Disabled
INOP tone
Tele Config Unsupp
INOP tone
Tele ECG Malfunct.
Numeric is displayed with a -?­INOP tone
Tele Equip Malf
INOP tone
Tele Incompatible SRR-enabled telemetry device is not supported by this central software revision. Please check
Tele INOP !! Tele INOP !!! Tele INOP
Tele Unsupported
INOP tone
TimeExpired:<Timer Label>
INOP tone
T-Mon INOP !! T-Mon INOP !!! T-Mon INOP
INOP tone
TransportEquipment The equipment is ready for transport. See the Equipment window for details.
There is a problem with the communication to the network. Central monitoring is currently not possible (no patient alarms or information). Check the connection. In case the connection is via a telemetry device, the current telemetry use model does not support central monitoring. Contact your service personnel.
telemetry device.
Another monitor assigned to the patient (e.g. a transport monitor) is in an INOP condition. Check the detailed INOP information at the Information Center and resolve the INOP condition(s) at the other monitor.
There is a problem with the connection to the remote alert device. Contact your service personnel to check the remote alert device and its connections.
The monitor cannot use the predefined settings for monitoring. Contact your service personnel.
Contact your service personnel to check the speaker and the connection to the speaker.
The short range radio component has compatibility problems. Contact your service personnel.
The short range radio connection has interference from another device. Try using another channel.
The channel configuration of the Short Range Radio is invalid. Check channel and channel mask configuration.
Malfunction in the short range radio device. If the INOP persists contact your service personnel.
The currently selected telemetry configuration on the monitor does not allow connection of telemetry devices to the monitor.
Telemetry Workflow configuration not supported. Check revision and configuration of monitor and central.
Contact your service personnel. The ECG in the Telemetry device is faulty.
The telemetry device has a malfunction. Disconnect and reconnect the telemetry device. If the INOP reappears, replace the telemetry device.
configuration.
A telemetry device assigned to the patient is in an INOP condition. Check the detailed INOP information at the Information Center and resolve the INOP condition(s) at the telemetry device.
This telemetry device is not supported for direct connection to the monitor.
The time has expired for the timer indicated in the INOP text. Clearing the timer clears the INOP.
A transport monitor assigned to the patient is in an INOP condition. Check the detailed INOP information at the Information Center and resolve the INOP condition(s) at the transport monitor.
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5 Patient Alarms and INOPs
INOP Message, Indication What to do
Unsupported LAN
INOP tone
Unsupported WLAN There is a problem with the communication to the network and central monitoring is currently not
User I/F Malfunct.
INOP tone
WLAN OutOf Range The monitor has been moved out of WLAN range. The connection to the Information Center has
There is a problem with the communication to the network and central monitoring is currently not possible. Check the connection. If the INOP persists, switch off the monitor and contact your service personnel.
possible. Check the wireless connection. If the INOP persists, switch off the monitor and contact your service personnel.
Perform a visual and functional check of all the monitor input devices. Contact your service personnel.
been lost. Move the monitor back into the WLAN coverage area.

Battery INOPs

INOP Message, Indication What to do
Batt 1 Missing Batt 2 Missing
INOP tone During this INOP, alarms cannot be paused or switched off.
Batt Empty !!Batt Empty !!!Batt Empty
INOP tone, battery LED flashes During this INOP, alarms cannot be paused or switched off.
Batt Extensn Malf
INOP tone
Batt Incompat.
INOP tone
Batt Low
INOP tone
Batt Malfunction
INOP tone, battery LED flashes During this INOP, alarms cannot be paused or switched off unless the monitor is connected to mains power.
Batteries Empty !!Batteries Empty !!!Batteries Empty Batt 1 Empty !!Batt 1 Empty !!!Batt 1 Empty Batt 2 Empty !!Batt 2 Empty !!!Batt 2 Empty
INOP tone, battery LED flashes During this INOP, alarms cannot be paused or switched off.
The monitor requires two batteries but can detect only one battery. Insert the missing battery immediately.
The estimated remaining battery-powered operating time is less than 10 minutes. Replace the battery immediately.
If the condition persists and the monitor is not connected to mains power, this INOP is re-issued two minutes after you acknowledge it.
There is a hardware error in the Battery Extension. Contact your service personnel.
The battery cannot be used with this monitor. Replace with the correct battery (M4607A).
The estimated battery-powered operating time remaining is less than 20 minutes.
The monitor cannot determine the battery status. If this INOP persists, replace the faulty battery. If the condition persists and the monitor is not connected to mains power, this INOP is re-issued two minutes after you acknowledge it.
Place the battery in a different monitor or in a battery charger. If the same INOP is shown, contact your service personnel.
The estimated remaining battery-powered operating time of the indicated battery or batteries is less than 10 minutes. Replace the batteries immediately.
If the condition persists and the monitor is not connected to mains power, this INOP is re-issued two minutes after you acknowledge it.
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5 Patient Alarms and INOPs
INOP Message, Indication What to do
Batteries Incompat Batt 1 Incompat. Batt 2 Incompat.
INOP tone
Batteries Low Batt 1 Low Batt 2 Low
INOP tone
Batteries Malfunct Batt 1 Malfunction Batt 2 Malfunction
INOP tone, battery LED flashes During this INOP, alarms cannot be paused or switched off unless the monitor is connected to mains power.
Charge Batt 1 now Charge Batt 2 now
INOP tone
Charger Malfunct
INOP tone, battery LED may flash
Check Batt Temp
INOP tone
Chk MSL Connection Check the MSL connection between X2/MP2 and the battery extension for damage or loose
ExtBat Empty !!ExtBat Empty !!!ExtBat Empty
ExtBat Incompat. The battery in the battery extension cannot be used.
ExtBat Low The estimated battery-powered operating time remaining is less than 20 minutes.
ExtBat Malfunction The monitor cannot determine the status of the battery in the battery extension. If this INOP persists,
ExtBat Missing There is no battery in the Battery Extension
!! Insert Battery
Severe yellow INOP tone During this INOP, alarms cannot be paused or switched off.
MSL Power High The power consumption of the devices connected to the Battery Extension is too high. If this
MSL Power Off The power consumption of the devices connected to the Battery Extension was too high for too long.
The indicated battery or batteries cannot be used with this monitor. Replace with the correct battery or batteries as specified in this book.
The estimated battery-powered operating time remaining is less than 20 minutes.
The monitor cannot determine the battery status. If this INOP persists, replace the faulty battery or batteries. If the condition persists and the monitor is not connected to mains power, this INOP is re­issued two minutes after you acknowledge it.
Place the batteries in a different monitor or in a battery charger. If the same INOP is shown, contact your service personnel.
Battery must be charged. Connect the monitor to mains power or exchange the battery.
There is a problem with the battery charger in the monitor. Connect the monitor to mains power and contact your service personnel.
The temperature of one or both batteries is too high. Check that ventilation openings (if applicable) are not blocked and monitor is not exposed to heat.
connections. Check also if a second X1 or X2 has been connected accidentally (e.g. in companion mode).
The estimated battery-powered operating remaining time is less than 10 minutes. Replace the battery in the battery extension immediately.
replace the faulty battery in the battery extension. If the condition persists and the monitor is not connected to mains power or a host monitor, this INOP is re-issued two minutes after you acknowledge it.
X2/MP2 only: There is no battery in the battery compartment. You cannot operate the monitor on AC mains while the battery compartment is open (not sealed with a battery). Load a battery immediately.
situation continues, the Battery Extension will be switched off. Contact your service personnel.
The Battery Extension has been switched off. Contact your service personnel.
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5 Patient Alarms and INOPs

MMS, MMS Extensions and FMS INOPs

INOP Message, Indication What to do
MMS Ext. Unplugged
INOP tone
MMS Ext. Unpowered
INOP tone
MMS Ext. Unsupp
INOP tone
MMS Ext.Equip Malf
INOP tone
The MMS extension has been disconnected from the Multi-Measurement Module.
The MMS extension cannot operate while the Multi-Measurement Module is running on battery power.
The MMS extension is not supported by your monitor. Contact your service personnel.
Loss of communication between the Multi-Measurement Module and the MMS extension. Contact your service personnel.

Display INOPs

INOP Message, Indication What to do
Indep.Dsp Malfunc. There is a problem with the Independent Display. Check the MSL coupling cable then contact your
service personnel.
Indep.Dsp NotSupp. The monitor does not support a second main display. The monitor software is incompatible. Contact
your service personnel.
Intell.Dsp Malf. There is a problem with the Intelligent Display. Check the MSL coupling cable then contact your
service personnel.
Intell.Dsp Missing The monitor has lost contact with the connected Intelligent Display. Contact your service personnel.
Intell.Dsp Unsupp. The monitor does not support the connected Intelligent Display. The monitor software is
incompatible.

ECG, Arrhythmia, QT and ST INOPs

INOP Message, Indication What to do
C Lead Off
HR Numeric is replaced by -?-
for 10 seconds.
INOP tone
Cannot Analyze ECG The arrhythmia algorithm cannot reliably analyze the ECG data. Check the ECG signal quality of the
Cannot Analyze QT The QT algorithm cannot generate a valid QT value for more than 10 minutes, or 1 minute in the
Cannot Analyze ST The ST algorithm cannot generate a valid ST value. Possible causes are large variations in the measured
Cannot Analyze STE The STE algorithm cannot generate valid ST elevation values. Possible causes are large variations in
ECG Equip Malf
Numeric is replaced by -?­INOP tone
The C electrode (AAMI: V electrode) has become detached from the patient or the lead set has been changed. Reattach the electrode or select New Lead Setup in the Setup ECG menu to confirm the new lead set.
selected primary and secondary leads. If necessary, improve lead position or reduce patient motion. If you have arrhythmia analysis on, and you are not getting a reliable HR because the signal is below a minimum amplitude, unstable, or contains artifact, and you have tried to improve the system performance by choosing another lead and changing electrodes, you should consider turning arrhythmia analysis off.
initial phase.
ST values for consecutive beats, or ventricular paced beats. Review the ECG signal quality and the ST measurement points. If the patient has a ventricular pacemaker, ST analysis is not possible.
the measured ST values for consecutive beats, or ventricular paced beats. Review the ECG signal quality and the ST measurement points.
Contact your service personnel. The ECG hardware is faulty.
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5 Patient Alarms and INOPs
INOP Message, Indication What to do
<ECG Lead> Lead Off !! <ECG Lead> Lead Off !!! <ECG Lead> Lead Off
Numeric is replaced by -?­INOP tone
ECG Leads Off !! ECG Leads Off !!!ECG Leads Off
Numeric is replaced by -?­INOP tone
ECG Noisy Elec <ECG Lead>
ECG Noisy Signal
INOP tone
!!ECG/AR AlarmsOff All ECG alarms have been switched off, or the HR alarm source is not ECG. To resume ECG alarm
ECG/Arrh AlarmsOff !!ECG/AR AlarmsOff
EcgOut Equip Malf
INOP tone
LA Lead Off
Numeric is replaced by -?- for 10 seconds. INOP tone
LL Lead Off
Numeric is replaced by -?- for 10 seconds. INOP tone
RA Lead Off
Numeric is replaced by -?­INOP tone
RL Lead Off
Numeric is replaced by -?- for 10 seconds. INOP tone
Some ECG AlarmsOff This message appears (if configured to do so) when the on/off settings of the yellow arrhythmia
V Lead Off
Numeric is replaced by -?- for 10 seconds. INOP tone
Not all the required leads for ECG monitoring are connected. Check the ECG connections and make sure that the electrode indicated by <ECG lead> [RA, LA, LL, RL, V or C] electrodes is attached. In EASI mode, all 5 electrodes must be connected.
Check that all of the required ECG leads are attached, and that none of the electrodes have been displaced. The INOP may also be caused by a saturated or overloaded ECG amplifier.
The ECG signal from the named ECG electrodes [RA, LA, LL, RL, V (or C)] is noisy. Check the ECG connections and make sure that the electrode indicated is attached.
The ECG signal is too noisy. Check that the electrodes are properly placed and have not dried out. Remove any possible sources of signal noise (such as power cords) from the area around the cable and the patient. The ECG signal may be saturated or overloaded.
generation, switch ECG alarms on or select ECG as the alarm source.
All ECG alarms have been switched off, or the HR alarm source is not ECG. To resume ECG alarm generation, switch ECG alarms on or select ECG as the alarm source.
There is a problem with the device connected to the ECG Out connector. Contact your service personnel.
The LA electrode has become detached from the patient or the lead set has been changed. Reattach the electrode or select New Lead Setup in the Setup ECG menu to confirm the new lead set.
The LL electrode has become detached from the patient or the lead set has been changed. Reattach the electrode or select New Lead Setup in the Setup ECG menu to confirm the new lead set.
The RA electrode has become detached from the patient or the lead set has been changed. Reattach the electrode or select New Lead Setup in the Setup ECG menu to confirm the new lead set.
The RL electrode has become detached from the patient or the lead set has been changed. Reattach the electrode or select New Lead Setup in the Setup ECG menu to confirm the new lead set.
alarms differ from the current Profile.
The V electrode (IEC: C electrode) has become detached from the patient or the lead set has been changed. Reattach the electrode or select New Lead Setup in the Setup ECG menu to confirm the new lead set.
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5 Patient Alarms and INOPs

Resp INOPs

INOP Message, Indication What to do
Resp Equip Malf
Numeric is replaced by -?­INOP tone
Resp Erratic
Numeric is replaced by -?-
Resp Leads Off
Numeric is replaced by -?­INOP tone
Contact your service personnel. The RESP hardware is faulty.
The monitor has detected too many artifacts in the measured Resp signal. Check that the RA and LL electrodes are correctly attached and have not dried out.
Not all the required leads for Resp monitoring are attached. Make sure that the RA and LL leads are attached.

NBP INOPs

INOP Message, Indication What to do
!! Cuff Not Deflat !!!Cuff Not Deflat
Numeric is displayed with a -?­Severe yellow/red INOP tone
During this INOP, alarms cannot be paused or switched off.
!! Cuff Overpress !!!Cuff Overpress
Numeric displayed with a -?­Severe yellow/red INOP tone
During this INOP, alarms cannot be paused or switched off.
NBP Deactivated
INOP tone
NBP Equip Malf
Numeric is replaced by -?­INOP tone
NBP Interrupted
Numeric is replaced by -?­INOP tone
NBP Measure Failed
Numeric may be displayed with a-?­INOP tone
Remove the cuff from the patient. Make sure that the tubing is not kinked or twisted and that the correct patient category is selected. Try repeating the measurement. You can silence the INOP, but the INOP message remains visible until the next NBP measurement is started or the Stop All SmartKey is selected. [Adult or pediatric patients: The NBP cuff pressure has exceeded 15 mmHg (2 kPa) for more than 3minutes. Neonatal patients: The NBP cuff pressure has exceeded 5 mmHg (0.7 kPa) for more than 90 seconds.]
The NBP cuff pressure exceeds the overpressure safety limits. Remove the cuff from the patient. Make sure that the tubing is not kinked or twisted and that the correct patient category is selected. Try restarting the measurement. You can silence this INOP, but the INOP message remains visible until the next measurement is started or the Stop All SmartKey is selected.
The NBP measurement label in the measurement device has been deactivated by deactivating the label in the Measurement Selection window. The measurement automatically disappears from the display. To switch the measurement on again, reactivate the measurement label in the Measurement Selection window.
Remove the cuff from the patient. The NBP hardware is faulty. Contact your service personnel. You can silence this INOP, but the INOP message remains visible until the next measurement is started or the Stop All SmartKey is selected.
Check the tubing and cuff for leakages or kinks. Check that you are using the correct cuff size and placement, and that the correct patient category is selected. Try restarting the measurement. If the INOP occurs repeatedly, contact your service personnel. You can silence this INOP, but the INOP message remains visible until the next measurement is started or the Stop All SmartKey is selected. This INOP arises when the measurement needed longer than the maximum time for inflation, deflation or the total measurement.
Check that you are using the correct cuff size and placement, and that the correct patient category is selected. Try restarting the measurement. You can silence this INOP, but the INOP message remains visible until the next measurement is started or the Stop All SmartKey is selected. Check the condition and suitability of the patient for NBP monitoring. Use another cuff to continue measuring.
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Temperature INOPs

INOP Message, Indication What to do
T1, T2, T3, T4 INOPs See <Temp Label> INOPs
Tamb INOPs See <Temp Label> INOPs
Tart INOPs See <Temp Label> INOPs
Tcereb INOPs See <Temp Label> INOPs
Tcore INOPs See <Temp Label> INOPs
<Temp Label> Deactivated
INOP tone
<Temp Label> Equip Malf
Numeric is replaced by -?­INOP tone
<Temp Label> Overrange
Numeric is replaced by -?­INOP tone
<Temp Label> Unplugged
INOP tone
<Temp Label>NoTransducer
Numeric is replaced by -?­INOP tone
Tesoph INOPs See <Temp Label> INOPs
Tnaso INOPs See <Temp Label> INOPs
Trect INOPs See <Temp Label> INOPs
Tskin INOPs See <Temp Label> INOPs
Ttymp INOPs See <Temp Label> INOPs
Tven INOPs See <Temp Label> INOPs
Tvesic INOPs See <Temp Label> INOPs
A Temp measurement label in the measurement device has been deactivated, either by connecting a Pressure transducer in the shared Press/Temp socket, or by deactivating the label in the Measurement Selection window.
The measurement automatically disappears from the display.
To switch the measurement on again, either reconnect a Temp transducer or reactivate the measurement label in the Measurement Selection window.
Contact your service personnel. The temperature hardware is faulty.
Try changing the application site of the transducer.
[The temperature is less than -1°C, or greater than 45°C.]
A Temp measurement label has been deactivated, either by unplugging a module, or by deactivating the label in the Measurement Selection window.
The measurement automatically disappears from the display.
To switch the measurement on again, either replug the module or reactivate the measurement label in the Measurement Selection window.
Make sure the TEMP probe is connected to the MMS or module. If you silence this INOP, the measurement will be switched off.
5 Patient Alarms and INOPs
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5 Patient Alarms and INOPs

SpO2 INOPs

INOP Message, Indication What to do
<SpO₂ Label> Chk Sensor The condition of the signal at the SpO
Check proper application of the sensor in accordance with the Instructions for Use. If the INOP persists, consider exchanging the sensor.
<SpO₂ Label> Deactivated
INOP tone
The SpO in the Measurement Selection window. The measurement automatically disappears from the
measurement label in the measurement device has been deactivated by deactivating the label
2
display. To switch the measurement on again, reactivate the measurement label in the Measurement
Selection window.
<SpO₂ Label> Equip Malf
Numeric is replaced by -?-
The MMS or module is faulty. Unplug and replug the MMS or module. If the INOP persists, contact your service personnel.
INOP tone
<SpO₂ Label> Erratic
Numeric is replaced by -?-
Check the sensor placement. Try another adapter cable and sensor. If the INOP persists, contact your service personnel.
INOP tone
<SpO₂ Label> Extd.Update
The update period of displayed values is extended due to an NBP measurement on the same limb or
an excessively noisy signal. Numeric is replaced by -?­(questionable numeric)
<SpO₂ Label> Low Perf
Numeric is replaced by -?-
Accuracy may be compromised due to very low perfusion. Stimulate circulation at sensor site. If INOP
persists, change the measurement site. (questionable numeric)
<SpO₂ Label> No Pulse
Numeric is replaced by -?­INOP tone
<SpO₂ Label> No Sensor
Numeric is replaced by -?-
Check the perfusion at measurement site. If necessary, stimulate circulation or change measurement
site. If the INOP is due to NBP measurement on the same limb, wait until the NBP measurement is
finished.
Make sure the SpO
sensor is connected. If the INOP persists, try another adapter cable and sensor. If
2
you silence this INOP, the measurement will be switched off. INOP tone
<SpO₂ Label> NoisySignal
Numeric is replaced by -?-
Excessive patient movement or electrical interference is causing irregular pulse patterns. Try to reduce
patient movement or to relieve the cable strain on the sensor. INOP tone
<SpO₂ Label> Poor Signal
Numeric is replaced by -?-
The signal condition of the SpO2 measurement is poor and measurement accuracy may be
compromised. If the INOP persists, consider changing the application site or using another sensor. (questionable numeric)
<SpO₂ Label> Pulse?
The detectable pulsations of the SpO Numeric is replaced by -?­INOP tone
<SpO₂ Label> Searching
Numeric unavailable
<SpO₂ Label> Sensor Malf
Numeric is replaced by -?-
SpO
is analyzing the patient signal to derive Pulse, SpO2 and Perf values. Please wait until the search
2
analysis is complete.
The SpO
sensor or adapter cable is faulty. Try another adapter cable and sensor. If the INOP persists,
2
contact your service personnel. INOP tone
<SpO₂ Label> Sensor Off
Numeric is replaced by -?-
The SpO
supplied by the manufacturer.
sensor is not properly applied to the patient. Apply the sensor following the instructions
2
INOP tone
sensor is not as expected. Accuracy may be compromised.
2
signal are outside the specified pulse rate range.
2
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5 Patient Alarms and INOPs
INOP Message, Indication What to do
<SpO₂ Label> Unkn.Sensor
Numeric is replaced by -?-
<SpO₂ Label> Unplugged
Numeric is replaced by -?­INOP tone
<SpO₂ Label> Upgrade
Numeric is replaced by -?­Numeric is unavailable
<SpO₂ Label>Interference
Numeric is replaced by -?­INOP tone
The connected sensor or adapter cable is not supported by the SpO2 measurement. Use only specified
sensors and cables.
An SpO
the label in the Measurement Selection window.
The measurement automatically disappears from the display.
To switch the measurement on again, either replug the module or reactivate the measurement label in
the Measurement Selection window.
The SpO
There is too much interference, caused by a high level of ambient light and/or electrical interference.
Cover the sensor to minimize ambient light. If the INOP persists, make sure that the sensor cable is
not damaged or positioned too close to power cables.
measurement label has been deactivated, either by unplugging a module, or by deactivating
2
measurement is currently in upgrade mode. Monitoring is not possible in this mode.
2

Pressure INOPs

INOP Message, Indication What to do
ABP INOPs See <Press Label> INOPs
Ao INOPs See <Press Label> INOPs
ART INOPs See <Press Label> INOPs
BAP INOPs See <Press Label> INOPs
CPP Chk Sources
Numeric is replaced by -?­INOP tone
CPP Chk Units
Numeric is replaced by -?-
CPP Disabled CPP has been disabled, either in the setup in Configuration mode, or by loading settings with CPP
CVP INOPs See <Press Label> INOPs
FAP INOPs See <Press Label> INOPs
IC1 / IC2 INOPs See <Press Label> INOPs
ICP INOPs See <Press Label> INOPs
LAP INOPs See <Press Label> INOPs
P / P1 / P2 / P3 / P4 INOPs See <Press Label> INOPs
PAP INOPs See <Press Label> INOPs
PPV Bad <Press Label> Signal
PPV Bad Signal
at Information Center
PPV Chk Sources The arterial pressure source selected for PPV is unplugged or switched off. When this INOP has
<Press Label> Artifact
Numeric questionable
Not all measurements or values required to perform the calculation are available. Check the
measurement sources.
The monitor has detected a conflict in the units used for this calculation. Check the unit settings.
disabled. This can happen when changing from a pediatric or neonatal profile to an adult profile, as the
default profile settings have the CPP measurement disabled in the adult profile and enabled in the
pediatric and neonatal profiles. Enable CPP in the current profile to clear the INOP.
The arterial pressure source selected for PPV is not providing a pulsatile signal.
The arterial pressure source selected for PPV is not providing a pulsatile signal.
displayed for 1 minute PPV will be switched off.
A non-physiological event (flush or blood sample) is detected. A resulting limit alarm or non-pulsatile
INOP will be suppressed.
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5 Patient Alarms and INOPs
INOP Message, Indication What to do
<Press Label> Deactivated
INOP tone
<Press Label> Equip Malf
Numeric is replaced by -?­INOP tone
<Press Label> No Pulse
Pulse numeric is replaced by -?­INOP tone
<Press Label> No Transducer
Numeric is replaced by -?­INOP tone
<Press Label> Noisy Signal
Pulse numeric is replaced by -?­INOP tone
<Press Label> Overrange
Numeric is replaced by -?­INOP tone
<Press Label> Reduce Size
<Press Label> Unplugged
INOP tone
<Press Label> Zero+Check Cal
Numeric is replaced by -?-
RAP INOPs See <Press Label> INOPs
UAP INOPs See <Press Label> INOPs
UVP INOPs See <Press Label> INOPs
A Pressure measurement label in the measurement device or extension has been deactivated, either by
connecting a Temp transducer in the shared Press/Temp socket, or by deactivating the label in the
Measurement Selection window.
The measurement automatically disappears from the display.
To switch the measurement on again, either reconnect a Pressure transducer or reactivate the
measurement label in the Measurement Selection window.
Contact your service personnel.
The pressure hardware is faulty.
This INOP can only arise when a pressure is selected as the pulse source. It occurs when the pulse rate
being measured is less than 25 beats per minute or the amplitude is less than three mmHg.
Check the catheter and connections to the patient.
Make sure that the pressure transducer is connected to the measurement device or module.
If you silence this INOP, the measurement will be switched off.
This INOP can only arise when a pressure is selected as the pulse source. It occurs when the pulse
detector finds a pulse rate above 350 bpm. This is usually caused by movement artifact or electrical
interference.
Make sure that the measurement has been properly prepared and zeroed, and that the transducer is
level with the heart. If this INOP persists, try another transducer.
Possible causes are a measured pressure outside the allowed pressure range, or a broken wire to the
transducer.
Increase the scale for the pressure wave.
A Pressure measurement label has been deactivated, either by unplugging a module, or by deactivating
the label in the Measurement Selection window.
The measurement automatically disappears from the display.
To switch the measurement on again, either replug the module or reactivate the measurement label in
the Measurement Selection window.
Perform a zero and check the calibration of the transducer.
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CO2 INOPs

INOP Message, Indication What to do
5 Patient Alarms and INOPs
CO₂ Auto Zero
Numeric is replaced by -?­if the Autozero lasts >15 sec, INOP tone sounds.
CO₂ Cal Failed
Numeric is replaced by -?­INOP tone
CO₂ Cal Mode
numeric displays current
CO
2
CO2 value for accuracy check
CO₂ Cal Running
Numeric is replaced by -?-
CO₂ Check Cal
Numeric is replaced by -?­INOP tone
CO₂ Chk Adapter
Numeric is replaced by -?­INOP tone
CO₂ Deactivated
INOP tone
CO₂ Equip Malf
Numeric is replaced by -?­INOP tone
CO₂ No Sensor
from M3014A Numeric is replaced by -?­INOP tone
CO₂ No Tubing
Numeric is replaced by -?­INOP tone
!! CO₂ Occlusion !!! CO₂ Occlusion
Numeric is replaced by -?­INOP tone
CO₂ Overrange
Numeric is replaced by -?­INOP tone
CO₂ Pump Off
Numeric is replaced by -?-.
CO₂ Purging
Numeric is replaced by -?­INOP tone
CO₂ Sens Warmup
Numeric is replaced by -?­Microstream CO Mainstream CO
: INOP tone
2
: no INOP tone
2
The automatic zero calibration is in progress. This typically takes 10 seconds. During this time the CO
values may not be updated, or they may be replaced by -?-. Wait until the zero calibration is complete
to resume monitoring.
Make sure that the Cal cell was changed between CAL1 and CAL2. Repeat the calibration. If the
INOP reappears, try another transducer. If the INOP persists, contact your service personnel.
Currently no calibration is running. Accuracy can be checked by placing the transducer on the two cells
of the calstick and starting calibration. To start monitoring, leave Cal. Mode.
Wait until calibration is finished.
The CO
value is outside the measurement range. Perform an accuracy check for both calstick cells
2
and, if necessary, recalibrate the transducer.
Check that the sensor is connected to the airway adapter, clean the airway adapter, if necessary.
Perform a zero calibration. If the INOP persists, contact your service personnel.
The CO
measurement label in the measurement device has been deactivated by deactivating the label
2
in the Measurement Selection window. The measurement automatically disappears from the
display. To switch the measurement on again, reactivate the measurement label in the Measurement
Selection window.
The Measurement Extension is faulty. Unplug and replug the Multi-Measurement Module with
Extension. If you are using the mainstream method, unplug and replug the transducer or try another
transducer. If the INOP persists, contact your service personnel.
There is no CO
sensor connected. If you silence this INOP the CO2 measurement will be switched
2
off.
Either the sample line is disconnected, or an incorrect line is attached. Check the connection. If
necessary, connect another sample line (Use only the approved accessories).
If you silence this INOP, the measurement will be switched off.
The sample line or exhaust tube is blocked. Check the tubing, then disconnect and reconnect the
sample line. If the INOP persists, connect a new sample line.
The CO
value is higher than the measurement range. If you suspect a false high value, contact your
2
service personnel.
The pump has been switched off for fifteen minutes. To switch it on again, select Pump On in the
Setup CO₂ menu.
The Filterline is being purged to remove an occlusion in the line or airway adapter. If the occlusion is
removed, the INOP will disappear. If not, the INOP CO₂ Occlusion is displayed.
Wait until the sensor reaches operating temperature and the INOP disappears.
2
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5 Patient Alarms and INOPs
INOP Message, Indication What to do
CO₂ Upgrade FW
Numeric is replaced by -?­INOP tone
CO₂ Wait Cal2
Numeric is replaced by -?-
CO₂ Zero Failed
Numeric is replaced by -?­INOP tone
CO₂Change Scale The CO
CO₂NoTransducer
from mainstream CO M3014A) Numeric is replaced by -?­INOP tone
CO₂Zero Running Wait until zero calibration is finished.
CO₂ZeroRequired
Numeric is replaced by -?­INOP tone
IPI Check Pat. Age For Adult patients: a date of birth has been entered that results in a calculated patient age of less than
IPI Check Sources The IPI numeric cannot be provided as one or more of the measurement sources required for IPI is
IPI Neo Patient ? Check patient category. The IPI numeric is not available for neonatal patients.
(except
2
The software in the Measurement Extension does not match the software in the MMS. Contact your
service personnel.
Calibration on the first calstick cell is complete. Place the transducer on the other calstick cell and start
the CAL2 calibration cycle.
An error occurred during the last zero calibration. Check the airway adapter and clean, if necessary.
Perform another zero calibration. If the INOP persists, contact your service personnel.
wave is clipped. Select a more appropriate wave scale to display the whole wave.
2
There is no CO2 transducer connected. If you replace the transducer, the new transducer must be
calibrated. If you silence this INOP the CO2 measurement will be switched off.
Perform zero calibration for the CO2 sensor. If the INOP persists, contact your service personnel.
12 years. Enter correct date of birth or, if patient is pediatric, correct patient category.
For pediatric patients: either no date of birth has been entered (it is required for calculation of IPI for
pediatric patients) or the calculated age is below 1 year or above 12 years. Check that correct date of
birth is entered.
not available. Check availability of etCO
, awRR, SpO2, and pulse rate.
2

C.O. INOPs

INOP Message, Indication What to do
C.O. Deactivated
INOP tone
C.O. Equip Malf
Numeric is replaced by -?­INOP tone
C.O. Unplugged
Numeric is replaced by -?­INOP tone
CCI No BSA
CCI numeric unavailable INOP tone
CCO BadPressSignal
Numeric is replaced by -?­INOP tone
CCO No Calibration
Numeric is replaced by -?-
The Cardiac Output measurement label in the measurement device has been deactivated by
deactivating the label in the Measurement Selection window. The measurement automatically
disappears from the display. To switch the measurement on again, reactivate the measurement label in
the Measurement Selection window.
There is a problem with the C.O. hardware. Contact your service personnel.
Plug in the C.O. module. Silencing this INOP switches off the measurement.
CCI cannot be calculated because the patient's body surface area is unknown. Enter the patient weight
and height to provide the BSA for CCI calculation.
The arterial pressure wave can currently not be used for pulse contour calculation for CCO or CCI
measurement. Possible causes are air bubbles in the tubing or a physiological condition, for example
severe arrhythmia.
The CCO measurement is currently not calibrated.
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INOP Message, Indication What to do
CCO No <Press Label>
Numeric is replaced by -?­INOP tone may sound
CCO No Press
at Information Center
CCO Not Supported
Numeric is replaced by -?­INOP tone
CCO Overrange CCI Overrange
Numeric is replaced by -?­INOP tone
CCO Press Invalid
at Information Center
CCO <Press Label> Invalid
Numeric is replaced by -?­INOP tone may sound
CCO PressOverrange
Numeric is replaced by -?­INOP tone
CCO PulseOverrange
Numeric is replaced by -?­INOP tone
CCO Recalibrate
Numeric is replaced by -?-
CCO/Tbl NoTransduc
Numeric is replaced by -?­INOP tone
Tblood Overrange
Numeric is replaced by -?-
TbloodNoTransducer
Numeric is replaced by -?­INOP tone
CCO/CCI cannot be calculated. Make sure that the pressure chosen in the Setup CCO menu under
CCO From matches the pressure measured with the arterial catheter for CCO measurement. A
pressure from an external device cannot be used. Select another pressure label, either ABP, Ao, ART,
BAP, F AP, or UAP.
CCO/CCI cannot be calculated. Make sure that the pressure chosen in the Setup CCO menu under
CCO From matches the pressure measured with the arterial catheter for CCO measurement. A
pressure from an external device cannot be used. Select another pressure label, either ABP, Ao, ART,
BAP, F AP, or UAP.
A catheter for transpulmonary C.O. measurements has been unplugged and replaced with a Right
Heart C.O. catheter, or the measurement mode has been changed manually. Silencing this INOP
switches the measurement off.
The measured CCO or CCI value is not within the specified range for CCO/CCI measurement.
The arterial pressure selected for pulse contour calculation for CCO is available but currently invalid.
Make sure the pressure transducer is connected and the zero calibration is valid.
The arterial pressure selected for pulse contour calculation for CCO is available but currently invalid.
Make sure the pressure transducer is connected and the zero calibration is valid.
The mean value of the arterial pressure values used for pulse contour calculation for CCO is below
0mmHg or above 300mmHg.
The pulse rate of the pressure used for pulse contour calculation for CCO is below 30 bpm or above
240 bpm.
The most recent CCO or CCI calibration was made over 8 hours ago or the arterial pressure
measurement used for CCO calculation has been zeroed after the CCO calibration was performed.
You should recalibrate CCO or CCI with transpulmonary C.O. measurements at least every 8 hours or
when the hemodynamic condition of the patient has changed. The pressure measurement must be
zeroed before a CCO calibration.
No transducer attached to the module or catheter disconnected.
Tblood out of range 17°C - 43°C.
No transducer attached to the module or catheter disconnected.
5 Patient Alarms and INOPs

Telemetry INOPs

INOP Message, Indication What to do
Check ECG Settings
INOP tone
!!Check ECG Source Both the telemetry device and the monitor have valid ECG signals
Chk SpO₂T Settings
INOP tone
Invalid Leadset The leadset plugged in cannot be used with the telemetry device.
Leadset Unplugged The leadset has been unplugged from the telemetry device.
Synchronization of ECG settings between the monitor and Information Center has failed. Check that
the ECG settings in use are appropriate.
Synchronization of SpO
that the SpO
T settings in use are appropriate.
2
T settings between the monitor and Information Center has failed. Check
2
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5 Patient Alarms and INOPs
INOP Message, Indication What to do
No ECG Source A telemetry device is paired with the monitor but the Information Center is not detecting a valid ECG
signal from either of them.
!! Repl. Tele Batt !!!Repl. Tele Batt
Severe yellow/red INOP tone
During this INOP, alarms cannot be paused or switched off.
Tele Battery Low The battery in the Telemetry device is low and must be replaced soon.
!!Tele Disconnect !!!Tele Disconnect
Severe yellow/red INOP tone
!! Tele INOP !!! Tele INOP
Severe yellow/red INOP tone
Tele Sync Unsupp.
INOP tone
The battery in the telemetry device is almost empty and must be replaced.
Telemetry transceiver was disconnected or short range radio link was lost.
For cable connections; check Telemetry interface, cable connection and setup.
For short range radio connections: if the telemetry transceiver has not moved out-of-range, check for
interference sources close to the monitor (bluetooth devices, DECT phones, cellular phones,
microwaves, etc.). If this INOP persists, ask your service personnel to survey the interference sources.
Check for further details at the Information Center or in the Telemetry Data window on the monitor.
The MMS in use does not support synchronization of ECG and SpO
and central station after a telemetry device has been paired. Use an MMS with revision E.0 or above.
settings between the monitor
2

Cableless Measurement Device INOPs

INOP Message, Indication What to do
cl NBP Batt Empty !!cl NBP BattEmpty !!!cl NBP BatEmpty
Corresponding INOP tone
cl NBP Batt Incomp
INOP tone
cl NBP Batt Low
INOP tone
cl NBP Batt Malf
INOP tone
cl NBP Batt Temp
INOP tone
cl NBP Check Batt
INOP tone
cl NBP Disconnect
INOP tone
cl NBP No Cradle
INOP tone
cl NBP Remove
INOP tone
cl NBP Serv Batt
INOP tone
cl SpO₂ Batt Empty !!cl SpO₂ BatEmpty !!!cl SpO₂ BtEmpty
Corresponding INOP tone
The remaining battery time of the NBP Pod is below 30 minutes. Change the battery.
The battery in use with the NBP Pod is incompatible. Replace it with one approved for use with the
NBP Pod.
The remaining battery time of the NBP Pod is below 2 hours.
There is a malfunction in the NBP Pod's battery system. Contact your service personnel.
The temperature of the battery in the NBP Pod is critically high. Check that the Pod is not covered or
exposed to a heat source. If the INOP persists, remove the Pod from the patient and contact your
service personnel.
The battery in the NBP Pod is nearing the end of its useful life. Only 50 charge/discharge cycles
remain. Contact your service personnel to replace the battery.
The NBP Pod has lost the connection to the monitor.
The NBP Pod is not in its cradle.
The temperature of the battery in the NBP Pod is too high. Remove the Cableless Measurement
Device from the patient and contact service personnel.
The battery in the NBP Pod has reached the end of its useful life. It can no longer be charged. Contact
your service personnel to replace the battery.
The remaining battery time of the SpO
Pod is below 30 minutes. Change the battery.
2
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INOP Message, Indication What to do
cl SpO₂ Batt Incmp
INOP tone
cl SpO₂ Batt Low
The battery in use with the SpO2 Pod is incompatible. Replace it with one approved for use with the
Pod.
SpO
2
The remaining battery time of the SpO INOP tone
cl SpO₂ Batt Malf
There is a malfunction in the SpO INOP tone
cl SpO₂ Batt Temp
INOP tone
The temperature of the battery in the SpO
exposed to a heat source. If the INOP persists, remove the Pod from the patient and contact your
service personnel.
cl SpO₂ Check Batt
INOP tone
cl SpO₂ Disconnect
The battery in the SpO
remain. Contact your service personnel to replace the battery.
The SpO
Pod has lost the connection to the monitor.
2
INOP tone
cl SpO₂ No Cradle
The SpO
Pod is not in its cradle.
2
INOP tone
cl SpO₂ Remove
INOP tone
cl SpO₂ Serv Batt
INOP tone
The temperature of the battery in the SpO
and contact service personnel.
The battery in the SpO
your service personnel to replace the battery.
5 Patient Alarms and INOPs
Pod is below 2 hours.
2
Pod's battery system. Contact your service personnel.
2
Pod is critically high. Check that the Pod is not covered or
2
Pod is nearing the end of its useful life. Only 50 charge/discharge cycles
2
Pod is too high. Remove the SpO2 Pod from the patient
2
Pod has reached the end of its useful life. It can no longer be charged. Contact
2
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5 Patient Alarms and INOPs
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6Managing Patients and
Equipment
When the monitor is used together with an IntelliVue Information Center, a variety of services are provided to manage the interconnections between patients, equipment, hospital beds, caregivers, and so on.
Many services can be used both at the monitor and at the Information Center, resulting in a more efficient workflow.
Which services are available will depend on which Information Center you have. The Philips
IntelliVue Information Center iX (PIIC iX) provides more services and functionality than the Philips IntelliVue Information Center (PIIC). In these Instructions for Use, information that is
only valid for one of the Information Centers will be marked with a corresponding side heading, for example
6
PIIC iX For a list of the differences between the two Information Centers, see “Information Center
Compatibility” on page 106.

Patient Concepts

For a patient to be part of the system their identification data must be entered into the system. A patient can then be assigned to a bed, have equipment assigned directly to him, and have a location set when he is not currently in the bed.

Equipment Concepts

Depending on how equipment is used in your facility, there are various ways to associate devices with patients, beds or monitors. Equipment usage must be configured appropriately at the Information Center and the monitoring equipment.
PIIC iX By configuration, equipment can be assigned:
• permanently to a bed,
• on demand to a bed or host monitor, or
• directly to a patient.
The foundation for a particular equipment use model is laid in the configuration settings in the monitor and the Information Center. Refer to the corresponding configuration guides for further details.
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6 Managing Patients and Equipment
Additionally there are mechanisms to automatically free up equipment that is no longer used. This prevents unnecessary patient mismatches when the equipment is used for the next patient and avoids data of different patients getting mixed.
PIIC iX When connected to PIIC iX, equipment states are tracked by the system. When the equipment is not
assigned to a patient or no patient is admitted at a monitor, the equipment is considered as free equipment in the system. Equipment that is assigned or has a patient admitted is tracked as used (i.e. not free) equipment.
The Information Center uses the equipment state (free/not free) to maintain and support workflow and equipment lists.

Managing Patients

In order to attribute collected measurement data to a specific patient, or assign equipment or a bed to a specific patient, each patient in the system must be identified. By admitting a patient, you identify them for the system.
When equipment is freed up (for example by discharging the patient, removing a monitor from a patient or using End Case) the collection of data is officially ended for this patient and important settings on the monitor are reset to the defaults.

Admitting a Patient

The monitor displays physiological data and stores it in the trends as soon as a patient is connected. This lets you monitor a patient who is not yet admitted. It is however important to admit patients properly so that you can identify your patient on recordings, reports, and networked devices.
During admission you enter data that the monitor needs for safe and accurate operation. For example, the patient category setting determines the algorithm the monitor uses to process and calculate some measurements, the safety limits that apply for some measurements, and the alarm limit ranges.
NOTE
It is strongly recommended that the same patient data fields be configured to be mandatory at the monitor and the Information Center.
When No Patient is Admitted
To admit a patient:
1 Select the patient name field or select the Patient Demogr. SmartKey to open the Patient
Demographics
2 Select Admit Patient.
Enter Demographics window appears. You can enter data as normal, using the keyboard or a
The barcode scanner, or, with PIIC iX, use the systems as described in “Using "Find Patient" to Search for Patient Data” on page 91.
3 Enter the patient information: select each field and use the keyboard or barcode scanner or choose
from the pop-up list of alternatives to input information.
window.
Find Patient key to search for patient data in connected
PIIC iX When you enter data, the Information Center will automatically check for corresponding data and
Confirm to accept the
90
will suggest an appropriate action based on what it finds. You can select suggestion or
–
Last Name: Enter the patient's last name (family name).
Cancel to reject it.
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6 Managing Patients and Equipment
– First Name: Enter the patient's first name. –
Middle Name (if configured to appear): Enter the patient's middle name. Lifetime ID, Encounter ID: Whether these fields appear and how they are labeled can be
–
configured for your hospital. One or both fields may be displayed and the labels may read:
MRN, Case ID, Visit Number, or other alternatives. Enter the appropriate data for the fields
displayed.
Patient Cat.: Choose the patient category, either Adult, Pedi, or Neo.
– –
Paced Mode: Choose On or Off (You must use On if your patient has a pacemaker). With
PIIC iX there is a third choice:
Unconfirmed. When the paced mode is Unconfirmed, the
algorithm for paced patients will be used.
Height: Enter the patient's height.
– –
Weight: Enter the patient's weight. BSA: The monitor calculates the body surface area automatically.
–
Date Of Birth: Enter the patient's date of birth. Enter this in the form dd/mm/yyyy.
– –
Age: The monitor calculates the patient age automatically. Gender: Choose Male or Female.
–
Notes (1) / Notes (2): Enter any extra information about the patient or treatment.
– When admission is complete, the patient's name appears on the monitor info line at the top of the
screen.
When a Patient is Already Admitted
If the patient monitor already has a patient admitted, the Admit Patient key is replaced by the New
Patient
key.
When you select
New Patient, the monitor is freed. All settings are reset to the defaults, all patient data
and trend data are deleted, and monitoring at the Information Center may stop for monitors designated as transport monitors. Depending on your equipment configuration, selecting may transfer the currently admitted patient out of the bed. A message will appear requiring your confirmation of these actions.
After selecting
New Patient, you can admit your patient as described in “When No Patient is
Admitted” above.
Using "Find Patient" to Search for Patient Data
PIIC iX You can use the Find Patient key to search for patient data in the Information Center and any
connected hospital information systems. The search will look for currently admitted or previously admitted patients matching the search data you enter.
To search for patient data:
1 Select the Find Patient key.
A window opens with an on-screen keyboard.
2 Type in the last name or an ID, or a part of it, and select Enter on the keyboard.
The search results will be displayed in a matching patients.
Select Patient window. The system provides a list of all
New Patient
3 Highlight the patient you want to admit to this bed.
4 Depending on their current status, you will be asked whether you want to readmit them, or
transfer them to this bed.
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6 Managing Patients and Equipment
Select Confirm to complete the admission or transfer.
5
Patient Category and Paced Mode
The patient category setting determines the algorithm the monitor uses to process and calculate some measurements, the safety limits that apply for some measurements, and the alarm limit ranges.
The paced mode setting determines whether the monitor shows pacemaker pulses or not. When
Mode
is set to Off, pace pulses are filtered and therefore do not show in the ECG wave.
WARNING
Patient Cat. and Paced Mode will always contain a value, regardless of whether the patient is fully
admitted or not. If you do not specify settings for these fields, the monitor uses the default settings from the current profile, which might not be correct for your patient.
Patient category
Changing the patient category may change the arrhythmia and NBP alarm limits. If possible, always load a suitable profile after changing patient category, and always check alarm limits to make sure that they are appropriate for your patient.
Paced mode
For paced patients, you must set
Paced Mode to On. If it is incorrectly set to Off, the monitor could
mistake a pace pulse for a QRS and fail to alarm during asystole. With PIIC iX, the paced mode may be
Unconfirmed which will assume a pacemaker is present. You should still set the Paced Mode to On
for paced patients to make the status clear.
Admitting a Centrally-Monitored Patient
You can admit a patient at either the bedside or the Information Center. When you admit a patient, the patient's name appears on the bedside monitor and the Information Center.
Paced
If you do not fill in all patient information required by the Information Center, the Information Center may reject the admission. Complete all the required fields and try again to admit the patient.
Quick Admitting a Patient
Use Quick Admit to quickly admit a patient using only a limited set of demographic data.
1 Select the Quick Admit SmartKey.
2 Enter the required data (ID fields or last name depending on configuration) with the keyboard or a
barcode scanner.
3 Select Enter.
4 In the confirmation window, select Confirm to stop monitoring for the previous patient or free up
the monitor (if confirmation is configured).
5 Check that patient category and paced status are correct for the new patient.
6 Check the current profile and, if necessary, load an appropriate profile.
If the monitor is connected to an Information Center and only the ID field is entered, the patient name may be set to - - - at the Information Center, depending on the configuration. With a PIIC iX, the Information Center can look-up patient information in a hospital information system (if available) and complete the patient demographics automatically. Otherwise, complete the rest of the demographic
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details as soon as possible to fully identify the patient on the network, on the monitor and on printed reports. To complete the details, open the
Patient Demographics window and complete all required
fields.
Editing Patient Information
To edit the patient information after a patient has been admitted, select the patient name field on the Main Screen to open the
PIIC iX If data has been provided by a hospital information system, you will not be able to edit it on the
Patient Demographics window, and make the required changes.
monitor.

Ending Monitoring for a Patient

There are several ways to end monitoring for a patient, depending on whether there is an Information Center connection, and on the configuration of the Information Center and the monitor. Discharging a patient and removing the monitor from a patient are described here. You can also end monitoring by admitting a new patient, as described in “When a Patient is Already Admitted” on page 91.
Discharging a Patient
The discharge function is only available when the patient is monitored centrally at an Information Center. A discharge transfers the patient out of the bed and frees all devices used for the patient. The discharge function may be disabled at a monitor designated as a transport monitor, to ensure that a patient cannot be accidentally discharged from the system when the transport monitor is used for another patient.
A discharge:
– clears the patient demographics – erases all patient measurement data (such as trend, event, and calculation data) from the
monitor, measurement modules and Information Center. This ensures that data from a
previous patient are not mixed with data from a new patient. – resets patient category and paced settings to the settings defined in the default Profile – resets all monitor and measurement settings as well as the active Screen to the settings defined
in the default Profile – discharges the patient from the Information Center.
Make sure that you have printed out any required reports before discharging. Check that a functioning local or central printer is available before you use
End Case.
To Discharge a Patient
1 Select the patient name field or select the Patient Demogr. SmartKey to open the Patient
Demographics
2 Select the pop-up key for either:
End Case - to print any configured end case reports or vital signs recording, discharge the
–
patient and clear the patient database, then enter standby mode. If an
configured for your monitor, you can also select this instead and then confirm.
To see which end case reports are set up for your monitor, select
Auto Reports. For each auto report, if End Case Report is set to On, this report will be
printed when you select
information on setting up end case reports.
Dischrge Patient - to discharge the patient without printing any reports.
–
window and associated pop-up keys.
End Case SmartKey is
Main Setup, Reports, then
End Case. See “Setting Up Auto Reports” on page 233 for
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6 Managing Patients and Equipment
Removing the Monitor
Removing a monitor stops using the monitor for the current patient and frees up the monitor and all devices assigned to that monitor.
Removing the monitor:
– clears the patient demographics in the monitor. – erases all patient measurement data (such as trend, event, and calculation data) from the
monitor and devices assigned to the monitor. This ensures that data from a previous patient
are not mixed with data from a new patient. – resets patient category and paced settings to the settings defined in the default Profile. – resets all monitor and measurement settings as well as the active Screen to the settings defined
in the default Profile.
If the monitor is locked to the bed and is connected to an Information Center, the remove function is not available and you will have to discharge the patient.
To Remove a Monitor
1 Open the Equipment window - either directly in Main Setup or by selecting the bed label in the
information line.
2 Select the monitor.
3 Select the Remove Monitor pop-up key.
New Patient Check
The monitor can be configured to ask you whether a new patient is now being monitored in certain situations:
• after a specified power-off period
• after a specified standby period
• when no basic vitals (HR, RR, Pulse, SpO
The pop-up window is entitled monitoring for the previous patient and begin monitoring a new patient and a monitoring with the current patient data and settings.
The time periods for the three conditions can be configured independently.
Is This A New Patient?. The monitor offers a Yes key to stop
, NBP) have been measured for a specified period
2

Transferring Patients

To save you from having to enter the same patient data multiple times and enable patient transfer without loss of data, patient demographic information is shared between patient monitors and Information Centers.

Data Exchange Between Information Centers

No key to continue
94
You can transfer demographic data and trend data from one IIC to another by selecting Transfer on the patient monitor. Trend data is not shared between Information Centers and monitors.
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6 Managing Patients and Equipment

Transferring Patients with IntelliVue Information Center iX

PIIC iX There are several ways to transfer a patient from or to another bed. When a patient is transferred to the
destination bed, Information Center monitoring continues in the destination bed and equipment that is not transferred with the patient is freed up.
Using the Transfer Function
PIIC iX To transfer a patient using the transfer function provided on the patient monitor by the Information
Center:
1 Select the patient name or the Not Admitted text at the top of the monitor screen to open the
Patient Demographics window.
2 Select the Transfer pop-up key.
Transfer window opens. If a patient is currently admitted, the window offers the possibility to
The transfer that patient to another bed ( window offers the possibility to transfer a patient from another bed using the patient search as described in “Using "Find Patient" to Search for Patient Data” on page 91.
3 With To Other Bed, if more than one unit is configured, a list of units will appear. When you have
selected a unit, or if only one unit is configured, a list of free beds will appear.
To Other Bed). If no patient is currently admitted, the
4 Select a bed from the list.
You will be asked to confirm the transfer of the patient to this bed.
5 Select Confirm to complete the transfer.
WARNING
Before doing a transfer ensure that no other patient is using the destination bed and/or equipment from the destination bed.
When a patient is transferred you need to check that the patient has all the required monitoring equipment at the destination bed.
Using the New Patient Key
PIIC iX If the monitor at the destination bed is not free:
1 Select the patient name field at the top of the monitor to open the Patient Demographics
window.
2 Select New Patient to free up the monitor.
3 Select Find Patient and enter your patient's name to get the patient data from the system.
When you select your patient from the list, you will be asked to confirm that the patient should be transferred into this bed. After confirmation the transfer is complete.
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6 Managing Patients and Equipment

Transferring Patients with IntelliVue Information Center

Transferring a Centrally-Monitored Patient with the Monitor
Scenario: A centrally-monitored patient is moved with the monitor to another monitoring location on the same Information Center database server without interrupting the collection of patient trend information.
1 Select the patient name field or select the Patient Demogr. SmartKey to open the Patient
Demographics
monitored by an Information Center, the This step preserves the patient's demographic data during the transfer.
2 At the new location, connect the monitor to the network (only needed for wired networks). If the
monitor detects a patient mismatch, a window will open showing your patient's data and asking
Complete Transfer Of This Patient?.
3 Select Yes to complete the transfer.
4 Verify that the settings for patient category and paced mode are correct.
window, then select the Transfer pop-up key. If the patient is not admitted or not
Transfer key is inactive ("grayed-out").
If you accidentally transfer a patient, use
Re-Admit to restore this patient's data to the Information
Center. If you are not connected to the network, select patient data remains in the monitor.

Resolving Patient Information Mismatch

When you connect together devices which store patient demographic data, for example, a monitor and an Information Center, the system compares patient category, paced status, and unique patient identification in order to synchronize this information. If configured to do so, the monitor indicates a mismatch if the information is not identical.
WARNING
• It is important to resolve the mismatches as soon as they are identified. Failure to do so could result in using incorrect/confusing data to make clinical decisions. Certain settings, for example
Paced Mode and Patient Cat., may not match between the Information Center and the monitor.
If the
Paced Mode is set incorrectly, the system could mistake a pace pulse for a QRS and fail to
alarm in the case of asystole. It is important that the patient category is set correctly so the ECG can be analyzed correctly and initial arrhythmia alarm limits set. A appear when a mismatch has not been resolved.
• As long as patient mismatch has not been resolved, data integration in the Information Center and the own patient overview functionality might not work as equipment is not assigned correctly to the patient.
Clear Transfer to leave transfer mode. The
Check Patient ID INOP will
96
PIIC • When a monitor is connected to an Information Center by the wireless IntelliVue Instrument
Telemetry interface, the patient data will automatically be merged in the case of a transfer. This means there is no patient discharge at the monitor and settings and trend data will be retained. You will see a message on the monitor and the
Patient Demographics window will automatically
appear so that you can check the data and change it if necessary.
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Manually Resolving Patient Mismatch

The source of the patient mismatch is indicated by question marks (???) and displayed in the status line at the bottom of the screen (
Select Patient window automatically opens so you can decide which patient data to use. You do
The not have to resolve the mismatch immediately, but the indicators remain until you do. After 5 minutes
Check Patient ID INOP will appear to remind you to resolve the mismatch.
a
For some common mismatch situations, the monitor will simplify the resolution by suggesting a solution for the mismatch. For example, when a patient arrives after transport and the has been selected, the monitor will show this patient's data and ask
Patient? Patient
. You can then select Yes to complete the transfer. If you select No you will go to the Select
window.
After you resolve the mismatch, the monitor displays a confirmation window that shows the patient that has been selected and where data will be erased, if applicable. Confirm your choice. The monitor automatically displays the shown are correct for the patient.
Gender, date of birth, height, weight, and nursing notes do not generate a mismatch. If these fields are different on different devices, the monitor resolves them itself. For example, it may take date of birth from the Information Center, whilst taking gender from the monitor. Always check the patient demographics after combining patients, to ensure that you are satisfied with the results. Change them if necessary.
Patient ???, Patient Category ??? or Paced Mode ???).
Patient Demographics window after confirmation. Verify that the settings
6 Managing Patients and Equipment
Transfer key
Complete Transfer Of This
WARNING
After resolving a patient mismatch, check that the monitor settings (especially patient category, paced status and alarm limits) are correct for the patient.
Patient Mismatch - If One Set of Patient Data is Correct
If there is a mismatch between an Information Center and a monitor, choose the data set you want to continue using for this patient by selecting one of the sectors in the
After you resolve the mismatch, the monitor displays a confirmation window that shows the patient that has been selected and where data will be erased, if applicable. Confirm your choice. The monitor automatically displays the shown are correct for the patient.
Patient Demographics window after confirmation. Verify that the settings
Select Patient window.
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6 Managing Patients and Equipment
Patient Mismatch - If Neither Patient Data Set is Correct
A patient mismatch where neither set of patient data is correct might occur if you connect a new MMS to a monitor in order to prepare for a new patient, before you actually start measuring.
New Patient if you are sure that none of the information is correct. This uses the bed, monitor
Select and MMS for a new patient, erases all data in both the monitor and MMS, resets all settings to the default Profile, and lets you admit a new patient.

Managing Equipment

Multiple pieces of monitoring equipment can be used for a patient. The association between a patient and a device can be made by:
• identifying the patient at the device (by entering patient data or using data)
• "adding" equipment for an existing patient
The association between a patient and a device can be ended by:
• discharging the patient, or selecting
• "removing" the device from the patient.
• transferring the patient without the device.
• admitting a new patient to the device.
• automatic freeing of the device.
WARNING
In all cases listed above, when equipment is freed, all patient identification and measurement data are deleted, all settings are reset to the defaults, and monitoring at the Information Center (if active) is stopped. Any associated devices, e.g. multi measurement modules connected to a monitor, or cableless measurement devices assigned to a monitor, may also be freed, depending on the configuration.

Adding Equipment (PIIC iX)

By selecting the Add Equipm. key you can display a list of all free equipment (not currently assigned to a patient) and select a device for use with this patient. If you add another monitor, you need to confirm this at the selected monitor.
Find Patient to get patient
End Case.

Removing Equipment

The association between a monitor and the patient can be ended by selecting Remove Monitor. With PIIC iX, the
Other equipment such as telemetry devices or IntelliVue Cableless Measurements can be removed by selecting the device then selecting
Remove Monitor key is not available when the monitor is locked to a bed.

Equipment Status Disputes

Equipment can come into situations where its status does not match its location. There are three typical situations where this may occur:
• PIIC iX only - equipment is locked to a bed, but has been removed and used at another bed.
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Remove in the menu displayed.
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6 Managing Patients and Equipment
• PIIC iX only - equipment has been configured for use in a specific unit, but is now being used in a different unit.
• Equipment has an equipment label but has not been configured at the Information Center and therefore cannot be managed.
If a monitor or a companion device is in one of these situations, a appear and the equipment status will be shown in the
The following symbols (in red) are used to show the status in the
equipment is locked to another bed
equipment is not configured for use in this unit
equipment label is not in system configuration, or duplicate equipment labels

Using the Equipment Window

In the Equipment window you have access to patient management, workflow functions (set location, transfer), equipment management functions (add/remove equipment) and caregiver-related functions.
You can open the information line.
Equipment window directly in Main Setup or by selecting the bed label in the
Check Equipment INOP will
Equipment window.
Equipment window:
1 This bed is Bed 8, the connection to the Information Center is active.
2 Caregiver area - depending on your network connection, the name of assigned caregiver may be
shown.
3 Patient name, category and paced mode.
4 This monitor is assigned to the patient and is the one on which you are viewing the window.
The top part of the window contains the patient data, with the assigned caregiver and the status of the connection to the Information Center, and the bed label. In the lower part of the window, all equipment for this patient is shown, with the corresponding assignments and connections.
The device you are currently viewing the window on is shown with a dark background (in the above example, the monitor with the label wm8).
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6 Managing Patients and Equipment
Changing Caregiver Assignment
When a caregiver is assigned, the caregiver name may appear next to the caregiver symbol in the
Equipment window (depending on your network connection). Whether the name is shown or not,
when you select this area of the window, a menu opens offering the following functions:
PIIC iX • Select Caregiver - you can select a different caregiver from a list. When a new caregiver is
assigned, the patient will be automatically added to that caregiver's Care Group. The availability of the function and the caregiver list depends on the Information Center configuration.
My Patients - opens the My Patients window showing all patients in your Care Group.
•
Using the Patient Area
The patient name, patient category and paced status are normally shown in the Equipment window. When a patient has been prepared for transfer, the transfer symbol will be shown:
When you select this area in the
Demographics Case
function.
window, the Transfer function (see “Transferring Patients” on page 94) and the End
Equipment window, a menu opens giving access to the Enter
Changing the Location
If the monitor is currently assigned to a bed, but the patient is in another department for treatment or a diagnostic procedure, you can show a temporary location for the patient.
1 Select the Information Center area on the Equipment window.
2 Select the current location from the list.
Or alternatively use the
The temporary location is then shown in the
Select Location pop-up key.
Equipment window, on the Standby screen on the
monitor, and in the sector at the Information Center. When the patient returns, you can set the location back to the bed number in the same way as described above.

When Multiple Equipment is Used for One Patient

It is possible to assign additional monitoring equipment and a telemetry device to the same patient, resulting in the information from multiple devices being combined in one sector at the Information Center. The measurement data from the other devices will be displayed on the monitor screen in the own patient overview window.
100
WARNING
When new equipment has been added for a patient, you will be asked to confirm that the device be used for the patient. Always do this as soon as possible to avoid patient data mismatch.
If multiple equipment is assigned to the patient, resolving a patient mismatch at the monitor may resolve other pending patient mismatches or remove other associated equipment.
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