How it Works
Philips Medical Systems North America
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WLANBV3
Users Manual
334 pgs2.87 Mb0
Table of contents
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Philips Medical Systems North America WLANBV3 Users Manual

Instructions for Use
IntelliVue Patient Monitor
MP2
Release L with Software Revision L.xx.xx
Patient Monitoring
1Table of Contents
1 Basic Operation 11
2 What's New? 41
3 Alarms 47
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4 Patient Alarms and INOPs 61
5 Managing Patients and Equipment 85
6 ECG, Arrhythmia, ST and QT Monitoring 105
Skin Preparation for Electrode Placement 105 Connecting ECG Cables 105 Selecting the Primary and Secondary ECG Leads 106 Checking Paced Mode 106 Understanding the ECG Display 107 Monitoring Paced Patients 108 Changing the Size of the ECG Wave 109 Changing the Volume of the QRS Tone 110 Changing the ECG Filter Settings 110 Choosing EASI or Standard Lead Placement 110 Selecting Positions of Va and Vb Chest Leads (for 6-lead placement) 111 About ECG Leads 111 ECG Lead Fallback 112 ECG Lead Placements 112 Capture 12-Lead 118 EASI ECG Lead Placement 122 ECG and Arrhythmia Alarm Overview 123 Using ECG Alarms 125 ECG Safety Information 127 About Arrhythmia Monitoring 129 Switching Arrhythmia Analysis On and Off 129 Choosing an ECG Lead for Arrhythmia Monitoring 129 Understanding the Arrhythmia Display 131 Arrhythmia Relearning 134 Arrhythmia Alarms 135 About ST Monitoring 139 Switching ST or STE On and Off 140
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Understanding the ST Display and Windows 141 Updating ST Baseline Snippets 143 About the ST Measurement Points 143 ST Alarms 146 STE Alarms 147 Viewing ST Maps 147 About QT/QTc Interval Monitoring 152 QT Alarms 155 Switching QT Monitoring On and Off 156
7 Monitoring Pulse Rate 157
Entering the Setup Pulse Menu 157 System Pulse Source 157 Switching Pulse On and Off 158 Using Pulse Alarms 158
8 Monitoring Respiration Rate (Resp) 161
Lead Placement for Monitoring Resp 161 Understanding the Resp Display 162 Changing Resp Detection Modes 163 Changing the Size of the Respiration Wave 164 Changing the Speed of the Respiration Wave 164 Using Resp Alarms 164 Changing the Apnea Alarm Delay 164 Resp Safety Information 164
9 Monitoring with the CL Respiration Pod (cmResp) 167
Measurement Principles 167 Measurement Modes 168 Making Measurements 168 Understanding the Numerics 168 Setting the Measurement Mode 169 Setting the Repeat Time 169 Switching Posture and Activity Level On and Off 170
10 Monitoring SpO2 171
SpO2 Sensors 171 Applying the Sensor 172 Connecting SpO2 Cables 173 Measuring SpO2 173 Understanding the SpO2 Numerics 174 Assessing a Suspicious SpO2 Reading 175 Changing the Averaging Time 175 Setting the Measurement Mode 176 Understanding SpO2 Alarms 176 Pleth Wave 181
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Perfusion Numeric 181 Perfusion Change Indicator 181 Setting SpO2/Pleth as Pulse Source 181 Setting Up Tone Modulation 182 Setting the QRS Volume 182
11 Monitoring NBP 183
Introducing the Oscillometric NBP Measurement 183 Preparing to Measure NBP 185 Starting and Stopping Measurements 187 Enabling Automatic Mode and Setting Repetition Time 188 Enabling Sequence Mode and Setting Up The Sequence 189 Choosing the NBP Alarm Source 189 Switching Pulse from NBP On/Off 190 Assisting Venous Puncture 190 Calibrating NBP 190
12 Monitoring Temperature 191
Making a Temp Measurement 191 Calculating Temp Difference 192
13 Monitoring Invasive Pressure 193
Setting up the Pressure Measurement 193 Overview of Calibration Procedures 195 Zeroing the Pressure Transducer 195 Calibrating Reusable Transducers 197 Adjusting the Calibration Factor 199 Displaying a Mean Pressure Value Only 199 Changing the Pressure Wave Scale 199 Optimizing the Waveform 199 Non-Physiological Artifact Suppression 199 Choosing the Pressure Alarm Source 200 Calculating Cerebral Perfusion Pressure 201
14 Monitoring Carbon Dioxide 203
Measurement Principles 204 Measuring CO2 using the CO2 Option or M3014A 205 Measuring Microstream CO2 using M3015A/B 209 Setting up all CO2 Measurements 210 Understanding the IPI Numeric 213
15 Using a Telemetry Device and a Monitor 215
How Can You Combine Devices? 215 Unpairing the Monitor and Telemetry Device 218 Temporarily Stopping the Short Range Radio Connection 218
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16 Enhancing Telemetry Monitoring with the Monitor 219
Monitor and Telemetry Transceiver Requirements 219
17 Trends 221
Viewing Trends 221 Setting Up Trends 224 Documenting Trends 227 Trends Databases 227 Screen Trends 228
18 Recording 231
Starting and Stopping Recordings 231 Overview of Recording Types 232 Creating and Changing Recordings Templates 232 Recorder Status Messages 233
19 Printing Patient Reports 235
Starting Report Printouts 235 Stopping Reports Printouts 236 Setting Up Reports 236 Setting Up Individual Print Jobs 238 Checking Printer Settings 238 Printing a Test Report 239 Switching Printers On or Off for Reports 239 Dashed Lines on Reports 239 Unavailable Printer: Re-routing Reports 239 Checking Report Status and Printing Manually 240 Printer Status Messages 241 Sample Report Printouts 242
20 Care and Cleaning 245
General Points 245 Cleaning the Monitor 246 Disinfecting the Equipment 246 Sterilizing the Equipment 247 Cleaning, Sterilizing and Disinfecting Monitoring Accessories 247 Cleaning Batteries and the Battery Compartment 247
21 Using Batteries 249
Battery Power Indicators 250 Checking Battery Charge 252 When Battery Lifetime is Expired 252 Replacing a Battery 253 Optimizing Battery Performance 254 Battery Safety Information 256
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22 Maintenance and Troubleshooting 257
Inspecting the Equipment and Accessories 257 Inspecting the Cables and Cords 258 Maintenance Task and Test Schedule 258 Troubleshooting 258 Disposing of the Monitor 259 Disposing of Empty Calibration Gas Cylinders 259
23 Accessories 261
ECG/Resp Accessories 261 NBP Accessories 264 Invasive Pressure Accessories 270 SpO2 Accessories 273 Temperature Accessories 278 Mainstream CO2 Accessories 279 Sidestream CO2 Accessories 279 Microstream CO2 Accessories 280 Battery Accessories 281
24 Specifications 283
Indications for Use 283 Use Environment 283 Restricted Availability 284 Manufacturer's Information 284 Symbols 285 Installation Safety Information 287 Monitor Mounting Precautions 287 Altitude Setting 288 Monitor Safety Specifications 288 EMC and Radio Regulatory Compliance 288 Out-Of-Hospital Transport - Standards Compliance 290 Physical Specifications 291 Environmental Specifications 292 Monitor Performance Specifications 293 Monitor Interface Specifications 294 865297 Battery Extension Specifications 296 M4607A Battery Specifications 296 M4605A Battery Specifications 297 Measurement Specifications 298 Safety and Performance Tests 312
25 Default Settings Appendix 317
Alarm and Measurement Default Settings 317 Alarm Default Settings 317 ECG, Arrhythmia, ST and QT Default Settings 318 Pulse Default Settings 321
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Respiration Default Settings 321 SpO2 Default Settings 322 NBP Default Settings 322 Temperature Default Settings 323 Invasive Pressure Default Settings 323 CO2 Default Settings 325
Index 327
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1Basic 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.
1
This guide may contain descriptions of functionality and features that are not implemented in the equipment currently shipped to Japan and/or of products that are not currently sold in Japan due to limitations and restrictions under the applicable local laws and regulations in Japan. Contact your local sales representative and/or Philips Customer Support for details.
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.
For installation, repair, testing and troubleshooting instructions, refer to the Service Guide for your monitor model.
Rx only: U.S. Federal Law restricts this device to sale by or on the order of a physician.
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1 Basic Operation

Safety Information

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

Electrical Hazards and Interference

WARNING
Grounding: To avoid the risk of electric shock, the monitor must be grounded during operation. If a three-wire receptacle is not available, consult the hospital electrician. Never use a three-wire to two­wire adapter.
Electrical shock hazard: Do not open the monitor or measurement device. Contact with exposed electrical components may cause electrical shock. Refer servicing to qualified service personnel.
Leakage currents: If multiple instruments are connected to a patient, the sum of the leakage currents may exceed the limits given in:
• IEC/EN 60601-1
• ANSI/AAMI ES60601-1
• CAN/CSA C22.2 No. 60601-1-08
Consult your service personnel.
Radio frequency interference: The monitor generates, uses and radiates radio-frequency energy, and if it is not installed and used in accordance with its accompanying documentation, may cause interference to radio communications.

Use Environment

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

Alarms

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

Accessories

WARNING
Philips' approval: Use only Philips-approved accessories. Using other accessories may compromise device functionality and system performance and cause a potential hazard.
Reuse: Never reuse disposable transducers, sensors, accessories and so forth that are intended for single use, or single patient use only. Reuse may compromise device functionality and system performance and cause a potential cross-infection hazard.
1 Basic Operation
volume to a low level or off during patient monitoring may result in patient danger. Remember that the most reliable method of patient monitoring combines close personal surveillance with correct operation of monitoring equipment.
different patients. Always check that the alarm settings are appropriate for your patient before you start monitoring.
Electromagnetic compatibility: Using accessories other than those specified may result in increased electromagnetic emission or decreased electromagnetic immunity of the monitoring equipment.
Damage: Do not use a damaged sensor or one with exposed electrical contacts. Do not use damaged accessories. Do not use accessories where the packaging has been damaged or opened.
Cables and tubing: Always position cables and tubing carefully to avoid entanglement or potential strangulation.
MR Imaging: During MR imaging, remove all transducers, sensors and cables from the patient. Induced currents could cause burns.
Use-by date: Do not use accessories where the use-by date has been exceeded.
Electrosurgery: Do not use antistatic or conductive endotracheal tubes as they may cause burns in
case of electrosurgery.

Security Information

Protecting Personal Information

Protecting personal health information is a primary component of a security strategy. Each facility using the monitors must provide the protective means necessary to safeguard personal information consistent with country laws and regulations, and consistent with the facility’s policies for managing this information. Protection can only be realized if you implement a comprehensive, multi-layered strategy (including policies, processes, and technologies) to protect information and systems from external and internal threats.
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1 Basic Operation
As per its intended use, the patient monitor operates in the patient vicinity and contains personal and sensitive patient data. It also includes controls to allow you to adapt the monitor to the patient's care model.
To ensure the patient's safety and protect their personal health information you need a security concept that includes:
• Physical security access measures - access to the monitor must be limited to authorized users.
• Operational security measures - for example, ensuring that patients are discharged after
• Procedural security measures - for example, assigning only staff with a specific role the right to
In addition, any security concept must consider the requirements of local country laws and regulations.
Always consider data security aspects of the network topology and configuration when connecting patient monitors to shared networks. Your medical facility is responsible for the security of the network, where sensitive patient data from the monitor may be transferred.
When a monitor is returned for repair, disposed of, or removed from your medical facility for other reasons, always ensure that all patient data is removed from the monitor by ending monitoring for the last patient (see “Ending Monitoring for a Patient” on page 89).
It is essential that you consider physical security measures to ensure that unauthorized users cannot gain access.
monitoring in order to remove their data from the monitor.
use the monitors.
NOTE
Log files generated by the monitors and measurement modules are used for system troubleshooting and do not contain protected health data.

About HIPAA Rules

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

About the EU Directives

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

Philips Product Security Policy Statement

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

Manufacturer Disclosure Statement for Medical Device Security – MDS2

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

Introducing the 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.
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.
. Through networking it provides information
2
, and optionally
2
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 249.

Controls, Indicators and Connectors

MP2 Overview

1 On/Standby Switch
2 Power and battery indicators (see “MP2 Controls and Indicators” on page 16)
3 3.5-inch TFT LCD touchscreen QVGA display
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1 Basic Operation
Alarm lamps (see “MP2 Controls and Indicators” on page 16)
4
5 Built-in carrying handle
6 Battery eject button
7 Keys (see “MP2 Controls and Indicators” on page 16)
8 Measurement connectors (see “MP2 Patient Connectors, Right Side” on page 17)
9 Battery

MP2 Controls and Indicators

1 On/Standby switch
2 On/Standby LED. Green when monitor is on. Red indicates an error.
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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MP2 Patient Connectors, Right Side

English version International version
1 Basic Operation
1 Pressure (option)
2 Temperature (option)
3 Noninvasive blood pressure

MP2 Left Side

4 SpO
5 ECG sync pulse output (See
6 ECG/Respiration
7 CO
1 Loudspeaker (do not cover with labels or stickers as this
will reduce the loudspeaker volume).
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
“Monitor Performance Specifications” on page 293 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 20).
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1 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
• The Cardiac Output and Continuous Cardiac Output option of the MMS extensions is not available for the MP2 monitor.
To separate an extension from the monitor, press the release lever and push the extension forward.
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1 Basic Operation

M3014A, M3015A, and M3015B 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 to the monitor.
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
2
either pressure or temperature to the monitor. The optional M3015B Microstream CO adds microstream capnography, two pressures and a temperature to the monitor.
M3015A M3015B
2
extension
2
1 Pressure connectors (red) - M3015A optional
2 Temperature connector (brown) - M3015A optional
3 Gas sample outlet
4 Microstream connector CO
and Inlet
2
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1 Basic Operation

M3012A Hemodynamic MMS Extension

1 Cardiac Output (orange; optional)
2 Connection to monitor
3 Pressure connectors (red)
4 Temperature connectors (brown)
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.

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.
When running from the Battery Extension with no mains supply available, the monitor will not charge its internal battery.
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.
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LED Indicators
The Battery Extension has two LED indicators. The power LED lights green when the Battery Extension is connected to external power.
1 Basic Operation
To remove the monitor with MMS Extension, press the release lever and push the monitor across to release the connection.
The battery charge led gives battery status information.
External power available
LED indication Status
green Battery fully charged.
yellow Battery charging.
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
LED indication Status
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.
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1 Basic Operation

IntelliVue Cableless Measurements

The IntelliVue Cableless Measurements (IntelliVue CL SpO2 Pod CL NBP Pod and CL Respiration Pod) are patient-worn measurement devices which communicate measurement values to the monitor
using a wireless short range radio (SRR) interface. The CL SpO measurement values on their built-in screen.
Measurement Device Main Parts and Keys
The SpO2 Pod and the NBP Pod have an LCD display and three keys for basic operation e.g. to assign the device to a patient:
1 Integrated monochrome LCD display
2 Hardkeys
3 Measurement identifier
Pod and CL NBP also provide the
2
The Respiration Pod has one multi-color LED for status display and one hardkey for basic operation, e.g. to start a measurement:
1 Multi-color LED
2 Hardkey
3 Indication for built-in RFID tag

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 “MP2 Controls and Indicators” on page 16).
These let you: Key with symbol
• 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.
(international)
Text replaces symbol (English versions only)
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1 Basic Operation
These let you: Key with symbol
(international)
• 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)
MP2 Screen Elements
Item Description Comments
1 Alarm volume off indicator
is displayed when the alarm volume is set to zero
(0).
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1 Basic Operation
MP2 Screen Elements
Item Description Comments
2 Patient name / alarm
message field
3 Patient category and bed label
/ INOP message field
4 Network connection
indicator
5 Measurement label Touch the measurement to enter the measurement setup
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
10 Measurement Selection key Opens the
11 Battery status indicator Gives information about remaining battery charge,
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.
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.
Documented in Information Center Instructions for Use.
menu.
action.
Measurement Selection window which shows all
measurements and where they are physically located. From here you can also enter the measurement setups.
estimated operating time, maintenance requirements and malfunctions. See the chapter “Using Batteries” on page 249.

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.
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Touch the measurement numeric on the screen to enter the setup menu.
Key to measurement setup menu:
Item Description Comment
1 Basic Operation
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

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.
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
Start/ Stop key for noninvasive 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
Repeat Time key for setting the repetition time opens a
pop-up window from which you pick a time, scrolling if necessary.
For this reason, this book generally describes entry to a measurement’s setup menu via the
Main Setup
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
Main Setup menu. You enter the Main Setup menu by pressing the
Main Setup SmartKey.
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1 Basic Operation

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
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
lock touchscreen operation set alarm limits
change alarm volume change screen brightness (not for
change QRS volume change amplitude (size) of ECG wave
review beat labels (annotate arrhythmia wave)
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
independent displays)
re-learn arrhythmia
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- start/stop manual NBP measurement
- start auto series
- stop current automatic measurement within series
start NBP STAT measurement
1 Basic Operation
stop automatic or STAT NBP measurement and measurement series
start veni puncture (inflate cuff to subdiastolic pressure)
set the NBP repeat time access patient reports
switch CO
new lead setup set standard or EASI lead placement
review vital signs trend review graph trend
unpair equipment and continue central monitoring with the monitor
start 12-Lead Capture (only available if Information Center is connected)
select measurement device start an SpO
pump off zero invasive pressure transducer
2
start NBP measurement and measurement series
stop current NBP measurement
unpair equipment and continue central monitoring with the telemetry device
access ST Map application
measurement
2
access NBP mode selection and setup, with direct start/stop function

Pop-Up Keys

Pop-up keys are task-related graphical keys that appear automatically on the monitor screen when required. For example, the
Confirm pop-up key appears only when you need to confirm a change.

Using the On-Screen Keyboard

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

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.
open the
Equipment window
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1 Basic Operation
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
• Demonstration Mode: Passcode protected, this is for demonstration purposes only. You must
• Configuration Mode: Passcode protected, this mode is for personnel trained in configuration
• 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.
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.
not change into Demonstration Mode during monitoring. In Demonstration Mode, all stored trend information is deleted from the monitor’s memory.
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.

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.
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.
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.
Main Setup SmartKey, then select Monitor Standby.
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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.
1 Basic Operation
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.

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 also operate the monitor from the external display. The XDS must be connected to the same Local Area Network (LAN) as the monitor.
Change Screen menu.
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.
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1 Basic Operation

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. When the visitor Screen is selected, no automatic pop-up windows will be displayed. 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,
• 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.
WARNING
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• 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.
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