Table of Contents 1 Basic Operation Safety Information Security Information Introducing the IntelliVue MP2 Controls, Indicators and Connectors Extending Measurements Operating and Navigating Operating Modes Understanding Screens Using the XDS Remote Display Using the Visitor Screen Understanding Profiles Understanding Settings...
Reviewing Alarms Latching Alarms Testing Alarms Alarm Behavior at Power On Alarm Recordings 4 Patient Alarms and INOPs Patient Alarm Messages Technical Alarm Messages (INOPs) 5 Managing Patients and Equipment Patient Concepts Equipment Concepts Managing Patients Transferring Patients Managing Equipment Information Center Compatibility 6 ECG, Arrhythmia, ST and QT Monitoring Skin Preparation for Electrode Placement...
Understanding the ST Display and Windows Updating ST Baseline Snippets About the ST Measurement Points ST Alarms STE Alarms Viewing ST Maps About QT/QTc Interval Monitoring QT Alarms Switching QT Monitoring On and Off 7 Monitoring Pulse Rate Entering the Setup Pulse Menu System Pulse Source Switching Pulse On and Off Using Pulse Alarms...
Perfusion Numeric Perfusion Change Indicator Setting SpO2/Pleth as Pulse Source Setting Up Tone Modulation Setting the QRS Volume 11 Monitoring NBP Introducing the Oscillometric NBP Measurement Preparing to Measure NBP Starting and Stopping Measurements Enabling Automatic Mode and Setting Repetition Time Enabling Sequence Mode and Setting Up The Sequence Choosing the NBP Alarm Source Switching Pulse from NBP On/Off...
16 Enhancing Telemetry Monitoring with the Monitor Monitor and Telemetry Transceiver Requirements 17 Trends Viewing Trends Setting Up Trends Documenting Trends Trends Databases Screen Trends 18 Recording Starting and Stopping Recordings Overview of Recording Types Creating and Changing Recordings Templates Recorder Status Messages 19 Printing Patient Reports Starting Report Printouts...
22 Maintenance and Troubleshooting Inspecting the Equipment and Accessories Inspecting the Cables and Cords Maintenance Task and Test Schedule Troubleshooting Disposing of the Monitor Disposing of Empty Calibration Gas Cylinders 23 Accessories ECG/Resp Accessories NBP Accessories Invasive Pressure Accessories SpO2 Accessories Temperature Accessories Mainstream CO2 Accessories Sidestream CO2 Accessories...
Basic 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).
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.
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.
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...
CO . Through networking it provides information 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.
Alarm lamps (see “MP2 Controls and Indicators” on page 16) Built-in carrying handle Battery eject button Keys (see “MP2 Controls and Indicators” on page 16) Measurement connectors (see “MP2 Patient Connectors, Right Side” on page 17) Battery MP2 Controls and Indicators On/Standby switch On/Standby LED.
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”...
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 •...
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 Pressure connectors (red) Temperature connector (brown) Mainstream/sidestream connector CO Cardiac Output connector The optional M3015A Microstream CO...
Connection to monitor Pressure connectors (red) 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).
1 Basic Operation To remove the monitor with MMS Extension, press the release lever and push the monitor across to release the connection. LED Indicators The Battery Extension has two LED indicators. The power LED lights green when the Battery Extension is connected to external power.
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).
To temporarily disable the touchscreen operation, press and hold this key for 2 seconds. Press the key again to re- enable the touchscreen operation. A typical main screen looks like this: MP2 Screen Elements Item Description Comments Alarm volume off indicator is displayed when the alarm volume is set to zero (0).
1 Basic Operation MP2 Screen Elements Item Description Comments Patient name / alarm Patient name can be covered by alarm messages or alarms message field On/Off/Paused message. If red and yellow alarms are active at the same time, they rotate in the alarm field.
1 Basic Operation Touch the measurement numeric on the screen to enter the setup menu. Key to measurement setup menu: Item Description Comment INOP and alarm These are always displayed at the top of the screen. message field Wave/numerics The main measurement numeric and wave (if applicable) are shown window in this window so that you do not lose sight of the current measurement while making changes in the menu.
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 window generally looks like this: SmartKeys...
1 Basic Operation stop automatic or STAT NBP start NBP measurement and measurement and measurement series measurement 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 new lead setup...
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 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.
1 Basic Operation 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.
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.
1 Basic Operation • If your monitor is configured to show the profile name in the info line at the top of the screen, be aware that individual settings may have been changed by other users or by settings synchronization since the profile was loaded.
1 Basic Operation 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 Changing Measurement Settings Each measurement has a setup menu in which you can adjust all of its settings.
1 Basic Operation 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, Select Main Setup and then select User Interface Select , as required Global Speed...
1 Basic Operation Depending on your configuration, the monitor will either • display the window automatically for you to resolve the conflict Measurement Selection • take no action, you must enter the Measurement Selection window (using the measurement selection key) and resolve the conflict Measurement selection key All the currently available measurements are depicted in the window.
Configuration Guide for details. Adding With an RFID Reader and Tagged Cableless Devices You can directly add all cableless devices that have RFID tags with a Philips HS1-R RFID/barcode reader. The Respiration Pod has a built-in RFID tag. The SpO and NBP Pods can have IntelliVue ProxiTag RFID tags adhesively attached.
1 Basic Operation The cableless measurement device is now added to the monitor. 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 by selecting Replace If a cableless measurement of the same type is already assigned to the monitor, you will be asked to confirm that it should be removed by selecting...
1 Basic Operation Changing Monitor Settings To change monitor settings such as brightness, or QRS tone volume: Press the SmartKeys key Either Select the appropriate SmartKey for the setting you want to change Or Enter the menu by selecting the SmartKey;...
1 Basic Operation 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. Before you start to make measurements, carry out the following checks on the monitor. –...
1 Basic Operation WARNING When connecting devices for acquiring measurements, always position cables and tubing carefully to avoid entanglement or potential strangulation. If using IntelliVue Cableless Measurements, – apply the SpO sensor, Respiration Pod and/or NBP cuff to the patient as described in the cableless measurements Instructions for Use.
1 Basic Operation 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). 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.
12-Lead ECG waiting to be stored. This functionality requires corresponding configuration and licenses at the Information Center. Check with your Philips representative for availability. Lead Selection for Respiration Measurement It is now possible to choose between two different lead vectors for the impedance respiration measurement.
2 What's New? What's New in Release K.2 Cableless Respiration Measurement The new CL Respiration Pod can be used with the monitor. It is a battery-powered, cableless, respiration rate measuring device that is applied to the patient's chest using an adhesive attachment. In addition to the respiration rate it can also provide posture information and optionally a pulse measurement.
2 What's New? Alarm Functionality Enhancements • Pause Yellow Alarms (with PIIC iX only) - up until now, the Pause Alarms Alarms Off switched off or paused all red and yellow alarms. Now an alarm priority configuration setting is available to have only yellow alarms affected. •...
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.
2 What's New? SpO2 Enhancements • Additional SpO Labels - labels have been added. SpO₂pr SpO₂po • New manual measurement mode when telemetry devices are connected via a short range radio link. • Signal Quality Indicator displayed with the SpO numerics.
2 What's New? 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).
Alarms 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).
3 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.
3 Alarms 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 is enabled and there is sufficient room on the Show ALarmLimits screen. Alarm Lamp A lamp on the monitor's front panel flashes.
3 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.
3 Alarms 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...
3 Alarms To view the alarm pause setting chosen for your unit, Select , then Main Setup Alarms Alarm Settings 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.
3 Alarms 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 Al. Paused x:yy Alarms Off , together with the alarms paused symbol or the alarms off symbol.
3 Alarms Alarm Settings for Unattended Monitoring When monitoring patients that are not continuously attended, use appropriate alarm settings to optimize monitoring: • Always leave alarms switched on when the patient is unattended. • Recommended configuration: Use one of the temporary settings for the Alarms Off setting, not , and make sure that the...
3 Alarms Graphic view of current yellow and red alarm limits and currently monitored measurement value. indicates the measurement is switched off Measurement labels, with alarms off symbol where appropriate 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.
3 Alarms Parameter label High red alarm (view only) High yellow alarm field. Select to open a pop-up list of high alarm limits Alarms On/Off key - select to toggle between alarms on or off Preview Alarm AutoLimits for a measurement before applying Select to apply wide AutoLimits Select to apply narrow AutoLimits...
3 Alarms Wide alarm limits Narrow alarm limits Alarm Limits Measurement value sets limits close to the currently measured values for situations where it is critical for you Limits Narrow 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.
3 Alarms Review Alarms Window 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.
3 Alarms Alarm Latching Behavior Red & Yellow Measurement Non-latching alarms Visual and audible latching Visual latching, audible Alarms non-latching Alarm has not Alarm condition Alarm tone on. Alarm lamp on. Alarm tone on. Alarm lamp Alarm tone on. Alarm lamp been still present.
3 Alarms 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. Press the SmartKey. Main Setup Select Alarms from the Main Setup menu.
Patient 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, and SpO alarms are explained...
4 Patient Alarms and INOPs Alarm Message From Condition Indication *** Brady (Pulse) SpO2, Press, Pulse rate < the extreme brady alarm limit. numeric flashes and alarm limit is cmResp highlighted, red alarm lamp, alarm tone *** Bradypnea cmRR The respiration rate has dropped below the numeric flashes and alarm limit is bradypnea limit.
4 Patient Alarms and INOPs Alarm Message From Condition Indication ** etO₂ Low , AGM The end tidal O value has fallen below the low numeric flashes, and low limit is alarm limit. highlighted, yellow alarm lamp, alarm tone * Event Event surveillance An event has occurred and the event (on monitor) event group name...
4 Patient Alarms and INOPs Alarm Message From Condition Indication * Irregular HR ECG/Arrhythmia Consistently irregular rhythm (irregular R-R numeric flashes, yellow alarm lamp, intervals). short yellow audible alarm ** <iTemp Label> High iTemp The temperature value has exceeded the high numeric flashes and high limit is alarm limit.
4 Patient Alarms and INOPs Alarm Message From Condition Indication *** <Press Label> High PRESS The measured pressure value is above the numeric flashes, high limit is extreme high alarm limit. highlighted, red alarm lamp, alarm , or after the label indicates whether the tone systolic, diastolic or mean pressure has crossed the limit.
4 Patient Alarms and INOPs Alarm Message From Condition Indication * Run PVCs High ECG/Arrhythmia A run of > 2 PVCs. numeric flashes, yellow alarm lamp, short yellow audible alarm ** <SO₂ Label> High The the measured intravascular oxygen numeric flashes and high alarm saturation has exceeded the high limit.
4 Patient Alarms and INOPs Alarm Message From Condition Indication ** <Temp Label> High Temp The temperature has exceeded the high alarm numeric flashes and high limit is limit. highlighted, yellow alarm lamp, alarm tone ** <Temp Label> Low Temp The temperature has fallen below the low alarm numeric flashes and low limit is limit.
4 Patient Alarms and INOPs Technical Alarm Messages (INOPs) If an INOP interrupts monitoring and alarm detection, the measurement numeric will be replaced . If an INOP may lead to unreliable measurement values, a appears next to the numeric. The measurement labels and abbreviations for pressure, temperature and SpO INOP messages are explained in the individual measurement chapters.
4 Patient Alarms and INOPs INOP Message, Indication What to do Check Screen Res. The Screen you have selected uses a resolution which is not supported by the display. The monitor will INOP tone 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.
4 Patient Alarms and INOPs INOP Message, Indication What to do No Central Monit. There is a problem with the communication to the network. Central monitoring is currently not INOP tone 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.
4 Patient Alarms and INOPs Battery INOPs INOP Message, Indication What to do Batt 1 Missing The monitor requires two batteries but can detect only one battery. Insert the missing battery Batt 2 Missing immediately. INOP tone During this INOP, alarms cannot be paused or switched off.
There is no battery in the Battery Extension !! Insert Battery X2/MP2 only: There is no battery in the battery compartment. You cannot operate the monitor on Severe yellow INOP tone AC mains or battery extension while the battery compartment is open (not sealed with a battery). Load During this INOP, alarms cannot a battery immediately.
4 Patient Alarms and INOPs 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.
4 Patient Alarms and INOPs INOP Message, Indication What to do Some ECG AlarmsOff This message appears (if configured to do so) when the on/off settings of the yellow arrhythmia alarms differ from the current Profile. Resp INOPs INOP Message, Indication What to do Resp Equip Malf Contact your service personnel.
4 Patient Alarms and INOPs Temperature INOPs INOP Message, Indication What to do <Temp Label> INOPs INOPs Tamb <Temp Label> INOPs INOPs Tart <Temp Label> INOPs INOPs Tcereb <Temp Label> INOPs INOPs Tcore <Temp Label> INOPs INOPs <Temp Label> Deactivated A Temp measurement label in the measurement device has been deactivated, either by connecting a INOP tone Pressure transducer in the shared Press/Temp socket, or by deactivating the label in the...
4 Patient Alarms and INOPs INOP Message, Indication What to do <SpO₂ Label> Erratic Check the sensor placement. Try another adapter cable and sensor. If the INOP persists, contact your Numeric is replaced by -?- 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 Numeric is displayed with a ? an excessively noisy signal.
4 Patient Alarms and INOPs Pressure INOPs INOP Message, Indication What to do <Press Label> INOPs INOPs <Press Label> INOPs INOPs <Press Label> INOPs INOPs <Press Label> INOPs INOPs CPP Chk Sources Not all measurements or values required to perform the calculation are available. Check the Numeric is replaced by -?- measurement sources.
4 Patient Alarms and INOPs INOP Message, Indication What to do <Press Label> Noisy Signal This INOP can only arise when a pressure is selected as the pulse source. It occurs when the pulse Pulse numeric is replaced by -?- detector finds a pulse rate above 350 bpm.
4 Patient Alarms and INOPs INOP Message, Indication What to do CO₂ No Sensor There is no CO sensor connected. If you silence this INOP the CO measurement will be switched from M3014A off. Numeric is replaced by -?- INOP tone CO₂...
4 Patient Alarms and INOPs C.O. INOPs INOP Message, Indication What to do C.O. Deactivated The Cardiac Output measurement label in the measurement device has been deactivated by Measurement Selection INOP tone deactivating the label in the window. The measurement automatically disappears from the display.
4 Patient Alarms and INOPs INOP Message, Indication What to do CCO/Tbl NoTransduc No transducer attached to the module or catheter disconnected. Numeric is replaced by -?- INOP tone Tblood Overrange Tblood out of range 17°C - 43°C. Numeric is replaced by -?- TbloodNoTransducer No transducer attached to the module or catheter disconnected.
4 Patient Alarms and INOPs INOP Message, Indication What to do cl NBP Batt Low The remaining battery time of the NBP Pod is below 2 hours. INOP tone cl NBP Batt Malf There is a malfunction in the NBP Pod's battery system. Contact your service personnel. INOP tone cl NBP Batt Temp The temperature of the battery in the NBP Pod is critically high.
4 Patient Alarms and INOPs INOP Message, Indication What to do cl SpO₂ Batt Low The remaining battery time of the SpO Pod is below 2 hours. INOP tone cl SpO₂ Batt Malf There is a malfunction in the SpO Pod's battery system.
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).
5 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. When connected to PIIC iX, equipment states are tracked by the system.
5 Managing Patients and Equipment 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. When you enter data, the Information Center will automatically check for corresponding data and will suggest an appropriate action based on what it finds.
5 Managing Patients and Equipment To search for patient data: Select the key. Find Patient A window opens with an on-screen keyboard. 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 Select Patient window.
5 Managing Patients and Equipment Select Enter In the confirmation window, select to stop monitoring for the previous patient or free up Confirm the monitor (if confirmation is configured). Check that patient category and paced status are correct for the new patient. Check the current profile and, if necessary, load an appropriate profile.
5 Managing Patients and Equipment Depending on your configuration, monitoring for a patient may end automatically when the monitor has been powered off or in standby mode for a set time, or when no basic measurements have been made for a set time. WARNING Always end monitoring for the previous patient (with Dischrge Patient...
5 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. –...
5 Managing Patients and Equipment Transferring Patients with IntelliVue Information Center iX There are several ways to transfer a patient from or to another bed. When a patient is transferred to the PIIC iX destination bed, Information Center monitoring continues in the destination bed and equipment that is not transferred with the patient is freed up.
5 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.
5 Managing Patients and Equipment 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 ( Patient ??? Patient Category ??? Paced Mode ??? window automatically opens so you can decide which patient data to use.
5 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. Select if you are sure that none of the information is correct.
5 Managing Patients and Equipment 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. •...
5 Managing Patients and Equipment 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.
5 Managing Patients and Equipment 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.
5 Managing Patients and Equipment • If all alarms are switched off or paused for one of the devices in use for the patient, an alarms off or alarms paused symbol on a dark gray background is shown beside all affected measurement numerics (if so configured).
5 Managing Patients and Equipment 36.202.3a)4), the short range radio connection is immune up to 3V/m in the frequency range from 80 MHz to 2.0 GHz and up to 1V/m in the frequency range from 2.0 to 2.3 GHz. Depending on the strength and duration of the interference, the interruption may occur for an extended period.
5 Managing Patients and Equipment Switching Off or Pausing Alarms From Other Devices When you select Pause Alarms Alarms Off at the monitor, the alarms are off or paused for the bedside measurements. When you switch alarms off or pause alarms at the Information Center, both monitor alarms and alarms from other assigned devices are affected.
5 Managing Patients and Equipment ST Analysis On/Off, ST Alarm On/Off, ISO Point, J point, ST point, ST Alarm Limits, ST-Index On/Off, ISO/J-Point Detection, ST Lead On/ Off, ST Baseline QT analysis On/Off, QT Lead, QTc High Alarm On/Off, ΔQTc Alarm On/Off, QTc High Limit, ΔQTc High Limit, QT Baseline Alarms on/off, SpO Alarm limits, SpO...
5 Managing Patients and Equipment Information Center Compatibility The functionality available for managing patients and equipment depends on the IntelliVue Information Center being used. In the following table the main differences between the PIIC and PIIC iX are shown. PIIC PIIC iX Not available Find Patient...
To protect the monitor from damage during defibrillation, for accurate ECG information and to protect against noise and other interference, use only ECG electrodes and cables specified by Philips. Some non-authorized electrodes may be subject to large offset potentials due to polarization.
6 ECG, Arrhythmia, ST and QT Monitoring Selecting the Primary and Secondary ECG Leads The monitor uses the primary and secondary lead to compute HR and to analyze and detect cardiac arrhythmias. They are also available for recordings and for display on the Information Center. The secondary lead is only used if your monitor is configured for multi-lead (instead of single-lead) arrhythmia analysis.
6 ECG, Arrhythmia, ST and QT Monitoring Understanding the ECG Display Your display may be configured to look slightly different. Lead label of the displayed wave ECG Filter label 1 mV calibration bar Pacer spikes Pace pulse markers Current heart rate Current heart rate alarm limits and paced mode symbol EASI or Hexad lead placement label ECG HR numeric: This is the heart rate derived from the monitored ECG.
6 ECG, Arrhythmia, ST and QT Monitoring Monitoring Paced Patients An ECG optimized for monitoring a paced patient should look like this: Normal Beats Pace Pulses/Pace Beats You should choose a lead as primary or secondary lead that has these characteristics: •...
6 ECG, Arrhythmia, ST and QT Monitoring Avoiding Pace Pulse Repolarization Tails Some unipolar pacemakers display pace pulses with repolarization tails. These tails may be counted as QRSs in the event of cardiac arrest or other arrhythmias. If you note a visible repolarization tail, choose a lead that decreases the size of the repolarization tail. Repolarization tail (note width) Changing the Size of the ECG Wave If any of the displayed ECG waves is too small or clipped, you can change the size of one or all of the...
6 ECG, Arrhythmia, ST and QT Monitoring Changing the Volume of the QRS Tone The QRS tone is derived from either the HR or Pulse, depending on which is currently selected as the alarm source. The QRS volume can be set from 0 to 10 (0 means off). To change the QRS volume, in the menu select and then select the appropriate...
6 ECG, Arrhythmia, ST and QT Monitoring Selecting Positions of Va and Vb Chest Leads (for 6-lead placement) 6-lead Placement The two chest leads for the 6-lead placement can be positioned at any two of the V1 to V9 and V3R to V6R positions.
6 ECG, Arrhythmia, ST and QT Monitoring ECG Leads Monitored If you are using these leads are available: a 3-electrode set I, II, III a 5-electrode set I, II, III, aVR, aVL, aVF, V, MCL, Va a 6-electrode set I, II, III, aVR, aVL, aVF, Va, Vb a 6-electrode set with the I, II, III, aVR, aVL, aVF, V1, V2, V3, V4, V5, V6 Hexad algorithm...
6 ECG, Arrhythmia, ST and QT Monitoring Electrode labels Electrode colors AAMI EASI AAMI Brown/Blue White/Brown Brown/Orange White/Black Brown/Violet White/Violet Standard 3-Lead Placement RA placement: directly below the clavicle and near the right shoulder LA placement: directly below the clavicle and near the left shoulder LL placement: on the left lower abdomen Standard 5-Lead Placement...
6 ECG, Arrhythmia, ST and QT Monitoring Standard 6-Lead Placement Use the positions from the 5-lead diagram above but with two chest leads. The two chest leads, Va and Vb, can be positioned at any two of the V1 to V9 or V3R to V6R positions shown in the chest electrode diagram below (see “Chest Electrode Placement”...
6 ECG, Arrhythmia, ST and QT Monitoring Chest Electrode Placement V1 on the fourth intercostal space at the right sternal border V2 on the fourth intercostal space at the left sternal border V3 midway between the V2 and V4 electrode positions V4 on the fifth intercostal space at the left midclavicular line...
6 ECG, Arrhythmia, ST and QT Monitoring Conventional 12-Lead ECG V1 - V6 In conventional 12-Lead ECG using 10 electrodes, an electrode is placed on the right arm, left arm, right leg, and left leg. Six V- electrodes are placed on the chest. The right leg electrode is the reference electrode.
6 ECG, Arrhythmia, ST and QT Monitoring Modified 12-Lead ECG V1-V6 Angle of Louis If your institution uses modified 10-lead ECG electrode placement (the Mason-Likar Lead System), place the four limb electrodes close to the shoulders and lower abdomen. The six V electrodes are placed on the chest in the same position as the conventional 12-lead placement.
6 ECG, Arrhythmia, ST and QT Monitoring WARNING Do not use ECG analysis interpretation statements and measurements for 12-lead ECGs obtained using the modified (Mason-Likar) limb electrode placement. This may lead to misdiagnosis since the modified (Mason-Likar) limb electrode placement does not look the same as the conventional 12-lead ECG and may mask inferior infarction due to calculated axis, R, P and T wave magnitudes shifts and ST slope.
6 ECG, Arrhythmia, ST and QT Monitoring Select the pop-up key, then Admit Patient Enter the information in the window. Patient Demographics Open the 12-Lead ECG window again as described above. The age and gender will now be displayed in the title bar of the pop-up keys. To change the way the realtime waves are displayed, select the Change View pop-up key or select the...
6 ECG, Arrhythmia, ST and QT Monitoring Format Defines the page layout. 12x1 3x4 1R 3x4 3R 3x4 ST 3x4 1R ST Choices are . 1R and 3R refer to 1 or 3 rhythm leads, ST formats contain an ST map. Time Defines whether all leads show simultaneous or sequential intervals of time, when displaying or printing 2 or more columns.
6 ECG, Arrhythmia, ST and QT Monitoring Downloading Analysis Results (PIIC iX only) Download analysis results from the IntelliVue Information Center by selecting Show Analysis . Return to the previous screen by selecting Hide Analysis Reviewing Previewed or Stored 12-Lead Captures To view 12-Lead captures previewed or stored on the monitor or 12-Lead captures stored at the IntelliVue Information Center (PIIC iX only), select .
6 ECG, Arrhythmia, ST and QT Monitoring Pop-up Keys Selecting this pop-up key lets you remotely lock/unlock the 12-Lead capture at the IntelliVue Information Lock Unlock Center. switch between Standard and EASI lead placement and select the positions Setup Leads of the chest leads (Va and Vb or Ca and Cb), when using Hexad lead placement.
6 ECG, Arrhythmia, ST and QT Monitoring EASI Electrode Placement E (V) - on the lower sternum at the level of the fifth intercostal space A (LL) - on the left midaxillary line at the same level as the E electrode S (LA) - on the upper sternum I (RA) - on the right midaxillary line at the same level as the E electrode...
6 ECG, Arrhythmia, ST and QT Monitoring Alarm Description Arrhythmia Configuration Arrhythmia Basic Enhanced Arrhythmia Arrhythmia Heart rate < the low HR limit ** HR Low (see note) (see note) A run of consecutive beats labeled as V ** Non-Sustain VT with run length <...
6 ECG, Arrhythmia, ST and QT Monitoring Alarm Description Arrhythmia Configuration Arrhythmia Basic Enhanced Arrhythmia Arrhythmia No beat detected for a period > 1.75 ** Pacer Not Capt times the average R-R interval and pace pulse(s) detected. (Paced mode on) **Pacer Not Pacing No beat detected for a period >...
6 ECG, Arrhythmia, ST and QT Monitoring The same is true for the difference between the high HR alarm limit and the extreme tachycardia limit. In the same way, the extreme tachycardia limit is determined by adding a difference to the high HR limit.
6 ECG, Arrhythmia, ST and QT Monitoring HR Alarms When Arrhythmia Analysis is Switched Off When arrhythmia analysis is switched off, only these HR-related alarms will be detected: • the asystole alarm • the ventricular fibrillation/tachycardia alarm • the extreme tachycardia and extreme bradycardia alarms •...
6 ECG, Arrhythmia, ST and QT Monitoring Pacemaker failure: During complete heart block or pacemaker failure to pace/capture, tall P-waves (greater than 1/5 of the average R-wave height) may be erroneously counted by the monitor, resulting in missed detection of cardiac arrest. Patients exhibiting intrinsic rhythm: When monitoring paced patients who exhibit only intrinsic rhythm, the monitor may erroneously count pace pulses as QRS complexes when the algorithm first encounters them, resulting in missed...
6 ECG, Arrhythmia, ST and QT Monitoring About Arrhythmia Monitoring Arrhythmia analysis provides information on your patient's condition, including heart rate, PVC rate, rhythm, and ectopics. The monitor uses the user-selected primary and secondary ECG leads for single- lead or multi-lead arrhythmia analysis. During arrhythmia analysis, the monitor continuously: •...
6 ECG, Arrhythmia, ST and QT Monitoring For paced patients, in addition to the above, the pace pulse should be: – not wider than the normal QRS – the QRS complexes should be at least twice the height of pace pulses –...
6 ECG, Arrhythmia, ST and QT Monitoring Intermittent Bundle Branch Block Bundle branch and the other fascicular blocks create a challenge for the arrhythmia algorithm. If the QRS during the block changes considerably from the learned normal, the blocked beat may be incorrectly classified as ventricular, causing false PVC alarms.
6 ECG, Arrhythmia, ST and QT Monitoring Beat Label Beat Classification Beat Label Arrhythmia On Cardiotach Mode Pacer Spike Biventricular Pacer Spike " " Learning patient's ECG Artifact (noisy episode) Insufficient information to classify beats Inoperative condition (e.g., Leads Off) Pause or missed beat Not applicable Arrhythmia Status Messages...
6 ECG, Arrhythmia, ST and QT Monitoring Rhythm Status Message Description B or E A dominant rhythm of beats labeled as N or S preceded by B, E Sinus Brady Sinus Rhythm P-waves Sinus Tach A dominant rhythm of beats labeled as N or S not preceded B, E SV Brady SV Rhythm...
6 ECG, Arrhythmia, ST and QT Monitoring Arrhythmia Relearning During a learning phase: • Alarm timeout periods are cleared • Stored arrhythmia templates are cleared • Asystole, Vfib, and HR alarms (when there are enough beats to compute the HR) are active. No other alarms are active.
6 ECG, Arrhythmia, ST and QT Monitoring • respond to any INOP messages (for example, if you are prompted to reconnect electrodes) • be aware that a disconnected EASI electrode triggers an arrhythmia relearn on all leads • always ensure that the arrhythmia algorithm is labeling beats correctly. Arrhythmia Alarms Arrhythmia alarms can be switched on and off and the alarm settings changed just like other measurement alarms, as described in the Alarms section.
6 ECG, Arrhythmia, ST and QT Monitoring Switching All Yellow Arrhythmia Alarms On or Off All yellow arrhythmia alarms can be switched on and off together. To do this, • In the Setup Arrhy menu, select All Yellow Off All Yellow On Adjusting the Arrhythmia Alarm Limits Some arrhythmia alarms have limits which can be individually adjusted: VTach HR...
6 ECG, Arrhythmia, ST and QT Monitoring How are Yellow Arrhythmia Alarms Indicated? When a yellow arrhythmia alarm is generated, it triggers visual and audible indicators. Yellow arrhythmia alarms are always set to latch visually for three minutes except HR High/Low alarms, if configured to standard yellow.
6 ECG, Arrhythmia, ST and QT Monitoring Examples of Alarm Chaining Logic – If there is an active Vent Bigeminy alarm, a PVCs > xx/min will not be triggered because it is lower on the same chain. However, a high HR alarm will become active because it is on a different chain.
6 ECG, Arrhythmia, ST and QT Monitoring Understanding PVC-Related Alarms PVC-related alarms are detected on the basis of the current ventricular heart rate and the number of consecutive PVCs counted (referred to as PVC Runs). As an example, this diagram illustrates the conditions under which PVC alarms would be generated if the Vent Rhythm Run limit is set to 11, the V-Tach Run Limit is set to 8, and the V-Tach HR Limit is set to 100.
6 ECG, Arrhythmia, ST and QT Monitoring WARNING Some clinical conditions may make it difficult to achieve reliable ST monitoring, for example: • if you are unable to get a lead that is not noisy • if arrhythmias such as atrial fib/flutter are present, which may cause an irregular baseline •...
6 ECG, Arrhythmia, ST and QT Monitoring NOTE The order in which ST leads are listed in the Setup ST Leads menu determines the order in which ST leads are displayed on the monitor screen. To change the order in which ST leads are displayed, In the menu, choose a lead from the list.
6 ECG, Arrhythmia, ST and QT Monitoring ST View Window Window shows a current ST snippet and numeric with a baseline snippet and numeric. ST View The two snippets are in different colors, so that you can differentiate between them easily and see at a glance which numerics belong to which snippet.
6 ECG, Arrhythmia, ST and QT Monitoring window opens with the pop-up keys (to select viewing STE View Current Baseline Overlap mode), Show Points Hide Points Record STE ST View ST Map Setup ST and arrow keys for scrolling through the available leads. The ST point, J-point and ISO point can be hidden using the pop-up key.
6 ECG, Arrhythmia, ST and QT Monitoring R-wave peak at 0 msec J point, for example, 48 msec Difference = ST value ST measurement point, for example, J + 60 msec Isoelectric point set to -80 msec CAUTION If using ST analysis, the ST measurement points need to be adjusted when you start monitoring, and if the patient's heart rate or ECG morphology changes significantly, as this may affect the size of the QT interval and thus the placement of the ST point.
6 ECG, Arrhythmia, ST and QT Monitoring To adjust the ST measurement points, in the menu, Setup ST Analysis Select to open the window. Adjust ST Points Adjust ST Points Alternatively, you can use the pop-up key in the window. Adjust ST points ST View Select a suitable ECG lead for ST measurement, with a visible J-point and a visible P wave.
6 ECG, Arrhythmia, ST and QT Monitoring The J-point cursor (2) positions the J-point relative to the R-wave peak. It helps you to correctly position the ST-point. Position the J-point at the end of the QRS complex and the beginning of the ST segment.
6 ECG, Arrhythmia, ST and QT Monitoring In the menu, select the alarm to be adjusted. Setup ST Analysis Select the appropriate setting. STE Alarms The STE alarm is a yellow alarm. It can be switched on and off in the menu but the Setup ST Elevation limits can only be changed in Configuration mode.
6 ECG, Arrhythmia, ST and QT Monitoring ST Alarm status indicator Limb Leads Chest Leads ST index Label, value and polarity of corresponding lead ST map The position of the current ST measurement point If an ST lead is switched off, its axis is not shown in the map. If a lead is in INOP (the value is being measured but is invalid or unavailable because, for example, the corresponding ECG electrode is off), the area formed by the remaining ST leads is left open.
6 ECG, Arrhythmia, ST and QT Monitoring Additionally, when both ST maps are displayed, you can view the currently available ST values in the ST Map (Current) ST Map (Trend) window at any time. To do this, select the Show Values pop-up key.
6 ECG, Arrhythmia, ST and QT Monitoring Working in the ST Map Task Window You may need to activate the ST map task window to see all the data, and to access the pop-up keys. Select the map view on screen to activate its task window. Once you activate it, you can perform the tasks detailed here.
6 ECG, Arrhythmia, ST and QT Monitoring ECG leads. Each STE value is assigned to either a limb lead, or to a chest lead. Every axis shows the polarity of the lead it represents. The STE limits are indicated by a gray colored area which contains all values that lie above those limits.
6 ECG, Arrhythmia, ST and QT Monitoring Changing the Scale of the STE Map To change scale, • Select Size Up Size Down to alter the size at which monitor displays the map. Printing an STE Map Report To print the most recently viewed window, Select Main Setup then select...
6 ECG, Arrhythmia, ST and QT Monitoring obscuring the end of the T-wave. If the algorithm cannot form a representative waveform, for example because the morphology of the beats is too varied, a Cannot Analyze QT INOP will be generated after 10 minutes.
6 ECG, Arrhythmia, ST and QT Monitoring Selecting the QT Leads For QT Monitoring you can select one of the following three modes: • All Leads mode - all available leads (I, II, III, V, MCL, V1 - V9, V3R to V6R) are used to produce a global QT measurement.
6 ECG, Arrhythmia, ST and QT Monitoring Changing The View To A Single Wave Set To view one set of waves in a larger scale, you can cycle through the different views, Select Current view to see the set of current waves. Select Baseline view to see the set of baseline waves.
6 ECG, Arrhythmia, ST and QT Monitoring Additional Message Cause of Invalid QT Measurement Not enough valid R-R intervals to generate QT-HR, the averaged Invalid Rhythm for QTc HR used for QTc calculation QT-HR exceeds the specified upper limit of 150 bpm (for adults) or High QT-HR 180 bpm (for neonates and pediatrics) Small R Wave...
Monitoring Pulse Rate The pulse numeric counts the arterial pulsations that result from the mechanical activity of the heart in beats per minute (bpm). You can display a pulse from any measured SpO signal (pleth wave), from the CL Respiration Pod, or any arterial pressure (P, ABP, ART, Ao, PAP, UAP, FAP, BAP: see the “Monitoring Invasive Pressure”...
7 Monitoring Pulse Rate Switching Pulse On and Off To switch a particular pulse numeric on or off, enter the Setup Pulse menu via the measurement setup menu or wave menu of the pulse source. For example, to switch an SpO pulse numeric on or off, Enter the Setup Pulse...
7 Monitoring Pulse Rate WARNING Selecting Pulse as the active alarm source for HR/Pulse switches off the arrhythmia alarms listed in the section “ECG and Arrhythmia Alarm Overview” on page 123, including Asystole, Vfib and Vtach alarms, and the heart rate alarms. This is indicated by the message (unless this has ECG/Arrh AlarmsOff been configured off for your monitor), and the crossed-out alarm symbol beside the ECG heart rate...
Monitoring Respiration Rate (Resp) For the respiratory measurement (Resp), the monitor measures the thoracic impedance between two ECG electrodes on the patient's chest. Changes in the impedance due to thoracic movement produce the Resp waveform on the monitor screen. The monitor counts the waveform cycles to calculate the respiration rate (RR).
8 Monitoring Respiration Rate (Resp) Cardiac Overlay Cardiac activity that affects the Resp waveform is called cardiac overlay. It happens when the Resp electrodes pick up impedance changes caused by the rhythmic blood flow. Correct electrode placement can help to reduce cardiac overlay: avoid the liver area and the ventricles of the heart in the line between the respiratory electrodes.
8 Monitoring Respiration Rate (Resp) Changing Resp Detection Modes The Resp detection level can be set either automatically or manually. • To change the resp detection mode, in the Setup Resp menu, select Detection to toggle between the settings. Auto Detection Mode In Auto Detection Mode, the monitor adjusts the detection level automatically, depending on the wave height and the presence of cardiac artifact.
8 Monitoring Respiration Rate (Resp) Changing the Size of the Respiration Wave WARNING When monitoring in Manual Detection Mode, make sure to check the respiration detection level after you have increased or decreased the size of the respiration wave. • In the menu, select to increase the size of the wave or...
8 Monitoring Respiration Rate (Resp) Interference If operating under conditions according to the EMC Standard EN 60601-1-2 (Radiated Immunity 3V/ m), field strengths above 1V/m may cause erroneous measurements at various frequencies. Therefore it is recommended to avoid the use of electrically radiating equipment in close proximity to the respiration measurement unit.
Monitoring with the CL Respiration Pod (cmResp) The CL Respiration Pod is one of the IntelliVue Cableless measurements and can be used together with the monitor. For information on the general use and application of the pod, refer to “Using IntelliVue Cableless Measurements”...
9 Monitoring with the CL Respiration Pod (cmResp) Measurement Modes There are three different modes available for making respiration/pulse measurements: • Manual Mode - a single respiration measurement is made when Start cmResp is selected at the monitor or when the key on the Respiration Pod is pressed. •...
9 Monitoring with the CL Respiration Pod (cmResp) Signal Quality Indicator The cmRR and pulse numerics are displayed together with a signal quality indicator (if configured and enough space is available) which gives an indication of the reliability of the displayed values. The level to which the triangle is filled shows the quality of the signal;...
Monitoring SpO2 Philips pulse oximetry uses a motion-tolerant signal processing algorithm, based on Fourier artifact suppression technology (FAST). It provides four measurements: • Oxygen saturation of arterial blood (SpO ) - percentage of oxygenated hemoglobin in relation to the sum of oxyhemoglobin and deoxyhemoglobin (functional arterial oxygen saturation).
10 Monitoring SpO2 Applying the Sensor Follow the SpO sensor's instructions for use, adhering to all warnings and cautions. Remove colored nail polish from the application site. Apply the sensor to the patient. The application site should match the sensor size so that the sensor can neither fall off, nor apply excessive pressure.
10 Monitoring SpO2 Connecting SpO2 Cables Connect the sensor cable to the color-coded socket on the monitor. You can connect some Philips sensors directly to the monitor. For other sensors, use the corresponding adapter cable. CAUTION Extension cables: Do not use more than one extension cable (M1941A). Do not use an extension cable with Philips reusable sensors or adapter cables with part numbers ending in -L (indicates "long"...
10 Monitoring SpO2 – Another SpO sensor in close proximity (e.g. when more than one SpO measurement is performed on the same patient). Always cover both sensors with opaque material to reduce cross-interference. – Electromagnetic interference, especially at perfusion indicator values below 1.0 or signal quality indicator below medium.
10 Monitoring SpO2 The level to which the triangle is filled shows the quality of the signal; the indicator below shows a medium signal quality, the signal quality is at a maximum when the triangle is completely filled. Assessing a Suspicious SpO2 Reading Traditionally, pulse rate from SpO was compared with heart rate from ECG to confirm the validity of the SpO...
10 Monitoring SpO2 Setting the Measurement Mode When a telemetry device supplies SpO T to the monitor via short range radio transmission, the monitor will have a manual measurement mode available. This allows SpO measurements to be made on request and not continuously, helping to save the telemetry device’s battery power. When an IntelliVue CL SpO Pod is providing SpO measurement data to the monitor via short range...
10 Monitoring SpO2 CAUTION If you measure SpO on a limb that has an inflated noninvasive blood pressure cuff, a non-pulsatile INOP can occur. To avoid this, the monitor can be configured to suppress corresponding SpO INOPs when it detects an inflated cuff (for FAST SpO technology only).
10 Monitoring SpO2 Clinical Example You are monitoring a patient with a low SpO limit of 90%. Then, while sleeping, your patient drops to 89% for 20 seconds, and then recovers. The Smart Alarm Delay would tolerate this limit violation up to 50 seconds (upper shaded cell in the table) before issuing an SpO low alarm.
10 Monitoring SpO2 Smart Alarm Delay Dynamics % SpO low limit desat limit time (s) First trigger point - with the smart alarm delay setting "medium", the low alarm is triggered 12 seconds after the SpO value has fallen below the low limit. ** SpO₂...
10 Monitoring SpO2 Smart Alarm Delay Indicator If the Smart Alarm Delay is switched on, a special indicator will be displayed next to the SpO alarm limits. This indicator consists of a general alarm symbol with three blocks above and below it. Indicator Indicator with Numerics The blocks above and below the alarm symbol indicate which Smart Alarm Delay modes have been...
10 Monitoring SpO2 Adjusting the Desat Limit Alarm The Desat alarm is a high priority (red) alarm notifying you of potentially life threatening drops in oxygen saturation. In the menu, select Setup SpO₂ Desat Limit Adjust the limit. Pleth Wave The Pleth wave is autoscaled to maximum display size.
10 Monitoring SpO2 Setting Up Tone Modulation If tone modulation is on, the QRS tone pitch lowers when the SpO level drops. Remember, the QRS tone is derived from either heart rate or pulse depending on which is currently selected as the active alarm source.
Monitoring NBP This monitor uses the oscillometric method for measuring NBP. In adult and pediatric mode, the blood pressure measurements determined with this device comply with the American National Standard for Electronic or Automated Sphygmomanometers (ANSI/AAMI SP10-1992) in relation to mean error and standard deviation, when compared to intra-arterial or auscultatory measurements (depending on the configuration) in a representative patient population.
11 Monitoring NBP Mastectomy: Avoid applying the cuff on the side of the mastectomy, as the pressure increases the risk of lymphedema. For patients with a bilateral mastectomy, use clinical judgement to decide whether the the benefit of the measurement outweighs the risk. Unattended Measurement: Use clinical judgement to decide whether to perform frequent unattended blood pressure measurements.
Kinked or otherwise restricted tubing can lead to a continuous cuff pressure, causing blood flow interference and potentially resulting in injury to the patient. Make sure that you are using a Philips-approved correct sized cuff and that the bladder inside the cover is not folded or twisted.
11 Monitoring NBP Recommendations For Measurements Used in Diagnosis of Hypertension To make a measurement for use in the diagnosis of hypertension, follow the steps below: Ensure the patient is comfortably seated, with their legs uncrossed, feet flat on the floor and back and arm supported.
11 Monitoring NBP The NBP timestamp will normally show the completion time of the NBP measurement. Only under the following conditions the timestamp shows the beginning of the measurement: • when in Auto Sequence mode, and • the monitor is configured to synchronize the measurements in a measurement series to an "easy- to-document"...
11 Monitoring NBP Action to be performed NBP Setup menu SmartKeys Start/Stop Stop Manual measurements Start/ Stop Stop NBP Start/Stop Stop current Auto measurement Start/ Stop Stop NBP Start/Stop Stop current STAT measurement and end series Start/ Stop NBP STAT NBP STAT Stop NBP Stop All...
11 Monitoring NBP Enabling Sequence Mode and Setting Up The Sequence In the menu, select and select from the pop-up menu. Setup NBP Mode Sequence Select to open the window. Setup Sequence Setup 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.
11 Monitoring NBP Switching Pulse from NBP On/Off In the process of making the NBP measurement, a pulse value can be derived and displayed. The pulse value is displayed together with the time the measurement was made. After one hour the value becomes invalid.
Monitoring Temperature WARNING Measurements from an MMS extension connected to the monitor are not available when the monitor is running on its own battery power. They are only available when the monitor is powered by the external power supply (M8023A) or the Battery Extension (865297). You can measure temperature using the built-in temperature measurement (optional), or one of the MMS extensions.
12 Monitoring Temperature Selecting a Temperature for Monitoring Tell the monitor which temperature you want to monitor by selecting its temperature label. The label is a unique identifier for each type of temperature. When you choose a label, the monitor uses that label's stored color and alarm settings.
Monitoring Invasive Pressure WARNING Measurements from an MMS extension connected to the monitor are not available when the monitor is running on its own battery power. They are only available when the monitor is powered by the external power supply (M8023A) or the Battery Extension (865297). CAUTION Do not use a monitor with an M1006A pressure module as an additional monitor for your patient.
13 Monitoring Invasive Pressure WARNING If measuring intracranial pressure (ICP, IC1 or IC2) with a sitting patient, level the transducer with the top of the patient's ear. Incorrect leveling may give incorrect values. Selecting a Pressure for Monitoring Tell the monitor the source of the pressure you want to monitor by selecting an appropriate pressure label.
13 Monitoring Invasive Pressure Overview of Calibration Procedures Calibration requirements depend on the situation and the type of transducer used. Recommendations for the different calibration procedures are given in the table below. Procedure When to perform For which transducers? Disposable Reusable Zero •...
13 Monitoring Invasive Pressure Determining a Pressure's Most Recent Zero The monitor displays the most recent zero on the status line. If this has "timed-out" after you have performed a zero, redisplay the information in the status line by entering the pressure's setup menu. Zeroing a Pressure Measurement WARNING Invasive pressure alarms (and pulse alarms, if derived from invasive pressure) are temporarily...
13 Monitoring Invasive Pressure Message Corrective Action Make sure that the transducer is connected and try again. If this fails, <Press Label> can't zero - no transducer exchange the adapter cable and try again. If this fails, exchange the transducer. Make sure that the transducer is vented to air, not to the patient, and try <Press Label>...
13 Monitoring Invasive Pressure 1 Tubing to manometer 2 Syringe with heparinised solution 3 To pressure connector on monitor 4 Patient connection stoppered 5 Off Move the syringe barrel in and raise the mercury to 200 mmHg (30 kPa). 200 mmHg is the recommended calibration pressure.
13 Monitoring Invasive Pressure Message Corrective Action Make sure there are no disturbances to the transducer, and <Press Label> can't cal.; unstable signal repeat the calibration. No valid zero. Zero the transducer. <Press Label> can't calibr.;do zero first Adjusting the Calibration Factor Each time you use a reusable transducer, compare the calibration factor written on your transducer with the calibration factor shown on the monitor.
13 Monitoring Invasive Pressure Choosing the Pressure Alarm Source WARNING Make sure you set alarm limits for the correct label. The alarm limits you set are stored for that particular label only. Changing the label may change the alarm limits. You can monitor for alarm conditions in systolic, diastolic and mean pressure, either singly or in parallel.
13 Monitoring Invasive Pressure You need to know which values have been configured for your monitor. Changing the high and low alarm limits automatically changes the extreme alarm limits within the allowed range. To see the extreme pressure alarms set for your monitor, in the setup menu for that pressure, see the menu items ΔExtr.High ΔExtr.
Monitoring Carbon Dioxide WARNING Measurements from an MMS extension connected to the monitor are not available when the monitor is running on its own battery power. They are only available when the monitor is powered by the external power supply (M8023A) or the Battery Extension (865297). CAUTION Only one CO measurement at a time is supported.
14 Monitoring Carbon Dioxide Low etCO2 values: Leakages in the breathing system or sampling system may cause the displayed etCO values to be significantly too low. Always connect all components securely and check for leaks according to standard clinical procedures. Displacement of the nasal or combined nasal oral cannulas can cause lower than actual etCO readings.
5% for every 1000 m difference. CAUTION Use the CO measurement with Philips approved accessories only. Refer to the instructions for use provided with the accessory. Preparing to Measure Mainstream CO2 You must perform a zero as described in this procedure each time you use a new airway adapter.
14 Monitoring Carbon Dioxide Zero the sensor: – Expose the sensor to room air and keep it away from all sources of CO including the ventilator, the patient's breath and your own. – In the setup menu for the CO , select Start Zero Cal –...
14 Monitoring Carbon Dioxide Connect the cannula, airway adapter, or sample line as appropriate, to the sensor. It will click into place when seated correctly. To zero the sensor: – expose the sensor to room air and keep it away from all sources of CO including the ventilator, the patient's breath and your own.
14 Monitoring Carbon Dioxide WARNING Always connect the airway adapter to the sensor before inserting the airway adapter into the breathing circuit. In reverse, always remove the airway adapter from the breathing circuit before removing the sensor. Make sure that you do not accidentally connect the luer connector of the gas sample line to an infusion link or any other links in the patient vicinity.
14 Monitoring Carbon Dioxide Measuring Microstream CO2 using M3015A/B The M3015A/B Microstream CO Extension measures the partial pressure of carbon dioxide in a patient's expired gas using Microstream technology. The measurement is equipped with an automatic barometric pressure compensation. WARNING When using the IPI numeric (available for adult and pediatric patients), always ensure that the patient's date of birth is entered correctly and that the monitor is displaying the current date.
14 Monitoring Carbon Dioxide Change the FilterLine if a INOP appears on the monitor or if the readings become CO₂ Occlusion extremely erratic. Disconnect the FilterLine during suctioning and nebulizing therapies or suppress sampling by turning off the pump as described in “Suppressing Sampling (not Mainstream CO2)” on page 211. Check the table in the Microstream CO Accessories section of the Accessories chapter for typical usage times for the different Microstream accessories.
14 Monitoring Carbon Dioxide Setting up CO2 Corrections Temperature, water vapor in the patient's breath, barometric pressure, and the proportions of O and Helium in the mixture all influence CO absorption. If values seem inaccurately high or low, check that the monitor is using the appropriate corrections. Correction Altitude Altitude is set during installation.
14 Monitoring Carbon Dioxide To change the imCO high limit: • Select imCO₂ High and choose the high alarm limit from the pop-up list that opens. Changing the Apnea Alarm Delay This determines the time limit after which the monitor alarms if the patient stops breathing. In the menu, select Setup CO₂...
14 Monitoring Carbon Dioxide Understanding the IPI Numeric The index is modeled on normal healthy patients (ASA Physical Status value of 1 according to the ASA Physical Status Classification System). Patients with ASA Physical Status values of 3 or higher are expected to have low IPI values by definition.
A telemetry device can be: • any Philips telemetry device (only for indirect connections, see below). • a TRx/TRx+ IntelliVue Telemetry system transceiver. For complete user information, including accessory listings and specifications, for the M4841A/ M4851A TRx/TRx+ IntelliVue Telemetry Transceiver, refer to the Instructions for Use provided with the device.
• a TRx+4841A/4851A IntelliVue Telemetry system transceiver connected via short range radio (SRR) link to an MP2 with SRR capability. If a telemetry device is assigned to a monitor via a direct short range radio link, the monitor and the telemetry device are automatically paired at the Information Center (if configured).
15 Using a Telemetry Device and a Monitor To assign a telemetry device to a monitor: Press the Check button on the telemetry device. The measurement selection key on the monitor will change to show the "add cableless" symbol Select the symbol. In the window, select the correct equipment label for the telemetry device.
15 Using a Telemetry Device and a Monitor Unpairing the Monitor and Telemetry Device If the patient will no longer be monitored with the telemetry device, or only with the telemetry device and no longer with the monitor, you need to end the device pairing. After unpairing, the Information Center will receive data exclusively from the monitor or from the telemetry device: •...
Enhancing Telemetry Monitoring with the Monitor You can use a monitor without a network connection to view measurement data from a telemetry transceiver at the bedside. You can also use the monitor to make additional measurements and send this measurement data to the Information Center via the telemetry transceiver. The monitor can so be used as a mobile viewer and measurement device, and is set up to simplify the assign/unassign procedures when used with short range radio.
16 Enhancing Telemetry Monitoring with the Monitor...
Trends Trends are patient data collected over time and displayed in graphic or tabular form to give you a picture of how your patient's condition is developing. Trend information is stored in the trends database for continuously-monitored measurements, such as ECG, as well as for aperiodically- measured parameters, such as Cardiac Output.
17 Trends Pop-Up Keys Selecting this pop-up key lets you..see a pop-up list of trend groups and select a group for viewing. Select Group Select Interval see a pop-up list of available data resolution settings and select the level of detail shown in the trend view.
17 Trends Viewing Graphic Trends Scroll to view more pop-up keys A cursor spanning all measurements in the trend group helps you to navigate through the trends database and shows you your current position in the database. When the cursor is moved across the time line, the values measured at the cursor time are shown in the right hand column.
17 Trends Aperiodic values are shown with a timestamp Scroll to view more pop-up keys The currently-selected column is highlighted. The values can be configured to display in the same colors as the waves and numerics on the realtime display. Any values available for display before the next scheduled update are shown in the right hand column, with a timestamp in brackets.
17 Trends Optimum Scale To have the monitor automatically select an optimum scale for viewing, based on current values, • in the Segment menu, select Optimum Scale This scale change is temporary. When the graphical trend window is closed the scale reverts back to the setting in Parameter Scales To switch off automatic optimum scaling,...
17 Trends Trend Priority The monitor stores trend information for all monitored measurements, if configured to do so. If your configuration restricts the number of measurements trended, you must choose which measurements will be included. A priority list is used to select the trended measurements. To see the measurement priority list for trending, In the menu, select...
17 Trends Defining the Column Interval Using the NBP Measurement You can 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.
17 Trends Aperiodic Trends Database Aperiodic trends do not count toward the maximum number of trends allowed by the trend configuration. Trend data for aperiodic measurements is stored in a separate database and timestamped with the measurement time. Trending Multiple-Value Measurements Some measurements generate multiple values, for example invasive pressure measurements can provide systolic, diastolic, and mean values.
17 Trends To display two or more screen trends overlapping, Select the screen trend to open the screen trend menu, Select Change Trend followed by Add Trend and select a screen trend from the pop-up list. Activating the Cursor for Screen Trends To activate the cursor for Screen Trends: Select the screen trend.
17 Trends • a deviation bar, showing how the currently measured value deviates from the set horizon (3). The height of the deviation bar is an indication of the extent of the change in your patient's condition relative to the (horizon) baseline. Your monitor may not be configured to show all elements of the screen trend horizon view.
Recording For central recording from the bedside, your monitor must be connected via a network to an Central Information Center. You can use either the M1116B/C or 862120 2-Channel Recorder or the Recording standalone M3160A 4-Channel Recorder. Recordings made on the M3160A may look slightly different to those described here.
18 Recording Overview of Recording Types Delayed Alarm Realtime (RT) manual automatic, triggered by defined alarm manual Type of recording conditions central central printer central Recording Destination from the start trigger from the start trigger from the start trigger Information minus the delay time minus the delay time recorded...
18 Recording • : choose the recording print speed. Speed • : Delayed recordings start documenting on the recorder strip from a pre-set time before Delay Time the recording is started. This interval is called the "Delay Time" and can be set as specified in “Overview of Recording Types”...
• to an IntelliVue XDS Application print service, • to an external PC-based print server with Philips server software, • into the print database. Print jobs stored in the database are automatically printed when a print device with a matching paper size becomes available.
19 Printing Patient Reports Starting the Different Types of Report Report types Report contents How to start printing reports Vital Signs Print/ Record Vital Signs Report Depends on selected trend group, data resolution, In the window, select Print and period. then select Graphical Trends Print...
19 Printing Patient Reports Select and set the required ECG gain to define how ECG waves will appear on the ECG ECG Gain report printouts. Select Speed and select the report print speed. Select and switch to if the printed ECG wave should be annotated with beat labels. Annotation See the “ECG, Arrhythmia, ST and QT Monitoring”...
19 Printing Patient Reports Be aware that the monitor's memory for reports is limited. The number of reports that can be stored depends on the size of the reports and the size of the printing database; the maximum is 30 reports. If the memory is full, reports cannot be saved on the printing database and therefore cannot be printed.
19 Printing Patient Reports Printing a Test Report A test report can be printed in Configuration mode, refer to the Service Guide for details. Switching Printers On or Off for Reports You can enable or disable printer status to switch individual printers on or off for report printouts. In the Setup Printers menu, select...
19 Printing Patient Reports To allow the report to print, you must either solve the problem with the target printer, or re-route the print job to another printer with paper of the correct size. To re-route a print job, • Enable the new target printer by selecting it in the Setup Printers menu and toggling to...
19 Printing Patient Reports Printer Status Messages Printer Status Message Possible causes and suggested action Print job queued for <Printer Name> The report has been placed in the queue for the named printer. The printer queue is full and the monitor cannot accept another Print job can't queue;resources? report request.
19 Printing Patient Reports Sample Report Printouts Each report header contains the patient's bed label, last name and first name, middle name (if there is enough space) the patient ID, the date and time, and the name of the report. The report footer contains the hospital label and page number, and the last page contains a note to mark the report end.
19 Printing Patient Reports ECG Reports Patient information Numeric block Wave area Below the header on ECG Reports, the numeric block shows the current HR, PVC, and ST values. The wave area shows the printed waves for all available ECG leads. A 1 mV calibration bar is printed at the beginning of each wave.
19 Printing Patient Reports 12-Lead ECG Report Patient data Analysis data from the Information Center (PIIC iX only) 12-Lead wave area Data related to the wave presentation ST Map with related ST numerics (optional) Administrative data - including optional custom text fields Hospital ID data - Institution, facility and department, if configured Other Reports See the sections on Trends for other example reports.
Warranty does not cover damage caused by using unapproved substances or methods. Philips makes no claims regarding the efficacy of the listed chemicals or methods as a means for controlling infection. Consult your hospital's Infection Control Officer or Epidemiologist. For comprehensive details on cleaning agents and their efficacy refer to "Guidelines for Prevention of...
20 Care and Cleaning Cleaning the Monitor Clean with a lint-free cloth, moistened with warm water (40°C/104°F maximum) and soap, a diluted non-caustic detergent, tenside, ammonia- or alcohol-based cleaning agent. Do not use strong solvents such as acetone or trichloroethylene. Take extra care when cleaning the screen of the monitor because it is more sensitive to rough cleaning methods than the housing.
Follow the instructions in this chapter and refer for further details to the Service Guide. When monitoring a patient, one Philips M4607A rechargeable Lithium Ion battery must always be inserted into the battery compartment on the right side of the monitor. This applies even when you are running the monitor from the external power supply.
21 Using Batteries Battery Power Indicators The battery LED and battery status information on the Main Screen, in combination with INOP messages and prompts, help you keep track of the battery power status. The indicators always show the remaining capacity in relation to the battery's actual maximum capacity, which may lessen as the battery ages.
21 Using Batteries If there are problems or changes in the status of the battery this is indicated by a blank battery gauge containing a symbol. If the symbol is red, this indicates a critical situation. You can check the specific cause of the problem by looking at the symbol(s) displayed in the window (see “Battery Battery Status...
21 Using Batteries Symbols indicating critical situations are colored red. Battery status symbols Battery malfunction symbols battery is empty (red) incompatible battery battery not charging as the temperature is (red) battery malfunction above or below the specified range battery requires maintenance (red) battery has no power left charging stopped to protect the battery (red) battery temperature too high...
21 Using Batteries Replacing a Battery To replace the battery, Press the battery eject button. This releases the battery. Support the battery with your hand to prevent it from falling out. The INOP !! Insert Battery is suppressed for 15 seconds, allowing you sufficient time to insert a new battery.
21 Using Batteries Replacing the Battery in the Battery Extension To replace the battery, Push the battery cover downwards, so that it opens. Remove the battery from the compartment. Slide the new battery firmly into position with the label facing downwards. Close the battery cover and push it upwards, so that it remains closed.
21 Using Batteries Display Brightness Setting In the Main Setup menu, select User Interface Brightness , then Optimum . This selects a level of brightness suitable for most monitoring locations that uses less battery power than brighter settings. Ensure that the current level of brightness is suitable for your monitoring location. Charging a Battery A battery can be charged in a monitor during monitoring.
Battery Safety Information WARNING • Use only Philips batteries specified in the chapter on “Accessories”. Use of a different battery may present a risk of fire or explosion. • Do not open batteries, heat above 60°C (140°F), incinerate batteries, or cause them to short circuit.
Contact: If you discover a problem with any of the equipment, contact your service personnel, Philips, or your authorized supplier. Inspecting the Equipment and Accessories Perform a visual inspection before every use, and in accordance with your hospital's policy.
Examine all system cables, the power plug and cord for damage. Make sure that the prongs of the plug do not move in the casing. If damaged, replace it with an appropriate Philips power cord. Inspect the patient cables, leads and their strain reliefs for general condition. Make sure there are no breaks in the insulation.
You can disassemble the monitor as described in the Service Guide. You will find detailed disposal information on the following web page: http://www.healthcare.philips.com/main/about/Sustainability/Recycling/pm.wpd The Recycling Passports located there contain information on the material content of the equipment, including potentially dangerous materials which must be removed before recycling (for example, batteries and parts containing mercury or magnesium).
This chapter lists Philips-approved accessories for use with patient monitors as described in this document. You can order parts and accessories from Philips supplies at www.medical.philips.com or consult your local Philips representative for details. Some accessories may not be available in all countries.
23 Accessories For use with: Part No. Length 6-Electrode Cable Set M1667A 2.7 m 10-Electrode Cable set (5+5) M1663A 2.7 m 10-Electrode Cable set (6+4) M1665A 2.7 m 3-Electrode Cable Sets Description Length AAMI Part No. IEC Part No. OR Grabber shielded 1.0 m M1675A M1678A...
23 Accessories 10-Electrode (5+5) Cable Sets Description Length AAMI Part No. IEC Part No. ICU Grabber, chest, shielded 1.0 m M1976A M1978A ICU Snap, chest, shielded 1.0 m M1602A M1604A OR Grabber, chest, shielded 1.0 m M1979A M1984A For Limb Leads see 5-electrode cable sets 10-Electrode (6+4) Cable Sets Description Length...
23 Accessories 5-Electrode One Piece Cables Description Length AAMI Part No. IEC Part No. OR Grabber 2.5 m M1975A M1985A ICU Snap 2.5 m M1977A M1986A Set Combiners and Organizers Description Part No. Set combiner 3-electrode M1501A 5-electrode M1502A Set organizer Shielded 3-electrode M1503A Shielded 5-electrode...
23 Accessories Adult/Pediatric Reusable Easy Care Cuffs Patient Category Limb Circumference Part No. Tubing (Pack of five) Adult Thigh 44 - 56 cm M4559B (M4559B5) M1598B (1.5 m) Large Adult X-Long 35 - 45 cm M4558B (M4558B5) M1599B (3 m) Large Adult 35 - 45 cm M4557B (M4557B5)
23 Accessories Adult/Pediatric Single Patient, Gentle Care Cuffs Patient Category Limb Circumference Part No. Tubing Adult (Thigh) 44 - 56 cm M4579B M1598B (1.5 m) Large Adult X-Long 35 - 45 cm M4578B M1599B (3 m) Large Adult 35 - 45 cm M4577B Adult X-Long 27.5 - 36 cm...
23 Accessories Neonatal/Infant Single Patient Cuffs Cuffs Limb Circumference Part No. Tubing A - Luer connector B - ISO 80369-1 compliant connector Size 1 3.1 to 5.7 cm M1866A/B For A-version cuffs: Size 2 4.3 to 8.0 cm M1868A/B M1596B (1.5 m) or M1597B (3 m) Size 3 5.8 to 10.9 cm...
23 Accessories Part Number Description Limb Bladder Width Contents Circumference Range 989803163181 Mobile CL Single-Patient Small 21 - 27 cm 10.5 cm 20 cuffs Adult Cuff 989803163201 Mobile CL Single-Patient Adult 26.0 - 34.5 cm 13.0 cm 20 cuffs Cuff 989803163221 Mobile CL Single-Patient Large 33.5 - 45.0 cm...
23 Accessories Part Number Description Limb Circumference Range M4553B Pediatric cuff 14.0 - 21.5 cm M4553B5 Pack of 5 M4553B cuffs M4554B Small adult cuff 20.5 - 28.5 cm M4554B5 Pack of 5 M4554B cuffs M4555B Adult cuff 27.5 - 36.0 cm M4555B5 Pack of 5 M4555B cuffs M4556B...
23 Accessories Part Number Description Limb Circumference Range M4574B Small adult cuff 20.5 - 28.5 cm M4575B Adult cuff 27.5 - 36.0 cm M4576B Adult cuff, X-Long 27.5 - 36.0 cm M4577B Large adult cuff 35.0 - 45.0 cm M4578B Large adult cuff, X-Long 35.0 - 45.0 cm M4579B...
23 Accessories Pressure transducer kits Part No. PiCCO monitoring kit, 30 cm pressure line, includes PV4046 injectate temperature sensor PV8103 housing for M1646A PiCCO monitoring kit, 150 cm pressure line, includes PV4046 injectate temperature sensor PV8115 housing for M1646A PiCCO monitoring kit, 150 cm pressure line, includes PV4046 injectate temperature sensor PV8115CVP housing for M1646A and central venous pressure line PULSION Pressure Interface Cable for disposable pressure transducer...
23 Accessories Safeset Blood Sampling/Conservation System Description Length Quantity Part No. (per box) SafeSet Kit with tubing, 1 In-line Cannula Sampling Port and 152 cm (60 in) 989803180851 10 ml In-line Reservoir SafeSet Kit with tubing, 2 In-line Cannula Sampling Ports and 213 cm (84 in) 989803179891 10 ml In-line Reservoir...
Masimo adapter cables, • Philips reusable sensors or adapter cables with part numbers ending in -L (indicates "Long" version) or with a cable longer than 2 m. All listed sensors operate without risk of exceeding 41°C on the skin, if the initial skin temperature does not exceed 35°C.
Philips Disposable Sensors Philips Product Number Description Comments Nellcor M1901B Identical to OxiMax MAXN For Philips FAST SpO2: use M1943A (1 m) or M1943AL M1902B Identical to OxiMax MAXI (3 m) adapter cable. M1903B Identical to OxiMax MAXP For Nellcor OxiMax SpO2:...
Description Comments Philips Nellcor OxiMax MAX-A Adult finger sensor (patient size > 30 kg) For Philips FAST SpO2: use M1943A or OxiMax MAX-AL OxiMax MAX-A with long cable M1943AL adapter OxiMax MAX-P Pediatric foot/hand sensor (patient size 10 - 50 kg) cable.
23 Accessories Extension Cables and Adapter Cables for Philips and Nellcor Sensors Philips Product Number Description Comments Nellcor M1941A Extension cable (2 m) For use with Philips reusable sensors (with cable length ≤ 2 m) and M1943A adapter cable. M1943A Adapter cable (1.1 m cable)
Neonatal pre-term sensitive skin Sensor 3 feet/90 cm (< 1 kg) Adapter Cables for Masimo Sensors Philips Product Number Description Philips Part Number Nellcor LNOP MP12 LNOP MP Series Patient Cable (3.6 m) Adapter 451261000761 Cable for Masimo LNOP Sensors LNOP MP10 LNCS MP Series Patient Cable (3.0 m) Adapter...
23 Accessories IntelliVue CL SpO2 Pod Accessories All listed sensors operate without risk of exceeding 41°C on the skin, if the initial skin temperature does not exceed 35°C. Make sure that you use only the accessories that are specified for use with this device, otherwise patient injury can result.
Specifications The specifications in this section apply to the MP2 patient monitor. Indications for Use The monitor is indicated for use by healthcare professionals whenever there is a need for monitoring the physiological parameters of patients. The monitor is intended to be used for monitoring and recording of, and to generate alarms, for, multiple physiological parameters of adults, pediatrics, and neonates.
24 Specifications Symbols These symbols can appear on the monitor and its associated equipment and packaging (depending on options). Symbols Caution, refer to accompanying documents On/Off/Standby Alternating current Rechargeable battery symbol DC power source Battery Eject ECG Sync Pulse Output indicator Connection direction indicator Pressure connector Temperature connector...
24 Specifications Symbols Monitor supports 12-lead ECG Indicates location of the date of manufacture and/or name and address of manufacturer Built-in short range radio interface Built-in wireless network Indicates location of catalog number Main Screen Followed by two alphanumeric characters, Indicates location of serial number indicates ingress protection grade Indicates location of service number...
Quick Mount release button when lifting or moving items located under the monitor, such as pole mounts, etc. If in doubt, use the Philips Fix Mount solution to avoid such situations. Refer to the respective IntelliVue Monitor Service Manual, Installation Instructions chapter, for more details.
001 du Canada. The MP2 including IntelliVue Instrument Telemetry WMTS (US only)) The MP2 including IntelliVue Instrument Telemetry WMTS complies with part 15 of the FCC Rules. Operation is subject to the condition that this device does not cause harmful interference. Operation of this equipment requires the prior coordination with a frequency coordinator designated by the FCC for the Wireless Medical Telemetry Service.
(2) this device must accept any interference received, including interference that may cause undesired operation. Any changes or modifications to this equipment not expressly approved by Philips Medical Systems may cause harmful radiofrequency interference and void your authority to operate this equipment.
In addition the product complies with: ETSI EN 300 328; AS/NZS 4268; ARIB STD-T66. Class 1 radio equipment. To obtain a copy of the original Declaration of Conformity, please contact Philips at the address given in the “Manufacturer's Information” section of these Instructions for Use...
Altitude Range from -500 to 3000 m operating and -500 to 4600 m storage and transportation. • Extended radiated susceptibility tests The MP2 patient monitor with its out-of-hospital parameter set provides a general immunity level of 20 V/m with only few restrictions. Details are as listed below: –...
24 Specifications Environmental Specifications The monitor may not meet the performance specifications given here if stored or used outside the specified temperature and humidity ranges. The monitor is protected against ingress of objects and fluids according to IEC 60529 IP32 (see specifications below).
24 Specifications Monitor Performance Specifications Performance Specifications Power Specifications Power consumption <12 W average <30 W while battery is loading Operating Voltage 36 to 60 V DC floating Battery Specifications Operating Time (with new, fully charged Basic monitoring configuration: 2.5 hours battery at 25°C) Brightness Optimum...
24 Specifications Performance Specifications Real Time Clock Range from: January 1, 1997, 00:00 to: December 31, 2080, 23:59 Accuracy <4 seconds per day (typically) Hold Time infinite if powered by external power supply; otherwise at least 48 hours Buffered Memory Hold Time if powered by external power supply: infinite without power: at least 48 hours...
Effective radiated power max. 0 dBm (1 mW) IntelliVue Instrument Telemetry Wireless Network (USA only) Internal WMTS Technology compatible with Philips IntelliVue Telemetry System (ITS), cellular Adapter infrastructure Frequency Band WMTS, 1395-1400 MHz and 1427-1432 MHz IntelliVue Instrument Telemetry Wireless Network...
24 Specifications M8023A External Power Supply Interface Specifications Measurement Link Connectors Male ODU (Proprietary) (MSL) Power 48 V output Power Sync. RS-422 compliant output 78.125 kHz (typical) LAN signals IEEE 802.3 10-Base-T compliant Serial signals RS-422 compliant output 78.125 kHz (typical) Local signals Not connected 865297 Battery Extension Interface Specifications...
24 Specifications M4607A Battery Specifications Temperature Range Discharge 0 to 60°C (32 to 122°F) Charge 0 to 60°C (32 to 122°F) Storage and Transportation: -20 to 65°C (-4 to 140°F) Humidity Range Operating: 15% to 95% Relative Humidity (RH) Storage and Transportation: 5% to 95% Relative Humidity (RH) Battery Type Lithium Ion Manganese, 10.8 V, 1000 mAh Safety...
24 Specifications Measurement Specifications See the “Default Settings Appendix” for a list of the settings the monitor is initially shipped with. ECG/Arrhythmia/ST/QT Complies with: • IEC 60601-2-25:1993 + A1:1999/EN60601-2-25:1995 + A1:1999 • IEC 60601-2- 27:2005/EN60601-2-27:2006 • IEC 60601-2-51:2003/EN 60601-2-51:2003 • AAMI EC11/EC13:1991/2002 ECG/Arrhythmia/ST Performance Specifications Cardiotach...
24 Specifications ECG/Arrhythmia/ST Performance Specifications Bandwidth Diagnostic Mode Adult/neo/pedi: 0.05 to 150 Hz Extended Monitoring Mode Adult/neo/pedi: 0.5 to 150 Hz Monitoring Mode Adult: 0.5 to 40 Hz Neo/pedi: 0.5 to 55 Hz Filter Mode Adult/neo/pedi: 0.5 to 20 Hz Bandwidth Diagnostic Mode Adult/neo/pedi: 0.05 to 40 Hz...
24 Specifications ECG/Arrhythmia/ST Supplemental Information as required by AAMI EC11/13, IEC 60601-2-27 Sinusoidal signal, 260 μA, 40.5 kHz Respiration Excitation Waveform Noise Suppression RL drive gain 44 dB max., max. voltage 1.8 Vrms Time to Alarm for Tachycardia Vent Tachycardia Gain 0.5, Range 6.5 to 8.4 seconds, Average 7.2 seconds 1 mV ,206 bpm...
24 Specifications Respiration Alarm Range Adjustment Delay Specifications High Adult/pedi: 10 to 100 rpm < 20 rpm: 1 rpm steps max. 14 seconds Neo: 30 to 150 rpm ≥ 20 rpm: 5 rpm steps Adult/pedi: 0 to 95 rpm < 20 rpm: 1 rpm steps for limits from 0 to 20 rpm: Neo: 0 to 145 rpm ≥...
24 Specifications Philips FAST SpO2 Performance Specifications Philips FAST SpO Performance Specifications SpO2 Range 0 to 100% The specified accuracy Accuracy Philips Reusable Sensors: is the root-mean- M1191A, M1191AL, M1191B, M1191BL, M1192A, = 2% (70% to 100%) square (RMS) M1193A, M1194A, M1195A, M1196A, M1196S = 3% (70% to 100%)
24 Specifications Nellcor OxiMax Performance Specifications Pulse Oximetry Performance Specifications SpO2 Range 1 to 100% The specified Accuracy M1901B , M1902B, M1903B, M1904B, MAXA, MAXAL, MAXP, MAXI, MAXN accuracy is the root- MAXFAST: adult/infant = 2% (70% to 100%) mean-square (RMS) M1902B, M1903B, M1904B, MAXA, MAXAL, MAXP, MAXI, MAXN , MAXFAST: adult difference between...
24 Specifications Nellcor Patents: The monitor with Nellcor OxiMax technology are covered by one or more of the following US Patents and foreign equivalents: 5,485,847; 5,676,141; 5,743,263; 6,035,223; 6,226,539, 6,411,833; 6,463,310; 6,591,123; 6,708,049; 7,016,715; 7,039,538; 7,120,479; 7,120,480; 7,142,142; 7,162,288; 7,190,985; 7,194,293; 7,209,774; 7,212,847;...
24 Specifications Smart Alarm Delay - Detailed Specifications Deviation from violated Resulting alarm delay according to selected mode alarm limit Short Medium Long 25 seconds 50 seconds 100 seconds (maximum delay) (maximum delay) (maximum delay) 12 seconds 25 seconds 50 seconds 10 seconds 16 seconds 33 seconds...
24 Specifications NBP Performance Specifications Measurement Time Typical at HR >60 bpm Auto/manual/sequence: Adult: 30 seconds Neonatal: 25 seconds Stat: 20 seconds Maximum time: Adult/pedi: 180 seconds Neo: 90 seconds Cuff Inflation Time Typical for normal adult cuff: Less than 10 seconds Typical for neonatal cuff: Less than 2 seconds Initial Cuff Inflation Pressure Adult: 165 ±15 mmHg...
24 Specifications NBP Alarm Specifications Range Adjustment Systolic Adult: 30 to 270 mmHg (4 to 36 kPa) 10 to 30 mmHg: 2 mmHg (0.5 kPa) >30 mmHg: 5 mmHg (1 kPa) Pedi: 30 to 180 mmHg (4 to 24 kPa) Neo: 30 to 130 mmHg (4 to 17 kPa) Diastolic Adult: 10 to 245 mmHg (1.5 to 32 kPa)
24 Specifications Invasive Pressure Alarm Specifications Invasive Pressure Alarm Range Adjustment Delay Specifications Pressure -40 to 360 mmHg -40 to 50 mmHg max. 12 seconds (-5.0 to 48 kPa) 2 mmHg (0.5 kPa) >50 mmHg 5 mmHg (1 kPa) Extreme High Difference to high limit 0 to 5 mmHg steps (0.5 kPa) 25 mmHg...
24 Specifications The CO measurement in the monitor, M3014A and M3015A complies with EN ISO 21647:2004 + Cor.1:2005 (except alarm system; alarm system complies with IEC 60601-2-49:2001). M3015A Microstream CO2 M3015A Microstream CO Performance Specifications Range 0 to 150 mmHg (0 to 20 kPa), or 20% CO , whichever is lower Accuracy Up to 5 minutes during warmup: ±4 mmHg or 12%, whichever is greater...
24 Specifications = partial pressure at ambient temperature and pressure, dry ATPD M3014A Mainstream CO2 M3014A Mainstream CO Performance Specifications Range 0 to 150 mmHg (0 to 20.0 kPa) Accuracy after 2 minutes warmup: For values between 0 and 40 mmHg: ±2.0 mmHg (±0.29 kPa) For values from 41 to 70 mmHg: ±5% of reading For values from 71 to 100 mmHg: ±8% of reading The specifications are valid for standard gas mixtures, balance air, fully hydrated at 35°C, P...
24 Specifications M8102A/M3014A Mainstream and Sidestream CO2 Humidity Correction Factor Either BTPS or ATPD can be selected as the humidity correction factor for the CO readings. The formula for the correction calculation is: Where p = partial pressure, Pabs = absolute pressure, and P = 42 mmHg @35°C and 100% RH.
24 Specifications M8102A/M3014A M3015A Gas Level Gas or Vapor Additional deviation due to gas interference, (% volume fraction) measured at 0 - 40 mmHg CO2 Desflurane +5 mmHg ±5% Ethanol 0.1% ±1 mmHg ±5% Isopropanol 0.1% ±1 mmHg ±5% Acetone 0.1% ±1 mmHg ±5%...
1 Vrms for conducted disturbances induced by RF fields. Electromagnetic fields with field strengths above 1 V/m and conducted disturbances above 1 Vrms may cause erroneous measurements. Therefore Philips recommends that you avoid using electrically radiating equipment in the close proximity of this measurement.
24 Specifications IEC 60601-1-2 Immunity test Compliance level Electromagnetic environment guidance test level Power frequency (50/ 3 A/m 3 A/m Power frequency magnetic fields should be 60 Hz) magnetic field a t levels characteristic of a typical location IEC 61000-4-8 in a typical commercial and/or hospital environment In this table, U...
24 Specifications 1. If ECG/SpO signals are acquired from a telemetry device via short range radio the compliance level is 3V/m except in the range 2.0 to 2.3 GHz where it is 1 V/m. Field strengths from fixed transmitters, such as base stations for radio (cellular, cordless) telephones and land mobile radios, amateur radio, AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy.
24 Specifications Fast Transients/Bursts The equipment will return to the previous operating mode within 10 seconds without loss of any stored data. If any user interaction is required, the monitor indicates with a technical alarm (INOP). Restart time After a power interruption, an ECG wave will be shown on the display after 30 seconds maximum.
Default Settings Appendix This appendix documents the most important default settings of your monitor as it is delivered from the factory. For a comprehensive list and explanation of default settings, see the Configuration Guide supplied with your monitor. The monitor's default settings can be permanently changed in Configuration Mode.
25 Default Settings Appendix Factory Defaults ECG Settings Adult Pedi Fallback Alarms Off Enabled Enabled Enabled AlarmSource Sel. Enabled Enabled Enabled Va Lead Vb Lead SyncPulse Sensit Medium Medium Medium SyncPulse Marker PulseAlarms Tele Enabled Enabled Enabled Arrhythmia Default Settings Factory Defaults Arrhythmia Settings Adult...
25 Default Settings Appendix Factory Defaults Arrhythmia Settings Adult Pedi Cardiotach Msg Some ECG Al INOP ST and QT Default Settings Factory Defaults Lead-independent ST Settings Adult Pedi ST Alarm Mode Single ST Single ST Single ST Alarms ST Analysis ST-Index ISO Point -80 ms...
indicators connectors for operating room malfunction indicator conventional 12-lead ECG ECG cables, connecting monitoring time correcting the NBP measurement ECG connector safety information CPAP (RESP) ECG electrode colors status indicator cuff ECG electrode placement symbol pressure, NBP during electrosurgery time to empty selection, NBP ECG gain time to full...
lead labels (ECG) cuff, tightness disposable cuffs lead placement horizon trend how the measurement works for Resp measurement trend time measurement correction leads monitored (ECG) HR = RR (Resp) measurement limitations Leads Off INOP (ECG) measurement methods, auto HR alarms levels of arrhythmia analysis measurement methods, manual when arrhythmia off...
Resp performance test setting up the sequence rate adaptive pacemakers perfusion indicator settings and ECG monitoring about Philips contact information default recording physiological alarms screen settings preventing fading ink pleth wave synchronized telemetry and recording alarms pop-up keys...
standby symbol troubleshooting status log printing trunk cables status messages Ttymp printer Tvesic status messages (arrhythmia) ectopic rhythm unpairing sterilizing infection control stopping reports printouts V electrode placement (ECG) surgical ECG cable venous puncture suspicious SpO2 reading visual latching (arrhythmia alarms) symbols battery system pulse...
Part Number 453564547171 Published in Germany 04/2015 *453564547171*...