Download  Print this page

Philips IntelliVue MX40 Instructions For Use Manual

Hide thumbs

Advertisement

IntelliVue MX40
Instructions for Use
Release B.0

Advertisement

Table of Contents
loading

  Also See for Philips IntelliVue MX40

  Summary of Contents for Philips IntelliVue MX40

  • Page 1 IntelliVue MX40 Instructions for Use Release B.0...
  • Page 2 First Edition 2012 4535 643 15721 Copyright Copyright © 2012 Koninklijke Philips Electronics N.V. All rights reserved. Reproduction in whole or in part is prohibited without the prior written consent of the copyright holder. Philips Medical Systems Nederland B.V. reserves the right to make changes in specifications and/or to discontinue any products at any time without notice or obligation and will not be liable for any consequences resulting from the use of this publication.
  • Page 3 Warranty The information contained in this document is subject to change without notice. Philips Medical Systems makes no warranty of any kind with regard to this material, including, but not limited to, the implied warranties or merchantability and fitness for a particular purpose. Philips Medical Systems...
  • Page 4 Uses of the system for purposes other than those intended and expressly stated by the manufacturer, as well as incorrect use, incorrect operation, or modifications made to the system without explicit approval from Philips, may relieve the manufacturer (or his agent) from all or some responsibilities for resultant noncompliance, damage or injury.
  • Page 5 Cautions Caution A Caution alerts you to where special care is necessary for the safe and effective use of the product. Failure to observe a caution may result in minor or moderate personal injury or damage to the product or other property, and possibly in a remote risk of more serious injury.
  • Page 7: Table Of Contents

    Contents 1. Introducing the IntelliVue MX40 MX40 Features -------------------------------------------------------------------------- 1-2 MX40 Models ---------------------------------------------------------------------------- 1-3 MX40 Release B.0 Compatibility --------------------------------------------------- 1-4 2. What's New? New Features and Enhancements------------------------------------------------- 2-2 3. Product Safety General Safety -------------------------------------------------------------------------- 3-2 Safety Symbols & Other Marks ----------------------------------------------------- 3-5 4.
  • Page 8 Alarm Message ------------------------------------------------------------------- 5-3 Alarm Indicator ------------------------------------------------------------------- 5-4 Flashing Numeric ---------------------------------------------------------------- 5-4 Audible Alarm Indicators when in Monitoring Mode ---------------------- 5-5 Traditional Audible Alarms (HP/Agilent/Philips/Carenet) -------------- 5-5 ISO/IEC Standard Audible Alarms ------------------------------------------ 5-5 Acknowledging Alarms ----------------------------------------------------------- 5-6 Pausing or Switching Off Alarms----------------------------------------------- 5-6...
  • Page 9 Selecting the Primary and Secondary ECG Leads ---------------------------- 6-8 Checking Paced Status --------------------------------------------------------------- 6-9 Understanding the ECG Display -------------------------------------------------- 6-10 Monitoring Paced Patients ---------------------------------------------------------- 6-11 Optimizing Lead Selection for Paced Patients ---------------------------- 6-11 Changing the Size of the ECG Wave -------------------------------------------- 6-12 Choosing EASI or Standard Lead Placement --------------------------------- 6-13 Derived 12-lead ECG----------------------------------------------------------------- 6-14 Hexad -------------------------------------------------------------------------------- 6-14...
  • Page 10 EASI ECG Monitoring -------------------------------------------------------- 6-36 Initiating Arrhythmia Relearning Manually --------------------------------- 6-36 ST/AR ST Analysis Algorithm ----------------------------------------------------- 6-37 Introduction ------------------------------------------------------------------------ 6-37 The Measurements -------------------------------------------------------------- 6-38 Overview --------------------------------------------------------------------------- 6-38 Turning ST or STE On and Off ----------------------------------------------- 6-38 Displayed ST Data --------------------------------------------------------------- 6-39 ST Lead Groups ------------------------------------------------------------------ 6-39 Derived 12 Lead ECG ---------------------------------------------------------- 6-40 EASI ST Analysis -------------------------------------------------------------- 6-40...
  • Page 11 Understanding SpO Alarms --------------------------------------------------- 9-10 10. Monitoring with other Assigned Devices 10-1 Assigning Devices --------------------------------------------------------------------- 10-3 Device Assignment at the Information Center ---------------------------- 10-3 Device Assignment at the MX40 ---------------------------------------------- 10-3 Device Assignment at the Patient Monitor --------------------------------- 10-4 Controls Available when Assigned to IntelliVue Cableless Measurements10-6 Controls Available when Assigned to IntelliVue Patient Monitors -------- 10-7 Networked Device Synchronized Settings -------------------------------------- 10-8 MX40 Display when Wirelessly Connected to a Patient Monitor --------- 10-9...
  • Page 12 AC Power Source ---------------------------------------------------------------- 15-2 Industrie Canada Compliance (Canada) ----------------------------------- 15-2 Safety Standards ----------------------------------------------------------------- 15-2 Intended Use Statement ------------------------------------------------------- 15-3 Indications for Use --------------------------------------------------------------- 15-3 Intended Uses of MX40 -------------------------------------------------------- 15-3 Authorized EU Representative ----------------------------------------------- 15-4 Patient Population --------------------------------------------------------------- 15-4 Rx ------------------------------------------------------------------------------------ 15-4 Essential Performance --------------------------------------------------------- 15-4 Risk Management Considerations ------------------------------------------ 15-5...
  • Page 13 Leadsets and Patient Cables --------------------------------------------------- A-3 Accessories ---------------------------------------------------------------------- A-5 Philips/Nellcor Disposable Sensors ------------------------------------------- A-5 Philips Reusable Sensors ------------------------------------------------------- A-5 Adapter Cables --------------------------------------------------------------------- A-6 B. Default Settings Alarm Default Settings ---------------------------------------------------------------- B-2 ECG, Arrhythmia, ST and QT Default Settings --------------------------------- B-3 Configuration Default Settings at the MX40 ------------------------------------- B-5 C.
  • Page 14 Contents...
  • Page 15: Introducing The Intellivue Mx40

    Introducing the IntelliVue MX40 This section introduces the IntelliVue MX40 wearable patient monitor. MX40 Features ................... 1-2 MX40 Models ..................... 1-3 MX40 Release B.0 Compatibility ............. 1-4 Introducing the IntelliVue MX40...
  • Page 16: Mx40 Features

    Alarm suspend and resume from standby at device and Information Center. Pouch with clear front that closes securely. Note — Unlike a traditional bedside monitor which operates on AC power, the MX40 is powered by battery and provides time-limited screen display and local alarming. Introducing the IntelliVue MX40...
  • Page 17: Mx40 Models

    MX40 Models MX40 Models The MX40 is available in three models (ECG only, ECG and FAST SpO , or ECG and SpO Ready (for future upgrade). Introducing the IntelliVue MX40...
  • Page 18: Mx40 Release B.0 Compatibility

    The MX40 Patient Cable is compatible for use with IntelliVue Patient Monitor platforms MP2/X2, MP5/MP5T/MP5SC, MP20/30 with MMS or X2, MP40/50 with MMS or X2, MP60/70 with MMS or X2, MP80/90 with MMS or X2, and MX800/700/600 with MMS or X2. Introducing the IntelliVue MX40...
  • Page 19: What's New

    What's New? This section lists the most important new features and improvements to the MX40 and its user interface. Further information is provided in other sections of this book. You might not have all of these features, depending on the MX40 configuration purchased by your hospital.
  • Page 20: New Features And Enhancements

    New Features and Enhancements New Features and Enhancements Compatibility The MX40 B.0 offers compatibility with the new IntelliVue Information Center iX Respiration The MX40 now offers a Respiration Rate measurement (available with the IntelliVue Information Center iX only). Rotating Alarm Presentation When multiple alarms are active, the MX40 will rotate the display of the alarm message every three seconds (Only INOPS are displayed with IntelliVue Information Center Release L or M).
  • Page 21: Product Safety

    Product Safety This section consolidates the general safety warnings associated with the IntelliVue MX40. These warnings are repeated throughout the book in context where relevant. Safety symbols and other markings on the MX40 are also described here. General Safety .................... 3-2 Safety Symbols &...
  • Page 22: General Safety

    ECG monitoring at the Information Center is not clinically acceptable for certain patients, alternatives must be sought. As the IntelliVue MX40 does not provide a wired network connection, we would recommend the use of an IntelliVue patient monitor with a wired connection to the Information Center for these patients.
  • Page 23 General Safety Do not use patient cables or accessory cables and sensors if prior visual inspection reveals cable damage or the presence of liquid, lint or dust inside. The system is not completely immune from radio interference although it is designed to minimize interference. Sources of interference that may be a problem include failing fluorescent lights and construction equipment.
  • Page 24 Tele Disconnected INOP message on the IntelliVue Patient Monitor. Caution Philips recommends that when using a pouch to attach the MX40 to your patient that you consider your patient's condition and are careful about placement of the straps as the straps could present a strangulation hazard.
  • Page 25: Safety Symbols & Other Marks

    Safety Symbols & Other Marks Safety Symbols & Other Marks The table below describes the safety symbols and other markings present on the MX40 and the lithium-ion battery. Label Definition FCC ID: Federal Communications Commission (FCC) ID Industry Canada Number GMDN: Global Medical Device Nomenclature Federal Communications Commission...
  • Page 26 Used to identify the equipment during a call to Philips Healthcare (Service) Serial Number Used to identify the equipment during a call to the Philips Healthcare (Service). Reference Number Indicates Philips Product Number MAC Address Manufacturer and Date of Manufacture...
  • Page 27 Safety Symbols & Other Marks Label Definition IPX Waterproof Rating Protected against the effects of temporary immersion in water. 2D Barcode UL Listed Device Listed by Underwriters Laboratories Attention! See Instructions for Use. Product Safety...
  • Page 28 Safety Symbols & Other Marks Product Safety...
  • Page 29: Basic Operation

    Basic Operation This section gives you an overview of the IntelliVue MX40 and its functions. It tells you how to perform tasks that are common to all measurements, such as turning a measurement on and off, adjusting wave size and information in preparation for use.
  • Page 30: Controls, Indicators And Connectors

    Controls, Indicators and Connectors Controls, Indicators and Connectors This section describes the clinical controls of the IntelliVue MX40. These controls include buttons, display icons, visual and auditory indicators, ports, and safety labeling located on the front and back of the device.
  • Page 31: Multi-Function Button

    Controls, Indicators and Connectors Multi-Function Button Button Function Depending on configuration at the Information Center: generates a Nurse Call; Initiates a Delayed Recording; Both, or; None Note — the Multi-Function Button does not operate when paired with an IntelliVue Patient Monitor via the short-range radio connection.
  • Page 32: Main Screen Button

    Controls, Indicators and Connectors Main Screen Button Button Function Activates the Touch Display if touched for two seconds. Cycles through the display screens if touched repeatedly. Resumes from Standby. When pressed from a sub-menu, returns display to the Main Screen. SmartKeys The following table lists the SmartKeys available on the display of the MX40.
  • Page 33: Alarms Area

    Controls, Indicators and Connectors SmartKey Function Standby Puts the device into Standby locally and at the Information Center. Displays purchased/enabled product options. To resume from Standby, touch the Main Screen button. Add/Remove Displays available monitors and IntelliVue Cableless Measurements to assign to via the short-range radio.
  • Page 34: Patient Information Area

    Controls, Indicators and Connectors Patient Information Area The Patient Information Area displays the following information: Bed Label Patient Name (up to 15 characters will display) Time Touching the Patient Information Area displays the Patient Demogr. menu which lists the following: Patient Name (Last, First, Middle) Lifetime ID Encounter ID...
  • Page 35: Status Area

    Controls, Indicators and Connectors Status Area The status area of the MX40 displays short-range radio connection (optional) and system wireless connection status. You can also view battery strength for the type of battery used in the device, AA or rechargeable Li-on. Basic Operation...
  • Page 36: Operating And Navigating

    Operating and Navigating Operating and Navigating The principle method of operating your MX40 is via the Touch Display. Almost every element on the display is interactive. Display elements include measurement numerics, information fields, alarm fields, waveforms, SmartKeys and menus. Power-On Self Test Once battery power is supplied, the MX40 performs a power-on self test to check operational status prior to start-up.
  • Page 37: Locking The Display

    Operating and Navigating Locking the Display To provide additional protection against accidental patient access to the MX40, the display can be locked using the Lock SmartKey. When Lock is selected, the SmartKey menu automatically changes to the Main Screen. When Unlock is selected, you must close the SmartKey menu to return to the Main Screen.
  • Page 38: Connecting/Disconnecting The Patient Cable

    Operating and Navigating Connecting/Disconnecting the Patient Cable The patient cable is connected to the MX40 as shown in the illustration below. When connecting to the MX40, there is a slight clicking sound that signifies that the cable is securely connected. Typically, the patient cable may be disconnected as shown below.
  • Page 39 Operating and Navigating During initial use of the MX40, the secure connection between the patient cable and the device may be difficult to disconnect. Should this occur, use the alternative procedure shown below. Caution Never disconnect the patient cable by pulling on the leadwires, as this may damage wires over time.
  • Page 40: Understanding Settings

    Understanding Settings Understanding Settings Each aspect of how the MX40 works and looks is defined by a setting. There are a number of different categories of settings, including: Screen Settings - to define the selection and appearance of elements on each individual display screen.
  • Page 41: Waveform Settings At The Mx40

    Understanding Settings Setting Description Set ECG On/Off New Lead Setup When IntelliVue Patient Monitor lead sets are in use, select 3-wire, or 5-wire. Va Lead Shows position of Va, or C1, electrodes. Choices are V1-V9, v3R, V4R, V5R. Vb Lead Shows position of Vb, or C2, electrodes.
  • Page 42: Battery Information

    Battery Safety Information Warnings The battery compartment door must be closed during defibrillation. Use the Philips Rechargeable Lithium-ion Battery or 3 Duracell Alkaline batteries, size AA, MN 1500, 1.5V, to ensure specified performance and correct battery gauge reporting. Outdated, mismatched, or poor-quality batteries can give unacceptable performance (e.g., insufficient...
  • Page 43: Lithium-Ion Rechargeable Battery Care

    Toward the end of its useful life, the battery capacity may be reduced by 25-30%. If this reduced battery life is unacceptable based on your use model, Philips recommends replacing the rechargeable battery sooner. Lithium-ion Rechargeable Battery Handling Precautions Lithium-ion batteries store a large amount of energy in a small package.
  • Page 44: Lithium-Ion Rechargeable Battery Storage

    Battery Information Do not incinerate batteries or expose them to temperatures above 60 (140 If a battery has been dropped or banged against a hard surface, whether damage is visible externally or not: discontinue use. dispose of the battery in accordance with the disposal instructions. Lithium-ion Rechargeable Battery Storage When storing rechargeable batteries, make sure that the battery terminals do not come into contact with metallic objects or other conductive...
  • Page 45: Inserting Batteries

    The battery compartment is located on the back of the MX40, accessible by opening the compartment door from the bottom. It accommodates three AA 1.5V Alkaline batteries or the Philips Rechargeable Lithium-ion battery. Only these batteries should be used. Note— Lithium-ion batteries should be fully charged prior to first use.
  • Page 46 Battery Information Close the battery compartment door. Watch for the start-up screen on the front of the MX40 to illuminate briefly.  Insert AA batteries into the MX40 using the following procedure: Open the battery compartment by lifting up on both bottom sides of the compartment door.
  • Page 47: Removing The Batteries

    Battery Information Close the battery compartment door. Watch for the start-up screen on the front of the MX40 to illuminate briefly. Removing the Batteries Batteries should be removed when the MX40 is not in use or is being stored. To remove the batteries, open the battery compartment door and push from the opening at the bottom of the compartment to pop the batteries out.
  • Page 48: Battery Charge Status

    Battery Information Disposal of Batteries When disposing of batteries, follow local laws for proper disposal. Dispose of batteries in approved containers. If local regulations require you to recycle batteries, recycle batteries in accordance with those regulations. Battery Charge Status The battery charge indicator displays in the Status Area and communicates the remaining battery charge time when using both AA batteries or the rechargeablelithium-ion battery.
  • Page 49: Aa Battery Charge Status

    Battery Information AA Battery Charge Status Approximate Approximate Approximate Functionality Battery Battery Time Time Disabled Indicator Life Remaining Remaining Remaining (ECG only) (ECG & Spo2 Segments Continuous) 100% ~ 24 hours ~ 9 hours None 5 Green < 18 hours <...
  • Page 50: Pouch Use

    Pouch Use Pouch Use The MX40 is not intended for direct contact with the patient’s skin. During normal use, the MX40 should be worn over clothing, in a pocket or, preferably, in a pouch. The Waterproof Carry Pouch with clear front is an appropriate means for holding the MX40.
  • Page 51 The pouch is designed to be used exclusively with the MX40. It is not intended to be used to store patient's personal devices, e.g. cell phones. Philips recommends that when using a pouch to attach the MX40 to your patient, consider your patient's condition and be careful about placement of the straps, as the straps could present a strangulation hazard.
  • Page 52: Showering

    The MX40 can be used to monitor a patient in the shower, but only when placed inside a Philips carrying pouch and secured on the patient as described above. The combination of the MX40 and pouch will withstand showering for up to 10 minutes.
  • Page 53 Pouch Use Accidental Liquid Exposure If the MX40 is accidentally immersed in liquid, no damage to the device and no electrical safety issues for the patient will result. Remove the device, dry it off, and follow the procedure for cleaning/sterilization under "Cleaning and Sterilization"...
  • Page 54: Telemetry Mode Use

    Telemetry Mode Use Telemetry Mode Use To minimize patient disruption, the MX40 operates in Telemetry Mode when connected to the Information Center. In Telemetry Mode, the local volume is set to zero and the display is off. You can activate the display at any time by touching the Main Screen button for two seconds.
  • Page 55: Monitoring Mode Use

    Monitoring Mode Use Monitoring Mode Use You may find the use of Monitoring Mode helpful when spending extended time directly with your patient, e.g. during transport, showering, dressing change. The display is always on for easy viewing and should an alarm condition occur, it will be announced locally at the MX40 and at the Information Center if networked connected.
  • Page 56: Briefing The Patient

    Briefing the Patient Briefing the Patient Warning Patients should be instructed not to interact with the display of the device and to not open the battery compartment while the MX40 is in use. Note — Pausing alarms at the Information Center activates the MX40 display.
  • Page 57: Alarms

    Alarms The section provides alarm information that applies to all measurements. Measurement-specific alarm information is discussed in the sections on individual measurements. Alarms Overview ..................5-2 Physiologic Alarms ................. 5-10 Technical Alarms (INOPs) ..............5-14 Alarms...
  • Page 58: Alarms Overview

    Alarms Overview Alarms Overview The MX40 has two different types of alarms: physiological alarms and INOPs. For MX40 devices operating with IntelliVue Information Center Release L and M, physiological alarms are not available locally on the MX40. INOPs are displayed as described here. For MX40 devices operating with IntelliVue Information Center Release N or IntelliVue Information Center iX, physiological alarms are available locally on the MX40 regardless of network connection to the Information...
  • Page 59: Visual Alarm Indicators

    Alarms Overview The MX40 is designed to achieve visual alarm notification at a distance of up to one meter, which is consistent with its intended use model as a wearable monitor. Alarms are indicated after the alarm delay time. This is made up of the system delay time plus the trigger delay time for the individual measurement.
  • Page 60: Alarm Indicator

    Alarms Overview Alarm Indicator An Alarm Indicator on the MX40 main display communicates alarm/INOP conditions that have not been acknowledged. The alarm indicator is divided into two sections and appears in the upper right hand corner normally occupied by the time display. The right section flashes for a physiological alarm, except for short yellow alarms where the indicator will light for approximately six seconds.
  • Page 61: Audible Alarm Indicators When In Monitoring Mode

    Telemetry Mode. Audible alarm indicators become active as soon as the MX40 is no longer connected to the Information Center. Traditional Audible Alarms (HP/Agilent/Philips/Carenet) Red alarms and red INOPs: A high pitched sound is repeated once a second.
  • Page 62: Acknowledging Alarms

    Alarms Overview Acknowledging Alarms To acknowledge all active physiological alarms and INOPs, touch the Silence Alarm button. This switches off the audible alarm indicators, if present, and alarm messages at the MX40 and at the IntelliVue Information Center iX. A check mark beside the alarm message indicates that the alarm has been acknowledged .
  • Page 63: While Alarms Are Paused

    Alarms Overview While Alarms are Paused In the alarm field, the MX40 displays the message ALARMS PAUSED 1:28 or ALARMS OFF, together with the alarms paused symbol or the alarms off symbol. No alarms are sounded and no alarm messages are shown. INOP messages are shown but no INOP tones are sounded.
  • Page 64: Viewing Individual Alarm Limits

    Alarms Overview Viewing Individual Alarm Limits You can see the alarm limits set for each measurement next to the measurement numeric on the main screen. Reviewing Alarms You can see which alarms and INOPs are currently active in the respective alarms and INOPs fields at the top of the screen.
  • Page 65: Latching Alarms

    Alarms Overview Latching Alarms The alarm latching setting for your MX40 defines how the alarm indicators behave when you do not acknowledge them. When alarms are set to non-latching, their indicators end when the alarm condition ends. Switching alarm latching on means that visual and/or audible alarm indications are still displayed or announced by the monitor after the alarm condition ends.
  • Page 66: Physiologic Alarms

    Physiologic Alarms Physiologic Alarms Physiologic alarms indicate a life-threatening situation or a less urgent situation such as heart rate beyond limits. Warning Do not rely exclusively on the audible alarm system for patient monitoring. Adjustment of alarm volume to a low level during patient monitoring may result in patient danger.
  • Page 67 Physiologic Alarms Alarm Text Priority Condition Source ***EXTREME TACHY Extreme Tachycardia. ST/AR Basic Heart Rate (yyy) greater than Extreme & Enhanced Tachy limit Arrhythmia *** VENT FIB/TACH Ventricular Fibrillation. ST/AR Basic Fibrillatory wave (sinusoidal wave & Enhanced between 2-10 Hz) for 4 consecutive Arrhythmia seconds *** V-TACH...
  • Page 68 Physiologic Alarms Alarm Text Priority Condition Source */** HR High Yellow Heart Rate (yyy) greater than the upper ST/AR Basic Heart rate limit (xxx). & Enhanced Arrhythmia */** HR Low Yellow Heart Rate (yyy) lower than the lower ST/AR Basic Heart Rate limit (xxx).
  • Page 69 Physiologic Alarms Alarm Text Priority Condition Source * R-ON-T PVCs Yellow For Heart Rate less than 100, a PVC with ST/AR R-R interval less than 1/3 the average Enhanced interval followed by a compensatory pause Arrhythmia of 1.25 x average R-R interval, or 2 such Vs without a compensatory pause occurring within 5 minutes of each other.
  • Page 70: Technical Alarms (Inops)

    Technical Alarms (INOPs) Technical Alarms (INOPs) Technical Alarms, or INOPs (inoperative conditions), are sourced at the MX40, the ST/AR algorithm running at the Information Center, or the IntelliVue Patient Monitor. They identify inoperative conditions (that is conditions where the system is not operating properly and therefore cannot measure or detect alarm conditions reliably).
  • Page 71 Technical Alarms (INOPs) Alarm Text Priority Condition What to do CHECK PAIRING Yellow There is a problem with Check that the bedside Technical device pairing. monitor or cableless Alarm measurement device is When the MX40 is Source - MX40 correctly paired. wirelessly paired with an X2 patient monitor (no Select the correct device to be...
  • Page 72 Technical Alarms (INOPs) Alarm Text Priority Condition What to do ECG/ARRH ALARM(S) Soft ECG is turned off. Turn on ECG. Source - MX40 ECG LEADS OFF Red or Re-attach ECG leads to patient.. Multiple leads are off. Yellow or Note This INOP may also Hard be configured to display as Technical...
  • Page 73 Technical Alarms (INOPs) Alarm Text Priority Condition What to do NBP EQUIP MALF Hard Tubing may be Check tubing. obstructed or kinked. If condition persists, contact Hardware malfunction. Service. Source - Cableless Measurement Device NO ALARM DISPLAY Soft When operating with Condition is not present when Information Center operating with Information...
  • Page 74 Technical Alarms (INOPs) Alarm Text Priority Condition What to do SOME ECG ALARMS OFF Soft Some ECG alarms have For information only. been turned off at the Information Center. T EQUIP MALF Hard Malfunction in the SpO Contact Service. equipment Source - MX40 T ERRATIC Hard...
  • Page 75 Technical Alarms (INOPs) Alarm Text Priority Condition What to do POOR SIGNAL Soft Although a measurement Apply the sensor according to may be possible, its the manufacturer's accuracy may be reduced instructions. Source - MX40 due to poor signal quality. Relocate the sensor to a different site on the patient.
  • Page 76 Technical Alarms (INOPs) Alarm Text Priority Condition What to do TELE MALFUNCTION Hard MX40 malfunction or Contact Service to replace the self-test failure. MX40. Source - MX40 TELE REMOVE BATT Hard, The temperature of the Replace the lithium-ion Latched lithium-ion battery is >60 battery.
  • Page 77: Ecg And Arrhythmia Monitoring

    ECG and Arrhythmia Monitoring This section covers the specifics of ECG measurement and the ST/AR Arrhythmia, ST, and QT algorithms used for arrhythmia monitoring. ECG Safety Information ................6-2 Measuring ECG ..................6-5 Connecting and Positioning ECG Electrodes ........6-6 Selecting the Primary and Secondary ECG Leads ........
  • Page 78: Ecg Safety Information

    ECG Safety Information ECG Safety Information Warnings The MX40 operates exclusively via a wireless network connection, therefore, it should not be used for primary monitoring in applications where momentary loss of the ECG is unacceptable at the Information Center. It sends ECG and optionally pulse oximetry data to the Information Center, where the Information Center displays real-time patient data, provides alarm annunciation, data storage and review applications.
  • Page 79: For Paced Patients

    ECG electrodes and cables specified by Philips. Philips recommends that you change the lead label only to reflect the physical placement of electrodes. This will ensure a match between the monitored lead and the label, and prevent any possible confusion.
  • Page 80 ECG Safety Information For paced patients who exhibit only intrinsic rhythm, the monitor can erroneously count pace pulses as QRS complexes when the algorithm first encounters them, resulting in missed detection of cardiac arrest. The risk of missing cardiac arrest can be reduced by monitoring these patients with the low heart rate limit at or slightly above the basic/demand pacemaker rate.
  • Page 81: Measuring Ecg

    Measuring ECG Measuring ECG The electrocardiogram (ECG) measures the electrical activity of the heart and displays it on the MX40 and the Information Center as a waveform and a numeric. In order to compare measured ECG signals, the electrodes (or patient cables) are placed in standardized positions, forming "leads".
  • Page 82: Connecting And Positioning Ecg Electrodes

    Clip or shave hair from the site as necessary. Wash site with soap and water, leaving no soap residue. Note— Philips does not recommend using ether or pure alcohol, because they dry the skin and increase the resistance. Dry thoroughly.
  • Page 83 Connecting and Positioning ECG Electrodes Use ECG skin preparation paper (abrasive) to remove dead skin cells and to improve the conductivity of the electrode site. Check electrodes for moist gel, and attach to the clips. If you are not using pre-gelled electrodes, apply electrode gel to the electrodes before placement.
  • Page 84: Selecting The Primary And Secondary Ecg Leads

    Selecting the Primary and Secondary ECG Leads Selecting the Primary and Secondary ECG Leads When multilead analysis is used, the MX40 uses the primary and secondary lead selected at the Information Center to compute HR and to analyze and detect cardiac arrhythmias. They are also available for recordings and for display on the Information Center.
  • Page 85: Checking Paced Status

    Checking Paced Status Checking Paced Status It is important to set the paced status correctly when you start monitoring ECG. Note — Paced status is set at the Information Center and can only be changed at the Information Center. When Paced is set to On: Pacer Algorithm is switched on.
  • Page 86: Understanding The Ecg Display

    Understanding the ECG Display Understanding the ECG Display Your display may be configured to look slightly different. 1. Lead label of the displayed wave 4. Current heart rate 2. 1 mV calibration bar 5. Current heart rate alarm limits 3. Pacer spikes 6.
  • Page 87: Monitoring Paced Patients

    Monitoring Paced Patients Monitoring Paced Patients An ECG optimized for monitoring a paced patient should look like this: 1. Normal Beats 2. Pace Pulses/Beats Choose a lead as primary or secondary lead that has these characteristics: the normal QRS complex should be either completely above or below the baseline and it should not be biphasic.
  • Page 88: Changing The Size Of The Ecg Wave

    Changing the Size of the ECG Wave 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 the ECG waves on the screen. Changing the adjustment factor only changes the visual appearance of the ECG wave on the MX40.
  • Page 89: Choosing Easi Or Standard Lead Placement

    Choosing EASI or Standard Lead Placement Choosing EASI or Standard Lead Placement Choose either standard lead placement or EASI lead placement: In the Setup ECG menu, select Lead Placement to toggle between Standard or EASI. Select Standard or EASI. Note — When changing lead placement, the patient cable must be attached to the MX40.
  • Page 90: Derived 12-Lead Ecg

    Derived 12-lead ECG Derived 12-lead ECG Hexad When operating with the IntelliVue Information Center iX, the optional Hexad algorithm generates a Mason-Likar 12-lead ECG from a 6-wire leadset (including four limb electrodes and two chest electrodes) placed according to the Mason-Likar 6-electrode placement. To generate a derived 12-lead ECG using this configuration, 8 out of the 12 leads are directly acquired (I, II, III, aVR, aVL, aVF and the two directly-recorded V leads) and only 4 precordial leads need to be derived.
  • Page 91: Ecg Configuration

    ECG Configuration ECG Configuration The MX40 supports 3-, 5-, and 6-wire patient cables. The 5-wire patient cable can be used for either standard or EASI electrode configurations. The 6-wire patient cable can be used for either standard or Hexad electrode configurations.
  • Page 92: Ecg Leads Monitored

    ECG Leads Monitored ECG Leads Monitored Depending on the patient cable connected to the MX40, a different set of viewable leads are available at the MX40 and the Information Center. The MX40 can source up to four raw ECG waves to the Information Center. these leads can be selected at the If you are using ...
  • Page 93 ECG Leads Monitored these leads can be selected at the If you are using ... MX40 and the Information Center 6-wire I, II, III, aVR, aVL, aVF, V1, V2, V3, V4, V5, V6, V7, V8, V9, V3R, V4R, V5R. Sourced (raw) waves are received as: Channel 1 = II Channel 2 = III Channel 3 = Va...
  • Page 94: Reconstructed Leads

    Reconstructed Leads Reconstructed Leads Reconstruction of leads from the sourced wave is defined by the calculations in the following table. EASI reconstructed leads are a linear combination of all three raw EASI leads ECG Lead Clinical Calculations in terms of electrodes 3-wire 5-wire 6-wire...
  • Page 95: Chest Electrode Placement

    Chest Electrode Placement 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 V5 on the left anterior axillary line, horizontal with the V4 electrode position...
  • Page 96: 3-Wire Placement

    3-Wire Placement 3-Wire Placement 1. RA - directly below the clavicle and near the right shoulder 2. LA -directly below the clavicle and near the left shoulder 3. LL - on the left lower abdomen 6-20 ECG and Arrhythmia Monitoring...
  • Page 97: 5-Wire Placement (Standard Mode)

    5-Wire Placement (Standard Mode) 5-Wire Placement (Standard Mode) 1. RA directly below the clavicle and near the right shoulder 2. LA directly below the clavicle and near the left shoulder 3. RL on the left lower abdomen 4. LL on the right lower abdomen 5.
  • Page 98: 5-Wire Placement (Easi Mode)

    5-Wire Placement (EASI Mode) 5-Wire Placement (EASI Mode) 1. E (V) on the lower sternum at the level of the fifth intercostal space 2. A (LL) on the left midaxillary line at the same level as the E electrode 3. S (LA) on the upper sternum 4.
  • Page 99: 6-Wire Placement

    6-Wire Placement 6-Wire Placement For a 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 V6 positions shown in the chest electrode diagram below.
  • Page 100: 6-Wire Placement (Hexad Mode)

    6-Wire Placement (Hexad Mode) 6-Wire Placement (Hexad Mode) The diagram below shows the Mason-Likar Placement for 12-Lead ECG using 6 electrodes. 1. RA directly below the clavicle and near the right shoulder 2. LA directly below the clavicle and near the left shoulder 3.
  • Page 101: Monitoring During Leads Off

    Monitoring during Leads Off Monitoring during Leads Off ECG Fallback and Extended monitoring states are supported for the MX40 when the primary and/or secondary leads are in a "Leads Off" INOP condition. Both of these states are entered into after 10 seconds of "Leads Off"...
  • Page 102 Monitoring during Leads Off Warning Since Relearn happens automatically, if learning takes place during ventricular rhythm, the ectopics can be incorrectly learned as the normal QRS complex. This can result in missed detection of subsequent events of V-Tach and V-Fib. For this reason, you should: Respond promptly to any technical alarm.
  • Page 103: St/Ar Arrhythmia Monitoring

    ST/AR Arrhythmia Monitoring ST/AR Arrhythmia Monitoring ST/AR Arrhythmia Algorithm Indications for Use The ST/AR Arrhythmia Algorithm is indicated for use in instances where the clinician decides to monitor cardiac arrhythmias of adult and pediatric patients and/or the ST segment of adult patients to gain information for treatment, monitor the adequacy of treatment, or to exclude causes of symptoms.
  • Page 104: Aberrantly-Conducted Beats

    ST/AR Arrhythmia Monitoring For additional information on the ST/AR Algorithm, refer to the Arrhythmia Monitoring ST/AR Algorithm Application Note. Aberrantly-Conducted Beats As P-waves are not analyzed, it is difficult and sometimes impossible for the monitor to distinguish between an aberrantly-conducted supraventricular beat and a ventricular beat.
  • Page 105: Intermittent Bundle Branch Block

    ST/AR Arrhythmia 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.
  • Page 106: Using Ecg Alarms

    ST/AR Arrhythmia Monitoring Note — When operating with the IntelliVue Information Center Release N or earlier, the ST/AR Arrhythmia Algorithm operates and generates alarms independently at both the MX40 and the Information Center. Therefore, you may see slight differences between the two, even though the alarm settings and limits are the same.
  • Page 107: Yellow Arrhythmia Alarms

    ST/AR Arrhythmia Monitoring Yellow Arrhythmia Alarms Yellow arrhythmia alarms are short yellow alarms specific to arrhythmia-related patient conditions. Depending on your Information Center configuration, they may be shown with one or two stars. The heart rate alarms (High HR and Low HR) can be configured as short yellow or standard yellow alarms.
  • Page 108: Arrhythmia Beat Labels

    ST/AR Arrhythmia Monitoring Arrhythmia Beat Labels Arrhythmia beat labels tell you how the monitor is classifying beats. N = Normal V = Ventricular Ectopic S = Supra-ventricular Premature P = Paced ' = Pacer spike " = Biventricular Pacer Spike L = Learning patient's ECG A = Artifact (noisy episode) ? = Insufficient information to classify beats...
  • Page 109: Enhanced Arrhythmia Chain

    ST/AR Arrhythmia Monitoring Enhanced Arrhythmia Chain The diagram below shows the alarm condition priority chains for enhanced arrhythmia. The alarm conditions in each category are prioritized according to the level of seriousness. Red Alarms Chain Asystole ↓ V-FIB/TACH ↓ V-TACH ↓...
  • Page 110: Basic Arrhythmia Chain

    ST/AR Arrhythmia Monitoring Basic Arrhythmia Chain The diagram below shows the alarm condition priorities for basic arrhythmia and the timeout levels for yellow alarm conditions. Red Alarms Asystole ↓ V-FIB/TACH ↓ V-TACH ↓ Extreme Tachy/Extreme Brady ↓ Yellow Arrhythmia Alarms PVC Alarms Chain Beat Detection Rate Alarms Chain...
  • Page 111: Single Lead Analysis

    ST/AR Arrhythmia Monitoring 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. All other alarms are not active. Single Lead Analysis If single lead analysis is selected, the arrhythmia system begins learning whenever: ECG monitoring is initiated.
  • Page 112: Easi Ecg Monitoring

    ST/AR Arrhythmia Monitoring Note — During this learning phase the system will continue monitoring using the operative lead. Therefore, the delayed arrhythmia wave is not labeled "L". In addition: Alarm timeout periods are maintained. Stored arrhythmia templates are maintained for the operative lead. All alarms turned on are active.
  • Page 113: St/Ar St Analysis Algorithm

    ST/AR ST Analysis Algorithm ST/AR ST Analysis Algorithm Introduction The intended use of the ST/AR ST Analysis algorithm is to monitor an adult patient’s ECG for ST segment elevation or depression and produce events/alarms for all possible ECG leads. The ST Analysis algorithm is capable of monitoring paced and non-paced adult patients.
  • Page 114: The Measurements

    ST/AR ST Analysis Algorithm The Measurements Overview The ST/STE measurement for each beat complex is the vertical difference between two measurement points. The isoelectric point provides the baseline for both measurements. The ST measurement uses the isoelectric point and the ST point. The ST point is positioned with reference to the J-point.
  • Page 115: St Lead Groups

    ST/AR ST Analysis Algorithm  To turn ST monitoring on or off at the IntelliVue Information Center Release N: From the Patient Window, click the All Controls button. From the All Controls Window, click the ST Setup button. From the ST Setup Window, click ST On/Off as appropriate. Displayed ST Data ST data displays as values in the Patient Sector and Patient Window at the Information Center.
  • Page 116: Derived 12 Lead Ecg

    ST/AR ST Analysis Algorithm Derived 12 Lead ECG In view of the high degree of redundancy among the standard 12-lead ECG leads, it is quite conceivable that a more practical leadset with a smaller number of judiciously chosen leads can be used to reconstruct the missing leads.
  • Page 117: Hexad St Analysis

    ST/AR ST Analysis Algorithm HEXAD ST Analysis When operating with the IntelliVue Information Center iX, the optional Hexad algorithm generates a Mason-Likar 12-lead ECG from a 6-wire leadset (including four limb electrodes and two chest electrodes) placed according to the Mason-Likar 6-electrode placement. To generate a derived 12-lead ECG using this configuration, 8 out of the 12 leads are directly acquired (I, II, III, aVR, aVL, aVF and the two directly-recorded V leads) and only 4 precordial leads need to be derived.
  • Page 118: Qt Interval Monitoring

    QT Interval Monitoring QT Interval Monitoring Of special concern for QT monitoring is the administration of QT prolonging drugs to patients identified with risk factors for Torsade de Pointe. Females, older patients and patients with bradycardia, impaired left ventricular function (ischemia, left ventricular hypertrophy), hypokalemia and hypomagnesemia are in this increased risk category.
  • Page 119: Intended Use

    QT Interval Monitoring Intended Use The intended use of the ST/AR QT/QTc analysis is for use by the physician in the risk assessment process indicated for pediatric and adult patients with and without symptoms of arrhythmia. QT measurement is intended to be used by qualified health professionals in hospital or clinical environments.
  • Page 120: Adjusting Qt Settings

    QT Interval Monitoring Adjusting QT Settings For patients being monitored by the MX40, you can turn QT Monitoring on/off and adjust QT settings at the IntelliVue Information Center.  To turn QT Monitoring on/off at the IntelliVue Information Center Release N: From the Patient Window, click the All Controls button.
  • Page 121: Limitations For Qt Monitoring

    QT Interval Monitoring Limitations for QT Monitoring Some conditions may make it difficult to achieve reliable QT monitoring. When this occurs the CANNOT ANALYZE QT INOP message displays at the Information Center, along with a QT STATUS message. Some conditions that may make reliable QT monitoring difficult include: T-Wave Detection Limitations.
  • Page 122 QT Interval Monitoring 6-46 ECG and Arrhythmia Monitoring...
  • Page 123: Monitoring Pulse Rate

    Monitoring Pulse Rate This section provides an introduction to the Pulse measurement and its application. Pulse Rate Measurement ................7-2 Displaying the Pulse Rate Measurement at the MX40 ......7-3 Monitoring Pulse Rate...
  • Page 124: Pulse Rate Measurement

    Pulse Rate Measurement Pulse Rate Measurement The pulse rate measurement counts the arterial pulsations that result from the mechanical activity of the heart in beats per minute (bpm). The pulse rate is derived from the SpO measurement. Displayed results can range from 30 to 300 bpm.
  • Page 125: Displaying The Pulse Rate Measurement At The Mx40

    Displaying the Pulse Rate Measurement at the MX40 Displaying the Pulse Rate Measurement at the MX40  To display the pulse rate measurement at the MX40: If not already selected, press the Main Screen button and select the 1 waveform with 4 numerics display. If pulse is not already displayed, touch a numeric.
  • Page 126 Displaying the Pulse Rate Measurement at the MX40 Monitoring Pulse Rate...
  • Page 127: Monitoring Respiration Rate (Resp)

    Monitoring Respiration Rate (Resp) This section provides an introduction to the Respiration Rate measurement and its application. Note — Resp is only available with theIntelliVue Information Center iX. Respiration Rate Measurement ............... 8-2 Resp Safety Information ................8-3 Lead Placement for Monitoring Resp ............. 8-4 Displaying Resp on the MX40 ..............
  • Page 128: Respiration Rate Measurement

    Respiration Rate Measurement Respiration Rate Measurement For the respiratory measurement (Resp), the MX40 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 display. The MX40 counts the waveform cycles to calculate the respiration rate (RR).The waveform size can be set using the Setup Resp menu which is displayed when you touch the Resp measurement area.
  • Page 129: Resp Safety Information

    Resp Safety Information Resp Safety Information Warning Apnea The respiration measurement does not recognize obstructive and mixed apneas. It only indicates an alarm when a pre-adjusted time has elapsed since the last detected breath. Resp Accessories To monitor respiration, use only non-OR ECG accessories as listed in the Accessories Appendix.
  • Page 130: Lead Placement For Monitoring Resp

    Lead Placement for Monitoring Resp Lead Placement for Monitoring Resp Correct patient skin preparation techniques for electrode placement are important for Resp measurement. See Connecting and Positioning ECG Electrodes p. 6-6. The Resp measurement uses the standard MX40 patient cable. You can use 3-wire, 5-wire, or 6-wire leadsets, using either Standard or EASI placement.
  • Page 131: Displaying Resp On The Mx40

    Displaying Resp on the MX40 Displaying Resp on the MX40  To display the Resp waveform and/or numeric: At the IntelliVue Information Center iX, select the Measurements button from the Main Window. From the Measurements Window, select Resp. Click the I/O Resp button to toggle on or off as appropriate. At the MX40, select a waveform area to display the Resp waveform.
  • Page 132 Displaying Resp on the MX40 Monitoring Respiration Rate (Resp)
  • Page 133: Spo Monitoring

    Monitoring This section provides an introduction to the SpO measurement and its application. Safety Information ................9-2 Pulse Oximetry Measurement ..............9-5 SpO2 Monitoring...
  • Page 134: Spo 2 Safety Information

    SpO2 Safety Information Safety Information Warnings Always confirm monitor observations with clinical observation of the patient before administering interventions. Prolonged, continuous monitoring can increase the risk of changes in skin characteristics, such as irritation, reddening, blistering or pressure necrosis, particularly on patients with impaired perfusion and varying or immature skin morphology.
  • Page 135: Spo 2 Information For The User

    SpO2 Safety Information At elevated ambient temperatures, be careful with measurement sites that are not well perfused, because this can cause severe burns after prolonged application. All listed sensors operate without risk of exceeding 41 C on the skin if the initial skin temperature does not exceed 37 Avoid placing the sensor on extremities with an arterial catheter or intravascular venous infusion line.
  • Page 136 SpO2 Safety Information A 10 second averaging filter is used in the calculation of the result. Displayed results are typically updated every second, but the update period can be automatically delayed by up to 30 seconds in the presence of noise.
  • Page 137: Pulse Oximetry Measurement

    Pulse Oximetry Measurement Pulse Oximetry Measurement The MX40 supports an SpO sensor connection using Fourier Artifact Suppression Technology (FAST). The FAST algorithm overcomes many of the issues associated with traditional pulse oximetry such as sensitivity to patient movement and intense ambient light. The algorithm offers improved motion artifact rejection as well as performance improvements for patients with low perfusion.
  • Page 138: Spo 2 Sensors

    When the specified Nellcor® sensors are used, the application must be consistent with the sensor manufacturer's own guidelines. Philips reusable sensors in adult, pediatric and infant (an alternative for use on adult patients only) models can be used, as well as Philips and Nellcor® disposable sensors. Caution Do not use OxiCliq disposable sensors in a high humidity environment, or in the presence of fluids.
  • Page 139: Sensor Application Safety Information

    Pulse Oximetry Measurement Sensor Type When to Use You can use reusable sensors on different Reusable patients after cleaning and disinfecting them. For care and cleaning instructions, see the instructions accompanying the sensors. Reusable sensors should be changed to another site every four hours or in accordance with your clinical practice guidelines.
  • Page 140: Applying The Sensor

    Pulse Oximetry Measurement Ambient Temperature: Never apply an SpO sensor at ambient temperatures above 37 C (99 F) because this can cause severe burns after prolonged application. Extremities to Avoid: Avoid sites distal to NBP cuff, intra-arterial line, or intravascular venous infusion line. Applying the Sensor Follow the SpO sensor's Instructions for Use, adhering to all warnings...
  • Page 141: Measuring Spo

    Pulse Oximetry Measurement Measuring SpO Warning Removal of the SpO sensor from the MX40 patient cable during Continuous SpO monitoring results in a "No Sensor" technical alarm. Silencing this alarm turns the SpO measurement off, however the SpO module is still operating in the background and consuming battery power.
  • Page 142: Understanding Spo Alarms

    Pulse Oximetry Measurement Understanding SpO Alarms monitoring offers high and low limit alarms, and a high priority (red level) oxygen desaturation alarm. For adult patients, the SpO low limit can be set between 50 and 99% inclusive, in 1% increments. For pediatric patients, the SpO low limit can be set between 30 and 99% inclusive, in 1% increments.
  • Page 143: Monitoring With Other Assigned Devices

    10. Monitoring with other Assigned Devices This section provides information about the use of the MX40 when it is assigned to other monitoring devices. The MX40 can be assigned to IntelliVue Patient Monitors or IntelliVue Cableless Measurements for SpO and NBP. The connection to these other devices is done by pairing networked devices or using the integrated short-range radio of the MX40.
  • Page 144 Pulse Oximetry Measurement Assigning Devices ...................10-3 Controls Available when Assigned to IntelliVue Cableless Measurements ..................10-6 Controls Available when Assigned to IntelliVue Patient Monitors .10-7 Networked Device Synchronized Settings ...........10-8 MX40 Display when Wirelessly Connected to a Patient Monitor ..10-9 10-2 Monitoring with other Assigned Devices...
  • Page 145: Assigning Devices

    Assigning Devices Assigning Devices Device Assignment at the Information Center You can assign an MX40 to a patient monitor at the Information Center. The data from the MX40 automatically displays as a permanent overview session in the Telemetry Data window on the patient monitor. At the Information Center the MX40 data and the patient monitor data are integrated in the patient sector.
  • Page 146: Device Assignment At The Patient Monitor

    Assigning Devices When connected the icon appears at the Information Center, Release N or earlier. The MX40 is assigned to the monitor. A "Tele Device Assigned" message appears on the monitor. If the ECG wave now appears on the monitor, the signal from the MX40 is successfully transmitting to the monitor.
  • Page 147 Assigning Devices When the devices are networked, all data is sent to the Information Center. When non-networked, only the additional parameters measured at the patient monitor (NBP, SpO , and predictive temperature) are sent to the Information Center. The Telemetry Data window is not displayed when devices are non-networked.
  • Page 148: Controls Available When Assigned To Intellivue Cableless Measurements10-6

    Controls Available when Assigned to IntelliVue Cableless Measurements Controls Available when Assigned to IntelliVue Cableless Measurements Action At the At the Cableless At the IIC At the IIC MX40 Measurement Device Start SpO Change SpO Mode Select SpO Repetition Time Assign SpO Remove SpO Change Alarm Limits...
  • Page 149: Controls Available When Assigned To Intellivue Patient Monitors

    Controls Available when Assigned to IntelliVue Patient Monitors Controls Available when Assigned to IntelliVue Patient Monitors Action At the At the At the IIC At the IIC MX40 Patient (N/A) Monitor Start SpO Change SpO Mode Select SpO Repetition Time Assign SpO Remove SpO Change Alarm Limits...
  • Page 150: Networked Device Synchronized Settings

    Networked Device Synchronized Settings Networked Device Synchronized Settings If the patient’s ECG is initially being measured with a patient monitor, and then the patient is connected to the MX40 for monitoring, the Information Center will use the patient monitor settings for the MX40. When the initial ECG source is the MX40, and then the patient is connected to the monitor, the Information Center uses its Telemetry Setup settings.
  • Page 151: Mx40 Display When Wirelessly Connected To A Patient Monitor

    MX40 Display when Wirelessly Connected to a Patient Monitor MX40 Display when Wirelessly Connected to a Patient Monitor When the MX40 is wirelessly connected to a patient monitor via the short-range radio, its display is primarily inactive. There is no viewable patient data on the display, however, battery status information is available if the display is turned on.
  • Page 152 MX40 Display when Wirelessly Connected to a Patient Monitor 10-10 Monitoring with other Assigned Devices...
  • Page 153: Monitoring With The Mx40 At The Information Center

    11. Monitoring with the MX40 at the Information Center This section describes the behavior of the MX40 as it relates to what is displayed at the Information Center. What is displayed depends on which version of the Information Center is in use, IntelliVue Information Center Release N or earlier (referred to here as IIC), or IntelliVue Information Center iX (referred here to as IIC iX).
  • Page 154: Mx40 Connection To The Information Center

    MX40 Connection to the Information Center MX40 Connection to the Information Center Once the MX40 has been assigned to a sector at the Information Center, the settings (alarms, arrhythmia and configured Unit settings) are synchronized with the MX40. You may see a "Settings sync'd" message in the Status Area on connection, re-connection, and anytime the settings are updated at the Information Center.
  • Page 155: Mx40 Controls In The Patient Window (Iic)

    MX40 Controls in the Patient Window (IIC) MX40 Controls in the Patient Window (IIC) The Patient Window at the Information Center (accessed from the Patient Window control in the Patient Sector) includes controls for a number of MX40 operations. For detailed instructions on these operations, see the IntelliVue Information Center Instructions for Use or the Online Help.
  • Page 156 MX40 Controls in the Patient Window (IIC) Important — Do not set the primary and secondary channels to the same lead.  To Initiate a Spot Check (Manual) Spo Measurement Move the cursor over the SpO label. Click on the Spot Check (Manual) icon. 11-4 Monitoring with the MX40 at the Information Center...
  • Page 157: Mx40 Controls In The Patient Window (Iic Ix)

    MX40 Controls in the Patient Window (IIC iX) MX40 Controls in the Patient Window (IIC iX) The Patient Window at the Information Center iX includes controls for a number of MX40 operations. For detailed instructions on these operations, see the IntelliVue Information Center iX Instructions for Use or the Online Help. ...
  • Page 158 MX40 Controls in the Patient Window (IIC iX) Select ECG from the menu on the left. Select Va or Vb from the ECG menu on the right and select from the list.  To Initiate a Manual SpO Measurement Click the Measurements Application button. Select SpO from the menu on the left.
  • Page 159: Locating The Mx40 (Find Device)

    Locating the MX40 (Find Device) Locating the MX40 (Find Device) The Find Device feature enables you to generate an alternating pitch repeated tone at the MX40 to assist in locating a missing device. Find Device requires that the MX40 has sufficient battery power and is within the coverage area.
  • Page 160: Viewing Device Location And Location History (Optional)

    Viewing Device Location and Location History (optional) Viewing Device Location and Location History (optional) MX40 Device Location information is identified in the Patient Window by a compass icon followed by the location name of the access point that the MX40 is currently connected to. If the location of the device changes, the Patient Window is updated within 5 seconds of the location change.
  • Page 161: Using The Device Location Client (Optional - Iic Only)

    Using the Device Location Client (optional - IIC only) Using the Device Location Client (optional - IIC only) The Device Location Client application is an optional software application that allows you to display and locate devices visually, using Floor Plans associated with your hospital’s layout.
  • Page 162: Patient Configurable Settings In Telemetry Setup

    Patient Configurable Settings in Telemetry Setup Patient Configurable Settings in Telemetry Setup The Telemetry Setup window enables you to configure the MX40 for patient-specific settings. All patient-specific settings will be reset to the unit defaults upon patient discharge. To access the window, from the Patient Window click Telemetry Setup.
  • Page 163 Patient Configurable Settings in Telemetry Setup Patient-Configurable Settings in Telemetry Setup Factory Control Function Setting Choices Default Nurse Call - generate nurse call Determines the Nurse Call Telemetry/ Information Center alarm that can be retrieved from Multi-Function response when the Alarm Review for later use.
  • Page 164 Patient Configurable Settings in Telemetry Setup Patient-Configurable Settings in Telemetry Setup Factory Control Function Setting Choices Default Enable/disable the enable Suppress enable algorithm to INOPs disable suppress sending with NBP technical alarms from the MX40 during an NBP measurement for 60 seconds.
  • Page 165: Unit Configurable Settings

    Unit Configurable Settings Unit Configurable Settings Unit Settings provide access to clinical configuration items that affect all patients on an Information Center. Changes in unit settings take effect upon discharge, except for Standby duration and SpO mode, which take effect immediately.
  • Page 166 Unit Configurable Settings Unit Settings - Telemetry Setup Factory Control Function Settings Default Set patient type used for Adult Patient Type Adult alarm limits. Pediatric Determine the Information Nurse Call - generate nurse Nurse Call Telemetry/ Center response when call alarm that can be Multi-Function Telemetry Button is retrieved from Alarm Review...
  • Page 167 Unit Configurable Settings Unit Settings - Telemetry Setup Factory Control Function Settings Default Enable/disable RF enable (MX40 RF Auto enable operation during an will shut off after Shutoff disable extended situation of all 10 minutes of leads off for more than 10 Leads Off minutes and the SpO condition and...
  • Page 168 Unit Configurable Settings Unit Settings - Telemetry Setup Factory Control Function Settings Default Determine the MX40 Spot Check Mode Spot Check (Manual)- measurement Provides manual (Manual) behavior. measurements so the clinician can check as needed. Note — Pulse Rate and Measurement can be initiated Pleth Wave are not from the SmartKeys menu, the...
  • Page 169 Unit Configurable Settings Unit Settings - Telemetry Setup Factory Control Function Settings Default Enable/disable the disable (Pleth Pleth Wave enable transmission of the Pleth wave is not disable wave and its subsequent displayed.) Note — When enabled, display to the Information Center.
  • Page 170 Unit Configurable Settings Unit Settings - Default Leads Factory Control Function Settings Default Set the unit default lead. 3-wire I, II, III Set the unit default lead. 5-wire, I, II, III, MCL, AVR, AVL, AVF, ECG1 Set the unit default lead. 5-wire, I, II, III, MCL, AVR, AVL, AVF, ECG2...
  • Page 171 Unit Configurable Settings Unit Settings - NBP Setup Factory Control Function Settings Default Set patient type used for NBP Adult Patient Adult alarm limits. Type Pediatric Set NBP alarm notification. Systolic or NBP Alarm Systolic or Diastolic Diastolic Systolic Diastolic Mean Increment/decrement NBP high 160 Adult...
  • Page 172 Unit Configurable Settings Unit Settings - Alarms Control Function Settings Factory Default Adjust the severity level of Cyan ECG Leads Off Cyan this technical alarm Yellow (INOP). Adjust the severity level of Cyan Replace Battery Cyan this technical alarm Yellow (INOP).
  • Page 173: Operating With Information Center Release L Or M

    12. Operating with Information Center Release L or M This section covers performance differences when operating the MX40 with previous releases of the Information Center (Release L or M). Display ...................... 12-2 Alarms ....................... 12-3 Operating with Information Center Release L or M 12-1...
  • Page 174: Display

    Display Display An MX40 operating with either Release L or M of the Information Center has two screens showing either one measurement waveform and four numeric parameter values or the ECG lead placement chest diagram along with two numeric parameter values, depending on configuration. 12-2 Operating with Information Center Release L or M...
  • Page 175: Alarms

    Alarms Alarms An MX40 operating with Release L or M of the Information Center does not have physiological alarm capability locally at the device (networked or non-networked). A No Alarm Display message is present along with the Alarms Paused icon. Cautions When operating with Information Center Release L or M, the alarm pause time of the MX40 is not configurable.
  • Page 176 Alarms 12-4 Operating with Information Center Release L or M...
  • Page 177: 13. Trends

    13. Trends This section covers the Trend functionality of the MX40. Trends are patient data collected over time and displayed in tabular form to give you a picture of how your patient's condition is developing. Trend information is stored in the MX40 for continuously-monitored measurements, such as ECG, as well as for aperiodically-measured parameters, such as SpO .
  • Page 178: Viewing Vital Trend Information

    Viewing Vital Trend Information Viewing Vital Trend Information  To view Vital Trend information: Touch the SmartKeys button. From the SmartKeys menu, select Vitals Trend.  To change the time columns: Touch the time column. Select a different time period. 13-2 Trends...
  • Page 179: 14. Maintenance

    14. Maintenance This section provides procedures for maintaining the MX40 after installation, including equipment label assignment, cleaning and battery care. Cleaning ....................14-2 Disposing of the MX40 ................14-5 Label Assignment for Replacement MX40 ........... 14-6 Charging Lithium-ion Rechargeable Batteries ........14-8 Maintenance 14-1...
  • Page 180: Cleaning

    Cleaning Cleaning The procedure in this section keeps the MX40 and its accompanying patient cable clean and provides protection against infectious agents and bloodborne pathogens. Both the outside and the inside of the MX40 battery compartment and the patient cable must be kept free of dirt, dust, and debris.
  • Page 181: Cleaning Materials For The Mx40

    Cleaning Cleaning Materials for the MX40 Caution Use of abrasive cleaning materials, or disinfectants or cleaning agents not listed herein, on any part or component of the MX40 may damage the components. The Gore-tex patch in the battery compartment of the MX40 can be damaged by the use of glutaraldehyde and anti-bacterial soap.
  • Page 182 Cleaning Cleaner Active Ingredient Sanicloth Plus Quaternary ammonium (0.25%) 2-Butoxyethol (1-4%) Isopropyl alcohol (14.85%) Super Sanicloth Quaternary ammonium (<1%) Isopropyl alcohol (55%) Sanicloth Bleach Sodium Hypochlorite (0.6%) Germicidal Disposable Wipes Bacillol 25 Ethanol (100 mg/g g) Propane-2-ol (90 mg/g) Propane-1-ol (60 mg/g) Bacillol AF Propane-1-ol (450 mg/g) Propane-2-ol (250 mg/g)
  • Page 183: Disposing Of The Mx40

    You will find detailed disposal information on the following web page: http://www.healthcare.philips.com/main/about/Sustainability/Recycling/p m.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).
  • Page 184: Label Assignment For Replacement Mx40

    Label Assignment for Replacement MX40 Label Assignment for Replacement MX40 During installation, an equipment label is assigned to each MX40 in a clinical unit so that the device can be identified during operation within the wireless system. If an MX40 is lost, the Assign Label function at the Information Center enables you to unassign the label from a lost device, and re-assign its label to a replacement device.
  • Page 185: Re-Assigning An Equipment Label At The Intellivue Information Center

    Label Assignment for Replacement MX40 10 Wait for the new_device label to change to the selected equipment label. 11 In Sector Setup, select the Bed Label and Equipment Label and then press OK. Re-assigning an Equipment Label at the IntelliVue Information Center iX ...
  • Page 186: Charging Lithium-Ion Rechargeable Batteries

    Charging Lithium-ion Rechargeable Batteries Charging Lithium-ion Rechargeable Batteries The li-ion rechargeable battery is recharged using the IntelliVue CL Charging Station. To charge a battery, place it onto a charger slot on the charging station. The battery power indicators will supply information about the charge status. Warning Always use the supplied power cord with the grounded mains plug to connect the charging station to a grounded AC mains socket.
  • Page 187: Battery Status On The Charging Station Display

    Charging Lithium-ion Rechargeable Batteries If a battery is put on a charging station slot, the corresponding LED will flash yellow until the battery's current state has been identified. Then a beep is issued and the LED reflects the battery status as described in the table below.
  • Page 188: Battery Disposal

    Charging Lithium-ion Rechargeable Batteries The age of a li-ion battery begins at the date of manufacture. The date of manufacture is listed on the side of the battery. Battery Disposal Discharge the battery and insulate the terminals with tape before disposal. Dispose of used batteries promptly and in accordance with local recycling regulations.
  • Page 189: Safety Standards & Specifications

    15. Safety Standards & Specifications This section describes the regulatory standards that the IntelliVue MX40 complies with, along with product and measurement specifications. Regulatory Information ................15-2 Electromagnetic Compatibility .............. 15-8 Battery Specifications ................15-14 Lithium-ion Battery Charge Time ............15-17 Physical Specifications ................
  • Page 190: Regulatory Information

    Regulatory Information Regulatory Information Software Hazard Prevention Potential hazards arising from errors in the software program have been identified. Mitigations applied to reduce the associated risk of such hazards are included as part of the Risk Management, Clinical Evaluation, and Verification and Validation phases of the product’s development.
  • Page 191: Intended Use Statement

    Regulatory Information IEC 60601-1-2:2001 Electromagnetic Compliance IEC 60601-1-4:1999 +A1 Requirements for Programmable Electrical Medical Systems IEC 60601-1-6:2006 General requirements for basic safety and essential performance - Collateral standard: Usability IEC 60601-1-8:2006 General Requirements for Safety for Alarm Systems IEC 60601-2-49:2001 Particular Requirements for Safety for Patient Monitoring Equipment IEC 60601-2-27:2005 Particular Requirements for Safety for Electrocardiograph Monitoring Equipment...
  • Page 192: Authorized Eu Representative

    Federal Law restricts this device to sale by or on the order of a physician. Essential Performance The IntelliVue MX40 provides Essential Performance (EP) under normal operating conditions (includes EMC exposure) only as a complete Medical Electrical System, consisting of the MX40, MPx companion monitor...
  • Page 193: Risk Management Considerations

    Regulatory Information The IntelliVue MX40 protects the patient from unacceptable immediate clinical risk by generating specific Physiological Alarms when appropriate. If the system cannot generate Physiological Alarms, then relevant Severe or Hard-Level Technical Alarms (Inops) are created. Risk Management Considerations...
  • Page 194 Caution IEC/ANSI/AAMI 80001-1:2010 Philips recognizes the importance of a safe and effective network that meets both the business needs of a healthcare facility, IT networking requirements, and the clinical functionality. Philips supports the IEC 80001-1 standard in regards to working as a partner with a healthcare...
  • Page 195 Regulatory Information If the MX40 experiences loss of network connectivity, technical alerts at the Information Center ("No Signal") and at the MX40 ("No Central Monitor") will occur. The MX40 will also automatically revert to local monitor mode which activates display of patient data on the MX40 – however, when in this state, battery life will be shortened.
  • Page 196: Electromagnetic Compatibility

    Electromagnetic Compatibility Electromagnetic Compatibility Medical electrical equipment can either generate or receive electromagnetic interference. This product has been evaluated for electromagnetic compatibility (EMC) with the appropriate accessories according to IEC 60601-1-2:2001, the international standard for EMC for medical electrical equipment. This IEC standard has been adopted in the European Union as the European Norm, EN 60601-1-2:2001.
  • Page 197: Reducing Electromagnetic Interference

    Electromagnetic Compatibility Reducing Electromagnetic Interference The MX40 and associated accessories can be susceptible to interference from other RF energy sources and continuous, repetitive, power line bursts. Examples of other sources of RF interference are other medical electrical devices, cellular products, information technology equipment, and radio/television transmission.
  • Page 198: Electromagnetic Emissions

    Electromagnetic Compatibility Warning Using accessories other than those specified may result in increased electromagnetic emission or decreased electromagnetic immunity of the monitoring equipment. Electromagnetic Emissions Emissions Test Compliance Avoiding Electromagnetic Interference Radio Frequency (RF) Group 1 TheMX40 uses RF energy only for its emissions internal function.
  • Page 199: Recommended Separation Distance

    Electromagnetic Compatibility Recommended Separation Distance Warning The MX40, equipped with a wireless network interface, intentionally receives RF electromagnetic energy for the purpose of its operation. Therefore, other equipment may cause interference, even if that other equipment complies with CISPR emission requirements. In the following table, P is the maximum output power rating of the transmitter in watts (W) according to the transmitter manufacturer and d is the recommended separation distance in meters (m).
  • Page 200 Electromagnetic Compatibility 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. To assess the electromagnetic environment due to fixed RF transmitters, an electromagnetic site survey should be considered.
  • Page 201: Electrosurgery Interference/Defibrillation/Electrostatic Discharge15-13

    Electromagnetic Compatibility Electrosurgery Interference/Defibrillation/Electrostatic Discharge The equipment returns to the previous operating mode within 10 seconds without loss of any stored data. Measurement accuracy may be temporarily decreased while performing defibrillation. This does not affect patient or equipment safety. Do not expose the equipment to x-ray or strong magnetic fields (MRI).
  • Page 202: Battery Specifications

    Battery Specifications Battery Specifications Battery Life The battery life specifications listed below are based on the use of three Duracell MN 1500 batteries. Battery life for other brands may differ. Battery Life Telemetry Mode Battery Life (1.4GHz Networked (2.4GHz p/n 865350) (Display Off) p/n 865351) ECG Only (only one radio...
  • Page 203 ECG Only battery life and the ECG/SpO Continuous battery life. The battery life specifications listed below are based on the use of the Philips Rechargeable Lithium-ion battery. Telemetry Mode Battery Life Battery Life...
  • Page 204 Toward the end of its useful life, the battery capacity may be reduced by 25-30%. If this reduced battery life is unacceptable based on your use model, Philips recommends replacing the rechargeable battery sooner. Nominal Current...
  • Page 205: Lithium-Ion Battery Charge Time

    Lithium-ion Battery Charge Time Lithium-ion Battery Charge Time Definition Charging Method Charge Time Battery pack charge The Lithium-ion Battery Pack is charged on 6.5 hours time from 90% a separate external charging station. It depletion state must be removed from the MX40 to charge.
  • Page 206: Physical Specifications

    Physical Specifications Physical Specifications Parameter Specification Height 126.8 mm (4.99 in) Width 69.9 mm (2.75 in) Depth 31.5 mm (1.24 in) Weight 1.4 GHz - 240 g (8.5 oz) Without batteries, includes and Short-range radio 2.4 GHz - 215 g (7.6 oz) WLAN - 206 g (7.3 oz) 1.4 GHz - 324 g (11.4 oz) With 3 AA batteries, includes...
  • Page 207: Mx40 1.4 Ghz Smart-Hopping Radio

    MX40 1.4 GHz Smart-Hopping Radio MX40 1.4 GHz Smart-Hopping Radio Parameter Specification Frequency Ranges Bands: 1395-1400 MHz and 1427-1432 MHz Channel Spacing: 1.6 MHz RF Output Power (existing 8 dBm +2/-1.5 dB (4.5 mW to 10 mW), into systems) antenna load Radio Frequency Accuracy <+60/-100 KHz relative to channel frequency, during normal operation...
  • Page 208: Mx40 2.4 Ghz Smart-Hopping Radio

    Any changes or modifications to this equipment not expressly approved by Philips Medical Systems may cause harmful radio frequency interference and void your authority to operate this equipment. 15-20 Safety Standards & Specifications...
  • Page 209 MX40 2.4 GHz Smart-Hopping Radio The radio device used in this product is in compliance with the essential requirements and other relevant provisions of Directive 1999/5/EC (Radio Equipment and Telecommunications Terminal Equipment Directive). Class 2 radio equipment. Member states may apply restrictions on putting this device into service or placing it on the market.
  • Page 210: Mx40 Short-Range Radio

    MX40 Short-Range Radio MX40 Short-Range Radio Parameter Specification Frequency Ranges ISM Band: 2400-2483.5MHz Radio Channel assignment 16 Radio Channel assigned, Fc= 2405 +5*(k-11)MHz, k=11,12,…,26 Frequency Control Configured via the bedside monitor or the Information Center depending on use model. RF Output Power -1.5 to -4.5 dBm +2/-3dB (0.7 mW to 0.3 mW), into Antenna load.
  • Page 211: Mx40 2.4Ghz Wlan Radio

    MX40 2.4GHz WLAN Radio MX40 2.4GHz WLAN Radio The MX40 2.4GHz/5.6GHz WLAN Radio conforms to the 802.11 a/b/g standard operating in the 2.4GHz and 5.6GHz ISM bands. Note — For the MX40 WLAN device, Part Number 865352, use of the MX40's Short-range Radio is only supported when operating with 802.11a (5.6GHz band).
  • Page 212: Fcc And Industry Canada Radio Compliance

    Any changes or modifications to this equipment not expressly approved by Philips Medical Systems may cause harmful radio frequency interference and void your authority to operate this equipment. The maximum antenna gain permitted (for devices in the 5250-5350 MHz and 5470-5725 MHz bands) complies with the e.i.r.p.
  • Page 213: Environmental Specifications

    Environmental Specifications Environmental Specifications Parameter Specification Temperature Operating 0 to 37 C (32 to 99 Storage C to 50 C (-22 F to 122 F) without batteries C to 35 C (53.6 F to 95 F) with Single-Patient-Use leadsets Humidity Operating <...
  • Page 214: Measurement Specifications

    Measurement Specifications Measurement Specifications Parameter Specification ECG channel transmitted Leads 3 electrodes Channel #1 = I, II, or III 5 electrodes Channel #1 = II Channel #2 = III Channel #3 = MCL 5 electrodes, EASI Channel #1 = Va-i Channel #2 = Va-s Channel #3 = Ve-s 6 electrodes...
  • Page 215: Ecg Performance Disclosure/Specifications

    0.1, 0.2, 0.5 and 1.0 ms -2 to -500 mV 1.5 ms -2 to -400 mV 2 ms Philips does not claim, verify, or validate support for all available pacemakers. EMC Performance Limits, Meets Essential Performance. radiated immunity ECG Patient Cable...
  • Page 216 Measurement Specifications Performance Disclosure/Specification (in Characteristic italics) Time to Alarm for Tachycardia The ranges of time to alarm using test waveforms as indicated in ANSI/AAMI EC13 Sec. 4 1. 2. 1 (g) are 4 to 5 seconds. Pacemaker Pulse Rejection Capability Rejects pace pulses using test waveforms as indicated in ANSI/AAMI EC13 Sec.
  • Page 217: Respiration

    Measurement Specifications Performance Disclosure/Specification (in Characteristic italics) Frequency Response: Triangular Meets the ANSI/AAMI EC13 Section 4.2.9.8(b) standard: 0 to 25% reduction. Impulse Response: Meets the ANSI/AAMI EC13 Section 4.2.9.8(c) standard: displacement maximum = 0.1 mV; slope (for waves marked with ST bandwidth) maximum = 0.30 mV/s.
  • Page 218: Fast Spo

    Measurement Specifications FAST SpO Parameter Specification Measurement 0 to 100% Range (Calibration and Display) Accuracy See table following. Resolution Numerics - 5 - 20 seconds (default = 10 seconds) Averaging The update rate for the SpO pulse oximetry value and pulse rate is Note—...
  • Page 219: Spo 2 Sensor Accuracy

    Measurement Specifications Parameter Specification Display of SpO values are displayed as xxx % SpO to meet ISO 9919. numerics Emitted Light Energy < 15 mW Sensor Accuracy Type Description Model Number Accuracy % (70-100% Range) Reusable Sensors Adult Finger, 2m cable M1191B Adult Finger, 3m cable M1191BL...
  • Page 220 Measurement Specifications Type Description Model Number Accuracy % (70-100% Range) Adult Finger, > 40kg M1901B Pediatric 3-20kg M1902B Pediatric Finger, 10-50kg M1903B Adult Finger, >30kg M1904B Adult, Pediatric > 20kg M1131A Adult Finger, > 30kg Nellcor OxiMax Max-A Adult Finger, > 30kg Nellcor OxiMax Max-AL Adult Finger >...
  • Page 221 Measurement Specifications Type Description Model Number Accuracy % (70-100% Range) Adult Adhesive Masimo LNCS Neo-3 Safety Standards & Specifications 15-33...
  • Page 223: Accessories

    Accessories This section lists the accessories for use with the MX40. Accessories are subject to change. Some accessories are not supplied by Philips. You can order parts and accessories from Philips at www.medical.philips.com or consult your local Philips representative for details.
  • Page 224: Mx40 Accessories

    MX40 Accessories Pouches Order Number Description 989803174141 Carry Pouch, Waterproof, box of 50 989803174151 Carry Pouch, Waterproof, box of 200 9300-0768-050 Disp tele pouch w/snaps, 50/box 9300-0768-200 Disp tele pouch w/snaps, 200/box Miscellaneous Order Number Description 989803176501 Protective caps, adapter cable, MX40 989803176491 Protective caps, Reusable leads, MX40 989803174131...
  • Page 225: Ecg Accessories

    ECG Accessories Electrodes Order Number Description M4612A Solid gel ECG electrode disp. 5/pouch 300/case M4613A Solid gel ECG electrode disp. 30/pouch 300/case 40489E Adult paper tape ECG electrode, disp. 300/case 40493D Adult foam ECG electrode, disp. 300/case 40493E Adult foam ECG electrode, disp. 300/case M1935A Disposable EEG/ECG snap electrode 100/case...
  • Page 226 Order Number Description 989803171871 ECG 6 lead grabber AAMI + SpO .85m (35") MX40 Extender Cable, including Bed Sheet Clip, p/n 989803172241 MX40 Single-Paitent-Use Cables Order Number Description 989803172031 ECG 5 lead grabber AAMI .85m (35") 989803172051 ECG 5 lead grabber + SpO AAMI .85m (35") 989803172131 ECG 5 lead grabber IEC 85m (35")
  • Page 227: Spo Accessories

    989801190970 (B) Nellcor OxiMax N-25, <3 kg, >40 kg Require M1943A/AL cable to connect to MX40. Sold in packages of 24. (A) Only available from Philips in Europe and (B) Only available from Philips in Japan. Philips Reusable Sensors Order Number...
  • Page 228: Adapter Cables

    Order Number Description All sold as one piece each. A - Sensors plug directly into MX40. B - Supports use of M1941A extension cable. C - Not for use with M1941A extension cable. D - Requires M1943A/AL adapter cable. Adapter Cables Order Number Description 989803105691...
  • Page 229: Default Settings

    Default Settings This section documents the most important default settings of your MX40 as it is delivered from the factory. For a comprehensive list and explanation of default settings, see the IntelliVue Information Center Release N Configuration Guide. The MX40's configuration settings can be changed permanently in Configuration Mode.
  • Page 230: Alarm Default Settings

    Alarm Default Settings Alarm Setting Factory Default Alarm Volume On Network: 0 Off Network: 10 QRS Volume Tone Modulation Alarm Sound Traditional Alarm Pause Time 2 min. Note — The Alarm Pause Time when operating with Information Center Release L or M is not configurable.
  • Page 231: Ecg, Arrhythmia, St And Qt Default Settings

    ECG, Arrhythmia, ST and QT Default Settings ECG Settings Factory Defaults Adult Pedi Primary Lead Secondary Lead 6-lead: III 5-lead (Standard): III 5-lead (EASI): III Default ECG Size Lead Placement Standard Leadset Type AAMI Analysis Mode Multi-lead High Limit 120 bpm 160 bpm Low Limit 50 bpm...
  • Page 232 Arrhythmia Settings Factory Defaults Adult Pedi V.Bigeminy V.Trigeminy PVCs/min Multif. PVCs Pacer N. Cap Pacer N. Pac Pause Missed Beat Afib Irregular HR B-4 Default Settings...
  • Page 233: Configuration Default Settings At The Mx40

    Configuration Default Settings at the MX40 Setting Factory Default 0 - 10 Touch Tone Volume Default Screen 1 Wave (Portrait) 2 Waves (Portrait) 2 Waves (Landscape) Chest Diagram Screen Color Blue Gray Green Pink* Purple* Yellow* (*only display in Standby Mode) Alarm Sounds Traditional Unit Defaults...
  • Page 234 B-6 Default Settings...
  • Page 235: Sales And Support Offices

    Sales and Support Offices Please call your local Philips Healthcare sales office listed in your telephone directory or a Philips Healthcare regional office listed below for the location of your nearest sales office. On the web www.healthcare.philips.com Via email healthcare@philips.com...
  • Page 236 C-2 Sales and Support Offices...
  • Page 237 ECG Performance Disclosure/Specifications Index • 5-3 Electromagnetic Compatibility • 3-3 Accessories ECG • A-3 Initiating Arrhythmia Relearning Manually MX40 • A-2 • 6-35 • A-5 IntelliVue Information Center • 11-1 Alarms • 5-1 Pausing • 5-6 Label Assignment • 14-6 Physiologic •...
  • Page 238 Status Area • 4-7 Symbols • 3-5 Telemetry Setup • 11-10 2 Index...
  • Page 240 Part Number 4535 643 15721 Printed in USA February 2012 First Edition 4535 643 15721...