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Philips M8102A Instructions For Use Manual

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I N S TR U C TI O N S F O R U S E
IntelliVue MP2
Patient Monitor
R e l e a s e G . 0 w i t h S o f t w a r e R e v i s i o n G . 0 x . x x
P a t i e n t M o n i t o r i n g

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Table of Contents

   Related Manuals for Philips M8102A

   Summary of Contents for Philips M8102A

  • Page 1 I N S TR U C TI O N S F O R U S E IntelliVue MP2 Patient Monitor R e l e a s e G . 0 w i t h S o f t w a r e R e v i s i o n G . 0 x . x x P a t i e n t M o n i t o r i n g...
  • Page 2 Printed in Germany 09/08 *M8102-9001B* Part Number M8102-9001B 4512 610 28821...
  • Page 3: Table Of Contents

    M8102-9001B Table Of Contents 1 Installation Installation Checklist Unpacking and Checking the Shipment Mounting the Monitor Mounting the External Power Supply (M8023A) Connecting the Monitor to AC Mains Checking Out the Monitor Operating the Monitor Setting the Date and Time Checking Country-Specific Default Settings Handing Over the Monitor 2 Basic Operation...
  • Page 4 Pausing or Switching Off Alarms Alarm Limits Reviewing Alarms Latching Alarms Testing Alarms Alarm Behavior at On/Off Alarm Recordings 5 Patient Alarms and INOPs Patient Alarm Messages Technical Alarm Messages (INOPs) 6 Managing Patients Admitting a Patient Quick Admitting a Patient Editing Patient Information Discharging a Patient Transferring Patients...
  • Page 5 Switching ST On and Off Understanding the ST Display and Windows Updating ST Baseline Snippets About the ST Measurement Points ST Alarms Viewing ST Maps About QT/QTc Interval Monitoring QT Alarms Switching QT Monitoring On and Off 8 Monitoring Pulse Rate Entering the Setup Pulse Menu System Pulse Source Switching Pulse On and Off...
  • Page 6 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 Assisting Venous Puncture Calibrating NBP 12 Monitoring Temperature Making a Temp Measurement Calculating Temp Difference 13 Monitoring Invasive Pressure Setting up the Pressure Measurement...
  • Page 7 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 Stopping Reports Printouts Setting Up Reports Setting Up Individual Print Jobs Checking Printer Settings Printing a Test Report Switching Printers On Or Off for Reports Dashed Lines on Reports Unavailable Printer: Re-routing Reports...
  • Page 8 Invasive Pressure Accessories Accessories Temperature Accessories Mainstream CO Accessories Sidestream CO Accessories Mainstream CO Accessories (for M3016A) Microstream CO Accessories Battery Accessories 24 Specifications Intended Use Manufacturer’s Information Symbols Installation Safety Information Altitude Setting Monitor Safety Specifications EMC And Radio Regulatory Compliance Out-Of-Hospital Transport - Standards Compliance Monitor Performance Specifications M4607A Battery Specifications...
  • Page 9: Installation

    If you have purchased a “customer-installable bundle”, it is assumed that your own hospital personnel will install and, if necessary, configure the monitor. You can contact Philips Support for assistance if required; any assistance will be associated with additional costs.
  • Page 10: Unpacking And Checking The Shipment

    Use) Claims for Damage If the shipping cartons are damaged, contact the carrier. If any of the equipment is damaged, contact both the carrier and your local Philips service organization for repair or replacement arrangements. Repacking Retain the original packing carton and material, in case you need to return equipment to Philips for...
  • Page 11: Mounting The Monitor

    Mounting the Monitor 1 Installation Mounting the Monitor The monitor can be rested on a flat, level surface, hung on the bed rail, or mounted on a wall or on a rollstand. See the Service Guide for details. Mounting the External Power Supply (M8023A) The external power supply (M8023A) can be rested on its rubber feet on a flat, level surface, or mounted as described in the Service Guide.
  • Page 12 1 Installation Connecting the Monitor to AC Mains The monitor has a wide-range external power supply (M8023A) that allows you to operate the monitor from an AC (alternating current) power source of 100 V to 240 V (± 10%) and 50/60 Hz (± 5%). The external power supply also charges the monitor’s battery.
  • Page 13: Checking Out The Monitor

    Checking Out the Monitor 1 Installation • Do not use AC mains extension cords or multiple portable socket-outlets. If a multiple portable socket-outlet without an approved isolation transformer is used, the interruption of its protective earthing may result in enclosure leakage currents equal to the sum of the individual earth leakage currents, so exceeding allowable limits.
  • Page 14: Operating The Monitor

    1 Installation Operating the Monitor Operating the Monitor To complete installation you will need to operate the monitor to check basic functionality. Here is a quick introduction to the monitor. Switch on the monitor. After start-up the Touch something on the screen (numerics, monitor display will become active.
  • Page 15: Setting The Date And Time

    Setting the Date and Time 1 Installation Setting the Date and Time To set the date and time: Press the SmartKeys key to enter the SmartKeys window. Select the Main Setup SmartKey to enter the Main Setup menu. Select the Date, Time screen element from the monitor’s info line to enter the Date, Time menu.
  • Page 16 1 Installation Handing Over the Monitor Users must be adequately trained to use the monitor before monitoring a patient. To achieve this, they should have access to, and read, the following documentation delivered with the monitor: • Instructions for Use (this book) - for full operating instructions •...
  • Page 17: Basic Operation

    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 device 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).
  • Page 18: Introducing The Intellivue Mp2

    2 Basic Operation Introducing the IntelliVue MP2 Introducing the IntelliVue MP2 The Philips IntelliVue MP2 monitor provides a comprehensive set of basic physiological measurements: ECG (including ST analysis and optional 10-lead ECG), NBP, SpO , and optionally invasive blood pressure, temperature and CO .
  • Page 19 Controls, Indicators and Connectors 2 Basic Operation MP2 Controls and Indicators On/Standby switch On/Standby LED. Green when monitor is on. Red indicates an error. Battery status LED. Yellow when charging. Flashing red when battery is empty, or a battery malfunction is detected.
  • Page 20 2 Basic Operation Controls, Indicators and Connectors MP2 Patient Connectors, Right Side Symbols (International) Text (English versions only) Pressure (option) Temperature (option) Noninvasive blood pressure ECG sync pulse output (See page 252 for specifications) ECG/Respiration (option) MP2 Left Side Loudspeaker MSL Connector.
  • Page 21: Extending Measurements

    2 Basic Operation 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.
  • Page 22 2 Basic Operation Extending Measurements M3014A, M3015A and M3016A Measurement Extensions The optional M3014A Capnography extension adds mainstream capnography, and optionally one pressure plus either a pressure or a temperature to the monitor. Cardiac Output and Continuous Cardiac Output are not available when used with the MP2. The optional M3015A Microstream CO extension adds microstream capnography and optionally either pressure or temperature to the monitor.
  • Page 23 Extending Measurements 2 Basic Operation M3012A Hemodynamic MMS Extension MSL Connector to MP2 Pressure connectors (red) Cardiac Output (orange; optional) 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.
  • Page 24: Operating And Navigating

    2 Basic Operation Operating and Navigating Operating and Navigating The principle method of operating your monitor is via the touchscreen. Almost every element on the screen is interactive. Screen elements include measurement numerics, information fields, alarms fields, waveforms and menus. There are also four keys to the right of the screen (see also “MP2 Controls and Indicators”...
  • Page 25 Operating and Navigating 2 Basic Operation A typical main screen looks like this: Bed9 Adult Doe, John Sinus Rhythm Sys. All Sett. reset Profile Adult MP2 Screen Elements Item Description Comments Alarm volume off indicator is displayed when the alarm volume is set to zero (0).
  • Page 26 2 Basic Operation Operating and Navigating MP2 Screen Elements Item Description Comments Measurement numeric/values Touch the numeric to enter the measurement setup menu. Measurement wave Touch the wave to enter the measurement setup menu. Status line Shows information and messages prompting you for action.
  • Page 27 Operating and Navigating 2 Basic Operation Key to measurement setup menu: Item Description Comment INOP and alarm message field. These are always displayed at the top of the screen. Wave/numerics window. The main measurement numeric and wave (if applicable) are shown in this window so that you do not lose sight of the current measurement while making changes in the menu.
  • Page 28 2 Basic Operation Operating and Navigating No Central Monit. NBPs HIGH SmartKeys Admit/ Start/ Measmt. Stop Select. Dischrge Touch to view more Alarm Vitals Profiles SmartKeys Limits Trend Alarm Monitor Volume Volume Standby Main Setup is one of the SmartKeys. enter standby mode - suspends patient monitoring.
  • Page 29 Operating and Navigating 2 Basic Operation 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 set standard or EASI lead placement review vital signs trend review graph trend unpair equipment and continue...
  • Page 30: Operating Modes

    2 Basic Operation Operating Modes Operating Modes When you switch the monitor on, it starts up in monitoring mode. To change to a different mode: Select the Main Setup menu. Select Operating Modes and choose the mode you require. Your monitor has four operating modes. Some are passcode protected. •...
  • Page 31: Understanding Screens

    Understanding Screens 2 Basic Operation STANDBY Press any key or select any field on the screen to resume monitoring The monitor enters Standby mode automatically after the End Case function is used to discharge a patient. Standby suspends patient monitoring. All waves and numerics disappear from the display but all settings and patient data information are retained.
  • Page 32: Using The Xds Remote Display

    2 Basic Operation Using the XDS Remote Display In the Change Screen menu, the Change Screen changed Screen is shown linked to the original Screen and marked with an 1 Wave B asterisk. Up to three modified Screens can be 1 Big Wave accessed via the Change Screen menu.
  • Page 33: Understanding Profiles

    Understanding Profiles 2 Basic Operation Understanding Profiles Profiles are predefined monitor configurations. They let you change the configuration of the whole monitor so you can adapt it to different monitoring situations. The changes that occur when you change a complete profile are more far reaching than those made when you change a Screen. Screens affect only what is shown on the display.
  • Page 34: Understanding Settings

    2 Basic Operation Understanding Settings If you switch to a different profile, the patient category and paced status normally change to the setting WARNING specified in the new profile. However some profiles may be setup to leave the patient category and paced status unchanged.
  • Page 35: Changing Measurement Settings

    Changing Measurement Settings 2 Basic Operation Monitor settings, including settings that affect more than one measurement or Screen and define general aspects of how the monitor works, for example, alarm volume, reports and recordings, and display brightness. You must be aware that, although many settings can be changed in Monitoring Mode, permanent changes to settings can only be done in the monitor’s Configuration Mode.
  • Page 36: Using Labels

    2 Basic Operation Using Labels 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 -> User Interface Select Global Speed or RespiratorySpeed, as required Select a value from the list of available speeds.
  • Page 37 Using Labels 2 Basic Operation • display the Measurement Selection window automatically for you to resolve the conflict • take no action, you must enter the Measurement Selection window and resolve the conflict measurement selection key All the currently available measurements are depicted in the Measurement Selection window.
  • Page 38: Changing Monitor Settings

    2 Basic Operation Changing Monitor Settings Label Compatibility When a new measurement is introduced, or new labels for an existing measurement, these labels will not be shown on older Information Centers, and consequently not on the Overview screen sourced from the Information Center. When a patient is transferred from a monitor with these new labels to one with an older software revision, the labels will be replaced with a generic label for that measurement.
  • Page 39: Getting Started

    Getting Started 2 Basic Operation From the Monitor Revision menu, select the monitor component for which you need revision information. Getting Started Once you understand the basic operation principles, you can get ready for monitoring. Inspecting the Monitor If the monitor is mechanically damaged, or if it is not working properly, do not use it for any WARNING monitoring procedure on a patient.
  • Page 40: Disconnecting From Ac Mains Power

    2 Basic Operation Disconnecting from AC Mains Power Connect the required patient cables and sensors. The connectors are color-coded to the patient cables and sensors for easy identification. When connecting devices for acquiring measurements, always position cables and tubing carefully to WARNING avoid entanglement or potential strangulation.
  • Page 41: Capturing Alarm Reports And Printing

    Capturing Alarm Reports and Printing 2 Basic Operation If your monitor is connected to a network, a network symbol is displayed in the upper left corner next to the bed label. To see details about the monitoring equipment and technical information about the network, select the Main Setup SmartKey to enter the Setup menu, then select Bed Information.
  • Page 42 2 Basic Operation Capturing Alarm Reports and Printing...
  • Page 43: What's New

    What’s New? This section lists the most important new features and improvements to the monitor and its user interface introduced with each release. Further information is provided in other sections of this book. You may not have all of these features, depending on the monitor configuration purchased by your hospital.
  • Page 44 3 What’s New? What’s New in Release F.0? What’s New in Release F.0? QT/QTc Interval Monitoring QT interval monitoring is used to assist in the detection of prolonged QT interval syndrome. The QT interval is measured and the heart-rate corrected QT value, QTc, is calculated. The monitor also provides a 'QTc value which tracks variation in the QT interval in relation to a baseline value.
  • Page 45: What's New In Release G.0

    What’s New in Release F.0? 3 What’s New? New Patient Check The monitor can be configured to ask you in certain situations: after a specified power-off period, after a specified standby period and when no basic vitals (HR, RR, Pulse, SpO , NBP) have been measured for a specified period, whether a new patient is now being monitored.
  • Page 46: What's New In Release F.0

    3 What’s New? What’s New in Release F.0?
  • Page 47: Alarms

    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 are red and yellow alarms. A red alarm indicates a high priority patient alarm such as a potentially life threatening situation (for example, asystole).
  • Page 48: Visual Alarm Indicators

    4 Alarms Visual Alarm Indicators The monitor sounds an audible indicator for the highest priority alarm. If more than one alarm condition is active in the same measurement, the monitor announces the most severe. Your monitor may be configured to increase alarm indicator volume automatically during the time when the alarm is not acknowledged.
  • Page 49: Audible Alarm Indicators

    • change the base volume of the red and yellow alarm tones and the INOP tones • change the alarm sound to suit the different alarm standards valid in different countries. Traditional Audible Alarms (HP/Agilent/Philips/Carenet) • Red alarms and red INOPs: A high pitched sound is repeated once a second.
  • Page 50: Acknowledging Alarms

    4 Alarms Acknowledging Alarms ♦ If you want to see a numerical indication of the current alarm volume on a scale from zero to 10, or change the setting, select the Alarm Volume SmartKey. The Alarm volume scale pops up. The current setting is indented. To change the setting, select Volume the required number on the scale.
  • Page 51: Pausing Or Switching Off Alarms

    Pausing or Switching Off Alarms 4 Alarms Acknowledging Disconnect INOPs Acknowledging an INOP that results from a disconnected transducer switches off the associated measurement. The only exception is ECG/Resp: acknowledging a disconnect INOP for ECG leads does not switch off the ECG and Resp measurements. Acknowledging a disconnect INOP at the Information Center switches off the audible INOP indicator but does not switch off the measurement.
  • Page 52 4 Alarms Pausing or Switching Off Alarms ♦ Press the Alarms key. Pausing alarms infinitely is the same as switching them off. To Switch Individual Measurement Alarms On or Off Select the measurement numeric to enter its setup menu. Select Alarms to toggle between On and Off. The alarms off symbol is shown beside the measurement numeric.
  • Page 53: Alarm Limits

    Alarm Limits 4 Alarms Select one of the alarm fields. This calls up the Review Alarms window. Select either the pop-up key Pause Al. 5 min or the pop-up key Pause Al. 10 min. Each time you select one of these pop-up keys, the Alarm Pause Time is reset to five (or 10) minutes.
  • Page 54 4 Alarms Alarm Limits Alarm Limits NBPs ABPs All Lim. All Lim. Wide Narrow Graphic view of current yellow and red alarm limits and currently monitored measurement value Off indicates the measurement is switched off Measurement labels, with alarms off symbol where appropriate Set narrow or wide alarm AutoLimits for all measurements ♦...
  • Page 55 Alarm Limits 4 Alarms Alternatively, you can use the keys in the measurement Change Limits window, which you access by selecting the measurement label in the Alarm Limits window. ABPs Alarms On/Off 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...
  • Page 56 4 Alarms Alarm Limits When an ST measurement is in the Change Limits window there are also two pop-up keys available labeled All ST Narrow/All ST Wide. With these keys you can set Auto Limits for all ST Leads. About Automatic Alarm Limits (AutoLimits) The monitor can automatically set alarm limits suited to your individual patient, using the Automatic Alarm Limits function.
  • Page 57: Reviewing Alarms

    Reviewing Alarms 4 Alarms Documenting Alarm Limits To print a list of all current alarm limit settings on an available printer: Select the Main Setup SmartKey. Select Reports from the Main Setup menu. Select Alarm Limits. Reviewing Alarms You can see which alarms and INOPs are currently active in the respective alarms and INOPs fields at the top of the screen.
  • Page 58: Latching Alarms

    4 Alarms Latching Alarms The Review Alarms window pop-up keys appear when the window is opened. If alarm pause extension is disabled, the pause pop-up keys are inactive. Alarm Pause Al. Pause Al. Limits 5 Min. 10 Min. Latching Alarms The alarm latching setting for your monitor defines how the alarm indicators behave when you do not acknowledge them.
  • Page 59: Testing Alarms

    Testing Alarms 4 Alarms Testing Alarms When you switch the monitor on, a selftest is started. You must check that the alarms lamps light, one after the other, and that you hear a single tone. This indicates that the visible and audible alarm indicators are functioning correctly.
  • Page 60 4 Alarms Alarm Recordings...
  • Page 61: Patient Alarms And Inops

    Patient Alarms and INOPs This chapter lists patient alarms and technical alarms (INOPs) alphabetically, irrespective of their priority. INOPs start on page 59. 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, SpO , and anesthetic agent...
  • Page 62 5 Patient Alarms and INOPs Patient Alarm Messages Alarm Message From Condition Indication The Bispectral Index value has dropped numeric flashes and low limit **BIS LOW below the low alarm limit. is highlighted, yellow alarm lamp, alarm tone. Press, SpO The heart rate from the Pulse signal has numeric flashes and alarm ***BRADY/P xxx<yyy...
  • Page 63 Patient Alarm Messages 5 Patient Alarms and INOPs Alarm Message From Condition Indication The heart rate high alarm limit has numeric flashes and high limit **HR HIGH been exceeded. is highlighted, yellow alarm lamp, alarm tone. If configured to short yellow, the sound switches off after 5 seconds if Arrhythmia is On.
  • Page 64 5 Patient Alarms and INOPs Patient Alarm Messages Alarm Message From Condition Indication PRESS The pressure is non-pulsatile and the numeric flashes, red alarm ***<Pressure> mean pressure is continuously less than lamp, alarm tone. DISCONNECT 10mmHg (1.3kPa). This alarm occurs only with arterial pressures (P, ABP, ART, Ao, BAP, FAP, PAP, UAP, P1, P2, P3, P4).
  • Page 65 Patient Alarm Messages 5 Patient Alarms and INOPs Alarm Message From Condition Indication RESP The respiration rate has dropped below numeric flashes and low limit **RR LOW the low alarm limit. is highlighted, yellow alarm lamp, alarm tone. ECG/ A run of PVCs greater than 2 was numeric flashes, yellow alarm */**RUN PVCs HIGH Arrhythmia...
  • Page 66 5 Patient Alarms and INOPs Patient Alarm Messages Alarm Message From Condition Indication Telemetry This is a generic alarm from the yellow or red alarm lamp and */**/***TELE ALARM telemetry system. The specific alarm alarm tone cause is indicated in the alarm message in the Telemetry Data Window.
  • Page 67: Technical Alarm Messages (inops)

    Technical Alarm Messages (INOPs) 5 Patient Alarms and INOPs Technical Alarm Messages (INOPs) If an INOP interrupts monitoring and alarm detection, the measurement numeric will be replaced by -?-. If an INOP may lead to unreliable measurement values, a ? appears next to the numeric. INOP Message, Indication Source What to do...
  • Page 68 The semi-reusable sensor cable connected is unknown or not BIS CABLE INCOMPAT INOP tone. supported by your software revision. Replace it with a Philips- supported sensor cable. The semi-reusable sensor cable has exceeded the maximum BIS CABLE USAGE INOP tone.
  • Page 69 Unsupported sensor connected or sensor type unknown or not BIS SENSOR INCOMPT supported by your software revision. Replace the sensor, using INOP tone only Philips supported sensors. Malfunction in the sensor hardware, most often caused by BIS SENSOR MALFUNC liquids permeating into the connectors OR patient interface INOP tone cable (PIC) or DSC or BISx may be faulty.
  • Page 70 5 Patient Alarms and INOPs Technical Alarm Messages (INOPs) INOP Message, Indication Source What to do Excessive sensor usage. Replace sensor. BIS SENSOR USAGE A Cyclic Impedance Check will start automatically. INOP tone BIS SQI < 15% (INOP tone) If the signal quality is below 50%, BIS numerics cannot be reliably derived.
  • Page 71 Technical Alarm Messages (INOPs) 5 Patient Alarms and INOPs INOP Message, Indication Source What to do C.O. CCO/CCI cannot be calculated. Make sure that the pressure CCO NO <Pressure label> numeric is replaced by -?- chosen in the menu under Setup CCO CCO From INOP tone may sound...
  • Page 72 5 Patient Alarms and INOPs Technical Alarm Messages (INOPs) INOP Message, Indication Source What to do Batteries There is a problem with the battery charger in the monitor. CHARGER MALFUNC Connect the monitor to mains power and contact your service INOP tone, battery LED may flash personnel.
  • Page 73 Technical Alarm Messages (INOPs) 5 Patient Alarms and INOPs INOP Message, Indication Source What to do Monitor The Screen you have selected uses a resolution which is not Check Screen Res INOP tone supported by the display. The monitor will show a generic Screen instead until you select a different Screen.
  • Page 74 5 Patient Alarms and INOPs Technical Alarm Messages (INOPs) INOP Message, Indication Source What to do The CO measurement label in the measurement device has DEACTIVATED INOP tone. been deactivated by deactivating the label in the Measurement Selection window. The measurement automatically disappears from the display.
  • Page 75 Technical Alarm Messages (INOPs) 5 Patient Alarms and INOPs INOP Message, Indication Source What to do C.O. Plug in the C.O. module. Silencing this INOP switches off the C.O. UNPLUGGED numeric is replaced by -?- measurement. INOP tone. The software in the Measurement Extension does not match UPDATE FW Numeric is replaced by a -?- the software in the MMS.
  • Page 76 5 Patient Alarms and INOPs Technical Alarm Messages (INOPs) INOP Message, Indication Source What to do IntelliBridge The monitor is in DEMO mode but the device connected to DEVICE REAL DATA INOP tone the IntelliBridge module reports data that are not flagged as demo data.
  • Page 77 Technical Alarm Messages (INOPs) 5 Patient Alarms and INOPs INOP Message, Indication Source What to do One or more electrodes are not connected. Check in the EEG<X> LEAD OFF [X = channel] window on the monitor which Impedance/Montage at Information Center electrode(s) are affected and reconnect the electrodes.
  • Page 78 5 Patient Alarms and INOPs Technical Alarm Messages (INOPs) INOP Message, Indication Source What to do The LA electrode has become detached from the patient or the LA LEAD OFF Numeric is replaced by -?- for 10 lead set has been changed. Reattach the electrode or select seconds;...
  • Page 79 Technical Alarm Messages (INOPs) 5 Patient Alarms and INOPs INOP Message, Indication Source What to do The NBP measurement label in the measurement device has NBP Deactivated INOP tone. been deactivated by deactivating the label in the Measurement Selection window. The measurement automatically disappears from the display.
  • Page 80 5 Patient Alarms and INOPs Technical Alarm Messages (INOPs) INOP Message, Indication Source What to do The arterial pressure source selected for PPV is not providing a PPV BAD SIGNAL at Information Center pulsatile signal. The arterial pressure source selected for PPV is unplugged or PPV CHK SOURCES switched off.
  • Page 81 Technical Alarm Messages (INOPs) 5 Patient Alarms and INOPs INOP Message, Indication Source What to do Predictive Check that the probe holder is correctly installed and that a <pTemp label> CHECK PROBE Numeric is replaced by -?- Temp compatible probe is in use. If the INOP does not clear, remove INOP tone.
  • Page 82 5 Patient Alarms and INOPs Technical Alarm Messages (INOPs) INOP Message, Indication Source What to do Telemetry The battery in the telemetry device is almost empty and must !!/!!! REPLACE BATTERY T be replaced. Severe yellow/red INOP tone. During this INOP, alarms cannot be paused or switched off.
  • Page 83 Technical Alarm Messages (INOPs) 5 Patient Alarms and INOPs INOP Message, Indication Source What to do The intensity changed considerably since the last light intensity <SO Label>LIGHT INTENS calibration. This may indicate that the catheter tip is positioned Numeric is replaced by -?- against a blood vessel wall or that there is low blood flow.
  • Page 84 5 Patient Alarms and INOPs Technical Alarm Messages (INOPs) INOP Message, Indication Source What to do Spirometry No breath was detected for more than 25 seconds. Breath SPIRO NO BREATH derived numerics are not available. Spirometry Gas compensation is set to “gas analyzer” but not all gases SPIRO GAS COMPENS? necessary for compensation are measured by a gas monitor.
  • Page 85 Technical Alarm Messages (INOPs) 5 Patient Alarms and INOPs INOP Message, Indication Source What to do The detectable pulsations of the SpO signal are outside the <SpO LABEL> PULSE? specified pulse rate range. Numeric is replaced by -?- INOP tone is analyzing the patient signal to derive Pulse, SpO <SpO LABEL>...
  • Page 86 5 Patient Alarms and INOPs Technical Alarm Messages (INOPs) INOP Message, Indication Source What to do C.O. No transducer attached to the module or catheter Tblood NO TRANSDUC Numeric is replaced by -?- disconnected. INOP tone C.O. Tblood out of range 17°C - 43°C. Tblood OVERRANGE Numeric is replaced by -?- Tcereb INOPS...
  • Page 87 Technical Alarm Messages (INOPs) 5 Patient Alarms and INOPs INOP Message, Indication Source What to do Telemetry Telemetry transceiver was disconnected or short range radio !!/!!!TELE DISCONNECT INOP tone link was lost. For cable connections; check Telemetry interface, cable connection and setup. For short range radio connections: if the telemetry transceiver has not moved out-of-range, check for interference sources close to the monitor (bluetooth devices, DECT phones,...
  • Page 88 5 Patient Alarms and INOPs Technical Alarm Messages (INOPs) INOP Message, Indication Source What to do TEMP Try changing the application site of the transducer. <Temp label> OVERRANGE Numeric is replaced by -?- [The temperature is less than -1 C, or greater than 45 INOP tone.
  • Page 89 The VueLink module has not been configured during VueLnk NO CONFIG INOP tone. installation. The installation process should be completed by either your biomedical engineering department or the Philips service engineer. VueLink INOP abbreviations may differ slightly depending on the device category.
  • Page 90 5 Patient Alarms and INOPs Technical Alarm Messages (INOPs)
  • Page 91: Managing Patients

    Managing Patients Use the Patient Demographics window and its associated pop-up keys to admit, discharge, and transfer (ADT) patients. All patient demographic and ADT information is shared between the patient monitor and the Information Center, for example, patients admitted to the monitor are automatically admitted to a connected Information Center.
  • Page 92 6 Managing Patients Admitting a Patient Clear any previous patient data by selecting the Dischrge Patient or End Case pop-up key and then Confirm. If you do not discharge the previous patient, you will not be able to distinguish data from the previous and current patients, for example, in the trend database.
  • Page 93: Quick Admitting A Patient

    Quick Admitting a Patient 6 Managing Patients If you do not fill in all patient information required by the Information Center, the Information Center may reject the admission. Complete all the required fields and try again to admit the patient. Quick Admitting a Patient Use Quick Admit only if you do not have the time or information to fully admit a patient.
  • Page 94: Transferring Patients

    6 Managing Patients Transferring Patients Select the pop-up key for either: – End Case - to print any configured end case reports or vital signs recording, discharge the patient and clear the patient database, then enter standby mode. If an End Case SmartKey is configured for your monitor, you can also select this instead and then confirm.
  • Page 95 Transferring Patients 6 Managing Patients Data Exchange Between Information Centers You can transfer demographic data and trend data from one IIC to another by selecting Transfer on the patient monitor. Trend data is not shared between Information Centers and monitors. Resolving Patient Information Mismatch When you connect together devices which store patient demographic data, for example: •...
  • Page 96 6 Managing Patients Transferring Patients Gender, date of birth, height, weight, and nursing notes do not generate a mismatch. If these fields are different on different devices, the monitor resolves them itself. For example, it may take date of birth from the Information Center, whilst taking gender from the monitor.
  • Page 97: Ecg, Arrhythmia, St And Qt Monitoring

    ECG, Arrhythmia, ST and QT Monitoring The electrocardiogram (ECG) measures the electrical activity of the heart and displays it on the monitor as a waveform and a numeric. This section also tells you about arrhythmia monitoring (see page 105), ST monitoring (see page 117) and QT monitoring (see page 127). Skin Preparation for Electrode Placement Good electrode-to-skin contact is important for a good ECG signal, as the skin is a poor conductor of electricity.
  • Page 98: Selecting The Primary And Secondary Ecg Leads

    To protect the monitor from damage during defibrillation, for accurate ECG information and to CAUTION protect against noise and other interference, use only ECG electrodes and cables specified by Philips. 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.
  • Page 99: Understanding The Ecg Display

    Understanding the ECG Display 7 ECG, Arrhythmia, ST and QT Monitoring Pace pulse rejection must be switched on for paced patients by setting “Paced” to Yes. Switching pace WARNING pulse rejection off for paced patients may result in pace pulses being counted as regular QRS complexes, which could prevent an asystole event from being detected.
  • Page 100: Monitoring Paced Patients

    Monitoring Paced Patients Pacer spikes configured to have a fixed size Defibrillator synchronization marks: If an HP/Agilent/Philips defibrillator is connected, the synchronization marks (vertical lines on the ECG wave) are shown on the ECG wave. The synchronization marks will be shown in yellow, unless the ECG wave is yellow, then they will be green.
  • Page 101: Changing The Size Of The Ecg Wave

    Changing the Size of the ECG Wave 7 ECG, Arrhythmia, ST and QT Monitoring Setting the Paced Status (Pace Pulse Rejection) ♦ In the Setup ECG menu, select Paced to toggle between Yes and No. Paced You can also change the paced status in the Patient Demographics window. When Paced is set to Yes: –...
  • Page 102: Changing The Volume Of The Qrs Tone

    7 ECG, Arrhythmia, ST and QT Monitoring Changing the Volume of the QRS Tone In the lead menu, select Size Up to increase wave size or Size Down to decrease the size. Selecting AutoSize lets the monitor choose the optimal adjustment factor for all displayed ECG waves.
  • Page 103: Selecting Positions Of Va And Vb Chest Leads (for 6-lead Placement)

    Selecting Positions of Va and Vb Chest Leads (for 6-lead placement) 7 ECG, Arrhythmia, ST and QT Monitoring – Diag: Use when diagnostic quality is required. The unfiltered ECG wave is displayed so that changes such as R-wave notching or discrete elevation or depression of the ST segments are visible.
  • Page 104: Ecg Lead Fallback

    7 ECG, Arrhythmia, ST and QT Monitoring ECG Lead Fallback ECG Leads Monitored If you are using these leads are available: Resp is measured between electrodes: a 3-electrode set I, II, III RA and LL a 5-electrode set I, II, III, aVR, aVL, aVF, V and MCL RA and LL a 6-electrode set I, II, III, aVR, aVL, aVF, Va, Vb...
  • Page 105 ECG Lead Placements 7 ECG, Arrhythmia, ST and QT Monitoring Electrode labels Electrode colors AAMI EASI AAMI Brown/Green White/Green 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...
  • Page 106 7 ECG, Arrhythmia, ST and QT Monitoring ECG Lead Placements 6-Lead 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 107 ECG Lead Placements 7 ECG, Arrhythmia, ST and QT Monitoring 10-Lead Placement When monitoring 12-leads of ECG, using a 10-Electrode Lead Placement, it is important to correctly place electrodes and to label all 12-lead ECG reports with the correct lead placement. Conventional 12-Lead ECG In conventional 12-Lead ECG using 10 electrodes, an electrode is placed on the right...
  • Page 108: Capture 12-lead

    7 ECG, Arrhythmia, ST and QT Monitoring Capture 12-Lead Modified 12-Lead ECG 1 - LA 2 - V1 - V6 3 - LL 4 - RL 5 - RA 6 - Angle of Lewis If your institution uses modified 10 Lead ECG electrode placement (the Mason-Likar Lead System), place the four limb electrodes close to the...
  • Page 109: Easi Ecg Lead Placement

    EASI ECG Lead Placement 7 ECG, Arrhythmia, ST and QT Monitoring EASI ECG Lead Placement Using a standard 5-electrode set in EASI lead placement you can monitor up to 12 standard ECG leads simultaneously and continuously at the bedside. EASI provides a monitoring method for trending ST segment changes that can provide an early indication of ischemia.
  • Page 110: Ecg And Arrhythmia Alarm Overview

    7 ECG, Arrhythmia, ST and QT Monitoring ECG and Arrhythmia Alarm Overview ECG and Arrhythmia Alarm Overview The ECG and arrhythmia alarms available depend on which measurements are switched on, and the arrhythmia option enabled for your monitor. • Cardiotach alarms are available when HR is on and the active alarm source is ECG, but arrhythmia is switched off •...
  • Page 111: Using Ecg Alarms

    Using ECG Alarms 7 ECG, Arrhythmia, ST and QT Monitoring Using ECG Alarms ECG alarms can be switched on and off and the high and low alarm limits changed just like other measurement alarms, as described in the Alarms section. Special alarm features which apply only to ECG are described here.
  • Page 112: Ecg Safety Information

    7 ECG, Arrhythmia, ST and QT Monitoring ECG Safety Information ECG Safety Information Interference from instruments near the patient and ESU interference can cause problems with the CAUTION ECG wave. See the monitor specifications for more information. Defibrillation and Electrosurgery: Do not touch the patient, or table, or instruments, during WARNING defibrillation.
  • Page 113: About Arrhythmia Monitoring

    About Arrhythmia Monitoring 7 ECG, Arrhythmia, ST and QT Monitoring External pacing electrodes: When a pacemaker with external pacing electrodes is being used on a patient, arrhythmia monitoring is severely compromised due to the high energy level in the pacer pulse. This may result in the arrhythmia algorithm’s failure to detect pacemaker noncapture or asystole.
  • Page 114: Switching Arrhythmia Analysis On And Off

    7 ECG, Arrhythmia, ST and QT Monitoring Switching Arrhythmia Analysis On and Off Switching Arrhythmia Analysis On and Off In the Setup Arrhy menu, select Arrhythmia to toggle between On and Off. Select the Confirm pop-up key which appears at the bottom of the screen. Be aware that when arrhythmia analysis is switched off, –...
  • Page 115: Understanding The Arrhythmia Display

    Understanding the Arrhythmia Display 7 ECG, Arrhythmia, ST and QT Monitoring • PR interval deviation must be large • P-wave region must not match well Atrial fibrillation analysis is only available for adult patients and atrial fibrillation detection cannot be performed on PVCs or Paced beats.
  • Page 116 7 ECG, Arrhythmia, ST and QT Monitoring Understanding the Arrhythmia Display PVC Numeric HR Numeric Ectopic status message Delayed arrhythmia wave Viewing Arrhythmia Waves ♦ To review arrhythmia beat labels, in the Setup Arrhy menu, select Annotate Arrhy. The wave showing the primary ECG lead will be delayed by six seconds and shown on a grey background.
  • Page 117 Understanding the Arrhythmia Display 7 ECG, Arrhythmia, ST and QT Monitoring Arrhythmia Status Messages The monitor displays two types of status messages: • Rhythm Status Messages -- to indicate the patient’s rhythm. • Ectopic Status Messages -- to indicate the presence of ectopic beats. These status messages are shown on the right hand side of the primary ECG wave.
  • Page 118: Arrhythmia Relearning

    7 ECG, Arrhythmia, ST and QT Monitoring Arrhythmia Relearning Ectopic Status Messages The label B or E indicates basic (B) or enhanced (E) arrhythmia capability. Ectopic Status Message Explanation B or E (No message displayed) No ectopic activity within the last minute More than 2 consecutive PVCs within the last minute RUN PVCs Pair PVCs within the last minute...
  • Page 119: Arrhythmia Alarms

    Arrhythmia Alarms 7 ECG, Arrhythmia, ST and QT Monitoring Automatic Arrhythmia Relearn Arrhythmia relearning is initiated automatically whenever: • ECG monitoring is switched on • The ECG Lead or Lead Label of the primary/secondary lead is changed manually, or when fallback occurs •...
  • Page 120 7 ECG, Arrhythmia, ST and QT Monitoring Arrhythmia Alarms Yellow Arrhythmia Alarms Yellow arrhythmia alarms are short yellow alarms specific to arrhythmia-related patient conditions. Depending on your monitor and 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 121 Arrhythmia Alarms 7 ECG, Arrhythmia, ST and QT Monitoring Arrhythmia Alarm Timeout Periods Normally, an arrhythmia alarm is announced when an alarm condition is detected. However, there are certain situations that can inhibit the audible and visible indications of the alarm even though the alarm condition was detected.
  • Page 122 7 ECG, Arrhythmia, ST and QT Monitoring Arrhythmia Alarms If you silence a yellow arrhythmia alarm and the alarm condition still exists, the visual indicators continue until the condition stops. You will get an alarm reminder every time the configured timeout period has expired.
  • Page 123 Arrhythmia Alarms 7 ECG, Arrhythmia, ST and QT Monitoring Red Arrhythmia Alarms Asystole Vent Fib/Tach V-Tach Extreme Tachy/Extreme Brady Yellow Arrhythmia Alarms Rate Alarms Chain PVC Alarms Chain Beat Detection Alarms Chain Non-sustain VT/ Pause Vent Rhythm Pacer Not Captured/ First level HR High/ HR Low Pacer Not Pacing/...
  • Page 124 7 ECG, Arrhythmia, ST and QT Monitoring Arrhythmia Alarms V-Tach Run Limit ** Non-Sustain VT ***V-Tach **Pair PVC Run < 8 PVC Run PVCs HR > 100 HR > 100 PVC = V-Tach Heart Rate Limit ** Run PVCs ** Vent Rhythm PVC Run >...
  • Page 125: About St Monitoring

    About ST Monitoring 7 ECG, Arrhythmia, ST and QT Monitoring About ST Monitoring The monitor performs ST segment analysis on normal and atrially paced beats and calculates ST segment elevations and depressions. This information can be displayed in the form of ST numerics and snippets on the monitor.
  • Page 126: Understanding The St Display And Windows

    7 ECG, Arrhythmia, ST and QT Monitoring Understanding the ST Display and Windows Choose a lead from the list for ST monitoring. This closes the Choices window and adds the selected lead to the list of chosen leads. To disable ST monitoring for a lead: Choose a lead from the list in the Setup ST Leads window.
  • Page 127: Updating St Baseline Snippets

    Updating ST Baseline Snippets 7 ECG, Arrhythmia, ST and QT Monitoring ST Snippets ST snippets show a one second wave segment for each measured ST lead. The most recent snippet is drawn in the same color as the ECG wave, usually green, superimposed over the stored baseline snippet, drawn in a different color.
  • Page 128: About The St Measurement Points

    7 ECG, Arrhythmia, ST and QT Monitoring About the ST Measurement Points About the ST Measurement Points The ST value for each beat complex is the vertical difference between the ISO point and the ST point, as shown in the diagram below. The isoelectric (ISO) point provides the baseline, the ST point is at the midpoint of the ST segment.
  • Page 129 About the ST Measurement Points 7 ECG, Arrhythmia, ST and QT Monitoring Select the ST point you need to adjust by touching the appropriate point on the screen. The current choice is highlighted (ISO point -80 in the screen example). ST label and the ST numeric that would apply using the Adjust ST Points...
  • Page 130: St Alarms

    7 ECG, Arrhythmia, ST and QT Monitoring ST Alarms To update the ST snippet shown in the Adjust ST Points window, select the Update pop- up key. ST Alarms ST alarms are yellow alarms. Each ST lead has its own alarm limit. ST alarms are triggered when an ST value exceeds its alarm limit for more than one minute.
  • Page 131 Viewing ST Maps 7 ECG, Arrhythmia, ST and QT Monitoring Adult SBed10 ST-II HIGH ST Map (Current) ST map Limb Leads Chest Leads ST label and polarity of corresponding lead Size Size Show Show Down Baseline Scroll to view Values more pop-up keys Trend Select...
  • Page 132 7 ECG, Arrhythmia, ST and QT Monitoring Viewing ST Maps Additionally, when both ST maps are displayed, you can view the currently available ST values in the ST Map window (Current or Trend) at any time. To do this, select the Show Values pop-up key. The ST values are shown in place of the second ST map, and the pop-up key text changes to Hide Values.
  • Page 133 Viewing ST Maps 7 ECG, Arrhythmia, ST and QT Monitoring In this diagram, V4 was either temporarily switched off, or in INOP, for around 30 seconds. No data was recorded. Consequently, the affected maps are not closed. Viewing an ST Map To display an ST map, ♦...
  • Page 134 7 ECG, Arrhythmia, ST and QT Monitoring Viewing ST Maps Changing the Trending Interval To determine how frequently the monitor displays a trended sample, In Trend view, select Select Interval. Select the required interval from the menu. The interval ranges between 12 seconds to 30 minutes. Printing an ST Map Report To print the most recently viewed (current or trend) window, Select Main Setup - >...
  • Page 135: About Qt/qtc Interval Monitoring

    About QT/QTc Interval Monitoring 7 ECG, Arrhythmia, ST and QT Monitoring About QT/QTc Interval Monitoring The QT interval is defined as the time between the beginning of the Q-wave and the end of the T-wave. It measures the total duration of the depolarization (QRS duration) and repolarization (ST-T) phases of the ventricular action potential.
  • Page 136 7 ECG, Arrhythmia, ST and QT Monitoring About QT/QTc Interval Monitoring Indications For Use Of 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 137 About QT/QTc Interval Monitoring 7 ECG, Arrhythmia, ST and QT Monitoring Changing the lead(s) used for QT measurements will not cause the baseline to be reset. QT View In the window you can verify that the QT algorithm detects correct Q and T points. QT View The current waves are shown in the upper half of the window and the baseline waves in a different color below.
  • Page 138: Qt Alarms

    7 ECG, Arrhythmia, ST and QT Monitoring QT Alarms If no baseline has been set for this patient, the first five minute value after the start of monitoring is automatically set as baseline. If you set a new baseline the previous baseline is discarded. As the 'QTc alarm is based on the difference between the baseline and the current value, setting an inappropriate new baseline may prevent a 'QTc alarm from being generated.
  • Page 139: Switching Qt Monitoring On And Off

    Switching QT Monitoring On and Off 7 ECG, Arrhythmia, ST and QT Monitoring Switching Individual QTc Alarms On and Off Each QTc alarm can be switched off individually. ♦ To switch an alarm on or off, in the Setup QT Analysis menu, select QTc Alarm or 'QTc Alarm to toggle between On and Off.
  • Page 140 7 ECG, Arrhythmia, ST and QT Monitoring Switching QT Monitoring On and Off...
  • Page 141: Monitoring Pulse Rate

    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), or any arterial pressure (P, ABP, ART, Ao, PAP, UAP, FAP, BAP: see the pressure section for an explanation of the pressure labels).
  • Page 142: Switching Pulse On And Off

    8 Monitoring Pulse Rate Switching Pulse On and Off 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 menu by selecting the Pulse numeric or by selecting Pulse in the...
  • Page 143 Using Pulse Alarms 8 Monitoring Pulse Rate Selecting Pulse as the active alarm source for HR/Pulse switches off the arrhythmia alarms listed in the WARNING section “ECG and Arrhythmia Alarm Overview” on page 102, including Asystole, Vfib and Vtach alarms, and the heart rate alarms. This is indicated by the message ECG/ARRH ALARM OFF (unless this has been configured off for your monitor), and the crossed-out alarm symbol beside the ECG heart rate numeric.
  • Page 144 8 Monitoring Pulse Rate Using Pulse Alarms...
  • Page 145: Monitoring Respiration Rate (resp)

    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).
  • Page 146: Understanding The Resp Display

    9 Monitoring Respiration Rate (Resp) Understanding the Resp Display Lateral Chest Expansion Some patients, especially neonates, expand their chests laterally. In these cases it is best to place the two respiratory electrodes in the right midaxillary and left lateral chest areas at the patient’s maximum point of breathing movement to optimize the respiratory wave.
  • Page 147: Changing The Size Of The Respiration Wave

    Changing the Size of the Respiration Wave 9 Monitoring Respiration Rate (Resp) • the algorithm expects a heart rate and therefore needs at least 3 electrodes attached to the patient. If you are monitoring respiration with only two electrodes, the detection algorithm becomes less sensitive which may result in reduced breath detection performance.
  • Page 148: Changing The Speed Of The Respiration Wave

    9 Monitoring Respiration Rate (Resp) Changing the Speed of the Respiration Wave Changing the Speed of the Respiration Wave Resp waveforms are usually viewed at a slower speed than other waveforms. For this reason, the Resp measurement has its own speed control and is not affected by the wave speed settings of the other measurements.
  • Page 149 Resp Safety Information 9 Monitoring Respiration Rate (Resp) Rate adaptive pacemakers: Implanted pacemakers which can adapt to the Minute Ventilation rate may occasionally react on the Impedance measurement used by patient monitors for the determination of the Resp value and execute pacing with the maximum programmed rate. Switching off the Resp measurement can prevent this.
  • Page 150 9 Monitoring Respiration Rate (Resp) Resp Safety Information...
  • Page 151: Monitoring Spo

    Monitoring SpO Philips pulse oximetry uses a motion-tolerant signal processing algorithm, based on Fourier artefact 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).
  • Page 152: Connecting Spo 2 Cables

    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. Extension cables: Do not use more than one extension cable (M1941A). Do not use an extension cable CAUTION with Philips reusable sensors or adapter cables with part numbers ending in -L (indicates “long”...
  • Page 153: Spo 2 Signal Quality Indicator (fast Spo 2 Only)

    Signal Quality Indicator (Fast SpO only) 10 Monitoring SpO Inspect the application site every two to three hours to ensure skin quality and correct optical WARNING alignment. If the skin quality changes, move the sensor to another site. Change the application site at least every four hours.
  • Page 154: Changing The Averaging Time

    10 Monitoring SpO Changing the Averaging Time Changing the Averaging Time Depending on the monitor configuration, you may be able to change the averaging time for the SpO values. The averaging time represents the approximate time period used for the calculation. The exact averaging algorithm depends on the SpO technology (option) used and on the signal conditions.
  • Page 155: Pleth Wave

    Pleth Wave 10 Monitoring SpO If you measure SpO on a limb that has an inflated NBP cuff, a non-pulsatile SpO INOP can occur. CAUTION If the monitor is configured to suppress this alarm there may be a delay of up to 60 seconds in indicating critical patient status, such as sudden pulse loss or hypoxia.
  • Page 156: Perfusion Numeric

    10 Monitoring SpO Perfusion Numeric minimum size for reliable SpO value Perfusion Numeric The perfusion numeric (Perf) gives a value for the pulsatile portion of the measured signal caused by the pulsating arterial blood flow. As pulse oximetry is based on the pulsatile nature of the signal, you can also use the perfusion numeric as a quality indicator for the SpO measurement.
  • Page 157: Setting The Qrs Volume

    Setting the QRS Volume 10 Monitoring SpO Tone modulation is licensed under US patent US 4,653,498 from Nellcor Puritan Bennett Incorporated. Setting the QRS Volume ♦ In the Setup SpO menu, select QRS Volume and set the appropriate QRS tone volume.
  • Page 158 10 Monitoring SpO Setting the QRS Volume...
  • Page 159: Monitoring Nbp

    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.
  • Page 160: Preparing To Measure Nbp

    11 Monitoring NBP Preparing to Measure NBP If you spill liquid onto the equipment or accessories, particularly if there is a chance that it can get CAUTION inside the tubing or the measurement device, contact your service personnel. Measurement Limitations Measurements are impossible with heart rate extremes of less than 40 bpm or greater than 300 bpm, or if the patient is on a heart-lung machine.
  • Page 161 Plug the air tubing into the red NBP connector. Avoid compression or restriction of pressure tubes. Air must pass unrestricted through the tubing. Make sure that you are using a Philips-approved correct sized cuff and that the bladder inside the cover is not folded or twisted.
  • Page 162: Starting And Stopping Measurements

    11 Monitoring NBP Starting and Stopping Measurements During measurements the cuff pressure is displayed instead of the units and the repeat time. An early systolic value gives you a preliminary indication of the systolic blood pressure during measurement. Starting and Stopping Measurements Use the Setup menu or SmartKeys to start and stop measurements.
  • Page 163: Switching Pulse From Nbp On/off

    Switching Pulse from NBP On/Off 11 Monitoring NBP Menu option Pressure value monitored Sys. systolic Dia. diastolic Mean mean Sys&Dia systolic and diastolic in parallel Dia&Mean diastolic and mean in parallel Sys&Mean systolic and mean in parallel Sys&Dia&Mean all three pressures in parallel If mean is not selected as alarm source (Sys, Dia, or Sys&Dia selected), but the monitor can only derive a mean value, mean alarms will nevertheless be announced using the most recent mean alarm limits.
  • Page 164: Calibrating Nbp

    11 Monitoring NBP Calibrating NBP Venous puncture measurement mode Cuff pressure Time left in venous puncture mode 01:45 (60) Calibrating NBP NBP is not user-calibrated. Cuff-pressure transducers must be verified and calibrated, if necessary, at least once every two years by a qualified service professional. See the Service Guide for details.
  • Page 165: Monitoring Temperature

    Monitoring Temperature Measurements from an MMS extension connected to the monitor are not available when the monitor WARNING is running on battery power. They are only available when the monitor is powered by the external power supply (M8023A). You can measure temperature using the built-in temperature measurement (optional), or one of the MMS extensions.
  • Page 166: Calculating Temp Difference

    12 Monitoring Temperature Calculating Temp Difference Make sure you set alarm limits for the correct label. The alarm limits you set are stored for that WARNING particular label only. Changing the label may change the alarm limits. Selecting a Temperature for Monitoring Tell the monitor which temperature you want to monitor by selecting its temperature label.
  • Page 167: Monitoring Invasive Pressure

    Monitoring Invasive Pressure Measurements from an MMS extension connected to the monitor are not available when the monitor WARNING is running on battery power. They are only available when the monitor is powered by the external power supply (M8023A). Do not use the MP2 in combination with other monitors using an M1006A pressure module and the CAUTION HP1290A pressure transducer.
  • Page 168 13 Monitoring Invasive Pressure Setting up the Pressure Measurement Connect the pressure line to the patient catheter. If you are using an infusion pressure cuff with the pressure line, attach the pressure cuff to the fluid to be infused. Inflate it according to your standard hospital procedure, then start the infusion. Position the transducer so that it is level with the heart, approximately at the level of the midaxillary line.
  • Page 169: Zeroing The Pressure Transducer

    Zeroing the Pressure Transducer 13 Monitoring Invasive Pressure Zeroing the Pressure Transducer To avoid inaccurate pressure readings, the monitor requires a valid zero. Zero the transducer in accordance with your hospital policy (at least once per day). You must perform a zero: •...
  • Page 170: Adjusting The Calibration Factor

    13 Monitoring Invasive Pressure Adjusting the Calibration Factor Zeroing All Pressures Simultaneously Before zeroing all pressures, make sure that all pressure transducers are vented to atmospheric pressure. WARNING If you are measuring pressures with more than one measuring device, using the Zero Press SmartKey to initiate the zeroing calls up a list of all active pressures.
  • Page 171: Changing The Pressure Wave Scale

    Changing the Pressure Wave Scale 13 Monitoring Invasive Pressure Changing the Pressure Wave Scale Select the label of the pressure wave whose scale you want to set to enter the Setup menu. In the Setup menu, (for example ABP) select Scale. <Press>...
  • Page 172 13 Monitoring Invasive Pressure Choosing the Pressure Alarm Source Extreme Alarm Limits The extreme pressure alarms, Extreme High and Extreme Low, can be made available for your monitor in Configuration Mode and are additional to the standard High and Low limit alarms. They are generated by the active pressure alarm source, and are setup in Configuration Mode by adding a set value (the ' value) to the high and low alarm limits.
  • Page 173: Calibrating Reusable Transducer Cpj840j6

    Calibrating Reusable Transducer CPJ840J6 13 Monitoring Invasive Pressure Calibrating Reusable Transducer CPJ840J6 Depending on your monitor’s configuration, you may be able to perform a calibration in monitoring mode. Perform a mercury calibration when you use a new transducer, and at regular intervals according to your hospital policy.
  • Page 174: Calculating Cerebral Perfusion

    13 Monitoring Invasive Pressure Calculating Cerebral Perfusion Select the calibration pressure from the list, for example 200 mmHg. Select Confirm to recalculate the calibration factor using the applied pressure. When the monitor displays <Press> calibration done at <date and time>, remove the manometer tubing, syringe and extra stopcock.
  • Page 175: Monitoring Carbon Dioxide

    Monitoring Carbon Dioxide • Measurements from an MMS extension connected to the monitor are not available when the WARNING monitor is running on battery power. They are only available when the monitor is powered by the external power supply (M8023A). •...
  • Page 176 14 Monitoring Carbon Dioxide Measuring CO using the CO Option or M3014A Depending on the Max Hold setting configured for your monitor, the etCO numeric shows either the highest CO value measured within the configured time period (Max Hold set to 10 sec or 20 sec) or the etCO numeric shows breath-to-breath value (Max Hold set to Off).
  • Page 177: Measuring Co 2 Using The Co 2 Option Or M3014a

    Measuring CO using the CO Option or M3014A 14 Monitoring Carbon Dioxide Wait 2 minutes, allowing the sensor to reach its operating temperature and a stable thermal condition. Choose the appropriate airway adapter and connect it to the sensor head. The airway adapter clicks into place when seated correctly. To zero the sensor: –...
  • Page 178 14 Monitoring Carbon Dioxide Measuring CO using the CO Option or M3014A – 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.
  • Page 179: Measuring Mainstream Co 2 Using M3016a

    Measuring Mainstream CO using M3016A 14 Monitoring Carbon Dioxide Removing Exhaust Gases from the System Anesthetics: When using the sidestream CO measurement on patients who are receiving or have WARNING recently received anesthetics, connect the outlet to a scavenging system, to avoid exposing medical staff to anesthetics.
  • Page 180 14 Monitoring Carbon Dioxide Measuring Mainstream CO using M3016A Enter the calibration value printed on the calstick then press to start calibration. Confirm When the message CO CAL1 done;Start CAL2 cal appears, put the transducer on the other cell and select Start CAL2 then press Confirm When you see the message CO cal done;leave Cal.
  • Page 181: Measuring Microstream Co 2 Using M3015a

    Measuring Microstream CO using M3015A 14 Monitoring Carbon Dioxide Measuring Microstream CO using M3015A The M3015A 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. Preparing to Measure Microstream CO Use appropriate accessories for: •...
  • Page 182: Setting Up All Co 2 Measurements

    14 Monitoring Carbon Dioxide Setting up all CO Measurements Disconnect the FilterLine during suctioning and nebulizing therapies. Check the table in the Microstream CO Accessories section of the Accessories chapter for typical usage times for the different Microstream accessories. values for non-intubated patients using Microstream accessories will always tend to be lower than for intubated patients.
  • Page 183 Setting up all CO Measurements 14 Monitoring Carbon Dioxide Correction In the Setup CO menu, select Oxy. Corr and select a value between 20% and 100%, the default value is 20%. If you are not measuring the expired O , estimate it (M3014A only) subtracting...
  • Page 184 14 Monitoring Carbon Dioxide Setting up all CO Measurements To change the imCO high limit: ♦ Select imCO 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 Setup CO menu, select awRR.
  • Page 185: Assigning Two Devices To One Patient

    “pairing” and when a telemetry device and a monitor are paired, the measurement data from the telemetry device will be displayed on the monitor screen. A telemetry device can be: • any Philips telemetry device (only for indirect connections, see below). • a TRx+/TRx+ Intellivue Telemetry system transceiver. How Can You Combine Devices? •...
  • Page 186 15 Assigning Two Devices to One Patient How Can You Combine Devices? TELE INOP * TELE ALARM ** HR 140>120 SOME ECG ALRMS OFF Delayed %SpO Telemetry data window Auto 10 min etCO Sys. imCO WARNING All data presented in the telemetry data window are delayed for several seconds. If you need realtime data, for example for defibrillation, always use the monitor ECG instead of telemetry.
  • Page 187 How Can You Combine Devices? 15 Assigning Two Devices to One Patient • Controls on the Telemetry Device (e.g. nurse call) will be inactive when the device is directly connected to the monitor except in the case when the monitor has no network connection and data are transferred via the telemetry device.
  • Page 188 15 Assigning Two Devices to One Patient How Can You Combine Devices? Correct channel configuration is important, refer to the Configuration Guide for details. If a TELE DISCONNECT INOP occurs when the telemetry device goes out-of-range, the INOP will disappear (without being silenced) as soon as the ECG signal from the telemetry device is available at the Information Center via standard telemetry transmission.
  • Page 189: Functions Available When The Telemetry Data Window Is Displayed

    Functions Available When the Telemetry Data Window is Displayed 15 Assigning Two Devices to One Patient Functions Available When the Telemetry Data Window is Displayed Controlling the Telemetry Device from the Bedside You can change settings for a paired telemetry device at the monitor: Select the telemetry data screen element Select the Setup Tele pop-up key The Setup Telemetry menu will appear with the settings available for the telemetry device.
  • Page 190: Functions Available For Devices Connected Via Srr

    15 Assigning Two Devices to One Patient Functions Available For Devices Connected Via SRR Functions Available For Devices Connected Via Telemetry Device Tele 1 The Telemetry Device window can be opened from the Measurement Selection window, by selecting the Tele pop-up key, or via Main Setup -> Telemetry Device. The window shows the equipment label of the assigned telemetry device and, for monitors with SRR capability, a battery status symbol and a symbol indicating the signal quality of the...
  • Page 191 General Telemetry-related Functions 15 Assigning Two Devices to One Patient ECG Source Tracking at the Information Center The Information Center continuously checks whether a valid ECG signal is coming from the monitor or the telemetry device. If you unplug the ECG patient cable from the monitor and plug it into the telemetry device, the Information Center will automatically switch to monitoring the ECG from the telemetry device.
  • Page 192 15 Assigning Two Devices to One Patient General Telemetry-related Functions If later the patient is disconnected from the telemetry device, and reconnected to the monitor again, any changes in the settings made in the meantime will be passed on to the monitor. In this way, settings continuity is preserved when the ECG source changes.
  • Page 193: Enhancing Telemetry Monitoring With The Monitor

    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.
  • Page 194 16 Enhancing Telemetry Monitoring with the Monitor...
  • Page 195: Trends

    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.
  • Page 196 17 Trends Viewing 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 see a pop-up list of available data resolution settings and select the level of detail shown Select in the trend view.
  • Page 197: Setting Up Trends

    Setting Up Trends 17 Trends Place the cursor at a specific time by touching the graph. Viewing Vital Signs Trends Vital Signs: Standard etCO imCO awRR Aperiodic values are shown with a timestamp Select Scroll to view more Interval pop-up keys Select Graph Print...
  • Page 198 17 Trends Setting Up Trends In the expanded view, you can also highlight a measurement to make it more easily visible (for example when multiple ST trends are in one segment). To highlight a measurement, ♦ in the Segment menu, select Highlight repeatedly until the highlight is on the required measurement.
  • Page 199 Setting Up Trends 17 Trends Select Main Setup -> Trends -> Trend Groups Select the Trend Group you want to change and use the pop-up keys to Add, Change, or Delete the selection of measurements trended. To temporarily change the order in which the measurements are displayed in a group, Select Main Setup ->...
  • Page 200: Documenting Trends

    17 Trends Documenting Trends Select Global Style and choose • Line to display the trends as a continuous line • Band to fill the area between the trend lines, for example, between the systolic and diastolic pressures, with color. This sample ABP trend shows the continuously- measured values for...
  • Page 201: Screen Trends

    Screen Trends 17 Trends - 24 - 48 hours hours hours time 4 hours @12 second resolution 24 hours @ 1 minute resolution 48 hours @ 5 minute resolution Aperiodic Trends Database Aperiodic trends do not count toward the maximum number of trends allowed by the trend configuration.
  • Page 202 17 Trends Screen Trends SBed9 Adult ALARMS OFF Perf Arrhythmia Off Measurement Measurement numerics wave Temp Auto 15 min Sys. NBPs -60min -30min NBPs -60min -30min NBP graphical screen trend Example of other graphical screen trends: ABP SBed9 Adult ALARMS OFF Pulse Arrhythmia Off Measurement...
  • Page 203 Screen Trends 17 Trends Setting the Screen Trend Time To set the ScreenTrend Time for all graphical, histogram and horizon screen trends (“global” trend time), Select a screen trend then select Setup Trend, or select Main Setup -> Trends. Select ScreenTrend Time and select the required time: 30 minutes, one, two, four, eight, or twelve hours.
  • Page 204 17 Trends Screen Trends Sys. Horizon View The horizon view presents trend information superimposed over a defined baseline or base range. This helps you visualize changes in your patient’s condition since the baseline was set. The horizon view is made up of: •...
  • Page 205 Screen Trends 17 Trends Select Set Scale Delta and select a value to define the distance between the horizon and the upper and lower scale limits. Be aware that changing the horizon trend scale can change the angle of the trend indicator, without the patient’s condition having changed.
  • Page 206 17 Trends Screen Trends...
  • Page 207: Recording

    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 2-Channel Recorder or the standalone M3160A Recording 4-Channel Recorder. See the documentation supplied with the Information Center for information on the 4-Channel Recorder.
  • Page 208: Overview Of Recording Types

    18 Recording Overview of Recording Types Overview of Recording Types Delayed Alarm Realtime (RT) Type of recording manual automatic, triggered by defined alarm manual 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...
  • Page 209: Recorder Status Messages

    Recorder Status Messages 18 Recording – Secondary Lead will always record the current secondary lead in the chosen recorder channel • Overlap: define whether the recorded waveforms will be printed overlapping or beside each other. • Speed: choose the recording print speed. •...
  • Page 210 18 Recording Recorder Status Messages...
  • Page 211: Printing Patient Reports

    Printing Patient Reports Starting Report Printouts Most patient reports can be printed by selecting Main Setup - > Reports (or the Reports SmartKey) and then selecting the report name in the top half of the Reports menu. Report names are shown only for reports that have been correctly set up. Data from the time of the print request is printed, even if the print job is delayed in the printer queue.
  • Page 212: Stopping Reports Printouts

    19 Printing Patient Reports Stopping Reports Printouts Report types Report contents How to start printing reports Alarm Limits Report Graphic and numeric report of all In the Alarm Limits window, select Print Limits current alarm limits Realtime Reports Patient data and numerics, and either: Select the Realtime Reports SmartKey, if...
  • Page 213: Setting Up Individual Print Jobs

    Setting Up Individual Print Jobs 19 Printing Patient Reports To set up Vital Signs and Graphic Trend reports, Select Main Setup -> Reports -> Vital Signs Rep. or Graph Trend Rep. Select Trend Group and select the group you want to print on the report. The groups available depend on your monitor’s trend configuration.
  • Page 214: Checking Printer Settings

    19 Printing Patient Reports Checking Printer Settings Select Report and then select the report you want to set up. Select Report Type and then select the reports template you want the report selected in Step 2 to use. The selection of templates listed depends on the report type selected. Each template includes patient demographic data, and each Realtime Report also includes alarm and INOP information.
  • Page 215: Dashed Lines On Reports

    Dashed Lines on Reports 19 Printing Patient Reports Select Printer Status to toggle between the settings Enabled and Disabled. If you set this to Disabled, no reports will be printed to the named printer. If the monitor detects that no printer of a particular type is available, the Enabled/Disabled setting will automatically be set to Disabled and “grayed out”.
  • Page 216: Printer Status Messages

    19 Printing Patient Reports Printer Status Messages • Request date and time • Report paper format • Job status: Preparing, Printing, Waiting, In Database, In Companion, Retry, Cancelling, Error Individual reports can be deleted from the list with the Delete Report key, and all reports with the Delete All Reps key.
  • Page 217: Sample Report Printouts

    Sample Report Printouts 19 Printing Patient Reports Printer Status Message Possible causes and suggested action The chosen device is unavailable. Check that the printer is properly NoPrinter <Printer connected and that paper is available. The requested report will start name>;job susp printing when the printer becomes available.
  • Page 218 19 Printing Patient Reports Sample Report Printouts Alarm Limits Report NBed6 Doe, John 123456789-P1 Alarm Limits 19 Apr 07 15:59:37 ST-aVF ST-V6 ST-V1 SpO2 ST-I ST-V2 ST-II NBPs ABPs ST-V3 ST-III ST-aVR ST-V4 ST-aVL ST-V5 Apnea Time 20 sec Measurement labels, with alarms off symbol where Graphic view of current alarm limits in relation to alarms are switched off currently monitored measurement value...
  • Page 219 Sample Report Printouts 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.
  • Page 220 19 Printing Patient Reports Sample Report Printouts...
  • Page 221: Care And Cleaning

    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...
  • Page 222: Cleaning The Monitor

    20 Care and Cleaning Cleaning the Monitor 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.
  • Page 223: Cleaning, Sterilizing And Disinfecting Monitoring Accessories

    Cleaning, Sterilizing and Disinfecting Monitoring Accessories 20 Care and Cleaning Cleaning, Sterilizing and Disinfecting Monitoring Accessories To clean, disinfect and sterilize reusable transducers, sensors, cables, leads, and so forth, refer to the instructions delivered with the accessory. Cleaning Batteries and the Battery Compartment Wipe with a lint-free cloth, moistened with warm water (40°C/104°F maximum) and soap.
  • Page 224 20 Care and Cleaning Cleaning Batteries and the Battery Compartment...
  • Page 225: Using Batteries

    Using Batteries 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. The battery seals the battery compartment, thereby preventing the ingress of fluids or foreign bodies.
  • Page 226: Battery Power Indicators

    21 Using Batteries Battery Power Indicators 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.
  • Page 227 Battery Power Indicators 21 Using Batteries Battery status/malfunction indicator: Normal battery function is indicated by the battery power gauge, together with the remaining operating time, on the Main Screen. You are informed of problems or changes in the status of the battery by the battery status/malfunction indicator. This consists of a blank battery gauge containing a symbol.
  • Page 228: Checking Battery Charge

    21 Using Batteries Checking Battery Charge TimeToEmpty tells you approximately how long you can continue to use the monitor with this battery. Note that this time fluctuates depending on the system load (the display brightness and how many measurements you carry out), the age of the battery, and the remaining capacity of the battery. TimeToFull is shown in place of TimeToEmpty if the monitor is connected to mains power via the M8023A external power supply, and tells you how much time is left until the battery is charged to 90%.
  • Page 229: Optimizing Battery Performance

    Optimizing Battery Performance 21 Using Batteries Battery eject button The INOP !!INSERT BATTERY is suppressed for 15 seconds, allowing you sufficient time to load a new battery. Remove the battery from the compartment. Slide the new battery into position with the contacts facing downwards. It should ‘click’ into position when it is fully inserted.
  • Page 230: Battery Safety Information

    (that is, several weeks). Battery Safety Information Use only Philips batteries part number M4607A. Use of a different battery may present a risk of fire or WARNING explosion.
  • Page 231 Battery Safety Information 21 Using Batteries Dispose of used batteries promptly and in an environmentally-responsible manner. Do not dispose of the battery in normal waste containers. Consult your hospital administrator to find out about local arrangements. ° ° Do not disassemble, heat above 100 C (212 F) or incinerate the batteries, to avoid the risk of fire and CAUTION...
  • Page 232 21 Using Batteries Battery Safety Information...
  • Page 233: Maintenance And Troubleshooting

    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.
  • Page 234: Maintenance Task And Test Schedule

    Ensure that these tasks are carried out as indicated by the monitor’s maintenance schedule, or as specified by local laws. Contact a Philips-qualified service provider if your monitor needs a safety or performance test. Clean and disinfect equipment to decontaminate it before testing or maintaining it.
  • Page 235: Troubleshooting

    You can disassemble the monitor as described in the Service Guide. You will find detailed disposal information on the following web page: http://www.medical.philips.com/main/company/sustainability/recycling/patient_monitoring/ 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 236 22 Maintenance and Troubleshooting Disposing of Empty Calibration Gas Cylinders...
  • Page 237: Accessories

    Accessories You can order parts and accessories from Philips supplies at www.medical.philips.com or consult your local Philips representative for details. Reuse: Never reuse disposable transducers, sensors, accessories and so forth that are intended for single WARNING use, or single patient use only. Reuse may compromise device functionality and system performance and cause a potential hazard.
  • Page 238 23 Accessories ECG/Resp Accessories 3-Electrode Cable Sets Description Length AAMI Part No. IEC Part No. OR Grabber shielded 1.0m M1675A M1678A ICU Grabber shielded 1.0m M1671A M1672A ICU snap shielded 1.0m M1673A M1674A ICU Clip non-shielded 0.45m M1622A ICU Clip non-shielded 0.7m M1624A M1626A...
  • Page 239 ECG/Resp Accessories 23 Accessories One-piece Cables Description Length AAMI Part No. IEC Part No. 3-lead Grabber, ICU 1.0m 989803143181 989803143171 5-lead Grabber, ICU 1.0m 989803143201 989803143191 Radio-translucent Cables Pack of five single wires, radio-translucent, 0.9m, M1649A Set Combiners and Organizers Set combiners and organizers Part No.
  • Page 240 23 Accessories ECG/Resp Accessories 3-Electrode Cable Sets Description Length AAMI Part No. IEC Part No. 1.0m M1601A M1611A ICU Grabber shielded 1.0m M1603A M1613A ICU snap shielded 1.0m M1605A M1615A ICU Clip non-shielded 0.45m M1608A M1618A ICU Clip non-shielded 0.7m M1609A M1619A 5-Electrode Cable Sets...
  • Page 241: Nbp Accessories

    NBP Accessories 23 Accessories NBP Accessories These cuffs and tubings are designed to have special protection against electric shocks (particularly regarding allowable leakage currents), and are defibrillator proof. You can use them during electrosurgery. Adult/Pediatric Multi-Patient Comfort Cuffs and Disposable Cuffs Patient Category Limb Bladder...
  • Page 242: Invasive Pressure Accessories

    23 Accessories Invasive Pressure Accessories Adult/Pediatric Soft Single Patient Single-Hose Disposable Cuffs Patient Category Limb Circumference Bladder Part No. Tubing (cm) Width Adult (Thigh) 45 - 56.5 cm 20.4 cm M4579A M1598B (1.5m) Large Adult X-Long 35.5 - 46 cm 16.4 cm M4578A M1599B (3m)
  • Page 243: Spo 2 Accessories

    • Masimo adapter cables, • Philips reusable sensors or adapter cables with part numbers ending in -L (indicates “Long” version). All listed sensors operate without risk of exceeding 41°C on the skin, if the initial skin temperature does not exceed 35°C.
  • Page 244 M1195AN Special Edition (SE) Infant sensor (1.5m cable) for patients between 4 kg and 15 kg. Any finger except thumb. Philips disposable sensors. Not available in the USA and Canada. M1904B Identical to OxiMax MAX-A Use adapter cable M1943A or...
  • Page 245 M1943AL together OxiCliq I See OxiMax MAX-I with OC-3 adapter OxiCliq N See OxiMax MAX-N cable. Extension / Adapter Cables for Philips and Nellcor Sensors M1941A Extension cable (2 m) For use with Philips reusable sensors and adapter cables. M1943A Adapter cable (1.1 m cable)
  • Page 246 23 Accessories Accessories Product Description Comments Number OC-3 Adapter Cable for OxiCliq sensors Available from Nellcor only. Product Philips Part Description Number Number “ MASIMO LNOP reusable sensors. LNOP DC-I Adult Finger Sensor (> 30 kg) 989803140321 LNOP DC-IP Pediatric Finger Sensor (10 - 50 kg)
  • Page 247: Temperature Accessories

    Temperature Accessories 23 Accessories The monitor uses Masimo certified pulse oximetry for reduced noise and low perfusion performance with Masimo Sensors under the Masimo NR&LP protocol available from Masimo Temperature Accessories Temperature Probes Part No. Minimum measurement time for accurate readings Reusable General purpose probe 21075A...
  • Page 248: Sidestream Co 2 Accessories

    23 Accessories Sidestream CO Accessories Sidestream CO Accessories Description Part No. Sensor M2741A Nasal and Oral-Nasal Cannulas Nasal Cannula, Adult M2744A Nasal Cannula, Pediatric M2745A Nasal Cannula, Infant M2746A Nasal Cannula, Adult M2750A Nasal Cannula, Pediatric M2751A Nasal Cannula, Infant 989803144471 Oral-Nasal Cannula, Adult M2756A...
  • Page 249: Battery Accessories

    Critical Care, EMS, Lab, Long-term Sleep Lab Sedation, Critical Pain Management Care, EMS, ED Philips part numbers (A = Adult, P= Pediatric, I = Infant, N = Neonate) FilterLine Set: FilterLine H Set: Smart CapnoLine CapnoLine HO CapnoLine H: Smart CapnoLine:...
  • Page 250 23 Accessories Battery Accessories...
  • Page 251: Specifications

    The monitor is indicated for use by health care professionals whenever there is a need for monitoring the physiological parameters of patients. The monitors are not intended for use in an MRI environment or in an oxygen-enriched environment WARNING (for example, hyperbaric chambers. Manufacturer’s Information You can write to Philips at this address...
  • Page 252: Symbols

    Philips Medizin Systeme Boeblingen GmbH Hewlett-Packard-Str. 2 71034 Boeblingen Germany Visit our website at: www.philips.com. © Copyright 2002 - 2008. Koninklijke Philips Electronics N.V. All Rights Reserved. Trademark Acknowledgement ® ® The following are trademarks of Nellcor Puritan Bennett Incorporated: Nellcor...
  • Page 253 Installation Safety Information 24 Specifications Symbols Silence Alarms Alarms Alarms Off ECG connector Error LED Identifies year 2002- and month of manufacture LAN connection IntelliVue Always use separate indicator for Instrument collection for waste connection to a wired Telemetry wireless electrical and network network...
  • Page 254: Installation Safety Information

    (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 radio frequency interference and void your authority to operate this equipment.
  • Page 255 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.
  • Page 256: Out-of-hospital Transport - Standards Compliance

    24 Specifications Out-Of-Hospital Transport - Standards Compliance can be used in a transport environment such as a road ambulance, airplane or helicopter. For this purpose the monitor fulfils the following additional mechanical, EMC and environmental requirements: • Shock Tests according to IEC TR 60721-4-7, Class 7M3. Test procedure according to IEC/EN 60068-2-27 (peak acceleration up to 100 g).
  • Page 257: Environmental Specifications

    Out-Of-Hospital Transport - Standards Compliance 24 Specifications Physical Specifications Specification Comments Maximum Weight 1.25 kg including battery, without options (2.8 lb) Size (W x H x D) 188 x 99 x 86 mm without handle and options 7.4 x 3.9 x 3.4 in M8023A External Power Supply Weight and Dimensions Maximum Weight 700 g ±10%...
  • Page 258 24 Specifications Monitor Performance Specifications Item Condition Range Altitude Range Operating -500 m to 3000 m (10000 ft) Storage including -500 m to 4600 m (15000 ft) transportation Ingress Protection Monitor IP32 (protected against ingress of water when the water is dripping vertically and the monitor is tilted up to 15°) External Power Supply IP31(protected against the ingress of solid foreign objects 2.5 mm...
  • Page 259: Monitor Performance Specifications

    Monitor Performance Specifications 24 Specifications Performance Specifications Alarm signal System delay less than 3 seconds Pause duration 1,2,3 minutes or infinite, depending on configuration Extended alarm pause 5 or 10 minutes Review Alarms Information all alarms / inops, main alarms on/off, alarm silence and time of occurrence Capacity 300 items...
  • Page 260 24 Specifications Monitor Performance Specifications Monitor Interface Specifications Wireless Network Signals RD+/-, TD+/-: IEEE 802.3 10Base-T, PWR, GND Device Interface 12.5 V ±20%, 3.5 W continuous (integrated, for Frequency Band USA: 2.400 – 2.483GHz, 5.15 ~ 5.35Ghz, 5.725 ~ 5.825Ghz compatible network Europe: 2.400 –...
  • Page 261: M4607a Battery Specifications

    24 Specifications Compatible Devices IntelliVue Instrument Telemetry Wireless Network (USA only) Internal WMTS Adapter Technology compatible with Philips Cellular Telemetry System (CTS), cellular infrastructure Frequency Band WMTS, 1395-1400 MHz and 1427-1432 MHz IntelliVue Instrument Telemetry Wireless Network (except USA) Internal ISM Adapter...
  • Page 262 24 Specifications Measurement Specifications Measurement Specifications See the Appendix on Default Settings 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 and AAMI EC11/ EC13:1991/2002.
  • Page 263: Measurement Specifications

    Measurement Specifications 24 Specifications ECG/Arrhythmia/ST Performance Specifications Bandwidth Diagnostic Mode Adult/neo/pedi: 0.05 to 40 Hz Extended Neo/pedi: 0.5 to 40 Hz when the ECG is Monitoring Mode transmitted from a telemetry device via short Monitoring Mode Adult: 0.5 to 40 Hz range radio Neo/pedi: 0.5 to 40 Hz Filter Mode...
  • Page 264 24 Specifications Measurement Specifications ECG/Arrhythmia/ST Supplemental Information as required by AAMI EC11/13 Time to Alarm for Vent Tachycardia Gain 0.5, Range 6.5 to 8.4 seconds, Average 7.2 seconds Tachycardia 1 mV ,206 bpm Gain 1.0 Range 6.1 to 6.9 seconds, Average 6.5 seconds Gain 2.0, Range 5.9 to 6.7 seconds, Average 6.3 seconds Vent Tachycardia Gain 0.5, Range 5.4 to 6.2 seconds, Average 5.8 seconds...
  • Page 265 Measurement Specifications 24 Specifications Respiration Alarm Specifications Range Adjustment Delay High Adult/pedi: 10 to 100 rpm under 20 rpm: 1 rpm steps max. 14 seconds Neo: 30 to 150 rpm over 20 rpm: 5 rpm steps Adult/pedi: 0 to 95 rpm under 20 rpm: 1 rpm steps for limits from 0 to 20 rpm: Neo: 0 to 145 rpm...
  • Page 266 M1191T, M1192T, M1193T (Adult), M1196T = 3% (70% to 100%) M1193T (Neonate) = 4% (70% to 100%) Philips Disposable Sensors with M1943A(L): M1132A, M1133A (adult/infant) = 2% M1901B, M1902B, M1903B, M1904B, M1131A, M1133A (neonate) = 3% (70% to 100%) ®...
  • Page 267 Measurement Specifications 24 Specifications Alarm Specifications Range Adjustment Delay Adult: 50 to 100% 1% steps (0, 1, 2, 3,... 30) Pedi/Neo: 30 to 100% +4 seconds Desat Adult: 50 to Low alarm limit 1% steps Pedi/Neo: 30 to Low alarm limit Pulse 30 to 300 bpm Adult:...
  • Page 268 24 Specifications Measurement Specifications NBP Performance Specifications 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 Pedi: 130 ±15 mmHg Neo: 100 ±15 mmHg Auto Mode Repetition Times 1, 2, 2.5, 3, 5, 10, 15, 20, 30, 45, 60 or 120 minutes STAT Mode Cycle Time...
  • Page 269 Measurement Specifications 24 Specifications Invasive Pressure and Pulse Complies with IEC 60601-2-34:2000/EN60601-2-34:2000. Invasive Pressure Performance Specifications Measurement Range –40 to 360 mmHg Pulse Rate Range 25 to 350 bpm Accuracy ±1% Full Range Resolution 1 bpm Input Sensitivity Sensitivity:5 μV/V/mmHg (37.5 μV/V/kPa) Adjustment range:±10% Load Impedance:200 to 2000 : (resistive) Transducer...
  • Page 270 24 Specifications Measurement Specifications Invasive Pressure Alarm Specifications Range Adjustment Delay Tachycardia Difference to high limit 0 to 5 bpm steps max. 50 bpm 14 seconds Clamping at 150 to 5 bpm steps 300 bpm Bradycardia Difference to low limit 0 to 5 bpm steps max.
  • Page 271 Measurement Specifications 24 Specifications M3015A Microstream CO Performance Specifications Rise Time 190 ms for neonatal mode (measured with FilterLine H for neonatal) 240 ms for adult mode (measured with FilterLine H for adult) Sample Flow Rate 50 + 15/-7.5 ml/minute Gas Sampling Delay Time Maximum: 3 seconds (2m sample lines)
  • Page 272 Total System Response Time 3 seconds Operating Temperature 0 to 40°C (32 to 100°F) M8102A/M3014A Mainstream and Sidestream CO 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: ˜...
  • Page 273 +4 seconds (M8102A/M3014A/M3016A) or 8 seconds (M3015A) Interfering Gas and Vapor Effects On CO Measurement Values The specified deviations for M8102A/M3014A are valid when the appropriate corrections are switched on and set correctly. M8102A/M3014A M3015A Gas Level...
  • Page 274: Electromagnetic Emissions

    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.
  • Page 275: Safety And Performance Tests

    Safety and Performance Tests 24 Specifications The monitor should not be used next to or stacked with other equipment. If you must stack the WARNING monitor, you must check that normal operation is possible in the necessary configuration before you start monitoring patients.
  • Page 276 24 Specifications Safety and Performance Tests Portable and mobile RF communications equipment should be used no closer to any part of the monitor, including cables, than the recommended separation distance calculated from the equation appropriate for the frequency of the transmitter. Field strengths from fixed RF transmitters, as determined by an electromagnetic site survey, should be less than the compliance level in each frequency range.
  • Page 277 Safety and Performance Tests 24 Specifications Recommended separation distances from portable and mobile RF communication equipment The monitor is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled. The customer or user of the monitor can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment and the monitor as recommended below, according to the maximum output power of the communications equipment.
  • Page 278 24 Specifications Safety and Performance Tests...
  • Page 279: Default Settings Appendix

    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.
  • Page 280 25 Default Settings Appendix Country-Specific Default Settings Belize AAMI Benin AAMI Bermuda AAMI Bhutan AAMI Bolivia AAMI Bosnia and Herzegovina Botswana Bouvet Island AAMI Brazil AAMI British Indian Ocean Territory AAMI Brunei Darussalam AAMI Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada AAMI...
  • Page 281 Country-Specific Default Settings 25 Default Settings Appendix Finland France French Guiana French Polynesia AAMI French Southern Territories AAMI Gabon Gambia, The Georgia AAMI Germany Ghana Gibraltar AAMI Greece Greenland AAMI Grenada AAMI Guadeloupe Guam AAMI Guatemala AAMI Guernsey Guinea AAMI Guinea-Bissau AAMI Guyana...
  • Page 282 25 Default Settings Appendix Country-Specific Default Settings Liberia Libyan Arab. Jamahiriya AAMI Liechtenstein AAMI Lithuania Luxembourg Macao AAMI Macedonia, The former Yugoslavian Republic of Madagascar Malawi Malaysia Maldives AAMI Mali Malta Marshall Islands AAMI Martinique Mauritania Mauritius AAMI Mayotte AAMI Mexico AAMI Micronesia, Federal States of...
  • Page 283 Country-Specific Default Settings 25 Default Settings Appendix Philippines AAMI Pitcairn AAMI Poland Portugal Puerto Rico AAMI Qatar AAMI Reunion AAMI Romania Russian Federation Rwanda Saint Helena AAMI Saint Kitts and Nevis AAMI Saint Lucia AAMI Saint Pierre and Miquelon AAMI Saint Vincent and the Grenadines AAMI Samoa...
  • Page 284 25 Default Settings Appendix Country-Specific Default Settings Turkey Turkmenistan AAMI Turks and Caicos Islands AAMI Tuvalu AAMI Uganda AAMI Ukraine AAMI United Arab Emirates AAMI United Kingdom United States AAMI United States Minor Outlying Islands AAMI Uruguay AAMI Uzbekistan AAMI Vanuatu AAMI Venezuela...
  • Page 285: Alarm And Measurement Default Settings

    Alarm and Measurement Default Settings 25 Default Settings Appendix Alarm and Measurement Default Settings Settings are only entered once per table row if they are the same for all patient categories Alarm Default Settings Alarm Settings Factory Default Alarm Volume Alarms Off 2 min.
  • Page 286: Ecg, Arrhythmia, St And Qt Default Settings

    25 Default Settings Appendix ECG, Arrhythmia, ST and QT Default Settings ECG, Arrhythmia, ST and QT Default Settings Factory Defaults ECG Settings Adult Pedi High Limit 120 bpm 160 bpm 200 bpm Low Limit 50 bpm 75 bpm 100 bpm Alarms Alarm Source Auto...
  • Page 287 ECG, Arrhythmia, ST and QT Default Settings 25 Default Settings Appendix Factory Defaults Arrhythmia Settings Adult Pedi Vent Rhythm SVT HR SVT Run PVCs/min Non-Sustain Vent Rhythm Run PVCs Pair PVCs R-On-T PVCs V.Bigeminy V.Trigeminy PVCs/min Multif. PVCs Pacer N. Cap Pacer N.
  • Page 288 25 Default Settings Appendix ECG, Arrhythmia, ST and QT Default Settings Factory Defaults Lead-independent ST Settings Adult Pedi ST Alarm Mode Single ST Alarms ST Analysis ST-Index ISO Point -80 ms J Point 48 ms ST Point J+60 Factory Defaults Lead I, II, III, V, aVR, aVL, aVF, V1-6, MCL Settings Factory Adult...
  • Page 289: Pulse Default Settings

    Pulse Default Settings 25 Default Settings Appendix Pulse Default Settings Factory Defaults Pulse Settings Adult Pedi Alarms Source Auto Pulse (Label) System Pulse Alarms Off Enabled Alarm Source Sel. Enabled Factory Defaults Pulse Alarm Settings Adult Pedi Pulse (SpO2) Pulse Alarms High Limit 120 bpm 160 bpm...
  • Page 290: Spo 2 Default Settings

    25 Default Settings Appendix Default Settings Default Settings Factory Defaults Settings Adult Pedi Alarms QRS Volume Tone Modulation Tone Mod. Type Enhanced Speed 25 mm/s Perfusion Average 10 sec NBP Alarm Suppr. Extd. Auto OnOff Disabled Color light blue (cyan) Alarm Default Settings Setting Adult...
  • Page 291: Nbp Default Settings

    NBP Default Settings 25 Default Settings Appendix NBP Default Settings Factory Defaults NBP Settings Adult Pedi Mode Auto Manual Alarms from Sys. High Alarm Limit 160/90 (110) 120/70 (90) 90/60 (70) Low Alarm Limit 90/50 (60) 70/40 (50) 40/20 (24) Alarms Repetition Time 10 min...
  • Page 292 25 Default Settings Appendix Invasive Pressure Default Settings Factory Defaults ABP, ART, Ao, BAP, FAP, P, P1, P2, P3, P4, UAP Settings Adult Pedi 'Extreme High 'Extreme Low High Clamp 190/100 (125) 140/80 (100) 105/75 (75) Low Clamp 80/45 (65) 60/35 (45) 45/15 (30) Scale...
  • Page 293 Invasive Pressure Default Settings 25 Default Settings Appendix Factory Defaults PAP Settings Adult Pedi Alarms from Dia. High Limit 34/16 (20) 60/4 (26) 60/4 (26) Low Limit 10/0 (0) 24/-4 (12) 24/-4 (12) Alarms Extreme Alarms Enabled Enabled Enabled 'Extreme High 'Extreme Low High Clamp 45/20 (25)
  • Page 294: Co 2 Default Settings

    25 Default Settings Appendix Default Settings Default Settings Factory Defaults Settings Adult Pedi etCO etCO high imCO high Alarms Unit mmHg Scale 40 mmHg ImCO O Corr (only M3015A/M3016A) Oxygen Corr (only M3014A) Gas Corr (only M3014A) Humidity Corr BTPS Max Hold AwRR AwRR Alarms...
  • Page 295 SpO2 Nellcor adhesive sensors learning during ventricular rhythm effect on pressure alarms during (disposable) levels of analysis zero Philips sensors (disposable) monitoring non-paced patients extending pause time Philips sensors (reusable) monitoring paced patients high priority temperature options...
  • Page 296 chaining status indicator installation latching symbol cleaning multiple time to empty infection control pvc-related alarms time to full method sinus and SV rhythm ranges battery eject symbol monitoring accessories switching on/off recommended substances battery performance timeout periods optimizing arrhythmia monitoring airway adapter battery status indicator and defibrillation...
  • Page 297 damage claims filter settings external pacing electrodes fusion beat pacemakers and ECG monitoring date, setting intrinsic rhythm extreme bradycardia alarm DC power symbol modified 12-lead extreme pressure alarms default profile New Lead Setup extreme rate alarms default settings pacemaker failure checking country-specific extreme tachycardia alarm rate adaptive pacemakers...
  • Page 298 cleaning lead placement menu disinfecting activating EASI/Standard main setup sterilizing for Resp measurement measurement setup Information Center leads monitored (ECG) merging patient data central recording Leads Off INOP (ECG) messages transferring patients alarm levels of arrhythmia analysis INOPs INOP indicators status and prompt message field methemoglobin (SpO2)
  • Page 299 NBP display patient category pressure swapping a complete profile performance test swapping setting block perfusion indicator prompts on-screen keyboard Philips contact information pulse operating modes physiological alarms alarms configuration pleth alarm source system pulse source demonstration pleth wave...
  • Page 300 FAST technology switching resolution Nellcor adhesive sensors understanding trends (disposable) visitor screen resolving patient mismatch perfusion indicator secondary lead (ECG) resp accessories Philips sensors (disposable) selecting Philips sensors (reusable) Resp alarms...
  • Page 301 pleth as alarm source infection control pressure, zeroing pleth wave stopping reports printouts transferring centrally-monitored pleth waveform patients surgical ECG cable pulse numerics transport brightness setting suspended alarm QRS tone trend time suspicious SpO2 reading signal quality global switching on site inspection trend view monitor...
  • Page 302 scale (pressure) size (CO2) size (pressure) wave channel speed wave group speed wave size Resp wave size (ECG) changing wave speed eeg speed wave speed global speed respiratory speed wave speed (Resp) what’s new wide alarms limits wired network connection symbol zero effect on pressure alarms zeroing...

This manual is also suitable for:

Intellivue mp2M3016aM3012aM3014aM3015a

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