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Table of Contents
INSTRUCTIONS FOR USE
IntelliVue Patient Monitor
MP5
Rele ase G . 0 w i th Softwa r e R e v i s i o n G . 0 x . x x
Pa tie nt Monit o ring

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Table of Contents

   Summary of Contents for Philips IntelliVue MP5

  • Page 1 INSTRUCTIONS FOR USE IntelliVue Patient Monitor Rele ase G . 0 w i th Softwa r e R e v i s i o n G . 0 x . x x Pa tie nt Monit o ring...
  • Page 2 Part Number M8105-9001C Printed in Germany 09/08 4512 610 29031 *M8105-9001C*...
  • Page 3 M8105-9001C Table Of Contents 1 Installation Installation Checklist Unpacking and Checking the Shipment Mounting the Monitor Connecting the Monitor to AC Mains Checking Out The Monitor Loading Paper Operating the Monitor Setting the Date and Time Checking Country-Specific Default Settings Handing Over the Monitor 2 Basic Operation Introducing the Monitor...
  • Page 4 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 Care Groups 7 ECG, Arrhythmia, ST and QT Monitoring Skin Preparation for Electrode Placement...
  • Page 5 Updating ST Baseline Snippets Recording ST Segments 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 Using Pulse Alarms 9 Monitoring Respiration Rate (Resp)
  • Page 6 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 Measuring Predictive Temperature Making a Temperature Measurement 13 Monitoring Temperature Making a Temp Measurement Calculating Temp Difference 14 Monitoring Invasive Pressure...
  • Page 7 Trends Databases Screen Trends 19 High Resolution Trend Waves OxyCRG Printing Hi-Res Trend Wave Reports Hi-Res Trend Wave Recordings 20 Event Surveillance Event Episodes Events Pop-Up Keys Event Triggers The Events Database Viewing Events Annotating Events Documenting Events 21 ProtocolWatch Severe Sepsis Screening 22 Recording Starting and Stopping Recordings...
  • Page 8 24 Using the Drug Calculator Accessing the Drug Calculator Performing Drug Calculations Charting Infusion Progress Using the Titration Table Documenting Drug Calculations 25 Using the Timer Viewing the Timer Timer Setup Pop-up Keys Setting Up Timers Displaying a Timer On The Main Screen Displaying A Clock On The Main Screen 26 Laboratory Data Viewing Received Data...
  • Page 9 Temperature Accessories Predictive Temperature Accessories Mainstream CO Accessories Sidestream CO Accessories Microstream CO Accessories Recorder Accessories Cable for Direct Connection of a Telemetry Device Battery Accessories 31 Installation and 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...
  • Page 10 viii...
  • Page 11: 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 12: Unpacking And Checking The Shipment

    Documentation CD-ROM (includes Service Guide and Instructions for 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.
  • Page 13: Mounting The Monitor

    Mounting the Monitor 1 Installation Repacking Retain the original packing carton and material, in case you need to return equipment to Philips for service. If you no longer have the original packing materials, Philips can advise you on alternatives. Mounting the Monitor The monitor can be rested on a flat surface, hung on the bed rail, or mounted on a wall.
  • Page 14: Loading Paper

    1 Installation Loading Paper Test Test or Inspection to be Performed Safety Tests (1) to (4) Perform safety tests (1) to (4), as described in the Service Guide, for standalone devices if required by local laws and regulations, and each time you combine equipment to form a system, or exchange system components.
  • Page 15: Operating The Monitor

    Operating the Monitor 1 Installation Operating the Monitor To complete installation you will need to operate the monitor. Here is a short introduction for those not experienced with IntelliVue monitors. Switch on the monitor. After start-up the Touch something on the screen to enter a monitor display will become active.
  • Page 16: Setting The Date And Time

    1 Installation Setting the Date and Time Setting the Date and Time To set the date and time: Select the Date, Time screen element from the monitor’s info line to enter the Date, Time menu. Select, in turn, the Year, Month, Day, Hour (in 24 hour format, only) and Minute as necessary.
  • Page 17 Handing Over the Monitor 1 Installation Additionally, we recommend working through the Training Guide for self-training on the monitor before use (not available in all languages). The part number is M8105-944XB, where X is a digit dependent on the language. The English training guide is M8105-9441B. An English training video, M8000-9451E, is also available.
  • Page 18 1 Installation Handing Over the Monitor...
  • Page 19: Basic Operation

    Basic Operation These Instructions for Use are for clinical professionals using the IntelliVue MP5 and MP5T (M8105A and M8105AT) patient monitors. This basic operation section gives you an overview of the monitor and its functions. It tells you how to perform tasks that are common to all measurements (such as entering data, switching a measurement on and off, setting up and adjusting wave speeds, working with profiles).
  • Page 20 2 Basic Operation Introducing the Monitor The monitor stores data in trend and event databases. You can see tabular trends (vital signs) and document them on a central printer. You can view measurement trend graphs, with up to three measurements combined in each graph, to help you identify changes in the patient’s physiological condition.
  • Page 21 Introducing the Monitor 2 Basic Operation Functionality (including optional features) MP5T Gas monitor support Connection to a host monitor (companion mode) Connection to an external display Nurse call capability 1.MP5 options without ECG do not have an ECG output signal The MP5/MP5T patient monitor has an 8.4-inch TFT LCD flat panel SVGA display.
  • Page 22 2 Basic Operation Introducing the Monitor MP5/MP5T Major Parts and Keys Color-coded alarm lamps Alarms off lamp Measurement connectors (see below) Predictive Temperature Unit ECG out (not MP5T and MP5 options without ECG) On/Standby Switch Indicator LEDs US measurement connectors Pressure Telemetry Noninvasive...
  • Page 23: Operating And Navigating

    Operating and Navigating 2 Basic Operation Operating and Navigating Everything you need to operate the monitor is contained on its screen. Almost every element on the screen is interactive. Screen elements include measurement numerics, waveforms, screen keys, information fields, alarms fields and menus: Bed 3 Doe, John Adult...
  • Page 24 2 Basic Operation Operating and Navigating Monitor information line Other screen elements adjust alarm volume/level Silence - acknowledges all active alarms by switching off audible alarm indicators and indicator lamps permanently or temporarily, if alarm reminder (ReAlarm) is configured on. alarm status area - shows active alarm messages Selecting Screen Elements...
  • Page 25 Operating and Navigating 2 Basic Operation Using Keys The monitor has three different types of keys. Permanent Keys A permanent key is a graphical key that remains on the screen all the time to give you fast access to functions. - pauses alarm indicators.
  • Page 26 2 Basic Operation Operating and Navigating enter standby mode - suspends patient monitoring. All waves and numerics change screen brightness (not for disappear from the display. All settings independent displays) and patient data information are retained. review beat labels (annotate re-learn arrhythmia arrhythmia wave) change amplitude (size) of ECG wave...
  • Page 27 Operating and Navigating 2 Basic Operation unpair equipment and continue unpair equipment and continue central central monitoring with the monitor monitoring with the telemetry device start 12-Lead Capture (only available access ST Map application if Information Center is connected) set standard or EASI lead placement access patient reports new lead setup manual data entry...
  • Page 28 2 Basic Operation Operating and Navigating Using the On-Screen Calculator You can use the on-screen calculator to perform any of Calculator the standard operations for which you would normally use a handheld calculator. ♦ To access the on-screen calculator, select the Calculator SmartKey, or select Main Setup ->...
  • Page 29: Operating Modes

    Operating Modes 2 Basic Operation 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 30: Understanding Screens

    2 Basic Operation Understanding Screens ♦ Select anything on the screen or press any key. If you connect an MP5 that is powered on (and not in Standby) to a host monitor in Standby mode, the host will leave Standby mode. When connected to a host monitor, with both the host and the MP5 in Standby mode, leaving Standby on the MP5 will also make the host leave Standby.
  • Page 31: Using The Xds Remote Display (not Mp5t)

    Using the XDS Remote Display (not MP5T) 2 Basic Operation In the Change Screen menu, the changed Screen is Change Screen shown linked to the original Screen and marked with an asterisk. Up to three modified Screens can be accessed via the Change Screen menu.
  • Page 32: Understanding Profiles

    2 Basic Operation Understanding Profiles ♦ Select any element on the Screen to open the Screen menu and select a screen from the list. Understanding Profiles Profiles are predefined monitor configurations. They let you change the configuration of the whole monitor so you can adapt it to different monitoring situations.
  • Page 33 Understanding Profiles 2 Basic Operation 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 34: Understanding Settings

    2 Basic Operation Understanding Settings Swapping a Complete Profile Select the monitor info line and then Profiles in the Setup menu, or select the Profiles SmartKey. In the Profiles menu, select Profile. Chose a profile from the pop-up list. Confirm your selection. Swapping a Settings Block Select the monitor info line and then Profiles in the Setup menu, or select the Profiles SmartKey.
  • Page 35: Adjusting A Measurement Wave

    Adjusting a Measurement Wave 2 Basic Operation • when the monitor is switched off for more than one minute (if Automat. Default is set to Yes). Changing Measurement Settings Each measurement has a setup menu in which you can adjust all of its settings. You can enter a setup menu: •...
  • Page 36: Freezing Waves

    2 Basic Operation Freezing Waves Changing Wave Speed for a Channel To change the wave speed of an individual wave channel, Enter the Wave menu for a measurement by selecting its wave. Select Change Speed. To set the speed to the wave group speed, select RespiratorySpeed or Global Speed. To set an individual channel speed, select a numeric value from the list of available speeds.
  • Page 37: Using Labels

    Using Labels 2 Basic Operation To change the wave speed: Select the frozen wave. Select Change Speed. Select a speed from the list. Updating The Frozen Wave To update the wave, that is freeze the current wave: Select the frozen wave. Select Freeze Again.
  • Page 38 2 Basic Operation Using Labels • display the Measurement Selection window automatically for you to resolve the conflict • take no action, you must enter the Measurement measurement selection key Selection window and resolve the conflict All the currently available measurements are depicted in the Measurement Selection window.
  • Page 39: Entering Measurements Manually

    Entering Measurements Manually 2 Basic Operation If it is critical that the measurement labels are available at the Information Center and after transfers, the older monitors and the Information Center must be upgraded to the appropriate software revision. Entering Measurements Manually You can enter values into the monitor that have been measured with other equipment or manually (for example, manual temperatures, lab values).
  • Page 40: Checking Your Monitor Revision

    2 Basic Operation Checking Your Monitor Revision Adjusting the Screen Brightness Select the SmartKey. Brightness Select the appropriate setting for the screen brightness. 10 is the brightest, 1 is the least bright. Optimum is suitable for most monitoring locations and optimizes power usage for battery powered monitors.
  • Page 41 Getting Started 2 Basic Operation – Check all the external cables, plug-ins and accessories. Plug the power cord into the AC power source. If you are using battery power, ensure that the battery has sufficient power for monitoring. When you use a battery for the first time, you must charge it, following the instructions given in the section on Charging Batteries.
  • Page 42: Disconnecting From Power

    2 Basic Operation Disconnecting from Power During MR imaging, remove all transducers, sensors and cables from the patient. Induced currents WARNING could cause burns. Disconnecting from Power The On/Standby switch does not disconnect the monitor from the ac power source. To disconnect, unplug the power cable.
  • Page 43: Using The Mp5 With A Host Monitor

    Using the MP5 with a Host Monitor 2 Basic Operation Using the MP5 with a Host Monitor Host monitors that can support the MP5 as a multi-measurement module require software revision F.00.00 or higher. When you connect an MP5 to a host monitor, an integrated system is formed for monitoring a single patient.
  • Page 44 2 Basic Operation Using the MP5 with a Host Monitor...
  • Page 45: 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 46 3 What’s New? What’s New in Release F.0? New Fields in the Admission Form A Middle Name field is now available in the admission form - whether it appears is configurable. Two additional ID fields, Lifetime Id and Encounter Id, can also be configured to appear and their names can be customized to fit hospital requirements.
  • Page 47 What’s New in Release F.0? 3 What’s New? Sending Data To An Information Center Via A Telemetry Device For the MP5T monitor, or an MP5 monitor without a connection to an Information Center, a small set of monitoring data can be sent from the monitor to the Information Center via a connected telemetry device.
  • Page 48 3 What’s New? What’s New in Release F.0?
  • Page 49: 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 50: 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 51: 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 52 4 Alarms Audible Alarm Indicators • One-star yellow alarms (short yellow alarms): The audible indicator is the same as for yellow alarms, but of shorter duration. • Standard INOPs: an INOP tone is repeated every two seconds. ISO/IEC Standard Audible Alarms •...
  • Page 53: Acknowledging Alarms

    Acknowledging Alarms 4 Alarms NBP Cuff Overpress (configurable to yellow or red) Power Loss Tone When power is lost - no power is available from the power cable or from a battery - a buzzer will sound, if so configured. The tone can be silenced by pressing the On/Off power switch. Acknowledging Alarms To acknowledge all active alarms and INOPs, select the Silence permanent key.
  • Page 54: Pausing Or Switching Off Alarms

    4 Alarms Pausing or Switching Off Alarms Pausing or Switching Off Alarms If you want to temporarily prevent alarms from sounding, for example while you are moving a patient, you can pause alarms. Depending on your monitor configuration, alarms are paused for one, two, or three minutes, or infinitely.
  • Page 55: Alarm Limits

    Alarm Limits 4 Alarms • No alarms are sounded and no alarm messages are ALARMS OFF shown. • INOP messages are shown but no INOP tones are sounded. The only exceptions are the INOPs CUFF NOT DEFLATED, CUFF OVERPRESS and INOPs relating to empty, missing and malfunctioning batteries.
  • Page 56 4 Alarms Alarm Limits Viewing Individual Alarm Limits You can usually see the alarm limits set for each measurement next to the measurement numeric on the main screen. If your monitor is not configured to show the alarm limits next to the numeric, Alarm limits you can see them in the appropriate measurement setup menu.
  • Page 57 Alarm Limits 4 Alarms Measurement labels, with alarms off symbol where appropriate Current alarm limits Graphic view of current yellow and red alarm limits and currently monitored measurement value. indicates the measurement is switched off ♦ Select Show ST Limits to expand the list of ST leads and view the currently set alarm limits. Selecting Hide ST Limits hides the list again.
  • Page 58 4 Alarms Alarm Limits 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 Select to apply wide AutoLimits Select to apply narrow AutoLimits Low yellow alarm field.
  • Page 59 Alarm Limits 4 Alarms About Automatic Alarm Limits (AutoLimits) The monitor can automatically set alarm limits suited to your individual patient, using the Automatic Alarm Limits function. This tells the monitor to adapt the alarm limits of selected measurements to the measured vital signs within a defined safe limit.
  • Page 60: Reviewing Alarms

    4 Alarms Reviewing Alarms ♦ Select the Record Limits pop-up key to send a recording of the alarm limits to a recorder. 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 61 Reviewing Alarms 4 Alarms The Review Alarms window contains a list of the most recent alarms and INOPs with date and time information. Review Alarms 5 Apr 16:55:18 *** Apnea 5 Apr 16:55:18 ** ABPs HIGH (120 >95) 5 Apr 16:55:18 Alarms On 5 Apr 16:45:15 ** SpO NON-PULSAT.
  • Page 62: Latching Alarms

    4 Alarms Latching Alarms Latching Alarms The alarm latching setting for your monitor defines how the alarm indicators behave when you do not acknowledge them. When alarms are set to non-latching, their indicators end when the alarm condition ends. Switching alarm latching on means that visual and/or audible alarm indications are still displayed or announced by the monitor after the alarm condition ends.
  • Page 63: Alarm Behavior At On/off

    Alarm Behavior at On/Off 4 Alarms Alarm Behavior at On/Off When you switch alarms on, the settings defined in the currently active Profile are used. If the monitor is switched off for longer than one minute and then switched on again, or after a loss of power lasting longer than one minute, or when a patient is discharged, the monitor can be configured to restore either the alarm settings from the monitor's configured default Profile, or the most recently used alarm settings.
  • Page 64 4 Alarms Alarm Recordings...
  • Page 65: 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 61. All alarms and INOPs are listed here; the ones which can appear on your monitor will depend on the model and the individual options. For information on alarms and INOPs from the gas module refer to your Gas Module Instructions for Use.
  • Page 66 5 Patient Alarms and INOPs Patient Alarm Messages Alarm Message From Condition Indication The Bispectral Index value has numeric flashes and high limit **BIS HIGH exceeded the high alarm limit. is highlighted, yellow alarm lamp, alarm tone. The Bispectral Index value has dropped numeric flashes and low limit **BIS LOW below the low alarm limit.
  • Page 67 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 68 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 69 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 70 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 71: 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. The measurement labels and abbreviations for pressure, temperature and SpO INOP messages are explained in the individual chapters.
  • Page 72 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 73 If the INOP persists, replace PIC. If INOP persists, contact your service personnel. Silencing this INOP switches the measurement off. 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.
  • Page 74 5 Patient Alarms and INOPs Technical Alarm Messages (INOPs) INOP Message, Indication Source What to do 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. Replace the sensor.
  • Page 75 Technical Alarm Messages (INOPs) 5 Patient Alarms and INOPs INOP Message, Indication Source What to do C.O. CCI cannot be calculated because the patient's body surface CCI NO BSA CCI numeric unavailable area is unknown. Enter the patient weight and height to INOP tone provide the BSA for CCI calculation.
  • Page 76 5 Patient Alarms and INOPs Technical Alarm Messages (INOPs) INOP Message, Indication Source What to do Monitor System connectivity via telemetry device is limited (No alarms, CENTRAL:TELE ONLY only local numerics) when in companion mode and host INOP tone monitor does not have system connectivity. Only telemetry device parameters can be displayed at central station.
  • Page 77 Technical Alarm Messages (INOPs) 5 Patient Alarms and INOPs INOP Message, Indication Source What to do Monitor The monitor is receiving network topology information from Check Network Conf more than one source, e.g. the Database Server and an INOP tone Application Server.
  • Page 78 5 Patient Alarms and INOPs Technical Alarm Messages (INOPs) INOP Message, Indication Source What to do The CO wave is clipped. Select a more appropriate wave scale CHANGE SCALE to display the whole wave. Check that the sensor is connected to the airway adapter, clean CHK ADAPTER Numeric is replaced by a -?- the airway adapter, if necessary.
  • Page 79 Technical Alarm Messages (INOPs) 5 Patient Alarms and INOPs INOP Message, Indication Source What to do The Filterline is being purged to remove an occlusion in the PURGING Numeric is replaced by a -?- line or airway adapter. If the occlusion is removed, the INOP INOP tone.
  • Page 80 5 Patient Alarms and INOPs Technical Alarm Messages (INOPs) INOP Message, Indication Source What to do IntelliBridge Device identification completed, but communication could DEVICE CHECK CONF. not be established due to error. INOP tone. IntelliBridge INOP abbreviations may differ slightly depending on the device category.
  • Page 81 Technical Alarm Messages (INOPs) 5 Patient Alarms and INOPs INOP Message, Indication Source What to do EEG IMPEDANCE HIGH or The signal electrode in one or both channels exceeds the user- EEG1 and/or EEG2 IMPED. HIGH selected impedance limit, or the impedance of a single electrode exceeds the limit.
  • Page 82 5 Patient Alarms and INOPs Technical Alarm Messages (INOPs) INOP Message, Indication Source What to do Display The monitor has lost contact with the connected Intelligent Intell.Dsp Missing Display. Contact your service personnel. Display The monitor does not support the connected Intelligent Intell.Dsp Unsupp.
  • Page 83 Technical Alarm Messages (INOPs) 5 Patient Alarms and INOPs INOP Message, Indication Source What to do Monitor The power consumption of the devices connected to the MSL Power High Measurement Link (MSL) cable is too high. If this situation continues, the MSL will be switched off. Contact your service personnel.
  • Page 84 5 Patient Alarms and INOPs Technical Alarm Messages (INOPs) INOP Message, Indication Source What to do MMS or The measurement device does not supply a beat-to-beat arterial NO PPV FROM MeasSrv at Information Center pressure value. Contact your service personnel. MMS or The measurement device does not supply a beat-to-beat arterial NO PPV FROM <Device>...
  • Page 85 Technical Alarm Messages (INOPs) 5 Patient Alarms and INOPs INOP Message, Indication Source What to do PRESS A Pressure measurement label has been deactivated, either by <Pressure label> unplugging a module, or by deactivating the label in the UNPLUGGED INOP tone. Measurement Selection window.
  • Page 86 5 Patient Alarms and INOPs Technical Alarm Messages (INOPs) INOP Message, Indication Source What to do The RA electrode has become detached from the patient or the RA LEAD OFF Numeric is replaced by -?- lead set has been changed. Reattach the electrode or select INOP tone.
  • Page 87 Technical Alarm Messages (INOPs) 5 Patient Alarms and INOPs INOP Message, Indication Source What to do The SO /SvO Module or Optical Module is faulty. Unplug <SO Label> EQUIP MALF and replug the Optical Module and SO /SvO module. Numeric displays -?-. Exchange the modules.
  • Page 88 5 Patient Alarms and INOPs Technical Alarm Messages (INOPs) INOP Message, Indication Source What to do Spirometry The purge operation could not be completed successfully. SPIRO PURGE FAILED Check for kinked sensor tubings, hard occlusions and make sure that the pump is running and all valves are switching. Spirometry An unknown sensor ID code was detected.
  • Page 89 Technical Alarm Messages (INOPs) 5 Patient Alarms and INOPs INOP Message, Indication Source What to do Check the perfusion at measurement site. If necessary, <SpO label> NON-PULSAT. Numeric is replaced by -?- stimulate circulation or change measurement site. If the INOP INOP tone.
  • Page 90 5 Patient Alarms and INOPs Technical Alarm Messages (INOPs) INOP Message, Indication Source What to do SVR/SVRI A CVP value is required for this calculation, but is not SVR/SVRI SET CVP USED Numeric is replaced by -?- currently being measured. The monitor is using the CVP value preset in the menu.
  • Page 91 Technical Alarm Messages (INOPs) 5 Patient Alarms and INOPs INOP Message, Indication Source What to do or tcGas) tcGas The measurement is switched on but the module is unplugged. tcpO (or tcpCO UNPLUGGED The measurement automatically disappears from the display. Numeric is replaced by -?- Silencing this INOP switches off the measurement.
  • Page 92 5 Patient Alarms and INOPs Technical Alarm Messages (INOPs) INOP Message, Indication Source What to do TEMP A Temp measurement label has been deactivated, either by <Temp label> UNPLUGGED unplugging a module, or by deactivating the label in the INOP tone Measurement Selection window.
  • Page 93 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 94 5 Patient Alarms and INOPs Technical Alarm Messages (INOPs)
  • Page 95: 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 96 6 Managing Patients Admitting a Patient Patient Demographics Last Name First Name Middle Name Lifetime Id Encounter Id Patient Cat. Adult Paced Height Weight BSA (D) Gender Notes (1): Notes (2): Clear any previous patient data by selecting the Dischrge Patient or End Case pop-up key and then Confirm.
  • Page 97: Quick Admitting A Patient

    Quick Admitting a Patient 6 Managing Patients Patient Category and Paced Status The patient category setting determines the algorithm the monitor uses to process and calculate some measurements, the safety limits that apply for some measurements, and the alarm limit ranges. The paced setting determines whether the monitor shows pacemaker pulses or not.
  • Page 98: Discharging A Patient

    6 Managing Patients Discharging a Patient Discharging a Patient Always perform a discharge before starting monitoring for a new patient, even if your previous patient WARNING was not admitted. Failure to do so can lead to data being attributed to the wrong patient. A discharge: –...
  • Page 99: Transferring Patients

    Transferring Patients 6 Managing Patients Transferring Patients To save you from having to enter the same patient data multiple times and enable patient transfer without loss of data, patient demographic information is shared between patient monitors and Information Centers. Transferring a Centrally-Monitored Patient using IIT Scenario: A centrally-monitored patient is moved with the MP5 to another monitoring location on the same Information Center database server without interrupting the collection of patient trend information.
  • Page 100 6 Managing Patients Transferring Patients If you accidentally transfer a patient, use Re-Admit to restore this patient’s data to the Information Center. If you are not connected to the network, select Clear Transfer to leave transfer mode. The patient data remains in the monitor. 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.
  • Page 101 Transferring Patients 6 Managing Patients For some common mismatch situations, the monitor will simplify the resolution by suggesting a solution for the mismatch. For example, when a patient arrives after transport and the Transfer key has been selected, the monitor will show this patient’s data and ask Complete transfer of this patient?.
  • Page 102: Care Groups

    6 Managing Patients Care Groups ♦ Select Same Patient if the patient information is different, but you are sure it is the same patient. This merges the demographics and updates them in the Information Center, monitor, and MMS, according to this table. Be aware that your monitor may be configured to merge trend data from the MMS and the monitor, and to upload measurement settings from the MMS to the monitor.
  • Page 103 Care Groups 6 Managing Patients Care Group Symbols (four alternative display possibilities depending on space available) No data from this bed The alarms are on but there are no currently active alarms at Bed 8 Bed 8 this monitor The highest priority alarm at this monitor is a standard INOP Bed 5 Bed 5 The highest priority alarm at this monitor is a short yellow...
  • Page 104 6 Managing Patients Care Groups Care Group Symbols (used in the Care Group overview bar and the My Care Group window) This bed is on a wireless network This bed is on a wired network This is a “paired” bed, with a bedside monitor and a telemetry transmitter assigned.
  • Page 105 Care Groups 6 Managing Patients Viewing the Other Bed Window The Other Bed window lets you view a subset of the waveform and numeric information from another bed on the same network. Waves and numeric information from another bed are delayed. If configured, Other Bed information is displayed in color, using the colors defined by the Information Center.
  • Page 106 6 Managing Patients Care Groups Other Bed Pop-Up Keys Select the Other Patients SmartKey or the Other Bed window or embedded screen element to access the associated pop-up keys: Next Wave lets you view waveforms not currently shown in the other bed window. More Vitals lets you view more numerics not currently shown in the other bed window.
  • Page 107 Care Groups 6 Managing Patients Select the network symbol on the monitor screen to call up the Network menu. Select Auto Window to toggle between the settings Enabled and Disabled. This setting resets to the default at discharge and when the monitor is switched on. Always re-enable the Auto Window as soon as possible.
  • Page 108 6 Managing Patients Care Groups...
  • Page 109: Skin Preparation For Electrode Placement

    Plug the patient cable into the white ECG connector on the monitor. An ECG waveform and numeric appears on the monitor display. 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.
  • Page 110: Selecting The Primary And Secondary Ecg Leads

    7 ECG, Arrhythmia, ST and QT Monitoring Selecting the Primary and Secondary ECG Leads Selecting the Primary and Secondary ECG Leads The monitor uses the primary and secondary lead to compute HR and to analyze and detect cardiac arrhythmias. They are also available for recordings and for display on the Information Center. The secondary lead is only used if your monitor is configured for multi-lead (instead of single-lead) arrhythmia analysis.
  • Page 111: 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 112 7 ECG, Arrhythmia, ST and QT Monitoring Monitoring Paced Patients Normal Beats Pace Pulses/Beats You should choose a lead as primary or secondary lead that has these characteristics: • the normal QRS complex should be either completely above or below the baseline and it should not be biphasic.
  • Page 113: Changing The Size Of The Ecg Wave

    Changing the Size of the ECG Wave 7 ECG, Arrhythmia, ST and QT Monitoring Repolarization tail (note width) Changing the Size of the ECG Wave If any of the displayed ECG waves is too small or clipped, you can change the size of one or all of the ECG waves on the screen.
  • Page 114: Changing The Ecg Filter Settings

    7 ECG, Arrhythmia, ST and QT Monitoring Changing the ECG Filter Settings ♦ To change the QRS volume, in the Setup ECG menu select QRS Volume and then select the appropriate volume from the pop-up list. There will be no QRS tone when the MP5 is connected to a host monitor. Changing the ECG Filter Settings The ECG filter setting defines how ECG waves are smoothed.
  • Page 115: Choosing Easi Or Standard Lead Placement

    Choosing EASI or Standard Lead Placement 7 ECG, Arrhythmia, ST and QT Monitoring Select Vb Lead and select the position used from the list Choosing EASI or Standard Lead Placement You must enable either standard lead placement or EASI lead placement. ♦...
  • Page 116: Ecg Lead Fallback

    7 ECG, Arrhythmia, ST and QT Monitoring ECG Lead Fallback ECG Lead Fallback If fallback is configured on and there is a leads off INOP in the primary lead (and in the secondary lead, if you are using multi-lead monitoring) for longer than 10 seconds, and if another lead is available, this available lead automatically becomes the primary lead.
  • Page 117 ECG Lead Placements 7 ECG, Arrhythmia, ST and QT Monitoring Standard 3-Lead Placement RA placement: directly below the clavicle and near the right shoulder LA placement: directly below the clavicle and near the left shoulder LL placement: on the left lower abdomen Standard 5-Lead Placement RA placement:...
  • Page 118 7 ECG, Arrhythmia, ST and QT Monitoring ECG Lead Placements Chest Electrode Placement For accurate chest electrode placement and measurement, it is important to locate the fourth intercostal space. Locate the second intercostal space by first palpating the Angle of Lewis (the little bony protuberance where the body of the sternum joins the manubrium).
  • Page 119 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 120: 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 121: 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 122: 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 123: 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 124: 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 125: 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 126: 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 127: 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 128 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 Arrhythmia menu, select Annotate Arrhy. The wave showing the primary ECG lead will be delayed by six seconds and shown on a grey background.
  • Page 129 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 130: 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 131: 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 132 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 133 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 134 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 135 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 136 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 ≤...
  • Page 137: 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 138: Understanding The St Display

    7 ECG, Arrhythmia, ST and QT Monitoring Understanding the ST Display 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 139: 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 140: Recording St Segments

    7 ECG, Arrhythmia, ST and QT Monitoring Recording ST Segments The first baseline is stored automatically after ST monitoring is started, or when a new patient is admitted. To update ST baselines, Select an ST snippet to open the ST Baseline window. In the ST Baseline window, select Update Baseline to store all current snippets as baselines.
  • Page 141 About the ST Measurement Points 7 ECG, Arrhythmia, ST and QT Monitoring • relative to the J-point. In the Adjust ST Points window, the pop-up keys ISO Point, J Point and ST Point are visible and can be adjusted. • directly by selecting a numeric value for the ST point. In the Adjust ST Points window, you can adjust the ISO and ST point.
  • Page 142: St Alarms

    7 ECG, Arrhythmia, ST and QT Monitoring ST Alarms The J-point cursor positions the J-point relative to the R-wave peak. It helps you to correctly position the ST-point. Position the J-point at the end of the QRS complex and the beginning of the ST segment. The J-point cursor is not available if your monitor is configured to let you set the ST point directly.
  • Page 143: Viewing St Maps

    Viewing ST Maps 7 ECG, Arrhythmia, ST and QT Monitoring Select the alarm to be adjusted. Select the appropriate setting. Viewing ST Maps The monitor can derive a multi-axis portrait (map) from the ST analysis to help you detect changes in ST values.
  • Page 144 7 ECG, Arrhythmia, ST and QT Monitoring Viewing ST Maps If an ST lead is switched off, its axis is not shown in the map. If a lead is in INOP (the value is being measured but is invalid or unavailable because, for example, the corresponding ECG electrode is unplugged), the area formed by the remaining ST leads is left open.
  • Page 145 Viewing ST Maps 7 ECG, Arrhythmia, ST and QT Monitoring ST Map (Trend) Chest Leads Limb Leads Interval 12 sec trending interval current ST values 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.
  • Page 146 7 ECG, Arrhythmia, ST and QT Monitoring Viewing ST Maps Displaying an ST Reference Baseline You can display an ST reference baseline for the current view, or for the trended view. The baseline is shown in yellow. However, if the ECG color is yellow, the baseline is shown in green. Use this baseline to detect ST changes.
  • Page 147: 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 148 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 149 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 150: 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 ΔQTc alarm is based on the difference between the baseline and the current value, setting an inappropriate new baseline may prevent a ΔQTc alarm from being generated.
  • Page 151: 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 High Alarm or ΔQTc High Alarm to toggle between On and Off.
  • Page 152 7 ECG, Arrhythmia, ST and QT Monitoring Switching QT Monitoring On and Off...
  • Page 153: 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 154: 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 155 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 112, 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 156 8 Monitoring Pulse Rate Using Pulse Alarms...
  • Page 157: Lead Placement For Monitoring 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 158: Monitoring Respiration Rate (resp)

    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 159: 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 160: 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 161 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 162 9 Monitoring Respiration Rate (Resp) Resp Safety Information...
  • Page 163: Monitoring Spo 2

    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 164: Measuring Spo 2

    Connecting SpO Cables ♦ Connect the sensor cable to the color-coded socket on the monitor. You can connect some Philips sensors directly to the monitor. For other sensors, use the corresponding adapter cable. CAUTION Extension cables: Do not use more than one extension cable (M1941A). Do not use an extension cable with Philips reusable sensors or adapter cables with part numbers ending in -L (indicates “long”...
  • Page 165 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 166: 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 167: 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 168: 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 169: 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. When the MP5 is connected to a host monitor there will be no QRS tone.
  • Page 170 10 Monitoring SpO Setting the QRS Volume...
  • Page 171: 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 172: 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 173 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 174: 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 175: Enabling Automatic Mode And Setting Repetition Time

    Enabling Automatic Mode and Setting Repetition Time 11 Monitoring NBP Action to be performed NBP Setup menu SmartKeys Start/Stop Stop current measurement and end series STAT Start/ Stop NBP STAT STAT Stop Stop All Stop Auto, Manual or measurement AND STAT series Stop...
  • Page 176: Choosing The Nbp Alarm Source

    11 Monitoring NBP Choosing the NBP Alarm Source Be aware that, if none of the cycles are set to Continuous, NBP monitoring will end after the last CAUTION measurement of the cycle. When the NBP measurement mode is set to Sequence, the repetition time for Auto mode cannot be changed.
  • Page 177: Assisting Venous Puncture

    Assisting Venous Puncture 11 Monitoring NBP Assisting Venous Puncture You can use the NBP cuff to cause sub-diastolic pressure. The cuff deflates automatically after a set time (adult/pediatric 170 seconds, neonatal 85 seconds) if you do not deflate it. In the NBP Setup menu select VeniPuncture. Puncture vein and draw blood sample.
  • Page 178 11 Monitoring NBP Calibrating NBP...
  • Page 179: Making A Temperature Measurement

    Measuring Predictive Temperature With the predictive temperature measurement a reading is available after six to15 seconds because the monitor uses an algorithm to “predict” what the temperature would be if the probe were left in place until a steady reading results. If a predictive measurement is not possible you can switch to Continuous mode.
  • Page 180: Measuring Predictive Temperature

    12 Measuring Predictive Temperature Making a Temperature Measurement Check that the correct temperature label for the measurement site is displayed: pTrect, pToral, or pTaxil, and for axillary measurements verify that the correct patient category is selected. Remove the probe from the holder to turn the temperature measurement on. Fit a new single-use probe cover onto the probe.
  • Page 181 Making a Temperature Measurement 12 Measuring Predictive Temperature • Do not autoclave. To prevent damage to the unit, probe and accessories, refer to the cleaning procedures in the Care and Cleaning chapter. Selecting a Temperature Label Tell the monitor which temperature you want to monitor by selecting its temperature label. When you choose a label, the monitor uses that label’s stored color and unit.
  • Page 182 12 Measuring Predictive Temperature Making a Temperature Measurement...
  • Page 183: Monitoring Temperature

    Monitoring Temperature Temp measurement automatically switches on when you connect a probe. You can switch the measurement off manually. Making a Temp Measurement Select the correct type and size of probe for your patient. If you are using a disposable probe, connect the probe to the temperature cable. Plug the probe or temperature cable into the temperature connector socket.
  • Page 184: Calculating Temp Difference

    13 Monitoring Temperature Calculating Temp Difference Extended Temperature Label Set The following additional labels are available if Label Set is set to Full. This setting can only be changed in Configuration Mode. Note that if your monitor is connected to an Information Center, the additional labels in the extended label set may not be correctly displayed.
  • Page 185: Monitoring Invasive Pressure

    Monitoring Invasive Pressure CAUTION Do not use the MP5 in combination with other monitors using an M1006A pressure module and the HP1290A pressure transducer. This may cause interference on the respiration or invasive pressure signals. Setting up the Pressure Measurement Plug in the pressure cable.
  • Page 186: Zeroing The Pressure Transducer

    14 Monitoring Invasive Pressure Zeroing the Pressure Transducer Select the appropriate label from the list. Label Description Label Description Arterial blood pressure Non-specific pressure label Arterial blood pressure (alternative) Pulmonary artery pressure Aortic pressure Right atrial pressure Central venous pressure Umbilical arterial pressure Intracranial pressure Umbilical venous pressure...
  • Page 187 Zeroing the Pressure Transducer 14 Monitoring Invasive Pressure Determining a Pressure’s Most Recent Zero The monitor displays the most recent zero on the status line. If this has “timed-out” after you have performed a zero, redisplay the information in the status line by entering the pressure’s setup menu. Zeroing a Pressure Measurement Invasive pressure alarms (and pulse alarms, if derived from invasive pressure) are temporarily WARNING...
  • Page 188: Adjusting The Calibration Factor

    14 Monitoring Invasive Pressure Adjusting the Calibration Factor Message Corrective Action The hardware is faulty. Contact your service personnel. unable to zero - equipment malfunction Make sure the transducer is vented to air and try again. If this fails, the hardware unable to zero - may be faulty.
  • Page 189: Optimizing The Waveform

    Optimizing the Waveform 14 Monitoring Invasive Pressure Optimizing the Waveform ♦ In the Setup <Press> menu, select Optimum Scale to let the monitor select the best minimum and maximum scales for the current wave. Using the Wave Cursor When the pressure wave is selected, you can display a cursor in the wave. It appears as a white horizontal line in the wave.
  • Page 190 14 Monitoring Invasive Pressure Choosing the Pressure Alarm Source Menu option Pressure value monitored systolic and diastolic in parallel Sys & Dia diastolic and mean in parallel Dia & Mean systolic and mean in parallel Sys & Mean all three pressures in parallel Sys&Dia&Mean ♦...
  • Page 191: Calibrating Reusable Transducer Cpj840j6

    Calibrating Reusable Transducer CPJ840J6 14 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 192: Calculating Cerebral Perfusion

    14 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 193 Calculating Pulse Pressure Variation 14 Monitoring Invasive Pressure • The clinical value of the derived PPV information must be determined by a physician. According to recent scientific literature, the clinical relevance of PPV information is restricted to sedated patients receiving controlled mechanical ventilation and mainly free from cardiac arrhythmia. •...
  • Page 194 14 Monitoring Invasive Pressure Calculating Pulse Pressure Variation...
  • Page 195: Monitoring Carbon Dioxide

    Monitoring Carbon Dioxide Use the CO measurement to monitor the patient’s respiratory status and to control patient ventilation. There are two methods for measuring carbon dioxide in the patient’s airway: • Mainstream measurement uses a CO sensor attached to an airway adapter directly inserted into the patient’s breathing system.
  • Page 196 Refer servicing to qualified service personnel. Use the CO measurement with Philips approved accessories only. Refer to the instructions for use CAUTION provided with the accessory. Preparing to Measure Mainstream CO You must perform a zero as described in this procedure each time you use a new airway adapter.
  • Page 197 Using the CO Measurement 15 Monitoring Carbon Dioxide 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: – expose the sensor to room air and keep it away from all sources of including the ventilator, the patient’s breath and your own.
  • Page 198 15 Monitoring Carbon Dioxide Using the CO Measurement – When you see the message Zero done at <date and time> on the status line, the zero calibration is finished and you can begin monitoring. For intubated patients requiring an airway adapter: Install the airway adapter at the proximal end of the circuit between the elbow and the ventilator Y- section.
  • Page 199: Measuring Microstream Co 2

    Measuring Microstream CO 15 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 200 15 Monitoring Carbon Dioxide Setting up all CO Measurements values for non-intubated patients using Microstream accessories will always tend to be lower than for intubated patients. If values appear extremely low, check whether the patient is breathing through the mouth or whether one nostril is blocked Removing Exhaust Gases from the System Anesthetics: When using the Microstream CO measurement on patients who are receiving or have...
  • Page 201 Setting up all CO Measurements 15 Monitoring Carbon Dioxide Correction Body Temperature Humidity At installation, the monitor is configured to automatically apply either Pressure Saturated (BTPS) or Ambient Temperature Pressure Dry (ATPD). To see which, go to the Setup CO menu, and scroll down to look at HumidtyCorr In the Setup CO...
  • Page 202 15 Monitoring Carbon Dioxide Setting up all CO Measurements Changing awRR Alarm Limits In the Setup CO menu, select awRR. Select High Limit to set the upper alarm limit. Select Low Limit to set the lower alarm limit. Select the appropriate setting.
  • Page 203 Setting up all CO Measurements 15 Monitoring Carbon Dioxide...
  • Page 204 15 Monitoring Carbon Dioxide Setting up all CO Measurements...
  • Page 205: How Can You Combine Devices

    A telemetry device can be: • any Philips telemetry device (only for indirect connections, see below). • a TRx+/TRx+ Intellivue Telemetry system transceiver. • an MP5 monitor with a telemetry interface, declared as a telemetry device and with a telemetry equipment label.
  • Page 206: Assigning Two Devices To One Patient

    16 Assigning Two Devices to One Patient How Can You Combine Devices? Telemetry Data Window The measurements from the telemetry device are shown in the telemetry data window on the monitor when there is no direct connection via cable or short range radio link. Bed3 Bed4 Bed9...
  • Page 207 How Can You Combine Devices? 16 Assigning Two Devices to One Patient • When ECG is being measured with a telemetry device directly connected to the monitor, there will WARNING be no ECG signal available at the ECG analog output or ECG Sync Pulse output and no synchronization marks on the ECG wave.
  • Page 208 16 Assigning Two Devices to One Patient How Can You Combine Devices? Short range radio connections are subject to interruption due to interference from other radio sources WARNING in the vicinity, including microwaves, bluetooth devices and DECT phones. Outside the operating frequency band and 5% above and below, i.e.
  • Page 209: Functions Available When The Telemetry Data Window Is Displayed

    Functions Available When the Telemetry Data Window is Displayed 16 Assigning Two Devices to One Patient Refer also to “Use Models With Telemetry” on page 202 for further related use modes. Unpairing the Monitor and Telemetry Device If the patient will no longer be monitored with the telemetry device, or only with the telemetry device and no longer with the monitor, you need to end the device pairing.
  • Page 210: Functions Available For Devices Connected Via Srr

    16 Assigning Two Devices to One Patient Functions Available For Devices Connected Via SRR Even when the telemetry data is not visible on the screen, you may be silencing telemetry and monitor WARNING alarms, if the Information Center and monitor are so configured. Suspending Telemetry Alarms When you select Pause Alarms or Alarms Off at the monitor, the alarms are off or paused for the bedside measurements.
  • Page 211: General Telemetry-related Functions

    General Telemetry-related Functions 16 Assigning Two Devices to One Patient This closes the SRR link and the telemetry device switches over to standard telemetry transmission. The battery status symbol will no longer be shown and the SRR quality indicator symbol will be crossed out.
  • Page 212: Use Models With Telemetry

    16 Assigning Two Devices to One Patient Use Models With Telemetry ST Analysis On/Off, ST Alarm On/Off, ISO Point, J point, ST point, ST Priority List, Single ST Alarm Limit, Multi ST Alarm Limit QT analysis On/Off, QT Lead, QTc High Alarm On/Off, ΔQTc Alarm On/Off, QTc High Limit, ΔQTc High Limit, QTc Formula QT Baseline Alarms on/off, SpO...
  • Page 213 Use Models With Telemetry 16 Assigning Two Devices to One Patient If a telemetry transceiver is directly connected to an X2 or MP5 that is connected (via Companion N O T E Mode) to a host monitor with revision F software, a TELE CONFIG UNSUPP INOP will appear as this combination is not supported.
  • Page 214 16 Assigning Two Devices to One Patient Use Models With Telemetry...
  • Page 215 Enhancing Telemetry Monitoring with the Monitor You can use an MP5T or MP5 monitor without a connection to an Information Center 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.
  • Page 216: Enhancing Telemetry Monitoring With The Monitor

    17 Enhancing Telemetry Monitoring with the Monitor patient is also discharged (if configured), ensuring that the measurement data is erased before data from the next patient appears. Always assign the telemetry transceiver before you start making measurements. When a direct connection is used: your monitor may be configured to automatically discharge the N O T E patient either when the telemetry transceiver is disconnected or when another telemetry transceiver is connected.
  • Page 217: Trends

    Trends Trends are patient data collected over time and displayed in graphic, tabular or histogram 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 218 18 Trends Viewing Trends Trends Pop-Up Keys When you open the graphic or tabular trends window, a selection of pop-up keys appears to let you navigate through the stored trend data and carry out trends-related tasks. Pop-Up Keys Selecting this pop-up key lets you..see a pop-up list of trend groups and select a group for viewing.
  • Page 219 Viewing Trends 18 Trends A cursor spanning all measurements in the trend group helps you to navigate through the trends database and shows you your current position in the database. When the cursor is moved across the time line, the values measured at the cursor time are shown in the right hand column. In graphical trends, aperiodic measurement trends are shown as an asterisk, NBP has a special symbol.
  • Page 220: Setting Up Trends

    18 Trends Setting Up Trends Viewing Histogram Trends Histogram: RR (4hrs @ 1min) The title line of the window shows the label of the trended measurement and the resolution of the data; in the RR histogram above, 1 minute trend samples. The horizontal axis shows the range and unit of the displayed measurement.
  • Page 221 Setting Up Trends 18 Trends To enter the segment menu, ♦ select the left hand column of the segment, where the measurement label is displayed. Expanded View To expand the segment to fill the Graphical Trends window, ♦ in the Segment menu, select Expand to have that segment enlarged to fill the window. 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).
  • Page 222 18 Trends Setting Up Trends Trend Groups The measurements grouped in trend groups define the trends displayed together in the Vital Signs or Graphics Trends windows and printed in trends reports and recordings. The sequence of the measurements in the group defines the order in which they are displayed. Measurements listed between dotted line separators are displayed overlapping.
  • Page 223: Documenting Trends

    Documenting Trends 18 Trends Select the measurement or parameter you want to change from the list. Select the pop-up key Change to call up the Scale menu. In the menu, select the parameter label you want to define settings for. Select Adult, Scale Pedi, and Neo and use the pop-up keypad to enter new upper and lower scale definitions.
  • Page 224: Trends Databases

    18 Trends Trends Databases ♦ in the Vital Signs or Graph Trends window, select the pop-up key Print to print a report for the trend group currently on the monitor screen. Reports include the most recent information in the trends database and extend backwards in time according to the selected trend interval and your monitor’s configuration.
  • Page 225: Screen Trends

    Screen Trends 18 Trends Screen Trends Trends configured to display permanently on special monitor Screens are called screen trends. The selection and number of measurement waves in the Screen Trend segment depends on your monitor configuration. Screen trends are color-coded to match the measurement wave and numerics, and they can be viewed in graphical, tabular, histogram or horizon format.
  • Page 226 18 Trends Screen Trends Select ScreenTrend Time and select the required time: 30 minutes, one, two, four, eight, or twelve hours. This is now the Global screen trend time and defines the period of trend information shown for all screen trends. To set a different ScreenTrend Time for a screen trend or a group of aligned screen trends, Select a screen trend Select Change TrendTime...
  • Page 227 Screen Trends 18 Trends The trend time for tabular screen trends depends on the space available on the Screen. Up to 30 measurements or 12 hours information can be shown. Histogram View The histogram view presents a combination of graphical trend and histogram. The histogram is on the right hand side in a horizontal presentation with vertical gridlines representing 25%, 50%, 75% and 100%.
  • Page 228 18 Trends Screen Trends – Auto Horizon to set the horizon for the selected horizon trend to the currently-measured value – Auto All to reset the horizon for all horizon screen trends to the currently-measured values – Set Horizon to set the horizon to a specific value from a pop-up list. Setting the Horizon Trend Scale The horizon trend scale is defined with respect to the horizon.
  • Page 229: High Resolution Trend Waves

    High Resolution Trend Waves High resolution (hi-res) trend waves provide information for fast-changing parameters at a glance. They can help you to recognize trend patterns and to find interrelationships between measurements, by comparing changes in your patient’s condition across different hi-res trend waves. The hi-res waves are drawn at a speed of 3 cm/minute.
  • Page 230: Hi-res Trend Wave Recordings

    19 High Resolution Trend Waves Hi-Res Trend Wave Recordings Hi-Res Trend Wave Recordings The selection of waves in hi-res trend wave recordings and the recording speed are defined by the pre- configured HiResTrd recording template. See the section on Recordings for more information. To start a hi-res trend waves recording, select the Recordings SmartKey, if configured, or select Main Setup ->...
  • Page 231: Event Surveillance

    Event Surveillance Events are electronic records of episodes in your patient’s condition. You can trigger them manually, or set them to trigger automatically during pre-defined clinical situations. The information the monitor stores for each event episode includes: • waveforms for up to three measurements, ECG, SpO and Respiration •...
  • Page 232: Events Pop-up Keys

    20 Event Surveillance Events Pop-Up Keys Events Pop-Up Keys Depending on the events view you choose, a selection of the events pop-up keys let you navigate through the stored events and carry out events-related tasks. Pop-Up Keys Selecting this pop-up key lets you..open the menu.
  • Page 233 Event Triggers 20 Event Surveillance If you set user-defined threshold triggers, you can define event triggers that are independent of alarm limits. You must set a threshold value and a threshold time for the trigger. If you set the trigger threshold time to 12 seconds, the monitor triggers an event if the threshold is violated for more than 12 seconds.
  • Page 234: The Events Database

    20 Event Surveillance The Events Database To start a CAR period: Select the Start CAR pop-up key or SmartKey. Select the required time period for the assessment. Select Confirm to start the CAR. If the NER group was not active it will be activated automatically. During the CAR period an SpO histogram is also generated with 1 second samples.
  • Page 235 Viewing Events 20 Event Surveillance Counting Combi-Events If one or more events occur during the same Episode Time, the monitor combines them and displays them as distinct events in one event episode, called a combi-event. The first event is the trigger event, and the others are follow-up events.
  • Page 236: Annotating Events

    20 Event Surveillance Annotating Events The Event Episode window shows four minutes of high-resolution event information. Event Episode Trigger event values, highlighted Brady 104 < 110 Follow-on event values Desat 71 < 85 Timeline, showing Resp episode Pre/Post- time Active event group 7 Jul The event values to the left of the measurement channels show the trigger threshold set and the maximum amount by which this limit was exceeded.
  • Page 237 Documenting Events 20 Event Surveillance For a graphic Event Review recording, select the Record Graphic pop-up key. For a tabular Event Review recording, select the Record Tabular pop-up key. For a CAR review report, select the Print CAR pop-up key To print an Event Report, select the Print Review pop-up key.
  • Page 238 20 Event Surveillance Documenting Events 25 mm/min -2 min 2:36 +2 min HR 142 bpm **BRADY SPO2 97% ***Apnea RR 0 rpm HR 142 bpm btbHR Pulse 142 bpm CVP (-?-) mmHg Intervention req. SpO2 98% SpO2 PERF 4.9 RR 80 rpm Resp ***Apnea NBP EQUIP MALF...
  • Page 239 Documenting Events 20 Event Surveillance Event Review Reports The event review report documents all the events stored in the event database.
  • Page 240 20 Event Surveillance Documenting Events Event Episode Reports The event episode report documents the patient information from the currently-selected event. See the section on event recordings for an explanation of the report elements.
  • Page 241: Protocolwatch

    January 2008 Surviving Sepsis Campaign Guidelines for Management of Severe Sepsis and Septic Shock Sepsis Definitions. Philips does not make any claims about their effectiveness to reduce the morbidity or mortality associated with severe sepsis. Severe Sepsis Screening assists you in recognizing the early signs and symptoms of sepsis by comparing the state of your patient to the defined criteria.
  • Page 242 21 ProtocolWatch Severe Sepsis Screening Severe Sepsis Screening and this description are based on the SSC Guidelines for Management of Severe Sepsis and Septic Shock from January 2008 and the SSC Bundle definitions from January 2005. To check the version of the Guidelines and Bundle definitions on the monitor, ♦...
  • Page 243 Severe Sepsis Screening 21 ProtocolWatch Severe Sepsis Screening As soon as an adult patient is connected to the monitor, and heart rate or pulse is being measured, the protocol begins to observe heart rate, temperature and respiration rate values in the background. If temperature or respiration rate is not being measured continuously, a pop-up window appears at 4- hour intervals to ask for manually measured values.
  • Page 244 21 ProtocolWatch Severe Sepsis Screening Changing Conditions The window reappears if: • a previously fulfilled criteria is again fulfilled • a new HR or RR criteria is fulfilled, • the HR or RR value which previously fulfilled the criteria now triggers a **High alarm or a *** Tachy alarm, •...
  • Page 245 Severe Sepsis Screening 21 ProtocolWatch Hypotension Evaluation If the Lactate value was not above 4 mmol/l, the next window asks whether the patient has persistent hypotension. ProtocolWatch-Severe Sepsis Screening Inactive Screening SSC Standby Does the patient have persistent Hypotension? ProtocolWatch Protocol Show Remind...
  • Page 246 21 ProtocolWatch Severe Sepsis Screening To review the protocol, select Protocol Log. You can also print out the log to document the screening phase. Select Confirm to complete the screening phase. Viewing And Printing The Protocol Log The Protocol Log stores all user interactions, alarms and phase transitions while the SSC Sepsis Protocol is running.
  • Page 247: Recording

    Recording The optional integrated recorder records numerics for all active measurements and up to three waveforms. When the MP5 is connected to a host monitor (Companion Mode is indicated on the MP5 display), only data originating in the MP5 can be printed locally on the integrated recorder. All data can be printed on a recorder connected to the host monitor.
  • Page 248: Overview Of Recording Types

    22 Recording Overview of Recording Types Quickstarting Recordings To quickstart any type of recording using a preconfigured recordings template, ♦ Select the Recordings SmartKey and then select the pop-up key of the recording type you want to start. Alternatively, you can ♦...
  • Page 249: All Ecg Waves Recordings

    All ECG Waves Recordings 22 Recording Procedure or Delayed Alarm Realtime (RT) All ECG Waves HiResTrnd Context manual automatic, triggered by manual manual manual manual, use the Type of defined alarm conditions context recording window’s pop- up keys to start local recorder and local recorder and printer...
  • Page 250: Changing Ecg Wave Gain

    22 Recording Changing ECG Wave Gain Select the name of the template you want to create or change. Each recording name is linked to a recording type, delayed, alarm, realtime, and hi-res trends. Recording names can be changed in the monitor’s Configuration Mode.
  • Page 251: Recording Priorities

    Recording Priorities 22 Recording Recording Priorities Manually-started recordings have priority over automatically-started recordings. If an automatically-triggered alarm recording is running, and a realtime or delayed recording is manually started, the alarm recording is stopped and the manually-requested recording is started. More recent manually-started recordings have priority over older manually-started recordings.
  • Page 252 22 Recording Sample Recording Strip Code Meaning Recording type Realtime Delayed Alarm Context (Procedures) Operating mode Monitoring Demo Configuration Service Application area NICU Patient category Adult Pediatric Neonatal As there are no alarms available on the MP5 when it is connected to a host monitor (Companion Mode is indicated on the MP5 display), recordings made on the local recorder are annotated with “Companion Mode”...
  • Page 253: Reloading Paper

    Reloading Paper 22 Recording Reloading Paper Use the latch on the right side of the recorder door to pull the door open. Remove the empty core. Insert a new roll and secure it in place on the paper holder. The paper feeds from the bottom of the roll and over the top of the recorder door.
  • Page 254 22 Recording Recorder Status Messages...
  • Page 255: 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 256: Stopping Reports Printouts

    23 Printing Patient Reports Stopping Reports Printouts Report types Report contents How to start printing reports Vital Signs Report depends on selected trend group, data In the Vital Signs window, select Print/ Record Print resolution, and period. , then select Print Graphic Trends Report In the Graphic Trends window, select...
  • Page 257 Setting Up Reports 23 Printing Patient Reports Setting Up ECG Reports The settings you choose in the ECG Reports menu apply for all ECG reports printed. To set up ECG Reports, Select Main Setup -> Reports -> ECG Reports. Note the report layout configured for your monitor, either Internat.
  • Page 258: Setting Up Individual Print Jobs

    23 Printing Patient Reports Setting Up Individual Print Jobs – To set the time of day at which you want the report to print every day: select Start Hour and Start Minute and select the required time from the pop-up list –...
  • Page 259: Checking Printer Settings

    Checking Printer Settings 23 Printing Patient Reports Checking Printer Settings The printer settings for your monitor are defined in Configuration Mode. The printer settings Paper Size, Resolution, Color Support, and Duplex Option for the active printer are visible but inactive (“grayed-out”) in the Setup Printers menu. When Print Database is selected as active printer only the Paper Size setting will be shown.
  • Page 260: Checking Report Status And Printing Manually

    23 Printing Patient Reports Checking Report Status and Printing Manually If the target device of this print job was set to Unspecified, the monitor will periodically try to resend the print job to the first printer listed in the Setup Printers menu under Printer that is set to Enabled and that has paper of the correct size.
  • Page 261: Printer Status Messages

    Printer Status Messages 23 Printing Patient Reports Printer Status Messages Printer Status Message Possible causes and suggested action The report has been placed in the queue for the named printer. Print job queued for <Printer name> The printer queue is full and the monitor cannot accept another report Print job could request.
  • Page 262: Sample Report Printouts

    23 Printing Patient Reports Sample Report Printouts Printer Status Message Possible causes and suggested action The chosen device is unavailable. Check that the printer is properly Print device connected and that paper is available. The requested report will start <Printer name> printing when the printer becomes available.
  • Page 263 Sample Report Printouts 23 Printing Patient Reports Alarm Limits Report Patient Name Measurement labels, with alarms off symbol where alarms are switched off Graphic view of current alarm limits in relation to currently monitored measurement value Realtime Report...
  • Page 264 23 Printing Patient Reports Sample Report Printouts Patient demographic information, time stamp Active Alarms and INOPs, followed by vital signs Measurement waves section...
  • Page 265 Sample Report Printouts 23 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 266 23 Printing Patient Reports Sample Report Printouts...
  • Page 267: Using The Drug Calculator

    Using the Drug Calculator Drug mixtures for intravenous (IV) drug infusions combine information on drug dose, rate, amount, volume, concentration, and standardized rate. The Drug Calculator helps you to manage infusions by calculating one of these values at a time. Term Definition Units...
  • Page 268: Performing Drug Calculations

    24 Using the Drug Calculator Performing Drug Calculations Performing Drug Calculations Using the service Support Tool, a list of drugs can be configured for the monitor containing pre- defined dosage recommendations and unit settings. Selecting the arrow beside the drug name in the Drug Calculator window opens a list of configured drugs.
  • Page 269 Performing Drug Calculations 24 Using the Drug Calculator When you have entered three values, the Drug Calculator automatically calculates the unknown fourth value and shows it in the highlighted field. Standardized rate and concentration are also calculated. Performing Calculations for a Specific Drug Select the arrow beside Drug Calculator (Adult) ANY DRUG, then select...
  • Page 270: Charting Infusion Progress

    24 Using the Drug Calculator Charting Infusion Progress Charting Infusion Progress The Drip Table shows you at a glance how much of the infusion has been Drip Table administered to your patient Volume Drip Time Amount Lidocaine and how much time is left. Dose mg/min ♦...
  • Page 271: Using The Timer

    Using the Timer With the Timer function you can set a timer to notify you when a specific time period has expired. Do not use the timers to schedule critical patient-related tasks. CAUTION Viewing the Timer You can view the currently active timer in the Timer window or directly on the Main Screen (if a timer has been substituted for a numeric).
  • Page 272: Setting Up Timers

    25 Using the Timer Setting Up Timers Pop-Up Keys Selecting this pop-up key lets you..start the timer. Start stop the timer, allowing either restarting after a pause (Start key) or clearing Stop (Clear key). clear the timer, ending this timer episode. Clear return to the timer window Timers...
  • Page 273: Displaying A Timer On The Main Screen

    Displaying a Timer On The Main Screen 25 Using the Timer Select Direction to switch between Up and Down. Notification When a timer expires (except a No Limit timer), the color changes to red and a message appears in the status line on the Main Screen.
  • Page 274: Displaying A Clock On The Main Screen

    25 Using the Timer Displaying A Clock On The Main Screen Main Screen Timer Pop-up Keys When you select a timer displayed on the Main Screen, additional pop-up keys become available: Pop-Up Keys Selecting this pop-up key lets you..enter the setup screen for the currently selected timer. Setup “Label”...
  • Page 275: Laboratory Data

    Laboratory Data Laboratory data can be entered manually at the Information Center or at the monitor. For details on manual entry at the monitor, see “Entering Measurements Manually” on page 39. Selected laboratory data can be integrated on the monitor - values are then stored in the database and included in trends and reports and can be displayed as a numeric on the main screen.
  • Page 276 26 Laboratory Data Viewing Received Data • Enzymes/Markers • Coagulation • Urine Diagnostics If no results are available for a particular category, that category will not be shown. Values which were entered manually at the Information Center will be marked with an * .
  • Page 277: 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 278: Cleaning The Monitor

    27 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 279: Cleaning, Sterilizing And Disinfecting Monitoring Accessories

    Cleaning, Sterilizing and Disinfecting Monitoring Accessories 27 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 and Disinfecting the Predictive Temperature Accessories Probes Wipe the probe and cord regularly with a cloth dampened with warm water and a mild detergent...
  • Page 280 27 Care and Cleaning Cleaning Batteries and the Battery Compartment...
  • Page 281: Using Batteries

    Using Batteries One Philips M4605A rechargeable Lithium Ion battery must be inserted into the battery compartment on the right side of the monitor to use the MP5 monitor with battery power. Battery compartment You can switch between battery-powered and mains-powered (AC) operation without interrupting monitoring.
  • Page 282 28 Using Batteries Battery Power Indicators Battery LED The battery LED on the front panel of the monitor is indicated by a battery symbol. Battery LED Battery LED Colors If the monitor is connected to If the monitor is running on mains power, this means battery power, this means battery power is >...
  • Page 283 Battery Power Indicators 28 Using Batteries battery not charging as the temperature is (red) battery malfunction above or below the specified range battery requires maintenance (red) battery has no power left charging stopped to protect the battery (red) battery temperature too high Battery Status Window ♦...
  • Page 284: Checking Battery Charge

    28 Using Batteries Checking Battery Charge Select the battery status information on the Screen to open the Battery Status window Select the Print Status pop-up key. Checking Battery Charge ♦ To check the charge status of a battery in a monitor, see the battery power gauge on the Screen or select Main Setup ->...
  • Page 285: Battery Safety Information

    The reported values for “remaining capacity” and “runtime” will become less accurate when the battery is stored in this way for a longer period of time (that is, several weeks). Battery Safety Information Use only Philips batteries part number M4605A. Use of a different battery may present a risk of fire or WARNING explosion.
  • Page 286 28 Using Batteries Battery Safety Information Do not open batteries, or dispose of them in fire, or cause them to short circuit. They may ignite, explode, leak or heat up, causing personal injury. Dispose of used batteries promptly and in an environmentally-responsible manner. Do not dispose of the battery in normal waste containers.
  • Page 287: Inspecting The Equipment And Accessories

    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 288: Maintenance And Troubleshooting

    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 289: 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 290 29 Maintenance and Troubleshooting Disposing of Empty Calibration Gas Cylinders...
  • Page 291: 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 292 30 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 293 ECG/Resp Accessories 30 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 294 30 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 295: Nbp Accessories

    NBP Accessories 30 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 296: Invasive Pressure Accessories

    30 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 297 • 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 298 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 299 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 300 30 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 301: Temperature Accessories

    Temperature Accessories 30 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 302 30 Accessories Mainstream CO Accessories Mainstream CO Accessories Description Part No. Sensor M2501A Adult/Pediatric Airway Adapter (reusable) M2513A Infant Airway Adapter (reusable) M2516A Adult Airway Adapter (single-patient use) M2533A Infant Airway Adapter (single-patient use) M2536A Sidestream CO Accessories Description Part No. Sensor M2741A Nasal and Oral-Nasal Cannulas...
  • Page 303: Recorder 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 304: Cable For Direct Connection Of A Telemetry Device

    30 Accessories Cable for Direct Connection of a Telemetry Device Cable for Direct Connection of a Telemetry Device Telemetry Interface Cable, 2.0m, PN 989803146911 Battery Accessories Description Part No. Battery Charger and Conditioner M8043A...
  • Page 305: Installation And Specifications

    Installation and Specifications Intended Use The monitor is intended to be used for monitoring and recording of, and to generate alarms for, multiple physiological parameters of adults, pediatrics, and neonates in a hospital environment. The MP5 and MP5T monitors are also intended for use during patient transport inside the hospital environment;...
  • Page 306: Manufacturer's Information

    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 307 Symbols 31 Installation and Specifications Symbols RS-232 Refer to accompanying Protective earth RS232 connector documents Standby Equipotential Identifies year 2002- grounding and month of manufacture Non-ionizing Alternating current Connection direction radiation symbol indicator Electrical input Electrical output Connector has indicator indicator special protection against electric...
  • Page 308: Installation Safety Information

    31 Installation and Specifications Installation Safety Information Symbols Always use separate built-in wireless Error LED collection for waste network electrical and electronic equipment (WEEE) Pressure connector Temperature connector Telemetry device connector NBP connector connector Uses FAST SpO algorithm ECG connector Monitor supports 12- built-in short lead ECG...
  • Page 309 Installation Safety Information 31 Installation and Specifications • Always connect the ECG sync cable first to the external device and then to the monitor. Wherever possible, pre-install the cable before the patient is brought into the vicinity of the equipment. Left Side of Monitor Measurement connectors (combination will vary due to optional measurements,...
  • Page 310: Altitude Setting

    31 Installation and Specifications Altitude Setting Serial/MIB (RS232) connector Nurse call connector Wired network connector Analog video out connector Equipotential grounding Protective earth 2 3 4 Right Side of Monitor Battery compartment AC power inlet Recorder (optional) MSL Connector (for connection to a host monitor) Altitude Setting Altitude affects CO...
  • Page 311: Emc And Radio Regulatory Compliance

    (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 312: Out-of-hospital Transport - Standards Compliance

    Any changes or modifications to this equipment not expressly approved by Philips Medical Systems may cause harmful radio frequency interference and void your authority to operate this equipment.
  • Page 313 Out-Of-Hospital Transport - Standards Compliance 31 Installation and Specifications • Specification for degrees of protection provided by enclosures according to IEC/EN 60529: IP 32 • EN 1789 +A1:2003 Medical vehicles and their equipment - Road ambulances (chapter 6 - Medical Devices).
  • Page 314: Monitor Performance Specifications

    31 Installation and Specifications Monitor Performance Specifications Environmental Specifications The monitor may not meet the performance specifications given here if stored or used outside the specified temperature and humidity ranges. The monitor is protected against ingress of objects and fluids according to IEC 60529 IP32 (except monitors with the predictive temperature unit).
  • Page 315 Monitor Performance Specifications 31 Installation and Specifications Performance Specifications Battery Specifications Operating Time Basic monitoring configuration: >4 hours (with new, fully (Brightness set to Optimum, ECG/Resp, SpO charged battery) measurements in use, NBP measurement every 15 minutes) Extended monitoring configuration: >3 hours (Brightness set to Optimum, ECG/Resp, SpO , Press/ Temp, CO...
  • Page 316 31 Installation and Specifications Monitor Performance Specifications Performance Specifications Real Time Clock Range from: January 1, 1997, 00:00 to: December 31, 2080, 23:59 Accuracy <2 seconds per day (typically) Hold Time infinite if powered by AC; otherwise at least 48 hours (typical: >72 hours) Buffered Memory Hold Time...
  • Page 317 2.4 GHz and 5 GHz ISM Band 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)
  • Page 318: M4605a Battery Specifications

    31 Installation and Specifications M4605A Battery Specifications M4605A Battery Specifications One battery is required for battery operation of the monitor. M4605A Battery Specifications Physical Specifications W x D x H 149 mm (5.866 in) x 89 mm (3.504 in) x 19.8 mm (0.78 in) Weight 490 g (1.08 lb) per battery Performance Specifications...
  • Page 319: Measurement Specifications

    Measurement Specifications 31 Installation and 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 320 31 Installation and Specifications Measurement 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 321 Measurement Specifications 31 Installation and 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 322 31 Installation and Specifications Measurement 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 323 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 324 31 Installation and Specifications Measurement 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 325 Measurement Specifications 31 Installation and 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...
  • Page 326 31 Installation and Specifications Measurement 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 Ω...
  • Page 327 Measurement Specifications 31 Installation and 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 328 31 Installation and Specifications Measurement Specifications Microstream CO Performance Specifications Range 0 to 150 mmHg (0 to 20 kPa), or 20 % CO , whichever is lower Accuracy Up to 5 minutes during warmup: ±4 mmHg or 12 %, whichever is greater After 5 minutes warmup: 0 to 40 mmHg (0 to 5.3 kPa):±2.2 mmHg (±0.3 kPa) Above 40 mmHg (5.3 kPa):±(5.5 % + (0.08 %/mmHg above 40 mmHg)) of...
  • Page 329 Measurement Specifications 31 Installation and Specifications Mainstream CO Performance Specifications awRR Range 2 to 150 rpm Accuracy ±1 rpm Warm-up Time 2 minutes with CO transducer attached for full accuracy specification Response Time Less than 60 ms (with adult or infant reusable or disposable adapter) Sidestream CO Performance Specifications Range...
  • Page 330 31 Installation and Specifications Measurement Specifications Alarm Specifications Range Adjustment Delay imCO High 2 to 20 mmHg steps of 1 mmHg less than 14 seconds (0.3 to 3.0 kPa) (0.1 kPa) awRR High Adult/pedi: 10 to 100 rpm under 20 rpm: 1 rpm less than 14 seconds Neo: 30 to 150 rpm steps...
  • Page 331: Safety And Performance Tests

    Safety and Performance Tests 31 Installation and Specifications Safety and Performance Tests You must observe any national regulations on the qualification of the testing personnel and suitable measuring and testing facilities. See the maintenance section for a list of required tests. Safety and performance tests, and what to do if the instrument does not meet these specifications are described in the Installation and Service guide.
  • Page 332 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 333 Safety and Performance Tests 31 Installation and Specifications Recommended Separation Distance The monitor, equipped with a wireless network interface, intentionally receives RF electromagnetic WARNING energy for the purpose of its operation. Therefore, other equipment may cause interference, even if that other equipment complies with CISPR emission requirements.
  • Page 334 31 Installation and Specifications Safety and Performance Tests Field strengths from fixed transmitters, such as base stations for radio (cellular, cordless) telephones and land mobile radios, amateur radio, AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy. To assess the electromagnetic environment due to fixed RF transmitters, an electromagnetic site survey should be considered.
  • Page 335 Safety and Performance Tests 31 Installation and Specifications Restart time After power interruption, an ECG wave will be shown on the display after 30 seconds maximum.
  • Page 336 31 Installation and Specifications Safety and Performance Tests...
  • Page 337: 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 338 32 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 339 Country-Specific Default Settings 32 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 340 32 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 341 Country-Specific Default Settings 32 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 342 32 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 343: Alarm And Measurement Default Settings

    Alarm and Measurement Default Settings 32 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 H10 / H20 / H40 H30 (deviations from H10/20/40) Alarm Volume Alarms Off...
  • Page 344: Ecg, Arrhythmia, St And Qt Default Settings

    32 Default Settings Appendix ECG, Arrhythmia, ST and QT Default Settings ECG, Arrhythmia, ST and QT Default Settings Factory defaults H10 / H20 / H40 H30 (deviations from H10/20/40) ECG Settings Adult Pedi Adult Pedi High Limit 120 bpm 160 bpm 200 bpm Low Limit 50 bpm...
  • Page 345 ECG, Arrhythmia, ST and QT Default Settings 32 Default Settings Appendix Factory defaults H10 / H20 / H40 H30 (deviations from H10/20/40) Arrhythmia Settings Adult Pedi Adult Pedi Arrhythmia Pause Threshold 2.0 sec 1.5 sec VTach HR VTach Run Vent Rhythm SVT HR SVT Run PVCs/min...
  • Page 346 32 Default Settings Appendix ECG, Arrhythmia, ST and QT Default Settings Lead-independent ST Settings Factory Adult Factory Pedi Factory Neo ST Analysis ST-Index ISO Point -80 ms J Point 48 ms ST Point J+60 Lead I, II, III, V, aVR, aVL, aVF, V1-6, Factory Adult Factory Pedi Factory Neo...
  • Page 347: Pulse Default Settings

    Pulse Default Settings 32 Default Settings Appendix Pulse Default Settings Factory defaults H10 / H20 / H40 H30 (deviations from H10/20/40) Pulse Settings Adult Pedi Adult Pedi Alarms Source Auto Auto Pulse (Label) System Pulse Auto Alarms Off Enabled Alarm Source Sel. Enabled Factory defaults H10 / H20 / H40 H30 (deviations from H10/20/40)
  • Page 348 32 Default Settings Appendix Default Settings Default Settings Settings Factory Adult Factory Pedi Factory Neo 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) Average in Mon.
  • Page 349: Nbp Default Settings

    NBP Default Settings 32 Default Settings Appendix NBP Default Settings Factory defaults H10 / H20 / H40 H30 (deviations from H10/20/40) NBP Settings Adult Pedi Adult Pedi Mode Auto Manual Alarms from Sys. High Limit 160/90 (110) 120/70 (90) 90/60 (70) 180/90 (110) Low Limit 90/50 (60)
  • Page 350: Predictive Temperature Default Settings

    32 Default Settings Appendix Predictive Temperature Default Settings Predictive Temperature Default Settings Factory defaults H10 / H20 / H40 H30 (deviations from H10/20/40) pTemp Settings Adult Pedi Adult Pedi Preferred Label pToral Prompt Tones Value Lifetime 1 hour °C Unit Color Yellow 1.The settings for Prompt Tones, Unit and Color are label dependent...
  • Page 351 Invasive Pressure Default Settings 32 Default Settings Appendix Factory defaults H10 / H20 / H40 H30 (deviations from H10/20/40) CVP, RAP, LAP, UVP Settings Adult Pedi Adult Pedi Extreme Alarms Enabled ΔExtreme High ΔExtreme Low High Clamp 20/10 (15) 15/5 (10) 15/5 (10) Low Clamp 0/-5 (-5)
  • Page 352 32 Default Settings Appendix Default Settings ICP, IC1, IC2 Factory Defaults Settings Adult Pedi Alarms from Mean High Limit 14/6 (10) 10/2 (4) 10/2 (4) Low Limit 6/-4 (0) 2/-4 (0) 2/-4 (0) Alarms Extreme Alarms Enabled Enabled Enabled ΔExtreme High ΔExtreme Low Low Clamp 20/10 (-5)
  • Page 353 Default Settings 32 Default Settings Appendix Factory defaults H10 / H20 / H40 H30 (deviations from H10/20/40) Settings Adult Pedi Adult Pedi AwRR high limit AwRR low limit Apnea time 20 secs Color Yellow White...
  • Page 354 32 Default Settings Appendix Default Settings...
  • Page 355 CO2, awRR Nellcor adhesive sensors atrial fibrillation and flutter desat, SpO2 (disposable) beat labels effect on pressure alarms during Philips sensors (disposable) initiating learning zero Philips sensors (reusable) intermittent bundle branch block extending pause time temperature learning during ventricular rhythm...
  • Page 356 relearning and lead fallback battery status recording changing Resp wave speed status messages battery status window changing screen content switching on/off charge status channels understanding the display conditioning recorder conserving power arrhythmia alarms checking battery charge indicators adjusting alarm limits checking paced status malfunction symbols all yellow on/off...
  • Page 357 continuous mode display settings ECG wave selecting autosize disposal calibration bar controls gas cylinder monitor parts and accessories ectopic status messages (arrhythmia monitoring) conventional 12-lead ECG documenting events electrical input symbol correcting the NBP measurement dosemeter (drug calculator) electrical output symbol CPAP (RESP) drip table (drug calculator) electrode placement (ECG)
  • Page 358 extreme rate alarms alarms alarms, behavior extreme tachycardia alarm hypotension evaluation latching arrhythmia alarms lateral chest expansion (neonates) monitoring Resp fallback (ECG) IEC ECG lead labels lead fallback FAST and arrhythmia relearning Fourier artefact suppression technology lead fallback (ECG) IMV (Resp) filter (ECG filter setting) lead labels (ECG) infection control...
  • Page 359 ECG cable Philips contact information comfort cuffs orange ECG cable physiological alarms cuff pressure organizers pleth alarm source cuff, applying oscillometric NBP measurement pleth wave...
  • Page 360 pleth waveform swapping a complete profile drug calculations swapping setting block ECG gain extending protective earth symbol pop-up keys high resolution events protocol log preventing fading ink power ProtocolWatch procedure connecting SSC sepsis realtime connection pulse recording strip disconnecting from alarms recording strip code mains power...
  • Page 361 Resp detection modes understanding Philips sensors (disposable) and cardiac overlay visitor screen Philips sensors (reusable) changing pleth as alarm source secondary lead (ECG) pleth wave Resp display selecting pleth waveform Resp monitoring selecting the primary lead (ECG) pulse numerics and cardiac overlay...
  • Page 362 status messages (arrhythmia) counting direction ectopic displaying on main screen V electrode placement (ECG) rhythm notification selecting label venous puncture sterilizing setting up infection control viewing arrhythmia waves viewing stopping reports printouts viewing trends titration table (drug calculator) surgical ECG cable visible waves report tone configuration, alarm surviving sepsis campaign...

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