Mortara Surveyor User Manual
  1. Manuals
  2. Brands
  3. Mortara Manuals
  4. Medical Equipment
  5. Surveyor
  6. User manual

Mortara Surveyor User Manual

Central system
Hide thumbs
Table of Contents

Advertisement

Quick Links

Download this manual
REF 9515-169-90-ENG Rev F
Manufactured by Mortara Instrument, Inc., Milwaukee, Wisconsin U.S.A.
CAUTION: Federal law restricts this device to sale by or on the order of a physician.
Surveyor
Central System
USER MANUAL

Advertisement

Table of Contents
loading
Need help?

Need help?

Do you have a question about the Surveyor and is the answer not in the manual?

Questions and answers

Related Manuals for Mortara Surveyor

Summary of Contents for Mortara Surveyor

  • Page 1 REF 9515-169-90-ENG Rev F Surveyor Central System USER MANUAL Manufactured by Mortara Instrument, Inc., Milwaukee, Wisconsin U.S.A. CAUTION: Federal law restricts this device to sale by or on the order of a physician.
  • Page 2 For patent information, please visit www.welchallyn.com/patents This document contains confidential information that belongs to Mortara Instrument, Inc. No part of this document may be transmitted, reproduced, used, or disclosed outside of the receiving organization without the express written consent of Mortara Instrument, Inc. Mortara is a registered trademark of Mortara Instrument, Inc. E-Scribe, HScribe, Surveyor, and VERITAS are trademarks of Mortara Instrument, Inc.

  • Page 3: Technical Support And Service

    European Union 72379 Hechingen Representative Germany Tel.: +49 (0) 7471 98 41 14-0 Fax: +49 (0) 7471 98 41 14-90 Mortara Instrument Europe, s.r.l. Via Cimarosa, 103/105 40033 Casalecchio di Reno (Bologna) Italy Mortara Instrument Netherlands “Amerika” Gebouw– 7e verdieping...

  • Page 4: Notices

    NOTICES Manufacturer’s Responsibility Mortara Instrument, Inc. is responsible for the effects on safety and performance of the device, as indicated by the label, only if article 2 of 93/42/EEC directive is applied, in particular:  System installation and assembly operations, extensions, readjustments, modifications or repairs are carried out by personnel authorized by Mortara Instrument, Inc.

  • Page 5: Warranty Information

    Product/s. If Mortara should be found liable to anyone under any theory (except the expressed warranty set forth herein) for loss, harm, or damage, the liability of Mortara shall be limited to the lesser of the actual loss, harm, or damage, or the original purchase price of the Product/s when sold.

  • Page 6: Table Of Contents

    ............................... 15 NDICATIONS FOR ................................ 16 YSTEM ESCRIPTION Surveyor Central with WiFi telemetry ........................17 Surveyor Central with Multiple Control of Same Channels ..................17 Surveyor Central USB-WATCHDOG ......................... 17 ............................18 PTIONAL YSTEM OMPONENTS Surveyor Central with Wireless Access Points ......................20 ............................
  • Page 7 ESTARTING A ONITORING ESSION ELEMETRY Discharge: Surveyor S12/S19 Patient Monitor ......................38 Standby: Surveyor S12/S19 Patient Monitor ......................38 Resume Monitoring: Surveyor S12/S19 Patient Monitor ..................38 SETTINGS ................................39 ................................40 ISPLAY SETTINGS Multi-patient ................................40 Traces ..................................40 Parameters................................
  • Page 8 TABLE OF CONTENTS ..............................49 VERLAPPING LARMS ............................49 LARM AND VENT ESSAGES ................................. 49 USPENDED LARMS ..............................50 LARM ACTIVATION ................................50 ISABLING LARMS ........................51 ETTING LARM VENT UTOMATIC RINTOUTS ..............................51 HANGING LARM IMITS .............................. 51 HANGING LARM RIORITY ........................
  • Page 9 Moving a Patient ..............................78 Multiple Sessions ..............................78 Blind Monitoring Sessions ............................78 Review ..................................79 SYSTEM CONFIGURATION ..........................81 ....................................81 Beds menu at a Surveyor Central Repeater Station ....................82 ..................................82 RINTERS ..................................82 OLUMES ..................................83 LARMS Permanent (Latched) and Non-permanent (Non-latched) Alarms ................
  • Page 10 TABLE OF CONTENTS ................................118 PECIFICATIONS System ................................... 118 Alarms ................................... 119 Network ................................122 viii...

  • Page 11: Safety Information

    Contact Mortara service for additional training options.  The Surveyor Central is not designed to be used in the environment where the patient is undergoing a medical procedure as defined in IEC 60601-1 (1.5 m from the patient). The use of an isolation transformer between mains and Surveyor Central is required but is not a sufficient safety measure for use in the patient environment because of data connections (data network) that might cause excessive leakage currents in some conditions.
  • Page 12  The Surveyor Central provides an alarm volume adjustment. Be sure to set the volume at a level that alarms can be heard above the ambient noise level in the environment of use. Setting alarm volumes too low can impede recognition of alarm signals.
  • Page 13 Surveyor Central software has been extensively tested and clinically validated. Several protection mechanisms against software errors have been built into the Surveyor Central; however, in the unlikely event of a failure of the software or the computer processor, the electronic (hardware) “watchdog” of the Surveyor Central sounds a continuous loud beep and the Central station has to be power-cycled to remove this.
  • Page 14 Do not connect a sound-capable display monitor such as a LCD TV to the Surveyor Central.  The on/off switch of the Surveyor Central is deactivated and can only be used for emergency power down by depressing it for a period greater than 4 seconds. Normal shutdown of the Surveyor Central should be done by using the password-protected configuration window.

  • Page 15: The Following Warnings Concern Telemetry Monitoring

     The Surveyor Central alarm system can be globally disabled or suspended for a period of time for a patient. The selection between disabling and suspending, as well as the suspension duration, can be set in the password- protected system configuration page.

  • Page 16: The Following Warnings Concern Heart Rate For Telemetry Monitoring

     If no SpO or pulse rate is present, alarm conditions are provided at the Surveyor Central system. There is no alarm condition provided at the transmitting device.  For additional instructions and warnings, refer to the user manual of the transmitting device.

  • Page 17: The Following Warnings Concern Pacemaker Patients For Telemetry Monitoring

     With the Surveyor S4 when used with the 4-wire, 5-wire or 10-wire ECG cable, all pacemaker spikes are rejected per the IEC 60601-2-27 standard (0.1 - 2 ms duration, 2 - 700 mV amplitude). Signals are recognized as pacemaker spikes when they have a slew rate over 4 V/s, as measured according to the IEC 60601-2-27 standard.

  • Page 18: Notes

    Surveyor Central contains electronic records including ECG’s which can be exported to other applications. The Surveyor Central system can be part of a system that is compliant with the electronic records requirements of part 11 of Title 21 of the Code of Federal Regulations; Electronic Records; Electronic Signatures (21 CFR Part 11) as stipulated by the US Food and Drug Administration's (FDA).

  • Page 19: Equipment Symbols And Markings

    Parallel Port Connection Product Lifetime Mortara intends to support the Surveyor Central Processing Unit, monitors, transmitters and proprietary antenna network components most current version, for not less than three (3) years beyond the date of the last unit produced of that revision, or for as long as parts, accessories and expertise are available from our vendors, subject to last time...
  • Page 20 EQUIPMENT SYMBOLS AND MARKINGS...

  • Page 21: Electromagnetic Compatibility

    (IEC 60601-1-2). This IEC standard has been adopted in Europe as the European Norm (EN 60601-1-2). WARNING: Surveyor Central should not be used adjacent to, or stacked on top of other equipment. If Surveyor Central must be used adjacent to or stacked on top of other equipment, verify that Surveyor Central operates in an acceptable manner in the configuration in which it will be used.

  • Page 22: Guidance And Manufacturer's Declaration: Electromagnetic Emissions

    Guidance and Manufacturer’s Declaration: Electromagnetic Emissions The Surveyor Central System is intended for use in the electromagnetic environment specified in the table below. The customer or the user of the Surveyor Central System should ensure that it is used in such an environment. Emissions Test...

  • Page 23: Guidance And Manufacturer's Declaration: Electromagnetic Immunity

    The Surveyor Central System is intended for use in the electromagnetic environment specified in the table below. The customer or the user of the Surveyor Central System should ensure that it is used in such an environment. IEC 60601 Test...

  • Page 24: Recommended Separation Distances Between Portable And Mobile Rf Communications Equipment And The System

    Recommended Separation Distances Between Portable and Mobile RF Communications Equipment and the System The Surveyor Central Systems is intended for use in the electromagnetic environment in which radiated RF disturbances are controlled. The customer or user of the Surveyor Central System can help to prevent...

  • Page 25: Introduction

    In order to guarantee a proper signal transmission in each different situation, an antenna network can be installed according to customer needs. The data and analysis provided by the Surveyor Central Station is reviewed, confirmed, and used by trained medical personnel in the diagnosis of patients with various conditions.

  • Page 26: System Description

    Clinical and epidemiological research studies. System Description The Surveyor Central can perform telemetry monitoring using the Surveyor S4 integrated with the healthcare delivery organization’s WiFi network infrastructure. The Surveyor Central is also designed to communicate with the Surveyor S12/S19 multi-parameter patient monitors.

  • Page 27: Surveyor Central With Wifi Telemetry

    Surveyor Central USB-WATCHDOG Surveyor Central is intended for continuous use. A Watchdog is externally connected to a USB port and emits a loud and continuous audible alarm in case of system failure. A Watchdog is a required and necessary part of every...

  • Page 28: Optional System Components

    Independent Disks (RAID) for increased storage capacity and data security in situations where complete data collection is critical. All system data storage for workstations on the Surveyor Central network is performed at this networked server when it is a component of the Surveyor Central.
  • Page 29 Protocols can also be programmed in phases started by the Surveyor Central station user or by pressing the call button on the transmitter.

  • Page 30: Surveyor Central With Wireless Access Points

    Surveyor Central Network. Surveyor Central’s security router is used to isolate the system from the institution network. A secure firewall router is used for any repeater stations or review stations that are located outside of the Surveyor network. Other applications that access Surveyor Central such as Surveyor Import for Holter analysis and remote service support are networked in this way.
  • Page 31 The Surveyor Central repeater station is available as either a dedicated model or standalone software application.  The dedicated model is installed within the Surveyor network and does not allow user access to any other Microsoft® Windows® programs. It will automatically start when the Surveyor Central is started, the same as any other dedicated node on the system.

  • Page 32: Surveyor Central Connections

    WLAN connection and its traffic. The Surveyor Central review station can be networked to the institution network with connection to the Surveyor security router when access to Surveyor Central’s patient database is desired for remote review. The review station can also be installed as a stand-alone and used for review of archived patient monitoring records from media external to the Surveyor Central.

  • Page 33: Installation And Connections

    The producer of this equipment participates actively with the collection and recycling of this equipment. You may return this equipment to your distributor for recycling or disposal. Surveyor Central contains a lithium battery and electronic circuit boards which should not be incinerated or exposed to extreme heat.

  • Page 34: Privacy Information

    Surveyor Central allows the possibility to enter patient name as part of the demographic data. This name can be displayed on the screen of the system, depending on the configuration settings. The name is always displayed on all printouts.

  • Page 35: Using The System

    Mortara Instrument, Inc. technical support personnel. Display Screen The Surveyor Central screen is divided into sub-screens, each showing a single patient. The number of traces that are shown depends on how the system is configured. This screen is called the “multi-patient display”. An example is shown in Figure 7.

  • Page 36: Multi-Patient Display Buttons

    Event/Alarm button (only visible if there is an alarm present) and left click the mouse button. It is not possible to acknowledge and silence alarms from a Surveyor Central repeater station, with the exception of protocol alarms.

  • Page 37: Multi-Patient Display Sub-Screen Fields

    Signal Quality waveform Indicator Figure 9 - Detail view of a sub-screen showing telemetry from a Surveyor S4 with SpO The plethysmogram is derived from the SpO sensor placed on the patient, via the transmitting device. Its pulsatile characteristic reflects the flow of blood at the measurement site, but it is not a representation of arterial pressure. The plethysmogram is normalized so that its amplitude is continuously and automatically adjusted to fill the available display space.
  • Page 38 Signal Quality Indicator (SQI) When used with a Surveyor S4, the SQI gives information about the condition of the signal being received by the sensor, as described in the table below. The S12/S19 and T12S do not support the SQI feature, and the SQI displays only a gray square.

  • Page 39: Single-Patient Display

    USING THE SYSTEM Single-patient Display A left click anywhere on a patient's sub-screen changes the background color, reduces the multi-patient display to half width, and opens the selected patient-related information on the right half of the screen in the Traces view. Patient-related functions will be explained later in this manual.

  • Page 40: S12/S19 Patient Traces View

    Patient ID (or name) and ambulatory transmitter channel number (if available) are displayed above the tabs. NOTE: The Patient Data tab is not available at the Surveyor Central repeater station. Figure 12 - Tab controls available in the single-patient display.

  • Page 41: Event/Alarm And Full-Disclosure Review

    USING THE SYSTEM Event/Alarm and Full-disclosure Review A right click anywhere on a patient's sub-screen or a left click on Review changes the background color, reduces the multi-patient display to half width, and opens the selected patient’s captured events/alarms and stored data on the right half of the screen.

  • Page 42: Beginning A 12-Lead Ecg Monitoring Session

    USING THE SYSTEM Beginning a 12-lead ECG monitoring session Correct electrode placement and skin preparation are important for acquiring a successful ECG and performing a reliable monitoring session. Low-amplitude signals may be the result of poor skin-to-electrode contact. To ensure electrode adherence, hair must be removed with a razor and the skin must be clean and dry.

  • Page 43: To Begin A 12-Lead Monitoring Session

    Ensure that the S4 establishes a connection to the Surveyor Central. Check signal quality indicators on the S4, and re-prep electrode sites or reposition sensors as needed. On the multi-patient display of Surveyor Central, locate the slot that matches the S4 and view the waveforms.

  • Page 44: Id Format

    Formats in the list were imported by use of the configuration menu using the Management selection. ID formats are created in conjunction with Mortara Instrument’s E-Scribe system with the custom ID feature. Patient data fields can be populated through the use of a bar code scanner. After scanning the bar code to populate the field, select Confirm.

  • Page 45: Reduced Lead-Set Monitoring: Ambulatory Transmitter

    NOTE: Alarm settings cannot be changed in a Surveyor Central repeater station and are presented for informational purposes only. NOTE: The Surveyor S12/S19 patient monitors control the alarm activation, sound state and priority of each generated alarm, regardless of the limits and/or other settings configured on Surveyor Central (even if conflicting with Surveyor Central settings).

  • Page 46: 3-Wire Monitoring

    USING THE SYSTEM 3-wire Monitoring Using R (RA), L (LA), and F (LL), electrodes will enable you to monitor leads I, II, or III using the S4 mobile monitor or S12/S19 patient monitor when using it with a 3-wire cable. NOTE: When using the S12/S19 patient monitor, the lead displayed on the Central Station is always indicated as Lead II regardless of the setting on the S12/S19 patient monitor.

  • Page 47: Using A Protocol

    USING THE SYSTEM Protocol Manager When Protocol Manager is included with your system, you are able to select from a list of user-created protocols. Protocols in the list were imported by use of the configuration menu using the Management selection. The protocols have been created from a separate application and are programmed to initiate automatic events and printouts once the protocol has been started.

  • Page 48: Ending A Monitoring Session: Telemetry

    The Discharge function at the Surveyor S12/S19 patient monitor is communicated to the Surveyor Central station. When the patient is discharged at the patient monitor, the monitoring slot at the Surveyor Central station closes and all patient information, trends, alarms, and other setting information are is cleared for that device.

  • Page 49: Settings

    6. SETTINGS The Settings tab allows you to define:  ECG and other waveform traces, gain settings, and parameters for single and multi-patient displays  12 lead ECG, rhythm, trend, and report printouts  ID or name highlight color  Signal settings ...

  • Page 50: Display Settings

    SETTINGS Display settings Multi-patient View multi-patient display selections on the previous page. Selections will appear grayed when the maximum number of choices is reached, and is dependent on display window height. Trace and parameter selections for single-patient display are shown below. Figure 20 - Trace and parameter selection screen.

  • Page 51: Ecg Filter

    The Surveyor S12/S19 patient monitors can be configured to print its rhythm strip to the central station’s printer. Refer to the Surveyor S12/S19 patient monitor user manual (PN 9515-183-51-ENG) for additional details.

  • Page 52: 12-Leads

    Trend length (number of hours) can be defined in the Trends tab. The Surveyor S12/S19 patient monitors can be configured to print a Trend report that includes the ST numerics to the central station’s printer. Refer to the Surveyor S12/S19 patient monitor user manual (PN 9515-183-51-ENG) for additional details.
  • Page 53 SETTINGS Figure 21 - Summary Report settings. To configure the content of the summary report: Select the patient by clicking on their slot in the Multi-Patient display. Select the Settings tab. Select the Summary Report page. Select the Report Duration from the drop down list. The system supports reports covering 4, 8, 12, and 24 hours.
  • Page 54 SETTINGS Periodic print The Periodic Print function is used to produce printed reports at predetermined time intervals. Figure 22 - Settings for the Periodic Print function. To enable periodic printing: Select the patient by clicking on their slot in the Multi-Patient display. Select the Settings tab.

  • Page 55: Signal Settings

    When the Analyze Pacer function is enabled on a Surveyor S12/S19 patient monitor and the patient possesses an active pacemaker, the Surveyor Central will display an exaggerated tick mark at the point where a pacer pulse is detected on the ECG waveform. This pacer spike display may assist the clinician identification of pacer-initiated complexes.

  • Page 56: Protocol

    Patient Data tab. Left click on Confirm to save your change once the Protocol has been selected. NOTE: Protocol settings cannot be saved from a Surveyor Repeater station. SAVE as PROFILE NOTE: This feature applies to telemetry monitoring only and not the S12/S19 patient monitors.

  • Page 57: Alarm Settings

    Surveyor Central station. Refer to the Surveyor S12/S19 patient monitor user manual (PN 9515-183-51-ENG) for additional details. After startup, any subsequent changes to the alarm settings on the Surveyor Central or the Surveyor S12/S19 patient monitors assigned to a particular bed will be bidirectionally communicated.

  • Page 58: Alarms And Events

    Alarms and Events Alarm Hierarchy Alarms on the Surveyor Central are divided into four priority levels: high (red), medium (yellow), low (cyan), and informational events (white) according to alarm importance. High, medium, and low alarm events are both audible and visual with different messages for each. Informational alarms are visual messages only.

  • Page 59: Permanent And Non-Permanent Alarms

    When several alarms occur within a short period of time and the system is busy displaying or printing a previous alarm printout, Surveyor Central will store the alarm events in memory and will automatically print them after the previous printout has finished. If more than one alarm is active, the auditory and visual indication of the highest priority alarm will be active.

  • Page 60: Alarm Re-Activation

    NOTE: When alarms are disabled for any channel, the system sounds a brief 4-tone reminder signal every three minutes. Contact a Mortara representative to disable this reminder signal in your system. When the patient device is a Surveyor S12/S19 patient monitor, disabling an alarm is communicated bidirectionally between the patient monitor and the Surveyor Central.

  • Page 61: Setting Alarm Event Automatic Printouts

    Disable Alarm Printouts or Enable Alarm Printouts toggle button, overriding the setting of the individual alarm. Automatic printouts can be set up at either the Surveyor Central or S12/S19 patient monitor. When automatic alarm printouts are disabled on the Central...

  • Page 62: Electrocardiogram Alarms: Heart Rate

    ALARM SETTINGS When the patient device is a Surveyor S12/S19 patient monitor, the alarm priority settings are communicated bidirectionally between the patient monitor and the Surveyor Central.  Adjusting an alarm priority at the central station adjusts that alarm priority at the patient monitor.

  • Page 63: St Alarms

    ALARM SETTINGS NOTE: Ventricular tachycardia (VTACH) alarms are NOT latched. The sustained Ventricular Tachycardia Alarm (>15 seconds) IS always latched. ST Alarms ST alarms can be disabled by individual lead check boxes in the ST Change group under the Alarm Settings tab. NOTE: The alarm is initiated after a 1 minute duration of change that exceeds the threshold of the ST limit occurs.

  • Page 64: S P O 2 Alarms

    ALARM SETTINGS Alarms This optional alarm group is available when a transmitter with SpO capability is used. Not all alarm types are supported on every transmitting device. Alarm type Alarm trigger High Medium-priority alarm presents when % SpO is high than the set limit Medium-priority alarm presents when % SpO is lower than set limit Desaturation...

  • Page 65: Averages

    8. AVERAGES Clicking on the Averages tab in the single-patient display opens the averages page. Display Reference and Markers measurement points can be enabled or disabled as desired by a left click on the buttons. ST measurements are displayed in millimeters (mm) or microvolts (µV); 1 mm corresponds to 100 µV. This screen allows you to Print a report, trends, rhythm, or a 12-lead ECG.

  • Page 66: St Values

    At a manual reset (New Ref button selected) NOTE: The “New Ref” button is disabled in a Surveyor Central repeater station. The display of the reference complex can be turned on and off by a left click on Reference. The time of the reference complexes is shown at the top center of the display and to the right of the ST (mm) measurement values highlighted in yellow.

  • Page 67: Trends

    3 hours where ectopic rate, ST II, and QTc Mortara display selections were chosen. A trend duration of 3, 6, 12, or 24 hours can be selected from the drop-down list to the right of the Hours label.
  • Page 68 TRENDS The Dual Trends example for an S12/S19 patient monitoring slot shown below has a set resolution of 6 hours where respiration rate, P1 high and low mmHg values, and Temperature 1 display selections were chosen. The General Trend, parameter 2 list is displayed showing available selections. Figure 28 - Example of the Dual Trends screen.

  • Page 69: All St Trends

    TRENDS All ST Trends In All ST Trends view, change trend resolution by clicking on the Hours drop-down list. Trend scale is calculated automatically by the system. The time of the last trend value is highlighted in white at the top of the display. Trends are calculated every minute.
  • Page 70 TRENDS...

  • Page 71: 10. Traces

    The Traces tab displays the real-time 12-lead ECG and plethysmogram when an ambulatory transmitter or mobile monitor is used. When a Surveyor S12/S19 patient monitor is used, the Traces tab displays the waveforms that are in use at the patient monitor. As in the multi-patient display, active alarm event messages are displayed and can be acknowledged in the Traces display.

  • Page 72: Protocol Timers

    MAC address or name of the WiFi Access Point through which the S4 is communicating NOTE: Descriptive names can be defined within the Surveyor Central system for each of the WiFi access points. Contact Mortara Customer Service for assistance in setting up this feature.

  • Page 73: Qt/C Values

    QT/c Values Mortara QT and QTc values are presented below ST values with HR (QT) and QTc calculations for Bazett and Fridericia when this option is available for telemetry monitoring. Note that the current HR value in the upper right corner and the QT HR value may differ slightly because the QT values are periodically calculated over 10 seconds of data.

  • Page 74: Ecg Gains

    TRACES WARNING: Careful setting of the correct leads for QRS detection is very important for optimal functioning of the VERITAS algorithm and ST monitoring, the prevention of false alarms, and the detection of true alarms. Refer to Appendix A for details on the VERITAS algorithm and recommendations for choosing the best detection leads.

  • Page 75: Waveform Gains

    TRACES Waveform gains Click Gains when you wish to change the displayed waveform gain for each channel. This will change the gain in the single-patient display as well as the multi-patient display. This will also change the waveform gain in all printouts. Respiratory (RESP) and Plethysmogram gains can be set to 0.5, 1, or 2.
  • Page 76 TRACES...

  • Page 77: 11. Review

    11. REVIEW Surveyor Central allows you to review all stored alarm events and ECG for all patients. The review window is on the right half of the screen when using a single monitor, or on the right display when using a dual monitor. Alarm events for all monitored patients are listed;...

  • Page 78: Single-Patient Review

    Go to Single Patient Review, explained on the next page, for review of acknowledged events and the events that have occurred earlier or in previous monitoring sessions. NOTE: Multi-patient review is not available in a Surveyor Central repeater station. Single-patient Review In single-patient display, left click on Review at the bottom right of the display or right click anywhere on the ECG of a patient’s sub-screen in multi-patient display.

  • Page 79: Trend Review

    REVIEW Trend Review Left click on Trend to toggle between events review and trend review. The events listing is changed to a trend that allows you to navigate to any monitoring session. HR trending and values are shown in green and ECT (ectopy) is shown in red.

  • Page 80: Gain

    REVIEW Navigation within the Review ECG  Use Home/End keys to go the beginning or end of the monitoring period.  Use Page Down/Page Up keys to go to the next/previous page of ECG.  Use the mouse wheel to zoom in/out the number of seconds in the display. ...

  • Page 81: Graphical Trends Review

    REVIEW Graphical Trends Review With events displayed, you can switch between waveform traces, graphical trends, ST trends, and tabular trends using the drop-down list below date and time selections. In this view, Waveform Traces and Events Select Trend related buttons are not available. This view allows you to choose durations of 3, 6, 12, or 24 hours and any combination of up to 8 trend parameters.
  • Page 82 REVIEW ST Trends Review With events displayed, you can switch to ST trends using the drop-down list below date and time selections. In this view, Waveform Traces and Events Select Trend related buttons are not available. This view allows you to choose durations of 3, 6, 12, or 24 hours using the Select Trends button.

  • Page 83: Tabular Trends Review

    REVIEW Tabular Trends Review With Events displayed, you can switch to tabular trends using the drop-down list below date and time selections. In this view, Waveform Traces and Events Select Trend related buttons are not available. This view allows you to choose durations of 3, 6, 12, or 24 hours and any combination of up to 8 trend parameters.

  • Page 84: Print

    REVIEW Print Left click on Print in the lower area of the review display to open the available selections. When a 12-lead ECG is selected, the ECG located within the dashed box will be printed. In the review function, you can also print the ECG and trends as they are displayed on the screen.

  • Page 85: Reload

    REVIEW Click on the desired setting for the configuration item. Repeat the above steps for each configuration change to be made. Reload Left click on Reload at the bottom of the review display to update or refresh any alarm events or trends that occurred since you entered the review display.
  • Page 86 REVIEW Any combination of alarm priority types and related groups can be selected. NOTE: Selected alarm event types and groups remain selected each time the review window is closed and reopened.

  • Page 87: 12. Patients

    Monitoring sessions that have been archived will show in the Status column. The Patients button is disabled in the Surveyor Central repeater station.

  • Page 88: Archive

    NOTE: Archived data cannot be restored to your Surveyor Central. Archived data is typically used for acquisition at a Mortara Instrument Surveyor Central review station, or an H-Scribe analysis system that has the Surveyor data analysis option.

  • Page 89: Review

    PATIENTS it. For this reason, a warning message will prompt that “All data will be deleted. Are you sure?” when you choose the Stop monitoring button. NOTE: Once a monitoring session has been assigned to a patient, it is not possible to assign it to another patient.
  • Page 90 PATIENTS...

  • Page 91: 13. System Configuration

    System configuration is entered through Config in the bottom right portion of the display. Your current system software version and the Surveyor Central serial number are displayed when the Config button is selected. Further access into the configuration menu requires a password to ensure your system’s security.

  • Page 92: Beds Menu At A Surveyor Central Repeater Station

    Using the Show column check boxes in this menu, select the channels that are repeated at the repeater station screen. Printers Station List was configured upon installation and reflects the computer names of your Surveyor Central. In the First Printer column, select the name of the network printer from the drop-down list where you want your 12-lead ECGs, rhythm strips, trends, etc.

  • Page 93: Alarms

    The first check box of this menu has a different meaning at the repeater station. When Show Patient ID has been selected, the repeater station will show the patient identifier (name or ID) in the patient windows same as Surveyor...

  • Page 94: Signal Processing

    Protocol Manager external application tools. The buttons are inactive if you do not have these options on your system. Profiles that have been saved can also be exported to another networked Surveyor Central node. Import/Export To Import or Export ID Formats, Import or Export Protocols, or Export Profiles, left click any of the buttons shown.

  • Page 95: User Setup

    After a node reboot, workstations will automatically restart after the reset. After a node shutdown, turn the Surveyor Central node back on by pressing the ON/OFF switch on the front side of the workstation. System will restart within a few minutes; any patient monitoring that was in progress will continue.
  • Page 96 SYSTEM CONFIGURATION...

  • Page 97: 14. Troubleshooting For The Clinician

    14. TROUBLESHOOTING FOR THE CLINICIAN The following chart contains information to assist the clinician with troubleshooting by providing possible solutions. Whenever the suggested solutions do not resolve the issue, contact Mortara Instrument technical support for assistance. Trouble Possible cause and solution ...
  • Page 98 ECG heart rate values. Similar values are a good indication of adequate signal quality.  Check SpO alarm threshold settings. Increase or decrease the limits according to patient condition status. The following table specifically applies to connectivity issues when using the Surveyor monitors:...
  • Page 99 Missing ECG Traces Ensure that the proper ECG lead cable is utilized and enabled. The Surveyor monitor has options for 3 or 5 lead cable, as well as 10-lead ECG. When the 10-lead ECG cable is attached and enabled in the settings, this will be the default source for ECG signals ...
  • Page 100 TROUBLESHOOTING FOR THE CLINICIAN...

  • Page 101: 15. Veritas Advanced Ecg Algorithms

    P-amplitude and form Alarm limits Mortara’s VERITAS algorithm uses 2 leads for QRS detection; a third lead is used for additional information to improve discrimination between ventricular and supraventricular morphology of the detected QRS. All available leads are used for the measurement of the ST level. Choosing the right detection leads is an important way of improving performance in difficult cases, and in particular for ambulatory patients.

  • Page 102: Adjust The Alarm Thresholds To Patient Conditions

    VERITAS ADVANCED ECG ALGORITHMS T-waves, and increase the probability of false ventricular fibrillation calls. The following general rules should be applied when selecting detection leads (in order of decreasing importance):  Do not choose leads that are very noisy due to poor electrode contact. ...

  • Page 103: 16. Alarm Details

    ANSI/AAMI standard EC 13 have been used. Note: Refer to the Surveyor S12/S19 patient monitor user manual for the list of alarms generated by these patient monitors which are bidirectionally communicated and managed by the Surveyor Central.
  • Page 104 ALARM DETAILS Message Group Description Factory Range limits Factory Delay Default (resolution) Default Priority Limit High Ectopic Rate Extended Ventricular beats are above the beat per Information 2 ― 50 bpm 10 bpm Arrhythmias minute limit. Ectopic rate is not calculated (step 2 bpm) during ventricular rhythm and ventricular fibrillation...
  • Page 105 Pulse rate is below the minimum limit 20 ― 100 bpm 50 bpm (step 2 bpm) QTc High Resting ECG QTc (Mortara correction) above limit 300 ― 600 ms 500 ms (step 10 ms) QTc-Bazett High Resting ECG QTc (Bazett correction) above limit 300 ―...
  • Page 106 ALARM DETAILS Message Group Description Factory Range limits Factory Delay Default (resolution) Default Priority Limit Not Available No valid SpO signal is available and Technical Alarms there is no probe fault detected; probe may not be applied to the patient Pulse Search Technical Alarms Searching for valid SpO...

  • Page 107: 17. Telemetry Monitoring Printout Examples

    17. TELEMETRY MONITORING PRINTOUT EXAMPLES 12-lead ECG with Interpretation, 4×3+1 Format with Grid...
  • Page 108 TELEMETRY MONITORING PRINTOUT EXAMPLES 12-lead ECG with Interpretation, 4×3+3 Format with Grid...
  • Page 109 TELEMETRY MONITORING PRINTOUT EXAMPLES 12-lead ECG without Interpretation and Grid, 4×3+3 Format...
  • Page 110 TELEMETRY MONITORING PRINTOUT EXAMPLES 12-lead ECG without Interpretation, 6×2 Format with Grid...
  • Page 111 TELEMETRY MONITORING PRINTOUT EXAMPLES Single lead ECG, no grid...
  • Page 112 TELEMETRY MONITORING PRINTOUT EXAMPLES Rhythm (user-defined leads and parameters) with Grid...
  • Page 113 TELEMETRY MONITORING PRINTOUT EXAMPLES Rhythm (user-defined leads and parameters) without Grid...
  • Page 114 TELEMETRY MONITORING PRINTOUT EXAMPLES ST Report: 20 seconds of current ECG, Averaged ST of current ECG compared to reference ECG, ST trend for 3 hours, HR, and Ectopy...
  • Page 115 TELEMETRY MONITORING PRINTOUT EXAMPLES Trend – Page 1: ST change, HR, and Ectopy...
  • Page 116 TELEMETRY MONITORING PRINTOUT EXAMPLES Trend – Page 2: ST change HR, Ectopy, Intervals, QT and QTc (Note: Page 2 trends are user selected)
  • Page 117 TELEMETRY MONITORING PRINTOUT EXAMPLES Review Screen Print, sample 1: 180 seconds of leads II, III, V1, and V5...
  • Page 118 TELEMETRY MONITORING PRINTOUT EXAMPLES Review Screen Print, sample 2: 780 seconds of lead II only...
  • Page 119 TELEMETRY MONITORING PRINTOUT EXAMPLES Review Screen Print; sample 3: 12-Lead ECG at 10 mm/s...
  • Page 120 TELEMETRY MONITORING PRINTOUT EXAMPLES Automatic Protocol Printout 12-lead ECG with Interpretation: 4×3+1 Format with Grid (Time Point #2)

  • Page 121: End Of Shift Report

    TELEMETRY MONITORING PRINTOUT EXAMPLES End of Shift Report...
  • Page 122 TELEMETRY MONITORING PRINTOUT EXAMPLES...
  • Page 123 TELEMETRY MONITORING PRINTOUT EXAMPLES...
  • Page 124 TELEMETRY MONITORING PRINTOUT EXAMPLES...
  • Page 125 TELEMETRY MONITORING PRINTOUT EXAMPLES...
  • Page 126 TELEMETRY MONITORING PRINTOUT EXAMPLES...

  • Page 127: 18. Technical Specifications

    18. TECHNICAL SPECIFICATIONS Applied standards Workstations, printer, monitor UL-listed, Comply with FCC part 15, class B, CE-labeled according to EU directives 73/23 (Low Voltage) and 89/336 (Electromagnetic Compatibility) System IEC 60601-1:2005 Ed:3 Medical electrical equipment Part 1: General requirements for basic safety and essential performance European Union: CENELEC EN60601-1:2006 Medical Electrical Equipment Part 1: General Requirements for Basic Safety and Essential Performance...

  • Page 128: Specifications

    Specifications System Mode of Operation Continuous NOTE: Refer to the Surveyor S12/S19 patient monitor user manual, part number 9515-183-51-ENG, for the specification of its parameters communicated to and managed by the Surveyor Central including associated ranges and accuracy. ECG acquisition:...

  • Page 129: Alarms

    Measurement error: Mean 8.5 V, Standard Deviation 66 V as measured according to ANSI/AAMI EC57 on the ESC-ST database NOTE: For SpO specifications of the Surveyor S4, refer to the Surveyor S4 User Manual, p/n 9515-190-51. Alarms Number Alarms level:...
  • Page 130 TECHNICAL SPECIFICATIONS Telemetry SpO Medium/On or Off (user selectable) (optional - requires T12S) Low: ......Medium priority, 50-98% saturation Desaturation:......High priority, 10% below SpO low limit Pulse rate low: .......Medium or Low priority, 20-100 pulse rate Pulse rate high: ......Medium or Low priority, 50-250 pulse rate Technical Alarms –...
  • Page 131 TECHNICAL SPECIFICATIONS Technical Alarms for patient Network Connection Lost (low priority) monitoring SpO2 Hardware Failure (low priority) SpO2 Unplugged (low priority) SpO2 Artifact (low priority) NIBP Artifact (low priority) NIBP Blocked Line (medium priority) NIBP Open Line (low priority) NIBP Timeout on Measurement (low priority) NIBP Measurement Failure (low priority) Temperature Unplugged (low priority) Temperature Too High (low priority)

  • Page 132: Network

    4) Control, receive, and storage on one workstation 5) Storage on redundant (RAID1+0) network server Maximum number of telemetry Up to 128 channels per Surveyor Central system (more than one Surveyor Central system is channels per system: required above 64 patients), NOTE: Surveyor Central components are designed to share an independent physical network.
  • Page 133 TECHNICAL SPECIFICATIONS Traces per Patient: Up to 12 on single-patient window, up to 2 on multiple-patient window Parameters per Patient: Up to 20 (user selectable) Sweep traces: 10 or 25 mm/sec ECG sensitivity: 5, 10, 20 or 40 mm/mV 19” or 24” LCD in single or dual display modes Size: Printer Technology:...
  • Page 134 TECHNICAL SPECIFICATIONS Transporting: -30° to +60°C 5% to 95% humidity w/o condensation Maximum altitude of 9144 m (30,000 ft). Maximum allowable altitude change rate is 457 m/min (1500 ft/min) Operating: +10° to +35°C 10% to 90% humidity w/o condensation Maximum altitude of 3048 m (10,000 ft). This value may be limited by the type and number of options installed.

Table of Contents

Save PDF