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Instructions for Use
M3 and M4 Monitor M3046A
Measurement Server M3001A
Measurement Server Extensions
M3015A & M3016A
Part Number M3046-9000E
Reordering Number: 453563481191
Printed in Germany 06/03
Fifth Edition

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Table of Contents

   Also See for Philips M3

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   Summary of Contents for Philips M3

  • Page 1 Instructions for Use M3 and M4 Monitor M3046A Measurement Server M3001A Measurement Server Extensions M3015A & M3016A Part Number M3046-9000E Reordering Number: 453563481191 Printed in Germany 06/03 Fifth Edition...
  • Page 2 Warranty The information contained in this document is subject to change without notice. Philips Medical Systems makes no warranty of any kind with regard to this material, including, but not limited to, the implied warranties or merchantability and fitness for a particular purpose.
  • Page 3 Printing History New editions of this document will incorporate all material updated since the previous edition. Update packages may be issued between editions and contain replacement and additional pages to be merged by a revision date at the bottom of the page. Note that pages which are rearranged due to changes on a previous page are not considered revised.
  • Page 4: Intended Use Statement

    user, an optional infrared interface for a printer, and a serial interface for connection to a standalone XE-50p strip chart recorder from GSI Lumonics. Data can be transferred via the M3001A Multi-Measurement Server to and from other M3046A monitors and also the IntelliVue family of patient monitors. The M3000A Multi-Measurement Server is not compatible with the M3046A monitor with Revision E software.
  • Page 5: Ce Compliance

    • this device must accept any interference, including interference that may cause undesired operation of the device. Responsibility Philips Medical Systems only considers itself responsible for any effects on of the safety, reliability and performance of the equipment if: Manufacturer •...
  • Page 6: Important

    To ensure safety, use only those Philips parts and accessories specified for use with the monitor. If other parts are used, Philips Medical Systems is not liable for any damage that these parts may cause to the equipment. Important United States federal law restricts this device to sale by, or on the order of, a...
  • Page 7 In This Book This Instructions for Use is valid for the M3001A Measurement Server and M3046A Monitor with Revision E software and the M3015A and M3016A Measurement Server Extensions. It contains all the general information about the monitor. It is a good place for new users to start because it gives an introduction to the system and the way it works, shows you how to get started, and provides complete step by step key pushing information on how to use the monitor.
  • Page 9: Table Of Contents

    Table of Contents Intended Use Statement ............4 CE Compliance .
  • Page 10 Basic Setup ..............44 Selecting a Wave for the Screen .
  • Page 11 Transferring A Patient To Another Monitor ......... 98 Transferring a Centrally Monitored Patient .
  • Page 12 Changing the Heart Rate Alarm Limits ..........134 Enabling or Disabling ECG Heart Rate Alarm .
  • Page 13 Changing the Arrhythmia Alarm Limits ..........162 Switching Arrhythmia Alarms On and Off .
  • Page 14 Measuring Non-invasive Blood Pressure (NBP) ....187 Preparing to Measure NBP ............188 Starting and Stopping NBP Measurements...
  • Page 15 Measuring the Oxygen Saturation of Arterial Blood (SpO ) ..221 Preparing and Measuring SpO ........... 222 Applying the Reusable Transducers .
  • Page 16 Selecting the CO Setup ............249 Switching the CO Measurement On .
  • Page 17 Examining Trends and Events ........271 Viewing the Trend ............. 272 Selecting a Short or Long Term Trend .
  • Page 18 NBP Cuff ..............289 Cleaning the Disposable NBP Cuff .
  • Page 19 Installing Your Monitor ........317 Warnings and Precautions.
  • Page 20 Configuration Features ............348 How does Configuration Mode Work? .
  • Page 21 Extra Configuration for the PRESS Measurement ........362 Setting Up the PRESS Filter .
  • Page 22 Extra Configuration for the Monitor ..........374 Configuring the QRS Sound .
  • Page 23 Monitor Performance Specifications ..........396 Display .
  • Page 24 ST Specifications ............. . 404 ST Numeric .
  • Page 25 PRESS Specifications ............410 Input Sensitivity .
  • Page 26 M3015A CO Microstream Measurement Specifications ......415 Measurement Range ............415 Warm-up Time .
  • Page 27 Philips Reusable Transducers ........
  • Page 28 Contents...
  • Page 29 Summary of the SmartKeys ........49 Note There are two versions of the M3046A monitor: M3 and M4. The M3 has 3 wave channels and the M4 has 4 wave channels. The M4 can be used with the Measurement Extensions M3015A and M3016A, which allow measurement of and a second pressure or second temperature.
  • Page 30: A Quick Description Of The Monitor

    A Quick Description of the Monitor Warning Warning Do not use portable phones in the vicinity of the monitor. Portable phones may generate excessive radiated fields which can disturb the specified function of the monitor. Warning Warning O NOT TOUCH THE PATIENT OR TABLE OR INSTRUMENTS DURING DEFIBRILLATION A Quick Description of the Monitor...
  • Page 31: Basic Operation

    A Quick Description of the Monitor Front of Monitor (M3046A) Menu Highlight Up Key ECG Out/ Menu Enter Marker In (≤12V) Equipotential Grounding Post AC Power Menu Connector Highlight (100 to 240Vac Down Key 50/60Hz) Battery Compartment TouchStrips Infra-Red Printer/Serial Interface Port (optional) Back of Monitor (M3046A) Locking Mechanism for...
  • Page 32: A Quick Description Of The Monitor

    A Quick Description of the Monitor Measurement Server (M3001A) Start/Stop STAT (for NBP) (for NBP) Connector to Monitor Measurement Alarm Connectors Silence/Reset Measurement Connectors (M3001A) ECG/Resp Basic Operation...
  • Page 33: Measurement Connectors (m3001a #c06)

    A Quick Description of the Monitor Measurement Server with Invasive Measurement Set (M3001A #C06, #C18) Start/Stop (for NBP) Zero (for Press) Connector to Monitor Measurement Alarm Connectors Silence/Reset Note: If a Measurement Server Extension with a second pressure capability is connected, zero is applied to both pressures Measurement Connectors (M3001A #C06)
  • Page 34: Measurement Server Extensions (m3015a & M3016a)

    A Quick Description of the Monitor Measurement Server Extensions (M3015A & M3016A) Catches for attaching the Measurement Server Connectors to Monitor & Measurement Server Note: Measurement Server Extensions Measurement can only be removed with a dedicated tool, Connectors and should be done by a biomed or qualified service personnel.
  • Page 35: Measurement Server Extension Connectors

    A Quick Description of the Monitor Measurement Server Extension Connectors M3015A Measurement Server Extension Sidestream CO M3015A #C06 Measurement Server Extension Press Note: Press and Temp cannot be used at the same time on the same Extension Temp Sidestream CO M3016A Measurement Server Extension Note: Press and Temp...
  • Page 36: Before You Start To Use The Monitor

    Before You Start to Use the Monitor Main Screen Bed/MonitorLabel Time Caregroup Status Symbol Network Symbol QuickSet Patient Size Paced/Non-Paced Symbol Patient Name Alarm Messages (Caregroup bed) Doe, John (this bed) Wave Numeric Sinus Rhythm 1 mV Pleth Alarm Wave Label Limits sys.
  • Page 37 Before You Start to Use the Monitor Warning Warning Do not use the System for any monitoring procedure on a patient if the monitor is not working properly, or if it is mechanically damaged. Contact the hospital biomedical engineer, or your supplier. Step 1.
  • Page 38: Basic Operation

    Basic Operation Basic Operation You operate the monitor using 23:11 Alarms Suspended Pedi Doe, John The arrows and the dot on the 1 mV TouchStrip at both SpO 2 Pressure Sensitive Pleth sides of the screen TouchStrips at sys. both sides of 120 / 70 the screen (91)
  • Page 39 Basic Operation Suspend Use this to stop the monitor checking for patient and technical (INOP) alarm conditions. To restart checking, press this key again. The Alarm Suspend indicator beside the key lights while the alarms are suspended. Depending on the configuration, the monitor may start checking again automatically after a fixed time (the amount of time for which the alarms will stay suspended is displayed in this case).
  • Page 40: Basic Operation

    A selection of SmartKeys are made for your monitor at the and Softkeys factory, but these can be changed by your biomedical engineering staff or Philips representative. You can get access to other SmartKeys by pressing the TouchStrip beneath the and the symbols.
  • Page 41: The Touchstrip

    Basic Operation The Corner 1. If you have a window open on the screen, the left and right of the lower corners of the TouchStrip activate the function displayed TouchStrip on the bottom line of that window. High Limit Low Limit HR from sys.
  • Page 42 Basic Operation Step 3. Highlight the setting you want using the up or down arrow on the TouchStrip, or by gliding your finger along the TouchStrip. Setup ECG SpO 2 Alarms High Limit Low Limit HR from sys. 120 / 70 (91) More Resp...
  • Page 43 Basic Operation If you want to cancel editing without changing the setting, press the bottom right or left hand corner to cancel. Step 5. Continue editing settings until you have set up the measurement Step 6. Press the blue Main Screen key, press the bottom right or left hand corner to exit, or move the highlight to “Exit”...
  • Page 44: Basic Setup

    Basic Setup If the setting has a number of possible settings, these will be displayed and you highlight the setting you want, and then select it. If the setting only has a two possible settings, selecting the setting will change the setting. If you want to cancel editing without changing the setting of a setting, press the bottom right or left hand corner to cancel.
  • Page 45: Setting Up A Measurement

    Basic Setup Step 3. Highlight the wave you want using the up or down arrow on the TouchStrip, or by gliding your finger along the TouchStrip. If you select Blank, the position will be kept clear (unless an ECG wave cascades into the position).
  • Page 46: Basic Setup

    Basic Setup Checking To check or change the alarm limits for a particular measurement, use the setup for that measurement (see “Setting Up a Measurement” on page 41). Changing the Alarm Limits Caution Printing a Make sure that the printer or recorder is connected and switched on before you Copy of the start printing or recording.
  • Page 47 Basic Setup disabled). The current setting for the volume is displayed on the prompt line as you press the SmartKey or touch it for 1/2 second. Step 3. Highlight the Alarm Volume SmartKey to see the current setting for the volume of the alarm tone (you may have to press to find this SmartKey, if it is configured).
  • Page 48 Basic Setup Warning Warning Setting the Changing the date or time will affect the storage of trends and events Date and Time Step 1. Highlight the area at the top left of the screen by touching the TouchStrip beside it and select it by pressing the TouchStrip. Press the Setup key.
  • Page 49: Summary Of The Smartkeys

    Summary of the SmartKeys Summary of the SmartKeys See “Printing a Copy of the Current Measurements” on page 46 See “Adjusting the Screen Brightness” on page 47. See page 47 or “Changing The Volume of the Alarm Chime” on page 59. See “Selecting the Patient Identification Menu”...
  • Page 50: Summary Of The Smartkeys

    Summary of the SmartKeys See “Setting Automatic Alarm Limits” on page 59. See “Reviewing Beat Labels” on page 161. Switches on Standby mode. See “Relearning Arrhythmia” on page 161. See “Changing the Size of the ECG Wave” on page 142. See “Recording and Printing at the Information Center”...
  • Page 51 Recommendation for Alarm Configuration Dealing with Alarms This chapter is about recognizing alarms, responding to alarms, setting up alarms, and recording alarms. A list of the physiological patient alarms, and the technical alarms (INOPs) is given at the end of the chapter. •...
  • Page 52: Recognizing Alarms

    Recognizing Alarms Recognizing Alarms Patient There are three types of patient alarm: Alarms • A Red Alarm indicates a high priority patient alarm such as a life threatening situation (for example, asystole). • A Yellow Alarm indicates a lower priority patient alarm, (for example, a blood pressure limit alarm).
  • Page 53: Dealing With Alarms

    Reviewing Alarms • The alarm condition is also indicated on any device connected to the Nurse Call Relay at the rear of the monitor, if the monitor is so configured (see “Changing the Conditions for the Nurse Call Relay”). Technical Technical alarms (referred to as INOPs) indicate that the monitor cannot Alarms measure or detect alarm conditions reliably.
  • Page 54: Dealing With Alarms

    Dealing with Alarms Dealing with Alarms Latching and Alarm latching behavior for audible and visual alarms can be set separately. In Non- the alarm setup you can choose between three possible settings for Visual Latching Latching (Red&Yellow, Red Only, OFF) and up to three choices for Audible Alarms Latching: •...
  • Page 55 Dealing with Alarms Red & Yellow Parameter Visual latching Alarms Non-latching alarms Latching alarms Audible non-latching Silence/ Audible alarm silenced. Audible alarm re-sounds every 1, 2 or 3 minutes Alarm Reset has if configured. condition is been present. Visual alarm message shown and numerics blink. activated.
  • Page 56: Dealing With Alarms

    Dealing with Alarms Red Arrhythmia Alarms Visual latching Non-latching alarms Latching alarms Audible non-latching Silence/ Alarm Reset has condition is Audible alarm sounds. Visual alarm message shown. Numeric blinks. NOT been present activated. Visual alarm message Audible and Visual Audible alarm sounds. shown.
  • Page 57: Silencing Alarms

    To stop the audible alarm indications, press the Silence/Reset key on the Measurement Server (if it is enabled), or on the Monitor. If the patient is centrally monitored, an alarm can also be silenced from the Philips Information center (when Remote Silence is enabled, see “Configuring the Alarms” on page 369).
  • Page 58: Checking And Changing The Alarm Limits

    Checking and Changing the Alarm Limits Restarting • If the monitor has been configured to only stay suspended for 1, 2 or 3 Suspended minutes, the monitor will start indicating alarms again after the Alarms suspension period, or as soon as you press the Suspend key a second time.
  • Page 59: Changing The Volume Of The Alarm Chime

    Changing The Volume of the Alarm Chime Setting Step 1. Press the Limits Wide or Limits Narrow SmartKey (you may Automatic have to press to find these SmartKeys if they are configured). Alarm Step 2. Select the appropriate setting: All for AutoLimits on all measurements Limits on the list or a specific measurement from the list for AutoLimits on that measurement.
  • Page 60: Alarm Recording

    Alarm Recording Step 1. Press the Setup key. Step 2. Move the highlight to “Alarm Volume”. Step 3. Press on the TouchStrip. Step 4. Select the level for the alarm volume. Step 5. Exit the Setup menu. Alarm Recording If a local recorder is connected to the monitor via the optional serial interface, or if the monitor is connected to a network, you can make alarm recordings.
  • Page 61: Patient Alarm Messages

    Patient Alarm Messages Patient Alarm Messages The alarms are listed alphabetically in the table (irrespective of their priority). Technical alarms are listed in the section “Technical Alarm Messages (INOPs)” on page 76. Physiological Alarms Measurem Audible Alarm Message Condition Visual Indication Indication ***ABP PRESS...
  • Page 62 Patient Alarm Messages Physiological Alarms Measurem Audible Alarm Message Condition Visual Indication Indication ***ART PRESS Mean pressure is ART numeric A chime DISCONNECT continuously less than blinks, every 10mmHg (1.3kPa) Red alarm lamp second. ** ART HIGH PRESS Pressure above high ART numeric blinks A chime alarm limit...
  • Page 63: Patient Alarm Messages

    Patient Alarm Messages Physiological Alarms Measurem Audible Alarm Message Condition Visual Indication Indication ** Ao LOW PRESS Pressure below low Ao numeric blinks A chime alarm limit and Yellow alarm every 2 The s, d, or m after the lamp. Low limit is seconds.
  • Page 64 Patient Alarm Messages Physiological Alarms Measurem Audible Alarm Message Condition Visual Indication Indication ** CVP LOW PRESS Pressure below low CVP numeric blinks A chime alarm limit Yellow alarm lamp. every 2 The s, d, or m after the Low limit is seconds.
  • Page 65 Patient Alarm Messages Physiological Alarms Measurem Audible Alarm Message Condition Visual Indication Indication The sound switches off after 5 seconds if Arrhythmia is ON, and the HR source is ECG ** HR LOW The heart rate has HR numeric blinks A chime dropped below the low and low limit is...
  • Page 66 Patient Alarm Messages Physiological Alarms Measurem Audible Alarm Message Condition Visual Indication Indication ** IRREGULAR ECG/ Consistently irregular HR numeric blinks, A chime Arrhythmia heart rhythm. Yellow alarm lamp every 2 seconds for 5 seconds. ** LAP HIGH PRESS Pressure above high LAP numeric blinks A chime alarm limit...
  • Page 67 Patient Alarm Messages Physiological Alarms Measurem Audible Alarm Message Condition Visual Indication Indication ** NBP HIGH NBP above the high NBP numeric blinks A chime alarm limit. Yellow alarm lamp. every 2 The s, d, or m after the High limit is seconds.
  • Page 68 Patient Alarm Messages Physiological Alarms Measurem Audible Alarm Message Condition Visual Indication Indication ** P1 LOW PRESS Pressure below low P1 numeric blinks A chime alarm limit and Yellow alarm every 2 The s, d, or m after the lamp. Low limit is seconds.
  • Page 69 Patient Alarm Messages Physiological Alarms Measurem Audible Alarm Message Condition Visual Indication Indication ** PAP HIGH PRESS Pressure above high PAP numeric blinks A chime alarm limit Yellow alarm lamp. every 2 The s, d, or m after the High limit is seconds.
  • Page 70 Patient Alarm Messages Physiological Alarms Measurem Audible Alarm Message Condition Visual Indication Indication ** RAP HIGH PRESS Pressure above high RAP numeric blinks A chime alarm limit Yellow alarm lamp. every 2 The s, d, or m after the High limit is seconds.
  • Page 71 Patient Alarm Messages Physiological Alarms Measurem Audible Alarm Message Condition Visual Indication Indication ECG/ If the heart rate is less PVC numeric A chime ** R-ON-T PVCs Arrhythmia than 100bpm, a PVC blinks, every 2 with R to R interval less Yellow alarm lamp seconds than one third of a second...
  • Page 72 Patient Alarm Messages Physiological Alarms Measurem Audible Alarm Message Condition Visual Indication Indication Arrhythmia A run of supraventricular HR numeric blinks, A chime ** SVT beats greater than the Yellow alarm lamp every 2 SVT run limit has been seconds detected and the HR has for 5 exceeded the SVT HR...
  • Page 73 Patient Alarm Messages Physiological Alarms Measurem Audible Alarm Message Condition Visual Indication Indication ** Tesop HIGH TEMP The temperature has Tesop numeric A chime exceeded the high alarm blinks and high every 2 limit limit is highlighted, seconds. Yellow alarm lamp. **Tesop LOW TEMP The temperature has...
  • Page 74 Patient Alarm Messages Physiological Alarms Measurem Audible Alarm Message Condition Visual Indication Indication **Tskin LOW TEMP The temperature has Tskin numeric A chime dropped below the low blinks and low limit every 2 alarm limit is highlighted, seconds. Yellow alarm lamp. ** Tven HIGH TEMP The temperature has...
  • Page 75 Patient Alarm Messages Physiological Alarms Measurem Audible Alarm Message Condition Visual Indication Indication ** UVP HIGH PRESS Pressure above high UVP numeric blinks A chime alarm limit Yellow alarm lamp. every 2 The s, d, or m after the High limit is seconds.
  • Page 76: Technical Alarm Messages (inops)

    Technical Alarm Messages (INOPs) Physiological Alarms Measurem Audible Alarm Message Condition Visual Indication Indication *** VTACH ECG/ Ventricular tachycardia PVC numeric A chime Arrhythmia has been detected blinks, every Red alarm lamp second. If configured for multiple alarms (e.g. s&d&m), e.g. the string ‘Sys’ will be highlighted if a systolic alarm is active, and likewise ‘Dia’...
  • Page 77 Technical Alarm Messages (INOPs) Technical Alarms (INOPs) Measu- Visual Audible INOP Message What to do. rement Indication Indication Ao INOPS PRESS See P1 INOPS BAD SERVER You cannot use this combination of LINK Monitor, Measurement Server and cable. Switch off the monitor and contact your biomedical department.
  • Page 78: Technical Alarm Messages (inops)

    Technical Alarm Messages (INOPs) Technical Alarms (INOPs) Measu- Visual Audible INOP Message What to do. rement Indication Indication C LEAD OFF Check that the chest electrode is in A beep place and securely attached. numeric every 2 might seconds. display -?- for 10 seconds.
  • Page 79 Technical Alarm Messages (INOPs) Technical Alarms (INOPs) Measu- Visual Audible INOP Message What to do. rement Indication Indication CHECK STATUS An error condition occurred on the A beep monitor and information about it has every 2 been saved in the Status Log. View seconds this information as described in “Finding Intermittent Status”...
  • Page 80 Technical Alarm Messages (INOPs) Technical Alarms (INOPs) Measu- Visual Audible INOP Message What to do. rement Indication Indication msCO Make sure the CO transducer is A beep TRANSDUCER connected. numeric every 2 If you silence this INOP the CO displays seconds measurement will be switched off.
  • Page 81 Technical Alarm Messages (INOPs) Technical Alarms (INOPs) Measu- Visual Audible INOP Message What to do. rement Indication Indication CAL MODE msCO Start calibration, if required, or None switch cal mode off. numeric displays instanta- neous CO value. CHANGE msCO Switch to larger scale so that the wave None SCALE...
  • Page 82 Technical Alarm Messages (INOPs) Technical Alarms (INOPs) Measu- Visual Audible INOP Message What to do. rement Indication Indication NO TUBING ssCO The FilterLine is disconnected, or an A beep incorrect line is attached (only numeric every 2 Microstream accessories can be displays seconds used).
  • Page 83 Technical Alarm Messages (INOPs) Technical Alarms (INOPs) Measu- Visual Audible INOP Message What to do. rement Indication Indication ECG LEADS OFF Make sure that the patient cable is A beep connected, these leads are connected numeric every 2 to the electrodes, and the electrodes displays seconds.
  • Page 84 Technical Alarm Messages (INOPs) Technical Alarms (INOPs) Measu- Visual Audible INOP Message What to do. rement Indication Indication MEAS SERV UN- Monitor Make sure that the Measurement A beep PLUGGED Server is connected to the monitor. every 2 seconds. MEASSERV Monitor The Measurement Server is not A beep...
  • Page 85 Technical Alarm Messages (INOPs) Technical Alarms (INOPs) Measu- Visual Audible INOP Message What to do. rement Indication Indication Check the tubing and cuff for A beep INTERRUPTED leakages. Try repeating the numeric every 2 measurement. displays seconds. If the INOP occurs repeatedly, contact your biomedical department.
  • Page 86 Technical Alarm Messages (INOPs) Technical Alarms (INOPs) Measu- Visual Audible INOP Message What to do. rement Indication Indication NO CENTRAL Central monitoring has been A beep MONITORING interrupted. With a wired network: every 2 check that the network cable is seconds.
  • Page 87 Technical Alarm Messages (INOPs) Technical Alarms (INOPs) Measu- Visual Audible INOP Message What to do. rement Indication Indication P1 NON- PRESS Change the source for the heart rate Pulse A beep PULSATILE to Pleth or ECG (see “Selecting the numeric every 2 Source for the Heart Rate Numeric”...
  • Page 88 Technical Alarm Messages (INOPs) Technical Alarms (INOPs) Measu- Visual Audible INOP Message What to do. rement Indication Indication PAP INOPS PRESS See P1 INOPS RA LEAD OFF Check that the RA electrode is in A beep place and attached. numeric every 2 might seconds.
  • Page 89 Technical Alarm Messages (INOPs) Technical Alarms (INOPs) Measu- Visual Audible INOP Message What to do. rement Indication Indication SOME ECG Arrhyth Additional Yellow Arrhythmia ALARMS OFF Alarms have been switched off compared with the current Quick Set SPEAKER Contact your biomedical department. MALFUNCTION [The hardware is faulty.] EQUIP...
  • Page 90 Technical Alarm Messages (INOPs) Technical Alarms (INOPs) Measu- Visual Audible INOP Message What to do. rement Indication Indication LOW PERF Accuracy may be compromised due None to very low perfusion. Stimulate numeric is circulation at sensor site. If INOP displayed persists, change the measurement with a ? site.
  • Page 91 Technical Alarm Messages (INOPs) Technical Alarms (INOPs) Measu- Visual Audible INOP Message What to do. rement Indication Indication T1 EQUIP MALF TEMP Contact your biomedical department. A beep [The temperature hardware is faulty.] numeric every 2 displays seconds. T1 NO TEMP Make sure the TEMP probe is A beep...
  • Page 92 Technical Alarm Messages (INOPs) Technical Alarms (INOPs) Measu- Visual Audible INOP Message What to do. rement Indication Indication Trect INOPS TEMP See T1 INOPS Tskin INOPS TEMP See T1 INOPS Tven INOPS TEMP See T1 INOPS UAP INOPS PRESS See P1 INOPS UNSUPPORTED Switch off the monitor and contact your biomedical department.
  • Page 93 Admitting and Discharging Patients This chapter covers what you need to know to get your patient data onto the monitor, how to transfer it from one monitor to another, and how to delete it. • Selecting the Patient Identification Menu......94 •...
  • Page 94: Selecting The Patient Identification Menu

    Selecting the Patient Identification Menu Selecting the Patient Identification Menu Press the Admit/Dischrg SmartKey (you may have to press to find this SmartKey, if it is configured). Step 1. Highlight the patient name at the top left of the screen (the date and time, and the default sets will be highlighted at the same time).
  • Page 95: Admitting A New Patient

    Admitting A New Patient Admitting A New Patient Centrally monitored patients can be admitted at the Information Center, or at the monitor. Changing In the Patient Identification menu (see “Selecting the Patient Identification the Patient Menu” on page 94). Identifica- Step 1.
  • Page 96 Admitting A New Patient If the patient category is not correct, then Step 6. Select Patient Cat. Step 7. Select the appropriate setting: Adult For adult patients. Pedi For pediatric patients. For neonatal patients. Changing The pacemaker setting can be changed at the Monitor or at the central. the Pace- maker Set- ting...
  • Page 97: Selecting A Quickset

    Selecting a QuickSet Selecting a QuickSet A QuickSet is a group of settings which has been defined and named in the hospital. There are four different QuickSets which can be defined to match four typical monitoring situations on your unit. (For Information on defining Quicksets see “Saving current settings to a Quick Set”...
  • Page 98: Transferring A Patient To Another Monitor

    Transferring A Patient To Another Monitor Transferring A Patient To Another Monitor Caution Make sure you do not need any of the trend data for the patient before you transfer the patient. Make sure you have a printout of the patient data before you transfer a patient. Transfer- You can only transfer a patient that is being centrally monitored.
  • Page 99 If the patient is centrally monitored, use the procedure described in ring the “Transferring a Centrally Monitored Patient” on page 98. Patient with The M3046A monitor supports data transfer to and from the Philips IntelliVue the Mea- family (M800xA) of patient monitors via the M3001A Measurement Server. surement...
  • Page 100: Admitting A New Patient

    Transferring A Patient To Another Monitor Attaching to If the patient data in the monitor and in the M3001A Measurement Server are the Same the same, measuring continues and you do not need to do anything. M3046A Monitor... Attaching to a If your biomedical department has not configured what happens when a New M3046A M3001A Measurement Server is attached to a new monitor, two sets of names...
  • Page 101 Transferring A Patient To Another Monitor To make the choice, select the patient identification menu and it will be presented again (see “Selecting the Patient Identification Menu” on page 94). Attaching to The behavior of a M3001A Measurement Server transferred from a M3046A to an IntelliVue a M800xA patient monitor is the same as if it were transferred to another Patient...
  • Page 102 Transferring A Patient To Another Monitor Transfer- If a patient is transferred from one bed to another with the monitor, there will be ring a no change if the patient is not centrally monitored. Patient with If a centrally monitored patient is transferred from one bed to another with the the Monitor monitor, two sets of names and identifications for that patient are displayed (one from the M3046A monitor and one from the Information Center).
  • Page 103: Discharging A Patient

    Discharging a Patient If you attach the measurement server to a monitor that is connected to the network, it could happen that the data does not match for all three. Discharging a Patient Caution Make sure you do not need any of the identification, trend, event, or setting data for the patient before you discharge them.
  • Page 104 Discharging a Patient Admitting and Discharging Patients...
  • Page 105: Discharging A Patient

    Discharging a Patient Admitting and Discharging Patients...
  • Page 106 Discharging a Patient Admitting and Discharging Patients...
  • Page 107: Communicating With The Information Center

    Communicating with the Information Center This chapter covers what you need to know about communicating with the Information Center; which data is transmitted, which messages may appear and which differences exist between stand-alone and networked monitors. • Which Networks are used with the M3046A? ....106 •...
  • Page 108: Which Networks Are Used With The M3046a

    Which Networks are used with the M3046A? Which Networks are used with the M3046A? There are two types of communication network which can be used with the monitor: a wired network or a wireless network. In a wired network the data is transferred through a cable and in a wireless network the data is transferred through radio waves.
  • Page 109: Optimizing Wireless Lan System Performance

    Which Networks are used with the M3046A? Optimizing Bedside monitors with a wireless LAN connection have their advantages, Wireless however the flexibility the wireless link offers is not without its challenges. The LAN System reliability and quality of the wireless signal transmission through the air and Performance hospital walls are governed by a number of variables that can be difficult to control.
  • Page 110: Interacting With The Information Center

    Interacting with the Information Center wireless bedside or access point. Any wireless device operating between 2.4 and 2.48 GHz can cause interference with the monitoring wireless LAN. Likely sources of interference include microwave ovens, other vendors' wireless LANs, wireless telephone headsets, certain cellular phones, handheld computers, and transceiver devices and wireless computer peripherals.
  • Page 111 Interacting with the Information Center 1. Wired network only. To connect a patient to the network, plug the LAN connector into the LAN socket on the rear of the monitor. Orange-framed LAN Connector When the patient is to be transported: –...
  • Page 112: Operating Remotely At The Information Center

    Interacting with the Information Center shown as follows: When the monitor is not in radio signal range when it is powered on, it starts in a non-networked mode. The network symbol is not shown and the patient is not centrally monitored. If the monitor then enters radio signal range while powered on, the monitor automatically makes a connection to the network.
  • Page 113 Interacting with the Information Center Printing To print reports remotely at the Information Center, you need to select the Reports remote printer in the Setup Printer window (see “Connecting a Printer” on page 335). Recording There are two types of recording which can be made at the Information Center: a Strips real-time recording and a delayed recording.
  • Page 114: Configuring The Monitor Label

    Configuring the Monitor Label Configuring the Monitor Label A monitor label can be entered to uniquely identify your monitor. It is displayed in the upper left corner of the display. When a monitor is connected to a network, the monitor label is replaced by a bed label assigned from the Information Center.
  • Page 115: Assigning The Monitor To A Care Group

    Assigned Central is not The Information Center is switched off or not available accessible No Central - check Ask Biomed department to check software software revision revisions Central cannot identify Contact your Philips support engineer. this bed Communicating with the Information Center...
  • Page 116: During Operation

    Troubleshooting the Connection to the Information Center During During operation, problems are indicated by INOP messages and changes in the Operation appearance of the network symbol. INOP / displayed symbol What to do No Central Monitoring For wired networks: check that the network cable is connected.
  • Page 117: Viewing Information For Other Patients From The Bedside

    Viewing Information for Other Patients from the Bedside Viewing Information for Other Patients from the Bedside If your monitor is connected to the Information Center, and the appropriate functionality is available, you can access status or even patient information from other monitors in your unit, or even from other units.
  • Page 118 Viewing Information for Other Patients from the Bedside Alarms are suspended for this monitor. This monitor is switched to standby. This monitor is in Demo mode. This monitor has lost connection to the Information Center. If the patient window is being displayed for a bed in the Care Group, the symbol for that monitor is displayed with a white border.
  • Page 119: Viewing Patient Information From Another Monitor

    Viewing Information for Other Patients from the Bedside Viewing If your monitor is connected to the Information Center, you can view the Patient numerics, waves, alarms and INOPs for a patient connected to another monitor. Information from Another Monitor Viewing To view the patient information for any patient connected to a monitor in your Patient Care Group:...
  • Page 120 Viewing Information for Other Patients from the Bedside • INOPS and alarms for the selected monitor rotating in the top row. • The ECG wave. Other waves are available by pressing the Next Wave softkey. • Large HR and SpO numerics, and small PVC and other numerics.
  • Page 121 Viewing Information for Other Patients from the Bedside Viewing Step 1. Access the list of monitors in your Care Group, as described in Patient “Viewing Patient Information from a Monitor in your Care Group” on Information for page 117. Monitors in Step 2.
  • Page 122 Viewing Information for Other Patients from the Bedside Communicating with the Information Center...
  • Page 123: Measuring The Ecg

    Measuring the ECG This chapter covers measuring ECG and how to set up your ECG measurement. At the end of the chapter you will find information on how to deal with common measurement problems (troubleshooting). • Considerations when Measuring ECG ......122 •...
  • Page 124: Considerations When Measuring Ecg

    Considerations when Measuring ECG Considerations when Measuring ECG Warning Warning DO NOT TOUCH THE PATIENT, OR TABLE OR INSTRUMENTS DURING DEFIBRILLATION Caution Use only ECG accessories listed in “ECG Accessories” on page 426. The heart symbol signifies that the applied parts and their components are of Type CF and defib.
  • Page 125 Preparing to Measure ECG c. Dry briskly to increase capillary blood flow in the tissues and remove skin cells and oil. Step 3. Attach the clips or snaps to the electrodes before placing them. Step 4. Place the electrodes on the patient. If you are not using pre-gelled electrodes, use electrode gel before placement.
  • Page 126: About Ecg Leads

    About ECG Leads About ECG Leads To make it possible to compare measured ECG signals, the electrodes (or lead sets) are placed in standardized positions, forming so-called “leads.” To obtain ECG signals optimized for use in diagnosis and patient management in different care environments, different lead sets in varying lead placements can be used.
  • Page 127: Placing The Electrodes For Measuring Ecg

    Placing the Electrodes for Measuring ECG Placing the Electrodes for Measuring ECG 5-Electrode Set: AAMI - Black IEC - Yellow AAMI - White IEC - Red AAMI - Brown IEC - White Color AAMI - Red (AAM AAMI - Green IEC - Green IEC - Black (IEC)
  • Page 128 Placing the Electrodes for Measuring ECG Step 1. Locate the 2nd intercostal space by first palpating the Angle of Lewis (the little bony protuberance where the body of the sternum joins the manubrium). This rise in the sternum is where the 2nd rib is attached, and the space just below this is the 2nd intercostal space.
  • Page 129: 3-electrode Set (standard)

    Placing the Electrodes for Measuring ECG 3-Electrode This electrode set is not suitable for the simultaneous measurement of more than one ECG lead. The monitor will turn off channels 2 and 3, and will select lead I, (Standard) II, or III for channel 1, if one of these was not already selected. AAMI - White IEC - Red AAMI - Black...
  • Page 130: 3-electrode Set (mcl 1 )

    Placing the Electrodes for Measuring ECG 3-Electrode Select Lead I for measuring the MCL Set (MCL As you will notice, you must attach electrode wires to areas of the chest that do not correspond with the electrode labels. Lead Selector in Lead I position) AAMI - White IEC - Red AAMI - Black...
  • Page 131: Placement For Paced Patients

    Placing the Electrodes for Measuring ECG Placement The pacemaker lead should give the best wave for paced patients for Paced Patients AAMI - Red IEC - Green AAMI - White IEC - Red AAMI - Black IEC - Yellow Typically the electrodes go below the nipple line, the RA and LA electrodes are placed at the 4th intercostal space.
  • Page 132 Placing the Electrodes for Measuring ECG When EASI lead placement is selected, EASI is shown beside the 1mV calibration bar on the ECG wave on the display, and EASI is marked on any recorder strips and printouts. EASI Monitoring During INOP Conditions: If one of the derived EASI leads has an INOP condition (for example, LEADS OFF ), a flat line is displayed.
  • Page 133: Recommended Placement For Surgical Patients

    Selecting the ECG Setup Warning Warning Recom- Use the orange 3 or 5 electrode ECG safety cable for measuring ECG in the mended operating room. These cables have extra circuitry to protect the patient Placement from burns during cautery, and they decrease electrical interference. for Surgical When using Electro-Surgical (ES) equipment, place the ECG electrodes Patients...
  • Page 134: Switching The Ecg Measurement On And Off

    Switching the ECG Measurement On and Off Switching the ECG Measurement On and Off In ECG setup (see “Selecting the ECG Setup” on page 131): Step 1. Select ECG On/Off. This defines whether ECG is to be measured or not. Step 2.
  • Page 135: Selecting The Volume Of The Tone

    Selecting the Volume of the Tone AUTO If an ECG signal is available, the Heart Rate is derived from it. If there is no ECG signal (even if the ECG is switched on), and an invasive blood pressure transducer is connected, with an appropriate, pulsatile invasive blood pressure selected, this is selected for the Pulse Rate.
  • Page 136: Changing The Heart Rate Alarm Limits

    Changing the Heart Rate Alarm Limits Step 1. Press the Setup key. Step 2. Move the highlight to “QRS Volume”. Step 3. Press on the TouchStrip. Step 4. Select the appropriate setting for the QRS volume. Step 5. Exit the Setup menu. Changing the Heart Rate Alarm Limits In ECG setup (see “Selecting the ECG Setup”...
  • Page 137: Enabling Or Disabling Ecg Heart Rate Alarm

    Choosing EASI or Standard Lead Placement Enabling or In ECG setup (see “Selecting the ECG Setup” on page 131): Disabling Step 3. Select Alarms. This defines whether the heart/pulse rate alarm is ECG Heart enabled. Rate Alarm Step 4. Select the appropriate setting The alarms are enabled The alarms are disabled.
  • Page 138: Warnings For Paced Patients

    Switching Pace Pulse Rejection On and Off Patient” on page 95). The pacing status is indicated by the appearance of the “Paced” or “Non-paced” symbol at the top of the main screen. Non-Paced Paced Symbol Symbol Warnings Some pace pulses can be difficult to reject. When this happens, the pulses for Paced are counted as a QRS complex, and could result in an incorrect HR and Patients...
  • Page 139 Switching Pace Pulse Rejection On and Off • When an external pacemaker 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 140: Switching Pace Pulse Rejection On And Off

    Switching Pace Pulse Rejection On and Off Switching In ECG setup (see “Selecting the ECG Setup” on page 131): Pace Pulse Step 1. Select Paced. This sets whether the pace pulse rejection is on or off. Rejection On and Off Warning The pace pulse rejection must be switched on for paced patients.
  • Page 141: Setting Up The Ecg Wave

    Setting up the ECG Wave Setting up the ECG Wave See see “Selecting a Wave for the Screen” on page 44 for information on how to get the ECG wave onto the screen. Selecting Step 1. Highlight the ECG wave by lightly touching the TouchStrip beside it the ECG Step 2.
  • Page 142 Setting up the ECG Wave • For a 5-electrode set, select the appropriate setting from among I, II, III, aVR, aVL, aVF, V and MCL See “For accurate V electrode placement...” on page 125 for information on the V lead, and “3-Electrode Set (MCL1)” on page 128 for information on the MCL lead.
  • Page 143 Tall, narrow, and above or below the baseline (not biphasic) • T-wave smaller than R-wave; P-wave smaller than T-wave. Synchronization If an Philips defibrillator is connected, the synchronization marks (vertical lines Marks for a just after the QRS-complex) are also shown on the ECG wave. Defibrillator On a printout, the marker is indicated by a spike on the wave rising to the upper limit of the channel.
  • Page 144: Changing The Size Of The Ecg Wave

    Setting up the ECG Wave Pace Pulse When pace pulse detection is on, the pace pulse is shown on the ECG wave as a Marks small dash (except in the third channel). Changing If the ECG wave is too Small or Clipped: the Size of In ECG wave channel setup (see “Selecting the ECG Wave Channel Setup”...
  • Page 145: Changing The Speed Of The Ecg Wave

    Setting up the ECG Wave Select the appropriate setting: Filter Use this if the signal is distorted, it reduces interference to the signal. In the operating room this reduces the artifact and interference from electrosurgical units. If the autofilter is configured to on and monitor or diagnostic is selected, it will automatically switch to filter if electrosurgical interference is detected.
  • Page 146: Selecting Ecg Cascading Through Empty Waves

    Troubleshooting the ECG Measurement Selecting In ECG wave channel setup (see “Selecting the ECG Wave Channel Setup” on page 139): Cascading Step 1. Select Cascading. This defines whether the ECG wave scrolls into through empty channels. Empty Step 2. Select the appropriate setting: Waves The ECG wave is extended into empty channels.
  • Page 147 Troubleshooting the ECG Measurement If the heartrate is being derived from the ECG: Check at the top left of the screen for a technical alarm message (an INOP).: ECG EQUIP MALF Contact your biomedical department. The ECG hardware is faulty. LEADS OFF Check that all of the required leads are attached, and that none of the electrodes have been...
  • Page 148 Troubleshooting the ECG Measurement Measuring the ECG...
  • Page 149: Monitoring Arrhythmia

    Monitoring Arrhythmia This chapter describes the ST/AR arrhythmia algorithm and how to set up the arrhythmia analysis. It includes the following sections: • Introduction..........148 •...
  • Page 150: Introduction

    Introduction Introduction The intended use of the ST/AR arrhythmia algorithm is to monitor a neonatal, pediatric, and adult patient's ECGs for heart rate and ventricular arrhythmias and produce alarms for one ECG lead. The ST/AR arrhythmia algorithm is capable of monitoring both paced and non-paced patients. You can use arrhythmia analysis to aid in assessment of a patient’s condition (for example, heart rate, PVC rate, rhythm, ectopics) and manage treatment accordingly.
  • Page 151: Levels Of Arrhythmia Analysis

    Levels of Arrhythmia Analysis Levels of Arrhythmia Analysis The number of rhythms being classified and alarms being called depends on whether your monitor has basic or enhanced arrhythmia capability. The sections that follow describe each of these options. Note When a monitor is connected to an Information Center, the level of arrhythmia analysis may differ between the monitor and the Information Center.
  • Page 152: Enhanced Arrhythmia

    Levels of Arrhythmia Analysis Enhanced The enhanced arrhythmia capability configuration provides all of the basic Arrhythmia functions, as well as the detection of the 12 additional alarms listed below. Basic Alarms • Asystole • Ventricular Fibrillation • Ventricular Tachycardia • Extreme Tachycardia •...
  • Page 153: Ensuring Accurate Arrhythmia Monitoring

    Levels of Arrhythmia Analysis Ensuring For accurate arrhythmia monitoring make sure the ECG wave is optimized for Accurate arrhythmia monitoring by performing the following steps: Arrhythmia Step Action Monitoring Check the arrhythmia alarm limits in the Arrhythmia Setup (see “Selecting the Arrhythmia Setup” on page 159). In the ECG Setup make sure the setting is correct (see Paced...
  • Page 154 Levels of Arrhythmia Analysis Step Action If you don't agree with how beats are labelled, you can cause arrhythmia to relearn the ECG by: • pressing the Relearn SmartKey, or • selecting Relearn Arrhythmia in the Setup Arrhythmia window, or •...
  • Page 155 Levels of Arrhythmia Analysis Example of The graphic below shows an ECG optimized for arrhythmia monitoring of a Good Non- non-paced patient. Paced ECG Normal Beat Normal QRS: • Tall, narrow, with R-wave above or below the baseline (if possible, not biphasic) •...
  • Page 156: Alarm Priorities And Timeout Periods

    Alarm Priorities and Timeout Periods Alarm Priorities and Timeout Periods Normally, an arrhythmia alarm is generated upon the detection of an alarm condition. However, there are certain situations that can inhibit the audible and visible indications of the alarm even though the alarm condition was detected. These situations include: •...
  • Page 157: Clearing The Timeout Period

    Alarm Chaining Clearing the The timeout period is cleared if it is ended, main alarms are switched on or a Timeout learning phase occurs. Period Note— A superseding alarm does not clear the timeout period. Alarm Chaining Overview For arrhythmia alarms, the presence of multiple alarm conditions is quite possible.
  • Page 158: Alarm Announcing

    Alarm Chaining Alarm The monitor displays and announces the most recent equal or highest priority Announcing alarm unless the alarm is in a timeout period. • Life threatening (red) alarms are announced first, since they have the highest priority. • If there are no life threatening alarm conditions active, the highest priority alarm in any chain is announced.
  • Page 159: Alarm Priority Chains

    Alarm Chaining Alarm Enhanced Arrhythmia Priority The diagram below shows the alarm priority chains for enhanced arrhythmia. Chains The alarms in each category are prioritized according to the level of seriousness. (RED ALARMS) Asystole V-FIB/TACH V-Tach Extreme Tachy Extreme Brady (YELLOW ALARMS) PVC Alarms Beat Detection Alarms...
  • Page 160 Alarm Chaining (RED ALARMS) Asystole V-FIB/TACH V-Tach Extreme Tachy Extreme Brady (YELLOW ALARMS) Beat Detection Alarms High Pacer Not Capture Pacer Not Pace HR>xxx HR<xxx First Level timeout period Second level timeout period PVCs>xx/Min Monitoring Arrhythmia...
  • Page 161: Selecting The Arrhythmia Setup

    Selecting the Arrhythmia Setup Selecting the Arrhythmia Setup Step 1. Highlight the PVC numeric and press on the TouchStrip. Step 1. Press the Setup key. Step 2. Move the highlight to “Arrhythmia”. Step 3. Press on the TouchStrip. Step 1. Go into ECG setup (see“Selecting the ECG Setup” on page 131). Step 2.
  • Page 162: Selecting Single- Or Multi-lead Analysis

    Selecting Single- or Multi-Lead Analysis Note 1. When arrhythmia analysis is switched off, only the HR-related alarms in the following list will be detected: • Asystole • Ventricular fibrillation/Ventricular tachycardia • Extreme Tachycardia • Extreme Bradycardia • High heart rate •...
  • Page 163: Reviewing Beat Labels

    Reviewing Beat Labels Reviewing Beat Labels In arrhythmia setup (see “Selecting the Arrhythmia Setup” on page 159): Step 1. Press the SmartKey Arrhy Annot or select Annotate Wave. You get a wave that is delayed by 6 seconds along with the beat labels. If you don’t agree with how beats are labelled, you can cause arrhythmia to relearn the ECG by selecting Relearn Arrhythmia or pressing the Relearn SmartKey (see “Relearning Arrhythmia”...
  • Page 164: Changing The Arrhythmia Alarm Limits

    Changing the Arrhythmia Alarm Limits Changing the Arrhythmia Alarm Limits The following Alarms have limits which can be adjusted: Alarm Range Asystole Alarm Threshold 2.5 to 4.0 sec Pause Alarm Threshold 1.5 to 2.5 sec Vtach: HR setting 20 - 300 bpm Run setting 3 - 99 PVCs PVCs/min...
  • Page 165 Changing the Arrhythmia Alarm Limits Each event is represented by a zone bounded by 2 or more lines. Each line represents a user adjustable limit (in Setup) or range (Config Mode) except for the Pair PVC condition. *** Vtach ** Non-Sustain VT Pair Pair ** Run PVCs...
  • Page 166: Switching Arrhythmia Alarms On And Off

    Switching Arrhythmia Alarms On and Off Switching Arrhythmia Alarms On and Off Switching The following alarms can be individually switched on and off: Alarms On • NON-Sustain VT and Off • Vent Rhythm Individually • Run PVCs • Pair PVCs •...
  • Page 167: Status Messages

    Status Messages Status Messages The monitor displays two types of status messages: • Rhythm Messages -- to indicate the patient’s rhythm. • Ectopic Status Messages -- to indicate the presence of ectopic beats (if present). These status messages are shown directly in the first ECG wave channel and are updated every second.
  • Page 168 Status Messages Basic Message Description /Enh. PACED RHYTHM A dominant rhythm of paced beats IRREGULAR HR Consistently irregular rhythm SINUS BRADY* A dominant rhythm of SV beats preceded by P-waves SINUS RHYTHM* SINUS TACHY* SV BRADY* A dominant rhythm of SV beats not preceded by P- SV RHYTHM* waves SV TACHY*...
  • Page 169: Ectopic Status Messages

    Status Messages Ectopic The label E or B in the second column below indicates whether the message Status appears with enhanced (E) arrhythmia capability only or also with basic (B) Messages arrhythmia capability. Basic Message Explanation /Enh (No message displayed) No ectopic activity within the last minute RUN PVCs [longest run in More than 2 consecutive PVCs within the last...
  • Page 170: Troubleshooting The Arrhythmia Analysis

    Troubleshooting the Arrhythmia Analysis Basic Message Explanation /Enh SV BEATS [number of SVs SV count within last minute (if 0 this in last minute] message is blank) and rhythm status is PACED PACED BEATS [number of Paced beat count within last minute (if 0 this paced beats in last minute] message is blank) and rhythm status is not PACED...
  • Page 171: Monitoring St Segment

    Monitoring ST Segment This chapter describes the ST/AR ST algorithm and how to set up the ST measurement. It includes the following sections: • Introduction..........170 •...
  • Page 172: Introduction

    Introduction Introduction The intended use of the ST Segment Monitoring is to monitor ST segment elevation or depression for each available ECG lead and produce alarms simultaneously. ST values update with every measurement period and enunciate alarms as they are detected. ST Segment monitoring is restricted to adult patients only and cannot be switched on when a patient category other than adult is selected.
  • Page 173: The Measurement

    Introduction The ST measurement for each beat complex is the vertical difference between Measurement two measurement points. The isoelectric point provides the baseline for the measurement and the ST point provides the other measurement point. It is positioned with reference to the J-point. Warning Warning This device provides ST level change information;...
  • Page 174: Selecting The St Setup

    Selecting the ST Setup Selecting the ST Setup Step 1. Highlight one of the ST values under the first ECG channel and press on the TouchStrip. Step 1. Press the Setup key. Step 2. Move the highlight to ST Analysis. Step 3.
  • Page 175 Adjusting the measurement points Step 1. Get into the ST Setup (see “Selecting the ST Setup” on page 172). Step 2. Select Adjust Points. Step 3. If you need to adjust the ISO (isoelectric) point: • Using the arrow keys, position the bar in the middle of the flattest part of the baseline (between the P and Q waves or in front of the P wave) Step 4.
  • Page 176: Switching St On And Off

    Switching ST On and Off Switching ST On and Off In the ST setup you can switch ST monitoring on and off for individual or all ECG leads. You would turn ST monitoring off if: • You are unable to get any lead that is not noisy. •...
  • Page 177: Changing The St Alarm Limits

    Changing the ST Alarm Limits Changing the ST Alarm Limits For each lead, high and low alarm limits can be set. In ST setup (see “Selecting the ST Setup” on page 172): Step 1. Select the alarm to be adjusted. Step 2.
  • Page 178 Troubleshooting the ST Measurement Monitoring ST Segment...
  • Page 179: Measuring Respiration Rate (resp)

    Measuring Respiration Rate (RESP) This chapter covers measuring respiration and how to set up your respiration measurement. At the end of the chapter you will find information on how to deal with common measurement problems (troubleshooting). • Preparing to Measure Respiration......178 •...
  • Page 180: Preparing To Measure Respiration

    Preparing to Measure Respiration Preparing to Measure Respiration Caution Use only non-OR ECG accessories listed in “ECG Accessories” on page 426. You cannot measure respiration if you are using an OR ECG cable set. If you are already measuring ECG, and are not using an orange (OR) cable set, you do not need to use additional electrodes, but extra care must be taken in the electrode placement.
  • Page 181: Placing The Electrodes For Measuring Respiration

    Placing the Electrodes for Measuring Respiration the Electrodes for Measuring ECG” on page 125, and for measuring respiratory see “Placing the Electrodes for Measuring Respiration” on page 179. Step 4. Attach the electrodes to the patient cable. Step 5. Switch the monitor on, if it is not already on. Placing the Electrodes for Measuring Respiration If the patient is using the thoracic muscles, you can use the electrode placement shown here:...
  • Page 182 Placing the Electrodes for Measuring Respiration 3-Electrode Set AAMI - White IEC - Red AAMI - Black IEC - Yellow AAMI - Red IEC - Green Note Some patients, due to their clinical condition, expand their chest laterally. In these cases it is best to place the two respiratory electrodes laterally in the right midaxillary and left lateral chest areas at the maximum point of breathing movement to optimize the respiratory wave.
  • Page 183: Selecting The Respiration Setup

    Selecting the Respiration Setup Selecting the Respiration Setup Step 1. Highlight the Resp numeric and press on the strip. Step 1. Press the Setup key. Step 2. Move the highlight to “Resp”. Step 3. Press on the strip. When you are finished with the Resp Setup, press the Main Screen key. Selecting the Respiration Source and Switching Respiration On/ If Respiration and CO are measured, two respiration rates are available.
  • Page 184: Changing How Respiration Is Detected

    Changing how Respiration is Detected Changing how Respiration is Detected In RESP Setup (see “Selecting the Respiration Setup” on page 181). Step 1. Select Auto/Man. This defines how the respiration is counted. Step 2. Select the appropriate setting: Auto The monitor counts the respiration and adjusts the detection level automatically depending on the wave height, the presence of cardiac artifact and the absence of valid breaths.
  • Page 185: Adjusting The Manual Respiration Detection Level

    Changing how Respiration is Detected Adjusting If you have selected Manual detection: the Manual Step 1. Select Respiration setup (see “Selecting the Respiration Setup” on Respiration page 181). Detection Step 2. Select Manual Up or Manual Down. This changes the trigger Level level.
  • Page 186: Setting Up The Respiration Wave

    Setting Up the Respiration Wave Setting Up the Respiration Wave See “Selecting a Wave for the Screen” on page 44 for information on how to get the respiration wave onto the screen. Warning Warning Changing Check the respiration detection level after you have increased or decreased the Size of the size of the respiration wave.
  • Page 187: Changing The Apnea Alarm Delay

    Setting Up the Respiration Alarm Changing In RESP setup (see “Selecting the Respiration Setup” on page 181): the Apnea Step 1. Select Apnea to set the time limit before the alarm is indicated if the Alarm Delay patient stops breathing. Step 2.
  • Page 188: Troubleshooting The Respiration Measurement

    Troubleshooting the Respiration Measurement Troubleshooting the Respiration Measurement If the RR Check at the top left of the screen for a technical alarm message (an INOP). Numeric is RESP ERRATIC Make sure that the electrode is making good Still being contact to the skin.
  • Page 189: Measuring Non-invasive Blood Pressure (nbp)

    Measuring Non-invasive Blood Pressure (NBP) This chapter covers measuring NBP and how to set up your NBP measurement. At the end of the chapter you will find information on how to deal with common measurement problems (troubleshooting). • Preparing to Measure NBP ........188 •...
  • Page 190: Preparing To Measure Nbp

    Preparing to Measure NBP Preparing to Measure NBP Warning Warning Before starting a NBP measurement, make sure that you have selected the correct patient size setting for your patient. Warning Warning Do not use the NBP cuff on a limb that has an intravenous infusion or catheter in place.
  • Page 191 Preparing to Measure NBP Step 1. Make sure that you can use NBP on the patient. The measurement needs a regular arterial pressure pulse, if this is hard to detect, the measurement becomes unreliable and the measurement time increases. The following conditions interfere with the detection of the arterial pressure pulse: Patient Movement: if the patient is moving, shivering or having convulsions.
  • Page 192 Preparing to Measure NBP Long Life Reusable and Disposable Blood Pressure Cuffs Patient Limb Bladder Tubing Category Circumference Width Reusable Disposable Infant 10 to 15cm 5.5cm M1571A M1874A M1598B Pediatric 14 to 21.5cm M1572A M1875A (1.5m) Small 20.5 to 28cm 10.5cm M1573A M1876A...
  • Page 193 Preparing to Measure NBP The inflatable part of the cuff should be long enough to encircle at least 80% of the limb. The wrong size of cuff can cause inaccurate measurements. Step 4. Apply the blood pressure cuff to the patient’s arm or leg. The limb used for taking the measurement should be at the same level as the patient’s heart.
  • Page 194: Starting And Stopping Nbp Measurements

    Starting and Stopping NBP Measurements... – Make sure that air can pass through the tubing, and that it is not squeezed or kinked, or in any way compressed or restricted. – Inspect the application site regularly to ensure skin quality and inspect the extremity of the limb with the cuff for normal color, warmth and sensitivity.
  • Page 195: Making A Single Nbp Measurement

    Starting and Stopping NBP Measurements... Making a Step 1. Select NBP setup (see “Selecting the NBP Setup” on page 197) Single NBP Step 2. Make sure that manual measurement is enabled. Measure- If it isn’t ment a. Select Auto/Man. This enables or disables the manual measurement. b.
  • Page 196: Making Automatic Nbp Measurements

    Starting and Stopping NBP Measurements... • select “Start/Stop STAT” in NBP Setup (see “Selecting the NBP Setup” on page 197). To stop the measurement immediately, • press the “NBP STAT” SmartKey again, or • press the Start/Stop SmartKey, or press the Start/Stop key on the Measurement Server, or •...
  • Page 197: Using The Nbp Cuff To Occlude Blood Vessels

    Starting and Stopping NBP Measurements... – press the “Start/Stop” SmartKey on the monitor (you may have to press to find this SmartKey, if it is configured), or – select “Start/Stop NBP” in NBP Setup (see “Selecting the NBP Setup” on page 197). While the automatic NBP measurement is active, the repeat time is displayed beside the measurement mode (see “Understanding the NBP Numerics”...
  • Page 198: Understanding The Nbp Numerics

    Starting and Stopping NBP Measurements... During venipuncture, the NBP display shows the inflation pressure of the cuff. Measurement Mode mmHg (60) Cuff Pressure The cuff will deflate automatically after a set time (adult/pediatric 170 seconds, neonatal 85 seconds) if you do not deflate it. Understand- ing the NBP Cuff Pressure...
  • Page 199: Selecting The Nbp Setup

    Selecting the NBP Setup • If the cuff is placed higher than the heart level, – add 0.75mmHg (0.10kPa) to the displayed value for each centimeter difference – add 1.9mmHg (0.25kPa) for each inch difference. • If the cuff is placed lower than the heart level, –...
  • Page 200: Setting Up The Nbp Alarms

    Setting Up the NBP Alarms Setting Up the NBP Alarms Changing In NBP setup (see “Selecting the NBP Setup” on page 197): the alarm Step 1. Select Alarms from. to define the measurement for which the limits. alarm limits are being set. Step 2.
  • Page 201: Enabling The Alarms

    Setting Up the NBP Alarms The alarm limit ranges are the same as the measurement ranges given in the table below. Adult Pediatric Neonatal Systolic 30 to 30 to 30 to Measurement and 270mmHg 180mmHg 130mmHg Alarm Limit Range (4.0 to (4.0 to (4.0 to 36.0kPa)
  • Page 202: Troubleshooting The Nbp Measurement

    Troubleshooting the NBP Measurement Troubleshooting the NBP Measurement If the NBP Check at the top left of the screen for a technical alarm message (an INOP). Numeric CUFF NOT DEFLATED Disconnect the cuff from the Measurement Shows -?- Server, or remove from the patient. You can Silence the INOP, but it remains until the next measurement is started or the Stop All SmartKey is pressed.
  • Page 203 Troubleshooting the NBP Measurement NBP EQUIP MALF Make sure that the rubber tube to the NBP cuff, or the cuff itself, is not kinked. Check the tubing and cuff for leakages. If it is kinked and there are no leaks, contact your biomedical department.
  • Page 204 Troubleshooting the NBP Measurement Measuring Non-invasive Blood Pressure (NBP)
  • Page 205: Measuring Pressure, Invasively (press)

    Measuring Pressure, Invasively (PRESS) This chapter covers measuring invasive pressure and how to set up your invasive pressure measurement. At the end of the chapter you will find information on how to deal with common measurement problems (troubleshooting). • Preparing to Measure Pressure .......204 •...
  • Page 206: Preparing To Measure Pressure

    Preparing to Measure Pressure Preparing to Measure Pressure Caution Use only pressure transducers listed in “PRESS Accessories” on page 434. The specified transducers are designed to have special protection against electric shocks (particularly regarding allowable leakage currents), and are defibrillator proof and can be used during electrosurgery.
  • Page 207 Preparing to Measure Pressure Step 2. Prepare the pressure line and transducer by flushing the system with the solution to be infused. Make sure that the system is free of air bubbles. Step 3. Connect the patient catheter to the pressure line. Make sure that there is no air present in the catheter, line or transducer dome.
  • Page 208: Selecting A Label (and The Label Dependent Settings)

    Preparing to Measure Pressure Selecting a Step 1. Make sure the correct label has been selected. Label (and Note— The label automatically uses the scales, color, and alarm limits and the Label other settings for that label. Dependent The settings for pulse derived from the pressure measurement are not Settings) affected by changing the label.
  • Page 209: Zeroing The Transducer

    Preparing to Measure Pressure Caution If liquid (other than the solution used to infuse the pressure line and transducer) is spilled on the equipment or accessories, particularly if there is a chance that this liquid could get inside the transducer or the Measurement Server, contact your biomedical department.
  • Page 210 Preparing to Measure Pressure Press the Zero SmartKey on the monitor (you may have to press to find this SmartKey, if it is configured). Note: If you have a Measurement Server Extension (M3015A or M3016A) connected, using the Zero SmartKey or the ZERO key on the Measurement Server will zero both pressures if they are switched on.
  • Page 211: Selecting The Pressure Setup

    Selecting the Pressure Setup unable to zero - timed out Try pressing the Zero key again. If this does not work, replace the transducer and contact your biomedical department. unable to zero - unstable Make sure there are no disturbances to the signal transducer, and repeat the zeroing.
  • Page 212: Setting Up The Pressure Wave

    Setting Up the Pressure Wave If you get a prompt message saying equip malf - cannot PRESS switch on, you should contact your biomedical department. The pressure hardware is faulty. Setting Up the Pressure Wave See “Selecting a Wave for the Screen” on page 44 for information on how to get the pressure wave onto the screen.
  • Page 213: Non-physiological Artifact Suppression

    Setting Up the PRESS Alarms Non- Some clinical procedures may affect blood pressure, for example, a flush Physiological procedure or a blood sample. Your monitor may be configured to suppress these Artifact non-physiological artifacts for a specified duration (ArtifSuppr) is Suppression configured to 30, 60, or 90 seconds).
  • Page 214: Enabling The Alarms

    Setting Up the PRESS Alarms Step 1. Select Alarms from to define the measurement for which the alarm limits are being set. Step 2. Select one of the following: Use this when you want to monitor the systolic pressure for alarm conditions.
  • Page 215: Setting Press As The Source For The Pulse

    Calibrating a Disposable Transducer (M1567A/M1568A) Step 1. Select Alarms. This defines whether the pressure alarms derived from selected measurement are enabled. Step 2. Select the appropriate setting. The alarms are enabled The alarms are disabled. The crossed bell symbol ( ) will be displayed instead of the alarm limits.
  • Page 216: Calibrating A Cpj840j6 Transducer

    Calibrating a CPJ840J6 Transducer Step 1. Zero the transducer. a. Turn off the patient stopcock. b. Vent the transducer to atmospheric pressure. c. Press the ZERO key on the Measurement Server Press the Zero key on the monitor. d. When the prompt tone and the message PRESS zero done at date and time appear, close the stopcock to atmospheric pressure e.
  • Page 217: Doing A Mercury Calibration

    Calibrating a CPJ840J6 Transducer Doing a To do this calibration, you will need Mercury • A standard sphygmomanometer. Calibration • A sterile 10cc syringe with heparinised solution. • A 3-way stopcock. • Approximately 25cm of tubing. Warning Warning Never perform the invasive pressure calibration while a patient is being measured.
  • Page 218 Calibrating a CPJ840J6 Transducer Step 2. Connect the syringe and manometer. a. Attach the tubing to the manometer. b. Connect the 3-way stopcock to the stopcock that would not be connected to the patient catheter when you were measuring a patient. c.
  • Page 219 Calibrating a CPJ840J6 Transducer Step 4. Recalculate the calibration factor. a. Select the pressure setup by moving the highlight to the PRESS numeric and pressing on the strip. b. Select Cal. Press. from the menu. c. Select the calibration pressure from the list. d.
  • Page 220: Troubleshooting The Pressure Measurement

    Troubleshooting the Pressure Measurement Troubleshooting the Pressure Measurement If the Check at the top left of the screen for a technical alarm message (an INOP). Pressure REDUCE SIZE Increase the scale for the pressure wave. (see Numeric is PRESS “Changing the Size of the Pressure Wave” on Displayed page 210).
  • Page 221: If The Pulse Numeric Shows

    Troubleshooting the Pressure Measurement ZERO + CHECK Perform a zero (see “Zeroing the Transducer” on PRESS page 207), and check the calibration of the transducer (see “Calibrating a CPJ840J6 Transducer” on page 214). 1 PRESS is replaced by the selected pressure label. If the Pulse •...
  • Page 222 Troubleshooting the Pressure Measurement Measuring Pressure, Invasively (PRESS)
  • Page 223: Measuring The Oxygen Saturation Of Arterial Blood (spo 2 )

    Measuring the Oxygen Saturation of Arterial Blood (SpO This chapter covers measuring SpO and how to set up your SpO measurement. At the end of the chapter you will find information on how to deal with common measurement problems (troubleshooting) •...
  • Page 224: Preparing And Measuring Spo

    SpO transducers have a limited lifetime. If you handle your transducer with care, you can expect to be able to use it for up to two years. Philips Medical Systems’ warranty agreement does not apply to defects arising from improper use.
  • Page 225 Adult Adult Adult Adult Adult Adult Pedi Pedi Pedi Pedi Pedi Infant Philips Philips Oxisensor OxiCliq/ Part Nr: OxiMax MAX- Disposable Reusable Transducers Transducers Find the patient’s weight on the vertical axis of the chart. The heavy-bordered areas at this weight indicate that the transducer on the Best Choice horizontal axis is a “best choice”...
  • Page 226 Preparing and Measuring SpO For example, the best reusable transducer for 35kg pediatric is the M1192A, applied to the toe or finger. Alternatively, you could use M1194A applied to the ear. The two types of transducer are: Disposable Disposable transducers must not be reused on different patients.
  • Page 227 Preparing and Measuring SpO Warning Warning 1. Avoid placing the transducer on any extremity with an arterial catheter, or intravascular venous infusion line. 2. Make sure the light emitter and the photo detector are directly opposite each other and that all of the light from the emitter passes through the patients tissue.
  • Page 228: Applying The Reusable Transducers

    Applying the Reusable Transducers Caution Do not use more than 1 extension cable (M1941A). Step 5. While measuring SpO , you should be aware of the following things: Warning Warning Inspect the application site every 2 to 3 hours to ensure skin quality and correct optical alignment.
  • Page 229 Applying the Reusable Transducers The cable can be held in place by the accompanying wristband. Keep the cable between the transducer and the wristband fairly loose, to protect the transducer and to maintain good measuring conditions. The Pediatric Push the transducer over the fingertip so that the fingertip touches, but does not Finger protrude from the end of the transducer.
  • Page 230 Applying the Reusable Transducers The cable can be held in place by tape if the patient is moving. Keep the cable between the transducer and the tape fairly loose, to protect the transducer and to maintain good measuring conditions. The Neonatal Step 1.
  • Page 231: Selecting The Spo 2 Setup

    Selecting the SpO Setup with the clip well over the edge of the earlobe so that the measuring parts are on the inner part of the earlobe. The plastic fixing mechanism helps to minimize artifact created by patient motion. Do not position the probe on cartilage or where it presses against the head.
  • Page 232: Setting Up The Tone Modulation

    Setting Up the Tone Modulation Step 1. Select SpO On/Off. This defines whether SpO is to be measured or not. Step 2. Select the appropriate setting: will be measured. You can only switch the SpO on if a sensor is connected. will not be measured.
  • Page 233: Setting Up The Spo Alarms

    Setting Up the SpO Alarms Step 1. Select Volume. This defines the volume of the tone that is to be heard each time a pulse is detected. Step 2. Select the appropriate setting: from 0 = “off” to 10 = “very loud” Setting Up the SpO Alarms offers high and low limit alarms, and a high priority desaturation alarm.
  • Page 234: Adjusting The Desaturation Alarm Limit

    Setting Up the SpO Alarms Adjusting the The Desat alarm is a high priority (red) alarm notifying you of potentially life Desaturation threatening drops in oxygen saturation. Alarm Limit Step 1. In the Setup SpO menu, select Desat Limit. Step 2. Select the appropriate setting. Enabling the In SpO setup (see “Selecting the SpO...
  • Page 235: Setting Up The Pleth Wave

    Setting Up the Pleth Wave Setting Up the Pleth Wave See “Selecting a Wave for the Screen” on page 44 for information on how to get the pleth wave onto the screen. The size of the pleth wave indicates the signal quality of the SpO measurement.
  • Page 236: Troubleshooting The Spo /pleth Measurement

    Troubleshooting the SpO /PLETH Measurement Troubleshooting the SpO /PLETH Measurement If the Pulse • If the pulse is being derived from an invasive pressure measurement, see Numeric “If the Pressure and Pulse Numerics Show -?-” on page 218. Shows -?- •...
  • Page 237 Troubleshooting the SpO /PLETH Measurement NO TRANSDUC Make sure the SpO transducer is connected. If you Silence this INOP, the measurement will be switched off. NOISY SIGNAL Try to reduce patient movement, or to relieve the cable strain on the transducer (for example, the wrist strap for the finger transducer) This INOP arises when excessive patient Note—...
  • Page 238 Troubleshooting the SpO /PLETH Measurement Measuring the Oxygen Saturation of Arterial Blood (SpO...
  • Page 239: Measuring Temperature (temp)

    Measuring Temperature (TEMP) This chapter covers measuring temperature and how to set up your temperature measurement. At the end of the chapter you will find information on how to deal with common measurement problems (troubleshooting). • Preparing to Measure Temperature......238 •...
  • Page 240: Preparing To Measure Temperature

    Preparing to Measure Temperature Preparing to Measure Temperature Caution Use only temperature probes listed in “TEMP Accessories” on page 437. Step 1. Select the correct type and size of probe. See “TEMP Accessories” on page 437 for a list of the probes that can be used with the Measurement Server.
  • Page 241: Selecting The Temp Setup

    Selecting the TEMP Setup Selecting the TEMP Setup Step 1. Highlight the TEMP numeric and press on the TouchStrip. Step 1. Press the Setup key. Step 2. Move the highlight to “TEMP”. Step 3. Press on the strip. When you are finished with the TEMP Setup, press the Main Screen key. Switching the TEMP Measurement On The temperature measurement is switched on automatically when you plug in the temperature transducer.
  • Page 242: Changing The Temp Label

    Changing the TEMP Label Changing the TEMP Label If more than one Temperature is measured, labels that are assigned to one temperature channel cannot be selected for the other temperature channel to avoid duplicate labels. From the TEMP Setup menu (see “Selecting the TEMP Setup” on page 239) Step 1.
  • Page 243: Switching The ∆temp Measurement On

    Switching the ∆TEMP Measurement On ∆ Switching the TEMP Measurement On The ∆ TEMP calculation is switched on automatically when you plug in two temperature probes. If the probes are connected, you can switch the calculation on or off in ∆TEMP setup (see “Selecting the D TEMP Setup”...
  • Page 244: Setting Up The Temp Alarms

    Setting Up the TEMP Alarms Setting Up the TEMP Alarms Changing In TEMP setup (see “Selecting the TEMP Setup” on page 239): the alarm Step 1. Select High Limit if you want to set the upper alarm limit for the limits.
  • Page 245: Troubleshooting The Temp Measurement

    Troubleshooting the TEMP Measurement Troubleshooting the TEMP Measurement If the TEMP Check at the top left of the screen for a technical alarm message (an INOP). Numeric EQUIP MALF Contact your biomedical department. Shows -?- TEMP The temperature hardware is faulty. NO TRANSDUCER Make sure the TEMP probe is connected to the TEMP Measurement Server.
  • Page 246 Troubleshooting the TEMP Measurement Measuring Temperature (TEMP)
  • Page 247: Measuring Carbon Dioxide Using The Mainstream Method (m3016a)

    Measuring Carbon Dioxide Using the Mainstream Method (M3016A) There are two measurement methods for CO • the Mainstream measurement using the M3016A Extension (Option #A01) to the Multi-Measurement Server. • the Microstream (sidestream) measurement using the M3015A Extension to the Multi-Measurement Server. This chapter covers measuring CO using the Mainstream method and how to set up your CO...
  • Page 248: The Co 2 Measurement

    The CO Measurement The CO Measurement The M3016A Option #A01 Measurement Server Extension, together with the M1460A transducer and M1465A/14363A Airway adapter, measures the partial pressure of carbon dioxide in the patient’s airway. It is intended for use with ventilated adult, pediatric and neonatal patients. From the partial pressure measurement the end tidal carbon dioxide (EtCO ) is derived.
  • Page 249: Preparing To Measure Co

    Preparing to Measure CO Preparing to Measure CO Warning should not be measured in the presence of aerosolized pharmaceuticals. Before CO measurement is used for the first time, the altitude must be set to the correct value. An incorrect altitude setting will result in incorrect CO readings.
  • Page 250 Preparing to Measure CO e. Check that the windows on the calstick are clean and clear. f. Place the transducer on one of the calstick cells and select Start Cal 1. g. Enter the calibration value printed on the calstick then press the Confirm softkey.
  • Page 251: Selecting The Co 2 Setup

    Selecting the CO Setup • Open the latch and place the transducer onto the Airway adapter. Place the airway adapter in the patient’s breathing circuit between the endotracheal tube and the Y-piece. • The CO SENSOR WARM UP message may again be displayed until the transducer reaches operating temperature.
  • Page 252: Selecting The Respiration Rate Source And Switching Awrr On/off

    Selecting the Respiration Rate Source and Switching AwRR On/Off Selecting the Respiration Rate Source and Switching AwRR On/ If Respiration and CO are measured, two respiration rates are available. One of the respiration rates must be selected for monitoring and alarming; the other respiration source is then switched off.
  • Page 253: Setting Up The Corrections

    Setting up the Corrections Setting up the Corrections The CO absorption is influenced by the temperature and the water vapor in the patient’s breath. See the Chapter “Configuration” for how to set the humidity correction. The CO absorption is also influenced by barometric pressure and by the proportions of O and N O in the mixture.
  • Page 254: Setting Up The Co 2 And Awrr Alarms

    Setting Up the CO and AwRR Alarms Setting Up the CO and AwRR Alarms For the CO measurement, alarms are given for high EtCO , low EtCO high ImCO For the Airway Respiration Rate, alarms are given for high AwRR, low AwRR and apnea.
  • Page 255: Changing The Apnea Alarm Delay

    Setting Up the CO and AwRR Alarms Changing In CO setup (see “Selecting the CO Setup” on page 249) select AwRR the Apnea Alarms: Alarm Delay Step 1. Select Apnea Time to set the time limit before the alarm is indicated if the patient stops breathing.
  • Page 256: Troubleshooting The Co 2 Measurement

    Check that the transducer is on the correct Cal cell and that the power has not failed. Repeat the calibration. If the INOP reappears, try another transducer. If the problem persists, contact your biomedical engineer or Philips Service representative. CHECK CAL value is outside the expected range (<...
  • Page 257: If The Co Numeric Is Displayed With A

    Troubleshooting the CO Measurement If the CO Numeric is Displayed SENSOR WARM The sensor has not yet reached operating with a ? temperature. If the CO Wave is CHANGE SCALE The EtCO value is greater than the scale Clipped currently selected. Select a larger scale to see the whole wave.
  • Page 258 Troubleshooting the CO Measurement Measuring Carbon Dioxide Using the Mainstream Method (M3016A)
  • Page 259: Measuring Carbon Dioxide Using The Microstream Method (m3015a)

    Measuring Carbon Dioxide Using the Microstream Method (M3015A) There are two measurement methods for CO • the Mainstream measurement using the M3016A Extension (Option #A01) to the Multi-Measurement Server. • the Microstream (sidestream) measurement using the M3015A Extension to the Multi-Measurement Server. This chapter covers measuring CO using the Microstream method and how to set up your CO...
  • Page 260: The Co 2 Measurement

    The CO Measurement The CO Measurement The M3015A Measurement Server Extension measures the partial pressure of carbon dioxide in a patient's expired gas using Microstream technology. In intubated patients, a sample of the respiratory gas is drawn from the patient's breathing circuit through an airway adapter and a gas sampling tube.
  • Page 261: Preparing To Measure Co

    Preparing to Measure CO Preparing to Measure CO Selecting Accessories Note The M3015A can be operated with the special Microstream accessories only. A variety of Microstream accessories is available for all application areas. Various sizes of Microstream accessories for adult, pediatric and neonatal patients are available.
  • Page 262: Setting Up Microstream Co 2

    Preparing to Measure CO Setting up For instructions on how to apply Microstream accessories, please refer to the Micros- user instructions that are supplied with the accessories. tream CO Warning • Danger - explosion hazard - sidestream measurement should not be used in the presence of flammable anesthetics such as: –...
  • Page 263: Removing Exhaust Gases From The System

    Preparing to Measure CO inlet connector cover outlet connector Removing The sample gas can be removed to a scavenging system using the Exhaust Tube Exhaust (M1015-40001). The exhaust tube is attached to the Measurement Extension at Gases from the Outlet connector (see diagram above). the System Measuring Carbon Dioxide Using the Microstream Method (M3015A)
  • Page 264: Selecting The Co 2 Setup

    Selecting the CO Setup Selecting the CO Setup Step 1. Highlight the CO numeric or wave and press on the TouchStrip. Step 1. Press the Setup key. Step 2. Move the highlight to “CO ”. Step 3. Press on the strip. Setup, press the Main Screen key.
  • Page 265: Selecting The Respiration Rate Source And Switching Awrr On/off

    Selecting the Respiration Rate Source and Switching AwRR On/Off Selecting the Respiration Rate Source and Switching AwRR On/ If Respiration and CO are measured, two respiration rates are available. One of the respiration rates must be selected for monitoring and alarming; the other respiration source is then switched off.
  • Page 266: Setting Up The N 2 O Correction

    Setting up the N O Correction Setting up the N O Correction The CO absorption is influenced by the proportion of N O in the gas mixture. To make a correction for N Step 1. In CO setup (see “Selecting the CO Setup”...
  • Page 267: Enabling The Co 2 Alarms

    Setting Up the CO and AwRR Alarms Enabling the In CO setup (see “Selecting the CO Setup” on page 262): alarms Step 1. Select CO Alarms. This defines whether the alarms derived from are enabled. Step 2. Select the appropriate setting. The alarms are enabled The alarms are disabled.
  • Page 268: Enabling Or Disabling Awrr And Apnea Alarms

    Troubleshooting the CO Measurement Enabling or In CO setup (see “Selecting the CO Setup” on page 262) select AwRR Disabling Alarms: AwRR and Step 1. Select Alarms. This defines whether the alarms derived from the Apnea airway respiration signal are enabled. Alarms Step 2.
  • Page 269 Troubleshooting the CO Measurement UPDATE FW The software in the Measurement Extension does not match the software in the Measurement Server. This is only likely to occur after a repair or upgrade. Contact your biomedical department NO TUBING The FilterLine is disconnected, or an incorrect line is attached.
  • Page 270: If The Co 2 Numerics Are Displayed With A

    Measurement” on page 365. 3. If above checks do not change the situation, try a new FilterLine. If values are still low, contact your biomedical department or Philips representative to have the accuracy of the instrument checked. Measuring Carbon Dioxide Using the Microstream Method (M3015A)
  • Page 271: If The Co Values Are High

    For changing the humidity correction mode see “Extra Configuration for the CO Measurement” on page 365. If values are still high, contact your biomedical department or Philips representative to have the accuracy of the instrument checked. Measuring Carbon Dioxide Using the Microstream Method (M3015A)
  • Page 272 Troubleshooting the CO Measurement Measuring Carbon Dioxide Using the Microstream Method (M3015A)
  • Page 273: Examining Trends And Events

    Examining Trends and Events This chapter covers what you need to know so you can look at and print measurement data collected over a period of time. • Viewing the Trend ........272 •...
  • Page 274: Viewing The Trend

    Viewing the Trend Viewing the Trend Step 1. Press on the strip below the Trends SmartKey (you may have to press to find this SmartKey, if it is configured). Step 1. Press the Setup key. Step 2. Move the highlight to Trends. Step 3.
  • Page 275: Printing And Recording The Trend Data

    Printing and Recording the Trend Data Printing and Recording the Trend Data Caution Make sure that the printer or recorder is connected and switched on before you start printing or recording. If you are already viewing the trend (see “Viewing the Trend” on page 272), you may need to press the More softkey to get the printing/recording softkeys.
  • Page 276: Erasing All The Trend Data

    Storing Events Erasing all Step 1. Press the Erase Trends softkey. the Trend You will now be asked to confirm the deletion. Data Step 2. If you are sure you want to delete the Trends, press the Confirm softkey. Otherwise press the Cancel softkey. Storing Events You can store the current screen as an Event, with numerics, INOPs, and alarms and the last 20 seconds of wave data for all displayed waves.
  • Page 277: Storing An Event Automatically

    Reviewing Events Storing an Setting up the automatic storage of events can only be done by the biomedical Event Auto- engineering department. See “Setting Up So that Events are Stored matically Automatically” on page 373 Reviewing Events To get the list of stored Events: Step 1.
  • Page 278: Reviewing The Numerics For An Event

    Reviewing Events Note Because Events can be overwritten, the Event List cannot be regarded as a complete record of all the events that have occurred. You can delete all of the Events by pressing the Delete List softkey. You will have to confirm that you want to delete the list by pressing the Confirm softkey.
  • Page 279: Printing Or Recording An Event

    Reviewing Events Caution Printing or Make sure that the printer or recorder is connected and switched on before you Recording start printing. an Event Step 1. Highlight the Event you want to print or record in the Event Review List. Step 2.
  • Page 280: Stopping Printouts

    Stopping Printouts Stopping Printouts Stopping the Step 1. Press the Setup key. Current Step 2. Move the highlight to Printer. Printout Step 3. Press on the strip to select the Printer window. Step 4. Press the Stop Printout softkey Stopping All Step 1.
  • Page 281: Cleaning

    Cleaning This chapter covers what you need to know to clean your monitor and accessories and how to keep your monitor in the best working condition. • General Notes on Cleaning ........280 •...
  • Page 282: General Notes On Cleaning

    The recommended substances and methods listed in this chapter have been tested by Philips and you should use only these substances and methods to clean, disinfect and treat the equipment for the prevention of cross contamination. The use of other substances can cause stains or damage to the product.
  • Page 283 General Notes on Cleaning Cleaning Agents Material Compatibility Category Product Soap Tensides Ammonia Alcohol based based Monitor Measurement Server Mounting Hardware ECG-Safety Trunk- Cables and purple non- shielded Lead Sets ECG one-piece cables Reusable NBP Cuffs (Series M157X A) and NBP-Tubings Reusable Invasive Pressure Transducer...
  • Page 284: Disinfecting

    General Notes on Cleaning Recommended Cleaning Agents and Brands Soaps mild soaps Edisonite Schnellreiniger  , Alconox  Tensides (dishwasher detergents) Ammonias Dilution of Ammonia <3%, Window cleaner Alcohol Ethanol 70%, Isopropanol 70%, Window cleaner Caution To avoid damage to the product, observe the following general precautions for cleaning.
  • Page 285 General Notes on Cleaning Disinfecting Substances Material Category Compatibility Product Alcohol Aldehyde Bleach Iodine Phenol based based Based based Monitor Measurement Server Mounting Hardware ECG-Safety Trunk- Cables and purple non- shielded Lead Sets ECG one-piece cables Reusable NBP Cuffs (Series M157X A) and NBP-Tubings Reusable Invasive Pressure Transducer...
  • Page 286 General Notes on Cleaning Recommended Disinfecting Substances Ethanol 70%, Isopropanol 70% Cutasept  , Alcohol based Hospisept  , Kodan  , Tinktur forte, Sagrosept  , Spitacid  , Sterilium fluid  . only Ethanol 70% and Isopropanol 70% are Note—...
  • Page 287: Preventing Cross Contamination

    General Notes on Cleaning Preventing We recommend that you treat for the prevention of cross contamination only Cross Con- when necessary as determined by your hospital’s policy, to avoid long term tamination damage to the product. We also recommend that the products being treated for the prevention of cross contamination be first cleaned as described under “Cleaning”.
  • Page 288: Cleaning The Monitor, Server, Server Extension And Mounting

    Cleaning the Monitor, Server, Server Extension and Mounting Caution Be sure all safety precautions regarding aeration after EtO exposure are followed. The temperature used to prevent cross contamination must not exceed 60°C (140°F.). Make sure the product is completely dry.; if not, it can result in the formation of ethylene glycol.
  • Page 289: Cleaning, Disinfecting And Treating The Transducers

    Cleaning, Disinfecting and Treating the Transducers for the Prevention of Cross Contamination Cleaning, Disinfecting and Treating the Transducers for the Prevention of Cross Contamination Caution Always follow the specific instructions delivered with the transducer if this is possible. This information may be more recent than the information given here. The information given in this chapter is intended as a guideline if the individual cleaning instructions are not available.
  • Page 290: Disinfecting The Ecg Cables

    ECG Cables and Leads If you see signs of deterioration or damage, replace the cable do not use it for further patient monitoring. Recommended Cleaning Agents and Brands Soaps mild soaps Tensides dishwasher detergents: Edisonite Schnellreiniger , Alconox Ammonias Dilution of Ammonia <3%, Windowcleaner Alcohol Ethanol 70%, Isopropanol 70%, Windowcleaner Disinfecting...
  • Page 291: Nbp Cuff

    NBP Cuff NBP Cuff Caution Always follow the specific instructions delivered with the cuff if this is possible. This information may be more recent than the information given here. The information given in this chapter is intended as a guideline if the individual cleaning instructions are not available.
  • Page 292: Cleaning And Treating The Reusable Nbp Cuff For The Prevention Of Cross Contamination

    NBP Cuff Cleaning These procedures apply only to the M1571A, M1572A, M1573A, M1574A, and Treating M1575A, and M1576A reusable cuffs. the Reusable NBP Cuff Caution for the Pre- Water or cleaning solution must not enter the NBP connector on the vention of Measurement Server, as this could damage the equipment.
  • Page 293 NBP Cuff To reinsert the bag in the cuff: Step 3. Roll the bag up from both sides in the direction of the tubing. Step 4. Insert the rolled up bag, tubing first, into the opening on the short side of the cuff Step 5.
  • Page 294: Press Transducer

    PRESS Transducer PRESS Transducer Caution Always follow the specific instructions delivered with the transducer if this is possible. This information may be more recent than the information given here. The information given in this chapter is intended as a guideline if the individual cleaning instructions are not available.
  • Page 295: Treating The Press Transducer For The Prevention Of Cross Contamination

    PRESS Transducer A slight discoloration or a temporary increase in the surface stickiness of the cable is normal. Step 5. To remove any adhesive tape residue, use double seal tape remover (from the Scholl Mfg. Co.). Treating the You can prevent cross contamination using liquid chemical or gas sterilization. PRESS Gas sterilization is described below.
  • Page 296 PRESS Transducer Buffered gluteraldehyde (for example, Cidex or Hospisept) has been found to be effective. Step 1. If the whole unit is to be treated for the prevention of cross contamination, make sure that the dome is removed, and immerse the transducer, but not the electrical connector, into the sterilant for the recommended treatment period.
  • Page 297: Spo Transducer

    Transducer Transducer Caution Always follow the specific instructions delivered with the transducer if this is possible. This information may be more recent than the information given here. The information given in this chapter is intended as a guideline if the individual cleaning instructions are not available.
  • Page 298: Temp Probes

    TEMP Probes TEMP Probes Caution Always follow the specific instructions delivered with the transducer if this is possible. This information may be more recent than the information given here. The information given in this chapter is intended as a guideline if the individual cleaning instructions are not available.
  • Page 299: Mainstream Co 2 Transducer And Reusable Airway Adapters

    Mainstream CO Transducer and Reusable Airway Adapters Mainstream CO Transducer and Reusable Airway Adapters Caution Always follow the specific instructions delivered with the transducer if this is possible. This information may be more recent than the information given here. The information given in this chapter is intended as a guideline if the individual cleaning instructions are not available.
  • Page 300: Treating The M1460a Co 2 Transducer For The Prevention Of Cross Contamination

    Mainstream CO Transducer and Reusable Airway Adapters Note Do not immerse the connector end of the cable. Do not use ultrasonic cleaning. Do not use bleach on the Calstick Treating the M1460A Trans- ducer for the Preven- tion of Cross Contamina- tion Caution...
  • Page 301: M1465a/14363a Airway Adapters

    70°C (158°F). Note If you need to return a transducer to Philips Medical Systems, you must first decontaminate it. M1465A/ Step 1. Immerse the airway adapter in warm soapy water for 5 minutes.
  • Page 302: Microstream Co 2 (sidestream) Accessories

    Microstream CO (Sidestream) Accessories Microstream CO (Sidestream) Accessories All Microstream accessories are single-patient-use only and may not be disinfected or treated for the prevention of cross contamination. Cleaning...
  • Page 303: Maintenance

    Maintenance This chapter covers what you need to know to keep your monitor in the best working condition. • Maintenance Checks ........302 Maintenance...
  • Page 304: Maintenance Checks

    Maintenance Checks Maintenance Checks Warning Warning To avoid contaminating or infecting personnel, the service environment or other equipment, make sure the equipment has been appropriately disinfected and decontaminated before testing or maintaining it. Recommended Maintenance Schedule Maintenance Frequency Procedure Inspect the system, Daily See “Inspecting the cables and cords...
  • Page 305 All checks which require the instrument to be opened must be made by qualified service personnel. Safety and maintenance checks can also be made by Philips Medical Systems or your authorized supplier. Contact your biomedical department whenever the monitor needs a safety, functional or performance test.
  • Page 306: Inspecting The Monitor

    Brightness” on page 47) and remember that the brightness is reduced automatically if you are powering the monitor from the battery. If the brightness is not adequate, contact your biomedical department or your supplier. Philips recommends replacing the backlight every 3 years of continuous use. Maintenance...
  • Page 307: Inspecting The Cables And Cords

    Step 1. Examine the power plug and cord for damage Make sure that the prongs of the plug do not move in the casing. If damaged, replace the entire cord with the appropriate Philips Power Cord. Step 2. If the Measurement Server is not mounted directly on the monitor, inspect the cable connecting it to the monitor.
  • Page 308 Maintenance Checks Check that you see: Measurement Test Signal ECG Wave Artificial ECG Wave. ECG Numeric Adult: 100bpm±2 Neo/Pedi: 125bpm±2 RESP Wave Square Wave. RESP Numeric Adult: 15bpm±2 Pedi: 30bpm±2 Neo: 55bpm±2 Pressure Wave Square wave, Pulse = 100, from 0 to 120mmHg [from 0 to 15kPa] Pressure Numeric Adult:...
  • Page 309: Finding Intermittent Status

    Maintenance Checks Measurement Test Signal Numeric 100% Pulse: 60bpm±1 Adult: NBP Numeric 120/80 (90) (16/10.5 (12)) Pedi: 100/60 (80) (13.3/8 (10.7)) TEMP Numeric 40ºC±0.1ºC (104.0ºF±0.2ºF) Step 5. If you do not see these results for the measurements that are on, contact your biomedical department.
  • Page 310: Testing Visual And Auditory Alarms

    Testing Visual and Auditory Alarms Testing Visual and Auditory Alarms Step 1. Switch on the monitor, with no ECG cable connected. Step 2. Switch main alarms on if alarms are suspended. Step 3. Enter the ECG Setup window. If ECG is off and/or alarms are off, switch on ECG and alarms.
  • Page 311: Using Your Monitor In Patient Transport

    Using Your Monitor in Patient Transport This chapter covers what you need to know to use your monitor for patient transport. • Using a Vehicle 12V Supply ....... .310 •...
  • Page 312: Using A Vehicle 12v Supply

    Using a Vehicle 12V Supply Using a Vehicle 12V Supply If you have an M3080A #C32 12V Adapter, you can run the monitor from a vehicle 12V supply. Refer to the documentation delivered with the adapter for details about connection to the monitor. Using New Batteries Caution You should only use batteries of the type Toshiba TR36 or Moltech NJ1020.
  • Page 313: Maintaining The Battery

    Maintaining the Battery Maintaining the Battery Finding Out How Much Charge is in the Battery If you are using the The battery gauge is displayed in the right hand, monitor from the battery. bottom corner of the screen. The white area to the left of the gauge indicates the charge: the greater the area to the left, the greater the remaining charge.
  • Page 314: Finding Out How Much Operating Time Remains

    Maintaining the Battery Finding Out A new, fully charged battery operates for two and a half hours, unless you are How Much using a lot of power (such as by measuring NBP more often than every 15 Operating minutes). Older batteries may not have as much capacity. Time To find out how much time remains, Remains...
  • Page 315: If The Battery Is Discharged (flat)

    Maintaining the Battery Inserting a With the battery door open battery: Step 3. Orient the battery with the groove up and the connector to the left (as shown on the inside of the battery compartment door). Step 4. Make sure the tape is laid properly on the top of the battery. Step 5.
  • Page 316: Troubleshooting Battery Operation

    Troubleshooting Battery Operation Troubleshooting Battery Operation Understand- The Battery LED is at the bottom right of the monitor. ing the Battery LED ence Main Suspend Setup eset Screen AC Power Off/Standby Battery Battery LED Green - Battery full (>95%) AC Power LED Yellow - Battery charging Green when AC Power...
  • Page 317: Understanding Messages In The Battery Gauge

    Troubleshooting Battery Operation Understand- If the word Malfunction is displayed in the gauge, change the battery at the ing Messages first opportunity. This indicates that the status of the battery cannot be in the Bat- determined. tery Gauge If the word Cond. Battery is displayed in the gauge, replace the battery at the first opportunity.
  • Page 318 Troubleshooting Battery Operation BATTERY EMPTY Change the Battery. This INOP arises when the battery has less Note— than 5 minutes charge left. Using Your Monitor in Patient Transport...
  • Page 319: Installing Your Monitor

    Installing Your Monitor This chapter covers what you need to know to get the monitor working,. In addition, this chapter covers connecting your monitor to a printer or recorder. • Warnings and Precautions ........318 •...
  • Page 320: Warnings And Precautions

    Warnings and Precautions Warnings and Precautions This section contains important information on patient safety and installation requirements for the monitor. Patient See “Monitor and Measurement Server Safety Specifications” on page 394. Safety Patient The patient leakage current is less than 10µA at 230V/50Hz. The equipment has Leakage floating inputs (Type CF) and are protected against the effects of defibrillation Current...
  • Page 321: Protecting Against Electric Shock

    Preparing to Install Your Monitor Protecting The M3046A Monitor is classified as Class I Equipment with an internal power against source according to IEC 60601-1/EN 60601-1/CSAC22.2 601.1/UL 2601-1, Electric which means an instrument included in the protective grounding (protective Shock earth) system of the room by way of grounding contacts in the power plug.
  • Page 322: Equipotential Grounding

    Preparing to Install Your Monitor Connect the grounding wire to the equipotential grounding post on the monitor. Equipotential Grounding Post Equipoten- To eliminate potential differences between different pieces of equipment, tial Ground- for internal examinations on the heart or the brain, the monitor must have a separate connection to the equipotential grounding system.
  • Page 323: Environment

    Preparing to Install Your Monitor that the necessary safety of all instruments concerned will not be impaired by the proposed combination. Environment To ensure a completely safe electrical installation, follow the instructions described later in “Installing Your Monitor” on page 325. The environment where the system will be used should be reasonably free from vibration, dust, corrosive or explosive gases, extremes of temperature, humidity, and so on.
  • Page 324: Explanation Of Symbols Used

    Preparing to Install Your Monitor Explanation of symbols used: Standby for switching the monitor on and off. Attention, consult accompanying documents. On the Measurement Server: Defib Data In, that is the ECG marker pulse sent from the defibrillator to the monitor. The marker pulse is then processed with the ECG signal and displayed on the monitor.
  • Page 325 These LED devices are measured to be AEL Class 1 LED Products per IEC 825- 1 and CENELEC EN60825-1 Standards. 0366 The Philips M3046A Compact Portable Patient Monitor complies 0560 with the requirements of the Council Directive 93/42/EEC of 14 June 1993 (Medical Device Directive) and Council Directive 1999/5/EC of 9 March 1999 (Radio and Telecommunications Terminal Equipment Directive).
  • Page 326 SN: XXXXXXXXXX Opt: XXX XXX XXXXXX M3001A D-71034 Boeblingen Germany Made in 0366 Germany NRTL/C 1999-02 The Philips M3001A Multi-Measurement Server complies with the 0366 requirements of the Council Directive 93/42/EEC of 14 June 1993 (Medical Device Directive). Installing Your Monitor...
  • Page 327: Installing Your Monitor

    Made in Germany M301XA D-71034 Boeblingen Germany 0366 1999-02 NRTL/C The Philips M3015A and M3016A Measurement Server Extensions 0366 comply with the requirements of the Council Directive 93/42/EEC of 14 June 1993 (Medical Device Directive). Installing Your Monitor Unpacking The box containing your monitor comes with the Monitor •...
  • Page 328: Installing The Monitor

    In addition you should receive all of the options and accessories that you have ordered. If anything is missing, contact your Philips representative immediately. If anything has been damaged in transit, keep the packing material for inspection and contact your Philips representative immediately.
  • Page 329: Connecting The Measurement Server

    Installing Your Monitor Connecting the Measurement Server..with the You can connect the Measurement Server to the monitor by mounting it directly Measurement on the monitor: Server directly Step 1. Make sure that your monitor has a link bar: on the Monitor Screw Link Bar Plug to...
  • Page 330 Installing Your Monitor To remove the Measurement Server from the monitor, move the latch (in the middle at the top of the monitor) toward the front of the monitor, and slide the Latch Measurement Server away from the link bar..with the You can connect the Measurement Server to the monitor using a server link Measurement...
  • Page 331: Attaching The Monitor To A Mount

    Installing Your Monitor Step 3. Attach the other end of the cable to the Measurement Server..with the You can connect the Measurement Server to the monitor using cables and wall Measurement sockets which allow the monitor to be in a different room than the Measurement Server Remote Server (up to 25m apart).
  • Page 332: Attaching The Measurement Server To A Mount

    Installing Your Monitor Detaching the Step 1. Press and hold in the blue button on the front of the mounting. Monitor from a Step 2. Lift the monitor away from the mount. Mount Step 3. Release the blue button. Attaching Step 1.
  • Page 333: Connecting To The Information Center

    Installing Your Monitor Step 1. Press and hold the mount latch toward the clamp screw. Mount Latch Step 2. Rotate the Measurement Server and mount until you get it to the position you want. Step 3. Release the mount latch, and make sure it is clicked into one of the four slots on the back of the mount.
  • Page 334: Using An Additional Display

    An additional display must be installed by a Philips Medical Systems service engineer or authorized Service Representative. By the addition of a display, the M3 monitor becomes a “system” and must be safety-tested as such after installation. Detailed information about installation and the required safety testing can be found in the Service Guide.
  • Page 335: Basic Trouble Shooting

    Installing Your Monitor Basic Trou- The following is a list of some cases where the user can correct the fault. If the ble shooting fault is not described below, it should be investigated by your technical personnel as soon as possible. Self Test Alarm Messages (When You Switch the Monitor On) Message What To Do...
  • Page 336 “Some measurements are A Measurement Extension (M3015A or M3016A) is connected to an not supported by the M3046A M3 monitor. Monitor” prompt message Some measurements from the Measurement Extension are not available. “Measurement Server An unsupported Measurement Extension is connected to a standard Configuration not M3001A Measurement Server.
  • Page 337: Connecting A Printer

    You can also use the LaserJet with the Jet-Eye, but then you will also need a Centronics printer extension cable. 1. The exact printer model listed here may no longer be current. Please check with your Philips representative for currently available, compatible printers. Installing Your Monitor...
  • Page 338 SpO measurement. If you are connected to a Central Monitor or have an M3 Print Server, you can also use the HP LaserJet 2100 as a network printer or use a DeskJet 610C attached locally to the Print Server PC.
  • Page 339: Connecting A Local Printer

    The monitor must be connected to the dedicated patient monitoring network only. The special network cables supplied by Philips Medical Systems for this purpose must be used (see M3 Print Server Installation and Service Guide or Information Center Installation Guide for details).
  • Page 340: Trouble-shooting The Printer

    • Check that the monitor is connected to the available” message network, if yes, appears on the screen: • Contact the M3 Print Server system administrator (if you are printing on a Print Server). • Check that the central printer is switched on and not in en error condition.
  • Page 341: Connecting A Local Recorder

    Connecting a Local Recorder Connecting a Local Recorder You can connect a standalone strip chart recorder (GSI Lumonics XE-50p) to your monitor via the serial recorder interface, available as option #J16. A dedicated cable is supplied with the recorder. Details of how to set up, use and care for the recorder are given in the Operator’s Manual that accompanies it.
  • Page 342 Information Center in English for monitors marketed in some East European and Asiatic countries. Refer to the booklet “Translation Reference for M3/M4 Patient Monitor Texts” for a translation of the English text into the localized language.
  • Page 343: Fitting And Removing The Rubber Bezel Protector

    Fitting and Removing the Rubber Bezel Protector Fitting and Removing the Rubber Bezel Protector For cleaning instructions, “Cleaning” on page 279. Installing Your Monitor...
  • Page 344 Fitting and Removing the Rubber Bezel Protector Installing Your Monitor...
  • Page 345: Disposing Of The Monitor, Measurement Server And Measurement Server Extension

    Disposing of the Monitor, Measurement Server and Measurement Server Extension Disposing of the Monitor, Measurement Server and Measurement Server Extension Warning Warning To avoid contaminating or infecting personnel, the service environment or other equipment, make sure the equipment has been appropriately disinfected and decontaminated before disposal.
  • Page 346 Disposing of the Monitor, Measurement Server and Measurement Server Extension Installing Your Monitor...
  • Page 347: Configuration

    This chapter is intended for hospital Biomedical Engineers or Philips Service Chapter is and Clinical Specialist personnel who are about to perform the off-line configuration procedures for the M3 or M4. It is also intended for Nurses and Clinicians who need to customize the instrument’s configuration settings to their requirements.
  • Page 348: How Do I Get Into Configuration Mode

    By selecting Configuration Mode additional settings are available to the user which are not visible in Monitoring Mode. When the monitor is put into Configuration Mode, the current Active Settings selected in Monitoring Mode are maintained. These settings can then be stored in the configuration of the monitor and re-selected at any time.
  • Page 349: How Do I Leave Configuration Mode

    Step Action Comment Select Exit until the Operating Mode task window disappears from the screen or, Press Main Screen on the front panel of the monitor. When Configuration Mode is activated, the following message appears at the top of the screen: –...
  • Page 350: Configuration Features

    Configuration Features Configuration Features How does The Configuration Mode consists of three main elements; Quick Sets, General Configura- Settings and Factory Default Sets. tion Mode Work? Quick Sets The settings contained within Configuration Mode apply to the M3046A Monitor, the M3001A Measurement Server and the M3015/16 Measurement Server Extensions.
  • Page 351 Configuration Features When you receive your monitor, the Quick Sets are pre-configured to represent four distinct patient categories: • QuickSet 1 = Adult ICU • QuickSet 2 = Adult OR • QuickSet 3 = Pediatric • QuickSet 4 = Neonatal The settings contained within the Quick Sets can be adjusted and saved by the user in Configuration Mode.
  • Page 352 Configuration Features • Default Set C (Pediatric) • Default Set D (Neonatal) The Factory Default Sets are intended to help the user re-set the monitor back to its original configuration. If for example, the settings contained within QuickSet 1 have been adjusted so much that the original settings have been totally lost, the user can re-capture the original settings by selecting the Default Set A.
  • Page 353: How Do I Configure A Quick Set

    Configuration Features How do I You can adjust the settings in a Quick Set in both Monitoring Mode and Configure a Configuration Mode when the Measurement Server and, if applicable, the Quick Set? Measurement Server Extension are connected. To view, adjust and store the full group of settings, you must be in Configuration Mode.
  • Page 354: How Do I Configure General Settings

    Configuration Features – Press Setup on the front panel of the monitor and select the required setup window. Step 3. When you are satisfied that the active settings of the monitor are the way you want them to appear in the Quick Set, access the Quick Sets window: –...
  • Page 355: Extra Configuration For The Bed To Bed Overview

    Extra Configuration for the Bed to Bed Overview Unlike the QuickSets, the General Settings cannot be automatically reset Note— to their original configuration. See “General Settings” on page 380 for a complete list of original General Settings. Extra Configuration for the Bed to Bed Overview Changing Step 1.
  • Page 356: Extra Configuration For The Ecg Measurement

    Extra Configuration for the ECG Measurement Extra Configuration for the ECG Measurement Selecting In ECG setup (“Selecting the ECG Setup” on page 131): the Maxi- Step 1. Select Active Ch. This defines which channels can be displayed for mum Num- the ECG.
  • Page 357: Selecting The Color For The Ecg

    Extra Configuration for the ECG Measurement – x2 to double the wave size – x4 to multiply the wave size by four – Auto to optimize the wave size in all channels Selecting In ECG setup (see “Selecting the ECG Setup” on page 131): the Color Step 1.
  • Page 358: Setting The Lead Fallback Mode

    Extra Configuration for the ECG Measurement The bradycardia limit is set to the lower value of either Brady Clamp or the ∆ ExtrBrady subtracted from the ECG Low Limit. For example, if you set ∆ ExtrBrady to 10 and Brady Clamp to 40, and the ECG Low Limit is set to 55, then the bradycardia limit is 45 (that is, ∆...
  • Page 359: Extra Configuration For The Arrhythmia Analysis

    Extra Configuration for the Arrhythmia Analysis Step 1. Select ALL ECG IN. Step 2. Select the appropriate setting. The “All ECG ALARMS OFF” INOP is displayed when the ECG alarms are switched off or when the HR source is not ECG. No INOP is displayed.
  • Page 360: Displaying "some Ecg Alarms Off" Inop

    Extra Configuration for the ST Measurement Displaying The “SOME ECG ALARMS OFF” INOP is displayed when additional alarms “SOME are switched off compared to the current QuickSet. You can decide whether the INOP should be displayed or not ALARMS In Arrhythmia Setup (see “Selecting the Arrhythmia Setup” on page 159): OFF”...
  • Page 361: Extra Configuration For The Resp Measurement

    Extra Configuration for the RESP Measurement Extra Configuration for the RESP Measurement Selecting In RESP setup (see “Selecting the Respiration Setup” on page 181): the Color Step 1. Select Color. This defines the color for the RESP wave and the for the RESP Respiration Rate numeric.
  • Page 362: Changing The Time Elapsed Before The High Alarm

    Extra Configuration for the SpO Measurement Changing In SpO setup (see “Selecting the SpO Setup” on page 229): the Time Step 1. Select High Al. Del. This defines the length of time the SpO Elapsed measurement can be above the high alarm limit before an alarm occurs. Before the Step 2.
  • Page 363: Extra Configuration For The Nbp Measurement

    Extra Configuration for the NBP Measurement Extra Configuration for the NBP Measurement Selecting In NBP setup (see “Selecting the NBP Setup” on page 197): the NBP Step 1. Select Unit. Unit Step 2. Select either mmHg or kPa. Selecting In NBP setup (see “Selecting the NBP Setup” on page 197): the Refer- Step 1.
  • Page 364: Selecting The Pressure For Venipuncture Mode

    Extra Configuration for the PRESS Measurement Step 1. Select Start Time This selects whether NBP measurement start times are synchronized with the clock. Step 2. Select the appropriate setting. Synchron The monitor will start measurements synchronized with the clock. NotSynch The monitor will not synchronize measurement start times Selecting the In NBP setup (see “Selecting the NBP Setup”...
  • Page 365: Enabling Press Transducer Calibration

    Extra Configuration for the PRESS Measurement Step 1. Select Mean Only. Step 2. Select the appropriate setting. The pressure measures the mean value only, even if the pressure is pulsatile. The pressure measures mean, systolic and diastolic if the pressure is pulsatile.
  • Page 366: Extra Configuration For The Temp Measurement

    Extra Configuration for the TEMP Measurement Extra Configuration for the TEMP Measurement The settings are saved separately for each temperature label. If you want to configure all of the temperature labels, you will need to repeat the configuration for each label. Selecting In TEMP setup (see “Selecting the TEMP Setup”...
  • Page 367: Selecting The Color For ∆temp

    Extra Configuration for the CO Measurement In ∆TEMP setup (see “Selecting the D TEMP Setup” on page 240): Selecting the Color Step 1. Select Color. This defines the color for the ∆TEMP numeric. ∆ TEMP Step 2. Select the color. Extra Configuration for the CO Measurement Selecting...
  • Page 368: Selecting Humidity Correction Method For Co 2

    Extra Configuration for Transferring A Patient Selecting In CO setup (see “Selecting the CO Setup” on page 249): Humidity Step 1. Select Humidity Correction. This defines the method used to Correction correct the measured EtCO value and wave for humidity. Method for Step 2.
  • Page 369: Changing Which Settings Are Used

    Extra Configuration for Transferring A Patient Step 3. Select the appropriate setting: Cont The patient data in the Measurement Server is always used. MsrSr Cont The patient data in the monitor is always used. All patient data is ignored, and a new patient is always admitted. The patient has to be selected (as described in “Attaching to a New User M3046A Monitor...”...
  • Page 370: Entering The Hospital Name

    Extra Configuration for Transferring A Patient A software tool (the M3086A Support Tool) is available to clone configurations, to print the configuration of a monitor, to enter the monitor label and hospital name, or to perform software upgrades. Step 1. If you are not already in the Setup menu, press the Setup key. Step 2.
  • Page 371: Configuring The Alarms

    Configuring the Alarms Configuring the Alarms Selecting You may select Alarms Setup only when in CONFIG mode (see “How do I get the Alarms into Configuration Mode?” on page 346) Setup Step 1. Press the Setup key. Step 2. Move the highlight to “Alarms”. Step 3.
  • Page 372: Let User Be Reminded Of Suspended Alarms

    Configuring the Alarms Let User be In the Alarm setup (see “Selecting the Alarms Setup” on page 369): Reminded of Step 1. Select SuspRemind. This defines whether a prompt is issued Suspended when either all vital alarm parameters or their alarms are turned off Alarms individually or main alarms are not announced (Alarm suspend).
  • Page 373: Changing The Alarm Reminder Behavior

    Configuring the Alarms Changing In the Alarm setup (see “Selecting the Alarms Setup” on page 369): the Alarm Step 1. Select Remind. This defines how the monitor reminds the user about Reminder alarm conditions which still exist, after the Silence/Reset key has Behavior been pressed.
  • Page 374: Changing The Conditions For The Nurse Call Relay

    Configuring the Alarms Changing In the Alarm setup (see “Selecting the Alarms Setup” on page 369): the Condi- Step 1. Select Relay Sens. This defines the conditions which will tions for the trigger the alarm relay (nurse call) Nurse Call Step 2.
  • Page 375: Selecting Where To Make Alarm Recordings

    Extra Configuration for the Events Selecting In the Alarm setup (see “Selecting the Alarms Setup” on page 369): Where to Step 1. Move the highlight to Alarm Recordings. Make Alarm Step 2. Press on the strip Recordings Step 3. Choose where to make the alarm recordings from the choices: Local, Central, Both.
  • Page 376: Extra Configuration For The Monitor

    Extra Configuration for the Monitor Extra Configuration for the Monitor Configuring Step 1. If you are not already in the Setup menu, press the Setup key. the QRS Step 2. Move the highlight to “QRS Type”. Sound Step 3. Press on the strip. Step 4.
  • Page 377: Configuring The Prompt Volume

    Extra Configuration for the Monitor Configuring Step 1. If you are not already in the Setup menu, press the Setup key. the Prompt Step 2. Move the highlight to “Prompt Volume”. Volume Step 3. Press on the strip. Step 4. Select the appropriate setting. Step 5.
  • Page 378: Changing Esu Filtering

    Extra Configuration for the Monitor Changing Step 1. If you are not already in the Setup menu, press the Setup key. ESU Filter- Step 2. Move the highlight to “Operating Room”. Step 3. Press on the strip. Step 4. Select the appropriate setting. The monitor operates without ESU filtering.
  • Page 379: Changing Whether The Monitor Should Be Connected To The Network

    Extra Configuration for the Monitor Changing Step 1. If you are not already in the Setup menu, press the Setup key. Whether Step 2. Move the highlight to CentralMon. the Monitor Step 3. Press on the strip. Should be Step 4. Select the appropriate setting: Connected to the Net- Mandatory...
  • Page 380: Changing Which Alarms Trigger A Recording

    Extra Configuration for the Monitor Changing Step 1. If you are not already in the Setup menu, press the Setup key. Which Step 2. Move the highlight to Alarm Recordings. Alarms Trig- Step 3. Press on the strip. ger a Step 4.
  • Page 381: Selecting The Format For Long Reports

    Extra Configuration for the Monitor Selecting Step 1. Press the Setup key. the Format Step 2. Scroll through the list, and select Long Report. for Long Step 3. Select the time-span and resolution combination for your report. Reports The first number indicates the total duration covered by the report, the second number is the interval between measurements.
  • Page 382: List Of Configurable Settings

    List of Configurable Settings List of Configurable Settings General Settings General Settings Finding this setting in Default Configuration mode Settings Press Setup then QuickSets Name of QuickSet 1 “QuickSet 1” ” Name of QuickSet 2 “QuickSet 2 Name of QuickSet 3 “QuickSet 3”...
  • Page 383 List of Configurable Settings Measurements QuickSet1 QuickSet2 QuickSet3 QuickSet4 (Adult ICU) (Adult OR) (Pediatric) (Neonatal) Parameter / Default Default Default Default Item Name Settings Settings Settings Settings ECG - HR Settings HR Alarms On/Off HR High Limit 120 bpm 120 bpm 160 bpm 200 bpm HR Low Limit...
  • Page 384 List of Configurable Settings Measurements QuickSet1 QuickSet2 QuickSet3 QuickSet4 (Adult ICU) (Adult OR) (Pediatric) (Neonatal) Parameter / Default Default Default Default Item Name Settings Settings Settings Settings Arrhythmias Non-Sustain Vent Rhythm (on/off) Run PVCs (on/off) Pair PVCs R-on-T PVCs V.Bigeminy V.Trigeminy PVCs/min (on/off) Multif.
  • Page 385 List of Configurable Settings Measurements QuickSet1 QuickSet2 QuickSet3 QuickSet4 (Adult ICU) (Adult OR) (Pediatric) (Neonatal) Parameter / Default Default Default Default Item Name Settings Settings Settings Settings Alarms On/Off High +2.0 mm +2.0 mm +2.0 mm +2.0 mm I,II,III,aVR, aVL, aVF, V1-6, MCL -2.0 mm -2.0 mm -2.0 mm...
  • Page 386 List of Configurable Settings Measurements QuickSet1 QuickSet2 QuickSet3 QuickSet4 (Adult ICU) (Adult OR) (Pediatric) (Neonatal) Parameter / Default Default Default Default Item Name Settings Settings Settings Settings Label Scale PRESS(ABP) On/Off Pressure Filter 12 Hz 12 Hz 12 Hz 12 Hz Mean Only Mercury Calibration enabled S/D/M alarms parallel...
  • Page 387 List of Configurable Settings Measurements QuickSet1 QuickSet2 QuickSet3 QuickSet4 (Adult ICU) (Adult OR) (Pediatric) (Neonatal) Parameter / Default Default Default Default Item Name Settings Settings Settings Settings AwRR Alarms AwRR Alarm On/Off AwRR High Alarm Limit 30 rpm 30 rpm 30 rpm 100 rpm AwRR Low Alarm Limit...
  • Page 388 List of Configurable Settings Measurements QuickSet1 QuickSet2 QuickSet3 QuickSet4 (Adult ICU) (Adult OR) (Pediatric) (Neonatal) Parameter / Default Default Default Default Item Name Settings Settings Settings Settings T1 On/Off Unit Color green green green green ∆ TEMP Label T1 -T2 T1 -T2 T1 -T2 T1 -T2...
  • Page 389: Quick Set Configuration List For Monitoring Settings

    List of Configurable Settings Quick Set Configuration List for Monitoring Settings When you have finished customizing the measurements, move on in the Setup window to the QRS Volume setting. Items in the setup window which are not listed below are not configurable Monitoring Settings QuickSet1 QuickSet 2...
  • Page 390 List of Configurable Settings Monitoring Settings QuickSet1 QuickSet 2 QuickSet 3 QuickSet 4 (Adult ICU) (Adult OR) (Pediatric) (Neonatal) Default Default Default Default Settings Settings Settings Settings AudLatch R&Y R&Y R&Y Alarm Reminder Alarm Rem Time 3 min. 3 min. 3 min.
  • Page 391 List of Configurable Settings Monitoring Settings QuickSet1 QuickSet 2 QuickSet 3 QuickSet 4 (Adult ICU) (Adult OR) (Pediatric) (Neonatal) Default Default Default Default Settings Settings Settings Settings Event Conf Temp1 Event Conf Temp2 Alarm Recordings Recorder Central Central Central Central AlarmRecord HR AlarmRecordPVC AlarmRecord ST...
  • Page 392 List of Configurable Settings Monitoring Settings QuickSet1 QuickSet 2 QuickSet 3 QuickSet 4 (Adult ICU) (Adult OR) (Pediatric) (Neonatal) Default Default Default Default Settings Settings Settings Settings SmartKey A6 Admit/Dischrg Admit/Dischrg Admit/Dischrg Admit/Dischrg SmartKey B1 Quick- QuickSets Quick- Quick- Sets Sets Sets SmartKey B2...
  • Page 393 List of Configurable Settings Monitoring Settings QuickSet1 QuickSet 2 QuickSet 3 QuickSet 4 (Adult ICU) (Adult OR) (Pediatric) (Neonatal) Default Default Default Default Settings Settings Settings Settings SmartKey F3 Blank Blank Blank Blank SmartKey F4 Blank Blank Blank Blank SmartKey F5 Blank Blank Blank...
  • Page 394 List of Configurable Settings Configuration...
  • Page 395: Monitor And Measurement Specifications

    Monitor and Measurement Specifications This chapter lists the performance specifications for the monitor and the measurement server. • Monitor and Measurement Server Safety Specifications ...394 • Monitor Physical Specifications ......394 •...
  • Page 396: Monitor And Measurement Server Safety Specifications

    Monitor and Measurement Server Safety Specifications Monitor and Measurement Server Safety Specifications The M3046A monitor together with the M3001A Measurement Server comply with the Medical Device Directive 93/42/EEC (CE 0366 In addition, the product complies with • IEC 60601-1:1988 + A1:1991 + A2:1995 EN60601-1:1990 + A1:1993 + A2:1995 •...
  • Page 397: Monitor Environmental Specifications

    Monitor Environmental Specifications Monitor Environmental Specifications Tempera- Operating: ° ° ture Range 0 to 45 C (32 to 113 (without Storage: ° ° wireless net- -20 to 60 C (-4 to 140 work) Tempera- Operating: ° ° ture Range 0 to 35 C (32 to 95 (with wire- Storage:...
  • Page 398: Monitor Performance Specifications

    Monitor Performance Specifications Monitor Performance Specifications ″ Display (diagonal) active color LCD (TFT) Resolution: × 480 pixels Sweep speeds: 6.25 mm/s, 12.5 mm/s, 25 mm/s, 50 mm/s ±10% Indicators • Up to 4 waves (dependent on Monitor Option) • Alarms Off (red crossed-bell LED). •...
  • Page 399: Battery (optional)

    Monitor Performance Specifications <2.5kΩ ±20% ECG Output/Marker Input (tip) Signal delay: <30ms Marker Input Requirements: Signal Type: 0 to -12V, negative edge pulse. Pulse Source Impedance: <7kΩ Pulse Fall Time: <100µs Pulse Duration: >4ms • VGA Interface Frame Frequency: 60 Hz Row Frequency: 31.5 kHz Resolution: 640 pixel x 480 pixel Video Signal: 0.7V pp @ 75Ω...
  • Page 400: Real-time Clock

    Monitor Performance Specifications Real-time Accuracy: Clock < 2 seconds per day. Operating Time: 6h without battery or AC power, otherwise unlimited. Active Set- Operating Time: tings and 6h without battery or AC power, otherwise unlimited. Stored Data Trends Short trend: 10 hours with 1 minute resolution.
  • Page 401: Measurement Server Physical Specifications

    Measurement Server Physical Specifications Measurement Server Physical Specifications Size (W×D×H) × × ″× ″× ″) 188.0mm 96.5mm 51.5mm (7.40 3.80 2.03 Weight 650g (1.4lb) Measurement Server Environmental Specifications Tempera- Operating: ° ° ture Range 0 to 45 C (32 to 113 Storage: °...
  • Page 402: Ecg Specifications

    ECG Specifications ECG Specifications Complies with IEC 60601-2-27/EN60601-2-27 Differential Greater than 2MΩ RA-LL leads (Resp). Greater than 5MΩ at all other leads Input (at 10Hz including patient cable). Impedance Common Diagnostic mode: Mode Rejec- Greater than 86dB (with a 51kΩ/47nF imbalance). tion Ratio Filter mode: Greater than 106dB (with a 51kΩ/47nF imbalance).
  • Page 403: Bandwidth

    Arrhythmia Specifications Accuracy: ±10% Bandwidth Diagnostic Mode Adult: 0.05 to 150Hz Neo/pedi: 0.5 to 150Hz Monitoring Mode Adult: 0.5 to 40Hz Neo/pedi: 0.5 to 55Hz Filter Mode 0.5 to 20Hz Arrhythmia Specifications Cardiotach Adult/pedi range: 15 to 300bpm Neo range: 15 to 350bpm Accuracy: ±1% of range Resolution:...
  • Page 404: Alarm Delay

    Arrhythmia Specifications Neo/Pedi: 15 - 50 bpm : 1 bpm steps 50 - 300 bpm : 5 bpm steps Alarm Delay High and Low alarm: 10 seconds according to AAMI EC 13-1992 standard Extreme Difference to high limit: Tachy 0 to 50 bpm Clamping at: 150 to 300 bpm Adjustment:...
  • Page 405: Vent Tach Run Limit

    Arrhythmia Specifications Vent Tach Range: Run Limit 3 to 99 PVCs/min Adjustment: 1 PVC Vent Range: Rhythm Run 2 to 99 PVCs/min Limit Adjustment: 1 PVC SVT HR Range: Limit 120 to 300 bpm Adjustment: 5 bpm SVT Run Range: Limit 3 to 99 SV beats Adjustment:...
  • Page 406: St Specifications

    ST Specifications ST Specifications ST Numeric Range: -20 to +20 mm Resolution: 0.1 mm Accuracy: ±0.5 mm or 15%, whichever is greater ST High Range: Limit -20 to +20 mm Adjustment: 0.2 mm ST Low Range: Limit -20 to +20 mm Adjustment: 0.2 mm RESP Specifications...
  • Page 407: Calibration Signal

    RESP Specifications Resolution: 1rpm Calibration Signal: 1Ω Signal Accuracy: ±20% Respiration High range: Limit Adult/pedi: 10 to 100rpm Alarms Neo: 30 to 150rpm Low Range: Adult/pedi: 0 to 95rpm Neo: 0 to 145rpm Adjustment: under 20rpm: 1rpm steps over 20rpm: 5rpm steps High Alarm Delay: 14 seconds.
  • Page 408: Spo 2 Specifications

    The SpO accuracy has been validated in human studies against arterial blood sample reference measured with a co-oximeter. (SD= Standard Deviation) Accuracy with Philips Reusable Transducers: M1191A, M1192A 1SD = ±2.5% (70% to 100%) M1193A, M1195A 1SD = ±3% (70% to 100%) M1194A 1SD = ±4% (70% to 100%)
  • Page 409: Pulse Rate Measurement Range

    Specifications Low range: 30 to 99% SpO Adjustment: 1% steps High alarm delay (configurable setting): (0, 1, 2, 3,...30) + 4 seconds Low alarm delay (configurable setting): (0, 1, 2, 3,...30) + 4 seconds Desat Limit: Adult: 50 to Low Alarm Limit Neo/Pedi: 30 to Low Alarm Limit Desat Delay (configurable setting): (0, 1, 2, 3,...30) + 4 seconds...
  • Page 410: Nbp Specifications

    NBP Specifications NBP Specifications Complies with IEC 60601-2-30/EN60601-2-30 Cuff Infla- typical for normal adult cuff: tion Rate Less than 10 seconds Auto Mode 1, 2, 2.5, 3, 5, 10, 15, 20, 30, 45, 60 or 120 minutes Repetition STAT Mode 5 minutes.
  • Page 411: Accuracy

    NBP Specifications Accuracy Maximum Standard Deviation: 8mmHg. (1.1kPa) Maximum Mean Error: ±5mmHg (±0.7kPa) Heart Rate 40 to 300bpm. Range Measure- In adult and pediatric mode, the blood pressure measurements determined ment Valida- with this device comply with the American National Standard for Electronic or Automated Sphygmomanometers (ANSI/AAMI SP 10/92) in relation to tion mean error and standard deviation, when compared to intra-arterial or...
  • Page 412: Neonatal Mode

    PRESS Specifications PRESS Specifications Complies with IEC 60601-2-34/EN60601-2-34 Input Sensi- 5µV/V/mmHg (37.5µV/V/kPa) tivity Sensitivity Adjustment Range ±10% Zero Adjust- Range: ment ±200 mmHg (±26.0 kPa) Accuracy: ±1 mmHg (±0.1 kPa) Drift: Less than 0.1 mmHg/°C (0.013 kPa/°C) Gain Accu- Accuracy: racy (exclud- ±1% Full Scale (FS) Drift:...
  • Page 413: Overall Accuracy (including Transducers)

    TEMP Specifications Volume Dis- 0.1 mm / 100 mmHg placement (CPJ840J6 Transducer) Measure- – 40 to 360 mmHg ment Range: Frequency dc to 12.5Hz or 40Hz. Response: Limit – 40 to 360mmHg (–5.0 to 48 kPa). Alarms Alarm Delay: 12 seconds Pulse Rate 25 to 350bpm Measure-...
  • Page 414: Temp Specifications

    Measurement Server Extension Physical Specifications (M3015A and M3016A) Accuracy: ±0.1ºC (±0.2ºF). Average Less than 10 seconds. Time Con- stant Test Tem- 40ºC ±0.1ºC (104ºF ±0.2ºF). perature Limit Range: Alarms –1 to 45ºC (30 to 113ºF). Measurement Server Extension Physical Specifications (M3015A and M3016A) Size (W×D×H)
  • Page 415: Measurement Server Extension Environmental Specifications

    Measurement Server Extension Environmental Specifications (M3015A and M3016A) Measurement Server Extension Environmental Specifications (M3015A and M3016A) Tempera- Operating: ° ° ture Range 0 to 45 C (32 to 113 Storage: ° ° -40 to 70 C (-40 to 158 Humidity Operating: Range 95%RH max.
  • Page 416: Accuracy (after 20 Minutes Warm-up And Calibration)

    M3016A CO Mainstream Measurement Specifications Accuracy These specifications are valid for 45% O and N or N O balance. Outside these (after 20 conditions the accuracy reaches at a minimum the requirements of EN864/ minutes ISO9918. warm-up and For values between 0 and 40 mmHg (0 to 5.3 kPa) calibration) ±2.2 mmHg (±0.3 kPa) For values above 40mmHg (5.3 kPa)
  • Page 417: M3015a Co Microstream Measurement Specifications

    M3015A CO Microstream Measurement Specifications M3015A CO Microstream Measurement Specifications Complies with EN864/ISO9918 except EN 475 Measure- 0 to 98mmHg (0.0 to 13.0 kPa), or 13% CO , whichever is lower. ment Range Warm-up 5 minutes for an accuracy of ±4 mmHg or ±12% of reading, whichever is Time greater.
  • Page 418: Gas Sampling Delay Time

    M3015A/M3016A AwRR Specifications Gas Sam- Sampling delay time from an input step change at the airway adapter until the pling Delay measured signal changes by 10% of the input step (using M1920A FilterLine Set Time Adult/Pediatric). Step response 0% - 10%: 2.3 seconds -typical 3 seconds - maximum Endtidal...
  • Page 419: Limit Alarms

    M3015A/M3016A Press Specifications Limit High range: Alarms Adult/pedi: 10 to 100rpm Neo: 30 to 150rpm Low Range: Adult/pedi: 0 to 95rpm Neo: 0 to 145rpm Adjustment: under 20rpm: 1rpm steps over 20rpm: 5rpm steps High Alarm Delay: 18 seconds. Low Alarm Delay: for settings below 20rpm: 8 seconds above 20rpm: 18 seconds Apnea...
  • Page 420: M3015a/m3016a Difference Temperature Specifications

    M3015A/M3016A Difference Temperature Specifications M3015A/M3016A Difference Temperature Specifications Measure- ±46°C (±115°F) ment Range Accuracy ±0.1°C (±0.2°F) (excluding probe) Electromagnetic Compatibility (EMC) Specifications Take special precautions regarding electromagnetic compatibility (EMC) when using medical electrical equipment. You must install and operate your monitoring equipment according to the EMC information provided in this book.
  • Page 421: Electromagnetic Immunity

    Electromagnetic Compatibility (EMC) Specifications Emissions test Compliance Electromagnetic environment guidance RF emissions Group 1 The monitor uses RF energy only for its internal function. Therefore, its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment. RF emissions Class A The monitor is suitable for use in all...
  • Page 422: Recommended Separation Distance

    Electromagnetic Compatibility (EMC) Specifications IEC 60601-1-2 Electromagnetic Immunity test Compliance level test level environment guidance Surge ± 1 kV differential ± 1 kV differential Mains power quality should IEC 61000-4-5 mode mode be that of a typical ± 2 kV common ±...
  • Page 423 Electromagnetic Compatibility (EMC) Specifications In the following table, P is the maximum output power rating of the transmitter in watts (W) according to the transmitter manufacturer and d is the recommended separation distance in metres (m). Portable and mobile RF communications equipment should be used no closer to any part of the monitor, including cables, than the recommended separation distance calculated from the equation appropriate for the frequency of the transmitter.
  • Page 424 Electromagnetic Compatibility (EMC) Specifications assess the electromagnetic environment due to fixed RF transmitters, an electromagnetic site survey should be considered. If the measured field strength in the location in which the monitor is used exceeds the applicable RF compliance level above, the monitor should be observed to verify normal operation.
  • Page 425: Performing Safety And Performance Tests

    Performing Safety and Performance Tests column, where P is the maximum output power rating of the transmitter in watts (W) according to the transmitter manufacturer. These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures, objects, and people. Electrosurgery The equipment will return to the previous operating mode within 10 seconds without loss of any stored data.
  • Page 426 Performing Safety and Performance Tests Monitor and Measurement Specifications...
  • Page 427: Accessories And Ordering Information

    The following Philips parts and accessories are specified for used with the Monitor, Measurement Server and Measurement Server Extensions. If non-Philips parts are used, Philips is not liable for any damage that these parts may cause to the equipment. Accessories and Ordering Information...
  • Page 428: Ecg Accessories

    ECG Accessories ECG Accessories The heart symbol signifies that the applied parts and their components are of Type CF and defib. proof according to IEC60601- 1/EN60601-1. Trunk Cable 3-Electrode AAMI 0.9m M1540C 2.7m M1500A 0.9m M1550C 2.7m M1510A 5-Electrode AAMI 0.9m M1560C 2.7m...
  • Page 429: 5-electrode Cable Sets

    ECG Accessories 5-Electrode Cable Sets AAMI 1.0/1.6m M1621A ICU: Grabber 1.0/1.6m M1623A Snap 1.0/1.6m M1625A Non-shielded 0.7/1.3m M1629A 1.0/1.6m M1631A ICU: Grabber 1.0/1.6m M1633A Snap 1.0/1.6m M1635A Non-shielded 0.7/1.3m M1639A 10-Electrode Cable Sets AAMI Grabber - extremities 1.0/1.6m M1973A Grabber - chest 1.0m M1979A ICU:...
  • Page 430: 5-electrode One Piece Cables

    ECG Accessories 5-Electrode One Piece Cables AAMI 2.5m M1975A ICU (Snap) 2.5m M1977A 2.5m M1985A ICU (Grabber) 2.5m M1986A Set Combiner 3-electrode M1501A 5-electrode M1502A Set Organizer Shielded 3-electrode M1503A 5-electrode M1504A Intra-Atrial (Not Available in the U.S.A.) Selector trunk cable 15214A electrode set 15215A...
  • Page 431: Spo Accessories

    MAX-I M1902B I-20 Neonatal MAX-N M1901B N-25 a. Philips Disposable Transducers are not available in the U.S.A b. OxiCliq transducers and adapter cables must be purchased directly ® from NellcorPB Adapter Cable 1.1m M1943A Adapter Cable for OxiCliq transducers 0.9m OC-3...
  • Page 432 Accessories Materials Used for Philips SpO Reusable Transducers Housing Cable M1191A silicone silicone M1192A silicone polyurethane M1193A silicone polyurethane M1194A polyurethane polyurethane M1195A silicone polyurethane Accessories and Ordering Information...
  • Page 433: Nbp Accessories

    NBP 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. Adult/Pediatric Multi-Patient Comfort Cuffs and Disposable Cuffs Limb Disposable Reusable Patient Bladder Circum- cuff cuff Tubing Category...
  • Page 434 NBP Accessories Adult/Pediatric Antimicrobial Coated Reusable cuffs Single- Cuff Size Circumference Bladder Hose Tubing (color) (cm) Width Product M4552A Infant 9 - 14.8 5.4 cm M1598B (1.5m) (orange) 2.1 inches M1599B (3m) M4553A Pediatric (green) 13.8 - 21.5 8.0 cm 3.1 inches M4554A Small Adult...
  • Page 435 PRESS Accessories PRESS Accessories These transducers and accessories are designed to have special protection against electric shocks (particularly regarding allowable leakage currents), and are defibrillator proof. Pressure Transducer Pressure Transducer 3.0m Cable CPJ840J6 Disposable domes (pack of 50) CPJ84022 Transducer holder (pack of 4) CPJ84046 IV pole mount CPJ84447...
  • Page 436: Press Accessories

    Mainstream CO Accessories 120 cm central venous pressure line injectate temperature housing PV4046 PV8115CVP Adapter Cable 3.0 m/9.8’ (also included in M1012A #K06) PMK206 Mainstream CO Accessories Transducer Sensor M1460A Standard Airway Adapter (adult, reusable) M1465A Small Airway Adapter (pediatric, reusable) 14363A Accessories and Ordering Information...
  • Page 437: Mainstream Co 2 Accessories

    Microstream CO Accessories (Sidestream) Microstream Accessories (Sidestream) A FilterLine ‘Set’ is a combination of a FilterLine sample tube with an Note— airway adapter. ‘H’ in the accessory name denotes suitability for humidified ventilation. A “Smart CapnoLine” is a combined oral-nasal FilterLine. A “Smart CapnoLine O ”...
  • Page 438: Microstream Co 2 Accessories (sidestream)

    TEMP Accessories TEMP Accessories Reusable Temperature Probes General Purpose Probe 21075A Small Flexible Vinyl Probe (Infant/Pediatric) 21076A Attachable Surface Probe 21078A Disposable Temperature Probes General Purpose Probe M1837A Skin Probe 21091A Esophageal/Stethoscope Probe 21093A 21094A 21095A Foley Catheter Probe M2255A 21096A 21097A Adapter Cable...
  • Page 439: Temp Accessories

    Monitor Mounting Options Monitor Mounting Options Table Top Mount M3080A option A10 Universal Bed Hanger M3080A option A11 (includes table top mount) Transport Bed Hanger M3080A option A21 Roller Top Stand M3080A option A22 Wall Rail M3080A option A13 Tilt/Swivel Wall Mount M3080A option A14 (includes wall rail)
  • Page 440: Monitor Mounting Options

    Server Mounting Options Server Mounting Options Server Mounting Plate M3080A option A01 (pack of five plates) Rotating Clamp Mount M3080A option A02 Recorder GSI Lumonics XE-50p M3080A option H20 Recorder Mounting Options Roller Stand M3080A option A30 Wall Mount M3080A option A31 Recorder Paper For GSI Lumonics XE-50p:...
  • Page 441: Server Mounting Options

    Index Symbols adjustments, 5 alarms bed to bed, 116 Admit Patient, 95 << SmartKey, 40 chaining, 155 Admit/Discharge... (patient), 94, 97 multiple, 155 Adult (patient category), 96 Numerics priorities, 156 alarm I lead (ECG), 140 timeout periods, 154 apnea delay (RESP), 185, 405, 417 II lead (ECG), 140 Alarms Susp (alarm suspension asystole threshold, 162...
  • Page 442 assembly, 5 Brightness SmartKey, 47 nurse call, 31 Quick Link, 31, 32, 33 *** ASYSTOLE message, 63 software update, 31 asystole threshold, 144, 403 transducer, 32, 33 AudVis latching (alarm), 370 cabinet grounding, 319 Continue Module (measurement mod- Auto Filter (ECG), 354 cabinet installation, 321 ule transfer), 100, 102 Auto/Man (RESP), 182...
  • Page 443: Contents

    setting up (waves, etc.), 44 ECG leads monitored, 124 operating (ac power), monitor, 395 disposable TEMP probe ECG On/Off, 132, 159 function key. See SmartKey connecting, 238 ECG waves functional test, 303 disposable transducer (SpO ), 224 examples of good, 141, 153 learning, 152 disposal, 343 optimizing for arrhythmia...
  • Page 444 input impedance lead V2 (ECG), 140 size, 394 ECG, 400 weight, 394 lead V3 (ECG), 140 inputs Monitor (ECG filter), 143 lead V4 (ECG), 140 floating, 318 monitor label, 368 lead V5 (ECG), 140 inspection Monitor Lbl, 368 lead V6 (ECG), 140 interval, 302 monitoring leads monitored (ECG), 124...
  • Page 445 NBP EQUIP MALF message, 201 operating voltage skin preparation monitor, 395 ECG, 122 ** NBP HIGH message, 67 RESP, 178 operation NBP INTERRUPTED message, 201 surgical, 131 basic, 38 ** NBP LOW message, 67 transfer, 98 options, 29 NBP MEASURE FAILED automatic, 366 orange ECG cable, 131, 178 message, 201...
  • Page 446 cleaning, 292, 293 Quick Sets, 348 ** RR LOW message, 70 last zero, 207 RSS 210 Compliance, 5 mercury calibration, 215 ** RUN PVCS HIGH message, 70 sterilizing, 293 R (nurse call), 372 sterilizing (gas), 294 R/Y (nurse call), 372 when to zero, 207 R/Y/I (nurse call), 372 safety, 5...
  • Page 447 high alarm delay, 360 Suspend button, 30, 39, 57 measurement server, 399, 413 low alarm delay, 359 monitor, 395 suspended alarm preparation, 222 blinking numerics, 371 temperature extremes (operating setup, 229 duration, 369 environment), 321 site lamp, 57 temperature. See TEMP inspection, 226 reminder, 370 Tesop (TEMP), 240...
  • Page 448 ** VENT BIGEMINY message, 75 PLETH, 233 PRESS, 211 *** VENT FIB/TACH message, 75 UAP (PRESS), 206 RESP, 184 *** VENT RHYTHM message, 75 See also PRESS waveform. See wave ** VENT TRIGEMINY message, 75 *** UAP DISCONNECT message, 74 waves vibration, 321 ** UAP HIGH message, 74...

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