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Instructions for Use
M2, M3 and M4 Monitor M3046A
Measurement Server M3000A
Measurement Server Extensions
M3015A & M3016A
Part Number M3046-9201D
Printed in Germany 04/02
Seventh Edition

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   Related Manuals for Philips M3046A M2

   Summary of Contents for Philips M3046A M2

  • Page 1 Instructions for Use M2, M3 and M4 Monitor M3046A Measurement Server M3000A Measurement Server Extensions M3015A & M3016A Part Number M3046-9201D Printed in Germany 04/02 Seventh Edition...
  • Page 2 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

    Introduction The M3000A Multi-Measurement Server and the M3046A Compact Portable Patient Monitor form a flexible, portable, battery or line powered patient monitor. The M3000A Multi-Measurement Server and M3016A/M3015A Measurement Server Extensions acquire the physiological signals ECG, respiration, invasive and non-invasive blood pressure, oxygen saturation of the blood, partial pressure of carbon dioxide and temperature.
  • Page 5: Ce Compliance

    EEA. This means that products bought elsewhere might cause problems in France and Spain and should be avoided Responsibility Philips Medical Systems only considers itself responsible for any effects of the Manu- on safety, reliability and performance of the equipment if: facturer •...
  • Page 6 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.
  • Page 7: Conventions Used In This Book

    In This Book This User's Guide is valid for the M3000A Measurement Server and M3046A Monitor with Revision D 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 ................45 Selecting a Wave for the Screen .
  • Page 11 Transferring A Patient To Another Monitor ..........104 Transferring a Centrally Monitored Patient .
  • Page 12 Switching Pace Pulse Rejection On and Off ..........139 Paced Patients .
  • Page 13 Status Messages............... .166 Rhythm Status Messages .
  • Page 14 Starting and Stopping NBP Measurements..........195 Making a Single NBP Measurement .
  • Page 15 Applying the Reusable Transducers............229 The Adult Finger Transducer (M1191A) .
  • Page 16 Setting Up the CO and AwRR Alarms ........... . . 256 Changing the CO alarm limits .
  • Page 17 Examining Trends and Events ..........277 Viewing the Trend .
  • Page 18 PRESS Transducer..............298 Cleaning the PRESS Transducer .
  • Page 19 Preparing to Install Your Monitor ............326 Power Source Requirements .
  • Page 20 Extra Configuration for the ECG Measurement ..........359 Selecting the Maximum Number of ECG Channels .
  • Page 21 Extra Configuration for the ∆TEMP Measurement ......... . .369 Selecting the Unit for the ∆Temperature Measurement .
  • Page 22 Extra Configuration for the Monitor ............381 Configuring the QRS Sound .
  • Page 23 Monitor Performance Specifications ............402 Display .
  • Page 24 ST Specifications............... 409 ST Numeric .
  • Page 25 PRESS Specifications ..............416 Input Sensitivity .
  • Page 26 Philips Reusable Transducers ........
  • Page 27 NBP Accessories ...............433 Adult/Pediatric Cuffs .
  • Page 29: Basic Operation

    Basic Operation This chapter includes general operating principles of the monitor (how to read the information, how to change measurements) • A Quick Description of the Monitor ..... . . 30 •...
  • 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: Front Of Monitor (m3046a)

    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 Port Back of Monitor (M3046A) Locking Mechanism for the Measurement Server...
  • Page 32: Measurement Server (m3000a)

    A Quick Description of the Monitor Measurement Server (M3000A) Start/Stop STAT (for NBP) (for NBP) Connector to Monitor Measurement Alarm Connectors Silence/Reset Measurement Connectors (M3000A) ECG/Resp Basic Operation...
  • Page 33: Measurement Server With Invasive Measurement Set (m3000a #c06)

    A Quick Description of the Monitor Measurement Server with Invasive Measurement Set (M3000A #C06) Start/Stop (for NBP) Zero (for Press) Connector to Monitor Measurement Alarm Connectors Silence/Reset Measurement Connectors (M3000A #C06) Press Note: Press and Temp cannot Temp be used at the same time. ECG/Resp Basic Operation...
  • 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 Measurement Connectors with Microstream  CO M3015A with Microstream  CO M3015 #C06 plus Invasive Pressure and Temperature M3016A with CO...
  • 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: Main Screen

    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.
  • Page 38: Basic Operation

    Basic Operation Basic Operation You operate the monitor using 23:11 Alarms Suspended Doe, John Pedi 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: The Touchstrip

    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: The Smartkeys And Softkeys

    A selection of SmartKeys are made for and Softkeys your monitor at the 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 Corner Of The Touchstrip

    Basic Operation The Corner of 1. If you have a window open on the screen, the left and the TouchStrip right lower corners of the TouchStrip activate the function displayed on the bottom line of that window. Low Limit HR from sys.
  • Page 42 Basic Operation Setup ECG SpO 2 Alarms High Limit Low Limit HR from sys. 120 / 70 (91) More 17:15 Resp 60min mean 5 / 101 (120) Zero Trends Stop All Store Event tart/Stop NBP STAT Main Screen Suspend Setup Step 4.
  • 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: Setting Up A Wave

    Basic Operation Setting Up a Step 1. Highlight the wave by lightly touching the TouchStrip beside it Wave 23:11 Alarms Su Pedi Doe, John 1 mV Pleth 17:15 60min mean 135 / 101 Select the highlighted wave by pressing the TouchStrip. The list of waves are displayed.
  • Page 45: Basic Setup

    Basic Setup If you want to cancel editing without changing the setting of a setting, press the bottom right or left hand corner to cancel. Step 5. Continue editing settings until you have set up the wave. 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 46: Setting The Waves Speed

    Basic Setup (If you do not assign a wave, and do not mark the position Blank, then one will be assigned automatically when you plug in a transducer that produces a wave.) Step 4. Select the wave by pressing the TouchStrip. If you want to exit editing without changing the wave, press the Main Screen key.
  • Page 47: Printing A Copy Of The Current Measurements

    Basic Setup Caution Printing a Make sure that the printer is connected and switched on before you Copy of the start printing. Current Mea- surements To print a copy of the current measurements to a connected printer, press the Print Screen SmartKey (you may have to press to find this SmartKey, if it is configured).
  • Page 48: Adjusting The Screen Brightness

    Basic Setup Step 1. Press the Setup key. Step 2. If you want to change the setting for the QRS volume, a. Move the highlight to “QRS Volume”. b. Press on the TouchStrip. c. Select the level for the QRS volume. Step 3.
  • Page 49: Recalling A Quickset

    Basic Setup Press the Setup key. Step 2. Move the highlight to “Date, Time”. Step 3. Highlight, then select the appropriate setting for the Year, Month, Day, Hour (in 24 hour format, only) and Minute as necessary. Step 4. Highlight and select Store Date, Time to change the date and time.
  • Page 50: Summary Of The Smartkeys

    Summary of the SmartKeys Summary of the SmartKeys See “Printing a Copy of the Current Measurements” on page 47 See “Adjusting the Screen Brightness” on page 48. See page 47 or “Changing The Volume of the Alarm Chime” on page 62. See “Selecting the Patient Identification Menu”...
  • Page 51 Summary of the SmartKeys See “Storing an Event Manually” on page 280. See “Reviewing Events” on page 281. See “Setting Automatic Alarm Limits” on page 62. See “Setting Automatic Alarm Limits” on page 62. See “Reviewing Beat Labels” on page 162 Switches on Standby mode.
  • Page 52 Summary of the SmartKeys Basic Operation...
  • Page 53: Dealing With Alarms

    Dealing with Alarms This chapter is about recognizing alarms, responding to alarms, and setting up alarms. A list of the physiological patient alarms, and the technical alarms (INOPs) is given at the end of the chapter. • Recognizing Alarms ........54 •...
  • Page 54: Recommendation For Alarm Configuration

    Recommendation for Alarm Configuration Recommendation for Alarm Configuration When using Arrhythmia Analysis it is recommended that both visual and audible alarms are set to latching, or at least the visual red alarms. During attended monitoring (for example in the Operating Room), latching for visual and audible alarms may be configured to OFF.
  • Page 55: Technical Alarms

    Recognizing Alarms • If there is a Yellow Alarm (and no Red Alarms), the sound is lower pitched and repeated every two seconds. • If there is a Yellow Arrhythmia Alarm, the sound is at the same pitch as the Yellow alarm but lasts for only 5 seconds. The visual indicators for a patient alarm are: •...
  • Page 56: Reviewing Alarms

    Reviewing Alarms Reviewing Alarms If more than one measurement is in an alarm condition, the message shown at the top right of the screen will change every two seconds and it will have an arrow ( ) at the side. To see a list of all current alarm messages, press on the TouchStrip next to the alarm message.
  • Page 57 Dealing with Alarms The following tables describe the alarm behaviors for parameter and arrhythmia alarms: Red & Yellow Parameter Visual latching Alarms Non-latching alarms Latching alarms Audible non-latching Silence/ Alarm Audible alarm sounds. Visual alarm message shown. Numerics Reset has condition is blink.
  • Page 58 Dealing with Alarms Yellow Arrhythmia Alarms Visual latching Non-latching alarms Latching alarms Audible non-latching Silence/ Alarm Visual alarm message shown and numeric blinks until condition Reset has condition is clears. been present. Time-out period continues. activated. Alarm condition no Visual alarm message disappears and numeric stops blinking. longer present.
  • Page 59 Dealing with Alarms Red Arrhythmia Alarms Visual latching Non-latching alarms Latching alarms Audible non-latching Silence/ Alarm Audible alarm sounds. Visual alarm message shown. Numeric Reset has condition is blinks. NOT been present activated. Visual alarm Audible and Visual message shown. Alarm Audible alarm alarms and blinking...
  • Page 60: Silencing Alarms

    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 374) The visible alarm indicators will stop too, if the alarm conditions no longer exist.
  • Page 61: Restarting Suspended Alarms

    Checking and Changing the Alarm Limits Restarting • If the monitor has been configured to only stay suspended for Suspended 1, 2 or 3 minutes, the monitor will start indicating alarms again Alarms after the suspension period, or as soon as you press the key a second time.
  • Page 62: Setting Automatic Alarm Limits

    Changing The Volume of the Alarm Chime Setting Step 1. Press the Limits Wide or Limits Narrow SmartKey (you Automatic may have to press to find these SmartKeys if they are Alarm Limits configured). Step 2. Select the appropriate setting: All for AutoLimits on all measurements on the list or a specific measurement from the list for AutoLimits on that measurement.
  • Page 63: Patient Alarm Messages

    Patient Alarm Messages 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. Patient Alarm Messages The alarms are listed alphabetically in the table (irrespective of their priority).
  • Page 64 Patient Alarm Messages Physiological Alarms Measure Audible Alarm Message Condition Visual Indication ment Indication ** ABP LOW PRESS Pressure below low ABP numeric A chime alarm limit blinks, Yellow every 2 The s, d, or m after the alarm lamp. Low seconds.
  • Page 65 Patient Alarm Messages Physiological Alarms Measure Audible Alarm Message Condition Visual Indication ment Indication ** ART LOW PRESS Pressure below low ART numeric A chime alarm limit blinks Yellow every 2 The s, d, or m after the alarm lamp. Low seconds.
  • Page 66 Patient Alarm Messages Physiological Alarms Measure Audible Alarm Message Condition Visual Indication ment Indication ** AWRR HIGH The airway respiration AwRR numeric A chime AwRR rate has exceeded the blinks and high every 2 high alarm limit limit is seconds. highlighted, Yellow alarm lamp.
  • Page 67 Patient Alarm Messages Physiological Alarms Measure Audible Alarm Message Condition Visual Indication ment Indication msCO **EtCO2 LOW EtCO has dropped EtCO numeric A chime below the selected low blinks and low every 2 ssCO limit. limit is seconds. highlighted, Yellow alarm lamp **EtCO2 HIGH msCO...
  • Page 68 Patient Alarm Messages Physiological Alarms Measure Audible Alarm Message Condition Visual Indication ment Indication ** HR LOW The heart rate has HR numeric A chime dropped below the low blinks and low every 2 alarm limit limit is seconds. highlighted, Yellow alarm lamp.
  • Page 69 Patient Alarm Messages Physiological Alarms Measure Audible Alarm Message Condition Visual Indication ment Indication ** IRREGULAR ECG/ Consistently irregular HR numeric A chime Arrhyth heart rhythm. blinks, every 2 Yellow alarm seconds lamp for 5 seconds. ** LAP HIGH PRESS Pressure above high LAP numeric A chime...
  • Page 70 Patient Alarm Messages Physiological Alarms Measure Audible Alarm Message Condition Visual Indication ment Indication ** NBP HIGH NBP above the high NBP numeric A chime alarm limit. blinks Yellow every 2 The s, d, or m after the alarm lamp. seconds.
  • Page 71 Patient Alarm Messages Physiological Alarms Measure Audible Alarm Message Condition Visual Indication ment Indication ** P1 HIGH PRESS Pressure above high P1 numeric blinks A chime alarm limit and Yellow alarm every 2 The s, d, or m after the lamp.
  • Page 72 Patient Alarm Messages Physiological Alarms Measure Audible Alarm Message Condition Visual Indication ment Indication ECG/ A non-ventricular PVC numeric A chime ** PAIR OF Arrhythm contraction, followed by blinks, every 2 PVCs two ventricular Yellow alarm lamp seconds contractions followed for 5 by a non-ventricular seconds.
  • Page 73 Patient Alarm Messages Physiological Alarms Measure Audible Alarm Message Condition Visual Indication ment Indication ECG/ More premature PVC numeric A chime ** PVC/min Arrhythm ventricular contractions blinks, every 2 HIGH have been detected in a Yellow alarm lamp seconds minute than the limit. for 5 seconds.
  • Page 74 Patient Alarm Messages Physiological Alarms Measure Audible Alarm Message Condition Visual Indication ment Indication ** RAP LOW PRESS Pressure below low RAP numeric A chime alarm limit blinks and low every 2 The s, d, or m after the limit is seconds.
  • Page 75 Patient Alarm Messages Physiological Alarms Measure Audible Alarm Message Condition Visual Indication ment Indication ECG/ If the heart rate is less PVC numeric A chime ** R-ON-T Arrhythm than 100bpm, a PVC blinks, every 2 PVCs with R to R interval less Yellow alarm lamp seconds than one third of a...
  • Page 76 Patient Alarm Messages Physiological Alarms Measure Audible Alarm Message Condition Visual Indication ment Indication ECG/ The ST segment in lead STnumeric blinks, A chime ** ST<n> LOW Arrhythm <n> is lower than the Yellow alarm lamp every 2 limit. seconds. (Adult patients only)
  • Page 77 Patient Alarm Messages Physiological Alarms Measure Audible Alarm Message Condition Visual Indication ment Indication **Tart LOW TEMP The temperature has Tart numeric A chime dropped below the low blinks and low every 2 alarm limit limit is seconds. highlighted, Yellow alarm lamp.
  • Page 78 Patient Alarm Messages Physiological Alarms Measure Audible Alarm Message Condition Visual Indication ment Indication ** Tnaso HIGH TEMP The temperature has Tnaso numeric A chime exceeded the high blinks and high every 2 alarm limit limit is seconds. highlighted, Yellow alarm lamp.
  • Page 79 Patient Alarm Messages Physiological Alarms Measure Audible Alarm Message Condition Visual Indication ment Indication **Tskin LOW TEMP The temperature has Tskin numeric A chime dropped below the low blinks and low every 2 alarm limit limit is seconds. highlighted, Yellow alarm lamp.
  • Page 80 Patient Alarm Messages Physiological Alarms Measure Audible Alarm Message Condition Visual Indication ment Indication ** UAP LOW PRESS Pressure below low UAP numeric A chime alarm limit blinks Yellow every 2 The s, d, or m after the alarm lamp. Low seconds.
  • Page 81 Patient Alarm Messages Physiological Alarms Measure Audible Alarm Message Condition Visual Indication ment Indication ECG/ A consecutive run of PVC numeric A chime ** VENT Arrhythm PVCs has been detected blinks, every 2 RHYTHM accompanied by a rate Yellow alarm lamp seconds less than the limit for for 5...
  • Page 82: Technical Alarm Messages (inops)

    Technical Alarm Messages (INOPs) Technical Alarm Messages (INOPs) This table lists all of the technical alarm messages (in alphabetic order) that could appear at the top left of the screen. If a status message with yellow text on a blue background appears at the bottom of the screen, check with your biomedical department.
  • Page 83 Technical Alarm Messages (INOPs) Technical Alarms (INOPs) Measur Visual Audible INOP Message What to do. ement Indication Indication BAD SERVER An M3000A Measurement Server LINK with revision A software is plus connected to an M3046A Monitor “Measurement with revision B software. This Server Revision combination does not allow not supported”...
  • Page 84 Technical Alarm Messages (INOPs) Technical Alarms (INOPs) Measur Visual Audible INOP Message What to do. ement Indication Indication CANNOT Review the ECG signal quality and ANALYZE ST the placement of the ISO and J points CHARGER Contact your biomedical Battery MALFUNCT.
  • Page 85 Technical Alarm Messages (INOPs) Technical Alarms (INOPs) Measur Visual Audible INOP Message What to do. ement Indication Indication AUTO ssCO Auto Zero is in progress, no Numeric After 15 ZERO action required. seconds, a displayed beep with a ? every 2 for the seconds first 15...
  • Page 86 Technical Alarm Messages (INOPs) Technical Alarms (INOPs) Measur Visual Audible INOP Message What to do. ement Indication Indication CHECK msCO Perform an accuracy check (see A beep “Preparing to Measure CO ” on numeric every 2 page 251) and, if necessary, displays - seconds recalibrate the transducer.
  • Page 87 Technical Alarm Messages (INOPs) Technical Alarms (INOPs) Measur Visual Audible INOP Message What to do. ement Indication Indication PURGING ssCO The Measurement Extension is A beep purging the Filterline. This numeric is every 2 occurs when an occlusion is displays - seconds detected in the line or airway adapter.
  • Page 88 Technical Alarm Messages (INOPs) Technical Alarms (INOPs) Measur Visual Audible INOP Message What to do. ement Indication Indication UPDATE ssCO The software in the Measurement A beep Extension does not match the numeric every 2 software in the Measurement displays - seconds Server.
  • Page 89 Technical Alarm Messages (INOPs) Technical Alarms (INOPs) Measur Visual Audible INOP Message What to do. ement Indication Indication ECG NOISY Remove any possible sources of Prompt None SIGN. signal noise (such as power message. cords) from the area around the cable or the patient.
  • Page 90 Technical Alarm Messages (INOPs) Technical Alarms (INOPs) Measur Visual Audible INOP Message What to do. ement Indication Indication NBP CUFF Disconnect the cuff from the A beep OVERPRESS Measurement Server, or remove numeric every 2 from the patient. Make sure that displays - seconds.
  • Page 91 Technical Alarm Messages (INOPs) Technical Alarms (INOPs) Measur Visual Audible INOP Message What to do. ement 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 Prompt department.
  • Page 92 Technical Alarm Messages (INOPs) Technical Alarms (INOPs) Measur Visual Audible INOP Message What to do. ement Indication Indication NO CENTRAL Central monitoring has been A beep MONITORING interrupted. With a wired every 2 network: check that the network seconds. cable is connected. With a wireless network: Check that the M3 has not been moved out-of- range of an access point and that...
  • Page 93 Technical Alarm Messages (INOPs) Technical Alarms (INOPs) Measur Visual Audible INOP Message What to do. ement Indication Indication P1 NOISY PRESS Change the source for the heart Pulse A beep SIGNAL rate to Pleth or ECG (see numeric every 2 “Selecting the Source for the displays - seconds.
  • Page 94 Technical Alarm Messages (INOPs) Technical Alarms (INOPs) Measur Visual Audible INOP Message What to do. ement Indication Indication P1 REDUCE PRESS Increase the scale for the None None SIZE pressure wave. (see “Changing the Size of the Pressure Wave” on page 212).
  • Page 95 Technical Alarm Messages (INOPs) Technical Alarms (INOPs) Measur Visual Audible INOP Message What to do. ement Indication Indication RESP EQUIP RESP Contact your biomedical A beep MALF department. numeric every 2 [The RESP hardware is faulty.] displays - seconds. RESP ERRATIC RESP Make sure that the electrode is -?- next to...
  • Page 96 Technical Alarm Messages (INOPs) Technical Alarms (INOPs) Measur Visual Audible INOP Message What to do. ement Indication Indication EQUIP Contact your biomedical A beep MALF department. numeric every 2 [The SpO hardware is faulty.] displays - seconds. ERRATIC Make sure the SpO transducer is A beep correctly placed.
  • Page 97 Technical Alarm Messages (INOPs) Technical Alarms (INOPs) Measur Visual Audible INOP Message What to do. ement Indication Indication NON- Try changing the application site A beep PULSATILE of the transducer, or stimulating numeric every 2 circulation at the current site. displays - seconds.
  • Page 98 Technical Alarm Messages (INOPs) Technical Alarms (INOPs) Measur Visual Audible INOP Message What to do. ement 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...
  • Page 99: Admitting And Discharging Patients

    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 ....100 •...
  • Page 100: 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 101: Changing The Patient Category

    Admitting A New Patient Step 1. Press the Admit Patient softkey. Step 2. Select the Last Name field. Step 3. Enter the patient’s last name For each letter a. Highlight then press the softkey with the letter you want. Highlight then press the up/down-arrow softkey for lower case letters and numbers and symbols You can backspace through what you have typed using the back arrow(<).
  • Page 102: Changing The Pacemaker Setting

    Selecting a QuickSet For neonatal patients. Changing the The pacemaker setting can be changed at the Monitor or at the central. Pacemaker Setting Warning The pace pulse rejection must be switched on for paced patients. Switching pace pulse rejection off for paced patients may result in pace pulses being counted as regular QRS complexes which could prevent an asystole alarm from being detected.
  • Page 103 Selecting a QuickSet Step 1. To get into the QuickSets menu, press the QuickSets 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 QuickSet will be highlighted at the same time).
  • Page 104: 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.
  • Page 105: Transferring The Patient With The M3000a Measurement Server

    Transferring A Patient To Another Monitor Step 1. Press the Continue Meas Serv softkey. The Information Center detects that it is in ‘transfer mode’, and automatically re-admits the patient from the transfer list. For more information on transferring the patient with a measurement server, see “Attaching to a New M3046A Monitor...”...
  • Page 106: Transferring A Patient With The Monitor

    Transferring A Patient To Another Monitor Warning Warning After you have made your choice, make sure that the patient type and the paced mode are correct for your patient. • If you want to use the patient data from the M3000A Measurement Server, press the Continue Meas Serv softkey.
  • Page 107 Transferring A Patient To Another Monitor If a centrally monitored patient is transferred from one bed to another with the monitor, two sets of names and identifications for that patient are displayed (one from the M3046A monitor and one from the Information Center).
  • Page 108: 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 109: 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? ....110 •...
  • Page 110: 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 111 Which Networks are used with the M3046A? connection from a bedside cannot be as dependable as a wired LAN connection. The effect of low signal strength and interference on the display of the patient information from a wireless bedside at the central station can range from a momentary period to a lengthy period of data loss.
  • Page 112: Interacting With The Information Center

    Interacting with the Information Center 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 113 Interacting with the Information Center the LAN socket on the rear of the monitor. Orange-framed LAN Connector When the patient is to be transported: – the LAN connector must be pulled out of the LAN socket on the monitor (to remove, press in the lever on the underside of the connector and pull the connector out) –...
  • Page 114: Operating Remotely At The Information Center

    Interacting with the Information Center 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 115: Configuring The Monitor Label

    Configuring the Monitor Label Printing Reports To print reports remotely at the Information Center, you need to select the remote printer in the Setup Printer window (see “Connecting a Printer” on page 344). Recording Strips There are two types of recording which can be made: a real-time recording and a delayed recording.
  • Page 116: Assigning The Monitor To A Care Group

    Assigning the Monitor to a Care Group Warning Warning If your monitor is connected to an Information Center, you should not rename the monitor locally (as described in “Naming the Monitor” on page 373) as this can result in you losing the connection to the Information Center.
  • Page 117 Assigned Central is not The Information Center is switched off or available not 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 118: During Operation

    Viewing Information for Other Patients from the Bedside During During operation, problems are indicated by INOP messages and Operation changes in the 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 119: Getting An Overview Of The Monitors In Your Care Group

    Viewing Information for Other Patients from the Bedside patient information from other monitors in your unit, or even from other units. Getting an If the monitor is connected to the network and assigned to a Care Overview of Group (see “Assigning the Monitor to a Care Group” on page 116), the the Monitors status of all the other monitors in the Care Group is displayed at the in Your Care...
  • Page 120 Viewing Information for Other Patients from the Bedside 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. For more information, see “Viewing Patient Information from Another Monitor”...
  • Page 121: 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 Patient the numerics, waves, alarms and INOPs for a patient connected to Information another monitor. from Another Monitor Viewing Patient To view the patient information for any patient connected to a monitor Information from in your Care Group:...
  • Page 122 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 123 Viewing Information for Other Patients from the Bedside The patient window is displayed. Viewing Patient Step 1. Access the list of monitors in your Care Group, as described in Information for “Viewing Patient Information from a Monitor in your Care Group” Monitors in Other on page 121.
  • Page 124 Viewing Information for Other Patients from the Bedside Communicating with the Information Center...
  • Page 125: 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 ....126 •...
  • Page 126: 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 428. The heart symbol signifies that the applied parts and their components are of Type CF and defib.
  • Page 127 Preparing to Measure ECG contact. Recommendations: a. Shave hair from sites, if necessary. b. Wash sites thoroughly with soap and water. (never use ether or pure alcohol, because this increases skin resistance). c. Dry briskly to increase capillary blood flow in the tissues and remove skin cells and oil.
  • Page 128: 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 AAMI - Red Color AAMI - Green IEC - Green IEC - Black (AAMI) (IEC)
  • Page 129 Placing the Electrodes for Measuring ECG For accurate V electrode placement and measurement, it is important to locate the 4th intercostal space. 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).
  • Page 130: 3-electrode Set (standard)

    Placing the Electrodes for Measuring ECG over the xiphoid process. on posterior chest at the left posterior axillary line in the 5th intercostal space. on posterior chest at the right posterior axillary line in the 5th intercostal space. A 5-electrode set gives you a choice of leads for each channel: I, II, III, aVR, aVL, aVF, V, MCL.
  • Page 131 Placing the Electrodes for Measuring ECG AAMI - White IEC - Red AAMI - Black IEC - Yellow AAMI - Red Color IEC - Green (AAMI) (IEC) Green Place in the left lower abdomen Measuring the ECG...
  • Page 132: 3-electrode Set (mcl )

    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 133: Placement For Paced Patients

    Placing the Electrodes for Measuring ECG This table shows the choice of leads for a 3-electrode set.. Lead Reference Position 1 (I) 2 (II) 3 (III) Placement for The pacemaker lead should give the best wave for paced patients Paced Patients AAMI - Red IEC - Green AAMI - White...
  • Page 134: 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 mended Place- in the operating room. These cables have extra circuitry to protect ment for the patient from burns during cautery, and they decrease electrical Surgical interference.
  • Page 135: 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 134): Step 1. Select ECG On/Off. This defines whether ECG is to be measured or not. Step 2.
  • Page 136: 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 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 137 Selecting the Volume of the Tone 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. Measuring the ECG...
  • Page 138: Changing The Heart Rate Alarm Limits

    Changing the Heart Rate Alarm Limits Changing the Heart Rate Alarm Limits In ECG setup (see “Selecting the ECG Setup” on page 134): Step 1. Select High Limit if you want to set the upper alarm limit for the heart/pulse rate. Select Low Limit if you want to set the lower alarm limit for the heart/pulse rate.
  • Page 139: Switching Pace Pulse Rejection On And Off

    Switching Pace Pulse Rejection On and Off Switching Pace Pulse Rejection On and Off Paced Patients When monitoring paced patients, it is important to set the pacing status correctly to enable pace pulse rejection. You can change pacing status in the ECG Setup or in the Patient Identification window (see “Admitting A New Patient”...
  • Page 140 Switching Pace Pulse Rejection On and Off • Pacemaker pulses may not be detected when the output of a defibrillator is plugged into the monitor. This may result in the arrhythmia algorithm's failure to detect pacemaker non-capture or asystole. Instruments such as defibrillators produce a filtered ECG signal. When this signal is used as an input to the bedside monitor, it is filtered again.
  • Page 141: 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 134): Pace Pulse Step 1. Select Paced. This sets whether the pace pulse rejection is on Rejection On or off. and Off Warning The pace pulse rejection must be switched on for paced patients.
  • Page 142: Setting Up The Ecg Wave

    Setting up the ECG Wave Setting up the ECG Wave See “Selecting a Wave for the Screen” on page 45 for information on how to get the ECG wave onto the screen. Selecting the Step 1. Highlight the ECG wave by lightly touching the TouchStrip ECG Wave beside it Channel Setup...
  • Page 143: Selecting The Ecg Lead

    Setting up the ECG Wave Selecting the In the ECG wave channel setup (see “Selecting the ECG Wave Channel ECG Lead Setup” on page 142): Step 1. Select Lead. This chooses the lead used for measuring ECG in the selected channel. Step 2.
  • Page 144 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 Marks for a (vertical lines just after the QRS-complex) are also shown on the ECG Defibrillator wave.
  • Page 145: Changing The Size Of The Ecg Wave

    Setting up the ECG Wave Warning Warning DO NOT TOUCH THE PATIENT, OR TABLE OR INSTRUMENTS DURING DEFIBRILLATION Pace Pulse When pace pulse detection is on, the pace pulse is shown on the ECG Marks wave as a small dash (except in the third channel). Changing the If the ECG wave is too Small or Clipped: Size of the ECG...
  • Page 146: 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...
  • Page 147: Selecting Ecg Cascading Through Empty Waves

    Troubleshooting the ECG Measurement Selecting ECG In ECG wave channel setup (see “Selecting the ECG Wave Channel Cascading Setup” on page 142): through Empty Step 9. Select Cascading. This defines whether the ECG wave scrolls Waves into empty channels. Step 10. Select the appropriate setting: The ECG wave is extended into empty channels.
  • Page 148 Troubleshooting the ECG Measurement LEADS OFF Check that all of the required leads are attached, and that none of the electrodes have been displaced. ALL ECG ALARMS OFF This message appears (if configured to do so) when either the ECG alarms are switched off in the ECG setup or the HR source is not 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 ......... 150 •...
  • 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.
  • 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 Arrhythmia basic functions, as well as the detection of the 11 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 Accurate optimized for 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 161). 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 Good The graphic below shows an ECG optimized for arrhythmia monitoring Non-Paced ECG of a non-paced patient. 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 or a learning phase occurs. Timeout Note— A superseding alarm does not clear the timeout period. 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 Announcing priority 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 Priority Enhanced Arrhythmia Chains The diagram below shows the alarm priority chains for enhanced arrhythmia. 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 Basic Arrhythmia The diagram below shows the alarm priority chains for basic arrhythmia. 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) Beat Detection Alarms High Pacer Not Capture Pacer Not Pace...
  • 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 134) Step 2.
  • Page 162: Reviewing Beat Labels

    Reviewing Beat Labels 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 • Low heart rate 2.
  • Page 163: Changing The Arrhythmia Alarm Limits

    Changing the Arrhythmia Alarm Limits Step 1. Press the SmartKey Relearn or select Relearn Arrhythmia. Step 2. Wait until the beat labelling on the ECG wave changes from L (for Learning) to labeling appropriate to the wave (see Step 3 on page 153 for a list of labels).
  • Page 164 Changing the Arrhythmia Alarm Limits The following diagram illustrates the conditions under which the following PVC events are generated: • Ventricular Tachycardia • Non-Sustained Ventricular Tachycardia • Ventricular Rhythm • Run PVCs • Pair PVCs Each of the PVC events are detected on the basis of the current ventricular heart rate and/or the number of consecutive PVCs counted (referred to as runs).
  • Page 165: Switching Arrhythmia Alarms On And Off

    Switching Arrhythmia Alarms On and Off • TTT is the V-Tach Heart Rate limit • RRR is the V-Tach Run limit • M is the Ventricular run limit Switching Arrhythmia Alarms On and Off Switching The following alarms can be individually switched on and off: Alarms On and •...
  • Page 166: Status Messages

    Status Messages Step 1. Select All Yellow Off, and to switch all yellow alarms on: Step 1. Select All Yellow On. Status Messages The monitor displays two types of status messages: • Rhythm Messages -- to indicate the patient’s rhythm. •...
  • Page 167 Status Messages Basic Message Description /Enh. VENT RHYTHM A dominant rhythm of adjacent PVCs and a HR less than or equal to the V-Tach Heart Rate Limit VENT BIGEMINY A dominant rhythm of N, V, N, V (N=supraventricular beat, V=ventricular beat) VENT TRIGEMINY E A dominant rhythm of N, N, V, N, N, V (N=supraventricular beat, V=ventricular beat)
  • Page 168: Ectopic Status Messages

    Status Messages The table below indicates the ranges for Sinus and SV rhythms. Rhythm Adult Range Ped Range Neo Range Brady 15 to 60 15 to 80 15 to 90 Normal 60 to 100 80 to 160 90 to 180 Tachy >...
  • Page 169 Status Messages Basic Message Explanation /Enh MULTIFORM PVCs Multiform PVCs detected within the last [number of PVCs in last minute minute] FREQUENT SVPBs SVPB count within last minute is greater [number of SVPBs in last than 5 minute] SVPBs [number of SVPBs 1-5 SVPBs in the last minute with a in last minute] sinus rhythm and no Vs...
  • Page 170: Troubleshooting The Arrhythmia Analysis

    Troubleshooting the Arrhythmia Analysis Troubleshooting the Arrhythmia Analysis If a technical alarm message (an INOP) appears at the top right of the screen, check the list below for actions to take. Cannot analyze ECG Improve lead position and/or reduce patient motion. If you are not getting a reliable HR because the signal is below a minimum amplitude, unstable, or contains artifact, and you...
  • 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 ......... 172 •...
  • 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: How The Algorithm Works

    Selecting the ST Setup Warning Warning This device provides ST level change information; the clinical significance of the ST level change information should be determined by a physician. How the ST analysis uses the ST/AR arrhythmia beat classification to select only Algorithm normal and atrially paced beats for its analysis.
  • Page 174: Adjusting The Measurement Points

    Adjusting the measurement points Adjusting the measurement points In the ST setup you can adjust the ST measurement points to ensure accurate data. There are three measurement cursors: • The ISO measurement cursor positions the isoelectric point in relation to the R-wave peak. •...
  • Page 175 Adjusting the measurement points • Using the arrow keys, position the bar at the end of the QRS complex and the beginning of the ST segment. Step 5. To adjust the ST point, if necessary: • Use the Select Point softkey to select the dotted bar marking the ST point (when selected it appears white) •...
  • 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: Switching St Alarms On And Off

    Switching ST Alarms On and Off These limits can also be set automatically by the monitor around the patient’s current ST value using the AutoLimits function (see “Setting Automatic Alarm Limits” on page 62). Switching ST Alarms On and Off In ST setup (see “Selecting the ST Setup”...
  • 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 ..... . . 180 •...
  • 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 428. 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 measuring ECG see “Placing the Electrodes for Measuring ECG” on page 128, and for measuring respiratory see “Placing the Electrodes for Measuring Respiration” on page 181. Step 4. Attach the electrodes to the patient cable. Step 5.
  • 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/Off If Respiration and CO are measured, two respiration rates are...
  • 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 183). 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 the If you have selected Manual detection: Manual Step 3. Select Respiration setup (see “Selecting the Respiration Setup” Respiration on page 183). Detection Step 4. Select Manual Up or Manual Down. This changes the Level trigger 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 45 for information on how to get the respiration wave onto the screen. Warning Warning Changing the Check the respiration detection level after you have increased or Size of the decreased the size of the respiration wave.
  • Page 187: Changing The Apnea Alarm Delay

    Troubleshooting the Respiration Measurement Changing the In RESP setup (see “Selecting the Respiration Setup” on page 183): Apnea Alarm Step 3. Select Apnea to set the time limit before the alarm is indicated Delay if the patient stops breathing. Step 4. Select the appropriate setting. Enabling or In RESP setup (see “Selecting the Respiration Setup”...
  • Page 188 Troubleshooting the Respiration Measurement RESP LEAD OFF Make sure that the patient cable is connected, the lead is connected to the electrode, and the electrode is attached. Measuring Respiration Rate (RESP)
  • Page 189: Measuring Blood Pressure Non-invasive (nbp)

    Measuring Blood Pressure Non-invasive (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 ......190 •...
  • 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 M1598A/B 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 Preparing to Measure NBP Step 5. Connect the cuff to the air tubing. – 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: Starting And Stopping Nbp Measurements

    Starting and Stopping NBP Measurements... Starting and Stopping NBP Measurements... There are three types of NBP measurement: • A single measurement. • A repeated measurement where NBP is measured as many times as possible over a five minute period. • An automatic measurement, where NBP is measured automatically at fixed intervals.
  • Page 196: Making Stat Nbp Measurements

    Starting and Stopping NBP Measurements... To stop the current measurement immediately: • press the Start/Stop SmartKey, or press the Start/Stop key on the Measurement Server again, or • • press the Stop All SmartKey. STOP • select Start/Stop NBP in NBP Setup (see “Selecting the NBP Setup”...
  • Page 197 Starting and Stopping NBP Measurements... Auto NBP measurements will be made automatically, at fixed intervals. The time between measurements is set by the Repeat Time. Note— Selecting Auto does not start the measurement cycle. Manual NBP measurements are started by the user. Step 3.
  • Page 198: Using The Nbp Cuff To Occlude Blood Vessels

    Starting and Stopping NBP Measurements... Using the NBP The NBP cuff can be used to occlude the vessels of a patient’s limb to Cuff to allow a vein to be punctured and blood samples to be drawn. To start Occlude Blood cuff inflation: Vessels Step 1.
  • Page 199: Understanding The Nbp Numerics

    Starting and Stopping NBP Measurements... Understand- ing the NBP Cuff Pressure Measurement Numerics Mode (while measuring) Repeat Time of Last Time Measurement Units Label 17:15 mmHg Cuff 151 60min Auto Alarm Source 135 / 101 Mean Alarm High Limit (120) Alarm Low Limit Systolic or Mean...
  • Page 200: Selecting The Nbp Setup

    Selecting the NBP Setup Selecting the NBP Setup Step 1. Highlight the NBP numeric and press on the TouchStrip. Step 1. Press the Setup key. Step 2. Move the highlight to “NBP”. Step 3. Press on the TouchStrip. When you are finished with the NBP Setup, press the Main Screen key. Switching the NBP Measurement On In NBP setup (see “Selecting the NBP Setup”...
  • Page 201 Setting Up the NBP 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. Use this when you want to monitor the diastolic pressure for alarm conditions.
  • Page 202: Enabling The Alarms

    Setting Up the NBP Alarms Select and set the High Limit and Low Limit for the pressure(s) you have selected. 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...
  • Page 203: 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 Numeric INOP). Shows -?- CUFF NOT DEFLATED Disconnect the cuff from the Measurement Server, or remove from the patient. You can Silence the INOP, but it remains until the next measurement is started.
  • Page 204 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 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......206 •...
  • 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 435. 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 Server Extension you can measure either invasive pressure or temperature. These measurements cannot be measured at the same time in one Server or Server Extension. Step 2. Prepare the pressure line and transducer by flushing the system with the solution to be infused.
  • Page 208: Selecting A Label (and The Label Dependent Settings)

    Preparing to Measure Pressure Selecting A Step 6. Make sure the correct label has been selected. Label (and the Note— The label automatically uses the scales, color, and alarm Label limits and other settings for that group (there are four groups of Dependent pressure labels: System Arterial, Central Venous/Atrial, Settings)
  • Page 209: Zeroing The Transducer

    Preparing to Measure Pressure there is a chance that this liquid could get inside the transducer or the Measurement Server, contact your biomedical department Zeroing the If you are measuring intracranial pressure, you should perform your Transducer zero (and calibration) after you have connected the transducer, and before you connect the patient catheter to the pressure line (the most recent zero and calibration are stored in the M3000A Measurement Server or the M3015A/M3016A Measurement Server Extension and will...
  • 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 SmartKey will zero both pressures if they are switched on.
  • Page 211: Selecting The Pressure Setup

    Selecting the Pressure Setup unable to zero - timed 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 Step 1. Select PRESS On/Off. This defines whether the pressure is to be measured or not. Step 2. Select the appropriate setting: The pressure will be measured. You can only switch the pressure on if a transducer is connected.
  • Page 213: Changing The Speed Of The Pressure Wave

    Setting Up the PRESS Alarms wave. Both the minimum and maximum are set automatically by optimum. Note— The scale size set by selecting optimum does not change until you reselect optimum. Changing the The speed of the pressure wave is the same as the speed for the ECG Speed of the wave.
  • Page 214 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. Use this when you want to monitor the diastolic pressure for alarm conditions.
  • Page 215: Enabling The Alarms

    Calibrating a Disposable Transducer (M1567A/M1568A) S&D&M Use this when you want to monitor all three pressures in parallel for alarm conditions. Only one alarm is given at any time, mean pressure alarm conditions will have priority over all, systolic pressure alarm conditions will have priority over diastolic pressure alarm conditions.
  • Page 216: Entering A Known Calibration Factor

    Calibrating a CPJ840J5 Transducer Entering a The calibration factor for disposable transducers should be indicated Known on the transducer. Calibration Select the pressure setup by moving the highlight to the PRESS Factor numeric and pressing on the TouchStrip. Step 1. Zero the transducer. a.
  • Page 217: Doing A Mercury Calibration

    Calibrating a CPJ840J5 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 CPJ840J5 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 CPJ840J5 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 Pressure Check at the top left of the screen for a technical alarm message (an Numeric is INOP). Displayed REDUCE SIZE Increase the scale for the pressure wave. PRESS (see “Changing the Size of the Pressure Wave”...
  • Page 221: If The Pulse Numeric Shows

    Troubleshooting the Pressure Measurement TRANSDUC MAL Contact your biomedical department. PRESS The transducer is faulty. ZERO + CHECK Perform a zero (see “Zeroing the PRESS Transducer” on page 209), and check the calibration of the transducer (see “Calibrating a CPJ840J5 Transducer” on page 216).
  • 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 2

    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 Preparing and Measuring SpO Step 1. Select the correct type and size of transducer from the chart (no other transducers may be used). Caution Use only SpO transducers listed in “SpO Accessories” on page 431. Find the patient’s weight on the vertical axis of the chart. Any of the dark areas across the graph at this weight indicate that the transducer on the horizontal axis is a “best choice”...
  • Page 226 Preparing and Measuring SpO Patient Weight Greater Adult than Finger 50kg/110lbs Adult (kg) (lb.) Pediatric Finger (Toe) Infant Infant Toe (Finger) Finger Neonatal Foot (Hand) M1192A M1194A M1193A N-25 I-20 D-20 D-25 (Oxysensor II) Preferred M1195A M1191A A (OxiCliq) Transducer M1903A/B M1901A/B Alternative...
  • Page 227: Preparing And Measuring Spo

    Preparing and Measuring SpO See “SpO Accessories” on page 431 for a list of the transducers and accessories. Warning Warning Do not use OxiCliq disposable transducers in a high humidity environment, such as in neonatal incubators or in the presence of fluids, which may contaminate transducer and electrical connections causing unreliable or intermittent measurements.
  • Page 228 Preparing and Measuring SpO – Make sure that the application site is neither too thick, nor too thin. If this is the case you will get an “SpO2 Non- Pulsatile” INOP message. – Using the transducer in the presence of bright lights may result in inaccurate measurements.
  • Page 229: Applying The Reusable Transducers

    Applying the Reusable Transducers Caution If you are printing via the infra-red printer port, make sure that the transducer is more than 50cm away, as the infra-red light may result in inaccurate measurements. Applying the Reusable Transducers The Adult Finger Push the transducer over the fingertip so that Transducer (M1191A)
  • 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 Infant Finger The M1195A Infant Finger Transducer is suitable for fingers or toes Transducer with a diameter of between 7 and 8 mm.
  • Page 231 Applying the Reusable Transducers Warning Do not pull the strap too tightly, as this results in venous pulsation which may severely obstruct circulation and leads to inaccurate measurements. Step 3. Put the stretched strap into the slot on the top of the transducer, and hold it there.
  • Page 232: Setup

    Selecting the SpO Setup 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. Selecting the SpO Setup Step 1. Highlight the SpO numeric and press on the TouchStrip. Step 1.
  • Page 233: 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 234: 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 QRS complex is detected. Step 2. Select the appropriate setting: Use this for no tone. Use this for a tone with low volume. Mediu Use this for a tone with medium volume High...
  • Page 235: Enabling The Alarms

    Setting Up the SpO Alarms Warning Warning Select the upper alarm limit for SpO in accordance with accepted clinical practices. High oxygen levels may predispose a premature infant to retrolental fibroplasia, if this is a consideration do NOT set the high alarm limit to 100% (Changing the high SpO alarm limit to 100% is equivalent to switching it off).
  • Page 236: Setting Up The Pleth Wave

    Setting Up the Pleth Wave Setting Up the Pleth Wave See “Selecting a Wave for the Screen” on page 45 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 237: Troubleshooting The Spo

    Troubleshooting the SpO /PLETH Measurement Troubleshooting the SpO /PLETH Measurement If the Pulse • If the pulse is being derived from an invasive pressure Numeric measurement, see “If the Pressure and Pulse Numerics Show -?-” Shows -?- on page 220 •...
  • Page 238 Troubleshooting the SpO /PLETH Measurement SpO2 Cover the SpO transducer so that it does INTERFERENCE not get as much light. If this does not solve the problem, make sure that the transducer cable is not damaged, or close to power cords or other possible sources of electrical interference.
  • Page 239 Troubleshooting the SpO /PLETH Measurement SpO2 NON- Try changing the application site of the PULSATILE transducer, or stimulating circulation at the current site. Note— This INOP arises when the pulse is too weak or is not detectable (for example, where the transducer has slipped out of place, or the application site is too thin).
  • Page 240 Troubleshooting the SpO /PLETH Measurement Measuring the Oxygen Saturation of Arterial Blood (SpO...
  • Page 241: 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 ..... . 242 •...
  • Page 242: 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 243: 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.
  • Page 244: Changing The Temp Label

    Changing the TEMP Label Changing the TEMP Label From the TEMP Setup menu (see “Selecting the TEMP Setup” on page 243) Step 1. Select Label. Step 2. Select the appropriate setting: non-specific temperature label. Tart arterial temperature Tcore core temperature Tesop esophageal temperature Tnaso...
  • Page 245: 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 ∆...
  • Page 246: Setting Up The Temp Alarms

    Setting Up the TEMP Alarms Setting Up the TEMP Alarms Changing the In TEMP setup (see “Selecting the TEMP Setup” on page 243): alarm limits. Step 1. Select High Limit if you want to set the upper alarm limit for the measurement.
  • Page 247: 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 Numeric INOP). Shows -?- EQUIP MALF Contact your biomedical department. TEMP The temperature hardware is faulty. Make sure the TEMP probe is connected to TEMP TRANSDUCER...
  • Page 248 Troubleshooting the TEMP Measurement Measuring Temperature (TEMP)
  • Page 249: 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 Measurement Server Extension • the Microstream (sidestream) measurement using the M3015A Measurement Server Extension This chapter covers measuring CO using the Mainstream method and how to set up your CO measurement.
  • Page 250: The Co Measurement

    The CO Measurement The CO Measurement The M3016A 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 251: 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 252 Preparing to Measure CO calstick. (If not, calibrate the transducer as described in step e. onwards below.) c. Place the transducer on the low cell of the calstick (labelled 0.0 mmHg or “ZERO”). The reading on the screen should be zero within ±1 mmHg within 1 minute.
  • Page 253 Preparing to Measure CO Step 3. Referring to the diagram below, attach the transducer to the patient’s breathing circuit. (M1465A/14363A M1460A) Warning Support the transducer and Airway adapter to prevent stress on the endotracheal tube. Use only sterilized airway adapters to avoid infection. •...
  • Page 254: 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 255: 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/Off 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. To select the respiration rate source: Step 1.
  • Page 256: And Awrr Alarms

    Setting Up the CO and AwRR Alarms For O a standard correction of 45% is made. To make a correction for N Step 1. In CO setup (see “Selecting the CO Setup” on page 254), select O Corr. Step 2. Set N O correction to On if the ventilation gas mixture contains O and to Off if the gas mixture contains no N Setting Up the CO...
  • Page 257: Changing The Awrr Alarm Limits

    Setting Up the CO and AwRR Alarms The alarms are disabled. The crossed bell symbol ( ) will be displayed instead of the alarm limits. Changing the In CO setup (see “Selecting the CO Setup” on page 254) select AwRR AwRR alarm Alarms: limits...
  • Page 258: Troubleshooting The Co 2 Measurement

    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 (< -4 mmHg or >150 mmHg). Check accuracy and recalibrate the transducer, if necessary.
  • Page 259: Numeric Is Displayed With A

    Troubleshooting the CO Measurement If the CO Numeric is Displayed with SENSOR WARM The sensor has not yet reached operating 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 260 Troubleshooting the CO Measurement Measuring Carbon Dioxide Using the Mainstream Method (M3016A)
  • Page 261: 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 Measurement Server Extension • the Microstream (sidestream) measurement using the M3015A Measurement Server Extension This chapter covers measuring CO using the Microstream method and how to set up your CO measurement.
  • Page 262: 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 263: Preparing To Measure Co

    Preparing to Measure CO Preparing to Measure CO Selecting the 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 264 Preparing to Measure CO Patient Order Ventilation Environment Accessories Weight Number lntubated Non-humidified >= 2kg Airway Adapter Ml990A Adult/Pediatric FilterLine M1925A FilterLine OR Set Ml922A Adult/Pediatric FilterLine Set Ml920A Adult/Pediatric < 2kg Airway Adapter M1996A Infant/Neonatal FilterLine M1925A FilterLine H Set M1923A Infant/Neonatal Humidified...
  • Page 265 Preparing to Measure CO Patient Order Ventilation Environment Accessories Weight Number Non-lntubated Nasal CO > 45kg Nasal FilterLine Ml927A Adult 10-45 kg Nasal FilterLine M1928A Pediatric < 10kg Nasal FilterLine M1929A Neonatal Oral-Nasal CO > 55kg Smart CapnoLine M2526A Adult 20-55 kg Smart CapnoLine M2525A...
  • Page 266: Setting Up Microstream Co

    Preparing to Measure CO Setting up For instructions on how to apply Microstream accessories, please refer Microstream to the user instructions that are supplied with the accessories. Warning • Danger - explosion hazard - sidestream measurement should not be used in the presence of flammable anesthetics such as: –...
  • Page 267: 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 Gases Exhaust Tube (M1015-40001). The exhaust tube is attached to the from the Measurement Extension at the Outlet connector (see diagram above). System Measuring Carbon Dioxide Using the Microstream Method (M3015A)
  • Page 268: 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 269: 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/Off 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. To select the respiration rate source: Step 1.
  • Page 270: 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 271: Alarms

    Setting Up the CO and AwRR Alarms Select EtCO Low if you want to set the lower alarm limit for the measurement. Step 2. Select the appropriate setting. Enabling the In CO setup (see “Selecting the CO Setup” on page 268): alarms Step 1.
  • Page 272: Enabling Or Disabling Awrr And Apnea Alarms

    Troubleshooting the CO Measurement Enabling or In CO setup (see “Selecting the CO Setup” on page 268) select AwRR Disabling Alarms: AwRR and Step 1. Select Alarms. This defines whether the alarms derived from Apnea Alarms the airway respiration signal are enabled. Step 2.
  • Page 273 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 274: Numerics Are Displayed With A

    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 275: If The Co Values Are High

    “Extra Configuration for the CO Measurement” on page 370. 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 276 Troubleshooting the CO Measurement Measuring Carbon Dioxide Using the Microstream Method (M3015A)
  • Page 277: 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 ........278 •...
  • Page 278: 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 279: Printing The Trend Data

    Printing the Trend Data Printing the Trend Data Caution Make sure that the printer is connected and switched on before you start printing. If you are already viewing the trend (see “Viewing the Trend” on page 278), you may need to press the More softkey to get the printing softkeys.
  • Page 280: Storing Events

    Storing Events 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. Storing an Press the Store Screen SmartKey (you may have to press Event to find this SmartKey, if it is configured).
  • Page 281: Reviewing Events

    Reviewing Events Reviewing Events To get the list of stored Events: Step 1. Press the Review Events SmartKey (you may have to press to find this SmartKey, if it is configured). Step 1. Press the Setup key. Step 2. Select Review Events from the Setup menu. Automatically recorded events are listed with the alarm message which triggered them, an arrow symbol next to the time means that there was more than one alarm at this time.
  • Page 282: Reviewing The Numerics For An Event

    Reviewing Events 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. Reviewing the Step 1. Highlight the Event you want to look at in the Event Review Numerics for List.
  • Page 283: Deleting An Event

    Stopping Printouts Step 1. Highlight the Event you want to print in the Event Review List. Step 2. Press the Print Event softkey. This prints the numerics and waves for the Event. (If you need information about attaching a printer, see “Connecting a Printer” on page 344).
  • Page 284 Stopping Printouts Examining Trends and Events...
  • Page 285: 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 ......286 •...
  • Page 286: 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 cross contamination.
  • Page 287: Cleaning

    General Notes on Cleaning Cleaning To keep your equipment free of dust and dirt, clean it with a lint-free cloth, moistened with either warm water (40°C/104°F. max) and soap, a diluted non-caustic detergent or one of the approved cleaning agents listed below.
  • Page 288: Disinfecting

    General Notes on Cleaning Recommended Cleaning Agents and Brands Soaps mild soaps ® ® Tensides (dishwasher Edisonite Schnellreiniger , Alconox 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 289 General Notes on Cleaning Disinfecting Substances Material Compatibility Category 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 290 General Notes on Cleaning Recommended Disinfecting Substances ® Alcohol based Ethanol 70%, Isopropanol 70% Cutasept ® ® Hospisept , Kodan , Tinktur forte, ® ® ® Sagrosept , Spitacid , Sterilium fluid Note— only Ethanol 70% and Isopropanol 70% are tested and qualified ®...
  • Page 291: Preventing Cross Contamination

    General Notes on Cleaning • Do not allow disinfecting agent to remain on any of the equipment surfaces - wipe it off immediately with a cloth dampened with water. Preventing We recommend that you treat for the prevention of cross Cross contamination only when necessary as determined by your hospital’s Contamination...
  • Page 292: Cleaning The Monitor, Server, Server Extension And Mounting

    Cleaning the Monitor, Server, Server Extension and Mounting Methods for Preventing Cross Contamination Material Compatibility Category Product Autoclave Gas (EtO) Formaldehyde Radiation Reusable M1460A CO Transducer Reusable CO Airway Adapter Gas (EtO) The recommended gas mixture is a 12%/88% ethylene oxide/freon 12 mixture. Caution Be sure all safety precautions regarding aeration after EtO exposure are followed.
  • Page 293: 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 Do not permit any liquid to enter the Monitor case and avoid pouring on the Monitor while cleaning. Do not immerse any part of the equipment in liquid. Water or cleaning solution must not enter the NBP connector of the Measurement Server, as this could damage the equipment.
  • Page 294: Ecg Cables And Leads

    ECG Cables and Leads ECG Cables and Leads 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 Ecg Cables To Prevent Cross Contamination

    NBP Cuff Recommended Disinfecting Substances Alcohol based Ethanol 70%, Isopropanol 70% Aldehyde based Cidex Treating the We recommend that you treat for the prevention of cross ECG Cables to contamination only when necessary as determined by your hospitals Prevent Cross policy, to avoid long term damage to the cable.
  • Page 296: Cleaning The Disposable Nbp Cuff

    NBP Cuff Caution Cleaning the Water or cleaning solution must not enter the NBP connector on the Disposable Measurement Server, as this could damage the equipment. When you NBP Cuff are washing the cuff (or whenever it is disconnected) always fit the cap to the end of the rubber tube.
  • Page 297 NBP Cuff To treat the cuff for the prevention of cross contamination: a. Remove the rubber bag. b. Treat conventionally by autoclaving, gas or radiation sterilizing in hot air ovens, or by disinfection by immersion.The following recommended disinfectants may be used: —...
  • Page 298: 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 299: 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 PRESS sterilization.
  • Page 300 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 301: Spo 2 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 302: Temp Probes

    TEMP Probes Do not use bleaches containing Sodium Hypochlorite (for  example, Clorox Step 2. Wipe the transducer with a dry cloth, and leave to dry completely. Step 3. Check the transducer and cable. If there are signs of deterioration or damage, do not use for further patient measurements.
  • Page 303: Mainstream Co Transducer And Reusable Airway Adapters

    Mainstream CO Transducer and Reusable Airway Adapters Clean the probe by holding the tip with one hand, and with the other hand use a moist, lint-free cloth to rub the probe down in the direction of the connector. Check the transducer and cable. If there are signs of deterioration or damage, do not use for further patient measurements.
  • Page 304: Transducer For The Prevention Of Cross Contamination

    Mainstream CO Transducer and Reusable Airway Adapters Clean the transducer with a soft brush and one of the following disinfecting agents prepared according to the manufacturer’s recommendations: – LpH® – Cidex® – Metricide 28® – Edisonite® – Mucocit-p 2000® – Sagrotan K ® –...
  • Page 305: 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 14363A minutes.
  • Page 306: Treating The M1465a/14363a Airway Adapters For The Prevention Of Cross Contamination

    Mainstream CO Transducer and Reusable Airway Adapters Treating the Treat the adapter for the prevention of cross contamination before M1465A/ reusing. Use hospital recommended procedures for autoclaving or 14363A ethylene oxide sterilization. The following are guidelines for treatment - Airway the effectiveness of all treatments should be confirmed by the user.
  • Page 307: 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.
  • Page 308 Microstream CO (Sidestream) Accessories...
  • Page 309: Maintenance

    Maintenance This chapter covers what you need to know to keep your monitor in the best working condition. • Maintenance Checks ........310...
  • Page 310: 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 311 Maintenance Checks Recommended Maintenance Schedule Maintenance Frequency Procedure Synchronization of Where applicable: At See the Service the monitor and least once every 2 Guide (Part No. defibrillator years, after any M3046-9160D) repairs where the monitor has been dropped, or as needed.
  • Page 312: Inspecting The Monitor

    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 313: 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 314: Testing That The System Functions

    Maintenance Checks Warning Warning Testing that During this test, the monitor is not making any patient the System measurements, measurement results are not collected, and patient Functions alarms are not active. If you need to stop the test, select Test Signals in the Setup menu a second time.
  • Page 315 Maintenance Checks Measurement Test Signal Adult: Pressure Numeric 120/0 (60) ±1mmHg (15.0/0.0 (7.5) ±0.1kPa) Pulse: Pedi/Neo: 60/0 (30)±1mmHg 6.0/0.0 (3.0) ±0.1kPa Pulse: Plethysmograph Simulated Pleth Wave, Pulse = 60 Wave Square wave from 0 to 40 mmHg (0 to 5 kPa) and AwRR EtCO : 40 mmHg (5.0 kPa on M3016A, 5.3 kPa...
  • Page 316: Finding Intermittent Status

    Maintenance Checks Finding If you suspect that some condition is arising intermittently on your Intermittent monitor, you can check the Status Log by Status Step 7. Press the Setup key. Step 8. Move the highlight to Status Log. Step 9. Press on the strip. A list of all saved conditions which occurred for the monitor is shown.
  • Page 317: 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 the monitor with a vehicle 12 V supply....200 •...
  • Page 318: 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 TR36 or Energizer NJ1020.
  • Page 319: 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 monitor from the hand, bottom corner of the screen. The white battery. area to the left of the gauge indicates the charge: the greater the area to the left, the greater the remaining charge.
  • Page 320: 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 How Much you are using a lot of power (such as by measuring NBP more often Operating than every 15 minutes). Older batteries may not have as much capacity. Time Remains To find out how much time remains, Step 1.
  • Page 321: 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 322: Troubleshooting Battery Operation

    Troubleshooting Battery Operation Troubleshooting Battery Operation Understand- The Battery LED is at the bottom right of the monitor. ing the Bat- tery LED Main Suspend Setup Screen AC Power Off/Standby Battery Battery LED Green - Battery full (>95%) AC Power LED Yellow - Battery charging Green when AC Power...
  • Page 323: Understanding Messages In The Battery Gauge

    Troubleshooting Battery Operation yellow flashing The communication between the battery and the monitor is not working. Allow up to 30 minutes for this status to change — a fully discharged battery needs to charge to a certain level before it can communicate its status. If the status does not change, or if you cannot wait 30 minutes, change the battery.
  • Page 324 Troubleshooting Battery Operation BATT. MALFUNCT. Change the battery at the first opportunity. If you get this message with a new battery, try initializing the battery by pressing on the button below the charge LEDs until the LEDs light. Note— This INOP arises when the status of the battery cannot be determined.
  • Page 325: 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. • Warnings and Precautions ......326 •...
  • Page 326: Warnings And Precautions

    Warnings and Precautions Warnings and Precautions This section contains important information on patient safety and installation requirements for the monitor. Patient Safety See “Monitor and Measurement Server Safety Specifications” on page 400. Patient The patient leakage current is less than 10µA at 230V/50Hz. The Leakage equipment has floating inputs (Type CF) and are protected against the Current...
  • Page 327 Preparing to Install Your Monitor grounding (protective earth) system of the room by way of grounding contacts in the power plug. To protect the patient and hospital personnel, when operating from an source, the cabinet of the monitor must be grounded. The monitor is equipped with a detachable 3-wire cable which grounds the instrument to the power line ground (protective earth) when plugged into an appropriate 3-wire receptacle.
  • Page 328: Equipotential Grounding

    Preparing to Install Your Monitor Connect the grounding wire to the equipotential grounding post on the monitor. Equipotential Grounding Post Equipotential To eliminate potential differences between different pieces of Grounding equipment, for internal examinations on the heart or the brain, the monitor must have a separate connection to the equipotential grounding system.
  • Page 329: Environment

    Preparing to Install Your Monitor If it is not evident from the instrument specifications whether a particular instrument combination is hazardous or not, for example due to summation of leakage currents, the user should consult the manufacturers concerned, to ensure that the necessary safety of all instruments concerned will not be impaired by the proposed combination.
  • Page 330: 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.
  • Page 331 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 0560 complies with the requirements of the Council Directive 93/42/EEC of 14 June 1993 (Medical Device Directive) Council Directive 1999/5/EC of 9 March 1999 (Radio and Telecommunications Terminal Equipment Directive).
  • Page 332 Prod No. M3000A SN: XXXXXXXXXX Opt: XXX XXX XXXXXX Philips M3000A D-71034 Boeblingen Germany Made in 0366 Germany NRTL/C 1999-02 The Philips M3000A Multi-Measurement Server complies with 0366 the requirements of the Council Directive 93/42/EEC of 14 June 1993 (Medical Device Directive).
  • Page 333: Installing Your Monitor

    Philips M301XA D-71034 Boeblingen Germany 0366 1999-02 NRTL/C The Philips M3015A and M3016A Measurement Server 0366 Extensions comply with the requirements of the Council Directive 93/ 42/EEC of 14 June 1993 (Medical Device Directive). Installing Your Monitor Unpacking the The box containing your monitor comes with Monitor •...
  • Page 334: 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 335: 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 Measurement directly on the monitor: Server directly on Step 1. Make sure that your monitor has a link bar: the Monitor Screw Link Bar...
  • Page 336 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 Measurement Server away from the link bar. Latch ...with the You can connect the Measurement Server to the monitor using a server Measurement...
  • Page 337: 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 Measurement and wall sockets which allow the monitor to be in a different room than Server Remote the Measurement Server (up to 25m apart).
  • Page 338: 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 the Step 1.
  • Page 339: 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 340: Using An Additional Display

    (e.g. M1389A), when used outside the patient vicinity. Installation 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.
  • Page 341: Basic Troubleshooting

    Installing Your Monitor Safety When other displays (apart from the two offered by Philips Medical Specification Systems, see “Displays” on page 340) are used, the following safety specification must be met. Enclosure leakage current for the combination of M3046A monitor, additional display and isolation transformer (where required, see “Displays”...
  • Page 342 Installing Your Monitor Self test Alarm Messages (When You Switch the Monitor On) Message What To Do PRESS EQUIP MALF Measurement defective. Exchange the Measurement Server. The Measurement Server should be investigated by your technical personnel as soon as possible. RESP EQUIP MALF Measurement defective.
  • Page 343 Installing Your Monitor Self test Alarm Messages (When You Switch the Monitor On) Message What To Do “Measurement Server A Measurement Extension (M3015A or M3016A) is connected to Configuration not a standard M3000A Measurement Server (noninvasive supported” status measurements only) and an M3046A Monitor. No measurements message , 2nd Press/Temp) from the Measurement Extension are available.
  • Page 344: Connecting A Printer

    HP LaserJet 2100 as a network printer or use a DeskJet 610C attached locally to the Print Server PC. 1. The exact printer model listed here may no longer be current. Please check with your Philips representative for currently available, compatible printers.
  • Page 345 Connecting a Printer Step 1. Press the Setup key. Step 2. Move the highlight to Printer. Step 3. Press on the strip to select the Printer window. Step 4. Move the highlight to Printer. Step 5. Press on the strip. Step 6.
  • Page 346: Connecting A Local Printer

    The network cable is connected to the LAN socket on the back of the monitor. Warning 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...
  • Page 347: Trouble-shooting The Printer Connection

    Connecting a Printer Installation and Service Guide or Information Center Installation Guide for details). Trouble- shooting the Printer If you cannot find the Make sure that printer is configured (see print softkeys, or if “Press the Setup key.” on page 345). Connection the Print Screen SmartKey is inactive:...
  • Page 348: 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 349: Configuration

    Mode, how to leave Configuration Mode, and how to save configurations in Quicksets. Who this This chapter is intended for hospital Biomedical Engineers or Philips Chapter is For Service and Clinical Specialist personnel who are about to perform the off-line configuration procedures for the M2, M3 or M4. It is also intended for Nurses and Clinicians who need to customize the instrument’s configuration settings to their requirements.
  • Page 350: What You Can Configure

    What you can Most of the information displayed on the monitor screen of the monitor Configure can be configured, for example, parameter settings, alarm limits, patient data, tone modulation and even the color and brightness of the main display. By selecting Configuration Mode additional settings are available to the user which are not visible in Monitoring Mode.
  • Page 351: How Do I Leave Configuration Mode

    Step Action Comment Select Config A set of keys will open at the bottom of the screen for the password. Enter the password (the password is Use the keys labelled 1 to 5. If the noted in the Service Guide). password is correct, Config will be marked with a * in the Operating Select OK...
  • Page 352: Configuration Features

    Configuration Features – Press Setup on the front panel of the monitor. – Select Operating Modes. – Select Monitoring. – Select Confirm. Note— You do not need a password to return to Monitoring Mode. Configuration Features How does The Configuration Mode consists of three main elements; Quick Sets, Configuration General Settings and Factory Default Sets.
  • Page 353 Configuration Features A listing of the settings in the factory default sets can be found in “Quick Set Configuration List for the Measurements” on page 387. Monitor Measurement Server Quick Set Settings Quick Set Settings QuickSet1 QuickSet2 QuickSet3 QuickSet4 When you receive your monitor, the Quick Sets are pre-configured to represent four distinct patient categories: •...
  • Page 354 Configuration Features Note In addition, the Configuration Mode has a fifth Quick Set available for saving temporary information. This Quick Set is intended as a support function to allow the user to make temporary adjustments to the system settings and save them, without affecting the settings of the four defined Quick Sets.
  • Page 355: How Do I Configure A Quick Set

    Configuration Features selecting the Default Set A. QuickSet 1 can then be stored with the original settings. The Quick Sets QuickSet #1 QuickSet #2 QuickSet #3 QuickSet #4 Monitor Settings Monitor Settings Monitor Settings Monitor Settings (Adult ICU) (Adult OR) (Pediatric) (Neonatal) Measurement Server...
  • Page 356 Configuration Features Configuring the Step 1. Enter Configuration Mode (see above) Monitor at Step 2. Access the Quick Sets window: installation – Press Setup on the front panel of the monitor and select QuickSets in the setup task window. – Select the QuickSets SmartKey. –...
  • Page 357: 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 358: Extra Configuration For The Bed To Bed Overview

    Extra Configuration for the Bed to Bed Overview Note— Unlike the QuickSets, the General Settings cannot be automatically reset to their original configuration. See “General Settings” on page 387 for a complete list of original General Settings. Extra Configuration for the Bed to Bed Overview Changing Step 1.
  • Page 359: Extra Configuration For The Ecg Measurement

    Extra Configuration for the ECG Measurement Extra Configuration for the ECG Measurement Selecting the In ECG setup (see “Selecting the ECG Setup” on page 134): Maximum Step 1. Select Active Ch. This defines which channels can be Number of displayed for the ECG. ECG Channels Step 2.
  • Page 360: Setting The Tachycardia Alarm Limit

    Extra Configuration for the ECG Measurement Setting the There are two parts to the tachycardia alarm limit. Tachycardia ∆ ExtrTachy, which is how many bpm above the ECG high alarm • Alarm Limit limit the tachycardia limit is. • Tachy Clamp is the value above which the tachycardia alarm limit becomes the same as the ECG high alarm.
  • Page 361: Setting The Lead Fallback Mode

    Extra Configuration for the ECG Measurement In ECG setup (see “Selecting the ECG Setup” on page 134): Step 11. Select ∆ ExtrBrady. Step 12. Select the appropriate setting for the minimum difference below the ECG Low Limit. Step 13. Select Brady Clamp. Step 14.
  • Page 362: Extra Configuration For The Arrhythmia Analysis

    Extra Configuration for the Arrhythmia Analysis Extra Configuration for the Arrhythmia Analysis Setting Time- In Arrhythmia Setup (see “Selecting the Arrhythmia Setup” on out Periods for page 161): Arrhythmia Step 1. Select TimeOut 1st. This defines the length of time (timeout Yellow Alarms period) which certain yellow arrhythmia alarms are inhibited after they have been announced once.
  • Page 363: Extra Configuration For The St Measurement

    Extra Configuration for the ST Measurement No INOP is displayed. Extra Configuration for the ST Measurement Adjusting the In ST Setup (see “Selecting the ST Setup” on page 173): ISO, J and ST Step 1. Select ISO Point. Points Step 2. Adjust the position of the ISO point using the arrow keys. Step 3.
  • Page 364: Extra Configuration For The Spo 2 Measurement

    Extra Configuration for the SpO Measurement Extra Configuration for the SpO Measurement Changing the In SpO setup (see “Selecting the SpO Setup” on page 232): Averaging Step 1. Select Average. This defines the length of time for which the Time for SpO measurement is averaged to get the SpO measurement.
  • Page 365: Extra Configuration For The Nbp Measurement

    Extra Configuration for the NBP Measurement INOPs generated during an NBP measurement on the same limb will be suppressed. INOPs generated during an NBP measurement on the same limb will not be suppressed. Extra Configuration for the NBP Measurement Selecting In NBP setup (see “Selecting the NBP Setup”...
  • Page 366: Switch On A Beep At The End Of The Measurement

    Extra Configuration for the PRESS Measurement Switch on a In NBP setup (see “Selecting the NBP Setup” on page 200): Beep at the Step 7. Select Done Tone. This selects whether the monitor indicates end of the that the NBP measurement has finished or not. Measurement Step 8.
  • Page 367: Setting Up The Press Filter

    Extra Configuration for the PRESS Measurement Central Venous/Atrial Group CVP, RAP, LAP, UVP Intracranial Group Pulmonary Arterial Group If you want to configure for all of the pressure labels, you will need to repeat the configuration for one label from each group. Setting Up the In the pressure setup (see “Selecting the Pressure Setup”...
  • Page 368: Setting Up Parallel Alarming

    Extra Configuration for the TEMP Measurement Entering calibration factors, or doing calibrations is not possible. Setting Up In the pressure setup (see “Selecting the Pressure Setup” on page 211): Parallel Step 7. Select S&D&M Alarms. This defines whether the systolic, Alarming diastolic and mean alarms can trigger alarms in parallel or not.
  • Page 369: Selecting The Color For Temp

    Extra Configuration for the DTEMP Measurement Step 1. Select Unit. Step 2. Select the appropriate setting. ° The temperature will be shown in degrees Centigrade. ° The temperature will be shown in degrees Fahrenheit. Selecting the In TEMP setup (see “Selecting the TEMP Setup” on page 243): Color for TEMP Step 3.
  • Page 370: Extra Configuration For The Co 2 Measurement

    Extra Configuration for the CO Measurement Extra Configuration for the CO Measurement Selecting the In CO setup (see “Selecting the CO Setup” on page 254): Unit for the Step 1. Select Unit. Measure- Step 2. Select either mmHg or kPa. ment Selecting the In CO...
  • Page 371: Selecting Humidity Correction Method For Co

    Extra Configuration for Transferring A Patient Selecting In CO setup (see “Selecting the CO Setup” on page 254): Humidity Step 9. Select Humidity Correction. This defines the method used Correction to correct the measured EtCO value and wave for humidity. Method for Step 10.
  • Page 372: Changing Which Settings Are Used

    Extra Configuration for Transferring A Patient Step 1. In configuration mode, select the Patient Identification menu (see “Selecting the Patient Identification Menu” on page 100). Step 2. Select the PatientSelDef. Step 3. Select the appropriate setting: Cont The patient data in the Measurement Server is always used. MsrSrv Cont The patient data in the monitor is always used.
  • Page 373: Naming The Monitor

    Extra Configuration for Transferring A Patient Naming the This relabels the monitor. Monitor Warning Warning If your monitor is connected to an Information Center, you should not rename the monitor locally as this can result in you losing the connection to the Information Center. A software tool (the M3086A Support Tool) is available for Windows NT and Windows 2000 to clone configurations, to print the configuration of a monitor, to enter the monitor label and hospital name, or to perform...
  • Page 374: Configuring The Alarms

    Configuring the Alarms Step 1. If you are not already in the Setup menu, press the Setup key. Step 2. Move the highlight to “Admit. Discharge”. Step 3. Press on the strip. Step 4. Highlight “Hosp. Label”. Step 5. Enter the name of the hospital. For each letter a.
  • Page 375 Configuring the Alarms 2min Announcing alarms restarts automatically after 2 minutes. 3min Announcing alarms restarts automatically after 3 minutes. Infinite Announcing alarms must be restarted by the user (by pressing the Suspend key)
  • Page 376: Let User Be Reminded Of Suspended Alarms

    Configuring the Alarms Let User be In the Alarm setup (see “Selecting the Alarms Setup” on page 374): Reminded of Step 1. Select SuspRemind. This defines whether a prompt is Suspended issued when either all vital alarm parameters or their alarms Alarms are turned off individually or main alarms are not announced (Alarm suspend).
  • Page 377: Changing The Alarm Reminder Behavior

    Configuring the Alarms See the tables in “Dealing with Alarms” on page 56 for further details on the alarm behaviors for parameter and arrhythmia alarms. Changing the In the Alarm setup (see “Selecting the Alarms Setup” on page 374): Alarm Step 1.
  • Page 378: Changing The Conditions For The Nurse Call Relay

    Configuring the Alarms suspended, or when the alarm for that measurement is switched off. Step 2. Select the appropriate setting: The numeric continues blinking as long as the measurement is in alarm, even if the Suspend key has been pressed, or the measurement alarm is switched off.
  • Page 379 Configuring the Alarms Main Alarms Suspended stops the monitor from indicating any alarms - including those for non-vital parameters, that might not have been turned off individually. Announcing alarms must be restarted by the user. The message “Alarms Suspended” is displayed at the upper right corner of the screen.
  • Page 380: Extra Configuration For The Events

    Extra Configuration for the Events Extra Configuration for the Events Setting Up So Step 1. If you are not already in the Setup menu, press the Setup key. that Events are Step 2. Move the highlight to “Events”. Stored Auto- Step 3.
  • Page 381: 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 Sound Step 2. Move the highlight to “QRS Type”. Step 3. Press on the strip. Step 4.
  • Page 382: 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 383: Changing Esu Filtering

    Extra Configuration for the Monitor Note— Units are never displayed for heart rate, pulse and respiration numerics. Changing ESU Step 1. If you are not already in the Setup menu, press the Setup key. Filtering Step 2. Move the highlight to “Operating Room”. Step 3.
  • Page 384: Changing Whether The Monitor Should Be Connected To The Network

    Extra Configuration for the Monitor When the bottom left or right corner of the touchstrip is pressed you page to further settings and only exit the active window when no further settings are available. Changing Step 1. If you are not already in the Setup menu, press the Setup key. Whether the Step 2.
  • Page 385: Changing Which Alarms Trigger A Recording

    Extra Configuration for the Monitor Step 1. If you are not already in the Setup menu, press the Setup key. Step 2. Move the highlight to “Altitude (m)”. Step 3. Press on the strip. Step 4. Select the correct value for the altitude of the hospital. Changing Step 1.
  • Page 386: Selecting The Format For Long Reports

    Extra Configuration for the Monitor The first number indicates the total duration covered by the report, the second number is the interval between measurements. For example 4h@1min. is a report for the last four hours, with measurement data from once every minute. Selecting the Step 1.
  • Page 387: 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 388 List of Configurable Settings configurable. When this table with the measurements is completed, move on to the next table with monitoring settings. Measurements QuickSet1 QuickSet2 QuickSet3 QuickSet4 (Adult ICU) (Adult OR) (Pediatric) (Neonatal) Parameter / Default Default Default Default Item Name Settings Settings Settings...
  • Page 389 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 Pair PVCs R-on-T PVCs V.Bigeminy V.Trigeminy PVCs/min (on/off) Multif. PVCs Pacer N.Capt Pacer N.Pac Pause Irregular HR VTach HR...
  • Page 390 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 J Point 48 ms 48 ms 48 ms 48 ms ST Point J+60 J+60 J+60 J+60...
  • Page 391 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 Color PRESS2 Alarms On/Off Alarms from Systolic Systolic Systolic Systolic High Alarm Limit 35/ 16 35/ 16 10 / 2 (4)
  • Page 392 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 VP pressure 60 mmHg 60 mmHg 40 mmHg 30mmHg Color Alarms On/Off EtCO High Alarm Limit 50 mmHg 50 mmHg...
  • Page 393 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 Resp. Speed 6.25 mm/s 6.25 mm/s 6.25 mm/s 6.25mm/s Color Yellow Yellow Yellow Yellow TEMP1 Alarms On/Off...
  • Page 394: 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 395 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 396 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 AlarmRecord HR AlarmRecordPVC AlarmRecord ST AlarmRecord SpO AlarmRecord Press1 Off AlarmRecord Press2 Off...
  • Page 397 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 B1 Quick- QuickSets Quick- Quick- Sets Sets Sets SmartKey B2 QRS Volume QRS Volume QRS Volume QRS Volume...
  • Page 398 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 F2 Blank Blank Blank Blank SmartKey F3 Blank Blank Blank Blank SmartKey F4 Blank Blank Blank...
  • Page 399: 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 ..400 • Monitor Physical Specifications ......400 •...
  • Page 400: Monitor And Measurement Server Safety Specifications

    Monitor and Measurement Server Safety Specifications Monitor and Measurement Server Safety Specifications The M3046A monitor together with the M3000A Measurement Server comply with the Medical Device Directive 93/42/EEC (CE 0366 In addition, the product complies with • IEC 601-1:1988 + A1:1991 + A2:1995 EN60601-1:1990 + A1:1993 + A2:1995 •...
  • Page 401: Monitor Environmental Specifications

    Monitor Environmental Specifications Monitor Environmental Specifications Temperature Operating: ° ° Range 0 to 45 C (32 to 113 (without Storage: ° ° wireless -20 to 60 C (-4 to 140 network) Temperature Operating: ° ° Range (with 0 to 35 C (32 to 95 wireless Storage:...
  • Page 402: 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 403: Battery (optional)

    Monitor Performance Specifications 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 404: 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 Operating Time: Settings and 6h without battery or AC power, otherwise unlimited. Stored Data Trends Short trend: 10 hours with 1 minute resolution. Long trend: 48 hours with 5 minutes resolution.
  • Page 405: 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 Temperature Operating: ° ° Range 0 to 45 C (32 to 113 Storage: °...
  • Page 406: Ecg Specifications

    ECG Specifications ECG Specifications Complies with IEC 601-2-27/EN60601-2-27 Differential Greater than 2MΩ RA-LL leads (Resp). Greater than 5MΩ at all other Input leads (at 10Hz including patient cable). Impedance Common Diagnostic mode: Mode Greater than 86dB (with a 51kΩ/47nF imbalance). Rejection Filter mode: Ratio...
  • Page 407: Bandwidth

    Arrhythmia Specifications 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 408: Extreme Tachy

    Arrhythmia Specifications Extreme Tachy Difference to high limit: 0 to 50 bpm Clamping at: 150 to 300 bpm Adjustment: 5 bpm steps Extreme Brady Difference to low limit: 0 to 50 bpm Clamping at: 15 to 100 bpm Adjustment: 5 bpm steps Run PVCs Range: Limit...
  • Page 409: Vent Rhythm Run Limit

    ST Specifications Vent Rhythm Range: Run Limit 2 to 99 PVCs/min Adjustment: 1 PVC SVT HR Limit Range: 120 to 300 bpm Adjustment: 5 bpm SVT Run Limit Range: 3 to 99 SV beats Adjustment: 1 SV beat ST Specifications ST Numeric Range: -20 to +20 mm...
  • Page 410: Resp Specifications

    RESP Specifications Adjustment: 0.2 mm RESP Specifications Bandwidth 0.3 to 2.5Hz (–6dB) Noise Less than 25mΩ (rms) referred to the input. Respiration Adult/pedi: 0 to 120rpm Rate Neo: 0 to 170rpm Accuracy: ±1rpm @ 0 to 120rpm ±2rpm @ 120 to 170rpm Resolution: 1rpm Calibration...
  • Page 411: Apnea Alarm

    5 second steps Specifications Measurement 0 to 100%. Range Accuracy (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 412: Pulse Rate Measurement Range

    Specifications Low range: 50 to 99% SpO Adjustment: 1% steps High alarm delay: 14 seconds. Low alarm delay: (0, 1, 2, 3,... 10) + 4 seconds. Pulse Rate 30 to 300bpm. Measurement Accuracy Range ±2% Resolution: 1bpm. Pulse Rate 30 to 300bpm Limit Alarms Adjustment: 5bpm steps...
  • Page 413: Nbp Specifications

    NBP Specifications NBP Specifications Complies with IEC 601-2-30/EN60601-2-30 Cuff Inflation typical for normal adult cuff: Rate Less than 10 seconds typical for neonatal cuff Less than 2 seconds Auto Mode 1, 2, 2.5, 3, 5, 10, 15, 20, 30, 45, 60 or 120 minutes Repetition STAT Mode 5 minutes.
  • Page 414: Accuracy

    NBP Specifications Stat: 20 seconds. Accuracy Maximum Standard Deviation: 8mmHg. (1.1kPa) Maximum Mean Error: ±5mmHg (±0.7kPa) Heart Rate 40 to 300bpm. Range Measurement In adult and pediatric mode, the blood pressure measurements Validation determined with this device comply with the American National Standard for Electronic or Automated Sphygmomanometers (ANSI/ AAMI SP 10/92) in relation to mean error and standard deviation, when compared to intra-arterial or auscultatory measurements...
  • Page 415: Pediatric Mode

    NBP Specifications Pediatric Measurement Ranges Mode Systolic: 30 to 180mmHg (4.0 to 24.0kPa) Diastolic: 10 to 150mmHg (1.5 to 20.0kPa) Mean: 20 to 160mmHg (2.5 to 21.0kPa) Neonatal Measurement Ranges Mode Systolic: 30 to 130mmHg (4.0 to 17.0kPa) Diastolic: 10 to 100mmHg (1.5 to 13.0kPa) Mean: 20 to 120mmHg (2.5 to 16.0kPa)
  • Page 416: Press Specifications

    PRESS Specifications PRESS Specifications Complies with IEC 601-2-34/EN60601-2-34 Input 5µV/V/mmHg (37.5µV/V/kPa) Sensitivity Sensitivity Adjustment Range ±10% Zero Range: Adjustment ±200mmHg (±26kPa) Accuracy: ±1mmHg (±0.1kPa) Drift: Less than 0.1mmHg/°C (0.013kPa/°C) Gain Accuracy Accuracy: ±1% Full Scale (FS) Drift: Less than 0.05%/°C Non linearity and Hysteresis: Error of less than, or equal to 0.4% FS (@ CAL 200mmHg) Transducer Load Impedance:...
  • Page 417: Limit Alarms

    TEMP Specifications Limit Alarms – 40 to 360mmHg (–5.0 to 48kPa). Alarm Delay: 12 seconds. Pulse Rate 25 to 350bpm Measurement Accuracy: Range ±1% Full Range Resolution: 1bpm. Pulse rate 30 to 300bpm Limit Alarms TEMP Specifications Measurement –1 to 45ºC (30 to 113ºF). Range Resolution: 0.1ºC (0.2ºF).
  • Page 418: Measurement Server Extension Physical Specifications

    Measurement Server Extension Physical Specifications (M3015A and M3016A) Measurement Server Extension Physical Specifications (M3015A and M3016A) Size (W×D×H) × × ″× ″× ″) 188.0mm 96.5mm 38.5mm (7.40 3.80 1.52 Weight M3015A: 550g (1.21 lb) M3016A: 450g (0.99 lb) Measurement Server Extension Environmental Specifications (M3015A and M3016A) Temperature Operating:...
  • Page 419: M3016a Co Mainstream Measurement Specifications

    M3016A CO Mainstream Measurement Specifications M3016A CO Mainstream Measurement Specifications Complies with EN864/ISO9918 except EN 475 Measurement –4 to 150 mmHg (-0.5 to 20.0 kPa). Range Warm-up Time 20 minutes with CO transducer attached for full accuracy specification. Accuracy For values between 0 and 40 mmHg (after 20 ±2.2 mmHg (±0.29 kPa) minutes...
  • Page 420: Imco 2 High Limit Alarm

    M3015A CO Microstream Measurement Specifications ImCO High Range: Limit Alarm 2 to 20 mmHg (0.3 to 3.0 kPa) Alarm Delay: 14 seconds Response Less than 125 ms (for step from 10% to 90%) Time M3015A CO Microstream Measurement Specifications Complies with EN864/ISO9918 except EN 475 Measurement 0 to 98mmHg (0 to 13 kPa), or 13% CO whichever is lower.
  • Page 421: Sample Flow Rate

    M3015A/M3016A AwRR Specifications Sample Flow 50 ±7.5 ml/min Rate Rise Time 190 ms for neonatal mode (measured with sample line for humidified ventilation and airway adapter for neonatal) 240 ms for adult mode (measured with sample line for humidified ventilation and airway adapter for adult) Gas Sampling 2.3 seconds -typical...
  • Page 422: Limit Alarms

    M3015A/M3016A AwRR Specifications 41 to 70 rpm: ±2 rpm 71 to 100 rpm: ±3 rpm >100 rpm: ±5% of reading Limit Alarms High range: 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...
  • Page 423: M3015a/m3016a Press Specifications

    M3015A/M3016A Press Specifications M3015A/M3016A Press Specifications see “PRESS Specifications” on page 416 for the Measurement Server M3015A/M3016A Temp. Specifications see “TEMP Specifications” on page 417 for the Measurement Server. M3015A/M3016A Difference Temperature Specifications Measurement ±46°C (±115°F) Range Accuracy ±0.1°C (±0.2°F)
  • Page 424: Interference Specifications

    Interference Specifications Interference Specifications Electrostatic The equipment will return to the previous operating mode within 15 Discharge seconds without loss of any stored data. Electrosurgery The equipment will return to the previous operating mode within 15 Interference seconds without loss of any stored data. Fast Transients/Bursts M3015A/M3016A: The equipment will return to the previous operating mode within 15 seconds without loss of any stored data.
  • Page 425: Performing Safety And Performance Tests

    Performing Safety and Performance Tests Invasive Pressure If operating under conditions according to the EMC Standard EN 60601-1-2 (Radiated Immunity 3V/m), field strengths above 0.1V/m may cause erroneous measurements at various frequencies when using the CPJ840J5 pressure transducer. Therefore it is recommended to avoid the use of electrically radiating equipment in the close proximity of pressure measurements using the CPJ840J5.
  • Page 426 Performing Safety and Performance Tests...
  • 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.
  • 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 M1520A...
  • 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 3-Electrode One Piece Cables AAMI 1.9m M1970A ICU (Snap) 1.9m M1972A 1.9m M1980A...
  • Page 430: Intra-atrial (not Available In The U.s.a.)

    ECG Accessories Intra-Atrial (Not Available in the U.S.A.) Selector trunk cable 15214A electrode set 15215A ALPHACARD sterile connection cable to cava catheters. Bedsheet Clip M1509A...
  • Page 431: Spo Accessories

    Infant I-20 M1902B Neonatal N-25 M1901B 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...
  • 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 Cuffs Disposable Thigh M1879A Large Adult M1878A Adult M1877A Small Adult M1876A Pediatric M1875A Infant M1874A...
  • Page 434 NBP Accessories Neonatal 1.5m M1596B 3.0m M1597B...
  • Page 435: Press Accessories

    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: Microstream Co Accessories (sidestream)

    Microstream CO Accessories (Sidestream) Microstream Accessories (Sidestream) A FilterLine ’Set’ is a combination of a FilterLine with an Airway Note— 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 437: Temp Accessories

    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 438: Monitor Mounting Options

    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 439: Monitor Accessory Options

    Monitor Accessory Options Monitor Accessory Options Monitor Carrying Case M3080A option C12 Battery Charger for use with PowerS- M3080A option C30 mart-compatible batteries. [Original Equipment Manufacturer Product Number: DR36-SMB-TNT] 12V Adapter for use with a vehicle 12V M3080A option C32 power supply (for CE countries only) [Original Equipment Manufacturer Product Number: NotePower 75/Note-...
  • Page 440 Server Mounting Options...
  • Page 441 Index Symbols heart rate, 138, 407 measurement server, 405, 418 highlighted, 55 monitor, 401 << SmartKey, 40 NBP, 200 Always Reset to Defaults (patient PRESS, 208 transfer), 372 Numerics RESP, 186 analog ECG signal, 330 I lead (ECG), 143 , 234, 411 anesthetics II lead (ECG), 143 TEMP, 246, 417...
  • Page 442 chaining, 157 tightness for NBP, 193 washing reusable, 296 chains, 159, 160 backlight CUFF NOT DEFLATED message changing alarm limit, 46, 61 maintenance interval, 311 (NBP), 203 Channel (ECG), 142 basic operation, 38 CVP (PRESS), 208 Check Status Log message, 341 Battery, 320 See also PRESS checking alarm limit, 46, 61...
  • Page 443 operating room, 134, 180 equipotential grounding post, 30, HR from (heart rate source), 135 orange, 134, 180 ** HR HIGH message, 67, 73 surgical, 134, 180 event ** HR LOW message, 68, 73 channels automatic storing, 380 humidity active, 359 content, 280 operating maximum, 359...
  • Page 444 bed, 373 attaching, 104 inspection, 190, 194 hospital, 374 connecting, 335 specification, 413 monitor, 373 connector, 31, 32, 33 start/stop button, 32, 33 numeric, 36 mounting, 31 starting, 195 PRESS, 208 size, 405 starting automatic, 195, 196 TEMP, 244 transferring, 104 stopping, 195 wave, 36 weight, 405...
  • Page 445 operating frequency (ac power) alarm, 54 color, 368 monitor, 401 message, 63 filter, 367 category, 101 label, 208 operating humidity category (NBP), 190 measure mean only, 367 measurement server, 405, 418 data, 100 parallel alarm, 368 monitor, 401 identification, 100, 101 preparation, 206 Operating Room information, 101...
  • Page 446 sound retrolental fibroplasia (SpO ), 235 softkey, 40 configuring, 381 reusable SpO transducer, 226 softkey. See SmartKey tone modulation (SpO ), 233 reusable TEMP probe software update volume (ECG) connecting, 242 connector, 31 changing, 47, 62, 136 Review Event SmartKey, 281 Speed, 46 QRS Low, 381 Review Events, 281...
  • Page 447 measurement server, 405, 418 connecting resuable, 242 Tskin (TEMP), 244 monitor, 401 setup, 243, 244 . See also TEMP temperature units, 382 ** Tskin HIGH message, 78 measurement server, 405, 418 TEMP EQUIP MALF message, 342 ** Tskin LOW message, 79 monitor, 401 TEMP On/Off, 243, 245 Tven (TEMP), 244...
  • Page 448 event, 282 interference (ECG), 126 label, 36 ECG, 146 PLETH, 236 PRESS, 212 selecting, 45 size ECG, 145 PRESS, 212 PRESS optimum, 212 RESP, 186 speed, 46 ECG, 146 PLETH, 236 PRESS, 213 RESP, 186 waveform. See wave waves ECG examples, 144, 155 weight battery, 403 measurement server, 405...

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