Philips M4 Manuals

Manuals and User Guides for Philips M4. We have 1 Philips M4 manual available for free PDF download: Instructions For Use Manual

Philips M4 Instructions For Use Manual (448 pages)

Brand: Philips | Category: Medical Equipment | Size: 3.79 MB

Intended Use Statement 4

CE Compliance 5

Important 6

Table Of Contents 9

A Quick Description Of The Monitor 30

Basic Operation 31

Measurement Connectors (M3001A #C06) 33

Measurement Server Extensions (M3015A & M3016A) 34

Measurement Server Extension Connectors 35

Before You Start To Use The Monitor 36

Main Screen 38

The TouchStrip 41

Basic Setup 44

Setting Up A Measurement 45

Summary Of The SmartKeys 49

Adjusting The Screen Brightness 49

Recognizing Alarms 52

Dealing With Alarms 53

Silencing Alarms 57

Suspending Alarms 57

Checking And Changing The Alarm Limits 58

Restarting Suspended Alarms 58

Changing The Volume Of The Alarm Chime 59

Setting Automatic Alarm Limits 59

Alarm Recording 60

Patient Alarm Messages 61

Patient Alarms 61

Technical Alarm Messages (INOPs) 76

Selecting The Patient Identification Menu 94

Admitting A New Patient 95

Admitting And Discharging Patients 95

Selecting A QuickSet 97

Transferring A Patient To Another Monitor 98

Discharging A Patient 103

Communicating With The Information Center 107

Which Networks Are Used With The M3046A 108

Optimizing Wireless LAN System Performance 109

Interacting With The Information Center 110

Connecting And Disconnecting From The Network 110

Operating Remotely At The Information Center 112

Recording And Printing At The Information Center 112

Configuring The Monitor Label 114

Assigning The Monitor To A Care Group 115

Troubleshooting The Connection To The Information Center 115

When Connecting A Monitor To The Network 115

During Operation 116

Viewing Information For Other Patients From The Bedside 117

Getting An Overview Of The Monitors In Your Care Group 117

Viewing Patient Information From Another Monitor 119

Measuring The ECG 123

Considerations When Measuring ECG 124

Preparing To Measure ECG 124

About ECG Leads 126

ECG Leads Monitored 126

Placing The Electrodes For Measuring ECG 127

5-Electrode Set 127

3-Electrode Set (Standard) 129

3-Electrode Set (MCL 1 ) 130

Placement For Paced Patients 131

10-Electrode Set 131

EASI ECG Lead Placement 131

Recommended Placement For Surgical Patients 133

Selecting The ECG Setup 133

Switching The ECG Measurement On And Off 134

Selecting The Source For The Heart Rate Numeric 134

Selecting The Volume Of The Tone 135

Changing The Heart Rate Alarm Limits 136

Enabling Or Disabling ECG Heart Rate Alarm 137

Choosing EASI Or Standard Lead Placement 137

Switching Pace Pulse Rejection On And Off 137

Paced Patients 137

Warnings For Paced Patients 138

Setting The Number Of ECG Channels 140

Setting Up The ECG Wave 141

Selecting The ECG Wave Channel Setup 141

Selecting The ECG Lead 141

Changing The Size Of The ECG Wave 144

Changing The Size Of All ECG Waves 144

Getting A Cleaner Or More Detailed ECG Wave 144

Changing The Speed Of The ECG Wave 145

Selecting ECG Cascading Through Empty Waves 146

Selecting The Asystole Threshold 146

Troubleshooting The ECG Measurement 146

If The HR Numeric Is Displayed 146

Monitoring Arrhythmia 149

Introduction 150

Levels Of Arrhythmia Analysis 151

Basic Arrhythmia 151

Enhanced Arrhythmia 152

Ensuring Accurate Arrhythmia Monitoring 153

Alarm Priorities And Timeout Periods 156

Timeout Periods 156

Clearing The Timeout Period 157

Alarm Chaining 157

Overview 157

Alarm Groupings 157

Alarm Announcing 158

Alarm Priority Chains 159

Selecting The Arrhythmia Setup 161

Switching Arrhythmia Analysis On And Off 161

Selecting Single- Or Multi-Lead Analysis 162

Reviewing Beat Labels 163

Relearning Arrhythmia 163

Changing The Arrhythmia Alarm Limits 164

Switching Arrhythmia Alarms On And Off 166

Switching Alarms On And Off Individually 166

Switching All Yellow Alarms On Or Off 166

Status Messages 167

Rhythm Status Messages 167

Ectopic Status Messages 169

Troubleshooting The Arrhythmia Analysis 170

Monitoring ST Segment 171

Introduction 172

The Measurement 173

How The Algorithm Works 173

Displayed ST Data 173

Selecting The ST Setup 174

Adjusting The Measurement Points 174

Switching ST On And Off 176

Changing The ST Alarm Limits 177

Switching ST Alarms On And Off 177

Troubleshooting The ST Measurement 177

Measuring Respiration Rate (RESP) 179

Preparing To Measure Respiration 180

Placing The Electrodes For Measuring Respiration 181

Selecting The Respiration Setup 183

Selecting The Respiration Source And Switching Respiration On/Off 183

Changing How Respiration Is Detected 184

Adjusting The Manual Respiration Detection Level 185

Setting Up The Respiration Wave 186

Changing The Size Of The Respiration Wave 186

Changing The Speed Of The Respiration Wave 186

Setting Up The Respiration Alarm 186

Changing The Apnea Alarm Delay 187

Enabling Or Disabling Respiration And Apnea Alarms 187

Troubleshooting The Respiration Measurement 188

If The RR Numeric Is Still Being Displayed 188

If The RR Numeric Shows 188

Measuring Non-invasive Blood Pressure (NBP) 189

Preparing To Measure NBP 190

Starting And Stopping NBP Measurements 194

Making A Single NBP Measurement 195

Making Stat NBP Measurements 195

Making Automatic NBP Measurements 196

Using The NBP Cuff To Occlude Blood Vessels 197

Understanding The NBP Numerics 198

Selecting The NBP Setup 199

Switching The NBP Measurement On 199

Setting Up The NBP Alarms 200

Changing The Alarm Limits 200

Enabling The Alarms 201

Troubleshooting The NBP Measurement 202

If The NBP Numeric Shows 202

Measuring Pressure, Invasively (PRESS) 205

Preparing To Measure Pressure 206

Selecting A Label (and The Label Dependent Settings) 208

Zeroing The Transducer 209

Selecting The Pressure Setup 211

Switching The Pressure Measurement On 211

Setting Up The Pressure Wave 212

Changing The Size Of The Pressure Wave 212

Optimizing The Waveform 212

Non-Physiological Artifact Suppression 213

Changing The Speed Of The Pressure Wave 213

Setting Up The PRESS Alarms 213

Changing The Alarm Limits 213

Enabling The Alarms 214

Setting PRESS As The Source For The Pulse 215

Calibrating A Disposable Transducer (M1567A/M1568A) 215

Entering A Known Calibration Factor 215

Calibrating A CPJ840J6 Transducer 216

Doing A Mercury Calibration 217

Troubleshooting The Pressure Measurement 220

If The Pressure Numeric Is Displayed 220

If The Pressure And Pulse Numerics Show 220

If The Pulse Numeric Shows 221

Measuring The Oxygen Saturation Of Arterial Blood (SpO 2 ) 223

Preparing And Measuring SpO 224

Applying The Reusable Transducers 228

The Adult Finger Transducer (M1191A) 228

Selecting The SpO 2 Setup 231

Switching The SpO 2 Measurement On 231

Selecting The SpO 231

Switching The SpO 231

Setting Up The Tone Modulation 232

Switching The Tone Modulation On 232

Changing The Volume Of The QRS Tone 232

Setup 232

Setting Up The SpO Alarms 233

Changing The Alarm Limits 233

Measurement On 233

Alarms 233

Adjusting The Desaturation Alarm Limit 234

Enabling The Alarms 234

Testing The Alarm 234

Setting Up The Pleth Wave 235

Changing The Speed Of The PLETH Wave 235

Setting PLETH As The Source For The Pulse 235

Troubleshooting The SpO /PLETH Measurement 236

If The Pulse Numeric Shows 236

If The SpO And Pulse Numerics Show 236

/PLETH Measurement 236

Measuring Temperature (TEMP) 239

Preparing To Measure Temperature 240

Selecting The TEMP Setup 241

Switching The TEMP Measurement On 241

Changing The TEMP Label 242

Selecting The ∆ TEMP Setup 242

Selecting The D TEMP Setup 242

Switching The ∆TEMP Measurement On 243

Selecting The Differential Temperature Source 243

Setting Up The TEMP Alarms 244

Changing The Alarm Limits 244

Troubleshooting The TEMP Measurement 245

If The TEMP Numeric Shows 245

Measuring Carbon Dioxide Using The Mainstream Method (M3016A) 247

The CO 2 Measurement 248

Preparing To Measure CO 249

Selecting The CO 2 Setup 251

Switching The CO 2 Measurement On 251

Selecting The CO 251

Switching The CO 251

Selecting The Respiration Rate Source And Switching AwRR On/Off 252

Setting Up The Corrections 253

Setting Up The CO 2 And AwRR Alarms 254

Changing The CO Alarm Limits 254

Enabling The CO 2 Alarms 254

Changing The AwRR Alarm Limits 254

Changing The Apnea Alarm Delay 255

Enabling Or Disabling AwRR And Apnea Alarms 255

Troubleshooting The CO 2 Measurement 256

If The CO Numerics Show 256

If The CO Numeric Is Displayed With A 257

If The CO Wave Is Clipped 257

If The CO 2 Readings Are Low 257

If The CO Readings Are High 257

Measuring Carbon Dioxide Using The Microstream Method (M3015A) 259

The CO 2 Measurement 260

Preparing To Measure CO 261

Selecting The Accessories 261

Setting Up Microstream CO 2 262

Removing Exhaust Gases From The System 263

Selecting The CO 2 Setup 264

Switching The CO 2 Measurement On 264

Setup 264

Measurement On 264

Selecting The Respiration Rate Source And Switching AwRR On/Off 265

Setting Up The N 2 O Correction 266

Setting Up The CO 2 And AwRR Alarms 266

Changing The CO Alarm Limits 266

And AwRR Alarms 266

Enabling The CO 2 Alarms 267

Changing The AwRR Alarm Limits 267

Changing The Apnea Alarm Delay 267

Enabling Or Disabling AwRR And Apnea Alarms 268

Troubleshooting The CO 2 Measurement 268

If No CO 2 Numeric And Wave Are Displayed 268

If The CO Numerics Show 268

If The CO 2 Numerics Are Displayed With A 270

If The CO Wave Is Clipped 270

If The CO Values Are Low 270

If The CO Values Are High 271

Examining Trends And Events 273

Viewing The Trend 274

Selecting A Short Or Long Term Trend 274

Viewing The Earlier Or Later Data 274

Viewing The Data For Other Measurements 274

Printing And Recording The Trend Data 275

Printing The Page Of Data From The Screen 275

Printing A Set Of Trend Data 275

Recording Trend Data 275

Erasing All The Trend Data 276

Storing Events 276

Storing An Event Manually 276

Inserting A Reference Signal In The Event 276

Storing An Event Automatically 277

Reviewing Events 277

Keeping An Event For Future Reference 277

Reviewing The Numerics For An Event 278

Reviewing The Wave Strips For An Event 278

Printing Or Recording An Event 279

Deleting An Event 279

Deleting All The Events 279

Stopping Printouts 280

Stopping The Current Printout 280

Stopping All Printouts 280

Cleaning 281

General Notes On Cleaning 282

Disinfecting 284

Preventing Cross Contamination 287

Cleaning The Monitor, Server, Server Extension And Mounting 288

Cleaning, Disinfecting And Treating The Transducers 289

For The Prevention Of Cross Contamination 289

ECG Cables And Leads 289

Cleaning The ECG Cables 289

Disinfecting The ECG Cables 290

Treating The ECG Cables To Prevent Cross Contamination 290

NBP Cuff 291

Cleaning The Disposable NBP Cuff 291

Cleaning And Treating The Reusable NBP Cuff For The Prevention Of Cross Contamination 292

PRESS Transducer 294

Cleaning The PRESS Transducer 294

Treating The PRESS Transducer For The Prevention Of Cross Contamination 295

SpO Transducer 297

TEMP Probes 298

Mainstream CO 2 Transducer And Reusable Airway Adapters 299

Cleaning The M1460A CO Transducer 299

Treating The M1460A CO 2 Transducer For The Prevention Of Cross Contamination 300

M1465A/14363A Airway Adapters 301

Microstream CO 2 (Sidestream) Accessories 302

Maintenance 303

Maintenance Checks 304

Inspecting The Monitor 306

Measurement Server And Measurement Server Extension 306

Inspecting The Cables And Cords 307

Testing That The System Functions 307

Finding Intermittent Status 309

Testing Visual And Auditory Alarms 310

Using Your Monitor In Patient Transport 311

Using A Vehicle 12V Supply 312

Using New Batteries 312

Maintaining The Battery 313

Finding Out How Much Charge Is In The Battery 313

Finding Out How Much Operating Time Remains 314

Changing The Battery 314

If The Battery Is Discharged (Flat) 315

If The Battery Needs Conditioning 315

Troubleshooting Battery Operation 316

Understanding The Battery LED 316

Understanding Messages In The Battery Gauge 317

Understanding Battery Technical Alarms (INOPs) 317

Installing Your Monitor 319

Warnings And Precautions 320

Patient Safety 320

Patient Leakage Current 320

Preparing To Install Your Monitor 320

Protecting Against Electric Shock 321

Equipotential Grounding 322

Combining Equipment 322

Environment 323

Explanation Of Symbols Used 324

Unpacking The Monitor 327

Installing The Monitor 328

Connecting The Measurement Server 329

Attaching The Monitor To A Mount 331

Attaching The Measurement Server To A Mount 332

Connecting To The Information Center 333

Connecting To The Nurse Call Relay 333

Connecting To The ECG Output Or Marker Input 333

Using An Additional Display 334

Basic Trouble Shooting 335

Connecting A Printer 337

Selecting A Printer 337

Connecting A Local Printer 339

Connecting A Remote Printer 339

Trouble-shooting The Printer 340

Connection 340

Connecting A Local Recorder 341

Fitting And Removing The Rubber Bezel Protector 343

Disposing Of The Monitor, Measurement Server And Measurement Server Extension 345

Disposing Of The Monitor, Measurement Server And Measurement Server 345

Extension 345

Configuration 347

Who This Chapter Is For 347

What You Can Configure 347

How Do I Get Into Configuration Mode 348

How Do I Leave Configuration Mode 349

Configuration Features 350

How Does Configuration Mode Work 350

How Do I Configure A Quick Set 353

How Do I Configure General Settings 354

Extra Configuration For The Bed To Bed Overview 355

Changing What Happens When Another Monitor In The Care Group Has An Alarm 355

Changing Whether The Care Group Status Is Displayed 355

Extra Configuration For The ECG Measurement 356

Selecting The Maximum Number Of ECG Channels 356

Selecting How ECG Filtering Changes During ESU 356

Selecting The ECG Wave Default Size 356

Selecting The Color For The ECG 357

Setting The Tachycardia Alarm Limit 357

Setting The Bradycardia Alarm Limit 357

Setting The Lead Fallback Mode 358

Displaying "All ECG ALARMS OFF" INOP 358

Extra Configuration For The Arrhythmia Analysis 359

Setting Time-out Periods For Arrhythmia Yellow Alarms 359

Setting The Pause Alarm Threshold 359

Displaying An Arrhythmia Off Message 359

Displaying "SOME ECG ALARMS OFF" INOP 360

Extra Configuration For The ST Measurement 360

Adjusting The ISO, J And ST Points 360

Extra Configuration For The RESP Measurement 361

Selecting The Color For The RESP 361

Extra Configuration For The SpO 2 Measurement 361

Changing The Averaging Time For SpO 361

Changing The Time Elapsed Before The High Alarm 362

Selecting The Color For SpO 362

Selecting INOP Suppression During NBP Measurements 362

Setting The Desaturation Alarm Delay 362

Extra Configuration For The NBP Measurement 363

Selecting The NBP Unit 363

Selecting The Reference For The Measurement Method 363

Selecting The Color For The NBP 363

Selecting The Pressure For Venipuncture Mode 364

Extra Configuration For The PRESS Measurement 364

Setting Up The PRESS Filter 364

Setting Up To Measure Mean Pressure Only 364

Enabling PRESS Transducer Calibration 365

Non-Physiological Artifact Suppression 365

Selecting The Unit 365

Selecting The Color For The Pressure 365

Extra Configuration For The TEMP Measurement 366

Selecting The Unit For The Temperature Measurement 366

Selecting The Color For TEMP 366

Extra Configuration For The DTEMP Measurement 366

Selecting The Color For ∆TEMP 367

Extra Configuration For The CO 2 Measurement 367

Selecting The Unit For The CO Selecting The Color For CO Selecting Sampling Method For EtCO (and ImCO For The Sidestream Method) 367

Selecting ImCO 367

Selecting Humidity Correction Method For CO 2 368

Extra Configuration For Transferring A Patient 368

Changing What Happens Automatically 368

Changing Which Settings Are Used 369

Naming The Monitor 369

Entering The Hospital Name 370

Configuring The Alarms 371

Selecting The Alarms Setup 371

Changing How Long Alarms Stay Suspended 371

Let User Be Reminded Of Suspended Alarms 372

Changing How Alarms Behave Until Silenced 372

Changing The Alarm Reminder Behavior 373

Changing The Alarm Reminder Time 373

Changing Whether Numerics Blink 373

Changing The Conditions For The Nurse Call Relay 374

Enable Automatic Main Alarms Suspended State 374

Selecting Where To Make Alarm Recordings 375

Extra Configuration For The Events 375

Setting Up So That Events Are Stored Automatically 375

Extra Configuration For The Monitor 376

Configuring The QRS Sound 376

Configuring The Alarm Sound 376

Configuring The Prompt Volume 377

Setting The Brightness For Battery Operation 377

Disabling The Measurement Server Keys 377

Changing Whether The Units Are Displayed 377

Changing ESU Filtering 378

Selecting Measurements For AutoLimits 378

Configuring How To Exit From Windows 378

Changing Whether The Monitor Should Be Connected To The Network 379

Changing Whether The Monitor Can Be Controlled Remotely 379

Making The Altitude Setting 379

Changing Which Alarms Trigger A Recording 380

Changing Whether A Printer Is To Be Attached 380

Selecting The Format For Short Reports 380

Selecting The Format For Long Reports 381

List Of Configurable Settings 382

General Settings 382

Quick Set Configuration List For The Measurements 382

Quick Set Configuration List For Monitoring Settings 389

Monitor And Measurement Specifications 395

Monitor And Measurement Server Safety Specifications 396

Monitor Physical Specifications 396

Size 396

Weight 396

Monitor Environmental Specifications 397

Temperature Range (without Wireless Network) 397

Temperature Range (with Wireless Network) 397

Humidity Range 397

Monitor Performance Specifications 398

Display 398

Indicators 398

Interfaces 398

Battery (optional) 399

Real-time Clock 400

Active Settings And Stored Data 400

Trends 400

Measurement Server Physical Specifications 401

Measurement Server Environmental Specifications 401

Temperature Range 401

ECG Specifications 402

Differential Input Impedance 402

Common Mode Rejection Ratio 402

Electrode Offset Potential Tolerance 402

Bandwidth 403

Arrhythmia Specifications 403

Cardiotach 403

PVC Rate 403

Alarm Delay 404

Extreme Tachy 404

Extreme Brady 404

Run PVCs Limit 404

Vent Tach Run Limit 405

Vent Rhythm Run Limit 405

SVT HR Limit 405

SVT Run Limit 405

ST Specifications 406

ST Numeric 406

ST High Limit 406

ST Low Limit 406

Calibration Signal 407

Respiration Limit Alarms 407

Apnea Alarm 407

SpO 2 Specifications 408

Range 408

Accuracy 408

Resolution 408

Pulse Rate Measurement Range 409

Pulse Rate Limit Alarms 409

Display Update Period 409

SpO Transducers 409

NBP Specifications 410

Cuff Inflation Rate 410

Auto Mode Repetition 410

STAT Mode Cycle Time 410

Heart Rate Range 411

Measurement Validation 411

Adult Mode 411

Pediatric Mode 411

Neonatal Mode 412

PRESS Specifications 412

Input Sensitivity 412

Zero Adjustment 412

Overall Accuracy (including Transducers) 413

Transducer Output Impedance 413

Volume Displacement (CPJ840J6 Transducer) 413

Measurement Range 413

Average Time Constant 414

Test Temperature 414

Measurement Server Extension Physical Specifications 414

(M3015A And M3016A) 414

Measurement Server Extension Environmental Specifications 415

Temperature Range 415

Humidity Range 415

Altitude Range 415

Accuracy (after 20 Minutes Warm-up And Calibration) 416

Stability 416

Endtidal CO 416

Rise Time 416

M3015A CO Microstream Measurement Specifications 417

Accuracy (after 20 Minutes Warm-up) 417

Sample Flow Rate 417

Gas Sampling Delay Time 418

M3015A/M3016A AwRR Specifications 418

Limit Alarms 419

Apnea Alarm 419

M3015A/M3016A Press Specifications 419

M3015A/M3016A Temp. Specifications 419

M3015A/M3016A Difference Temperature Specifications 420

Accuracy (excluding Probe) 420

Electromagnetic Compatibility (EMC) Specifications 420

Accessories Compliant With EMC Standards 420

Electromagnetic Immunity 421

Recommended Separation Distance 422

Performing Safety And Performance Tests 425

Accessories And Ordering Information 427

ECG Accessories 428

Trunk Cable 428

3-Electrode Cable Sets 428

5-Electrode Cable Sets 429

3-Electrode One Piece Cables 429

5-Electrode One Piece Cables 430

Set Combiner 430

Set Organizer 430

Intra-Atrial (Not Available In The U.S.A.) 430

SpO Accessories 431

Philips Reusable Transducers 431

Disposable Transducers 431

NBP Accessories 433

PRESS Accessories 436

Pressure Transducer 436

Disposable Pressure Transducers 436

Accessories For 1290C Pressure Transducers 436

Mainstream CO 2 Accessories 437

Microstream CO 2 Accessories (Sidestream) 438

TEMP Accessories 439

Reusable Temperature Probes 439

Disposable Temperature Probes 439

Monitor Mounting Options 440

Monitor Accessory Options 440

Server Mounting Options 441

Recorder 441

Recorder Mounting Options 441

Recorder Paper 441

Contents 443

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Philips M4 Manuals

Manuals and User Guides for Philips M4. We have 1 Philips M4 manual available for free PDF download: Instructions For Use Manual

Philips M4 Instructions For Use Manual (448 pages)

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Philips M4 Manuals

Manuals and User Guides for Philips M4. We have 1 Philips M4 manual available for free PDF download: Instructions For Use Manual

Philips M4 Instructions For Use Manual (448 pages)

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