Philips V24CT manual

PHI Philip s M1 165/66/ 67/75/76/77A CMS Patient Mo nitoring System and Philip s M1205A V24 and V26 Pat ient Mo nitor User ’ s Reference Ma nual V olume 1 System In formation Part Numbe r M1046-922 0L Printed 0 2/2003[...]

ii Notice This doc ument co ntains pro priet ary inform atio n which is pro tected b y copyright . All Rig hts Reserved. Re product ion, adapta tion, or translat ion without prior writt en permissi on is prohibit ed, exce pt as allow ed und er the c opyrigh t laws . Philips Medi cal Systems Cardiac a nd Moni toring Sy stems 3000 Min uteman Road And[...]

ii i The M1 165/66/75 /76A Syste ms comply with UL544, C SA 22.2-12 5, IEC 60 1-1, EN 60 601-1, and EN 606 01-1-2 an d carr ies Marki ng to Cou ncil D irective 93/42/ EEC, Eur opean M edical Devi ce Directi ve (MDD). The M1 167/77A Systems com ply with U L2601-1, CSA 22.2 No. 601 .1-M90, IE C 601-1 , EN 606 01-1, and EN 606 01-1-2 an d carr ies Mar[...]

iv Electromagneti c Interferenc e Anomal ies due to electrom agneti c inte rference a re not unique t o the M116 5/66/ 67/75/76/ 77A or the M1 205A but are ch aracter istic of pat ient m onitors in u se toda y. This p erformance is due to th e very se nsitive h igh gai n front end amplifie rs used to displ ay the phy siologica l signals. Am ong the[...]

Intende d Use v Intend ed Use Description The Philips M1165/66 /67/75/76/77A CM S Patient Mon itoring Syste m and the Philips M120 5A V24 and V26 Pati ent Moni tors are net work co nnecta ble be dside patien t monito ring de vices. The Philips M1205A Mod els V24CT and V26CT m ay powered by either AC line power or by batter y power. Purp os e The Ph[...]

Indicati ons for Use vi Indications for Use Condition The Philips M1165 /66/67/75/76/77 A CMS Patient Monitor ing System and the Philips M1205 A V24 a nd V26 P ati ent M onit ors ar e gen erall y in dicat ed w hen th e cli nicia n dec ides ther e is a need to m easure a nd disp lay mul tiple physi ologi cal paramet ers and waves, t o generate alarm[...]

Indi cations f or Use vi i Prescription V ersus Over-the-Counter The Philips M1165/66 /67/75/76/77A CM S Patient Mon itoring Syste m and the Philips M120 5A V24 and V2 6 Patien t Monitors ar e prescr iption d evices.[...]

Indicati ons for Use viii W arnings, Cautions, and Notes Warning s, cautions, and no tes are used througho ut this User's Ma nual to give you add itional informat ion about t he Philips M1 165/66/67 /75/76/77A CMS Patient Monitor ing System and the Philips M12 05A V24 a nd V26 Pa tient Monit ors. The w arnings a nd cautions in clude d in this [...]

Indi cations f or Use i x • Expo sure of electri cal con tacts or connecti ons to saline or o ther li quids an d gels i s dange rous. Ele ctrical conta cts and connecti ons such a s cabl e connec tors, power supplies, par ameter mo dule plug-i n connec tions and rac k connec tions must b e kept clea n and dry. Tho rough ly d ry any elec tric al c[...]

Indicati ons for Use x • Replaceme nt Parts - It is highly recom mended that only Philips Medical Syst ems recomme nded part s and accesso ries be used with this equipment . Failure to do so may result in the de grada tion of perf ormanc e. Accessorie s and pa rts for ind ividual mo dules and compone nts are listed a t the bac k of the appr opria[...]

Resp onsibili ty of the M anufactu rer x i Responsibility of the Manufacturer Philips Medical S ystems only consid ers itself respon sible for a ny effects on safet y, reliability and perf ormanc e of the equipme nt if: assembly operations, ex tensions, re-a djustments , modifica tions or repa irs are carr ied out by persons autho rized by Philips,[...]

Respon sibility of the M anufacture r xii[...]

Content s Contents-1 This bo ok is di v ided into th ree vo lume s. This vo lume c ontai ns chapt ers 1 to 13 (see the fo llowing table of contents for more details): 1. The CMS an d V24 and V26 Pati ent Moni tors 2. Gettin g Started 3. S ett ing up your Mo nito r 4. Other Pati ents 5. A larm Funct ions 6. R ecordin g Func tions 7. Ad mit/Discharge[...]

Contents-2 Intended Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-v Description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-v Purpose . . . . . . . . . . . . . . . . . . . . . [...]

Contents-3 ECG Output and Defibrillator Marker Input . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-34 The V24 and V26 Parameter Modu le Rack . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-35 Operating Rules to R emember . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . [...]

Contents-4 Selecting the Number of Waves . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-13 Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-13 Changing th e Wave Overlap . . . . . . . . . . . . . . . . . . . [...]

Contents-5 Changing th e Configuration Set . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-5 3 Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-54 Changing Op erating Modes . . . . . . . . . . . . . . . . . . [...]

Contents-6 Recorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-2 Controls and I ndicators on the Plu g-In Record er . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-3 Controls and I ndicators on the 4-C hannel Recorder (C MS only) . . . . . [...]

Contents-7 Changing th e Recorder Speed. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-43 Changing th e Recorder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6 -43 Continuing a Timed Recording. . . . . . . . . . . . . . . . . . . . . . . . .[...]

Contents-8 Neonatal Event Review 9-1 Introduction to Neonatal Event Review . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9- 2 Viewing Neonatal Events . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-3 Manual Event Storage . . . . . . . . . . . .[...]

Contents-9 Explanation of Symbols used . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1 1-12 Maintenance Checks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1 1-14 Patient Cables and Le ads . . . . . . . . . . . . . . . . . . . . . . . [...]

Contents-10 Pressure Module Self-Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-16 Performing the NB P Module Self-Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-17 Performing the SpO2 /Pleth Module Self-Test . . . . . . . . . . . . . . . . . . . . . .[...]

The CMS an d V24 and V2 6 Patient M onitors 1-1 1 The CMS and V24 and V26 Patient Monitors This chap ter provi des an ov erview of the C MS Patient Monito ring Systems an d V24 and V26 Patient Monit or s . It include s the follo wing sect ions: • Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2 • Para[...]

Introdu ction 1-2 The CMS and V24 and V26 Pati ent Mo nitors The CMS and V24 and V26 Pa tie nt Mo nit ors Introd uction The Philips M1165 /66/67/75/7 6/77 CMS Patient Monitoring Sy stem and the Philips M1205A V24 an d V26 Patient Monitor s, hereafter re ferred to as the “ patie nt monitor” , are modula r patient monitors w ith net working and d[...]

Introduc tion The CMS and V24 and V26 Patient M onitors 1 -3 The CMS and V24 and V26 Pa tie nt Mo nit ors M1167/77A S ystem Display Module M1095A 10 .4” Fla tscree n Display Computer M odule M104 6B Com pute r Modu le Para mete r Modul es Satellite Rack[...]

Introdu ction 1-4 The CMS and V24 and V26 Pati ent Mo nitors The CMS and V24 and V26 Pa tie nt Mo nit ors M1167/77 A Syst em with E xternal Alarm Device Display Module ITE Displa y of choic e a b a. Philips offers the M1 167/77A #H05 and #H07 (XGA T ouchscreen display config uration). b. A 15” f lat touchscreen di splay is als o available sep ara[...]

Introduc tion The CMS and V24 and V26 Patient M onitors 1 -5 The CMS and V24 and V26 Pa tie nt Mo nit ors M1165/75A a nd M11 66/76A S ystem Model T ypes All system types are also availabl e as a c hoice of thr ee differe nt model types: Note— In this manua l, the system will be referre d to as the CMS, th e ACMS and the NCMS. Display Module M1094[...]

Introdu ction 1-6 The CMS and V24 and V26 Pati ent Mo nitors The CMS and V24 and V26 Pa tie nt Mo nit ors Display Mod ules Below are labeled dia grams of th e display modules provided by Philips Medica l System s. The cont rol panel is descri bed in more detail in the following sections . M1095A Flatscreen Display Module M1092A / M1094B C RT Displa[...]

Introduc tion The CMS and V24 and V26 Patient M onitors 1 -7 The CMS and V24 and V26 Pa tie nt Mo nit ors V24 a nd V26 Patient Monitor Each V2 4 and V26 Pa tient Moni tor co nsists o f two ind ividual p arts. 1. One of two types of Displa y Modul es, dependi ng on the p articul ar model moni tor y ou have pu rchased —eith er: a. A monochrom e dis[...]

Introdu ction 1-8 The CMS and V24 and V26 Pati ent Mo nitors The CMS and V24 and V26 Pa tie nt Mo nit ors Control Panel The c ontrol panel consist s of so ftkeys, hard keys and alar m lamps. Softkeys The softke ys perform mu ltiple fu nctions. The ir function s correspon d to the l abel s dis play ed at the bo ttom of th e sc reen . Wh en no soft k[...]

Introduc tion The CMS and V24 and V26 Patient M onitors 1 -9 The CMS and V24 and V26 Pa tie nt Mo nit ors Ala rm L amp s The al arm la mps are l it when a r ed or yellow a larm cond ition ex ists. CMS Control Panel V24 and V26 Patie nt Monitor Cont rol Panel Note— Earl ier versio ns of the V 24 feat ure a key instea d of the key. Proc edures Moni[...]

Introdu ction 1-10 Th e CMS an d V24 and V2 6 Patient Mon itors The CMS and V24 and V26 Pa tie nt Mo nit ors The Handheld Keypad (CMS onl y): The hand held key pad consi sts of the same softkey s and hard keys th at are ava ilable on t he control pa nel. In ad dition, the keypad provid es data entry ke ys which ena ble you to enter let ters, number[...]

Introduc tion The CM S and V24 a nd V26 Pati ent Monito rs 1-11 The CMS and V24 and V26 Pa tie nt Mo nit ors • To enter numbers a nd arithmeti c symbols ( labeled i n white) , simply press the keys you want. • To ent er letter s and pun ctuation m arks (labe led in bl ue), press the key. The la mp in the key ligh ts up and re mains on until is [...]

Introdu ction 1-12 Th e CMS an d V24 and V2 6 Patient Mon itors The CMS and V24 and V26 Pa tie nt Mo nit ors Hardke y Functions - press t o silenc e an al arm or al arms th at are so unding or, if al arms are l atching , to reset them. - press to suspend o r switch on all alar ms. The curr ent state is indicate d by the A larm Suspe nd Lamp . - pre[...]

Introduc tion The CM S and V24 a nd V26 Pati ent Monito rs 1-13 The CMS and V24 and V26 Pa tie nt Mo nit ors The arrow ke ys con sist of up/dow n/left/r ight keys . They onl y function when illumina ted. The arro w keys allow you to move between areas on operating screens to ena ble you to change or adjust settin gs, perfor m proced ure s, or ma ke[...]

V26CT/V24C T Power Supply 1-14 Th e CMS an d V24 and V2 6 Patient Mon itors The CMS and V24 and V26 Pa tie nt Mo nit ors V26CT/V24CT Power Supply The V24CT an d V26CT are pow ered by an external AC (line po wer) or by their own internal batte ry power supply . Your monitor ing needs will determin e which p ower sour ce is used. We rec ommen d that [...]

V26CT/V24C T Power Supply The CM S and V24 a nd V26 Pati ent Monito rs 1-15 The CMS and V24 and V26 Pa tie nt Mo nit ors Battery life includ es the time during the low b attery a larm ( INOP “Recharg e Batte ries”) unt il the unit shu ts off. We reco mmend yo u use 2 fully ch arged bat teries to get the optimu m batter y life wh en using the ba[...]

Parameter Mod ules 1-16 Th e CMS an d V24 and V2 6 Patient Mon itors The CMS and V24 and V26 Pa tie nt Mo nit ors Param eter Modu les The parame ter modu les have one or mo re hardk eys on the front . The key la beled wi th the par ameter na me is called the Setup k ey, whic h gets you dir ectly in to the setu p screen for that parame ter. When you[...]

Parameter M odules The CM S and V24 a nd V26 Pati ent Monito rs 1-17 The CMS and V24 and V26 Pa tie nt Mo nit ors special Ser vice Mode, ei ther by your biom edical eng ineering departme nt or the Philip s service e ngineer. You can find a descript ion of t his behavior (cal led “Param eter Settings Transfer”) in Chapte r 3. Symbols to Indica t[...]

Parameter Mod ules 1-18 Th e CMS an d V24 and V2 6 Patient Mon itors The CMS and V24 and V26 Pa tie nt Mo nit ors Parame ter modu les can be plug ged into the foll owing types of rack: Ca u t i o n When the ra ck is moun ted in close proxim ity to any i ntrave nous infusi on equipm ent, do not let saline solutio n get onto t he rack or parame ter m[...]

Parameter M odules The CM S and V24 a nd V26 Pati ent Monito rs 1-19 The CMS and V24 and V26 Pa tie nt Mo nit ors For most type s of parameter mo dules, t he system allo ws only one of each type per pat ient (ECG, f or exampl e). Other t ypes of modu les allow mo re than one per pa tien t (In vasi ve Pr essur e, f or exa mpl e). If too many m odule[...]

Operatin g Leve ls 1-20 Th e CMS an d V24 and V2 6 Patient Mon itors The CMS and V24 and V26 Pa tie nt Mo nit ors Operating Levels There a re three ty pes of scr eens wh ich you will see on the disp lay modul e. The thre e types o f screen and the in tercon nection s betwe en them are show n below. Standar d Disp lay 1st Lev el 2nd Level Control Pa[...]

Operati ng Lev el s The CM S and V24 a nd V26 Pati ent Monito rs 1-21 The CMS and V24 and V26 Pa tie nt Mo nit ors Main Screen This display sho ws the wavefor ms and nu merical re adouts of the paramet ers you have chosen to monitor, al arms, INO P messages, bed label, date a nd ti me, and arrhyt hmia messa ges (when assigned ). You can co nfigu re[...]

Operatin g Leve ls 1-22 Th e CMS an d V24 and V2 6 Patient Mon itors The CMS and V24 and V26 Pa tie nt Mo nit ors HR 70 135/72 (94) ST1 ST2 ABP PAP (23) SpO 2 2 ETCO IMCO 19 :47 2 AWRR 0 37 0.3 -0.2 PULSE NBP 115/65 (81) ICU Adult 10 JAN 95 20 :0 5 II F HR 1mV ABP 120 0 PLE TH SpO 2 SQI CO 2 40 0 34/16 97 70 20 CHANNEL #1 LAYOUT: #1 NO N-OVERLAP CH[...]

Operati ng Lev el s The CM S and V24 a nd V26 Pati ent Monito rs 1-23 The CMS and V24 and V26 Pa tie nt Mo nit ors Selection Window Thi s is the fir st opera ting lev el where yo u can choo se a speci fic activi ty or function. You get into a Se lection Window by pr essing one of the blue-labe led hardkey s on the co ntro l panel. When you get into[...]

Operatin g Leve ls 1-24 Th e CMS an d V24 and V2 6 Patient Mon itors The CMS and V24 and V26 Pa tie nt Mo nit ors Ta s k Window This is the sec ond opera ting leve l, which all ows you to make chang es or adjustments to the parame ters and scree n displays, or to perf orm proced ures. Eac h parameter or procedu re has a serie s of Task Window s. Th[...]

Operati ng Lev el s The CM S and V24 a nd V26 Pati ent Monito rs 1-25 The CMS and V24 and V26 Pa tie nt Mo nit ors Getting into the Operating Levels Befor e you can sta rt to make adjustment s or changes to the paramet ers or perform a p rocedur e, you ne ed to kno w how to ge t into the op erating levels an d how to nav igate thr ough the selectio[...]

Operatin g Leve ls 1-26 Th e CMS an d V24 and V2 6 Patient Mon itors The CMS and V24 and V26 Pa tie nt Mo nit ors There a re two reason s for ch anging the selection i n the Task Windows: you will either want to move to the next Task Window, or make an adjustme nt to a setting. 1. T o mo ve to the n ext Ta sk W indow , pre ss th e sof tkey f or th [...]

Touch or M ouse/Trac kball O peration The CM S and V24 a nd V26 Pati ent Monito rs 1-27 The CMS and V24 and V26 Pa tie nt Mo nit ors T ouch or Mouse/T rackball Operation The M1167A /77A syst ems also all ow connec tion of XG A displa ys, enabling touch (r equire s touchscr een di splays), mouse or tra ckball op eratio n of the mo nitor. Since t hes[...]

Touc h or Mous e/Tr ackb all Oper a tio n 1-28 Th e CMS an d V24 and V2 6 Patient Mon itors The CMS and V24 and V26 Pa tie nt Mo nit ors Main Screen The la yout of the main sc reen is bas ica lly th e same as wi th othe r CMS , V24 and V 26 Pati ent Monit oring Systems, wit h the only except ion that it contains t hree ad ditional bu ttons: the Sil[...]

Touch or M ouse/Trac kball O peration The CM S and V24 a nd V26 Pati ent Monito rs 1-29 The CMS and V24 and V26 Pa tie nt Mo nit ors Control Panel Task Window General T o uch/ Mouse/ T rackball Operation (CMS only) If a t ouch-respon sive obj ect or ar ea of th e screen is selected ( either b y touch or by m ouse-clic k), a white ‘+’ appear s a[...]

Touc h or Mous e/Tr ackb all Oper a tio n 1-30 Th e CMS an d V24 and V2 6 Patient Mon itors The CMS and V24 and V26 Pa tie nt Mo nit ors T ouch- Responsive Objects Touch -re spons ive ob ject s and ar eas of the s cre en inc lude: • Numerics an d Waves - When a n umeric or wav e is sel ected, the respective paramet er setup window opens up. • A[...]

Touch or M ouse/Trac kball O peration The CM S and V24 a nd V26 Pati ent Monito rs 1-31 The CMS and V24 and V26 Pa tie nt Mo nit ors Alphanumeric Entries A Touchboard can be accessed w hen alpha nume rical data ne eds to be entere d. Thi s is an al ternat ive to the entry o f data w ith th e handhe ld keypa d. The To uchboa rd can be acti vated wi [...]

Touc h or Mous e/Tr ackb all Oper a tio n 1-32 Th e CMS an d V24 and V2 6 Patient Mon itors The CMS and V24 and V26 Pa tie nt Mo nit ors Disabling T ouch/ Mouse/ T rackball Operation In order t o preven t unintende d or uncon trolled op eratio ns of the monitor , tou ch ope ration must b e di sabled wh ile clean ing the touchscree n. To disable to [...]

The CM S Computer M odules The CM S and V24 a nd V26 Pati ent Monito rs 1-33 The CMS and V24 and V26 Pa tie nt Mo nit ors The CMS Compu ter Modules The sig nals from th e para meters being m onitored are transm itted t o the comp uter modul e, where the y are processe d and then disp layed on the screen as wavefo rms and numer ical rea douts. M1046[...]

The CM S Computer M odules 1-34 Th e CMS an d V24 and V2 6 Patient Mon itors The CMS and V24 and V26 Pa tie nt Mo nit ors M1046B Computer Module The M10 46B Comput er Modu le is for use w ith the Ph ilips M 1167/77A CMS. The paramet er modules are insert ed into one or seve ral satellite racks. They ca nnot be a ttach ed to the front of t he co mpu[...]

The V24 a nd V26 Parameter Module Rack The CM S and V24 a nd V26 Pati ent Monito rs 1-35 The CMS and V24 and V26 Pa tie nt Mo nit ors The V24 and V26 Parameter Module Rack The V24 and V26 p aramete r module ra ck is attach ed to the displ ay module by a cabl e to a co nnecto r on the left side of the di splay mo dule. I n addition , the V24C T and [...]

Operatin g Rules to Remem ber 1-36 Th e CMS an d V24 and V2 6 Patient Mon itors The CMS and V24 and V26 Pa tie nt Mo nit ors Operating Rules to Remember • Pressing key always r eturns yo u to the Mai n Screen. • To get int o a Sele ction Windo w press a hard key. • What is lab eled in yello w and appears “p ushed in” is act ive. • Softk[...]

Performanc e Specifi cations of the Ph ilips Dis plays The CM S and V24 a nd V26 Pati ent Monito rs 1-37 The CMS and V24 and V26 Pa tie nt Mo nit ors Performance S pecifi cations of the Philip s Displays M1095A Flatscreen Display M1094A/ B and M1092A CRT Display M1097A #A02 XGA Flatscreen Display Use ful Sc reen: (± 5% unle ss other w ise not ed )[...]

Using an ITE Display 1-38 Th e CMS an d V24 and V2 6 Patient Mon itors The CMS and V24 and V26 Pa tie nt Mo nit ors Using an ITE Display The M116 7A/77A C MS Patien t Monitor ing System provides means fo r customers to use ITE display s. There are several r estriction s associat ed with this op tion. Since the di splay is used a s part of a medic a[...]

Usin g an ITE Disp lay The CM S and V24 a nd V26 Pati ent Monito rs 1-39 EMC 1. Th e displ ay must eit her fulf ill the require ments of the EN606 01-1-2 {IEC 601-1-2}, or it must conf orm to the re quir em ents of the EMC st andar d for I TE devic es, EN50082 -1: 1997 and EN 50081- 1 / CISP R 22. 2. The vide o cable b etween M 1167A/ 77A CMS Pa ti[...]

Using an ITE Display 1-40 Th e CMS an d V24 and V2 6 Patient Mon itors[...]

Getting Started 2-1 2 Getting S t arted Now that you ha ve been introd uced to the monit or you are probably r eady to start using it. This chap ter will help yo u get started. It contain s the follo wing sec tions: • Settin g up the M onit or (V24 an d V26 only) . . . . . . . . . . . . 2-2 • Setting up the Parameter Modules . . . . . . . . . .[...]

Setting up the Mo nitor (V24 a nd V26 onl y) 2-2 Ge tting Started Getting Star ted Setting up the Monitor (V24 and V26 only) 1. A ttach th e parame ter mod ule ra ck to the display mo dule by a cable to the connec tor on the le ft side of the di splay modu le. If you are usi ng the V24C T or V26CT y ou can attach the 6-slot rack to th e back of t h[...]

Setting up the Mo nitor (V24 a nd V26 o nly) Getting Star ted 2 -3 Getting Star ted 2. If you are u sing the V24 CT and V26CT and t he batt eries ar e not already in place , insert 2 Ph ilips 40488 A 12 Volt 2.3 Amp-hou r sealed lead-ac id ba tteries in to the spring- loade d batt ery door in th e ba ck of the monitor. The b atteries should be inse[...]

Setting up the Mo nitor (V24 a nd V26 onl y) 2-4 Ge tting Started Getting Star ted 4. Switch on the system us ing the power OnOff switc h. A self te st is then perf ormed. Wa r n i n g Wa r n i n g Connec ting th e Philips mo nitori ng networ k (SDN ) cable w hen the product is po wered on is not supporte d. Error co des and Ph ilips monitor ing n[...]

Setting up the Paramet er Modu le s Getting Star ted 2 -5 Getting Star ted Setting up the Parameter Modules 1. Deci de wh ich pa rame ters you w ant to mon ito r. 2. Make sure th e appropri ate modul es are plug ged into the rack . If not, inse rt the modu le int o th e rac k until th e leve r on th e b ase of the module cl icks int o place. To re [...]

Attaching the Patien t 2-6 Ge tting Started Getting Star ted Att aching the Patient 1. Attach t he electr odes, pr obes, tr ansducer s, and inser t pressur e cathete rs as requ ired for monito ring th e patient . 2. Connect th e electr odes, probes an d transduc ers to the appr opri ate modules. After less th an 10 or 2 0 seconds y ou should see a [...]

Attachin g the Patie nt Getting Star ted 2 -7 Getting Star ted Adjusting Scree n Contrast V24 and V26: The brightness or c ontrast of the sc reen displ ay can be a djusted by using the di al loca ted behi nd the ed ge of th e displ ay, on th e lower right s ide of the mo nitor. T he V24 use s a cont rast con trol. V 24C, V24CT, V26C and V26CT are e[...]

Attaching the Patien t 2-8 Ge tting Started Getting Star ted St arting Monitoring The pat ient's vi tal signs a re now ap pearing on the screen. T he pre- configur ed defa ult setting s for the pa rameters a nd scree n display, th at were set u p at inst allation or have been stor ed in th e module (“Param eter Setti ngs Tra nsfer”), ar e [...]

Attachin g the Patie nt Getting Star ted 2 -9 Getting Star ted this message stays as long as th e ECG modul e is not plug ged in. Prompt and sta tus me ssa ges ar e dis playe d eithe r in the appro pri ate Ta sk Window, or at the to p of the Main Display scree n, depending on the operating level. On the Main Screen display the pro mpt and stat us m[...]

Attaching the Patien t 2-10 G etting Starte d Getting Star ted Power Failure If a p ower fail ure o ccurs, any alarm conditi ons tha t were sto red in t he monitor wi ll NOT be retained w hen power is r estored. S ettings such as alarm limits store d in “T” modules ARE retained - see “ Paramet er Settings Transfer ” on page 3-61. Ca u t i o[...]

Attachin g the Patie nt Getting Started 2-1 1 Getting Star ted If your monitor is c onnected to a Philip s patient care system while the monitor is in standby, no par ameter dat a from your monitor is sen t over the syste m. Instead, a message in dicating that your monitor i s in “Standby” is sent to othe r beds in the sy stem, and is displa ye[...]

Attaching the Patien t 2-12 G etting Starte d Getting Star ted[...]

Setting u p your Mo nitor 3-1 3 Setting up your Monitor This chap ter describ es the char acterist ics of your system that can be changed d uring mo nitori ng, using the key. It includes the following sectio ns: • Changing Display Screens . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2 • Selecting a Scr een . . . . . . . . . . . . . . .[...]

Changi ng Disp lay Scree ns 3-2 Setti ng up you r Monitor Setting up your Monitor Changing Display Screens A displ ay screen i s a pre- selecte d arrangeme nt of real time wavefo rms, numeric s and ov erlaye d applica tion win dows. A part icular d isplay screen can , for inst ance, be cr eated to monitor a patien t during a specific p rocedur e in[...]

Selecting a Scree n Setting up your Mon itor 3-3 Setting up your Monitor Sel e ct i ng a S cr e e n If the sc reen yo u want to change is not the curre ntly ac tive screen , you must sele ct the require d scre en (for e xample, Scre en A, Sc reen B, Screen C, scre en D or Scre en E) . Procedure 1. P ress the ha rdke y (CMS) or (V24 and V26 ). 2. Pr[...]

Free zing W ave s (CMS only ) 3-4 Setti ng up you r Monitor Setting up your Monitor Freezing W aves (CMS o nly) You can freeze a ny wave mo vement on th e screen via the → keys. Press or any other k ey except or to resta rt the wa ves. You can a lso freeze th e waves on y our 2n d and 3r d indepen dent displa y. To restar t the wa ves on an in de[...]

What you C an Co nfi gur e Setting up your Mon itor 3-5 Setting up your Monitor What you Can Confi gure Change s and ad justment s you make to the se ttings in Monitor Se tup scree ns re main act ive whi le th e sys tem is swit che d on. With th e ex cepti on of chan ge s to th e dat e and t ime, all s ettin gs re vert ba ck to th eir de fault sett[...]

Change s to the C onfigurat ion 3-6 Setti ng up you r Monitor Setting up your Monitor Changes to the Configuration To mak e changes to th e sett ings, you ne ed to ge t into the M onitor Setup Selecti on Window. The key sequ ence to ge t into the Ta sk Window s is shown above the scre en figur es in this gu ide. The softkey s are ind icated i n the[...]

Making Ch an ges to the Ma in Disp la y Setting up your Mon itor 3-7 Setting up your Monitor Making Changes to the Mai n Display The following describe s how to chan ge scre en A, B, C, D, or E an d assign a label. The description in clude s: • Assigning Waves to Scr een Channels • Selec ting a Screen • Selec ting Screen Labels f or Realti me[...]

Assigni ng Waves to Sc reen Ch annels 3-8 Setti ng up you r Monitor Setting up your Monitor Assigning W ave s to Screen Channels You can assign real time wa ves to po sitions on the scr een. This d efines where the w ave s appe ar on t he Ma in Scre en. Notes— • You can al so return to the Disp lay Setup Ta sk Window fr om the Realtim e Speeds [...]

Assigni ng Wav es to Screen Chann el s Setting up your Mon itor 3-9 Setting up your Monitor Procedure 1. Press repeated ly to sel ect a channel on the screen. 2. Press to move the selectio n to the w ave you wan t to plac e in your se lected ch annel. 3. Repeat steps 1 and 2 f or each wa ve position y ou want to change. 4. Press to return to the Ma[...]

Selecting a Screen 3-10 Set ting up your Monito r Setting up your Monitor Selecting a Screen You can switch be tween the f ive avai lable scre ens (A-E) in the Di splay Setup Task w indow. Procedure 1. Press until “ Screen C hoice” is se lected on the screen. 2. Press to select a scree n (A-E). Th e selected screen choic e and its screen label [...]

Selectin g Screen L abels for Re altime Dis play Screen s Setting up your Moni tor 3-11 Setting up your Monitor Select ing Screen Labels for Realti me Display Screens A scree n label may be se lected fo r a realti me disp lay screen . There a re eleven c hoices. Procedure 1. Press unti l “Scree n La bel” is select ed on t he screen. 2. Press to[...]

Selecting Screen La bels f or Realtime Display Screens 3-12 Set ting up your Monito r Setting up your Monitor h. Induct n i. No n Invasive j. OxyCRG3. k. B lank (No screen la bel). l. Use r Def (user define d screen lab el - see below) 3. Press to return to th e Selection Wind ow or pre ss to retur n to the Main Screen sc reen. User Def ined Screen[...]

Selectin g the Nu mber o f Waves Setting up your Moni tor 3-13 Setting up your Monitor Selecting t he Number of W aves You can select how many waves you wa nt display ed on the sc reen (w ithin the capabilit ies of the mo del you have or dered). Procedure 1. Press until “Numb rOfWaves” is sele cted on the screen. 2. Press to choose 4, 6, or 8 w[...]

Changi ng the Wav e Overla p 3-14 Set ting up your Monito r Setting up your Monitor Changing the W ave Overl ap The wave overla p refer s to the positio n of pa rticula r waves o n the screen . You can sele ct to have overla pping and no n-overla pping wav es. Overlap ping wav es allow a larger wa ve ampl itude an d you ca n compar e wave form s of[...]

Selecting Realtim e Wave Spe eds Setting up your Moni tor 3-15 Setting up your Monitor Sel e ct i ng Re al t im e W ave Spe ed s The sam e speed can be selecte d for all the wa veforms or diffe rent spe eds can be chosen for dif ferent wa veform s. You can se lect th e speed f or the wavef orms from the fo llowing: 50 mm /sec 25 mm /sec 12.5 mm/sec[...]

Selecting Realti me Wave S peeds 3-16 Set ting up your Monito r Setting up your Monitor Press the softkey to return to the Display Setup Window, press to retur n to the Selec tion Window or to return to the Main Screen. To se lect the sa me sp eed for al l th e wave form s: 1. Press r epeated ly to select the sp eed yo u requ ire. 2. Press the soft[...]

Selecting Realtim e Wave Spe eds Setting up your Moni tor 3-17 Setting up your Monitor Numerics On/Off To tailor the numer ic display format to spec ific needs, individua l numeric s can be switched on or off. Th is is possible for each indi vidua l screen (A-E) of an indep endent displa y. When m onitoring many paramete rs, swit ching off the n um[...]

Selecting Realti me Wave S peeds 3-18 Set ting up your Monito r Setting up your Monitor If numerics ar e switched off, the status me ssage “Not all numerics displayed” is disp layed. Thi s message can be disabl ed in configur ation mod e by your biomedi cal engi neer or by the Phi lips service en gineer. Numeric Positioning Par amet er nu meric[...]

Selecting Realtim e Wave Spe eds Setting up your Moni tor 3-19 Setting up your Monitor Numeric Siz es: Parame ter numer ics on the sc reen ar e displ ayed in 2 sizes - big o r smal l. When ther e are to o many large numeric s to be di splaye d on the Mai n Scree n display, the moni tor pe rforms the foll owing actions to make mo re space a vailable[...]

Sele cti ng a n A ppl ica tio n W ind ow 3-20 Set ting up your Monito r Setting up your Monitor Selecting an Appl ication Window One of thre e app licat ion wi ndo ws can be se lect ed fo r dis play in each screen: • Split Sc reen • oxy CRG •C S A They are de scribed in more detai l in the foll owing sect ions. Procedure 1. Press until “App[...]

Selecting an Appl ication W indow Setting up your Moni tor 3-21 Setting up your Monitor Note— If you hav e configur ed a seco nd or th ird indepe ndent disp lay, oxyCRG and CSA can only be on on e of th ese displ ays at a ti me. Spl it Screen can be co nfigure d for all di splays simult aneo usly. Special Implications for Touch or Mouse Operation[...]

Displayi ng Split Sc reen Trends 3-22 Set ting up your Monito r Setting up your Monitor Displaying S plit Screen T rends Split Screen t rends display th e last 30 minut es of the patient' s trend data along wi th any alar m limits t hat are set. The tr end valu es are upd ated every m inute. Th e trend value i tself i s calcul ated as the aver[...]

Disp layi n g Sp lit S cre en Tr ends Setting up your Moni tor 3-23 Setting up your Monitor The alarm limits a re represented b y a rectangle, fille d with the paramete r’s col or at lo w intensi ty. Whe n a measur ement e xceeds an alar m lim it, it is c learl y vi sible ag ains t the scre en’ s bl ack back groun d. Th e limits themselv es are[...]

Displayi ng Split Sc reen Trends 3-24 Set ting up your Monito r Setting up your Monitor In addi tion to t his, the tr end to wh ich the al arm lim its apply i s displa yed with a thi cker line than the ot her trends. Viewing T rend Data for Non- invasiv e Blood Pressur e Because the NBP i s not a co ntinuo usly measu red par ameter, a sp ecial symb[...]

oxyCRG Dis play Setting up your Moni tor 3-25 Setting up your Monitor oxyCRG Display The oxyC RG (oxygen CardioRe spiroGr am) displ ay provide s a simulta neous presen tation of t he foll owing three wavefo rms ov erlaye d on the M ain Sc reen : • Beat-t o-beat heart-r ate trend • An oxygen p arame ter tren d • Compresse d respira tion wave A[...]

oxyCRG Displa y 3-26 Set ting up your Monito r Setting up your Monitor Approxim ately the bottom two thir ds of the Mai n Screen area ar e covere d wit h the thr ee oxyC RG wavef orms. The number of realt ime waves that you can display sim ultaneousl y with oxyCR G is relat ed to the m aximum numbe r of realti me wa ves that y our system i s capabl[...]

oxyCRG Dis play Setting up your Moni tor 3-27 Setting up your Monitor is switched off, an d one whic h happens af ter the powe r is restored. • If you are usi ng a touc hscreen , selecti ng the oxyCRG d isplay e ither via to uch or m ouse-c lick wil l open u p the Ne onatal Event R eview Task Windo w (or the Graph T rends Windo w, if Neona tal Ev[...]

CSA Disp lay (CM S only ) 3-28 Set ting up your Monito r Setting up your Monitor CSA Display (CMS only) The CSA ( Compressed S pectra l Array) is a for mat presen ting the processed E EG. It compresse s a large amo unt of data int o a compa ct, easy to read tren d an d consis ts of 30 co mplet e spec tral lines . The bot tom half of t he Mai n Scre[...]

CSA Displa y (CMS only ) Setting up your Moni tor 3-29 Setting up your Monitor Main Screen Notes on CSA • The CS A inform ation i s overlay ed on t he realti me wave s at the bottom of th e Main Scr een. These realtime w aves disa ppear from the display , but the parame ters are still be ing monit ored, and the paramet er alarm s ar e still activ[...]

Wave Repl ac e 3-30 Set ting up your Monito r Setting up your Monitor W ave Replace Wave Rep lace enab les the mo nitor to f ill a cu rrently unused channel, which is assigned t o a specif ic wave, an d replac e it tempor arily wi th anothe r wave . Procedure 1. Press until “ Wave Rep lace” is se lected on the screen. 2. Press to enable or di s[...]

Trace Mod e Setting up your Moni tor 3-31 Setting up your Monitor T race Mode Trace Mo de allows y ou to choo se betw een fixe d and movi ng trac es: Procedure 1. Press until “Trace Mode” is selected on the screen. 2. Press to choo se fixe d or movi ng trace s. 3. Press to return to the se lection wi ndow or to retur n to the Mai n Screen . Not[...]

Configu ring a Second Ind ependent Displa y (CMS on ly) 3-32 Set ting up your Monito r Setting up your Monitor Configurin g a Second In de pendent Displa y (CMS only) The se cond inde pende nt di splay is no rma lly co nfigu red as a tr ue surgeo n’s displ ay. We sugge st that “Su rgeon” i s the most ap propriate key label. It does NOT contai[...]

Other Functions You Can C onfigure Setting up your Moni tor 3-33 Setting up your Monitor Other Functions Y ou Can Config ure Parame te rs On/O f f Individual paramete rs can be switch ed ON or OFF on the mo nitor. No alarms or INOPs ar e repo rted for parame ters th at are swit ched of f, and they ar e not a vailable for disp lay, tre nding, or rec[...]

Other Fun ctions Yo u Can Con figure 3-34 Set ting up your Monito r Setting up your Monitor 4. Press to return to the Main Screen. You can al so switch OFF paramete rs in the following wa ys: • Any para meter : unplug the module, and suspe nd or silenc e the alarms . • Any para meter excep t ECG , RE SP or NBP : disconnect the transduc er or ad[...]

Adjustin g the Volum e Control Setting up your Moni tor 3-35 Setting up your Monitor Adjusting the V olume Co ntrol You can ad just the QR S and alar m volum e indepe ndently. The QRS ton e is the audible t one produc ed by the E CG pu lse channels to indic ate eac h QRS com plex or pu lse tri gger ev ent pick ed up. Procedure CMS: → or → or ?[...]

Adjusting the Volume Co ntrol 3-36 Set ting up your Monito r Setting up your Monitor 2. Press to return t o the Selec tion Window or to return to the Main Screen. Note— Tone Modulat ion can also be set to On or Off in this window usin g the ke y. (see also SpO 2 Mod ule cha pter in Vo lume 2) Note— If the al arm ton e volume is set to zer o the[...]

Adjustin g the Da te and Tim e Setting up your Moni tor 3-37 Setting up your Monitor Adjusting the Date and Time You ca n set the date an d time to be displ ayed o n the scre en. Once i t has been set, t he inter nal clock retains the setting even whe n the sy stem is turned off. If your monitorin g system is connected to a cen tral station via a P[...]

Adjusting the Dat e and Tim e 3-38 Set ting up your Monito r Setting up your Monitor 3. Press to return t o the Selec tion Window or to retu rn to the Main S creen. Note— If you a re us ing a tou chscree n displ ay, arrow b utton s will ap pear above a nd belo w the date and ti me field s. These ca n be selected to adjust the da te and t ime inst[...]

Selecting Waves fo r Central Recorder s Setting up your Moni tor 3-39 Setting up your Monitor Selecting W aves for Central Recorders You ca n select two waves to be u sed for delaye d alarm r ecord ings at a Philips patient care system centra l recorder. The waves you select c an also be displaye d at t he central station . With a sin gle chan nel [...]

Configu ring Modu le, Bed side and Central Re cordin gs 3-40 Set ting up your Monito r Setting up your Monitor Configurin g Module, Bedsi de and Central Recor dings Note— Record ings on a 4-chann el bedsi de recor der are o nly possib le with the CM S. The key enables yo u to configu re five types of record ings: 1. Delayed and Alar m Reco rdings[...]

Ot he r P ati en ts C ont r ols Setting up your Moni tor 3-41 Setting up your Monitor Other Pat ients Controls If you r system is connect ed via the Phil ips monito ring networ k to ot her bedsi des you ca n choo se to sen d alarms, receiv e alarms and assig n your bed to a care gr oup. Th e proc edures fo r settin g up the net worki ng syst em are[...]

The Status Log Func tion 3-42 Set ting up your Monito r Setting up your Monitor The St atus Log Functio n The soft key i s used by servi ce eng ineer s. It pr oduces a list of accu mulat ed error codes. Status Log[...]

The M oni t or Rev i s i on Fun cti on Setting up your Moni tor 3-43 Setting up your Monitor The Monitor Revision Function The soft k ey i s u sed b y s ervi ce eng ineer s. It gi ves informa tion abou t the cu rrent hard ware a nd softw are rev ision of the monitor. Monitor Revis ion[...]

Changing Default Se ttings an d Patient Ca tegory 3-44 Set ting up your Monito r Setting up your Monitor Changing Default Settings and Patient Category Each syst em is conf igured in the fac tory with the factory defaul t settings . The s etti ngs are coll ect ed t oget her t o fo rm Configuration Sets . Th ere are 4 C onfigur ation Se ts availab l[...]

Chang ing the Pat ient Categor y Setting up your Moni tor 3-45 Setting up your Monitor Changing the Patient Category The monito r processe s patient signa ls in different ways (using diff erent algorithm s ) depe nding o n the pat ient categor y. The p atient cate gory within a Con figura tion Set ca n be chan ged du ring norma l monitor ing. → I[...]

Changi ng the Pati ent Categ ory 3-46 Set ting up your Monito r Setting up your Monitor The foll owing tab le detai ls the differen ces betwee n the p atient categor ies for tho se paramete rs whe re differ ences occu r: For example: The ECG par ameter uses th e neona tal algorit hm if you cho ose either th e Neonatal or Pediatric pati ent catego r[...]

Chang ing the Pat ient Categor y Setting up your Moni tor 3-47 Setting up your Monitor NBP The pati ent's tol erance fo r the cuff pressure (i.e. stress) when an NBP measureme nt is made is an important f actor to consi der when ch oosing patien t category . The amou nt of stress is det ermined by: • the size of th e cuff, and • the dura t[...]

Changi ng the Pati ent Categ ory 3-48 Set ting up your Monito r Setting up your Monitor Thes e saf ety value s ef fect the m eas urem ent r an ge of ea ch ca teg ory. The Adult ca tegory ha s the greates t range ( systolic 30 to 270 mmHg) a nd the Neonate has the small est (systo lic 30 to 130 mmHg). Therefo re you cannot use Neon ate or Pedi atric[...]

Chang ing the Pat ient Categor y Setting up your Moni tor 3-49 Setting up your Monitor 1 The fig ure given for over pressur e prot ection is the ma ximum p ressure the cu ff ca n rea ch fo r 2 seco nds b efor e it de flat es. NBP Recommendations Philips Medical Systems makes the follo wing re commendation s when selectin g a patie nt categor y for [...]

Changi ng the Pati ent Categ ory 3-50 Set ting up your Monito r Setting up your Monitor Recommendation Choose th e patien t categor y accor ding to th e QRS mo rphology , rather than the patien t's age. Use Adult if the du ration of the QRS b ase is 50 to 70 ms : us e Neona te/ Pedi atri c if th e dura tion is les s than 50 ms . Weak signal Th[...]

Chang ing the Pat ient Categor y Setting up your Moni tor 3-51 Setting up your Monitor Heart Rate (HR) / Pulse The expec ted ra nge can be estimated b y perfor ming a ma nual pu lse count. RESP In gen eral, us e the Adu lt or Ped iatric ca tegory if rate s below 50 rpm ar e expect ed; use Ne onatal i f expected rate i s above 100 . Pressure The alg[...]

Changi ng the Pati ent Categ ory 3-52 Set ting up your Monito r Setting up your Monitor CO 2 Note— The Apn ea alarm delay time ca nnot b e changed Adult/Pedi Neo AWRR Hig h Range 10 to 100 rpm 30 to 150 rpm AWRR Low R ange 0 to 95 rp m 0 to 145 rpm Delay bef ore alar m sounds 20 s 20 s[...]

Changi ng the Conf igurati on Set Setting up your Moni tor 3-53 Setting up your Monitor Changing the Configu ration Set If you want to change the applica tion of your system, for ex ample , from Config uration S et 1 adult to C onfigura tion Set 3 neonatal, yo u can d o this in monitoring mode by gett ing into the Moni tor Setup se tup. This proced[...]

Changi ng the Confi gur ation Set 3-54 Set ting up your Monito r Setting up your Monitor • Rem ove the plug -in mod ules from the rack before start ing the proced ure. • Ask your bi omedical engineeri ng department or Philip s service enginee r to set Para meter S ettings Tra nsfer to O FF. Procedure The cur rent Con figur ation Se t for th e m[...]

Changi ng Op erat ing Mode s Setting up your Moni tor 3-55 Setting up your Monitor Changing Operating Modes This function will be mainly u sed by service eng ineers for conf iguring the system on installation or for servic ing t he system. Before you can operate in this Task Wind ow you have to use a password . There a re three le vels of pa ssword[...]

Changi ng Op erat ing Modes 3-56 Set ting up your Monito r Setting up your Monitor Returning to Monitoring Mode To exit Co nfig, Demo or Se rvice M ode, press . This will return you to Monito ring Mode without having t o enter a passwor d. It is also possible t o exit demo mo de by power ing down and r estarting the monito r. Monitor Setu p Operatn[...]

Changi ng Op erat ing Mode s Setting up your Moni tor 3-57 Setting up your Monitor Procedure 1. En ter the pa ssword by pr essing the appropr iate co mbinatio n of softkeys w hich are num bere d 1-5. If you ente r the p assword co rrect ly, you can procee d with th e next step. If not, exit the Task Windo w by pr essing a nd try again . 2. Press th[...]

The Test Signals Fu nction 3-58 Set ting up your Monito r Setting up your Monitor The T est Signals Function The Test Si gnals functio n allows a c heck of the way sign als are processed from th e para meter m odule to th e screen . The aim of the function is to identi fy broken lin es and cab les in the sig nal processin g areas. Note— While the[...]

The Test Signal s Functio n Setting up your Moni tor 3-59 Setting up your Monitor Procedure 1. Press hard key 2. Press softkey i n the Instrument Conf iguration Selection Window. The monit or ret urns to Ma in Scre en. Test waves for ea ch par amete r being monitore d are gene rated fo r 30 secon ds to test th e processi ng abilit ies of the mo nit[...]

The Test Signals Fu nction 3-60 Set ting up your Monito r Setting up your Monitor System Sel f-Tes t Value s: Module Test Numeric Limits Tes t Wa veforms ECG an d ECG/ RESP ECG 100 bpm in ADULT mode 125 bpm in NEO/PEDI mode Simul ated squ are wave and num eric RESP 15 r pm i n ADUL T mo de 30 rpm in PEDI mode 55 rpm in NEO mod e Simul ated Resp w a[...]

Parameter Se ttings Tra nsfer Setting up your Moni tor 3-61 Setting up your Monitor Parameter S ettings T ransfer Paramete r modules w hich are lab eled on the f ront with a small “T” in the upper rig ht hand c orner can be t ransport ed from on e rack t o anothe r (or from one Philip s system to anoth er) and still kee p their parame ter setti[...]

Parameter S ettings Tra nsfer 3-62 Set ting up your Monito r Setting up your Monitor or • by reset ting all p arameter settings to their default v alues when changi ng Conf igurati on Sets or op erat ing mo des. You can find m ore infor mation a bout Para meter Sett ings Transfer in each of the param eter ch apters, i n parti cular Chap ter 20, ?[...]

Parameter S ettings Tra nsfer Messa ges Setting up your Moni tor 3-63 Setting up your Monitor Parameter Setti ngs T ransfer Messages The foll owing messag es related to Para meter Sett ings Tra nsfer can appear on the displa y: Message Condition Action r equired (Par ameter na me) no setting s trans fer capa bili ty The i ndic ated para meter modul[...]

Parameter S ettings Tra nsfer Messa ges 3-64 Set ting up your Monito r Setting up your Monitor (Par ameter na me) readin g settings from plug-in module'' A para meter key has been pressed w hile parameter se ttings are bein g take n fro m the indi cated modu le. Wait for the message t o disappear befo re pressing the k ey for that para me[...]

Other Pati ents 4-1 4 Other Patient s This chapter descri bes the Other Patients function. It includes the following sectio ns: • Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-2 • Philips Patient Care System . . . . . . . . . . . . . . . . . . . . . . . . . 4-3 • Using Philips Patient Care Syst em[...]

Overview 4-2 Other Pa tients Other Pa tie nts Overview If you are connected to a Philips patient care system the Ot her Patients function allows you to put your bed into gro ups, send and recei ve alarms bet ween beds in the grou ps and vi ew data from other be ds in your gr oup. If you r equire in formati on about th e auto matic ala rm Other Pa t[...]

Philips Patient Care System Other Patients 4-3 Other Pa tie nts Philip s Pati ent Care System The Philips Patient Car e System is a network which transports inform ation. If your system is conn ected to su ch a moni toring network you ca n send infor mation to ot her systems or c entral statio ns, and rece ive informa tion fro m them. One as pec t [...]

Philips Patient Ca re System 4-4 Other Pa tients Other Pa tie nts The frame aroun d the softk ey for a bed in alarm will bli nk unti l the alarm i s silen ced by tha t bed. I f the al arms on a bed in your O ther Patients Selectio n Window are susp ended, the symbol will a ppear on the respec tive sof tkey. Automatic Alarm Other Pati ent s Incoming[...]

Philips Patient Care System Other Patients 4-5 Other Pa tie nts The Alarm Be d Task Windo w shows the bed la bel of the othe r bed in alar m, th e prima ry w ave, up to 10 numer ics of the pa rame ter s bein g monito red, INOP and ALARM messages in a rotat ing fiel d. The a larm paramet er numeri c will be bli nking. If the a larm a t the ot her be[...]

Philips Patient Ca re System 4-6 Other Pa tients Other Pa tie nts the alarm stack vi ewed by ot her monit ors in the Ot her Pati ents grou p. No arrow next to a bed number m eans: either there are no more ne w alarms or all the exi sting al arms have been a cknowledge d.[...]

Philips Patient Care System Other Patients 4-7 Other Pa tie nts Configuring the Other Patie nts Controls With the Othe r Pati ents Cont rols yo u ca n plac e your own bed into o ne of eight grou ps: A, B, C, D, E, F, G or the ALL grou p, based on nur sing care assignments within a unit. The Ot her Pati ents Cont rols Task Window allows yo u to chan[...]

Using Philip s Patie nt Ca re System with an Arrhy thm ia C ompute r 4-8 Other Pa tients Other Pa tie nts Using Philip s Patient Care System wi th an Arrhythmia Comput er Note— The patien t monit ors perf orm an alysis on the patien t’s ECG wavefor m. This includes trigg ering alar ms on asystole, brad ycardia, ventricula r fibrillati on and ta[...]

Using Phi lips Patient Care System with an Arrhy thmia Com puter Other Patients 4-9 Other Pa tie nts If arrh ythmi a monit oring for your system i s on, th e heart-r ate on your screen is that calculat ed by the arrhythm ia compute r. Alar m messages from th e arrhy thmia co mputer ar e also displaye d. With in the EC G chan nel, arrhyt hmia infor [...]

Using Philip s Patie nt Ca re System with an Arrhy thm ia C ompute r 4-10 O ther Patient s Other Pa tie nts Arrhythm ia Alar ms on the 78 560A and 78720 Arrhyth mia Computers Alarm Minimum Condition Required for Alarm ASYSTOLE (***) No QRS for 4 consecutive seconds in absence of V fib or cha otic sign al. VENT FIB/TACH (***)| Fibrillatory waveform [...]

Using Phi lips Patient Care System with an Arrhy thmia Com puter Other Pat ients 4-1 1 Other Pa tie nts R-on-T VPBs (**) For HR < 100, a VPB with R-R inter val < 1/3 seco nd and< 1/3 of t he average R-R interval fo llowed by a comp ensatory pause, or 2 suc h Vs without a compe nsat ory pa use i n 5 mi n. (Wh en HR > 100, 1/ 3 R-R in ter[...]

Using Philip s Patie nt Ca re System with an Arrhy thm ia C ompute r 4-12 O ther Patient s Other Pa tie nts Arrhythm ia Alarms o n the 78 560A Arrh ythmia Comp uter Arrhythm ia Alarms o n the 78 720 Arr hythmia Comp uter Alarm Minimum Condition Required for Alarm RUN VPBs > X (**) Run of more than X VPB's , where X is adjusta ble from 2 to [...]

Using Phi lips Patient Care System with an Arrhy thmia Com puter Other Pat ients 4-1 3 Other Pa tie nts Arrhythm ia Alarms o n the 315 0A/3153A Arr hythm ia Computer Message Minimum Condition Requiring an Alarm *** ASYS TOLE N o QRS for 4 consec utive s econds *** V-FIB/TACH Fibrillatory wave for 4 consecutive seconds *** V-TAC H Consecut ive PVCs [...]

Using Philip s Patie nt Ca re System with an Arrhy thm ia C ompute r 4-14 O ther Patient s Other Pa tie nts ** R-ON-T PVCs For HR <100, a PVC with R- R interval <1/3 the ave rage in terval follow ed by a compen satory p ause of 1 .25 x ave rage R- R inte rval or 2 s uch Vs wi thou t a compensa tory pa use occu rring within 5 mi n. of each oth[...]

Extend ed Overv iew (CMS only ) Other Pat ients 4-1 5 Other Pa tie nts Extended Overview (CMS onl y) Note— The Exten ded Overvie w feature is option al and requ ires the M1272A I nter-Phil ips monit oring netw ork gat eway. Extende d Overview enables y ou to revie w the status o f patien ts on anothe r Philips mon itoring n etwork - either in ano[...]

Extend ed Overv ie w (CMS only) 4-16 O ther Patient s Other Pa tie nts T o View an Extended Other Patient s Bed 1. Press . 2. Depe nding on y our moni tor’s con figuratio n, select a gr oup softk ey (in the fol lowing displ ay labe led ) to bring up bed labels in anot her unit or for bed labe ls in a unit larger th an 24 beds. 3. Select th e bed,[...]

Extend ed Overv iew (CMS only ) Other Pat ients 4-1 7 Other Pa tie nts 4. To view anothe r bed in the group, sele ct the approp riate group label. To select any be d not in the grou p, press Alert Notification Alert No tificati on provide s auto matic notif ication of Alar ms and INOP s from othe r exte nded Other Patient s beds wit hin a sin gle u[...]

Extend ed Overv ie w (CMS only) 4-18 O ther Patient s Other Pa tie nts Note— If the gateway i s config ured to provid e Alert N otifica tion an d the gateway is inop erationa l, the message “SD N comm erro r - inter-n etwor k gateway f ailed” w ill be displaye d in the message ar ea of th e main sc reen display. The Ale rt Notificatio n displ[...]

Alarm Fun ctions 5-1 5 Alarm Functions This cha pter prov ides ge neral infor mation on alarm fu nctions and wh at to do i f an alar m occu rs. It incl udes the f ollowi ng sections: • Alarm Display. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-2 • Alarm Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . [...]

Alarm Display 5-2 Alarm Functio ns Alarm Functions Alarm Display The al ar m messag es are di spla yed acr oss the top of the sc reen . When you switch the powe r on, t he system al arm cap ability i s switch ed off. This is indicate d by an ALA RMS SUSPENDE D or ALAR MS SUSPND 1, 2 or 3 MIN m essage at the top righ t corner of the scree n, depen d[...]

Alarm Displa y Alarm F unctions 5-3 Alarm Functions Alarm Lamps Red and y ellow al arm lamps on the c ontrol pa nel sign ify the sev erity o f the cause of the a larm. On e of these l amps is a lways lit in the ev ent of an alarm sou nd. In the case of mo re than o ne alarm, th e highest severity alarm lamp is always lit . What the S ymbol Me ans W[...]

Alarm Display 5-4 Alarm Functio ns Alarm Functions If all th e alarms hav e been tur ned off usi ng the softkey o r the hardkey, t hey can all be turned ba ck on by pressing the softk ey or the hardk ey. Whil e the al arms are su spe nded (p erma nently or for 1 , 2 or 3 mi nut es), INOP messag es continue to be disp layed bu t alarm messa ges, lam[...]

Alarm Displa y Alarm F unctions 5-5 Alarm Functions • Latch ing Alar ms - The alarm co ntinue s when th e alar m condi tion is eliminat ed. Latchin g alarms can be reset by pressing the key. Al ternat ively, all lat ching alarms can be tu rned off usi ng the so ftkey o r the hardkey. Latching alarms for indi vidua l parameters c an be turne d off[...]

Alarm Display 5-6 Alarm Functio ns Alarm Functions The alarm reminder clock starts counting from the beginning again every time the key is pressed. If an a larm has been acknowledged by pressing the key, an d during the next 3 minutes a new alarm (of whatever priority) occurs and is silenced, the alarm reminder will sound 3 minutes later for the hi[...]

Alarm Displa y Alarm F unctions 5-7 Alarm Functions Summary of Alarm B ehavior Non -l atc hi ng alarm s Latching alarms Visual Latching Audible Non-Latching has NOT been pressed Alarm is give n Aud ible al arm Alarm lamp Alarm me ssage, blinki ng numer ics Audi ble al arm Alarm la mp Alarm me ssage, blinking nu merics Audi ble ala rm Alar m la mp A[...]

Alarm Display 5-8 Alarm Functio ns Alarm Functions Alarm Priorities • Re d al arms - Highest priori ty alarm s, display ed in th e top rig ht corn er of the di sp lay s cre en. These are m ar ked wi th thre e asterisks (***) next to the a larm message, for example, ***ASYSTOLE. • Yellow ala rms - displ ayed in the top c enter of th e displ ay s[...]

Alarm Displa y Alarm F unctions 5-9 Alarm Functions Viewing Alarm Messa ges The mo nitor ala rms are arrang ed in incr easing seve rity ac ross the screen: 1. Press or hardke y 2. Press in the A larms Sel ection Window. Note— When an al arm occu rs, you shou ld a lways chec k the pa tient 's condition fi rst. Audible Alarms There ar e four d[...]

Alarm Display 5-10 Ala rm Func tions Alarm Functions Individual Parameter Alarms When you plug i n a pa rameter modul e and con nect the tr ansduc er or adapte r cable, t he para meter i s automati cally swi tched on (ECG, R ESP and NB P are a utom atic ally s witch ed on when y ou plu g in th e rele vant modul e). Whether th e paramet er alarm s a[...]

Alarm Displa y Alarm Fu nctions 5-11 Alarm Functions When an Alarm Occurs The al arm message s appear across th e top of the scree n. You need to identi fy the a larm and ac t approp riately , accord ing to th e cause of the alar m. • Ident ify which mo nitor is in alarm. • Check the pat ient's co nditio n. • Identi fy the cause of the a[...]

Alarm Setup 5-12 Ala rm Func tions Alarm Functions Alarm Setup In the Al arm Li mits Task Win dow you are abl e to rev iew all of the a larm limits that have been set for a patient. In this Task Window y ou are ab le to turn off individu al parame ter alarms and ad just the limits. This means that if you just wan t to ad just an alar m limit y ou d[...]

Alarm Setu p Alarm Fu nctions 5-13 Alarm Functions Changing the Al arm Limit s --> 1. Press to high light the para meter that yo u want to adju st. 2. Use the softke y to switch the param eter's a larms on or o ff. When the alarm s are tu rned off, a appear s next t o the paramete r alarm lim its. 3. Use and softke ys if yo u want to adjus [...]

Alarm Setup 5-14 Ala rm Func tions Alarm Functions Setting the Vo l u m e Control The QRS a nd the alarm to ne volum e can be se t inde pendent ly. 1. Press hardk ey. 2. Pre ss in the A larms Sele ction Windo w. The Q RS an d alar m tone are eac h rep res ente d by the o utl ine of a triangle wh ich can be fille d in. When the triang le is complete[...]

Alarm Setu p Alarm Fu nctions 5-15 Alarm Functions The Nurse Call Relay Note— The nurse ca ll relay i s not avai lable f or the V24C T and V26CT. The nu rse cal l relay i s a pagin g system wh ich warn s the nur se if an alarm occurs on a monitor. It becom es active in one of four situat ions dependin g on the w ay it has be en con figured : • [...]

Alarm Setup 5-16 Ala rm Func tions Alarm Functions[...]

Reco rdi n g Fu ncti ons 6- 1 6 Recording Functions This ch apter con tains in formatio n on the recordin gs that ca n be mad e usin g the pa ti ent m onitor s, an d th e reco rder s wh ich ca n produce them. I t includ es the fol lowing sections : • General Recorder Informa tion . . . . . . . . . . . . . . . . . . . . . . 6-2 • Types of Record[...]

General Recorde r Informati on 6-2 Re cording F unctions Recording Functions General Recorder Information Recorders The following record ers are availab le for use with th e patient m onitors : The Plug- In recor der has 2 c hannels, and can also be used at a central locat ion. The 4- ch annel ther mal re corde r can also be us ed at a centr al lo [...]

General Re co rder Informatio n Recordi ng Functi ons 6 -3 Recording Functions Controls and Indicators on the Plug- In Recorder a. Conti nue light Fla shes if the cu rrently print ing reco rding is continuous b. RUN/CONT key Start s a timed de layed recordin g and/o r makes a curren tly pri nting record ing continuous ( if possibl e) c. STOP k ey S[...]

General Recorde r Informati on 6-4 Re cording F unctions Recording Functions Controls and Indicators on the 4- Channel Recorder (CMS only) a. Power On/Of f key Swi tches re corder power on (in) and of f (out) b. Out-of -paper light Light s when pa per is out or re corder d oor is open c. TEST key Initiates a self-test to check that the recor der is[...]

General Re co rder Informatio n Recordi ng Functi ons 6 -5 Recording Functions Recorder Cap abilities Plug-In Recorder (M1 1 16A/B) Can re cord up to 3 wave forms (i f 2 wavefo rms are ov erlap ped). • Makes del ayed rec ordings of any wave forms you select. • Makes rea ltime vital sign s recordi ngs. • Makes r ealti me blood measure ment re [...]

General Recorde r Informati on 6-6 Re cording F unctions Recording Functions Central Recorder ( 1, 2 or 4 channel recor der) • Make s delaye d recor dings of wa veforms br oadcast over th e Philips pati ent care system. (Th ese are wave forms vie wed at th e cent ral statio n and other m onit ors in overvi ew mod e.) See the central record er ope[...]

Types of Recording s Recordi ng Functi ons 6 -7 Recording Functions T ypes of Recordings The mo nitor pro duces sever al diffe rent types of recordi ngs. Alar m recor dings ar e genera ted aut omatical ly by t he monito r when clinic al criter ia are vi olated. In ad dition, you c an make the following types of str ip char t reco rdin gs f rom th e[...]

Delayed Recording 6-8 Re cording F unctions Recording Functions Delayed Recording Definitions Dela ye d Rec ord ings - recordin gs of wave forms that are delay ed in time, so tha t if you see a wavefo rm you wa nt to reco rd, you can reco rd it even i f it has passed off t he mon itor sc reen. A de layed record ing run s for a prese t time and b eg[...]

Delayed Recording Recordi ng Functi ons 6 -9 Recording Functions Configuring Delayed Recordings For Plug-In and 4-Channel Bedside Recorders 1. Select the record er and layout: a. Press to select the r ecorder. b. Press to select wave layout. The sector sizes in millimete rs and the ECG gain re quired for 1 mV to equ al 1 centi meter on a strip ap p[...]

Delayed Recording 6-10 Recor din g Fu nct io ns Recording Functions For Central Recorder s → . 1. Select the centr al recor der in th e Delaye d/Alar m Recordi ng Task Window ( see step s 1-3 for Plug-I n and 4 -Chann el Bedsi de Record ers above ). 2. Select th e waves in the System Wave s Task Window a. Press to select the pr imary wav e. The k[...]

Delayed Recording Record ing Func tions 6-1 1 Recording Functions Making Delayed Recordings To ini tiate a del ayed reco rding on any re corder , press Dela yed Reco rd. On the Plug-In reco rder only, pre ss RUN/CONT. Delayed recordings can also b e initiat ed from the Preset Recording s Task Window. He re, the waves pre-sel ected for a delayed rec[...]

Alarm Recordin g 6-12 Recor din g Fu nct io ns Recording Functions Alarm Recording Alarm r ecordings a re a typ e of delayed recordin g, that is , the reco rding includ es wavefo rm info rmation from bef ore the alarm ev ent so you can see the c hange in th e patien t's cond ition. When a pati ent goes i nto an alarm co ndition , an ala rm rec[...]

Alarm Recordin g Record ing Func tions 6-1 3 Recording Functions Configuring Alarm Recordings 1. Press to highligh t a para meter to chang e. 2. Press to selec t the seve rity (Red , Red/Yell ow, Yellow, Off). 3. Press to ena ble reco rdings fo r all r ed and yel low conditio ns. 4. Press f or no al ar m reco rding s. Note— If delaye d/al arm rec[...]

Alarm Recordin g 6-14 Recor din g Fu nct io ns Recording Functions Alarm Recording Priorities In a de layed rec ording , waves are recorded in the order assigned i n the Dela yed/A larm Reco rding T ask W indow , and the nu mber o f wave s record ed is d etermin ed by t he reco rder c onfigur ed for delaye d record ings. I n alarm record ings, th e[...]

Alarm Recordin g Record ing Func tions 6-1 5 Recording Functions A yellow CO 2 alarm would produ ce a rec ordin g ordere d as: If a red P3 alar m occur red, the r ecordin g order w ould th en becom e: For alarm reco rding s with oxy CRG (to docum ent ne onatal ev ents witho ut the Neona tal Ev ent cap ability), the alarm record ing items should b e[...]

Procedure R eco rdi ngs 6-16 Recor din g Fu nct io ns Recording Functions Procedure Recordings Record ings ca n be m ade duri ng cardi ac out put mea suremen ts. Configuring Procedure Recordings You first select the recorde r which will recor d the curve. 1. Press to select the recor der that will produce the re cordi ng. 2. Press to return to the [...]

Proc edu re Re cord ings Record ing Func tions 6-1 7 Recording Functions Making Procedure Recordings See Cardia c Output Sectio n for detail s on cardiac ou tput me asureme nts. When a cardi ac out put mea surem ent has be en ma de, the cu rve in the Measure C.O. Task Window can be recor ded by pressing . The rec ording strip s hows the cu rve and [...]

Procedure R eco rdi ngs 6-18 Recor din g Fu nct io ns Recording Functions → → See the Pre ssure Se ction for details on Pul monar y Artery We dge Press ure (P AWP) Measu rement s. When a PAWP m easuremen t has been perfor med, th e PAWP wavef orm can be record ed by pr essing the so ftkey. I f displa yed, the CO 2 or R ESP wavef orm is also re [...]

Proc edu re Re cord ings Record ing Func tions 6-1 9 Recording Functions (91M IA) 25 mm /se c Ref 01 DEC 8:30 /01 DEC 8:35/C hange ST1 II -0.2 /II 2 .1 / +2. 3 ST2 aVR 0.0 /aVR -1.0 /-1.0 ST3 V 0.0 /V - 0.5 /-0.5 Iso = -72 ms. S T Pt = 10 0 ms (Ref) Iso -7 2 ms. ST Pt + 100 ms 01 DEC 93 8:35 ST R ef 1 mV 1 3/4 h x 5 3/ 8 w ST 1mV[...]

Realtime Wave Recordings 6-20 Recor din g Fu nct io ns Recording Functions Realtime W ave Recordings Definitions Realtime Recor dings - re cordi ngs o f wa vefo rms fr om the ti me of yo ur request . There a re two type s of realti me recor dings: Realt ime Recor ding Mo de - a pre -selected set of w aveforms will be record ed whe n one of the pre [...]

Realtime Wave Recordings Record ing Func tions 6-2 1 Recording Functions Configuring Pres et Recording Modes . 1. Select the record er and l ayout. a. Pre ss to select the recorder that will produce t he reco rdings. b. P ress t o chan ge th e lay out of the wa ves on the reco rding stri p. c. Press to change the recorder speed. 2. Select wave for [...]

Realtime Wave Recordings 6-22 Recor din g Fu nct io ns Recording Functions Making Pres et Recordings if avai lab le , , or . Making Non- Pres et Recordings if available . Select th e wave(s) to be rec orded. Select ed waves a re ident ified in the wind ow after the recor der name in the order th ey we re s elec ted . Ea ch wa ve t ha t is se le cte[...]

Realtime Wave Recordings Record ing Func tions 6-2 3 Recording Functions Note— (CMS on ly): The nu mber o f reco rding chan nels avai labl e dep ends on the r ecord er. If yo u chan ge from a 4 - to a 2 -channe l reco rder, on ly the first t wo waves a re reco rded. Note— Non-p reset reco rdings ar e made on the same record er as pro cedure rec[...]

Realtime Wave Recordings 6-24 Recor din g Fu nct io ns Recording Functions For cen tral reco rders, the reque sts are ru n and queued ac cordi ng to the priori ty for th at recor der. See the opera ting gui de of t he record er for informat ion. For the M1 116A/B Plug-I n Recorde r and the Philips M 1117A Bedsid e Record er, the rec ording prints w[...]

Realtime V ital Signs / Bl ood Recordi ngs Record ing Func tions 6-2 5 Recording Functions Realtime Vit al Signs / Blood Recor dings Definitions 1. R ealtime Rec ordings - recor dings of vital sign s / blood analysis from the time of your request. 2. Automatic Recordi ngs - autom atic re cordings o f vital signs / bl ood analys is by an NB P measur[...]

Realtime Vital Signs / Bl ood Record ings 6-26 Recor din g Fu nct io ns Recording Functions Dependi ng on the numb er of param eters being mo nitored, a vit al signs / blood re cording may take u p to 15 seconds to complete. The reco rding speed is se t by the syste m, and cannot be ad justed. Note— If vitals sign s / blood re cordi ngs are c onf[...]

Realtime V ital Signs / Bl ood Recordi ngs Record ing Func tions 6-2 7 Recording Functions Making a Single V it al Signs/Blood Recording If your monito r is configure d to have a softkey in the Preset Rec ordings T ask Window, you c an initiate a sin gle vital signs or blood rec ording. Making Ti m ed Sequences of Vit al Signs/Blood Recordings An a[...]

Realtime Vital Signs / Bl ood Record ings 6-28 Recor din g Fu nct io ns Recording Functions If you are c onfigur ed for vita l sig ns / bloo d rec ording s and you ar e in Mode B , selectin g the Vi tal Sign s / Bloo d Reco rding key produ ces a recording consist ent with NB P configu ration.[...]

Trend ed Vital Sig ns Recordi ngs Record ing Func tions 6-2 9 Recording Functions T rended Vit al Signs Recordings You can re cord t he cont ents of t he Vital Sig ns displa y in a tab ular form at on an M 1116A/B p lug-in reco rder. The recorde r selectio n must be set to “PLUG-I N” (the def ault) in the Proced ure Rec ordings task w indow bef[...]

Trended Vital Sign s Re co rdin gs 6-30 Recor din g Fu nct io ns Recording Functions 6. Medic al r ecord nu mber T rend Data Depending upon the numbe r of trended p aramete rs, the heade r page is foll owed by one or mo re pa ges of tren d dat a. A tr end d ata re cordi ng may tak e from 15 se conds to 50 se conds to complete . The record ing speed[...]

Trend ed Vital Sig ns Recordi ngs Record ing Func tions 6-3 1 Recording Functions 1. Time l ine. 7. Diastolic. 2. Data tha t has been transferr ed. 8. Mea n. 3. Date . 9. Time of mea sur emen t. 4. Time setting ha s been altere d during tim e p eriod 10. Questi onable v alue. 5. Paramete r labe ls. 11. More than o ne value is available in the time [...]

Trended Vital Sign s Re co rdin gs 6-32 Recor din g Fu nct io ns Recording Functions Making T rended Vit al Signs Recordings The trende d data di splayed in the Vital S igns task wind ow can be reco rded by se lect ing t he softkey . To stop trended vital signs rec or dings: The rec ording can be stopp ed at any t ime by selectin g: • in the Pres[...]

Neonat al Event Rev iew Rec ordings Record ing Func tions 6-3 3 Recording Functions Neonat al Event Review Recordings T abular Neonat al Event Recordings You can re cord t he cont ents of t he Even t Revie w task wind ow in a tabular format on an M1116A/ B plug-in recorde r. The reco rder sel ection must be set to “P LUG-IN ” (the def ault) in [...]

Neonata l Event Rev iew Recordi ngs 6-34 Recor din g Fu nct io ns Recording Functions Dependi ng upon the nu mber of e vents stored, a n eonatal e vent recording may take from 15 seco nds to 40 seco nds to complet e. The record ing spee d is set by the system and cann ot be a djusted . Making a Tabular Neonatal Event Recording The data disp layed i[...]

Neonat al Event Rev iew Rec ordings Record ing Func tions 6-3 5 Recording Functions OxyCRG Episode Data The ox yCRG epis ode is r ecorded with the sa me label s, record er grid a nd scale la bels as those w hich appea r on a standard ox yCRG recor ding. The oxyCRG episo de dep icts 2 minu tes prior and 2 minutes past the captu red event ( alternat [...]

oxyCRG Recordin gs 6-36 Recor din g Fu nct io ns Recording Functions oxyCRG Recordings You can record the conten ts of th e oxyCRG display on an M1 116B Plug- In recor der. Note— oxyCR G recordin gs can only be made on the M111 6B Plug-I n record er. The M1116 A Plug-I n rec order, th e M111 7A four channe l record er, a nd t he cent ral record e[...]

oxyCRG Record ings Record ing Func tions 6-3 7 Recording Functions The oxyCRG is shown in th ree distin ct non-ov erlappi ng “channe ls” on the strip. The time, the three wave lab els, and t he scal es for the o xygen and beat- to-be at Hear t Rate ch annel s are pr inted pe riodic ally o n the record ing. Three s peeds ar e availab le for o xy[...]

oxyCRG Recordin gs 6-38 Recor din g Fu nct io ns Recording Functions oxyCRG Alarm Recording Pressing the softkey allows yo u to ch oose betwee n “Stand ard” alarm recordin g or “ox yCRG” ala rm reco rdi ng. If you s elect “o xyCRG” , an oxyCR G record ing is sta rted wh en an a larm occurs. Si x minutes of pr e-alarm data and two minute[...]

Addition al Informa tion Record ing Func tions 6-3 9 Recording Functions Additional I nformation Annot ations Delayed a nd realt ime reco rdings ar e annotat ed with co des which identify : 1. The type of rec ording 2. The monitor op erat ing mo de 3. The applica tion area 4. The type of patient 5. The delay time The following table sho ws the anno[...]

Additiona l Informati on 6-40 Recor din g Fu nct io ns Recording Functions For exa mple, th e comple te code (8AMIN36 0) at th e beginn ing of a record ing st rip means: The recor ding is dela yed (8A ). The monit or is in moni toring mode (M). The appl ication ar ea is IC U (I). The pat ient type is ne onatal ( N). The delay time is 6 minu tes, an[...]

Addition al Informa tion Record ing Func tions 6-4 1 Recording Functions CAL @@ @ DEG C B Y 5 SEC where @@@ is the si gnal valu e as fol lows: Cal Pulse @@@ Scal e 0.25 0.5 0.50 1.0 1.00 2.0 (90DI A) HARVEY SMITH 09 AUG 91 18:04 25 mm/sec BED 18 ALARMS SUSPENDED CHECK STATUS LOG PULSE 6 0 HR 80 ETCO2 40 IMCO 2 0 AWRR 25 FIO2 0.21 ABP 120/70 (91) PA[...]

Additiona l Informati on 6-42 Recor din g Fu nct io ns Recording Functions Changing the Recording Length Delayed a nd realt ime reco rding s can be ex tended or continu ed. Extending a timed recordin g resets the runtime . You ca n extend a record ing a s many ti mes as needed. In the e xample below, the recor ding with a runt ime of 12 seconds is [...]

Addition al Informa tion Record ing Func tions 6-4 3 Recording Functions Changing the Recorder Spe e d The rec ording speed c an be chan ged fo r dela yed, rea ltime, an d oxyCRG reco rding s mad e on a be dsi de rec orde r. Ch ange s ma de in th e Cha nge Recor ding Speed w indow aff ect only the last requested and running record ing. Note— If m[...]

Additiona l Informati on 6-44 Recor din g Fu nct io ns Recording Functions Inserting a Calibration Signal You can insert a calibra tion sig nal into t he wavefor m display on the monito r and in to any actively runni ng recor ding. Ca librati on sig nals are automa tically ge nera ted for ca librated w aves. The sig nals can th en be used t o deter[...]

Addition al Informa tion Record ing Func tions 6-4 5 Recording Functions Layout Ch oices on Recorder M1117A Layout Sector 1 S ector 2 S ector 3 Sector 4 #1 1 25 mm Wav e1 25 mm Wave 2 25 mm Wave 3 25 mm Wave 4 #2 25 mm Wav e 1 75 mm Wave 2-4 #3 25 mm Wav e 1 25 mm Wave 2 50 mm Wave 3,4 #4 50 mm Wav e 1 50 mm Wave 2-4[...]

Record ing Status Message s 6-46 Recor din g Fu nct io ns Recording Functions Recording St atus Messages When a rec ording is runnin g, you g et a message i n the top center of the monitor displa y, tellin g you which par ameters are b eing recorde d. In additi on, the followin g messages provid e inform ation on the stat us of your rec ording re q[...]

Reco rdin g St at us Mess ages Record ing Func tions 6-4 7 Recording Functions Note— Recordin g ink som etimes fades whe n covered with tra nsparent tape. Pl ease avoi d cover ing any part of a rec ording th at is cl inically relevant (anno tation or w aveform s) whe n taping a recordi ng stri p to a patien t recor d or other patient doc umen tat[...]

Acce ssor ies and O rder ing Infor mat io n 6-48 Recor din g Fu nct io ns Recording Functions Accessories and Orderi ng Informati o n You can order parts and accessories from Philips supplies at www.medical.philips.com or consult your local Philips representative for deta ils. Warning Reuse: Ne ver reuse disposable transd ucers, sensors, accessor i[...]

Loadi ng P ape r Record ing Func tions 6-4 9 Recording Functions Loading Paper Central Recorders To load pap er into t he cent ral reco rders, se e the oper ating guide fo r the instrument . Loading Pape r into the Plug-In Recorder Directi ons for loadin g paper in to the Plu g-In Reco rder are given on the next page s. Before start ing, pull th e [...]

Loading Pape r 6-50 Recor din g Fu nct io ns Recording Functions T o Replace Paper in the Plug-In Recorder Note— To test i f paper i s loaded co rrectl y, initiat e a reco rding. I f no printing appear s, paper i s loaded backward s. Remove a nd rel oad. 1. Insert ne w roll with pape r feedi ng from the TOP . Pull pape r out unti l it clicks into[...]

Loadi ng P ape r Record ing Func tions 6-5 1 Recording Functions If the Pa per is Loaded Backwards If you have loade d the paper backward s, to remo ve the roll , do the following: 1. Tear off paper, then open rec order doo r. 2. Pinch paper at shelf below ro ller, and pul l paper off of rolle r (see illustration below ). 3. Gently pu sh excess p a[...]

Loading Pape r 6-52 Recor din g Fu nct io ns Recording Functions Cleaning the Prin t hea d in the Plug-In Recorder If very sl ow spee d (1 or 2 cm/ min) rec ording s are ru n for e xtende d periods of t ime, deposits of paper de bris may c ollect on the print head . Symptoms of this ar e re cordings that are u nevenl y fainte r in hor izontal strip[...]

Loadi ng P ape r Record ing Func tions 6-5 3 Recording Functions message “ no al arm re cording availab le” wil l be d isplayed period ically o n the monit or scree n. Loading Pape r into the Four Channel (M1 1 17A) Recorder (CMS only) Directi ons fo r loadi ng paper into th e four channel recorde r are gi ven on this page and t he next. Before[...]

Loading Pape r 6-54 Recor din g Fu nct io ns Recording Functions Note— No more than on e sheet should be left h anging outside of the u nit. Tear off ex tra sheets i f necessa ry. Step 2 Unfold th e first one or two sheets. T hen, pl ace the paper pa ck in th e comp ar tmen t wit h the black squ ares on th e lef t-han d side, facing up, as show n[...]

Loadi ng P ape r Record ing Func tions 6-5 5 Note— The first sheet will come out folded, a s shown. Cleaning the Roller on the Four Channel (M1 1 17A) Recorder If the pape r doesn’t mov e through t he roll er proper ly, a possible cause is that the roller needs to be cl eane d. (Be sure your hands a re cl ean before touchin g the roll er). Equi[...]

Loading Pape r 6-56 Recor din g Fu nct io ns[...]

Admit/Dis charge/End Case 7-1 7 Admit/Discharge/End Case This chap ter descr ibes the procedu res for reviewin g patien t admit in format ion, ente ring heig ht and w eight and de leting patient records usi ng the Ad mit, Discha rge, and En d Case function s. These fu nctions a re acce ssible un der the key. Di scharg e and End Case a re not operat[...]

Admitting a Patient 7-2 Adm it/Discharge/En d Case Admit/Discharge/End Case Admitting a Patient The pati ent monit ors pro vide you w ith a displa y of dem ographi c infor mati on on your pati ent. P atien t na me an d medi cal record numb er will appear if th e monitor is conne cted to a central station (the patient must be admi tted at the centra[...]

Admitting a Patient Admit/D ischarge/ End Case 7 -3 Admit/Discharge/End Case Admission Information (ICU mode) 1 Neonata l only Items Required or Optional Instruc tions Pat ient N ame Recomm ended Ente r up to 18 char act ers. Med ical Reco rd No. Reco mmen ded Enter u p to 12 ch arac ter s. Dat e of Ad missi on Optional Enter u p to 14 char act ers[...]

Admitting a Patient 7-4 Adm it/Discharge/En d Case Admit/Discharge/End Case Admission Information (OR Mode) Patient name w ill appear on the Main Scree n. Name and medical re cord number will ap pear on r ecordi ngs and repor ts. Reports w ill a lso prov ide the dat e of bi rth and physi cian name s if avai lable. Patient name and medical record nu[...]

Admitting a Patient Admit/D ischarge/ End Case 7 -5 Admit/Discharge/End Case name an d medical record numbe r at the be dside monit or (you c an only change th ese at th e centr al station) . For the p atient's nam e to appe ar on the disp lay, re cordin gs, and repo rts, the p atient m ust be adm itted to t he monitor. Before y ou admit a new[...]

Admitting a Patient 7-6 Adm it/Discharge/En d Case Admit/Discharge/End Case Moves th e cursor u p and do wn erases the inpu t of a wh ole li ne V24 a nd V 26 o nly toggle k ey to swit ch bet ween Nume ric and Alphabe tical inp ut. The ac tual inpu t mode is shown abo ve the key (ABC or 123 ) left an d right cursor ke y select the digi t on a l ine [...]

Admitting a Patient Admit/D ischarge/ End Case 7 -7 Admit/Discharge/End Case ICU Mode (Adult/Pediatric) ICU Mode (Neonatal)[...]

Admitting a Patient 7-8 Adm it/Discharge/En d Case Admit/Discharge/End Case OR Mode[...]

Admitting a Patient Admit/D ischarge/ End Case 7 -9 Admit/Discharge/End Case Discharging a Patie n t/ Ending a Case Patient d ata for th e current p atient can b e erased i n the Pati ent Informat ion Task Window under --> (ICU con figuratio n sets) or the End Case T ask Window under --> (OR conf iguration se ts). in ICU Configu ration Set s [...]

Admitting a Patient 7-10 Adm it/Discha rge/End Case Admit/Discharge/End Case endcase. tif[...]

Trends an d Calculat ions 8-1 8 T rends and Calculations This cha pter g ives you inf orma tion on th e patie nt data tr ends and calc ulations of the patient mo nitors. It includes the fo llowing sections: • Introduction to Trends & Calculations . . . . . . . . . . . . . . . . 8-2 • Viewing Patient Data. . . . . . . . . . . . . . . . . . .[...]

Introdu ction to T rends & Calculati ons 8-2 Tren ds and Calculati ons Trends and Calculations Introduction to T rends & Calculations The pati ent monit ors pro vide you wit h severa l tools to m anage and presen t patient data. These t ools are availa ble in the Trends or Trends / Calcs displays . You can: • View pa tient vit al signs in[...]

Viewing Pa tient Data Trend s and C alculati ons 8-3 Trends and Calculati ons V iewing Patie nt Dat a There a re two ways t o view pa tient data : In eithe r form , the most r ecent dat a is displ ayed at the right o f the scr een (unless entered th rough t he Graph Tr ends wher e you may have moved the tim e bar). The pa tient dat a will be pre se[...]

Viewing Patient Data 8-4 Tren ds and Calculati ons Trends and Calculations Extended Datab ase (C MS onl y) If dat a is stored eve ry m inute , th e val ues d ispl ayed a re t he st ored average d values o f sampl es taken ev ery 12 sec onds for a one-m inute interval (5 samp les pe r minute ). If da ta is st ored e very 12 se conds, the values di s[...]

Viewing Pa tient Data Trend s and C alculati ons 8-5 Trends and Calculati ons Vita l Sig ns an d Grap h Tr ends are not func tiona l dur ing a trans fer of da ta from th e Philips M12 35A Data Transfer Mod ule to t he monito r. T rending Prior ity Trendi ng prior ity enables yo u to specify which para meters will be trended. This is do ne by assign[...]

Viewing Patient Data 8-6 Tren ds and Calculati ons Trends and Calculations You can access the B lood Re view task window by selecti ng from the Blood An alysis t ask window or by selectin g from the Tren ds/Calcs Selection Window . On CMS, the Blood Rev iew task wind ow allow s you to view bloo d results up to 48 hour s old or a maximum of 96 data [...]

Viewing Pa tient Data Trend s and C alculati ons 8-7 Trends and Calculati ons Quali fying in dicator s (which have spe cific m eaning) appear i n the Bl ood Review task window. The fo llowing list ide ntifies and de fines all indic ators use d to quali fy bloo d analysis results in the Bloo d Review task window. • A “T” next to the time indic[...]

Viewing Patient Data 8-8 Tren ds and Calculati ons Trends and Calculations The tabl e belo w describ es how refe rence r anges ap pear on monochr ome and c olor display s. Cross- Connection to Vit al Signs When the k ey is pressed i n the Bl ood Review Task Window, the V ital Signs T ask Window o pens up and the column closest in time to the col um[...]

Viewing Pa tient Data Trend s and C alculati ons 8-9 Trends and Calculati ons Vi ewing Vi t al Signs P atient da ta can be sho wn in a table three m inutes aft er monito ring begins. Th e table app ears in the de faul t data time interval (1-min., 5-min., 15-min ., 1-hr., 2-h rs., or 3-hr s.) with t he most rece nt data a t the ri ght of the screen[...]

Viewing Patient Data 8-10 Tre nds and C alcula tions Trends and Calculations For examp le, when you press f rom a Vita l Signs di splay at one- minute resolutio n, the t otal time t he grap hs spans is 1 hour. Converse ly, when you go dir ectly from Gr aph Trends w ith a 2-ho ur span to the V ital Signs d isplay, the interval s are 15-m inute. Note[...]

Viewing Pa tient Data Trends an d Calc ulations 8-11 Trends and Calculati ons Aperiodi c para mete rs (param eters w hich ar e not moni tore d continu ously such as C.O.) a re shown wit h their co llectio n times bel ow them . An up- arrow beside an ap eriodic par ameter indicates t hat more than on e value is available f or this time colum n. On C[...]

Viewing Patient Data 8-12 Tre nds and C alcula tions Trends and Calculations “Recordi ng Fu nctions” se ction (c hapter 6) of thi s manua l for furthe r informa tion. Selecting Parameters for Graph T r ends You can select up to 9 pa rameter s to be d isplaye d in the Graph Tren ds Task Window by using the softkey. The parameters are plac ed int[...]

Viewing Pa tient Data Trends an d Calc ulations 8-13 Trends and Calculati ons Vi ewing Graph T rends Patient da ta can be sho wn in a graph three mi nutes aft er monito ring begins. The g raph app ears in the de fault time pe riod wit h the most recent data a t the right of th e scre en. The ti mes ap pear alo ng th e X-ax is (hori zontal) i n 24-h[...]

Viewing Patient Data 8-14 Tre nds and C alcula tions Trends and Calculations The value s plott ed are the stored ave raged v alues of rea dings tak en every 12 seconds for a on e-minute in terval . Invalid data (s uch as a noisy ECG) is not plo tted on the grap h. Instead, a gap will ap pear in the g raph. If you hav e conf igured y our moni tor fo[...]

Viewing Pa tient Data Trends an d Calc ulations 8-15 Trends and Calculati ons If you change a v alue in Hemodynami cs Calcul ations, ( for exam ple, you change ABP from 120 to 140), the new valu e will be identified in Patient Data grap hs by a s tar (* ). Note— (CMS only ) For the 9 -hour dat abase, the defau lt time peri od is 9 hours, with 4.5[...]

Viewing Patient Data 8-16 Tre nds and C alcula tions Trends and Calculations Marking Even t s The Mark Eve nt fun ction enab les you to m ark eve nts and th en review them in Grap h Trends. Events ar e labelled A, B, C, or D. You decide for your unit what each letter means (for exam ple, A = drug admi nistration, B = out of bed, C = suctioni ng, et[...]

Viewing Pa tient Data Trends an d Calc ulations 8-17 Trends and Calculati ons Inserting a Calibration Mar k The Ma rk Even t function also enab les you t o insert a calibr ation refere nce in to displ ayed waves. When checki ng the mag nitude of a d isplayed w ave, it can be useful to have a referen ce or st andard to compar e again st. The key mom[...]

Viewing Patient Data 8-18 Tre nds and C alcula tions Trends and Calculations Procedure to Inse rt a C alibration Puls e When you press , you'll hea r a beep a s the cali bration pulse ap pears i n the displ ayed wa ves. The ev ent labe l softke ys and t he softkey d isappear. In the time p eriod between the softkey being pressed and it disappe[...]

Viewing Pa tient Data Trends an d Calc ulations 8-19 Trends and Calculati ons The cal ibrati on pulse varie s accord ing to th e wave ty pe: For pressu re scales o f 240 an d 180, all f our steps a re display ed. At low er ranges , however, not all the steps ar e displa yed since one or m ore steps exceed s the full scale ra nge. Note— If you don[...]

Performing and Revie wing Calc ulations 8-20 Tre nds and C alcula tions Trends and Calculations Performing an d Reviewing C alculations There a re two ca lculati on funct ions av ailabl e: The thr ee calc ulation groups availab le are Hemody namics, Ventil ation , and Oxyg enatio n. Exam ples of va lues which can be ca lculat ed ar e given below. P[...]

Perform ing and Re viewing Calculati ons Trends an d Calc ulations 8-21 Trends and Calculati ons Performing Calculations Calculat ions can be perform ed using automa tically -enter ed value s or manually-e ntered va lues. If a par ameter is be ing cont inuousl y monitored , its value is automati cally entered. Va lues which are not m onitored must [...]

Performing and Revie wing Calc ulations 8-22 Tre nds and C alcula tions Trends and Calculations Calculation Task Window Calculation Task Window for Touch Sc ree n[...]

Perform ing and Re viewing Calculati ons Trends an d Calc ulations 8-23 Trends and Calculati ons Notes— • If you pl an to use mo nitor ed paramete r values in Calcula tions, be sure that when you are confi guring p arameters , you assi gn the paramete r the same labe l that is used in Calcul ations. For exam ple, ABP should be used instead o f [...]

Performing and Revie wing Calc ulations 8-24 Tre nds and C alcula tions Trends and Calculations Resampling Vit al SIgns R esamp ling of vit al si gns en ab les you t o ove rride the v alues i n th e Trends database , which are st ored e very 12 se conds or averaged over 1 minute, d epending on t he monit or’s conf igurat ion. Resampl ing enabl es[...]

Perform ing and Re viewing Calculati ons Trends an d Calc ulations 8-25 Trends and Calculati ons Changing or Entering an Input V alue The arr ow keys are used to select a paramete r and t he keypad i s used t o enter or cha nge the sel ected va lue. With a touchscr een, yo u can se lect a paramet er by select ing the to uch butt on in front of the [...]

Pri nti ng Re por ts 8-26 Tre nds and C alcula tions Trends and Calculations Printing Repo rt s You can pr int repor ts manua lly through t ask windo ws or au tomatica lly through pr e-schedu led prin ting . Printing Ta s k Window Report s In the Gra ph Trends , Blood Re view, Vit al Signs, C alculat ions, an d Calcul ation Re view T ask Windo ws y[...]

Printing Report s Trends an d Calc ulations 8-27 Trends and Calculati ons To turn th e sched uled repo rt ca pability on or of f , press in the Patien t Data Selec tion Window. Th is brings you to the Sc heduled Repo rts On/Of f Task Windo w. T he cu rrent set ting (On or Off) is indica ted, and a sof tkey is highli ghted (for exam ple, if sche dul[...]

Pri nti ng Re por ts 8-28 Tre nds and C alcula tions Trends and Calculations Graph Trends Report DAVID SCHULTZ MR # : 012-34-56789 DOB : 22 FEB 1945 Bed : C CU 7 Adm Phys : M .M¤LLER Att Ph ys : R .SCH W ARTZ Report : 28 JAN 1987 8:01 Admit : 27 J A N 1987 10:15 Graphs Repo rt 150 100 50 HR 180 90 0 ABP M 41 38 35 T1 95 112 (93) 73 36 01:00 02:00 [...]

Printing Report s Trends an d Calc ulations 8-29 Trends and Calculati ons Vital Signs Report Blood Review Report Table Re port 27 JAN 10:00 11:0 0 12:0 0 13:0 0 14:0 0 15:0 0 16:0 0 17:0 0 HR 88 85 87 83 85 84 88 94 ABP S 115 125 110 112 115 112 118 125 ABP D 75 90 71 72 75 72 82 90 ABP M 95 100 92 90 95 92 102 100 PAP S 35 28 24 25 23 24 28 27 PAP[...]

Pri nti ng Re por ts 8-30 Tre nds and C alcula tions Trends and Calculations What to Do If Y our Report Does Not Print During no rmal repo rt printing , messages appe ar in the stat us message area of the disp lay. Howe ver, sometim es a prin ting sta tus message may alert y ou to a p roblem th at needs to be corre cted. Th e following inf ormati o[...]

Printing Report s Trends an d Calc ulations 8-31 Trends and Calculati ons MESSAGE: Report Reque st Accepted Meaning: The report has been acc epted fo r printing . What Do You Ne ed to Do: You don't nee d to do anyth ing. MESSAGE: Too Many Reports In L ine - Please Wait Meaning: The printe r has repor ts waiting to print and can not accep t ano[...]

Drug C alculato r 8-32 Tre nds and C alcula tions Trends and Calculations Drug Calculator The drug c alcu lator pro vides drug infusio n informa tion at the bedside for up to 2 4 drugs. Usin g the c alculator , you can de termin e infusion rate, dose, amou nt, or volum e, and display or print a titration t able for each drug. The drug calcula tor i[...]

Drug Calculator Trends an d Calc ulations 8-33 Trends and Calculati ons By pressing , you will enter the Drug Calcula tion task window for the select ed drug. In t his window, the input value s and units configu red for the selecte d dru g are list ed on the left. The u nknown val ue and the conc entratio n are sh own on th e righ t. Her e you ca n[...]

Drug C alculato r 8-34 Tre nds and C alcula tions Trends and Calculations Ca u t i o n If you use the Dru g Calcul ator for an y patie nt othe r than the one curr entl y bein g monit ored , the curr ent pa tie nt's his tory w ill be alt ered when anothe r patient's weigh t is stored.[...]

Drug Calculator Trends an d Calc ulations 8-35 Trends and Calculati ons The Titrat ion Tabl e task win dow notes th e relat ionship bet ween dose a nd rate as configur ed duri ng system in stallatio n. This ta ble can b e print ed directly fro m the Titr ation Tabl e task window , or from the Drug Calculat ion task windo w. When a patient is discha[...]

Drug C alculato r 8-36 Tre nds and C alcula tions Trends and Calculations[...]

Neonatal Event Revi ew 9-1 9 Neonat al Event Review This chapt er conta ins informa tion on how to view an d interpr et Neonatal Events and oxyC RG Episo des for an indiv idual E vent. • Introduction to Neonatal Event Revi ew . . . . . . . . . . . . . . . 9-2 • Viewing Neonatal Events . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-3 ?[...]

Introdu ction to Ne onatal Eve nt Review 9-2 Ne onatal Ev ent Review Neonatal Event Review Introduction to Neonatal Event Review The Neon atal Even t Review applic ation en ables the pa tient mo nitors to automa tically detect, store, di splay an d docum ent up to 48* neonatal events ove r a period of 2 4 hours. The ne onatal ev ents detected by th[...]

Viewing Neon ata l Event s Neon ata l Ev ent R evie w 9-3 Neonatal Event Review V iewing Neonata l Event s Once an event has b een captu red and stored by the monitor , it is displa yed in the E vent Re view task wi ndow. You c an access t he Even t Review t ask window by selecting : • on the co ntrol panel and • in the Al arms/Vol ume select i[...]

View in g N eon at al Ev e nts 9-4 Ne onatal Ev ent Review Neonatal Event Review 4. The Manu al Event C hannel The gra ph provides a n over view of the tota l number of even ts and how they wer e distribu ted ov er the l ast 24 ho urs. Manual Event Sto r a g e If you w ould l ike to ca pture a n event ma nually, pres s fol lowe d by . Alarms/Volume[...]

Viewing Neon ata l Event s Neon ata l Ev ent R evie w 9-5 Neonatal Event Review Graphical Det ails The follow ing infor mation is di splayed on the gra ph in the E vent Rev iew task window 1. Event bars. 2. Event thresh old li nes. 3. Event ti me. 4. Event numeric s. 5. Event s ummar y lin e. Event Bar A neona tal even t is indi cated by one or m o[...]

View in g N eon at al Ev e nts 9-6 Ne onatal Ev ent Review Neonatal Event Review (1) Asso cia ted Even t (2) Isola ted Even t (3)Cur sor The sever ity of an event i s indic ated by the lengt h of the ev ent bar ; the longer the event b ar, the more sever e the ev ent. The Brady cardia an d Desatur ation ev ent bars sta rt at the top of th eir chann[...]

Viewing Neon ata l Event s Neon ata l Ev ent R evie w 9-7 Neonatal Event Review Event Thr es ho l d Li ne The patien t monito rs can be adjust ed in m onitoring mode so that an eve nt is ei ther trigg ere d by an ala rm o r by cr iter ia d efin ed sp eci fic ally by the user. The eve nt trig ger lev el is rep resente d in the graph b y a thresh old[...]

View in g N eon at al Ev e nts 9-8 Ne onatal Ev ent Review Neonatal Event Review Event Time The time a t which the event was captured is stored with each event. To display the event time, mo ve the curso r onto the eve nt you wish to view. The even t time is displ ayed immed iately i n the top right h and corner of the task wind ow. (1) Eve nt Time[...]

Viewing Neon ata l Event s Neon ata l Ev ent R evie w 9-9 Neonatal Event Review Event Numerics When the cu rsor is moved onto an e vent ba r, speci fic nume rical d ata for that event is displaye d in the thre e boxes on t he right hand side of the task window. The back ground of on e of the three box es is always highl ighte d. This indic ates whi[...]

View in g N eon at al Ev e nts 9-10 Neo natal Event Rev iew Neonatal Event Review Event Summary Line The e vent summary line i s located above th e grap h, along the top o f the task wi ndow. T he us er can v iew, at a gl an ce, th e tot al nu mber of stor ed events. The ev ent s ar e divid ed into f ive c ateg ori es: 1. A(D) => Total Apn eas ([...]

Viewing Neon ata l Event s Neonata l Event Revie w 9-11 Neonatal Event Review Example of an Event Summary Line The ab ove examp le of an event sum mary li ne, conve ys the fol lowing information: • A total o f 19 neon atal even ts are stored . • Four Apn ea eve nts occu rred, of w hich two re sulted in a Desatura tion. • Three isola ted Brady[...]

View in g N eon at al Ev e nts 9-12 Neo natal Event Rev iew Neonatal Event Review If the ev ent stor age is fu ll, the newest (4 9th 1 ) eve nt wil l ente r the gr aph on the ri ght hand side and push t he old est (1st) ev ent off the grap h on the left ha nd side. This info rmation c annot be re trieved. T o docume nt the even t review b efore the[...]

Viewing Neon ata l Event s Neonata l Event Revie w 9-13 Neonatal Event Review Note— The softkey is o nly acti ve if at least one e vent is stored. Recording the Event Summary Select ing the soft key docu ments in t abular f orm the numeri cal data (n ot graph ical) of all events disp layed in the Event Re view task wi ndow for the last 24 -hours,[...]

View i ng o xy CRG E p is od es 9-14 Neo natal Event Rev iew Neonatal Event Review Vi ewing oxyCRG Episodes The oxyC RG Episode ta sk window d isplays a four m inute oxy CRG episod e for t he event cu rrentl y selecte d in the Event Re view task window. It enable s you to vi ew the e vent in con text, by showing the oxyCRG rea ding durin g the Pre [...]

View in g o xy CRG E pis odes Neonata l Event Revie w 9-15 Neonatal Event Review 1. The btb HR trend channel with a range from 6 0 up to 22 0 bpm. 2. The SpO 2 trend ch annel with a rang e fro m 60 up to 10 0%. 3. The RESP com pressed wa ve channe l.[...]

View i ng o xy CRG E p is od es 9-16 Neo natal Event Rev iew Neonatal Event Review The exa ct time an event wa s trigge red is i ndicat ed by a v ertica l line which is posit ioned on th e graph ac cording to the monitor' s configur ation . Depend ing upo n the us er's req uirement s, the monitor ca n be config ured (in Co nfigura tion Mo[...]

View in g o xy CRG E pis odes Neonata l Event Revie w 9-17 Neonatal Event Review Recording an Episode Selecting th e softkey d ocuments the sele cted oxyC RG episo de in a g raphi cal form at on th e bedsi de M11 16B Reco rder M odule with f ast pape r speed. P lease r efer to t he “Makin g Recordi ngs” secti on of this manual (C hapte r 6) for[...]

Adjusting Neonat al Event Rev iew Sett ings 9-18 Neo natal Event Rev iew Neonatal Event Review Adjusting Neonat al Event Review Settings The Event S etup task window enable s you to ad just event set tings to determ ine how and when an even t is dete cted and st ored. You can access the E vent Se tup task window by selecting : • in the Event Re v[...]

Adju sti ng Ne ona tal Event Revi ew Se tt ings Neonata l Event Revie w 9-19 Neonatal Event Review The Even t Setup ta sk window ena bles yo u to adjust th e follow ing item s: Event Criteria The event typ e (Apn ea, Brady cardia , Desatu ration) determi nes how a specific e vent is trigge red and st ored on t he monito r. Apnea E vent Setting s Ap[...]

Adjusting Neonat al Event Rev iew Sett ings 9-20 Neo natal Event Rev iew Neonatal Event Review Brad yca rdia Event S ettings Alarm Triggered The Bradycardia event is t riggered by a Red*** Brady alarm. The Brad ycardia alarm li mit can be v iewed but not adjus ted in the E vent Setup ta sk window. The alarm limi t must be adjusted in Monitoring Mod[...]

Adju sti ng Ne ona tal Event Revi ew Se tt ings Neonata l Event Revie w 9-21 Neonatal Event Review Desatura tion Event Setti ngs A larm Triggered The Desatu ration events ar e derive d from the first S pO2 bed side modu le and triggered either by a Red*** Desa t alarm or a Yellow** low li mit SpO2 alarm. The Desat /SpO2 ala rms and trigger times ca[...]

Adjusting Neonat al Event Rev iew Sett ings 9-22 Neo natal Event Rev iew Neonatal Event Review Changing Item Content s Sele ctin g the sof tke y ena ble s yo u to ch ange the contents o f an item. Change Content[...]

Data Transfe r 1 0-1 10 Dat a T ransfer This chapte r desc ribes the Philips M 1235A Data Tr ansfer module. I t include s the foll owing sec tions: • Data Transfer Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-2 • Types of Transfer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-7 • Combining Data . . [...]

Data Transf er Module 10-2 Data Transfer Dat a Tra nsfer Dat a T ransfer Modul e The Philips M1235 A Data Transfer module allows for rapid , convenient, and ea sy transfer of patie nt dat a among V 24 and V 26 Pa tient M onitor s , CMS Patien t Monitor ing System s and Compone nt Transpo rt Systems. For e xample, if a pat ient is mo ved t o an othe[...]

Data T ransfer Module Data Trans fer 10-3 Dat a Tra nsfer ! M1235A CTS DTM CMS CMS V24/V26[...]

Data Transf er Module 10-4 Data Transfer Dat a Tra nsfer Data transfe r presents no interrupt ions to realt ime monit oring an d provides near-cont inuous tre nds. However, so me functio ns under and ar e no t avai lab le d urin g the tr an sfer of data. Th e ST Anal ysis task windows ar e unav ailable du ring a tr ansfer to the mo nitor. The front[...]

Data T ransfer Module Data Trans fer 10-5 Dat a Tra nsfer When the modu le is unplugge d, it retains data for at least one hour. After da ta is transfer red to th e monitor , the mo dule is automa tically erased . This is to ensure that the modul e is empty when it is used for the next tran sfer. Symbols to Indica te Key Functions As detailed in th[...]

Data Transf er Module 10-6 Data Transfer Dat a Tra nsfer The orde r in whi ch the pa rameter s are li sted on the di splay is relati ve to the destin ation mon itor, no t the origin atin g monitor . Patient demograp hics have the highest pr iority in the order of data bei ng transfe rred. The aperiodi c para meters are tra nsferre d next, bef ore c[...]

Types o f Transfer Data Trans fer 10-7 Dat a Tra nsfer T ypes of T ransfer There ar e two types of transf er to the mod ule an d one type of t ransfer to the monit or. T o Module 1. - An y data existing in the module is erased before th e transfer beg ins. After th e transfer , updates conti nue once per minute until they are manually stopped. Tran[...]

Types of Transfer 10-8 Data Transfer Dat a Tra nsfer Updates co ntinue on ce per min ute until th e transfe r is manually stopped .[...]

Types o f Transfer Data Trans fer 10-9 Dat a Tra nsfer Append New Data to the Module (Pat ient no t matching) Append New Data to the Module (Patient ma tc hing)[...]

Types of Transfer 10-10 Da ta Transfer Dat a Tra nsfer T o Monitor When a transfer i s selecte d, all the m odule c ontents will be transfer red to the destin ation mon itor. If patient information exists in the moni tor, the message “ Discharg e monitor patient b efore transfer?” gives you the option o f erasi ng the previ ous pati ent's [...]

Types o f Transfer Data Transf er 10-11 Dat a Tra nsfer T ra nsferr ing Blood Anal ysis Dat a The transfer of blo od analys is data from one monitor to an other will var y dependin g upon the sof tware le vel of yo ur monito r. Please refer to on e of the scena rios on the ne xt pages to t ransfer bloo d anal ysis data. Identifying the Sof tware Re[...]

Types of Transfer 10-12 Da ta Transfer Dat a Tra nsfer Blood Analysis Dat a T r ansf er Scenario s • Transferring data from a source monitor to a destination monitor where: – The source monitor is: — CMS Release G o r later or — V24 and V2 6 Release A.0 o r later – The destination monitor is: — CMS Release E or later or — V24 and V2 6[...]

Types o f Transfer Data Transf er 10-13 Dat a Tra nsfer • Transferring data from a source monitor via a transit monitor to a destination monitor requires special handling if: – The source monitor and the destination monitor are: — CMS Release G or later or — V24 or V26 R elease A .0 or later and – The transit mon itor is: — C MS Rele as[...]

Combining Da ta 10-14 Da ta Transfer Dat a Tra nsfer Combin ing Da t a In some situat ions, the patient name an d/or ID in the m onitor an d modul e may not ma tch (see Append Ne w Data display on pr evious page). In o ther cases, on e or both na mes may be blank. Th e Data Transfer Co mbine Task Window e nables yo u to comb ine files when th e dem[...]

Combining Data Data Transf er 10-15 Dat a Tra nsfer Database Conversion - Transfers to M odule Transfe rs to the M onitor The follo wing table shows the mappin g for tran sfers to th e monitor wh en the data in the m odule h as come from a monitor w ith a dif feren t config uration. Database Conversion - Transfe rs To Monitor Monitor Database What [...]

Combining Da ta 10-16 Da ta Transfer Dat a Tra nsfer 32 pa ram, 12 hr, 1 mi n 16 param, 4 hr, 12 sec 32 para m, 12 hr , 1 min 32 pa ram, 12 hr, 1 mi n 32 param, 2 4 hr, Ex t 1 min 32 para m, 12 hr , 1 min 32 pa ram, 12 hr, 1 mi n 16 param, 9 h r, Ext 1 2 sec 32 para m, 4 h r, 1 min 32 pa ram, 12 hr, 1 mi n 32 param, 4 h r, Ext 1 2 sec 32 para m, 4 [...]

Vit al Si gns, Bloo d Re vie w and G rap hs Data Transf er 10-17 Dat a Tra nsfer V it al Signs, Blood Review and Graphs Some fun ctions und er Tr ends an d Procedur es are una vail able du ring transfers of patient data. Ca u t i o n Transferre d data is no t entered int o the mod ule database u ntil up to on e minute af ter it enter s the mo nitor[...]

Vital Sign s, Blood R eview and Graphs 10-18 Da ta Transfer Dat a Tra nsfer The dest ination m onitor cr eates the time sta mp for tr ansferre d data by determ ining ho w old eac h data sa mple i s and sub tracting the age o f the data from the curr ent monitor time. Ca u t i o n Hemody namic, oxyge nation, and v entilatio n calculat ions result va[...]

Troubles hooting Data Transf er 10-19 Dat a Tra nsfer T roubleshoo ting Ca u t i o n In a ce ntrally ne tworked system, if the pr evious pa tient is discharg ed on ly at the mon itor and a new patient 's data is transfer red to t he monito r, the new patient's n ame and ID will be overwritten b y the central station 's broadca st of [...]

Performanc e Specifi cations 10-20 Da ta Transfer Dat a Tra nsfer Performance S pecifica tions For safe ty an d envi ron ment al sp ecif icat ion s, pl ease refe r to C hapt er 11 , “Monit or Installati on and Pati ent Safety ”. Dat a T ransfer Module Transf er Time A typical tran sfer time for 24 hours of data is unde r 30 seconds. The transfe[...]

Monitor Installat ion and Pa tient Safety 11-1 11 Monitor Inst allation and Patient Safety This chap ter cont ains im portant i nformat ion on th e installat ion requ irem en ts for the mo nit or. It inc ludes the follo wing sect ion s: • Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-2 • Installation [...]

Introdu ction 11-2 M onitor Inst allation and Pati ent Safety Monitor Installation and Patie nt Safety Introd uction This section c ontains imp ortant infor mation on patient safety a nd installation r equirement s for the: •C M S •A C M S •N C M S • Philips M 1026A An esthetic Gas Module • V24 and V26 The M1165 /66/75/ 76A System s are d[...]

Introduc tion Monitor I nstall ation and Patient Safe ty 11-3 Monitor Installation and Patie nt Safety The M1 205A V24 a nd V26 Pa tient Mon itors an d comp atible modules and accessor ies are desi gned to comp ly with the fo llowing internatio nal safety requir ements for medic al electr ical equ ipment: • UL 26 01-1 • CSA C2 2.2 No. 601-1 •[...]

Introdu ction 11-4 M onitor Inst allation and Pati ent Safety Monitor Installation and Patie nt Safety Ca u t i o n If liqui d is spi lled on the equi pment or acce ssories, c ontact yo ur biomedica l engineering department or the Philips Se rvice Engine er.[...]

Installati on Informa tio n Monitor I nstall ation and Patient Safe ty 11-5 Monitor Installation and Patie nt Safety Installation Info rmat ion Power Source Require- ment s The CMS syst ems and t he Anesthet ic Gas Modu le can be ope rated from an AC s ource of 100 - 120V ± 10%, or 220 - 240V ± 10%, 50 - 60 Hz. Typica l in put curre nts f or the [...]

Installa tion Inform ation 11-6 M onitor Inst allation and Pati ent Safety Monitor Installation and Patie nt Safety If the co mputer an d display m odule of th e M1165/66 /75/76 A Systems and the Anes thetic Gas M odule a re set up together , connect the groun ding wire to th e equi potenti al groun ding ter minal on the di splay. If the co mputer [...]

Installati on Informa tio n Monitor I nstall ation and Patient Safe ty 11-7 Monitor Installation and Patie nt Safety Safety Ground (Protec tive Earth) ( V24 an d V26 onl y) Addit ional Prot ectiv e Eart h (Secon dary G round Wi re) H azardo us leakage c urrent s can b e caused when ot her eq uipment i s interco nnected with eith er mon itor. A seco[...]

Installa tion Inform ation 11-8 M onitor Inst allation and Pati ent Safety Monitor Installation and Patie nt Safety Combining Equipment If it is not evide nt from the instrume nt specific ations whet her a particula r instrum ent combina tion is haza rdous or not , for exam ple due to summat ion of l eakage currents, the user should consult t he ma[...]

Installati on Informa tio n Monitor I nstall ation and Patient Safe ty 11-9 Monitor Installation and Patie nt Safety Environ- ment To ensure a completely safe electrical installa tion, follow th e instructions described later in this section. The environ ment where the syste m will be used should be re asonably free from vibration, du st, corrosive[...]

Installa tion Inform ation 11-10 M onitor Ins tallation and Patien t Safety Monitor Installation and Patie nt Safety Philips M116 7/77A CM S for C ritical, Anes thesia and Neonatal Care Philips M1165 /66/75/7 6A CMS for Crit ical, A nesthesia a nd Neonatal Car e ACMS with Anesthetic Gas Module Philips M 1205A V 24, V26 , V24C and V2 6C Oper ati ng [...]

Installati on Informa tio n Monitor In stallatio n and Patie nt Safety 11-11 Monitor Installation and Patie nt Safety Philips M12 05A V24CT and V 26CT Condensa- tion Make sure th at during oper ation, the instrume nts are f ree of condensa tion. Cond ensat ion can f orm when equip ment is mov ed from one buildin g to anothe r, thus bein g exposed t[...]

Installa tion Inform ation 11-12 M onitor Ins tallation and Patien t Safety Monitor Installation and Patie nt Safety Explanation of Symbols used Attention : Consult ac companying documen ts. This symbol a ppears next to certain co nnectors locat ed on the fr ont and/o r rear of the instr ument. It indicates t hat the connecto rs are desi gned to ha[...]

Installati on Informa tio n Monitor In stallatio n and Patie nt Safety 11-13 Monitor Installation and Patie nt Safety Switch posit ion is on/off. Contrast. Altern ating curr ent. Prot ecti ve ear th Contains pa rts to be re cycled Contains pa rts which ma y not be put int o the norma l waste dispo sal but m ust be recycl ed or deal t with as chemic[...]

Maintena nce Ch ecks 11-14 M onitor Ins tallation and Patien t Safety Monitor Installation and Patie nt Safety Maintenance Checks Before commen cing mo nitori ng on a p atient , carry o ut the followi ng checks on the system: • Che ck for an y mec hani cal dam age • Check al l the ext ernal lead s, plug- ins and acce ssories • Check all the f[...]

Mainte nance C hecks Monitor In stallatio n and Patie nt Safety 11-15 Monitor Installation and Patie nt Safety This recomm enda tion does no t super sede a ny local p rocedures o r lega l requir ements. Electrica l Safety Test s At lea st every two yea rs, after system i nstallati on, after any repairs, or as needed. See “T esti ng a nd Ma int ai[...]

Maintena nce Ch ecks 11-16 M onitor Ins tallation and Patien t Safety Monitor Installation and Patie nt Safety Pati ent Cables and Leads Inspect the patie nt cables and le ads and th eir strain relief s for gene ral conditio n. Examin e cables ca refully to detect b reaks in th e insulati on and to en sure that they are gripped se curely i n the co[...]

Contro ls and Con nectors Monitor In stallatio n and Patie nt Safety 11-17 Monitor Installation and Patie nt Safety Controls and Connectors This section describe s the various c ontrols and c onnect ors on the f ront and/or re ar pane ls of: • the Com puter Mod ules • the Di splay Modul es • the E xte rnal Al arm De vice • the Anes thetic G[...]

Control s and Conne ctors 11-18 M onitor Ins tallation and Patien t Safety Monitor Installation and Patie nt Safety Connectors of the M104 6A Computer Module The conn ectors o n the fro nt panel o f the co mputer m odule are: 1. Rack Co nnector; female interfac e connect or used to conn ect a sate lli te rac k to th e c omp uter mod ul e. 2. ECG Ou[...]

Contro ls and Con nectors Monitor In stallatio n and Patie nt Safety 11-19 Monitor Installation and Patie nt Safety The Front Panel of the M1046B Computer Module The M1 046B Com puter Module is a com ponent of the M 1167A/ 77A System. The M104 6B has a detac hable fron t panel w hich must be rem oved to view t he connecto rs (exc ept for the E CG O[...]

Control s and Conne ctors 11-20 M onitor Ins tallation and Patien t Safety Monitor Installation and Patie nt Safety Connectors of the M104 6B Computer Module The conn ectors o n the fro nt panel o f the co mputer m odule are: 1. Local Po wer Conn ector; a 3-pin, 90° conn ector i s used to input t he local line v oltage. 2. Rack Co nnector; female [...]

Contro ls and Con nectors Monitor In stallatio n and Patie nt Safety 11-21 Monitor Installation and Patie nt Safety The Rear Panel of the M1046A/ B Computer Modules The rea r pane l of th e M1046A and M104 6B comp uter modu les has se veral conn ector s. The conn ecto rs, and th eir pos itio n, depe nds upon which functio n card s are fitte d; as t[...]

Control s and Conne ctors 11-22 M onitor Ins tallation and Patien t Safety Monitor Installation and Patie nt Safety Note— Do no t apply a voltag e of mo re than ± 12V t o any of the se ou tputs . The con nectors on the re ar pane l of the comput er modul e (toget her wit h their conn ecting functi on cards) are : 1. Syst em Power Connector ; on [...]

Contro ls and Con nectors Monitor In stallatio n and Patie nt Safety 11-23 Monitor Installation and Patie nt Safety (or rece ive input s from the Oh meda 7800/7810 Ventilator or the Anestheti c Gas Module). Wa r n i n g Wa r n i n g Make sure all devices conne cted to t he RS232 connec tors are isolated. C onsul t your biomed ical en gineer, w ho w[...]

Control s and Conne ctors 11-24 M onitor Ins tallation and Patien t Safety Monitor Installation and Patie nt Safety M1092A/M1 094A Disp lay Mo dule. Maximum V olt ages System Power Conn ector 60 V Local Power Connector 240 V Human Interface C onnector 12 V Video Out Connector 5 V Video In C onnector 5 V[...]

Contro ls and Con nectors Monitor In stallatio n and Patie nt Safety 11-25 Monitor Installation and Patie nt Safety M1094B Display Module Controls of the M1092A, M1094A and M1094B Displays 1. Vide o Termination Sw itch; thus switch is used t o terminate the video sign al at this displ ay: this must be switched t o the “75 Ω ” position if o nl[...]

Control s and Conne ctors 11-26 M onitor Ins tallation and Patien t Safety Monitor Installation and Patie nt Safety 2. V AMP; this is the ver tical ampl itude con trol used to adjust t he height of the displa yed vide o. 3. V SHIFT; thi s is the vert ical shif t cont rol used to ad just the ver tical posi tion of th e dis pla yed vi deo. 4. H AMP ;[...]

Contro ls and Con nectors Monitor In stallatio n and Patie nt Safety 11-27 Monitor Installation and Patie nt Safety 6. Human Interface Lin k Connector ; this is a Philips HI L connec tor, used to output the inf ormatio n from t he k eypad and cont rol p anel to the Ut ility CPU f unct ion ca rd in th e co mput er mod ule. 7. Equipotential Gr oundin[...]

Control s and Conne ctors 11-28 M onitor Ins tallation and Patien t Safety Monitor Installation and Patie nt Safety M1095A Display Module Controls of the M1095A Display 1. Brig htness Co ntrol 2. St andby S witc h Connectors of the M109 5A Display 3. Comb ined Vide o In / Powe r Connec tor; a male SC SI connec tor with 25 p in pairs is used t o inp[...]

Contro ls and Con nectors Monitor In stallatio n and Patie nt Safety 11-29 Monitor Installation and Patie nt Safety The Rear Panel of the M1 109A Exter nal Alarm Device M1109A E xternal Alar m Device Controls and Connectors of the M1 109A External Alarm Device 1. Standby Switc h 2. Human Interface Link Co nnector Out; this is a Phili ps HIL connec [...]

Control s and Conne ctors 11-30 M onitor Ins tallation and Patien t Safety Monitor Installation and Patie nt Safety loudspeake r is not covered and can be heard. T he most suitable locatio n for the Extern al Alar m Device is in close pro ximity to the ITE display. The Rear Panel of the M1026A Anesthet ic Gas Module The conne ctions on the rear pa [...]

Contro ls and Con nectors Monitor In stallatio n and Patie nt Safety 11-31 Monitor Installation and Patie nt Safety Ca u t i o n • The System P ower Outle t cannot be use d to output power to othe r devices such as the Philip s M1167A/77A AC MS. • The System P ower Outle t can only be used to supp ly power to th e ACMS whe n the tota l leakag e[...]

Control s and Conne ctors 11-32 M onitor Ins tallation and Patien t Safety Monitor Installation and Patie nt Safety M1 167/77A System The display m odule (M1 095A) can not be atta ched to th e compu ter modul e (M10 46B ). It i s designe d for m ounti ng on a hori zontal or ve rtical rail such as an I.V. pole . For fur ther deta ils, please re fer [...]

Contro ls and Con nectors Monitor In stallatio n and Patie nt Safety 11-33 Monitor Installation and Patie nt Safety Lifting the Display Module The M1 092A displ ay modu le weigh s 26 lbs (12 kgs) The M1 094A displ ay modu le weigh s 42 lbs (19 kgs) The M1 094B displ ay modu le weigh s 43 lbs (19 .5kgs) When carrying the displa y modul e, hold it fi[...]

Control s and Conne ctors 11-34 M onitor Ins tallation and Patien t Safety Monitor Installation and Patie nt Safety The V24 and V26 Connectors The monit or has seve ral connec tors which a re shown be low. Do not a pply a vo ltage o f mor e than + 12V to an y of the pins on the defibrilla tor sync, par ameter mo dule rack, Ph ilips monitoring netwo[...]

Contro ls and Con nectors Monitor In stallatio n and Patie nt Safety 11-35 Monitor Installation and Patie nt Safety 4. Philips monitoring network conne ctor (SDN Interf ace); this is a proprietary Philips system co nnector, used to inpu t/output information t o a Philips monitor ing netwo rk. Wa r n i n g Wa r n i n g Connect ing the Phil ips monit[...]

Control s and Conne ctors 11-36 M onitor Ins tallation and Patien t Safety Monitor Installation and Patie nt Safety Assembling the V24 and V26 The monit ors consist of t wo individ ual parts. 1. On e of two types of Display Modu les, depend ing on the pa rticula r model mon itor you h ave— eit her: a. A mon ochrom e display with contr ol panel su[...]

Access ories and Ordering Informa tion Monitor In stallatio n and Patie nt Safety 11-37 Monitor Installation and Patie nt Safety Accessories and Orderi ng In forma tion Check t he parame ter modu le sectio ns of this ma nual for spe cific paramet er modu le ac cessories. M1276A Six Slot Satell ite Rack M1041A Eight Slot Sa tellite Ra ck 8120-5236 F[...]

Acce ssor ies and O rder ing Infor mat io n 11-38 M onitor Ins tallation and Patien t Safety Monitor Installation and Patie nt Safety[...]

Battery In formation (V24 CT and V26 CT only) 1 2-1 12 Battery Information (V24CT and V26CT only) The V24CT and V26CT ca n be operated on AC line or DC batter y power. This chapte r provide s informatio n on battery pow er. It include s the follo wing sect ions: • AC and DC (Battery) Operation . . . . . . . . . . . . . . . . . . . . 12-2 • Batt[...]

AC and DC (Ba ttery) Operati on 12-2 Bat tery Inf ormation (V24C T and V26CT o nly) Battery Infor mation (V24CT and V26CT AC and DC (Battery) Operati on You should only use Philips 40488A 12 Vol t sealed lead-acid batte ries obtained from Phil ips Medica l Systems for use with the Philips M120 5A V24CT . Use of ot her camco rder-ty pe batterie s co[...]

AC and DC (Bat tery) Opera tion Battery Info rmation (V2 4CT and V26 CT only) 12-3 Battery Infor mation (V24CT and V26CT Operating Instructions The following is a list of AC and ba ttery operating instructions. • The batte ries cont inuousl y ch arge when the in str ument is connect ed to AC power. Ch arging o ccurs wh ether the monito r is turne[...]

AC and DC (Ba ttery) Operati on 12-4 Bat tery Inf ormation (V24C T and V26CT o nly) Battery Infor mation (V24CT and V26CT Note— When AC is con nected a nd the mo nitor i s on, th e Batt ery Char ge LEDs may take some t ime to cycle to t he appr opriat e charge i ndication . The V24CT or V26CT may u nder repo rt batte ry capa city du ring th is se[...]

AC and DC (Bat tery) Opera tion Battery Info rmation (V2 4CT and V26 CT only) 12-5 Battery Infor mation (V24CT and V26CT • The lead-a cid batteri es need not be fully discha rged prio r to charging. Unlike N i-Cad ba tteries, le ad-acid b attery c apacity i s not affect ed by dep th of disc harge. Note— If you i nsert onl y one bat tery into th[...]

Battery Ind icator and Messages 12-6 Bat tery Inf ormation (V24C T and V26CT o nly) Battery Infor mation (V24CT and V26CT Battery Indicator and Messages • The bat tery fue l gauge , located on the lower ri ght of the displ ay, indicate s the rema ining capaci ty of the ba tter ies in a ba r graph form. As p ower discha rges from the batter ies, t[...]

Battery In dicator and M essages Battery Info rmation (V2 4CT and V26 CT only) 12-7 Battery Infor mation (V24CT and V26CT • A low battery ala rm INOP tone will soun d and the flashing message “RECHAR GE BATTERI ES” wi ll repl ace the battery gauge. Remaini ng monito ring time on t he batterie s is typically 15 minut es with n ew batte ries at[...]

External Ba ttery Charger 12-8 Bat tery Inf ormation (V24C T and V26CT o nly) Battery Infor mation (V24CT and V26CT External Bat tery Charge r We suggest that you us e the Philip s M1278A ex ternal b attery c harger to charge the M1205A batterie s. This batte ry char ger can charge u p to 4 sealed lead-acid ba tteries at on e time in tw o-and-a-h a[...]

Battery C are and Ma intenanc e Battery Info rmation (V2 4CT and V26 CT only) 12-9 Battery Infor mation (V24CT and V26CT Battery Care a nd Maintenance The Philips 40 488A sealed lead-acid batterie s used in the V24CT provide optimum p erformanc e and batt ery life w hen prope rly cared for. Proper handlin g of ba tteries is essentia l to the li fe [...]

Battery C are and Main tenance 12-10 Ba ttery Inform ation (V24CT an d V26C T only) Battery Infor mation (V24CT and V26CT Care and Handling • Do not disassem ble the bat tery. Stro ng acid e lectro lyte ma y burn your skin o r clothes. • Check the b atteries fo r any sig n of irregu larities in appearan ce. Repla ce the b attery i f any dam age[...]

Access ories and Ordering Informa tion Battery I nformation (V24CT an d V26CT only ) 12-11 Battery Infor mation (V24CT and V26CT Accessories and Orderi ng In forma tion 40488A 12 Volt Lea d-Acid Batteri es M1278A Battery Ch arger[...]

Acce ssor ies and O rder ing Infor mat io n 12-12 Ba ttery Inform ation (V24CT an d V26C T only) Battery Infor mation (V24CT and V26CT[...]

Maintena nce 13-1 13 Maintenance This chapt er det ails the clea ning and m aintenanc e proce dures for the m onitor. It includ es the follo wing sectio ns: • General cleaning of the Syst em . . . . . . . . . . . . . . . . . . . . . 13-2 • Monitor Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-6 • Performan ce Assura[...]

General cl ean ing of the System 13-2 M aintenanc e Maintenance General cleani ng of the Syst em The pati ent monit or should be kept free of dust an d dirt. Exterior cleaning of the case a nd screen is recomme nded. Clean it with a lint- free cl oth, mo istene d with ei ther wa rm water (40°C/1 04°F. max) and soap, a diluted no n-causti c deterg[...]

General cleaning of the System Maint ena nce 13-3 Maintenance 7. Do not al low clea ning agent to remai n on any of the e quipmen t surface s - wipe it off immed iately w ith a clo th dampene d with water. Ca u t i o n If you want to clean a touch en abled di splay such as the M 1097A #A0 2 Flatscre en Display , the touch op eratio n has to b e dis[...]

General Disinfect ing of t he System 13-4 M aintenanc e Maintenance General Disinfecting of the System We reco mmend th at you disin fect the pr oduct only when ne cessary as determin ed by you r hospital’s poli cy, to avoid lo ng term dam age to the product . We also r ecomme nd that the p roduc ts being disinfec ted be cleaned first, as descr i[...]

General Disinfec ting of the System Maint ena nce 13-5 Maintenance 5. Do not pour liquid on to the system durin g cleaning . 6. Never use ab rasive m aterial ( such as steel wool o r silver polish) . 7. Do not allow any disi nfecting agent to r emain on a ny of the equip ment surfa ces – wipe it off imme diatel y with a clot h dampe ned with w at[...]

Monitor M aintenan ce 13-6 M aintenanc e Maintenance Monitor Maintenance The following is a list of the tasks and procedures to ma intain the monitor . • Performan ce Assur ance Test • Func tiona l Test ing proc edur es • Preve ntative Maint enance • Che ck Ac cura cy an d Calib rati on of N BP a nd Temp er ature The recomm ended maint enan[...]

Monito r Maintena nce Maint ena nce 13-7 Maintenance Prevent ative M aintenan ce Repla ce back light tube assembly Cleanin g proc edures 2.5 ye ars of continuou s use or as ne eded Perform th e Preventi ve Main tena nce Pr ocedu re fo r the M118 0A #A01/A 02 Wall Mount Asse mbly e very year . See “T esting and Maintainin g the CMS ” in the “C[...]

Monitor M aintenan ce 13-8 M aintenanc e Maintenance Inspect the System Th e followi ng lists wh at to look for when inspecting the syste m: Inspect the Exterior of the Monitor 1. Examin e the ex terior o f the un it for cl eanlin ess and general physi cal condi tio n. En sure th at pla st ic housi ngs are i ntact , th at a ll hardw are is present [...]

Monito r Maintena nce Maint ena nce 13-9 Maintenance Perform a St art-up Sequence T est of the Syste m The Sy stem automati cally sta rts every time the system is switched ON. TEST - Turn the System On by pressing the power switch in the lowe r left- hand cor ner of the di splay. RESULT - The system w ill click and lig ht-up the L EDs on the contro[...]

Monitor M aintenan ce 13-10 M aintenan ce Maintenance Perform a System Sel f- Te s t The following li sts how to pe rform the system self-test. 1. Examin e all c ontrols for physi cal co nditio n. Dur ing the c ourse o f this ex aminatio n, ensur e that t he cont rols p erform th eir prop er function 2. Che ck that the pa ramete r module LE D'[...]

Performanc e Assurance Checks Maintena nce 13-1 1 Maintenance Performance Assuranc e Checks The foll owing per formance assurance c hecks are designed to be compl eted to ve rify pro per oper ation wh en: • The moni tor has be en install ed • An assembl y has been re paired • To veri fy the operat ion any ti me the u nit is su spect. The pe r[...]

Performanc e Assuran ce Checks 13-12 M aintenan ce Maintenance 4. If you a re using the V24CT or V26CT, mak e sure the b attery Charg ing and Ch arge d LEDs are behaving consiste nt with the batter y charg ed. Th e followi ng table describe s the LED be havi or: If the pa ttern is n ot correct , refer to the trou bleshooting chapter o f the Servi c[...]

Performanc e Assurance Checks Maintena nce 13-1 3 Maintenance Functional T esting Procedures The syste m has a modul e self-test which generat es and displ ays test waveforms a nd corre sponding num eric s for all th e modules that are connect ed and tu rned on. The test sig nals are di splayed fo r about 30 seconds and then the display returns to [...]

Performanc e Assuran ce Checks 13-14 M aintenan ce Maintenance Procedu re Overview 1. Choose a pa tient categ ory (A dult/Ped i/Neo ) by pr essing: 2. Display 30 seconds o f the wave forms and n umerics of all conne cte d modu les by pr essin g: 3. Repeat Step 2 a s nece ssary to c heck the in dividu al test w aveforms and num erics for the cate go[...]

Performanc e Assurance Checks Maintena nce 13-1 5 Maintenance Performing the ECG Module and ECG/RESP Self-T est Auto Ch eck - None Self -T est The ECG an d ECG/ RESP sel f-test ma y be pe rforme d at a ny time as the l ead select or and p ace pulse det ection are inhibite d during the check. The module wi ll produc e ECG test sign als at the be gin[...]

Performanc e Assuran ce Checks 13-16 M aintenan ce Maintenance Performing the Inva siv e Pres sure Module Self- Te s t Auto Check - The ch eck for t hese mo dules is st arted ev ery time the system i s switched ON and che cks the comp lete mod ule circ uitry, including the se nsitivity detectio n ci rcuit. Self-Tes t - The test signals l asts about[...]

Performanc e Assurance Checks Maintena nce 13-1 7 Maintenance Performing the N BP Module Self- T est Auto Ch eck - Th e NBP mod ule perf orms a ch eck peri odicall y during operation . Self -T est - None Performing the SpO 2 / Plet h Module Self- T est Auto Ch eck - None Self-Test - The SpO 2 /Pleth m odule self -test may be perfo rmed at any time.[...]

Performanc e Assuran ce Checks 13-18 M aintenan ce Maintenance Performing the tcpO 2 / tcpCO 2 Module Self- Te s t Auto Chec k - T he check is per formed a utomati cally wh en the syste m is switched on, during calibra tion and c ontinuou sly when no tran sducer is connec ted . When the a uto ch eck f ails , the I NOP messag e “Eq uip ment Malfun[...]

Performanc e Assurance Checks Maintena nce 13-1 9 Maintenance Performing the CO 2 Module Self- T est Auto Ch eck - None Self -T est - The self -test may b e perfor med at any time. The t est signal s last abo ut 30 secon ds, and then th e display r eturns to th e normal monitori ng m ode. TEST - If a tran sducer i s connecte d to th e module, t he [...]

Performanc e Assuran ce Checks 13-20 M aintenan ce Maintenance Performing the Blood Analysis Module Self- Te s t Auto Check - The B lood An alysis Mo dule per forms a check when the system is switched on Self-Tes t - The Self-Test with t he Extern al Simulator M3634A may b e perfor med at any tim e. TEST - I nsert the E xternal Sim ulator into the [...]

Performanc e Assurance Checks Maintena nce 13-2 1 Maintenance T est s for Vu e L i n k Module and Anest hetic Gas Module There a re no Se lf-Tests f or the M1 032A Vue link Mo dule an d the M10 26A Anestheti c Gas Module. The M1032 A Vuelink Mo dule pe rforms au tomati c checks per iodical ly durin g operati on. The M 1026A An esthetic G as Mod ule[...]

Performanc e Assuran ce Checks 13-22 M aintenan ce Maintenance[...]

1 Index of V olume 1 A AC , 1- 14 operating instruction s , 12-3 accessor ies tcpO2/tcpCO 2 , 6-48 Adjusting , 2-7 contra st , 2-7 volume cont rol , 3-3 5 Admit , 7-2 general inf ormation , 7-1 Alarm fu nctions , 5-3 alarm limits, review of | , 5-13 alarm remin der , 5- 4 alar m sy mbol , 5-2 Alarms Sel ection Window , 5-12 audible a larms , 5-8 IN[...]

2 Monitor Se tup Selec tion Window , 3-2 numeric displa y on/off , 3- 17 numeric p ositioni ng , 3-1 8 operating modes , 3-55 other pati ents cont rols , 3-41 parame ter se ttings trans fer , 3-61 parame ters on /of , 3-33 recordin gs , 3-40 screen display , 3-3 screen display selection , 3-5 screen display wave ove rlap , 3-14 screen display wavef[...]

3 L Loa ding pape r four channe l bedsi de reco rder (M1 117A) , 6- 53 plug -in reco rder (M1116 A) , 6-50 plu g-in reco rder (M1116 A/B) , 6- 49 M Main S creen , 1-2 1 Monitor rea r pane l , 11-34 rea r pane l connec tors , 11-3 5 Moni tor Stan dby with D ata T rans fer , 10- 6 moni tor ing netw ork , 4-3 N network arrhyth mia ala rms , 4-10 auto [...]

4 insert ing a cal ibrat ion sign al , 6-44 loading pape r , 6-49 making calib rat ed ECG reco rdings , 6-23 making dela yed rec ording s , 6-11 making non -preset re cordings , 6-22 making pr ocedu re reco rdings , 6-17 maki ng realti me conf igure d recordin gs , 6-22 messages , 6-46 queu eing r ecordin gs , 6-23 recordin g strip layou ts , 6-44 [...]