Philips MP60/70/80/90 Manual de usuario Pagina 1

Patient MonitoringINSTRUCTIONS FOR USEIntelliVue MP20/30, MP40/50 and MP60/70/80/90IntelliVue Patient MonitorMP20/30, MP40/50, MP60/70/80/90Release D.

viii12 Monitoring Invasive Pressure 151Setting up the Pressure Measurement 151Selecting a Pressure for Monitoring 152Extended Pressure Label Set 152Ze

5 Managing Patients Transferring Patients80Transferring PatientsTo save you from having to enter the same patient data multiple times and enable patie

Data Upload from an MMS 5 Managing Patients814At the new location, connect the MMS to the monitor. If the monitor detects a patient conflict, the pati

5 Managing Patients Data Exchange Between Information Centers82Data Exchange Between Information CentersYou can transfer demographic data and trend da

Resolving Patient Information Mismatch 5 Managing Patients83Patient Mismatch - If One Set of Patient Data is Correct♦ If there is a mismatch between a

5 Managing Patients Care Groups84Patient Mismatch - If Both Patient Data Sets Are CorrectA patient mismatch where both sets of patient data are correc

Care Groups 5 Managing Patients85Monitors must be assigned to these Care Groups at the Information Center. There is a third care group which can be as

5 Managing Patients Care Groups86Viewing the My Care Group WindowThis window shows the alarm status, bed name, and patient name for every bed in the C

Care Groups 5 Managing Patients87Viewing the Other Bed WindowThe Other Bed window lets you view a subset of the waveform and numeric information from

5 Managing Patients Care Groups88Note that changing the Screen may automatically change the bed shown in the other bed window. If you switch to a diff

Care Groups 5 Managing Patients89Automatic alarm notification can be switched off permanently in the monitor’s Configuration Mode or at the Informatio

ixDocumenting C.O. Measurements 169C.O. Injectate Guidelines 170Guidelines for Right Heart Thermodilution C.O. Injectate 170Guidelines for PiCCO C.O.

5 Managing Patients Care Groups90Telemetry Data Overview Screen ElementWARNING Waves and numeric information on the telemetry screen element are delay

9166ECG, Arrhythmia, and STMonitoringThe electrocardiogram (ECG) measures the electrical activity of the heart and displays it on the monitor as a wav

6 ECG, Arrhythmia, and ST Monitoring Selecting the Primary and Secondary ECG Leads92CAUTION To protect the monitor from damage during defibrillation,

Understanding the ECG Display 6 ECG, Arrhythmia, and ST Monitoring93Understanding the ECG DisplayYour display may be configured to look slightly diffe

6 ECG, Arrhythmia, and ST Monitoring Changing the Size of the ECG Wave94Setting the Paced Status (Pace Pulse Rejection)Avoiding Pace Pulse Repolarizat

Changing the Volume of the QRS Tone 6 ECG, Arrhythmia, and ST Monitoring95To Change the Size of all the ECG Waves To change the size of all the ECG wa

6 ECG, Arrhythmia, and ST Monitoring Choosing EASI or Standard Lead Placement96– Diag (Diagnostic): Use when diagnostic quality is required. The unfil

ECG Lead Fallback 6 ECG, Arrhythmia, and ST Monitoring97will issue a Lead Off INOP message. Select New Lead Setup and the INOP message will disappear.

6 ECG, Arrhythmia, and ST Monitoring ECG Lead Placements98Standard 3-Lead PlacementStandard 5-Lead PlacementRA placement: directly below the clavicle

ECG Lead Placements 6 ECG, Arrhythmia, and ST Monitoring99Chest Electrode PlacementFor accurate chest electrode placement and measurement, it is impor

xSpirometry Values Window 192Alarms and Alarm Limits 192Changing the Apnea Alarm Delay 192Automatic Alarm Suppression 193Choosing Measured AWV Compone

6 ECG, Arrhythmia, and ST Monitoring ECG Lead Placements10010-Lead PlacementWhen monitoring 12-leads of ECG, using a 10-Electrode Lead Placement, it i

ECG Lead Placements 6 ECG, Arrhythmia, and ST Monitoring101Modified 12-Lead ECGChoosing Standard or Modified Electrode PlacementIf your institution us

6 ECG, Arrhythmia, and ST Monitoring Capture 12-Lead102– 12 Lead ECG Reports will be labelled 12 Lead ECG Report (Mason-Likar). – Captured 12-lead ECG

EASI ECG Lead Placement 6 ECG, Arrhythmia, and ST Monitoring103EASI Electrode Placement1 E (V)on the lower sternum at the level of the fifth intercost

6 ECG, Arrhythmia, and ST Monitoring ECG, Arrhythmia, and ST Alarm Overview104ECG, Arrhythmia, and ST Alarm Overview The ECG, arrhythmia, and ST alarm

Using ECG Alarms 6 ECG, Arrhythmia, and ST Monitoring105Using ECG AlarmsECG alarms can be switched on and off and the high and low alarm limits change

6 ECG, Arrhythmia, and ST Monitoring ECG Safety Information106WARNING Defibrillation and Electrosurgery: Do not touch the patient, or table, or instr

About Arrhythmia Monitoring 6 ECG, Arrhythmia, and ST Monitoring107About Arrhythmia MonitoringArrhythmia analysis provides information on your patient

6 ECG, Arrhythmia, and ST Monitoring Switching Arrhythmia Analysis On and Off108Switching Arrhythmia Analysis On and Off1 In the Setup Arrhythmia menu

Understanding the Arrhythmia Display 6 ECG, Arrhythmia, and ST Monitoring109Intermittent Bundle Branch BlockBundle branch and the other fascicular blo

xiChanging the Impedance Limit 209About Electrode-to-Skin Impedance 210Impedance Indicators 210About Compressed Spectral Arrays (CSA) 211Changing CSA

6 ECG, Arrhythmia, and ST Monitoring Understanding the Arrhythmia Display110Arrhythmia Status MessagesThe monitor displays two types of status message

Arrhythmia Relearning 6 ECG, Arrhythmia, and ST Monitoring111Ectopic Status MessagesThe label B or E indicates basic (B) or enhanced (E) arrhythmia ca

6 ECG, Arrhythmia, and ST Monitoring Arrhythmia Alarms112Automatic Arrhythmia Relearn Arrhythmia relearning is initiated automatically whenever:• ECG

Arrhythmia Alarms 6 ECG, Arrhythmia, and ST Monitoring113Yellow Arrhythmia AlarmsYellow arrhythmia alarms are short yellow alarms specific to arrhythm

6 ECG, Arrhythmia, and ST Monitoring Arrhythmia Alarms114What is a Timeout Period?Timeout periods are automatically started when a yellow arrhythmia a

Arrhythmia Alarms 6 ECG, Arrhythmia, and ST Monitoring115Arrhythmia Alarm ChainingWhen arrhythmia analysis is switched on, multiple alarm conditions m

6 ECG, Arrhythmia, and ST Monitoring Arrhythmia Alarms116Understanding PVC-Related AlarmsPVC-related alarms are detected on the basis of the current v

About ST Monitoring 6 ECG, Arrhythmia, and ST Monitoring117About ST MonitoringThe monitor performs ST segment analysis on normal and atrially paced be

6 ECG, Arrhythmia, and ST Monitoring Understanding the ST Display118Understanding the ST DisplayYour monitor screen may be configured to look slightly

Updating ST Baseline Snippets 6 ECG, Arrhythmia, and ST Monitoring119Updating ST Baseline SnippetsST analysis requires valid samples to measure and st

xiiTrend Parameter Scales 227Graphical Trend Presentation 228Documenting Trends 228Trends Databases 229Aperiodic Trends Database 229Trending Multiple-

6 ECG, Arrhythmia, and ST Monitoring About the ST Measurement Points120About the ST Measurement PointsThe ST value for each beat complex is the vertic

About the ST Measurement Points 6 ECG, Arrhythmia, and ST Monitoring1213Use the Select Point pop-up key to scroll through the points and activate the

6 ECG, Arrhythmia, and ST Monitoring ST Alarms1225To update the ST snippet shown in the Adjust ST Points window, select the Update pop-up key.ST Alarm

Viewing ST Maps 6 ECG, Arrhythmia, and ST Monitoring123If an ST lead is switched off, its axis is not shown in the map.If a lead is in INOP (the value

6 ECG, Arrhythmia, and ST Monitoring Viewing ST Maps124If a lead is turned off, its axis is no longer shown. This has no impact on the presentation of

Viewing ST Maps 6 ECG, Arrhythmia, and ST Monitoring125Displaying an ST Reference BaselineYou can display an ST reference baseline for the current vie

6 ECG, Arrhythmia, and ST Monitoring Viewing ST Maps126

12777Monitoring Pulse RateThe pulse numeric counts the arterial pulsations that result from the mechanical activity of the heart in beats per minute (

7 Monitoring Pulse Rate Switching Pulse On and Off128Switching Pulse On and OffTo switch a particular pulse numeric on or off, enter the Setup Pulse m

Using Pulse Alarms 7 Monitoring Pulse Rate129WARNING Selecting Pulse as the active alarm source for HR/Pulse switches off the arrhythmia alarms listed

xiiiTriggering Events Manually 246The Events Database 247Viewing Events 247Event Counter 247Counting Combi-Events 248Counting Neonatal Event Review (N

7 Monitoring Pulse Rate Using Pulse Alarms130

13188Monitoring Respiration Rate(Resp)For the respiratory measurement (Resp), the monitor measures the thoracic impedance between two ECG electrodes o

8 Monitoring Respiration Rate (Resp) Understanding the Resp Display132Lateral Chest ExpansionAbdominal BreathingSome patients with restricted chest mo

Changing the Size of the Respiration Wave 8 Monitoring Respiration Rate (Resp)133• the algorithm expects a heart rate and therefore needs at least 3 e

8 Monitoring Respiration Rate (Resp) Changing the Speed of the Respiration Wave134Changing the Speed of the Respiration WaveResp waveforms are usually

Resp Safety Information 8 Monitoring Respiration Rate (Resp)135Rate adaptive pacemakers: Implanted pacemakers which can adapt to the Minute Volume ma

8 Monitoring Respiration Rate (Resp) Resp Safety Information136

13799Monitoring SpO2Philips pulse oximetry uses a motion-tolerant signal processing algorithm, based on Fourier artefact suppression technology (FAST)

9 Monitoring SpO2Connecting SpO2 Cables138select a finger or toe with a diameter of between 7 and 8 mm (0.27” and 0.31”). When applying a M1193A neona

Assessing a Suspicious SpO2 Reading 9Monitoring SpO2139– has not changed in its thickness (for example, due to edema), causing an improper fit of the

xivSetting Up Individual Print Jobs 270Checking Printer Settings 270Printing a Test Report 271Switching Printers On Or Off for Reports 271Dashed Lines

9 Monitoring SpO2Understanding SpO2 Alarms140Understanding SpO2 AlarmsThis refers to SpO2 specific alarms. See the Alarms section for general alarm in

Perfusion (Pleth) Indicator 9Monitoring SpO2141 Perfusion (Pleth) IndicatorThe perfusion indicator gives a numerical value for the pulsatile portion o

9 Monitoring SpO2Calculating SpO2 Difference1421From the Main Setup menu, select Measurements.2 From the ∆SpO2 Setup menu, select First SpO2.3 Choose

1431010Monitoring NBPThis monitor uses the oscillometric method for measuring NBP. In adult and pediatric mode, the blood pressure measurements determ

10 Monitoring NBP Preparing to Measure NBP144CAUTION If you spill liquid onto the equipment or accessories, particularly if there is a chance that it

Preparing to Measure NBP 10 Monitoring NBP1453Make sure that you are using a Philips-approved correct sized cuff and that the bladder inside the cover

10 Monitoring NBP Starting and Stopping Measurements146– Meas Time: the time of the most recent NBP measurement, or– Next Meas: the time until the nex

Choosing the NBP Alarm Source 10 Monitoring NBP147Choosing the NBP Alarm SourceYou can monitor for alarm conditions in systolic, diastolic and mean pr

10 Monitoring NBP Calibrating NBP148

1491111Monitoring TemperatureYou can measure temperature using the Multi-Measurement Server (MMS), one of the measurement server extensions, or the te

xv29 Respiratory Loops 289Viewing Loops 289Capturing and Deleting Loops 290Showing/Hiding Loops 290Changing Loops Display Size 291Using the Loops Curs

11 Monitoring Temperature Calculating Temp Difference150Extended Temperature Label Set The following additional labels are available if Label Set is s

1511212Monitoring Invasive PressureYou can measure pressure using the Multi-Measurement Server (MMS), one of the measurement server extensions or the

12 Monitoring Invasive Pressure Zeroing the Pressure Transducer152WARNING If measuring intracranial pressure (ICP) with a sitting patient, level the t

Zeroing the Pressure Transducer 12 Monitoring Invasive Pressure153Zeroing ICP (or IC1/IC2)Your hospital guidelines may require you to zero the ICP tra

12 Monitoring Invasive Pressure Adjusting the Calibration Factor154If you are measuring pressures with more than one measuring device, using the Zero

Optimizing the Waveform 12 Monitoring Invasive Pressure1553 Select a value from the pop-up list: – a positive value sets the top gridline. The bottom

12 Monitoring Invasive Pressure Calibrating Reusable Transducer CPJ840J6156Calibrating Reusable Transducer CPJ840J6Depending on your monitor’s configu

Calculating Cerebral Perfusion 12 Monitoring Invasive Pressure1575 Select the calibration pressure from the list, for example 200 mmHg.6 Select Confir

12 Monitoring Invasive Pressure Measuring Pulmonary Artery Wedge Pressure158• The clinical value of the derived PPV information must be determined by

Editing the Wedge 12 Monitoring Invasive Pressure159not be displayed or recorded properly. To avoid this, switch out of optimum scale before performin

xvi33 Accessories 309ECG/Resp Accessories 309Tr u n k C a b l e s 3093-Electrode Cable Sets 3095-Electrode Cable Sets 31010-Electrode Cable Sets 3103

12 Monitoring Invasive Pressure Identifying the Pressure Analog Output Connector160Identifying the Pressure Analog Output Connectoranalog output (modu

1611313Monitoring Cardiac OutputThe Cardiac Output (C.O.) measurement invasively measures cardiac output and other hemodynamic parameters using a tech

13 Monitoring Cardiac Output Hemodynamic Parameters162Hemodynamic ParametersThis table illustrates the hemodynamic parameters available with each meth

Using the C.O. Procedure Window 13 Monitoring Cardiac Output163Using the C.O. Procedure WindowThe C.O. procedure window displays up to six trials (mea

13 Monitoring Cardiac Output Accessing the Setup C.O. and Setup CCO Menus164Accessing the Setup C.O. and Setup CCO MenusC.O. settings can be changed i

Measuring C. O. Using the PiCCO Method 13 Monitoring Cardiac Output165Setting Up the PiCCO C.O. Measurement1 Set up the arterial line using the arteri

13 Monitoring Cardiac Output Measuring C. O. Using the PiCCO Method1668Check that the correct arterial catheter constant is selected.If the catheter i

Measuring C. O. Using the PiCCO Method 13 Monitoring Cardiac Output167you can accept or reject trials directly by tipping on the trial curve. Discard

13 Monitoring Cardiac Output Measuring C.O. Using the Right Heart Thermodilution Method168Measuring C.O. Using the Right Heart Thermodilution MethodIn

Documenting C.O. Measurements 13 Monitoring Cardiac Output169If you are using the ice-bath setup, the injectate temperature probe and the injectate ar

xvii802.11 Bedside Adapter (Wireless Network Adapter) 335Altitude Setting 336Monitor Safety Specifications 336Physical Specifications 337Environmental

13 Monitoring Cardiac Output C.O. Injectate Guidelines1702From the pop-up list, choose: –Print Results to print the contents of the C.O. procedure win

C.O./CCO Curve Alert Messages 13 Monitoring Cardiac Output171C.O./CCO Curve Alert MessagesAfter each measurement trial, the monitor analyzes the therm

13 Monitoring Cardiac Output C.O./CCO Prompt Messages172If you have followed all of these guidelines, your measurement values should be valid, even if

C.O./CCO Warning Messages 13 Monitoring Cardiac Output173C.O./CCO Warning MessagesWarning messages contain important information about the C.O. measur

13 Monitoring Cardiac Output C.O./CCO Safety Information174CAUTION During the cardiac output measurement procedure the blood temperature alarms are in

1751414Monitoring Carbon DioxideUse the CO2 measurement to monitor the patient’s respiratory status and to control patient ventilation.There are two m

14 Monitoring Carbon Dioxide Using the Capnography Extension (M3014A)176WARNING Correlation: The etCO2 readings do not always correlate closely with p

Using the Capnography Extension (M3014A) 14 Monitoring Carbon Dioxide1773 Choose the appropriate airway adapter and connect it to the sensor head. The

14 Monitoring Carbon Dioxide Using the Capnography Extension (M3014A)178– expose the sensor to room air and keep it away from all sources of CO2 inclu

Using the Mainstream CO2 Extension (M3016A) 14 Monitoring Carbon Dioxide1791 Push the sensor into the holder until it clicks into position.2 Clamp the

Part Number M8000-9001GPrinted in Germany 02/064512 610 13551*M8000-9001G*

xviiitcGas Default Settings 379SvO2 Default Settings 379EEG Default Settings 380BIS Default Settings 380VueLink Default Settings 381

14 Monitoring Carbon Dioxide Using the Mainstream CO2 Extension (M3016A)1804Place the transducer on the high cell of the calstick. The reading on the

Using the Microstream CO2 Extension (M3015A) 14 Monitoring Carbon Dioxide1812 To remove the transducer from the airway adapter, open the latch and pul

14 Monitoring Carbon Dioxide Using the Microstream CO2 Extension (M3015A)182For intubated patient with non-humidified ventilation, you can use a Micro

Setting up Mainstream and Sidestream CO214 Monitoring Carbon Dioxide183Suppressing Zero CalibrationTo prevent an automatic zero calibration from being

14 Monitoring Carbon Dioxide Setting up Mainstream and Sidestream CO2184Suppressing Sampling (not Mainstream CO2)To temporarily stop sampling, ♦ in th

Setting up Mainstream and Sidestream CO214 Monitoring Carbon Dioxide1852Select High Limit to set the upper alarm limit.Select Low Limit to set the low

14 Monitoring Carbon Dioxide Setting up Mainstream and Sidestream CO2186

1871515Monitoring Airway Flow,Volume and PressureThe M1014A Spirometry Module is designed to be used in combination with Philips-branded airway flow s

15 Monitoring Airway Flow, Volume and Pressure Attaching the Flow Sensor188Attaching the Flow SensorCAUTION Use the M1014A Spirometry Module with Phil

Attaching the Flow Sensor 15 Monitoring Airway Flow, Volume and Pressure189WARNING To prevent stress on the endotrachial tube, support the sensor and

111Basic OperationThese Instructions for Use are for clinical professionals using the IntelliVue MP20/MP30 (M8001A/M8002A), MP40/50 (M8003A/M8004A) an

15 Monitoring Airway Flow, Volume and Pressure Zero Calibration190• A volume waveform as displayed below on the left may be an indicator of an air lea

Manual Purging 15 Monitoring Airway Flow, Volume and Pressure191Adult ModeThe system automatically purges the sensor tubing every ten minutes or less,

15 Monitoring Airway Flow, Volume and Pressure Setting up Spirometry192Table 2 Incorrect Agent Percentage SettingSetting up SpirometryThe following se

Setting up Spirometry 15 Monitoring Airway Flow, Volume and Pressure193WARNING Safety and effectiveness of the respiration measurement method in the d

15 Monitoring Airway Flow, Volume and Pressure Setting up Spirometry1943Select the appropriate setting.Changing the Temperature of the Inspired GasDep

1951616Monitoring tcGasThe tcGas module measures the partial pressure of the oxygen and carbon dioxide that diffuses through the skin, thereby providi

16 Monitoring tcGas Setting the tcGas Sensor Temperature196Setting the tcGas Sensor Temperature1 In the Setup tcGas menu, select Transducer Temp.2 Cho

Setting the tcGas Barometric Pressure 16 Monitoring tcGas197Restarting the tcGas SiteTimerTo restart the site timer without recalibration (for example

16 Monitoring tcGas Remembraning the tcGas Transducer1985Remove any surplus electrolyte solution on the outside of the membranes with a soft tissue.6

Calibrating the tcGas Transducer 16 Monitoring tcGas199Calibrating the tcGas TransducerYou can use either a Philips (15210B) or a Radiometer TCC3 cali

1 Basic Operation Introducing the IntelliVue Family2Your monitor stores data in trend, event, and calculation databases. You can see tabular trends (v

16 Monitoring tcGas Calibrating the tcGas Transducer2004Press CAL on the module until the light above the key comes on and wait (three - 20 minutes) f

Applying the tcGas Transducer 16 Monitoring tcGas201Applying the tcGas Transducer1 Peel protection film from fixation ring. Using a finger, press the

16 Monitoring tcGas Finishing tcGas Monitoring202Selecting the tcGas HeatPowerDisplay ModeThe heat power display gives an indication of the skin’s per

2031717Monitoring SvO2MP60/70/80/90monitorsonlyThe SvO2 module measures the percentage of mixed venous oxygen saturation continuously and invasively u

17 Monitoring SvO2Preparing to Monitor SvO2204Preparing to Monitor SvO2 In addition to an SvO2 module, you need a Hospira OptiCath catheter, and 50131

Inserting the Catheter 17 Monitoring SvO22053Place the optical connector into the optical module (with the label “TOP” facing upwards) and close the l

17 Monitoring SvO2Performing In-Vivo Calibration206Performing In-Vivo CalibrationPerform an in-vivo calibration:• if you place the catheter in a patie

2071818Monitoring EEGThe Electroencephalograph (EEG) module monitors the patient’s cerebral function by measuring the electrical activity of the brain

18 Monitoring EEG EEG Monitoring Setup208EEG Monitoring Setup1 Plug the trunk cable into the EEG module in the Flexible Module Server.2 Prepare the pa

Using the EEG Impedance/Montage Window 18 Monitoring EEG209Choosing an EEG Electrode Montage1 To activate one of the five pre-configured electrode mon

Introducing the IntelliVue Family 1 Basic Operation3MP20/MP30 Major Parts and KeysMP20/MP30 left side1 Color-coded alarm lamps2 Alarms off lamp3 Model

18 Monitoring EEG Using the EEG Impedance/Montage Window210About Electrode-to-Skin ImpedanceElectrode-to-skin impedance is the main quality indicator

About Compressed Spectral Arrays (CSA) 18 Monitoring EEG211About Compressed Spectral Arrays (CSA) The continuous EEG signal is sampled periodically an

18 Monitoring EEG Changing EEG Settings212Changing CSA SettingsWhen CSAs are shown embedded on the Main Screen, select the CSA to show the pop-up keys

EEG Reports 18 Monitoring EEG213Changing Filter FrequenciesThe low and high pass filters screen out undesirable interference from the raw EEG wave dis

18 Monitoring EEG EEG Safety Information214EEG Safety Information EEG Configuration and Monitor Upgrades The A.2 monitor release (software revision A.

2151919Monitoring BISBispectral Index monitoring helps to monitor the level of consciousness of a patient under general anesthesia or sedation in the

19 Monitoring BIS BIS Monitoring Setup216BIS Monitoring SetupThere are two BIS solutions available for use with the M1034A BIS module: using the DSC a

BIS Monitoring Setup 19 Monitoring BIS217Monitoring BIS using the BISx1 If you are monitoring BIS using the BISx, a. Connect the BISx device to the BI

19 Monitoring BIS BIS Continuous Impedance Check218Manufacturer’s InformationBISx, the BIS Engine, the DSC, the Patient Interface Cable and the BIS Se

BIS Window 19 Monitoring BIS219♦select Stop Cyclic Check in the BIS Impedance Check Window.If you stop a Cyclic Impedance Check before the ground elec

1 Basic Operation Introducing the IntelliVue Family4IntelliVue MP40/MP50The IntelliVue MP40/MP50 (M8003A/M8004A) patient monitor has a 12-inch TFT LCD

19 Monitoring BIS Changing the BIS Smoothing Rate220Changing the BIS Smoothing RateThe smoothing rate defines how the monitor averages the BIS value.

BIS Safety Information 19 Monitoring BIS221BIS Safety Information For information on the use of BIS in specific monitoring situations and on pharmacol

19 Monitoring BIS BIS Safety Information222

2232020TrendsTrends are patient data collected over time and displayed in graphic or tabular form to give you a picture of how your patient’s conditio

20 Trends Viewing Trends224Viewing Graphic Trends A cursor spanning all measurements in the trend group helps you to navigate through the trends datab

Setting Up Trends 20 Trends225The currently-selected column is highlighted. The values can be configured to display in the same colors as the waves an

20 Trends Setting Up Trends226Making Segment SettingsThe Graphical Trends window is divided into measurement segments, each of which has its own setti

Setting Up Trends 20 Trends2271In the Segment menu, select No. of Segments2 Select 1, 2, or 3 segments.Trend GroupsThe measurements grouped in trend g

20 Trends Documenting Trends2281In the Main Setup menu, select Trends.2 Select Parameter Scales. 3 Select the measurement or parameter you want to cha

Trends Databases 20 Trends229Trends DatabasesDepending on the purchased options and the monitor’s configuration, the trends databases store informatio

Introducing the IntelliVue Family 1 Basic Operation5IntelliVue MP60/MP70 The IntelliVue MP60/MP70 (M8005A/M8007A) patient monitors integrate the displ

20 Trends Screen Trends230Screen Trend information is taken from the Trends database. If you do not see a Screen Trend for a particular measurement on

Screen Trends 20 Trends231Changing the Selection of Screen Trends Displayed1 Select the screen trend.2 Select Change Trend and select the required tre

20 Trends Screen Trends232Horizon ViewThe horizon view presents trend information superimposed over a defined baseline. This helps you visualize chang

2332121CalculationsCalculations are patient data that is not directly measured but calculated by the monitor when you provide it with the appropriate

21 Calculations Viewing Calculations234Calculations WindowsThis example calculations window shows the hemodynamic calculations window. The ventilation

Reviewing Calculations 21 Calculations235Reviewing Calculations ♦ To enter the calculations review window, select the Oxy Review, Ventil Review, or He

21 Calculations Entering Values for Calculations236Entering Values for CalculationsThe monitor automatically enters any available values for calculati

Documenting Calculations 21 Calculations237♦To check the current setting, select the patient name to enter the Patient Demographics menu. BSA(B) indic

21 Calculations Documenting Calculations238

2392222High Resolution TrendWavesHigh resolution (hi-res) trend waves provide information for fast-changing parameters at a glance. They can help you

1 Basic Operation Introducing the IntelliVue Family6MP60/MP70 Major Parts and KeysIntelliVue MP80/MP90 Note: The MP80 monitor (M8008A) is not availabl

22 High Resolution Trend Waves Printing Hi-Res Trend Wave Reports240Printing Hi-Res Trend Wave ReportsTo print hi-res trend waves on reports, you can

2412323Event SurveillanceEvents are electronic records of episodes in your patient’s condition. You can trigger them manually, or set them to trigger

23 Event Surveillance Event Groups242Event GroupsThe event group• monitors the patient’s signals to detect event triggers• defines which waveforms are

Events Pop-Up Keys 23 Event Surveillance243The episode type defines the level of detail captured in an event episode. The higher the data resolution,

23 Event Surveillance Event Triggers244Event TriggersYou can trigger event capture manually, for example, if you want to record a patient’s condition

Event Triggers 23 Event Surveillance245If you use alarm limits as event triggers, the event capture is triggered automatically when your patient’s va

23 Event Surveillance Event Triggers2462Select the name of the current episode type to set the episode pre/post time.3 Set the event trigger for each

The Events Database 23 Event Surveillance247For manually-triggered events. patient information for the time leading up to the trigger moment is stored

23 Event Surveillance Viewing Events248Counting Combi-EventsIf one or more events occur during the same Episode Time, the monitor combines them and di

Viewing Events 23 Event Surveillance249Event Summary Window (Advanced Event Surveillance only). The Event Summary window shows the number of stored ev

Introducing the IntelliVue Family 1 Basic Operation7MP80/MP90 Major Parts and KeysD80 Intelligent DisplayThe D80 Intelligent Display can be used as a

23 Event Surveillance Viewing Events250Event bars: Each event bar represents one event. The height indicates the event severity. Bars that extend over

Annotating Events 23 Event Surveillance251The event values to the left of the measurement channels show the trigger threshold set and the maximum amou

23 Event Surveillance Documenting Events2522For a graphic Event Review recording, select the Record Graphic pop-up key.For a tabular Event Review reco

Documenting Events 23 Event Surveillance253Event Episode Recordings3 The third section shows the most important vital signs information, including num

23 Event Surveillance Documenting Events254Event Review ReportsThe event review report documents all the events stored in the event database for a sel

Documenting Events 23 Event Surveillance255Event Episode ReportsThe event episode report documents the patient information from the currently-selected

23 Event Surveillance Documenting Events256

2572424 RecordingMP40/MP50/MP60/MP70/MP90The M1116B plug-in recorder records numerics for all active measurements and up to three waveforms. You can u

24 Recording Starting and Stopping Recordings258MP20/MP30The integrated recorder records numerics for all active measurements and up to three waveform

Overview of Recording Types 24 Recording259To quickstart a delayed recording, ♦ Select the SmartKey Delayed Record to immediately start a delayed reco

1 Basic Operation Related Products8Docking StationMP20/30/40/50 onlyThe docking station provides quick mounting and connections in a one-step operatio

24 Recording All ECG Waves Recordings260All ECG Waves RecordingsAn All ECG Waves recording shows a 4 second recording of each lead with a calibration

Changing ECG Wave Gain 24 Recording2613Select the name of the template you want to create or change. Each recording name is linked to a recording type

24 Recording Recording Priorities262Recording PrioritiesManually-started recordings have priority over automatically-started recordings. If an automa

Sample Recording Strip 24 Recording263Recorded Waveforms A selection of up to three waveforms is recorded, marked with wave labels and wave scale info

24 Recording Reloading Paper264Reloading Paper M1116B1Use the latch on the right side of the recorder door to pull the door open.2 Remove the empty co

Recorder Status Messages 24 Recording265Recorder Status MessagesRecorder Status Messages Explanation<Recording name> running The named recording

24 Recording Recorder Status Messages266

2672525Printing Patient ReportsStarting Reports PrintoutsMost patient reports can be printed by selecting Main Setup - > Reports (or the Reports Sm

25 Printing Patient Reports Stopping Reports Printouts268Stopping Reports Printouts♦ To stop Reports printing, in the Reports menu, select –Stop Repor

Setting Up Reports 25 Printing Patient Reports269Setting Up Vital Signs and Graphic Trend Reports The settings you choose in the Setup Vital Signs Rep

Related Products 1 Basic Operation9Measurement ModulesYou can use up to eight measurement modules with the Flexible Module Server (M8048A), two additi

25 Printing Patient Reports Setting Up Individual Print Jobs270Setting Up Individual Print JobsTo adjust the appearance of individual print jobs, in t

Printing a Test Report 25 Printing Patient Reports271Printing a Test ReportA test report can be printed in Configuration mode, refer to the Service Gu

25 Printing Patient Reports Printer Status Messages272Printer Status MessagesSample Report PrintoutsEach report header contains the patient’s bed labe

Sample Report Printouts 25 Printing Patient Reports273Alarm Limits ReportGraphic view of current alarm limits in relation to currently monitored measu

25 Printing Patient Reports Sample Report Printouts274Realtime ReportPatient demographic information, time stampActive Alarms and INOPs, followed by v

Sample Report Printouts 25 Printing Patient Reports275Cardiac Output ReportNumbered trial curvesTrial information in tabular formPatient information

25 Printing Patient Reports Sample Report Printouts276ECG ReportsBelow the header on ECG Reports, the numeric block shows the current HR, PVC, and ST

2772626Using the Drug CalculatorDrug mixtures for intravenous (IV) drug infusions combine information on drug dose, rate, amount, volume, concentratio

26 Using the Drug Calculator Performing Drug Calculations278Performing Drug Calculations Using the service Support Tool, a list of drugs can be config

Performing Drug Calculations 26 Using the Drug Calculator2793When you have entered three values, the Drug Calculator automatically calculates the unkn

i1Table Of ContentsM8000-9001G1 Basic Operation 1Introducing the IntelliVue Family 1IntelliVue MP20/MP30 2MP20/MP30 Major Parts and Keys 3IntelliVue M

1 Basic Operation Related Products10Multi-Measurement Server (M3001A)The Multi-Measurement Server (MMS) can simultaneously monitor 3-, 5- or 10-lead E

26 Using the Drug Calculator Charting Infusion Progress280Charting Infusion ProgressThe Drip Table shows you at a glance how much of the infusion has

2812727VueLink ModulesA VueLink module transmits information from a connected external device to your monitor. Each module can be connected to up to t

27 VueLink Modules Connecting an External Device282Connecting an External Device 1 Insert the module into the FMS or integrated module slot. 2 Check t

Using VueLink Screens 27 VueLink Modules283Using VueLink ScreensYour monitor may be configured to show VueLink device data permanently on the Screens.

27 VueLink Modules Language Conflict with External Device Drivers284Language Conflict with External Device DriversYou should avoid language conflicts

2852828Using TimersWith the Timers function you can set timers to notify you when a specific time period has expired. CAUTION Do not use the timers to

28 Using Timers Timer Setup Pop-up Keys286Timer TypesThere are four types of timer: Basic, Enhanced, Cyclic and No Limit. A Basic timer has a single,

Displaying Timers On The Main Screen 28 Using Timers287Run TimeThe run time can be set between 1 minute and 96 hours. No Limit timers have no run time

28 Using Timers Displaying A Clock On The Main Screen288Main Screen Timer Pop-up KeysWhen you select a timer displayed on the Main Screen, additional

2892929Respiratory LoopsUsing a VueLink module connected to a ventilator, you can measure and store graphic representations of realtime respiratory lo

Related Products 1 Basic Operation11Measurement Server Extensions The measurement server extensions connect to the MMS and use the MMS settings and po

29 Respiratory Loops Capturing and Deleting Loops290To open the Loops window, and its associated pop-up keys, ♦ select Main Setup -> Loops, or sele

Changing Loops Display Size 29 Respiratory Loops291Changing Loops Display SizeTo change the loops display size, in the Loops window, select the pop-up

29 Respiratory Loops Documenting Loops292Documenting Loops 1 In the Loops window, select the pop-up key Print Loop 2 From the list of available loops,

2933030Care and CleaningUse only the Philips-approved substances and methods listed in this chapter to clean or disinfect your equipment. Warranty doe

30 Care and Cleaning Cleaning294CleaningClean with a lint-free cloth, moistened with warm water (40°C/104°F maximum) and soap, a diluted non-caustic d

Sterilizing 30 Care and Cleaning295SterilizingSterilization is not recommended for this monitor, related products, accessories or supplies unless othe

30 Care and Cleaning Cleaning the Batteries and Battery Compartment296

2973131Using the BatteriesIntelliVueMP20/MP30/MP40/MP50onlyMP20/MP30: one OR two Philips M4605A rechargeable Lithium Ion batteries must be inserted in

31 Using the Batteries Battery Power Indicators298The MP60/MP70/MP80/MP90 monitors cannot be powered by battery. You can switch between battery-powere

Battery Power Indicators 31 Using the Batteries299Battery status symbols: These symbols tell you the status of the batteries (see table below) and wh

1 Basic Operation Related Products12WARNING The measurement server extensions can only function when they are connected to a measurement server. If th

31 Using the Batteries Checking Battery Charge300Battery Status Window♦ To access the Battery Status window and its associated pop-up keys, select the

Replacing Batteries 31 Using the Batteries301charge. If all LEDs are lit, the battery is fully charged, if only one LED is lit, 25% or less charge is

31 Using the Batteries Optimizing Battery Performance302Display Brightness Setting ♦ In the Main Setup menu, select User Interface -> Brightness -

Battery Safety Information 31 Using the Batteries303Battery Safety InformationWARNING Use only Philips batteries part number M4605A. Use of a differen

31 Using the Batteries Battery Safety Information304

3053232Maintenance andTroubleshootingWARNING Schedule: Failure on the part of the responsible individual hospital or institution employing the use of

32 Maintenance and Troubleshooting Maintenance Task and Test Schedule3064Inspect the patient cables, leads and their strain reliefs for general condit

Troubleshooting 32 Maintenance and Troubleshooting307TroubleshootingIf you suspect a problem with an individual measurement, read the Instructions for

32 Maintenance and Troubleshooting Disposing of Empty Calibration Gas Cylinders308

3093333AccessoriesYou can order parts and accessories from Philips supplies at www.medical.philips.com or consult your local Philips representative fo

Related Products 1 Basic Operation13M3012A Hemodynamic Measurement Server ExtensionThe M3012A Hemodynamic Measurement Server Extension (HMSE) can be c

33 Accessories ECG/Resp Accessories3105-Electrode Cable Sets10-Electrode Cable Sets3-Electrode One Piece Cables5-Electrode One Piece CablesICU Grabber

NBP Accessories 33 Accessories311Set Combiners and OrganizersNBP Accessories These cuffs and tubings are designed to have special protection against e

33 Accessories NBP Accessories312Adult/Pediatric Antimicrobial Coated Reusable cuffsAdult/Pediatric Soft Single Patient Single-Hose Disposable CuffsNe

Invasive Pressure Accessories 33 Accessories313Invasive Pressure AccessoriesThese transducers and accessories are designed to have special protection

33 Accessories SpO2 Accessories314The M1020B SpO2 module with Option A02 may not be available in all countries. Some sensors may not be available in a

SpO2 Accessories 33 Accessories315M1191ANL Special Edition (SE) Adult sensor (3m cable), for patients over 50 kg. Any finger, except thumb.yes yes No

33 Accessories SpO2 Accessories316NELLCOR disposable sensors (must be ordered from Nellcor)OxiMax MAX-AAdult finger sensor (patient size >30 kg)yes

SpO2 Accessories 33 Accessories317Oxiband OXI-A/NAdult / neonatal sensor no yes Must use M1943NL adapter cableOxiband OXI-P/IPediatric / infant sensor

33 Accessories Temperature Accessories318The Philips M3001A option A01 Multi-Measurement server and the M1020B option A01 SpO2 Module use Masimo certi

Cardiac Output (C.O.) Accessories 33 Accessories319Cardiac Output (C.O.) AccessoriesSee Pressure accessories for PULSION continuous cardiac output acc

1 Basic Operation Operating and Navigating14Operating and NavigatingEverything you need to operate the monitor is contained on its screen. Almost ever

33 Accessories Mainstream CO2 Accessories (for M3014A)320Mainstream CO2 Accessories (for M3014A)Sidestream CO2 Accessories (for M3014A)Mainstream CO2

Microstream CO2 Accessories 33 Accessories321Microstream CO2 Accessories• “FilterLine Set” is a combination of a FilterLine with an Airway Adapter. •

33 Accessories tcGas Accessories322tcGas AccessoriesThis symbol indicates that the specified transducer (but not its membranes) is designed to have sp

SvO2 Accessories 33 Accessories323BIS SensorsTo re-order sensors outside North America, contact your nearest Philips sales office and quote the Philip

33 Accessories Recorder Accessories324Recorder AccessoriesDescription Part No. For M1116B recorder:10 rolls of paper 40477A80 rolls of paper 40477BFor

3253434Installation and SpecificationsThe specifications in this section apply to the MP20, MP30, MP40, MP50, MP60, MP70, MP80 and MP90 patient monito

34 Installation and Specifications Manufacturer’s Information326Manufacturer’s InformationYou can write to Philips at this addressPhilips Medizin Syst

Manufacturer’s Information 34 Installation and Specifications327Trademark AcknowledgementPiCCOΤΜ is a trademark of Pulsion Medical Systems AG.Bispectr

34 Installation and Specifications Symbols328SymbolsThese symbols appear on the monitor and its associated equipment.SymbolsRefer to accompanying docu

Installation Safety Information 34 Installation and Specifications329Installation Safety InformationWARNING If multiple instruments are connected to a

Operating and Navigating 1 Basic Operation15Selecting Screen ElementsSelect a screen element to tell the monitor to carry out the actions linked to th

34 Installation and Specifications Installation Safety Information330MP20/MP30MP20/MP30 Left side of monitor 1 MMS and one extension2 ECG analog outpu

Installation Safety Information 34 Installation and Specifications331MP40/MP50MP40/MP50 Rear of monitor 1 Space for optional interface boards, e.g. se

34 Installation and Specifications Installation Safety Information332MP60/MP70MP40/MP50 Left side of monitor 1 MMS and one extension2 Plug-in module s

Installation Safety Information 34 Installation and Specifications333Left side of monitor (MP60/70)1 MMS patient cable connectors2 Slot for integrated

34 Installation and Specifications Installation Safety Information334MP80/MP90MP80/MP90 (rear of processing unit) - MP80 does not have the top row of

Installation Safety Information 34 Installation and Specifications335802.11 Bedside Adapter (Wireless Network Adapter)MP80/MP90 (front of processing u

34 Installation and Specifications Altitude Setting336Altitude SettingAltitude affects tcGas and CO2 measurements. The monitor must be configured at i

Monitor Safety Specifications 34 Installation and Specifications337The OEM radio device used in this product is in compliance with the essential requi

34 Installation and Specifications Monitor Safety Specifications338M3016AMeasurement Server Extension - Mainstream CO2< 450 g< 0.99 lb< 190 x

Monitor Safety Specifications 34 Installation and Specifications339Environmental SpecificationsThe monitor may not meet the performance specifications

1 Basic Operation Operating and Navigating16Using the SpeedPoint Rotate the SpeedPoint knob left or right. With each click, the highlight jumps to the

34 Installation and Specifications Monitor Safety Specifications340 Measurement Server M3001A, Measurement Server Extensions M3016A M3015A, M3014A, M3

M4605A Battery Specifications 34 Installation and Specifications341M4605A Battery Specifications MP20/MP30/MP40/MP50OnlyTwo batteries are required to

34 Installation and Specifications Monitor Performance Specifications342Monitor Performance SpecificationsTemperature Range Discharge 0 to 50 °C (32

Monitor Performance Specifications 34 Installation and Specifications343Battery SpecificationsMP20/MP30Operating Time(with 2 new, fully charged batter

34 Installation and Specifications Monitor Performance Specifications344Events Information trigger condition and time, event classification and associ

Monitor Performance Specifications 34 Installation and Specifications345Monitor Interface Specifications Network Standard IEEE 802.3 10-Base-TConnecto

34 Installation and Specifications Monitor Performance Specifications346Wireless NetworkDevice InterfaceConnector 8 pin Mini-DINSignalsRD+/-, TD+/-: I

Monitor Performance Specifications 34 Installation and Specifications347Video Interface MP60/MP70/MP80/MP90 SXGA (MP80, MP90, D80 only), XGAHorizontal

34 Installation and Specifications Measurement Specifications348Measurement SpecificationsSee the Appendix on Default Settings for a list of the setti

Measurement Specifications 34 Installation and Specifications349ECG/Arrhythmia/ST Alarm SpecificationsRange AdjustmentHR 15 to 300 bpmmaximum delay: 1

Operating and Navigating 1 Basic Operation17Using the Navigation Point MP20/MP30/MP40/MP50OnlyTo use the navigation point, rotate it left or right. Wi

34 Installation and Specifications Measurement Specifications350RespirationSpO2Unless otherwise specified, this information is valid for SpO2 measured

Measurement Specifications 34 Installation and Specifications351Measurement Validation: The SpO2 accuracy has been validated in human studies against

34 Installation and Specifications Measurement Specifications352NBPComplies with IEC 60601-2-30:1999/EN60601-2-30:2000.Pulse Range 30 to 300 bpmAccura

Measurement Specifications 34 Installation and Specifications353Measurement Validation: In adult and pediatric mode, the blood pressure measurements d

34 Installation and Specifications Measurement Specifications354Invasive Pressure and PulseComplies with IEC 60601-2-34:2000/EN60601-2-34:2000.NBP Ove

Measurement Specifications 34 Installation and Specifications355Temp Invasive Pressure Alarm Specifications Range Adjustment DelayPressure –40 to 360

34 Installation and Specifications Measurement Specifications356CO2The CO2 measurement in M3014A and M3015A complies with EN ISO 21647 (except alarm s

Measurement Specifications 34 Installation and Specifications357M3014A Mainstream and Sidestream CO2 Humidity Correction FactorEither BTPS or STPD can

34 Installation and Specifications Measurement Specifications358Where p = partial pressure, Pabs = absolute pressure, and PH2O = 42 mmHg @35°C and 100

Measurement Specifications 34 Installation and Specifications359Interfering Gas and Vapor Effects On CO2 Measurement ValuesThe specified deviations fo

1 Basic Operation Operating and Navigating18SmartKeysA SmartKey is a configurable graphical key, located at the bottom of the main screen. It gives yo

34 Installation and Specifications Measurement Specifications360Volume Wave (AWV) Range 0 to 100 ml (neonatal0 to 400 ml (pediatric)0 to 3000 ml (adul

Measurement Specifications 34 Installation and Specifications361Cardiac Output / Continuous Cardiac OutputNegative Inspiratory Pressure numericRange -

34 Installation and Specifications Measurement Specifications362tcGas Complies with IEC 60601-2-23:1999/EN60601-2-23:2000.ITBV Range 50 to 6000 mlAccu

Measurement Specifications 34 Installation and Specifications363SvO2 EEGComplies with IEC 60601-2-26:1994/EN60601-2-26:1994.tcpCO2 response time, incl

34 Installation and Specifications Measurement Specifications364BISEEG Performance SpecificationsLeakage Current <=10 µA @ 110VacInput Signal Range

Safety and Performance Tests 34 Installation and Specifications365Safety and Performance TestsYou must observe any national regulations on the qualifi

34 Installation and Specifications Safety and Performance Tests366Electromagnetic ImmunityThe monitor is suitable for use in the specified electromagn

Safety and Performance Tests 34 Installation and Specifications367Interference may occur in the vicinity of equipment marked with this symbol:Field st

34 Installation and Specifications Safety and Performance Tests368Electrosurgery Interference/Defibrillation/Electrostatic DischargeThe equipment retu

3693535Default Settings AppendixThis appendix documents the most important default settings of your monitor as it is delivered from the factory. For a

Operating and Navigating 1 Basic Operation19HardkeysA hardkey is a physical key on a monitoring device, such as the zero pressure key on the MMS or a

35 Default Settings Appendix Alarm Default Settings370Alarm Default SettingsECG, Arrhythmia, and ST Default SettingsAlarm Settings Factory Default H10

ECG, Arrhythmia, and ST Default Settings 35 Default Settings Appendix371Primary Lead IISecondary Lead VAnalysis Mode Multi-leadLead Placement Standard

35 Default Settings Appendix ECG, Arrhythmia, and ST Default Settings372Arrhythmia SettingsFactory defaults H10 / H20 / H40 H30 (deviations from H10/

Pulse Default Settings 35 Default Settings Appendix373Pulse Default SettingsPulse alarms use the settings of the currently selected Pulse alarm source

35 Default Settings Appendix Respiration Default Settings374Respiration Default SettingsSpO2 Default SettingsRespiration SettingsFactory defaults H10

NBP Default Settings 35 Default Settings Appendix375NBP Default SettingsTemperature Default SettingsPulse Alarms On/Off on on onPulse High Limit 120 b

35 Default Settings Appendix Invasive Pressure Default Settings376Invasive Pressure Default SettingsABP, ART, Ao, BAP, FAP, P, P1, P2, P3, P4, UAP Set

Cardiac Output Default Settings 35 Default Settings Appendix377Cardiac Output Default SettingsMean Only No YesFilter 12 Hz 12 HzMercury Cal. Yes YesAr

35 Default Settings Appendix CO2 Default Settings378CO2 Default SettingsSpirometry Default SettingsCO2 SettingsFactory defaults H10 / H20 / H40 H30 (d

tcGas Default Settings 35 Default Settings Appendix379tcGas Default SettingsSvO2 Default SettingstcGas Settings Factory Adult Factory Pedi Factory Neo

iiUnderstanding Profiles 24Swapping a Complete Profile 25Swapping a Settings Block 26Default Profile 26Locked Profiles 26Understanding Settings 26Cha

1 Basic Operation Operating and Navigating20Using the On-Screen KeyboardUse this as you would a conventional keyboard. Enter the information by select

35 Default Settings Appendix EEG Default Settings380EEG Default SettingsBIS Default SettingsEEG Settings Factory Adult Factory Pedi Factory NeoTP, SEF

VueLink Default Settings 35 Default Settings Appendix381VueLink Default SettingsDevice Alarms IgnoredColor Green

35 Default Settings Appendix VueLink Default Settings382

i#10-lead placement (ECG) 10012-lead placement (ECG) 1003-lead placement (ECG) 984-channel recorder 2585-lead placement (ECG) 98AAAMI ECG lead labels

iipvc-related alarms 116short yellow 105sinus and SV rhythm ranges 350, 352switching on/off 113timeout periods 113yellow 113arrhythmia monitoringand d

iiiother bed window 87pop-up window 88catheterSvO2, insertion205catheter constant, setting (PiCCO) 166catheter preparationSvO2204cautions 1CCOcalibrat

ivdisplay settings 24disposalgas cylinder307parts and accessories 307documenting events 251dosemeter (drug calculator) 279dPmax 162drip table (drug ca

vconnecting via VueLink 282external pacing electrodesand ECG monitoring106extreme bradycardia alarm 105, 129extreme rate alarms 105, 129extreme tachyc

vilow pass filter (BIS) 220LVCI 162MM1116B 257M3160A recorder 258main screen overview 14mainstreamcapnography12mainstream CO2accessories176, 188measur

viioscillometric method 143pediatric cuffs 312preparing to measure 144repeat time 145repeat time for automatic 146repetition time, setting 146reusable

Operating Modes 1 Basic Operation21Operating ModesWhen you switch the monitor on, it starts up in monitoring mode. To change to a different mode:1 Sel

viiiprintingC.O. measurements169calculations reports 237event reports 251ST map reports 125status log 307trends reports 228wedge 159priority list for

ixre-triggering events 245retrolental fibroplasia (SpO2) 140reviewcalculations235reviewing alarm messages 50reviewing alarms 50reviewing alarms window

xscaleST map125task window 124trend view 123trending interval, changing 125trending priority 124ST maps 122ST point 120standard 10-lead placement 100s

xivolumealarm43touch tone volume 31volume-flow loops 289VueLinkalarm messages283device driver conflicts 284language conflicts 284module 281module opti

xii

1 Basic Operation Understanding Screens22Understanding ScreensYour monitor comes with a set of preconfigured Screens, optimized for common monitoring

Using Additional Displays 1 Basic Operation23In the Change Screen menu, the changed Screen is shown linked to the original Screen and marked with an a

1 Basic Operation Understanding Profiles241Select Profiles in the monitor info line of the first display,2 Select Display 1, Display 2, or Display 3 t

Understanding Profiles 1 Basic Operation25You can change from one complete profile to another or swap individual settings blocks (display screen/monit

1 Basic Operation Understanding Settings26Swapping a Settings Block 1 Select Profiles in the monitor info line, or select the Profiles SmartKey. 2 In

Changing Wave Speeds 1 Basic Operation27•via the Main Setup SmartKey - if you want to setup a measurement when the measurement is switched off, use th

1 Basic Operation Freezing Waves283Select a value from the list of available speeds.Changing Wave Speed for a ChannelTo change the wave speed of an in

Using Labels 1 Basic Operation29Changing The Wave SpeedLowering the wave speed compresses the wave and lets you view a longer time period. Increasing

iii3 Alarms 41Visual Alarm Indicators 42Audible Alarm Indicators 42Alarm Tone Configuration 42Traditional Audible Alarms (HP/Agilent/Philips/Carenet)

1 Basic Operation Using Labels301Enter the Wave menu of the measurement. 2 Select Label.3 Choose a label from the list.The monitor automatically appli

Changing Monitor Settings 1 Basic Operation312 Select the device whose label you want to correct.3 Use the measurement selection pop-up keys to resolv

1 Basic Operation Checking Your Monitor Revision322 Select, in turn, the Year, Month, Day, Hour (in 24 hour format, only) and Minute as necessary. Sel

Disconnecting from Power 1 Basic Operation332Connect the required modules, Measurement Servers, or measurement server extensions.3 Check that you have

1 Basic Operation Using Remote Applications341In the Main Setup menu, select Remote Applics, or select the Remote Applications SmartKey.2 Select the r

3522What’s New?This section lists the most important new features and improvements to the monitor and its user interface introduced with each release.

2What’s New? What’s New in Release C.0?36What’s New in Release C.0?IntelliVue MP80The MP80 patient monitor is a new addition to the IntelliVue patient

What’s New in Release B.1? 2What’s New?37Trends• In graphical trends, a segment menu allows direct adjustment of trend scales, automatic scale optimiz

2What’s New? What’s New in Release B.0?38• ST Point can be set directly by selecting a numeric value• New NBP countdown timer shows the time remaining

What’s New in Release A.2? 2What’s New?39What’s New in Release A.2?12-Lead ECG recordings: 12-Lead ECG waves and numerics can be sent to a connected

ivDischarging a Patient 79Transferring Patients 80Transferring a Centrally-Monitored Patient 80Transferring a Patient with an MMS (no Central Station)

2What’s New? What’s New in Release A.2?40

4133AlarmsThe alarm information here applies to all measurements. Measurement-specific alarm information is discussed in the sections on individual me

3Alarms Visual Alarm Indicators42Visual Alarm IndicatorsAlarm message: An alarm message text appears in the alarm status area at the top of the scree

Audible Alarm Indicators 3Alarms43Traditional Audible Alarms (HP/Agilent/Philips/Carenet)• Red alarms: A high pitched sound is repeated once a second.

3Alarms Acknowledging Alarms44Acknowledging Alarms To acknowledge all active alarms and INOPs, select the Silence permanent key. This switches off the

Pausing or Switching Off Alarms 3Alarms45To Pause All Alarms♦ Select the Pause Alarms permanent key. If your monitor is configured to infinite pause t

3Alarms Alarm Limits46Restarting Paused Alarms ♦ To manually switch on alarm indication again after a pause, select the permanent key Pause Alarms (or

Alarm Limits 3Alarms47Viewing All Alarm Limits The Alarm Limits overview window lists the currently set alarm limits for all measurements. If an Apnea

3Alarms Alarm Limits48These pop-up keys are not available in the window for changing individual alarm limits which you access by selecting the measure

Alarm Limits 3Alarms49If you set the yellow alarm limit outside the red alarm limit, the monitor will automatically set the red alarm to the yellow al

vStandard 3-Lead Placement 98Standard 5-Lead Placement 98Chest Electrode Placement 9910-Lead Placement 100Conventional 12-Lead ECG 100Modified 12-Lead

3Alarms Reviewing Alarms50Reviewing AlarmsTo review the currently active alarms and INOPs, select any of the alarm status areas on the monitor screen.

Understanding Alarm Messages 3Alarms51Understanding Alarm MessagesIf you do not immediately understand an INOP or alarm message, refer to its help tex

3Alarms Testing Alarms52Alarm Latching BehaviorAll INOPs except DISCONNECT and UNPLUGGED INOPs from measurement servers and modules are non-latching.

5344Patient Alarms and INOPsThis chapter lists patient alarms and technical alarms (INOPs) alphabetically, irrespective of their priority. INOPs start

4 Patient Alarms and INOPs Patient Alarm Messages54***BRADY (Pulse) or ***BRADY xxx<yyyPress, SpO2The heart rate from the Pulse signal has fallen b

Patient Alarm Messages 4 Patient Alarms and INOPs55**HR HIGH ECG The heart rate high alarm limit has been exceeded.numeric flashes and high limit is h

4 Patient Alarms and INOPs Patient Alarm Messages56*/**NON-SUSTAIN VT ECG/ArrhythmiaA run of Vs having a ventricular HR>V-Tach HR limit, but lastin

Patient Alarm Messages 4 Patient Alarms and INOPs57**RR HIGH RESP The respiration rate has exceeded the high alarm limit.numeric flashes and high limi

4 Patient Alarms and INOPs Patient Alarm Messages58**tcpO2 LOW/ **tcpCO2 LOWtcGas The tcpO2 or tcpCO2 value has fallen below the low alarm limit.numer

Technical Alarm Messages (INOPs) 4 Patient Alarms and INOPs59Technical Alarm Messages (INOPs)The measurement labels and abbreviations for pressure, te

viBehavior of Silenced Arrhythmia Alarms 114Arrhythmia Alarm Chaining 115Understanding PVC-Related Alarms 116About ST Monitoring 117Switching ST On an

4 Patient Alarms and INOPs Technical Alarm Messages (INOPs)60BIS CABLE INCOMPATINOP tone.BIS The semi-reusable sensor cable connected is unknown or no

Technical Alarm Messages (INOPs) 4 Patient Alarms and INOPs61BIS ISOELECTRC EEG BIS No discernible EEG activity is detected for longer than one minute

4 Patient Alarms and INOPs Technical Alarm Messages (INOPs)62BISx INCOMPATIBLEINOP toneBIS The BISx software is not compatible with the BIS module or

Technical Alarm Messages (INOPs) 4 Patient Alarms and INOPs63CCO PRESS INVALIDat Information CenterC.O. The arterial pressure selected for pulse conto

4 Patient Alarms and INOPs Technical Alarm Messages (INOPs)64Check Mouse DeviceINOP tone.Monitor Perform a visual and functional check of the mouse in

Technical Alarm Messages (INOPs) 4 Patient Alarms and INOPs65CO2 CHECK CALNumeric is replaced by a - ? - INOP tone.CO2The CO2 value is outside the mea

4 Patient Alarms and INOPs Technical Alarm Messages (INOPs)66CO2 ZERO FAILEDNumeric is replaced by a - ? - INOP tone.CO2An error occurred during the l

Technical Alarm Messages (INOPs) 4 Patient Alarms and INOPs67EEG<X> LEAD OFF[X = channel]at Information CenterEEG One or more electrodes are not

4 Patient Alarms and INOPs Technical Alarm Messages (INOPs)68LEADS OFFNumeric is replaced by -?- for 10 seconds; INOP tone.ECG Check that all of the r

Technical Alarm Messages (INOPs) 4 Patient Alarms and INOPs69NBP INTERRUPTEDNumeric is replaced by -?- INOP tone.NBP Check the tubing and cuff for lea

viiManual Detection Mode 133Resp Detection Modes and Cardiac Overlay 133Changing the Size of the Respiration Wave 133Changing the Speed of the Respira

4 Patient Alarms and INOPs Technical Alarm Messages (INOPs)70<Pressure label> EQUIP MALFNumeric displayed with -?- INOP tone.PRESS Contact your

Technical Alarm Messages (INOPs) 4 Patient Alarms and INOPs71RESP ERRATICNumeric is replaced by -?- RESP The monitor has detected too many artifacts i

4 Patient Alarms and INOPs Technical Alarm Messages (INOPs)72<SpO2 label> DEACTIVATEDINOP toneSpO2You have connected a measurement server that u

Technical Alarm Messages (INOPs) 4 Patient Alarms and INOPs73<SpO2 LABEL> UPGRADELabel is displayed with a -?-, numeric is unavailableSpO2The Sp

4 Patient Alarms and INOPs Technical Alarm Messages (INOPs)74SvO2 UNABL TO MEASSvO2 numeric is replaced by -?-. INOP toneSvO2The signal is out of the

Technical Alarm Messages (INOPs) 4 Patient Alarms and INOPs75tcpO2 (or tcpCO2 or tcGas) EQUIP MALF Numeric is replaced by -?- INOP tone.tcGas There is

4 Patient Alarms and INOPs Technical Alarm Messages (INOPs)76Ttymp INOPS TEMP See <Temp label> INOPs (under Temp)Tven INOPS TEMP See <Temp la

7755Managing PatientsUse the Patient Demographics window and its associated pop-up keys to admit, discharge, and transfer (ADT) patients. All patient

5 Managing Patients Quick Admitting a Patient78– First name: Enter the patient’s first name, for example Joseph.– MRN: Enter the patient’s medical rec

Editing Patient Information 5 Managing Patients793Select Enter.4 In the confirmation window, select Confirm to discharge the previous patient (if conf