Phi, Part Number M1046-9220L Printed 02/2003 | Philips V24CT

Philips M1165/66/67/75/76/77A CMS Patient Monitoring System and

Philips M1205A

V24 and V26 Patient Monitor

User’s Reference Manual

Volume 1

System Information

PHI

Part Number M1046-9220L

Printed 02/2003

Image 1

Philips V24CT, V26CT manual Phi, Part Number M1046-9220L Printed 02/2003

Contents

Part Number M1046-9220L Printed 02/2003 PHI Warranty Iii Avoiding Electromagnetic Interference Electromagnetic InterferenceElectromagnetic Compatibility M1205A Only Description Intended UsePurpose Environment Condition Indications for UseFrequency of Use Physiological Purpose Prescription Versus Over-the-Counter Viii Indications for Use Monitor Setup Monitor Revision → Show SW Rev Manufacturer´s Address Responsibility of the Manufacturer Responsibility of the Manufacturer Xii Contents CMS and V24 and V26 Patient Monitors Getting Started Contents-4 Other Patients Contents-6 Admit/Discharge/End Case Neonatal Event Review Battery Information V24CT and V26CT only 12-1 Contents-10 CMS and V24 and V26 Patient Monitors CMS Patient IntroductionMonitoring System M1167/77A System M1167/77A System with External Alarm Device Full Title Abbreviation M1165/75A and M1166/76A System CMS and V24 and V26 Patient Monitors V24 Patient Monitor Panel ControlSoftkeys Hardkeys V24 and V26 Patient Monitor Control Panel CMS Control PanelKey instead CMS only Handheld KeypadKeys Until External Alarm DeviceNormal Functions Hardkey Confirm Key Battery V26CT/V24CT Power SupplyPower Supply Specifications BatteryVolt Parameter Modules Symbol Name Function Which Modules? Symbols to Indicate Key Functions CMS Patient Monitoring System Rack Type Mounting CommentsV24 and V26 Patient Monitor Rack can be used Is displayed if an unknown module is plugged into the rack Message Operating Levels CMS and V24 and V26 Patient Monitors 135/72 Selection For information on how to change the selection seeWindow Function Task By pressing the Setup key on the parameter moduleThere are two ways to get into the second operating level Via the Selection Window Below to get into the Selection and Task Windows Getting into the Operating LevelsSelection Window Task Window CMS and V24 and V26 Patient Monitors Touch or Mouse/Trackball Operation Control Panel Task Window Touch GeneralMouse Trackball Touch Responsive Objects From Items Task Window the Touchboard was accessed from Press Disabling M1046A CMS Computer ModulesComputer Module ECG Output and Defibrillator Marker Input M1046B V24 and V26 Parameter Module Rack Operating Rules to Remember Performance Specifications of the Philips Displays Safety Using an ITE DisplaySafety Performance Requirements Perfor Specification Requirement or Value UnitsMance Require Using an ITE Display CMS and V24 and V26 Patient Monitors Getting Started Setting up the Monitor V24 and V26 only Inserted. StartedGetting Getting Started Setting up the Parameter Modules Attaching the Patient Screen AdjustingContrast V24 Messages Starting Monitoring Reserving a Channel Below the alarm and Inop messagesPrompt messages appear for 3 seconds Task Window the prompt and status messages remain until Information FailureCenter Standby Getting Started Getting Started Setting up your Monitor Changing Display Screens Selecting a Screen ProcedurePress the hardkey CMS or You can freeze any wave movement on the screen via Freezing Waves CMS onlyKeys. Press Other key except To restart the waves What you Can Configure Hardkeys are indicated in the text like this Changes to the Configuration Making Changes to the Main Display Assigning Waves to Screen Channels Screen Press Repeatedly to select a channel onPress To move the selection to the wave you want To place in your selected channel Press To select a screen A-E. The selected Depending on the configuration of the different screensScreen choice and its screen label will appear at the top Task Window. The other items on the screen will change Selecting Screen Labels for Realtime Display Screens Press Confirm Screen Press To choose 4, 6, or 8 waves to be displayed Selecting the Number of WavesDepending on your model Press To choose one of the available numbers Changing the Wave OverlapDependent on model. The boxes in the middle of the screen Indicate which waves are overlapping Selecting Realtime Wave Speeds To return to To return to the RealtimeSelection window or On/Off Numerics Numeric Positions Aligned Numerics Numeric Sizes Additional They are described in more detail in the following sections Selecting an Application WindowPress Until ApplicWindow is selected on Application window to be displayed Special Implications for Touch or Mouse Operation Displaying Split Screen Trends Data for Viewing TrendInvasive Blood Systolic pressure Data for Non With a thicker line than the other trendsBelow Main Screen Display with oxyCRG OxyCRG Display Main Screen OxyCRGStandard Display OxyCRG Display Monitor CSA Display CMS only Realtime waves Main Screen Standard Display CSA Display Press Until Wave Replace is selected on Wave ReplaceWill be filled with another wave Press To choose fixed or moving traces Trace Mode Configuring a Second Independent Display CMS only Switch this setup off again using On/Off Setup or Other Functions You Can ConfigureParameters On/Off → On/Off Setup Adjusting the Volume Control 135/72 Message will appear with the date and time settings Adjusting the Date and TimeCorresponding softkeys Monitor Selecting Waves for Central Recorders Configuring Module, Bedside and Central Recordings Other Patients Controls Status Log Function Monitor Revision Function Changing Default Settings and Patient Category Changing the Patient Category Adult Pedi Neo Parameter Patient Category Adult Pedi NeoAdult Neo Adult Neo Inv. Pressure Adult ExamplesPediatric Neonate Setting up your Monitor Morphology NBP RecommendationsECG Recommendations Recommendation Pressure Heart Rate HR / PulseSpO2 Adult bpm Pedi/Neo bpm Adult/Pedi Neo CO2 Type, as this is automatically set to or Changing the Configuration Set Configuration Set are displayed Set you require. The universal settings for the selectedTo switch to the selected set Changing Operating Modes Mode Returning to Instrument goes through the boot-up sequence and reverts Enter the password by pressing the appropriate combinationPassword by pressing Again Press the softkey Move the highlighting to Test Signals Function Press softkey Instrument Configuration Procedure Analog Output CMS onlyPress hardkey Then ECG and ECG 25 rpm Temperature 40C 104F Numeric onlyMmHg 6.0 kPa MmHg 0.0 kPa Parameter Settings Transfer Monitor Message Condition Action required Parameter Settings Transfer Messages Setting up your Monitor Other Patients Using Philips Patient Care System with an Arrhythmia Overview Philips Patient Care System Including alarms and INOPsOther Patients Incoming Alarm Automatic Alarm Other Patients Multiple Incoming Alarms Other Patients Configuring Other Patients Controls Other Patients Beat Label Meaning Tachy run limit is adjustable from 3 to Absence of V fib or chaotic signalUsing the Change Limits display. Tachy Bpm using the Change Limits display Minimum Condition Required for Alarm AlarmOn-T VPBs HR XXX UUU HR XXX LLL Alarm Minimum Condition Requiring an Alarm Arrhythmia Alarms on the 78720 Arrhythmia Computer Tach Fibrillatory wave for 4 consecutive secondsHR V-Tach HR limit Run limit Message Minimum Condition Requiring an Alarm Extended Overview CMS only To View an Extended Other Patients Bed Select the bed, usingExtended Overview Task Window will be displayed When done, select To return to the Main Screen or to To view an Alarming Bed from Alert NotificationAlert Notification Pressed on the source bedside monitor or On the central Alarm Functions Alarm Functions Alarm DisplayControl Panel Alarm Lamps Suspending AlarmsWhat the Symbol Means Suspended Alarms during Arrhythmia Monitoring Silencing and Resetting Alarms Alarm Reminder Alarm Behavior Alarm Reminder Reminder Time New Alarm Recording Full alarm tone Alarm is given Audible alarm Priorities Audible Alarms Viewing Alarm MessagesHardkey Alarm Functions Occurs When an Alarms Selection Window Alarm Setup Adjust the limits Changing Alarm LimitsIf there are more than 10 alarm bars to review, press QRS and the alarm tone volume can be set independently Press Setting Volume Control Call Relay Alarm Reminder Nurse Call Relay Signal Behavior Alarm Functions Recording Functions Model Number General Recorder InformationRecorder Plug-In M1116A/B a Channel Bedside Continue light Controls and Indicators on the Plug- In RecorderRUN/CONT key Stop key Controls and Indicators on the 4- Channel Recorder CMS only Key Recorder CapabilitiesMakes currently printing recording Plug-In Recorder M1116A/B Central station and other monitors in overview mode Makes delayed recordings of waveforms broadcast overCentral Recorder 1 Types of Recordings Delayed Recording For Plug-In and 4-Channel Bedside Recorders Configuring Delayed RecordingsSelect wave for each channel Press Press To select waveform Press Change Second to select secondary wave For Central RecordersTo store the selected wave Display To return to the standard monitoring Making Delayed Recordings Alarm Recording Configuring Alarm Recordings Starting at the bottom channel, in the following priority RecordingChannel Channel P3 alarm Yellow CO2 alarm would produce a recording ordered asAll AlarmRec AlRecType Configuring Procedure RecordingsProcedure Recordings Recordings can be made during cardiac output measurements Making Procedure Recordings ST Recordings Procedure Recordings Recording Functions Non-Preset Recordings Preset RecordingsRealtime Wave Recordings Channel Press To give a name to the mode being Configuring Preset Recording ModesConfigured Modes B and C are configured in the same way Select wave for each channel If available Making Preset Recordings Making NonTo stop realtime recordings Recordings If the Recorder is Busy Making Calibrated Recording Functions Definitions Realtime Vital Signs / Blood Recordings Recording Functions Recording Functions Recording Functions Trended Vital Signs Recordings Monitor Setup selection windowHeader On the control panel Recording Functions Systolic Value has been entered Manually To stop trended vital signs recordings Making Trended Vital Signs Recordings Tabular Neonatal Event Review RecordingsNeonatal Event Making a Tabular Neonatal Event Recording OxyCRG Episode Recordings for Neonatal Events Making an oxyCRG Episode Recording OxyCRG Episode Data OxyCRG Recordings Patient Name Current Numerics & Alarms Alarm Recording Code Meaning Additional Information Recording Functions Cal Pulse Where @@@ is the signal value as follows@@@ Changing Delayed and realtime recordings can be extended orLength Recording as many times as needed On the recorder. The recording runs until you stop it by Changing the Recorder Speed Continuing Timed RecordingPressing On the recorder or Softkey on Display Inserting a SignalCalibration Layouts #11 25 mm Wave1 75 mm 50 mm Wave 3,4 Layout Choices on Recorder M1117A Sector Message Meaning Recording Status Messages Recorder Or shut the door Recorder door is open load new paperAn actively running recording has been Stopped Stopped by pressing On the recorder Philips’ approval Use only Philips-approved accessories Accessories and Ordering InformationFor details Damaged Loading Paper To Replace Paper Plug-In Recorder Backwards Recorder stripes Loading Paper into the Four Channel M1117A Recorder CMS only Recording Functions Step Cleaning the Roller on the Four Channel M1117A RecorderEquipment Required Loading Paper Recording Functions Admit/Discharge/End Case Admitting a Patient Admit/Discharge/End Case Admit/Discharge/End Case To clear data Changing Patient Information V24 and V26 only Case ICU Mode Adult/Pediatric ICU Mode Neonatal Or Mode Ending a DischargingCase Endcase.tif Trends and Calculations Introduction to Trends & Calculations Viewing Patient Data Standard Database No. of Parameters Resolution SizeMinute Hours Seconds Extended Database CMS only No. of Parameters Resolution Size Priority TrendingViewing Blood Mea Calculations Trends Trends and Calculations Yellow Status Monochrome Display Color Display Printout Vital Signs Interval Direction Graph Trends Span Viewing Vital SignsMinute Hour Hours Calculations Trends Trends and Calculations Parameters SelectingFor Graph Trends Graph Data management configuration and the options purchased Up to five pre-configured screens can be displayed using Calculations Trends Trends and Calculations Mark Examination of the waveforms and calibration signals Procedure to Insert a Calibration Pulse MV square wave Calibration pulse varies according to the wave typeOhm M-shaped wave All Pressures There are two calculation functions available Performing and Reviewing CalculationsHemodynamicsVentilation Left Cardiac Work LCW Trends and Calculations Calculation Task Window for Touch Screen Calculation Task Window Trends and Calculations Stores the resampled values at the current time Pressing Keys or Printing Printing ReportsWindow Reports Scheduled To turn the scheduled report capability on or off, press Graph Trends Report David Schultz Vital Signs Report Blood Review Report If Your What to DoReport Does Not Print Calculations Drug Calculator Calculations Trends Aution Trends and Calculations Calculations Trends Neonatal Event Review Introduction to Neonatal Event Review Viewing Neonatal Events Storage ManualFollowed by Details GraphicalEvent Bar Indicated by two or three event bars Neonatal Event Review Neonatal Event Review Neonatal Event Review Specifically by the user This value represents the most severe value during an event BD = AD =ABD = Example of an Event Summary Line Event Review Event Selecting anViewing an OxyCRG Summary RecordingPrinting Summary Changing Viewing oxyCRG Episodes Neonatal Event Review Jumps from one oxyCRG episode to the next in both directions Episode Selecting Softkey documents the selected oxyCRG Recording anAssociated oxyCRG episodes Printing an Adjusting Neonatal Event Review Settings Criteria SettingsApnea Event Bradycardia Select items Change the item content Operating In the Event Setup task window you canSelecting Listed under each event group Contents of an item ContentsChanging Item Data Transfer Data Transfer Module CMS Data Symbol Name Function Which Modules? What is Transferred Data Transfer To Module Types of TransferTransfer All Data to Module Data Transfer Data Transfer To Monitor When aAre automatically erased Transfer Data to the Monitor Blood TransferringAnalysis Data Data Transfer Blood AnalysisScenarios CTS Time Combining DataConversion Database Transfers to the Monitor Data Transfer To the Monitor Vital Signs, Blood Review and GraphsTo the Module When the transfer is finished Indicator of time changeAt calculation time Event Results Troubleshooting Transfer Performance SpecificationsTransfer Time Back up Memory Time Monitor Installation and Patient Safety Philips M1026A Anesthetic Gas Module V24 CMS Acms Ncms Monitor Installation Patient Safety Aution Source Installation Information Do not use a 3-wire to 2-wire adapter with these instruments Earth interconnected with either monitor Monitor Installation Patient Safety Ment Environ Acms with Anesthetic Gas Module Care Operating StorageOperating Storage Philips M1205A V24, V26, V24C and V26C Philips M1205A V24CT and V26CT Condensa- tionTo 35C 41 to 95F 15 to 40ºC 5 to 104ºF Up to 95% RH at 35C 95F Up to 90% RH at 40ºC 104ºF Explanation of Symbols used Monitor Installation Patient Safety Maintenance Frequency Source of Information Maintenance Checks Maintenance Checks Leads CablesFailure and possible health hazards Following diagram Controls and ConnectorsFront M1046A Computer Module is a component of the M1165A/66A/75A Rack Connector ECG Output P-p Module Connectors Connectors M1046A Computer Module Front Panel M1046B Computer Module For 100 Connectors M1046B Computer Module Rear Panel M1046A/B Computer Modules Monitor Installation Patient Safety Rear Panel Display Modules M1092A/M1094A Display Module Controls M1094B Display ModuleM1092A M1094A Connectors Monitor Installation Patient Safety M1095A M1095A Display Module ControlsDisplay Controls Connectors M1109A External Alarm Device Rear Panel M1109A External Alarm Device Rear Shown in the following diagramM1026A Anesthetic Gas Module ITE display Line protection fuses, T1.6 H Anesthetic Gas Exhaust Monitor Installation Patient Safety Lifting the Display Module Connecting the Anesthetic Gas Module V26 Connectors Monitor Installation Patient Safety Assembling V24 V26 78599AI-#J10 78599AI-#J0678599AI-#J20 Monitor Installation Patient Safety Battery Information V24CT and V26CT AC and DC Battery Operation AC power is indicated by Green LED indicator Line power for an initial charging cycleOperating Instructions Amber LED Up to 30-40% Flashing Off Information V26CT Battery V24CT 100 Battery Indicator and Messages Information V26CT Battery V24CT External Battery Charger Battery Care and Maintenance Handling Care 40488A 12 Volt Lead-Acid Batteries M1278A Battery Charger Information V26CT Battery V24CT Maintenance Soaps General cleaning of the SystemAmmonias Alcohol Maintenance Based Aldehyde General Disinfecting of the SystemBased Bleach Phenol based Maintenance Monitor Maintenance Procedure Frequency Source of Information Inspect InspectExterior Monitor Maintenance Perform a System Self Test Performance Assurance Checks Maintenance Check System Self-test Values Module Test Numeric Test Waveform Overview Self-Test Performing ECG ModuleModule Test Numeric Test Waveform Auto Check None Module Self Performing Invasive Pressure Self-Test None Auto Check None Performing NBP Module Self Test SpO2 Pleth Cardiac Output To the normal monitoring mode Malfunction is given refer to the Troubleshooting ChapterPerforming TcpO2 ET CO2 40 mmHg 6.0kPa PressMmHg 0.0kPa 25 rpm Ment Data ManageBase Self Test Tests for VueLink Module and Anesthetic Gas Module Maintenance Index of Volume Page With Data Transfer, 10-6 monitoring network V24 and V24C Patient Monitor getting started, 2-1,3-1