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Philips V26CT, V24CT manual M1167/77A System with External Alarm Device

Models: V26CT V24CT

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Page 26

The CMS and V24 and V26 Patient Monitors

Introduction

M1167/77A System with External Alarm Device

XGA Display

External Alarm Device

Computer

Module

Parameter

Modules

Display Module	ITE Display of choicea b
Computer Module	M1046B Computer Module
Parameter Modules	Satellite Rack

a. Philips offers the M1167/77A #H05 and #H07 (XGA Touchscreen

display configuration).

b. A 15” flat touchscreen display is also available separately under the order number M1097A #A02. A 17” CRT touchscreen display is also available separately under the order number M1098A

1-4 The CMS and V24 and V26 Patient Monitors

Image 26

Philips V26CT, V24CT manual M1167/77A System with External Alarm Device

Contents

PHI Part Number M1046-9220L Printed 02/2003 Warranty Iii Electromagnetic Compatibility M1205A Only Electromagnetic InterferenceAvoiding Electromagnetic Interference Purpose Intended UseDescription Environment Frequency of Use Indications for UseCondition Physiological Purpose Prescription Versus Over-the-Counter Viii Indications for Use Monitor Setup Monitor Revision → Show SW Rev Responsibility of the Manufacturer Manufacturer´s Address 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 Monitoring IntroductionCMS Patient System M1167/77A System M1167/77A System with External Alarm Device M1165/75A and M1166/76A System Full Title Abbreviation CMS and V24 and V26 Patient Monitors V24 Patient Monitor Softkeys ControlPanel Hardkeys Key instead CMS Control PanelV24 and V26 Patient Monitor Control Panel Keys Handheld KeypadCMS only Normal External Alarm DeviceUntil Hardkey Functions Confirm Key Power V26CT/V24CT Power SupplyBattery Supply Volt BatterySpecifications Parameter Modules Symbols to Indicate Key Functions Symbol Name Function Which Modules? V24 and V26 Patient Monitor Rack Type Mounting CommentsCMS Patient Monitoring System Rack can be used Message Is displayed if an unknown module is plugged into the rack Operating Levels CMS and V24 and V26 Patient Monitors 135/72 Window For information on how to change the selection seeSelection Function There are two ways to get into the second operating level By pressing the Setup key on the parameter moduleTask Via the Selection Window Selection Window Getting into the Operating LevelsBelow to get into the Selection and Task Windows Task Window CMS and V24 and V26 Patient Monitors Touch or Mouse/Trackball Operation Control Panel Task Window Mouse GeneralTouch Trackball Touch Responsive Objects Items Task Window the Touchboard was accessed from Press From Disabling Computer CMS Computer ModulesM1046A Module M1046B ECG Output and Defibrillator Marker Input V24 and V26 Parameter Module Rack Operating Rules to Remember Performance Specifications of the Philips Displays Safety Using an ITE DisplaySafety Performance Requirements Mance Specification Requirement or Value UnitsPerfor 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 Contrast AdjustingScreen V24 Starting Monitoring Messages Prompt messages appear for 3 seconds Below the alarm and Inop messagesReserving a Channel Task Window the prompt and status messages remain until Center FailureInformation Standby Getting Started Getting Started Setting up your Monitor Changing Display Screens Press the hardkey ProcedureSelecting a Screen CMS or Keys. Press Freezing Waves CMS onlyYou can freeze any wave movement on the screen via Other key except To restart the waves What you Can Configure Changes to the Configuration Hardkeys are indicated in the text like this Making Changes to the Main Display Assigning Waves to Screen Channels Press To move the selection to the wave you want Press Repeatedly to select a channel onScreen To place in your selected channel Screen choice and its screen label will appear at the top Depending on the configuration of the different screensPress To select a screen A-E. The selected Task Window. The other items on the screen will change Selecting Screen Labels for Realtime Display Screens Press Confirm Depending on your model Selecting the Number of WavesScreen Press To choose 4, 6, or 8 waves to be displayed Dependent on model. The boxes in the middle of the screen Changing the Wave OverlapPress To choose one of the available numbers Indicate which waves are overlapping Selecting Realtime Wave Speeds Selection window or To return to the RealtimeTo return to Numerics On/Off Aligned Numerics Numeric Positions Additional Numeric Sizes Press Until ApplicWindow is selected on Selecting an Application WindowThey are described in more detail in the following sections Application window to be displayed Special Implications for Touch or Mouse Operation Displaying Split Screen Trends Invasive Blood Viewing TrendData for Systolic pressure Below With a thicker line than the other trendsData for Non OxyCRG Display Main Screen Display with oxyCRG Standard Display OxyCRG Display OxyCRGMain Screen Monitor CSA Display CMS only Main Screen Standard Display CSA Display Realtime waves Will be filled with another wave Wave ReplacePress Until Wave Replace is selected on Trace Mode Press To choose fixed or moving traces Configuring a Second Independent Display CMS only Parameters On/Off Other Functions You Can ConfigureSwitch this setup off again using On/Off Setup or → On/Off Setup Adjusting the Volume Control 135/72 Corresponding softkeys Adjusting the Date and TimeMessage will appear with the date and time settings 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 Neo Parameter Patient Category Adult Pedi NeoAdult Pedi Neo Adult Neo Inv. Pressure Pediatric ExamplesAdult Neonate Setting up your Monitor ECG NBP RecommendationsMorphology Recommendation Recommendations SpO2 Heart Rate HR / PulsePressure Adult bpm Pedi/Neo bpm CO2 Adult/Pedi Neo Changing the Configuration Set Type, as this is automatically set to or To switch to the selected set Set you require. The universal settings for the selectedConfiguration Set are displayed Changing Operating Modes Returning to Mode Password by pressing Enter the password by pressing the appropriate combinationInstrument goes through the boot-up sequence and reverts Again Press the softkey Move the highlighting to Test Signals Function Press hardkey Procedure Analog Output CMS onlyPress softkey Instrument Configuration Then MmHg 6.0 kPa 25 rpm Temperature 40C 104F Numeric onlyECG and ECG MmHg 0.0 kPa Parameter Settings Transfer Monitor Parameter Settings Transfer Messages Message Condition Action required Setting up your Monitor Using Philips Patient Care System with an Arrhythmia Other Patients Overview Other Including alarms and INOPsPhilips Patient Care System Patients Automatic Alarm Other Patients Incoming Alarm Multiple Incoming Alarms Other Patients Configuring Other Patients Controls Other Patients Beat Label Meaning Using the Change Limits display. Tachy Absence of V fib or chaotic signalTachy run limit is adjustable from 3 to Bpm using the Change Limits display On-T VPBs AlarmMinimum Condition Required for Alarm HR XXX UUU HR XXX LLL Arrhythmia Alarms on the 78720 Arrhythmia Computer Alarm Minimum Condition Requiring an Alarm HR V-Tach HR limit Fibrillatory wave for 4 consecutive secondsTach Run limit Message Minimum Condition Requiring an Alarm Extended Overview CMS only Extended Overview Task Window will be displayed Select the bed, usingTo View an Extended Other Patients Bed Alert Notification To view an Alarming Bed from Alert NotificationWhen done, select To return to the Main Screen or to Pressed on the source bedside monitor or On the central Alarm Functions Control Panel Alarm DisplayAlarm Functions What the Symbol Means Suspending AlarmsAlarm Lamps Silencing and Resetting Alarms Suspended Alarms during Arrhythmia Monitoring Alarm Reminder Reminder Time Alarm Reminder Alarm Behavior Full alarm tone New Alarm Recording Alarm is given Audible alarm Priorities Hardkey Viewing Alarm MessagesAudible Alarms Alarm Functions When an Occurs Alarm Setup Alarms Selection Window If there are more than 10 alarm bars to review, press Changing Alarm LimitsAdjust the limits Setting Volume Control QRS and the alarm tone volume can be set independently Press Alarm Reminder Nurse Call Relay Signal Behavior Call Relay Alarm Functions Recording Functions Recorder General Recorder InformationModel Number Plug-In M1116A/B a Channel Bedside RUN/CONT key Controls and Indicators on the Plug- In RecorderContinue light Stop key Controls and Indicators on the 4- Channel Recorder CMS only Makes currently printing recording Recorder CapabilitiesKey Plug-In Recorder M1116A/B Central Makes delayed recordings of waveforms broadcast overCentral station and other monitors in overview mode Recorder 1 Types of Recordings Delayed Recording Select wave for each channel Press Configuring Delayed RecordingsFor Plug-In and 4-Channel Bedside Recorders Press To select waveform To store the selected wave For Central RecordersPress Change Second to select secondary wave Display To return to the standard monitoring Making Delayed Recordings Alarm Recording Configuring Alarm Recordings Channel RecordingStarting at the bottom channel, in the following priority All AlarmRec Yellow CO2 alarm would produce a recording ordered asChannel P3 alarm AlRecType Procedure Recordings Procedure RecordingsConfiguring Recordings can be made during cardiac output measurements Making Procedure Recordings ST Recordings Procedure Recordings Recording Functions Realtime Wave Recordings Preset RecordingsNon-Preset Recordings Configured Modes B and C are configured in the same way Configuring Preset Recording ModesChannel Press To give a name to the mode being Select wave for each channel To stop realtime recordings Making Preset Recordings Making NonIf available Making Calibrated Recordings If the Recorder is Busy Recording Functions Realtime Vital Signs / Blood Recordings Definitions Recording Functions Recording Functions Recording Functions Header Monitor Setup selection windowTrended Vital Signs Recordings On the control panel Recording Functions Systolic Value has been entered Manually Making Trended Vital Signs Recordings To stop trended vital signs recordings Neonatal Neonatal Event Review RecordingsTabular Event OxyCRG Episode Recordings for Neonatal Events Making a Tabular Neonatal Event Recording OxyCRG Episode Data Making an oxyCRG Episode Recording OxyCRG Recordings Patient Name Current Numerics & Alarms Alarm Recording Additional Information Code Meaning Recording Functions @@@ Where @@@ is the signal value as followsCal Pulse Length Delayed and realtime recordings can be extended orChanging Recording as many times as needed Pressing On the recorder or Softkey on Changing the Recorder Speed Continuing Timed RecordingOn the recorder. The recording runs until you stop it by Display Calibration SignalInserting a Layouts Layout Choices on Recorder M1117A Sector #11 25 mm Wave1 75 mm 50 mm Wave 3,4 Recording Status Messages Message Meaning An actively running recording has been Recorder door is open load new paperRecorder Or shut the door Stopped Stopped by pressing On the recorder For details Accessories and Ordering InformationPhilips’ approval Use only Philips-approved accessories Damaged Loading Paper To Replace Paper Plug-In Recorder Backwards Recorder stripes Loading Paper into the Four Channel M1117A Recorder CMS only Recording Functions Equipment Cleaning the Roller on the Four Channel M1117A RecorderStep Required Loading Paper Recording Functions Admit/Discharge/End Case Admitting a Patient Admit/Discharge/End Case Admit/Discharge/End Case Changing Patient Information To clear data V24 and V26 only ICU Mode Adult/Pediatric ICU Mode Neonatal Case Or Mode Case DischargingEnding a Endcase.tif Trends and Calculations Introduction to Trends & Calculations Minute Hours Seconds Standard Database No. of Parameters Resolution SizeViewing Patient Data Extended Database CMS only No. of Parameters Resolution Size Viewing TrendingPriority Blood Mea Calculations Trends Trends and Calculations Status Monochrome Display Color Display Printout Yellow Minute Hour Hours Viewing Vital SignsVital Signs Interval Direction Graph Trends Span Calculations Trends Trends and Calculations For Graph SelectingParameters Trends Data management configuration and the options purchased Graph Up to five pre-configured screens can be displayed using Calculations Trends Trends and Calculations Mark Procedure to Insert a Calibration Pulse Examination of the waveforms and calibration signals Ohm M-shaped wave Calibration pulse varies according to the wave typeMV square wave All Pressures HemodynamicsVentilation Performing and Reviewing CalculationsThere are two calculation functions available Left Cardiac Work LCW Trends and Calculations Calculation Task Window Calculation Task Window for Touch Screen Trends and Calculations Pressing Stores the resampled values at the current time Keys or Window Reports Printing ReportsPrinting Scheduled To turn the scheduled report capability on or off, press Graph Trends Report Vital Signs Report Blood Review Report David Schultz Report Does What to DoIf Your Not Print Calculations Drug Calculator Calculations Trends Aution Trends and Calculations Calculations Trends Neonatal Event Review Introduction to Neonatal Event Review Viewing Neonatal Events Followed by ManualStorage Event Bar GraphicalDetails Indicated by two or three event bars Neonatal Event Review Neonatal Event Review Neonatal Event Review This value represents the most severe value during an event Specifically by the user ABD = AD =BD = Event Review Example of an Event Summary Line Viewing an Selecting anEvent OxyCRG Printing RecordingSummary Summary Changing Viewing oxyCRG Episodes Neonatal Event Review Episode Jumps from one oxyCRG episode to the next in both directions Associated oxyCRG episodes Recording anSelecting Softkey documents the selected oxyCRG Printing an Adjusting Neonatal Event Review Settings Apnea Event SettingsCriteria Bradycardia Selecting Operating In the Event Setup task window you canSelect items Change the item content Listed under each event group Changing Item ContentsContents of an item Data Transfer Data Transfer Module CMS Data What is Transferred Symbol Name Function Which Modules? Data Transfer Transfer All Data to Module Types of TransferTo Module Data Transfer Data Transfer Are automatically erased When aTo Monitor Transfer Data to the Monitor Analysis TransferringBlood Data Scenarios Blood AnalysisData Transfer CTS Conversion Combining DataTime Database Transfers to the Monitor Data Transfer To the Module Vital Signs, Blood Review and GraphsTo the Monitor At calculation time Indicator of time changeWhen the transfer is finished Troubleshooting Event Results Transfer Time Performance SpecificationsTransfer Back up Memory Time Monitor Installation and Patient Safety CMS Acms Ncms Philips M1026A Anesthetic Gas Module V24 Monitor Installation Patient Safety Aution Installation Information Source Do not use a 3-wire to 2-wire adapter with these instruments Earth interconnected with either monitor Monitor Installation Patient Safety Environ Ment Operating Storage Care Operating StorageAcms with Anesthetic Gas Module Philips M1205A V24, V26, V24C and V26C To 35C 41 to 95F 15 to 40ºC 5 to 104ºF Condensa- tionPhilips M1205A V24CT and V26CT Up to 95% RH at 35C 95F Up to 90% RH at 40ºC 104ºF Explanation of Symbols used Monitor Installation Patient Safety Maintenance Checks Maintenance Frequency Source of Information Maintenance Checks Failure and possible health hazards CablesLeads Front Controls and ConnectorsFollowing diagram M1046A Computer Module is a component of the M1165A/66A/75A Connectors M1046A Computer Module Rack Connector ECG Output P-p Module Connectors Front Panel M1046B Computer Module Connectors M1046B Computer Module For 100 Rear Panel M1046A/B Computer Modules Monitor Installation Patient Safety Rear Panel Display Modules M1092A/M1094A Display Module M1092A M1094B Display ModuleControls M1094A Connectors Monitor Installation Patient Safety Display M1095A Display Module ControlsM1095A Rear Panel M1109A External Alarm Device Controls Connectors M1109A External Alarm Device M1026A Anesthetic Gas Module Shown in the following diagramRear ITE display Line protection fuses, T1.6 H Anesthetic Gas Exhaust Monitor Installation Patient Safety Connecting the Anesthetic Gas Module Lifting the Display Module V26 Connectors Monitor Installation Patient Safety Assembling V24 V26 78599AI-#J20 78599AI-#J0678599AI-#J10 Monitor Installation Patient Safety Battery Information V24CT and V26CT AC and DC Battery Operation Operating Instructions Line power for an initial charging cycleAC power is indicated by Green LED indicator Amber LED Up to 30-40% Flashing Off Information V26CT Battery V24CT Battery Indicator and Messages 100 Information V26CT Battery V24CT External Battery Charger Battery Care and Maintenance Care Handling 40488A 12 Volt Lead-Acid Batteries M1278A Battery Charger Information V26CT Battery V24CT Maintenance Ammonias General cleaning of the SystemSoaps Alcohol Maintenance Based Bleach General Disinfecting of the SystemBased Aldehyde Phenol based Maintenance Monitor Maintenance Procedure Frequency Source of Information Exterior InspectInspect Monitor Maintenance Perform a System Self Test Performance Assurance Checks Maintenance Check Overview System Self-test Values Module Test Numeric Test Waveform Module Test Numeric Test Waveform Performing ECG ModuleSelf-Test Auto Check None Performing Invasive Pressure Module Self Performing NBP Module Self Test SpO2 Pleth Cardiac Output Self-Test None Auto Check None Performing Malfunction is given refer to the Troubleshooting ChapterTo the normal monitoring mode TcpO2 MmHg 0.0kPa PressET CO2 40 mmHg 6.0kPa 25 rpm Base Self Test ManageMent Data 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