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Philips V24CT, V26CT manual Calculations

Models: V26CT V24CT

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Trends and	Calculations

Trends and Calculations 8-31

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Philips V24CT, V26CT manual Calculations

Contents

Part Number M1046-9220L Printed 02/2003 PHIWarranty Iii Electromagnetic Compatibility M1205A Only Electromagnetic InterferenceAvoiding Electromagnetic Interference Description Intended UsePurpose EnvironmentCondition Indications for UseFrequency of Use Physiological PurposePrescription Versus Over-the-Counter Viii Indications for Use Monitor Setup Monitor Revision → Show SW Rev Manufacturer´s Address Responsibility of the ManufacturerResponsibility 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 SystemM1167/77A System M1167/77A System with External Alarm Device Full Title Abbreviation M1165/75A and M1166/76A SystemCMS and V24 and V26 Patient Monitors V24 Patient Monitor Panel ControlSoftkeys HardkeysKey instead CMS Control PanelV24 and V26 Patient Monitor Control Panel Keys Handheld KeypadCMS only Normal External Alarm DeviceUntil Functions HardkeyConfirm Key Battery V26CT/V24CT Power SupplyPower SupplyVolt BatterySpecifications Parameter Modules Symbol Name Function Which Modules? Symbols to Indicate Key FunctionsCMS Patient Monitoring System Rack Type Mounting CommentsV24 and V26 Patient Monitor Rack can be usedIs displayed if an unknown module is plugged into the rack MessageOperating Levels CMS and V24 and V26 Patient Monitors 135/72 Selection For information on how to change the selection seeWindow FunctionTask By pressing the Setup key on the parameter moduleThere are two ways to get into the second operating level Via the Selection WindowBelow to get into the Selection and Task Windows Getting into the Operating LevelsSelection Window Task WindowCMS and V24 and V26 Patient Monitors Touch or Mouse/Trackball Operation Control Panel Task Window Touch GeneralMouse TrackballTouch Responsive Objects From Items Task Window the Touchboard was accessed from PressDisabling M1046A CMS Computer ModulesComputer ModuleECG Output and Defibrillator Marker Input M1046BV24 and V26 Parameter Module Rack Operating Rules to Remember Performance Specifications of the Philips Displays Safety Using an ITE DisplaySafety Performance RequirementsPerfor Specification Requirement or Value UnitsMance RequireUsing 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 V24Messages Starting MonitoringReserving a Channel Below the alarm and Inop messagesPrompt messages appear for 3 seconds Task Window the prompt and status messages remain untilInformation FailureCenter StandbyGetting Started Getting Started Setting up your Monitor Changing Display Screens Selecting a Screen ProcedurePress the hardkey CMS orYou can freeze any wave movement on the screen via Freezing Waves CMS onlyKeys. Press Other key except To restart the wavesWhat you Can Configure Hardkeys are indicated in the text like this Changes to the ConfigurationMaking 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 channelPress 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 changeSelecting 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 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 overlappingSelecting Realtime Wave Speeds Selection window or To return to the RealtimeTo return to On/Off NumericsNumeric Positions Aligned NumericsNumeric Sizes AdditionalThey are described in more detail in the following sections Selecting an Application WindowPress Until ApplicWindow is selected on Application window to be displayedSpecial Implications for Touch or Mouse Operation Displaying Split Screen Trends Data for Viewing TrendInvasive Blood Systolic pressureBelow With a thicker line than the other trendsData for Non Main Screen Display with oxyCRG OxyCRG DisplayStandard Display OxyCRG Display OxyCRGMain Screen Monitor CSA Display CMS only Realtime waves Main Screen Standard Display CSA DisplayWill be filled with another wave Wave ReplacePress Until Wave Replace is selected on Press To choose fixed or moving traces Trace ModeConfiguring 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 Pedi Neo Parameter Patient Category Adult Pedi NeoAdult Neo Adult Neo Inv. PressureAdult ExamplesPediatric NeonateSetting up your Monitor ECG NBP RecommendationsMorphology Recommendations RecommendationPressure Heart Rate HR / PulseSpO2 Adult bpm Pedi/Neo bpmAdult/Pedi Neo CO2Type, as this is automatically set to or Changing the Configuration SetTo switch to the selected set Set you require. The universal settings for the selectedConfiguration Set are displayed Changing Operating Modes Mode Returning toInstrument 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 toTest Signals Function Press softkey Instrument Configuration Procedure Analog Output CMS onlyPress hardkey ThenECG and ECG 25 rpm Temperature 40C 104F Numeric onlyMmHg 6.0 kPa MmHg 0.0 kPaParameter Settings Transfer Monitor Message Condition Action required Parameter Settings Transfer MessagesSetting up your Monitor Other Patients Using Philips Patient Care System with an ArrhythmiaOverview Philips Patient Care System Including alarms and INOPsOther PatientsIncoming Alarm Automatic Alarm Other PatientsMultiple 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 displayMinimum Condition Required for Alarm AlarmOn-T VPBs HR XXX UUU HR XXX LLLAlarm Minimum Condition Requiring an Alarm Arrhythmia Alarms on the 78720 Arrhythmia ComputerTach Fibrillatory wave for 4 consecutive secondsHR V-Tach HR limit Run limitMessage 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 Suspended Alarms during Arrhythmia Monitoring Silencing and Resetting AlarmsAlarm Reminder Alarm Behavior Alarm Reminder Reminder TimeNew Alarm Recording Full alarm toneAlarm is given Audible alarm Priorities Hardkey Viewing Alarm MessagesAudible Alarms Alarm Functions Occurs When anAlarms Selection Window Alarm SetupIf there are more than 10 alarm bars to review, press Changing Alarm LimitsAdjust the limits QRS and the alarm tone volume can be set independently Press Setting Volume ControlCall Relay Alarm Reminder Nurse Call Relay Signal BehaviorAlarm Functions Recording Functions Model Number General Recorder InformationRecorder Plug-In M1116A/B a Channel BedsideContinue light Controls and Indicators on the Plug- In RecorderRUN/CONT key Stop keyControls and Indicators on the 4- Channel Recorder CMS only Key Recorder CapabilitiesMakes currently printing recording Plug-In Recorder M1116A/BCentral station and other monitors in overview mode Makes delayed recordings of waveforms broadcast overCentral Recorder 1Types of Recordings Delayed Recording For Plug-In and 4-Channel Bedside Recorders Configuring Delayed RecordingsSelect wave for each channel Press Press To select waveformPress Change Second to select secondary wave For Central RecordersTo store the selected wave Display To return to the standard monitoringMaking Delayed Recordings Alarm Recording Configuring Alarm Recordings Channel RecordingStarting at the bottom channel, in the following priority Channel P3 alarm Yellow CO2 alarm would produce a recording ordered asAll AlarmRec AlRecTypeConfiguring Procedure RecordingsProcedure Recordings Recordings can be made during cardiac output measurementsMaking Procedure Recordings ST Recordings Procedure Recordings Recording Functions Realtime Wave Recordings Preset RecordingsNon-Preset 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 channelTo stop realtime recordings Making Preset Recordings Making NonIf available Recordings If the Recorder is Busy Making CalibratedRecording Functions Definitions Realtime Vital Signs / Blood RecordingsRecording Functions Recording Functions Recording Functions Trended Vital Signs Recordings Monitor Setup selection windowHeader On the control panelRecording Functions Systolic Value has been entered Manually To stop trended vital signs recordings Making Trended Vital Signs RecordingsTabular Neonatal Event Review RecordingsNeonatal EventMaking a Tabular Neonatal Event Recording OxyCRG Episode Recordings for Neonatal EventsMaking an oxyCRG Episode Recording OxyCRG Episode DataOxyCRG Recordings Patient Name Current Numerics & Alarms Alarm Recording Code Meaning Additional InformationRecording Functions @@@ Where @@@ is the signal value as followsCal Pulse Changing Delayed and realtime recordings can be extended orLength Recording as many times as neededOn the recorder. The recording runs until you stop it by Changing the Recorder Speed Continuing Timed RecordingPressing On the recorder or Softkey on DisplayInserting a SignalCalibration Layouts#11 25 mm Wave1 75 mm 50 mm Wave 3,4 Layout Choices on Recorder M1117A SectorMessage Meaning Recording Status MessagesRecorder Or shut the door Recorder door is open load new paperAn actively running recording has been Stopped Stopped by pressing On the recorderPhilips’ approval Use only Philips-approved accessories Accessories and Ordering InformationFor details DamagedLoading 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 RequiredLoading Paper Recording Functions Admit/Discharge/End Case Admitting a Patient Admit/Discharge/End Case Admit/Discharge/End Case To clear data Changing Patient InformationV24 and V26 only Case ICU Mode Adult/Pediatric ICU Mode NeonatalOr 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 Priority TrendingViewing Blood MeaCalculations Trends Trends and Calculations Yellow Status Monochrome Display Color Display PrintoutMinute Hour Hours Viewing Vital SignsVital Signs Interval Direction Graph Trends Span Calculations Trends Trends and Calculations Parameters SelectingFor Graph TrendsGraph Data management configuration and the options purchasedUp 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 PulseMV square wave Calibration pulse varies according to the wave typeOhm M-shaped wave All PressuresThere are two calculation functions available Performing and Reviewing CalculationsHemodynamicsVentilation Left Cardiac Work LCWTrends and Calculations Calculation Task Window for Touch Screen Calculation Task WindowTrends and Calculations Stores the resampled values at the current time PressingKeys or Printing Printing ReportsWindow Reports ScheduledTo turn the scheduled report capability on or off, press Graph Trends Report David Schultz Vital Signs Report Blood Review ReportIf Your What to DoReport Does Not PrintCalculations Drug Calculator Calculations Trends Aution Trends and Calculations Calculations Trends Neonatal Event Review Introduction to Neonatal Event Review Viewing Neonatal Events Followed by ManualStorage Details GraphicalEvent Bar Indicated by two or three event barsNeonatal Event Review Neonatal Event Review Neonatal Event Review Specifically by the user This value represents the most severe value during an eventABD = AD =BD = Example of an Event Summary Line Event ReviewEvent Selecting anViewing an OxyCRGSummary RecordingPrinting Summary ChangingViewing oxyCRG Episodes Neonatal Event Review Jumps from one oxyCRG episode to the next in both directions EpisodeSelecting Softkey documents the selected oxyCRG Recording anAssociated oxyCRG episodes Printing anAdjusting Neonatal Event Review Settings Apnea Event SettingsCriteria Bradycardia Select items Change the item content Operating In the Event Setup task window you canSelecting Listed under each event groupChanging Item ContentsContents of an item Data Transfer Data Transfer Module CMS Data Symbol Name Function Which Modules? What is TransferredData Transfer Transfer All Data to Module Types of TransferTo Module Data Transfer Data Transfer To Monitor When aAre automatically erased Transfer Data to the MonitorBlood TransferringAnalysis DataScenarios Blood AnalysisData Transfer CTS Time Combining DataConversion DatabaseTransfers 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 Event Results TroubleshootingTransfer Performance SpecificationsTransfer Time Back up Memory TimeMonitor Installation and Patient Safety Philips M1026A Anesthetic Gas Module V24 CMS Acms NcmsMonitor Installation Patient Safety Aution Source Installation InformationDo not use a 3-wire to 2-wire adapter with these instruments Earth interconnected with either monitor Monitor Installation Patient Safety Ment EnvironAcms with Anesthetic Gas Module Care Operating StorageOperating Storage Philips M1205A V24, V26, V24C and V26CPhilips 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 104ºFExplanation of Symbols used Monitor Installation Patient Safety Maintenance Frequency Source of Information Maintenance ChecksMaintenance Checks Failure and possible health hazards CablesLeads Following diagram Controls and ConnectorsFront M1046A Computer Module is a component of the M1165A/66A/75ARack Connector ECG Output P-p Module Connectors Connectors M1046A Computer ModuleFront Panel M1046B Computer Module For 100 Connectors M1046B Computer ModuleRear Panel M1046A/B Computer Modules Monitor Installation Patient Safety Rear Panel Display Modules M1092A/M1094A Display Module Controls M1094B Display ModuleM1092A M1094AConnectors Monitor Installation Patient Safety Display M1095A Display Module ControlsM1095A Controls Connectors M1109A External Alarm Device Rear Panel M1109A External Alarm DeviceRear Shown in the following diagramM1026A Anesthetic Gas Module ITE displayLine protection fuses, T1.6 H Anesthetic Gas Exhaust Monitor Installation Patient Safety Lifting the Display Module Connecting the Anesthetic Gas ModuleV26 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 AC power is indicated by Green LED indicator Line power for an initial charging cycleOperating Instructions Amber LEDUp to 30-40% Flashing Off Information V26CT Battery V24CT 100 Battery Indicator and MessagesInformation V26CT Battery V24CT External Battery Charger Battery Care and Maintenance Handling Care40488A 12 Volt Lead-Acid Batteries M1278A Battery Charger Information V26CT Battery V24CT Maintenance Soaps General cleaning of the SystemAmmonias AlcoholMaintenance Based Aldehyde General Disinfecting of the SystemBased Bleach Phenol basedMaintenance Monitor Maintenance Procedure Frequency Source of Information Inspect InspectExterior MonitorMaintenance Perform a System Self Test Performance Assurance Checks Maintenance Check System Self-test Values Module Test Numeric Test Waveform OverviewSelf-Test Performing ECG ModuleModule Test Numeric Test Waveform Auto Check NoneModule Self Performing Invasive PressureSelf-Test None Auto Check None Performing NBP Module Self Test SpO2 Pleth Cardiac OutputTo the normal monitoring mode Malfunction is given refer to the Troubleshooting ChapterPerforming TcpO2ET CO2 40 mmHg 6.0kPa PressMmHg 0.0kPa 25 rpmBase 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