Manuals / Philips / Computer Equipment / Computer Monitor

Philips V26CT, V24CT manual Calculations Trends

Models: V26CT V24CT

1 392

Download 392 pages 63.56 Kb

Page 274

Drug Calculator

Calculations

Trends and

8-36 Trends and Calculations

Image 274

Philips V26CT, V24CT manual Calculations Trends

Contents

PHI Part Number M1046-9220L Printed 02/2003Warranty Iii Avoiding Electromagnetic Interference Electromagnetic InterferenceElectromagnetic Compatibility M1205A Only Purpose Intended UseDescription EnvironmentFrequency of Use Indications for UseCondition Physiological PurposePrescription Versus Over-the-Counter Viii Indications for Use Monitor Setup Monitor Revision → Show SW Rev Responsibility of the Manufacturer Manufacturer´s AddressResponsibility 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 SystemM1167/77A System M1167/77A System with External Alarm Device M1165/75A and M1166/76A System Full Title AbbreviationCMS and V24 and V26 Patient Monitors V24 Patient Monitor Softkeys ControlPanel HardkeysV24 and V26 Patient Monitor Control Panel CMS Control PanelKey instead CMS only Handheld KeypadKeys Until External Alarm DeviceNormal Hardkey FunctionsConfirm Key Power V26CT/V24CT Power SupplyBattery SupplySpecifications BatteryVolt 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 usedMessage Is displayed if an unknown module is plugged into the rackOperating Levels CMS and V24 and V26 Patient Monitors 135/72 Window For information on how to change the selection seeSelection FunctionThere are two ways to get into the second operating level By pressing the Setup key on the parameter moduleTask Via the Selection WindowSelection Window Getting into the Operating LevelsBelow to get into the Selection and Task Windows Task WindowCMS and V24 and V26 Patient Monitors Touch or Mouse/Trackball Operation Control Panel Task Window Mouse GeneralTouch TrackballTouch Responsive Objects Items Task Window the Touchboard was accessed from Press FromDisabling Computer CMS Computer ModulesM1046A ModuleM1046B ECG Output and Defibrillator Marker InputV24 and V26 Parameter Module Rack Operating Rules to Remember Performance Specifications of the Philips Displays Safety Using an ITE DisplaySafety Performance RequirementsMance Specification Requirement or Value UnitsPerfor 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 Contrast AdjustingScreen V24Starting Monitoring MessagesPrompt messages appear for 3 seconds Below the alarm and Inop messagesReserving a Channel Task Window the prompt and status messages remain untilCenter FailureInformation StandbyGetting Started Getting Started Setting up your Monitor Changing Display Screens Press the hardkey ProcedureSelecting a Screen CMS orKeys. Press Freezing Waves CMS onlyYou can freeze any wave movement on the screen via Other key except To restart the wavesWhat you Can Configure Changes to the Configuration Hardkeys are indicated in the text like thisMaking 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 channelScreen 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 changeSelecting 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 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 overlappingSelecting Realtime Wave Speeds To return to To return to the RealtimeSelection window or Numerics On/OffAligned Numerics Numeric PositionsAdditional Numeric SizesPress Until ApplicWindow is selected on Selecting an Application WindowThey are described in more detail in the following sections Application window to be displayedSpecial Implications for Touch or Mouse Operation Displaying Split Screen Trends Invasive Blood Viewing TrendData for Systolic pressureData for Non With a thicker line than the other trendsBelow OxyCRG Display Main Screen Display with oxyCRGMain Screen OxyCRGStandard Display OxyCRG Display Monitor CSA Display CMS only Main Screen Standard Display CSA Display Realtime wavesPress Until Wave Replace is selected on Wave ReplaceWill be filled with another wave Trace Mode Press To choose fixed or moving tracesConfiguring 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 Neo Parameter Patient Category Adult Pedi NeoAdult Pedi Neo Adult Neo Inv. PressurePediatric ExamplesAdult NeonateSetting up your Monitor Morphology NBP RecommendationsECG Recommendation RecommendationsSpO2 Heart Rate HR / PulsePressure Adult bpm Pedi/Neo bpmCO2 Adult/Pedi NeoChanging the Configuration Set Type, as this is automatically set to orConfiguration Set are displayed Set you require. The universal settings for the selectedTo switch to the selected set Changing Operating Modes Returning to ModePassword 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 toTest Signals Function Press hardkey Procedure Analog Output CMS onlyPress softkey Instrument Configuration ThenMmHg 6.0 kPa 25 rpm Temperature 40C 104F Numeric onlyECG and ECG MmHg 0.0 kPaParameter Settings Transfer Monitor Parameter Settings Transfer Messages Message Condition Action requiredSetting up your Monitor Using Philips Patient Care System with an Arrhythmia Other PatientsOverview Other Including alarms and INOPsPhilips Patient Care System PatientsAutomatic Alarm Other Patients Incoming AlarmMultiple 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 displayOn-T VPBs AlarmMinimum Condition Required for Alarm HR XXX UUU HR XXX LLLArrhythmia Alarms on the 78720 Arrhythmia Computer Alarm Minimum Condition Requiring an AlarmHR V-Tach HR limit Fibrillatory wave for 4 consecutive secondsTach Run limitMessage 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 Silencing and Resetting Alarms Suspended Alarms during Arrhythmia MonitoringAlarm Reminder Reminder Time Alarm Reminder Alarm BehaviorFull alarm tone New Alarm RecordingAlarm is given Audible alarm Priorities Audible Alarms Viewing Alarm MessagesHardkey Alarm Functions When an OccursAlarm Setup Alarms Selection WindowAdjust the limits Changing Alarm LimitsIf there are more than 10 alarm bars to review, press Setting Volume Control QRS and the alarm tone volume can be set independently PressAlarm Reminder Nurse Call Relay Signal Behavior Call RelayAlarm Functions Recording Functions Recorder General Recorder InformationModel Number Plug-In M1116A/B a Channel BedsideRUN/CONT key Controls and Indicators on the Plug- In RecorderContinue light Stop keyControls and Indicators on the 4- Channel Recorder CMS only Makes currently printing recording Recorder CapabilitiesKey Plug-In Recorder M1116A/BCentral Makes delayed recordings of waveforms broadcast overCentral station and other monitors in overview mode Recorder 1Types of Recordings Delayed Recording Select wave for each channel Press Configuring Delayed RecordingsFor Plug-In and 4-Channel Bedside Recorders Press To select waveformTo store the selected wave For Central RecordersPress Change Second to select secondary wave Display To return to the standard monitoringMaking Delayed Recordings Alarm Recording Configuring Alarm Recordings Starting at the bottom channel, in the following priority RecordingChannel All AlarmRec Yellow CO2 alarm would produce a recording ordered asChannel P3 alarm AlRecTypeProcedure Recordings Procedure RecordingsConfiguring Recordings can be made during cardiac output measurementsMaking Procedure Recordings ST Recordings Procedure Recordings Recording Functions Non-Preset Recordings Preset RecordingsRealtime Wave 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 channelIf available Making Preset Recordings Making NonTo stop realtime recordings Making Calibrated Recordings If the Recorder is BusyRecording Functions Realtime Vital Signs / Blood Recordings DefinitionsRecording Functions Recording Functions Recording Functions Header Monitor Setup selection windowTrended Vital Signs Recordings On the control panelRecording Functions Systolic Value has been entered Manually Making Trended Vital Signs Recordings To stop trended vital signs recordingsNeonatal Neonatal Event Review RecordingsTabular EventOxyCRG Episode Recordings for Neonatal Events Making a Tabular Neonatal Event RecordingOxyCRG Episode Data Making an oxyCRG Episode RecordingOxyCRG Recordings Patient Name Current Numerics & Alarms Alarm Recording Additional Information Code MeaningRecording Functions Cal Pulse Where @@@ is the signal value as follows@@@ Length Delayed and realtime recordings can be extended orChanging Recording as many times as neededPressing On the recorder or Softkey on Changing the Recorder Speed Continuing Timed RecordingOn the recorder. The recording runs until you stop it by DisplayCalibration SignalInserting a LayoutsLayout Choices on Recorder M1117A Sector #11 25 mm Wave1 75 mm 50 mm Wave 3,4Recording Status Messages Message MeaningAn actively running recording has been Recorder door is open load new paperRecorder Or shut the door Stopped Stopped by pressing On the recorderFor details Accessories and Ordering InformationPhilips’ approval Use only Philips-approved accessories DamagedLoading 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 RequiredLoading Paper Recording Functions Admit/Discharge/End Case Admitting a Patient Admit/Discharge/End Case Admit/Discharge/End Case Changing Patient Information To clear dataV24 and V26 only ICU Mode Adult/Pediatric ICU Mode Neonatal CaseOr 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 Viewing TrendingPriority Blood MeaCalculations Trends Trends and Calculations Status Monochrome Display Color Display Printout YellowVital Signs Interval Direction Graph Trends Span Viewing Vital SignsMinute Hour Hours Calculations Trends Trends and Calculations For Graph SelectingParameters TrendsData management configuration and the options purchased GraphUp 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 signalsOhm M-shaped wave Calibration pulse varies according to the wave typeMV square wave All PressuresHemodynamicsVentilation Performing and Reviewing CalculationsThere are two calculation functions available Left Cardiac Work LCWTrends and Calculations Calculation Task Window Calculation Task Window for Touch ScreenTrends and Calculations Pressing Stores the resampled values at the current timeKeys or Window Reports Printing ReportsPrinting ScheduledTo turn the scheduled report capability on or off, press Graph Trends Report Vital Signs Report Blood Review Report David SchultzReport Does What to DoIf Your Not PrintCalculations Drug Calculator Calculations Trends Aution Trends and Calculations Calculations Trends Neonatal Event Review Introduction to Neonatal Event Review Viewing Neonatal Events Storage ManualFollowed by Event Bar GraphicalDetails Indicated by two or three event barsNeonatal Event Review Neonatal Event Review Neonatal Event Review This value represents the most severe value during an event Specifically by the userBD = AD =ABD = Event Review Example of an Event Summary LineViewing an Selecting anEvent OxyCRGPrinting RecordingSummary Summary ChangingViewing oxyCRG Episodes Neonatal Event Review Episode Jumps from one oxyCRG episode to the next in both directionsAssociated oxyCRG episodes Recording anSelecting Softkey documents the selected oxyCRG Printing anAdjusting Neonatal Event Review Settings Criteria SettingsApnea Event Bradycardia Selecting Operating In the Event Setup task window you canSelect items Change the item content Listed under each event groupContents of an item ContentsChanging Item Data Transfer Data Transfer Module CMS Data What is Transferred Symbol Name Function Which Modules?Data Transfer To Module Types of TransferTransfer All Data to Module Data Transfer Data Transfer Are automatically erased When aTo Monitor Transfer Data to the MonitorAnalysis TransferringBlood DataData Transfer Blood AnalysisScenarios CTS Conversion Combining DataTime DatabaseTransfers 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 Troubleshooting Event ResultsTransfer Time Performance SpecificationsTransfer Back up Memory TimeMonitor Installation and Patient Safety CMS Acms Ncms Philips M1026A Anesthetic Gas Module V24Monitor Installation Patient Safety Aution Installation Information SourceDo not use a 3-wire to 2-wire adapter with these instruments Earth interconnected with either monitor Monitor Installation Patient Safety Environ MentOperating Storage Care Operating StorageAcms with Anesthetic Gas Module Philips M1205A V24, V26, V24C and V26CTo 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 104ºFExplanation of Symbols used Monitor Installation Patient Safety Maintenance Checks Maintenance Frequency Source of InformationMaintenance Checks Leads CablesFailure and possible health hazards Front Controls and ConnectorsFollowing diagram M1046A Computer Module is a component of the M1165A/66A/75AConnectors M1046A Computer Module Rack Connector ECG Output P-p Module ConnectorsFront Panel M1046B Computer Module Connectors M1046B Computer Module For 100Rear Panel M1046A/B Computer Modules Monitor Installation Patient Safety Rear Panel Display Modules M1092A/M1094A Display Module M1092A M1094B Display ModuleControls M1094AConnectors Monitor Installation Patient Safety M1095A M1095A Display Module ControlsDisplay Rear Panel M1109A External Alarm Device Controls Connectors M1109A External Alarm DeviceM1026A Anesthetic Gas Module Shown in the following diagramRear ITE displayLine protection fuses, T1.6 H Anesthetic Gas Exhaust Monitor Installation Patient Safety Connecting the Anesthetic Gas Module Lifting the Display ModuleV26 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 Operating Instructions Line power for an initial charging cycleAC power is indicated by Green LED indicator Amber LEDUp to 30-40% Flashing Off Information V26CT Battery V24CT Battery Indicator and Messages 100Information V26CT Battery V24CT External Battery Charger Battery Care and Maintenance Care Handling40488A 12 Volt Lead-Acid Batteries M1278A Battery Charger Information V26CT Battery V24CT Maintenance Ammonias General cleaning of the SystemSoaps AlcoholMaintenance Based Bleach General Disinfecting of the SystemBased Aldehyde Phenol basedMaintenance Monitor Maintenance Procedure Frequency Source of Information Exterior InspectInspect MonitorMaintenance Perform a System Self Test Performance Assurance Checks Maintenance Check Overview System Self-test Values Module Test Numeric Test WaveformModule Test Numeric Test Waveform Performing ECG ModuleSelf-Test Auto Check NonePerforming Invasive Pressure Module SelfPerforming NBP Module Self Test SpO2 Pleth Cardiac Output Self-Test None Auto Check NonePerforming Malfunction is given refer to the Troubleshooting ChapterTo the normal monitoring mode TcpO2MmHg 0.0kPa PressET CO2 40 mmHg 6.0kPa 25 rpmMent 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