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Philips V24CT, V26CT manual Neonatal Event Review

Models: V26CT V24CT

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9 Neonatal Event Review

This chapter contains information on how to view and interpret Neonatal Events and oxyCRG Episodes for an individual Event.

• Introduction to Neonatal Event Review. . . . . . . . . . . . . . . 9-2

• Viewing Neonatal Events . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-3

• Viewing oxyCRG Episodes. . . . . . . . . . . . . . . . . . . . . . . . . 9-14

• Adjusting Neonatal Event Review Settings . . . . . . . . . . . 9-18

Neonatal Event Review 9-1

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Philips V24CT, V26CT manual Neonatal Event Review

Contents

Part Number M1046-9220L Printed 02/2003 PHIWarranty Iii Electromagnetic Compatibility M1205A Only Electromagnetic InterferenceAvoiding Electromagnetic Interference Environment Intended UseDescription PurposePhysiological Purpose Indications for UseCondition Frequency of UsePrescription 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 System IntroductionCMS Patient MonitoringM1167/77A 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 Hardkeys ControlPanel SoftkeysKey instead CMS Control PanelV24 and V26 Patient Monitor Control Panel Keys Handheld KeypadCMS only Normal External Alarm DeviceUntil Functions HardkeyConfirm Key Supply V26CT/V24CT Power SupplyBattery PowerVolt BatterySpecifications Parameter Modules Symbol Name Function Which Modules? Symbols to Indicate Key FunctionsRack can be used Rack Type Mounting CommentsCMS Patient Monitoring System V24 and V26 Patient MonitorIs displayed if an unknown module is plugged into the rack MessageOperating Levels CMS and V24 and V26 Patient Monitors 135/72 Function For information on how to change the selection seeSelection WindowVia the Selection Window By pressing the Setup key on the parameter moduleTask There are two ways to get into the second operating levelTask Window Getting into the Operating LevelsBelow to get into the Selection and Task Windows Selection WindowCMS and V24 and V26 Patient Monitors Touch or Mouse/Trackball Operation Control Panel Task Window Trackball GeneralTouch MouseTouch Responsive Objects From Items Task Window the Touchboard was accessed from PressDisabling Module CMS Computer ModulesM1046A ComputerECG Output and Defibrillator Marker Input M1046BV24 and V26 Parameter Module Rack Operating Rules to Remember Performance Specifications of the Philips Displays Performance Requirements Using an ITE DisplaySafety SafetyRequire Specification Requirement or Value UnitsPerfor ManceUsing 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 V24 AdjustingScreen ContrastMessages Starting MonitoringTask Window the prompt and status messages remain until Below the alarm and Inop messagesReserving a Channel Prompt messages appear for 3 secondsStandby FailureInformation CenterGetting Started Getting Started Setting up your Monitor Changing Display Screens CMS or ProcedureSelecting a Screen Press the hardkeyOther key except To restart the waves Freezing Waves CMS onlyYou can freeze any wave movement on the screen via Keys. PressWhat 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 To place in your selected channel Press Repeatedly to select a channel onScreen Press To move the selection to the wave you wantTask Window. The other items on the screen will change Depending on the configuration of the different screensPress To select a screen A-E. The selected Screen choice and its screen label will appear at the topSelecting 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 Indicate which waves are overlapping Changing the Wave OverlapPress To choose one of the available numbers Dependent on model. The boxes in the middle of the screenSelecting Realtime Wave Speeds Selection window or To return to the RealtimeTo return to On/Off NumericsNumeric Positions Aligned NumericsNumeric Sizes AdditionalApplication window to be displayed Selecting an Application WindowThey are described in more detail in the following sections Press Until ApplicWindow is selected onSpecial Implications for Touch or Mouse Operation Displaying Split Screen Trends Systolic pressure Viewing TrendData for Invasive BloodBelow 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 Neo Inv. Pressure Parameter Patient Category Adult Pedi NeoAdult Pedi Neo Adult NeoNeonate ExamplesAdult PediatricSetting up your Monitor ECG NBP RecommendationsMorphology Recommendations RecommendationAdult bpm Pedi/Neo bpm Heart Rate HR / PulsePressure SpO2Adult/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 toAgain Press the softkey Move the highlighting to Enter the password by pressing the appropriate combinationInstrument goes through the boot-up sequence and reverts Password by pressingTest Signals Function Then Procedure Analog Output CMS onlyPress softkey Instrument Configuration Press hardkeyMmHg 0.0 kPa 25 rpm Temperature 40C 104F Numeric onlyECG and ECG MmHg 6.0 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 Patients Including alarms and INOPsPhilips Patient Care System OtherIncoming Alarm Automatic Alarm Other PatientsMultiple Incoming Alarms Other Patients Configuring Other Patients Controls Other Patients Beat Label Meaning Bpm using the Change Limits display Absence of V fib or chaotic signalTachy run limit is adjustable from 3 to Using the Change Limits display. TachyHR XXX UUU HR XXX LLL AlarmMinimum Condition Required for Alarm On-T VPBsAlarm Minimum Condition Requiring an Alarm Arrhythmia Alarms on the 78720 Arrhythmia ComputerRun limit Fibrillatory wave for 4 consecutive secondsTach HR V-Tach HR 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 Plug-In M1116A/B a Channel Bedside General Recorder InformationModel Number RecorderStop key Controls and Indicators on the Plug- In RecorderContinue light RUN/CONT keyControls and Indicators on the 4- Channel Recorder CMS only Plug-In Recorder M1116A/B Recorder CapabilitiesKey Makes currently printing recordingRecorder 1 Makes delayed recordings of waveforms broadcast overCentral station and other monitors in overview mode CentralTypes of Recordings Delayed Recording Press To select waveform Configuring Delayed RecordingsFor Plug-In and 4-Channel Bedside Recorders Select wave for each channel PressDisplay To return to the standard monitoring For Central RecordersPress Change Second to select secondary wave To store the selected waveMaking Delayed Recordings Alarm Recording Configuring Alarm Recordings Channel RecordingStarting at the bottom channel, in the following priority AlRecType Yellow CO2 alarm would produce a recording ordered asChannel P3 alarm All AlarmRecRecordings can be made during cardiac output measurements Procedure RecordingsConfiguring Procedure RecordingsMaking Procedure Recordings ST Recordings Procedure Recordings Recording Functions Realtime Wave Recordings Preset RecordingsNon-Preset Recordings Select wave for each channel Configuring Preset Recording ModesChannel Press To give a name to the mode being Configured Modes B and C are configured in the same wayTo 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 On the control panel Monitor Setup selection windowTrended Vital Signs Recordings HeaderRecording Functions Systolic Value has been entered Manually To stop trended vital signs recordings Making Trended Vital Signs RecordingsEvent Neonatal Event Review RecordingsTabular NeonatalMaking 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 Recording as many times as needed Delayed and realtime recordings can be extended orChanging LengthDisplay Changing the Recorder Speed Continuing Timed RecordingOn the recorder. The recording runs until you stop it by Pressing On the recorder or Softkey onLayouts SignalInserting a Calibration#11 25 mm Wave1 75 mm 50 mm Wave 3,4 Layout Choices on Recorder M1117A SectorMessage Meaning Recording Status MessagesStopped Stopped by pressing On the recorder Recorder door is open load new paperRecorder Or shut the door An actively running recording has beenDamaged Accessories and Ordering InformationPhilips’ approval Use only Philips-approved accessories For detailsLoading Paper To Replace Paper Plug-In Recorder Backwards Recorder stripes Loading Paper into the Four Channel M1117A Recorder CMS only Recording Functions Required Cleaning the Roller on the Four Channel M1117A RecorderStep EquipmentLoading 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 Blood Mea TrendingPriority ViewingCalculations 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 Trends SelectingParameters For GraphGraph 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 PulseAll Pressures Calibration pulse varies according to the wave typeMV square wave Ohm M-shaped waveLeft Cardiac Work LCW Performing and Reviewing CalculationsThere are two calculation functions available HemodynamicsVentilationTrends and Calculations Calculation Task Window for Touch Screen Calculation Task WindowTrends and Calculations Stores the resampled values at the current time PressingKeys or Scheduled Printing ReportsPrinting Window ReportsTo turn the scheduled report capability on or off, press Graph Trends Report David Schultz Vital Signs Report Blood Review ReportNot Print What to DoIf Your Report DoesCalculations Drug Calculator Calculations Trends Aution Trends and Calculations Calculations Trends Neonatal Event Review Introduction to Neonatal Event Review Viewing Neonatal Events Followed by ManualStorage Indicated by two or three event bars GraphicalDetails Event BarNeonatal 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 ReviewOxyCRG Selecting anEvent Viewing anSummary Changing RecordingSummary PrintingViewing oxyCRG Episodes Neonatal Event Review Jumps from one oxyCRG episode to the next in both directions EpisodePrinting an Recording anSelecting Softkey documents the selected oxyCRG Associated oxyCRG episodesAdjusting Neonatal Event Review Settings Apnea Event SettingsCriteria Bradycardia Listed under each event group Operating In the Event Setup task window you canSelect items Change the item content SelectingChanging 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 Transfer Data to the Monitor When aTo Monitor Are automatically erasedData TransferringBlood AnalysisScenarios Blood AnalysisData Transfer CTS Database Combining DataTime ConversionTransfers 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 TroubleshootingBack up Memory Time Performance SpecificationsTransfer Transfer 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 EnvironPhilips M1205A V24, V26, V24C and V26C Care Operating StorageAcms with Anesthetic Gas Module Operating StorageUp to 95% RH at 35C 95F Up to 90% RH at 40ºC 104ºF Condensa- tionPhilips M1205A V24CT and V26CT To 35C 41 to 95F 15 to 40ºC 5 to 104ºFExplanation of Symbols used Monitor Installation Patient Safety Maintenance Frequency Source of Information Maintenance ChecksMaintenance Checks Failure and possible health hazards CablesLeads M1046A Computer Module is a component of the M1165A/66A/75A Controls and ConnectorsFollowing diagram FrontRack 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 M1094A M1094B Display ModuleControls M1092AConnectors Monitor Installation Patient Safety Display M1095A Display Module ControlsM1095A Controls Connectors M1109A External Alarm Device Rear Panel M1109A External Alarm DeviceITE display Shown in the following diagramRear M1026A Anesthetic Gas ModuleLine 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 Amber LED Line power for an initial charging cycleAC power is indicated by Green LED indicator Operating InstructionsUp 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 Alcohol General cleaning of the SystemSoaps AmmoniasMaintenance Phenol based General Disinfecting of the SystemBased Aldehyde Based BleachMaintenance Monitor Maintenance Procedure Frequency Source of Information Monitor InspectInspect ExteriorMaintenance Perform a System Self Test Performance Assurance Checks Maintenance Check System Self-test Values Module Test Numeric Test Waveform OverviewAuto Check None Performing ECG ModuleSelf-Test Module Test Numeric Test WaveformModule Self Performing Invasive PressureSelf-Test None Auto Check None Performing NBP Module Self Test SpO2 Pleth Cardiac OutputTcpO2 Malfunction is given refer to the Troubleshooting ChapterTo the normal monitoring mode Performing25 rpm PressET CO2 40 mmHg 6.0kPa MmHg 0.0kPaBase 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