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Philips V26CT, V24CT manual CMS and V24 and V26 Patient Monitors

Models: V26CT V24CT

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The CMS and V24 and V26 Patient Monitors

Introduction

Display Below are labeled diagrams of the display modules provided by Philips Modules Medical Systems. The control panel is described in more detail in the

following sections

.

M1095A Flatscreen Display Module

M1092A / M1094B CRT Display Module

1-6 The CMS and V24 and V26 Patient Monitors

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Philips V26CT, V24CT manual CMS and V24 and V26 Patient Monitors

Contents

PHI Part Number M1046-9220L Printed 02/2003Warranty Iii Avoiding Electromagnetic Interference Electromagnetic InterferenceElectromagnetic Compatibility M1205A Only Intended Use DescriptionPurpose EnvironmentIndications for Use ConditionFrequency of Use 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 Introduction CMS PatientMonitoring 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 Control PanelSoftkeys HardkeysV24 and V26 Patient Monitor Control Panel CMS Control PanelKey instead CMS only Handheld KeypadKeys Until External Alarm DeviceNormal Hardkey FunctionsConfirm Key V26CT/V24CT Power Supply BatteryPower SupplySpecifications BatteryVolt Parameter Modules Symbols to Indicate Key Functions Symbol Name Function Which Modules?Rack Type Mounting Comments CMS Patient Monitoring SystemV24 and V26 Patient Monitor 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 For information on how to change the selection see SelectionWindow FunctionBy pressing the Setup key on the parameter module TaskThere are two ways to get into the second operating level Via the Selection WindowGetting into the Operating Levels Below to get into the Selection and Task WindowsSelection Window Task WindowCMS and V24 and V26 Patient Monitors Touch or Mouse/Trackball Operation Control Panel Task Window General TouchMouse TrackballTouch Responsive Objects Items Task Window the Touchboard was accessed from Press FromDisabling CMS Computer Modules M1046AComputer ModuleM1046B ECG Output and Defibrillator Marker InputV24 and V26 Parameter Module Rack Operating Rules to Remember Performance Specifications of the Philips Displays Using an ITE Display SafetySafety Performance RequirementsSpecification Requirement or Value Units PerforMance 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 Adjusting ScreenContrast V24Starting Monitoring MessagesBelow the alarm and Inop messages Reserving a ChannelPrompt messages appear for 3 seconds Task Window the prompt and status messages remain untilFailure InformationCenter StandbyGetting Started Getting Started Setting up your Monitor Changing Display Screens Procedure Selecting a ScreenPress the hardkey CMS orFreezing Waves CMS only You can freeze any wave movement on the screen viaKeys. Press 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 Repeatedly to select a channel on ScreenPress To move the selection to the wave you want To place in your selected channelDepending on the configuration of the different screens Press To select a screen A-E. The selectedScreen 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 Screen Press To choose 4, 6, or 8 waves to be displayed Selecting the Number of WavesDepending on your model Changing the Wave Overlap Press To choose one of the available numbersDependent on model. The boxes in the middle of the screen 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 SizesSelecting an Application Window They are described in more detail in the following sectionsPress Until ApplicWindow is selected on Application window to be displayedSpecial Implications for Touch or Mouse Operation Displaying Split Screen Trends Viewing Trend Data forInvasive Blood 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 Parameter Patient Category Adult Pedi Neo Adult Pedi NeoAdult Neo Adult Neo Inv. PressureExamples AdultPediatric NeonateSetting up your Monitor Morphology NBP RecommendationsECG Recommendation RecommendationsHeart Rate HR / Pulse PressureSpO2 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 ModeEnter the password by pressing the appropriate combination Instrument goes through the boot-up sequence and revertsPassword by pressing Again Press the softkey Move the highlighting toTest Signals Function Procedure Analog Output CMS only Press softkey Instrument ConfigurationPress hardkey Then25 rpm Temperature 40C 104F Numeric only ECG and ECGMmHg 6.0 kPa 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 Including alarms and INOPs Philips Patient Care SystemOther PatientsAutomatic Alarm Other Patients Incoming AlarmMultiple Incoming Alarms Other Patients Configuring Other Patients Controls Other Patients Beat Label Meaning Absence of V fib or chaotic signal Tachy run limit is adjustable from 3 toUsing the Change Limits display. Tachy Bpm using the Change Limits displayAlarm Minimum Condition Required for AlarmOn-T VPBs HR XXX UUU HR XXX LLLArrhythmia Alarms on the 78720 Arrhythmia Computer Alarm Minimum Condition Requiring an AlarmFibrillatory wave for 4 consecutive seconds TachHR V-Tach HR limit 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 General Recorder Information Model NumberRecorder Plug-In M1116A/B a Channel BedsideControls and Indicators on the Plug- In Recorder Continue lightRUN/CONT key Stop keyControls and Indicators on the 4- Channel Recorder CMS only Recorder Capabilities KeyMakes currently printing recording Plug-In Recorder M1116A/BMakes delayed recordings of waveforms broadcast over Central station and other monitors in overview modeCentral Recorder 1Types of Recordings Delayed Recording Configuring Delayed Recordings For Plug-In and 4-Channel Bedside RecordersSelect wave for each channel Press Press To select waveformFor Central Recorders Press Change Second to select secondary waveTo store the selected 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 Yellow CO2 alarm would produce a recording ordered as Channel P3 alarmAll AlarmRec AlRecTypeProcedure Recordings ConfiguringProcedure Recordings Recordings can be made during cardiac output measurementsMaking Procedure Recordings ST Recordings Procedure Recordings Recording Functions Non-Preset Recordings Preset RecordingsRealtime Wave Recordings Configuring Preset Recording Modes Channel Press To give a name to the mode beingConfigured Modes B and C are configured in the same way 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 Monitor Setup selection window Trended Vital Signs RecordingsHeader On the control panelRecording Functions Systolic Value has been entered Manually Making Trended Vital Signs Recordings To stop trended vital signs recordingsNeonatal Event Review Recordings TabularNeonatal 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@@@ Delayed and realtime recordings can be extended or ChangingLength Recording as many times as neededChanging the Recorder Speed Continuing Timed Recording On the recorder. The recording runs until you stop it byPressing On the recorder or Softkey on DisplaySignal Inserting aCalibration LayoutsLayout Choices on Recorder M1117A Sector #11 25 mm Wave1 75 mm 50 mm Wave 3,4Recording Status Messages Message MeaningRecorder door is open load new paper Recorder Or shut the doorAn actively running recording has been Stopped Stopped by pressing On the recorderAccessories and Ordering Information Philips’ approval Use only Philips-approved accessoriesFor details DamagedLoading Paper To Replace Paper Plug-In Recorder Backwards Recorder stripes Loading Paper into the Four Channel M1117A Recorder CMS only Recording Functions Cleaning the Roller on the Four Channel M1117A Recorder StepEquipment 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 Trending PriorityViewing 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 Selecting ParametersFor Graph 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 signalsCalibration pulse varies according to the wave type MV square waveOhm M-shaped wave All PressuresPerforming and Reviewing Calculations There are two calculation functions availableHemodynamicsVentilation 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 Printing Reports PrintingWindow Reports ScheduledTo turn the scheduled report capability on or off, press Graph Trends Report Vital Signs Report Blood Review Report David SchultzWhat to Do If YourReport Does 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 Graphical DetailsEvent Bar 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 LineSelecting an EventViewing an OxyCRGRecording SummaryPrinting Summary ChangingViewing oxyCRG Episodes Neonatal Event Review Episode Jumps from one oxyCRG episode to the next in both directionsRecording an Selecting Softkey documents the selected oxyCRGAssociated oxyCRG episodes Printing anAdjusting Neonatal Event Review Settings Criteria SettingsApnea Event Bradycardia Operating In the Event Setup task window you can Select items Change the item contentSelecting 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 When a To MonitorAre automatically erased Transfer Data to the MonitorTransferring BloodAnalysis DataData Transfer Blood AnalysisScenarios CTS Combining Data TimeConversion 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 ResultsPerformance Specifications TransferTransfer Time 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 MentCare Operating Storage Acms with Anesthetic Gas ModuleOperating Storage Philips M1205A V24, V26, V24C and V26CCondensa- tion Philips M1205A V24CT and V26CTTo 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 Checks Maintenance Frequency Source of InformationMaintenance Checks Leads CablesFailure and possible health hazards Controls and Connectors Following diagramFront 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 M1094B Display Module ControlsM1092A M1094AConnectors Monitor Installation Patient Safety M1095A M1095A Display Module ControlsDisplay Rear Panel M1109A External Alarm Device Controls Connectors M1109A External Alarm DeviceShown in the following diagram RearM1026A Anesthetic Gas Module 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 Line power for an initial charging cycle AC power is indicated by Green LED indicatorOperating Instructions 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 General cleaning of the System SoapsAmmonias AlcoholMaintenance General Disinfecting of the System Based AldehydeBased Bleach Phenol basedMaintenance Monitor Maintenance Procedure Frequency Source of Information Inspect InspectExterior MonitorMaintenance Perform a System Self Test Performance Assurance Checks Maintenance Check Overview System Self-test Values Module Test Numeric Test WaveformPerforming ECG Module Self-TestModule Test Numeric Test Waveform Auto Check NonePerforming Invasive Pressure Module SelfPerforming NBP Module Self Test SpO2 Pleth Cardiac Output Self-Test None Auto Check NoneMalfunction is given refer to the Troubleshooting Chapter To the normal monitoring modePerforming TcpO2Press ET CO2 40 mmHg 6.0kPaMmHg 0.0kPa 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