PHI
Part Number M1046-9220L Printed 02/2003
Warranty
Iii
Avoiding Electromagnetic Interference
Electromagnetic Interference
Electromagnetic Compatibility M1205A Only
Intended Use
Description
Purpose
Environment
Indications for Use
Condition
Frequency of Use
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
Introduction
CMS Patient
Monitoring
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
Control
Panel
Softkeys
Hardkeys
V24 and V26 Patient Monitor Control Panel
CMS Control Panel
Key instead
CMS only
Handheld Keypad
Keys
Until
External Alarm Device
Normal
Hardkey
Functions
Confirm Key
V26CT/V24CT Power Supply
Battery
Power
Supply
Specifications
Battery
Volt
Parameter Modules
Symbols to Indicate Key Functions
Symbol Name Function Which Modules?
Rack Type Mounting Comments
CMS Patient Monitoring System
V24 and V26 Patient Monitor
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
For information on how to change the selection see
Selection
Window
Function
By pressing the Setup key on the parameter module
Task
There are two ways to get into the second operating level
Via the Selection Window
Getting into the Operating Levels
Below to get into the Selection and Task Windows
Selection Window
Task Window
CMS and V24 and V26 Patient Monitors
Touch or Mouse/Trackball Operation
Control Panel Task Window
General
Touch
Mouse
Trackball
Touch Responsive Objects
Items Task Window the Touchboard was accessed from Press
From
Disabling
CMS Computer Modules
M1046A
Computer
Module
M1046B
ECG Output and Defibrillator Marker Input
V24 and V26 Parameter Module Rack
Operating Rules to Remember
Performance Specifications of the Philips Displays
Using an ITE Display
Safety
Safety
Performance Requirements
Specification Requirement or Value Units
Perfor
Mance
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
Adjusting
Screen
Contrast
V24
Starting Monitoring
Messages
Below the alarm and Inop messages
Reserving a Channel
Prompt messages appear for 3 seconds
Task Window the prompt and status messages remain until
Failure
Information
Center
Standby
Getting Started
Getting Started
Setting up your Monitor
Changing Display Screens
Procedure
Selecting a Screen
Press the hardkey
CMS or
Freezing Waves CMS only
You can freeze any wave movement on the screen via
Keys. Press
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 Repeatedly to select a channel on
Screen
Press To move the selection to the wave you want
To place in your selected channel
Depending on the configuration of the different screens
Press To select a screen A-E. The selected
Screen choice and its screen label will appear at the top
Task Window. The other items on the screen will change
Selecting Screen Labels for Realtime Display Screens
Press Confirm
Screen Press To choose 4, 6, or 8 waves to be displayed
Selecting the Number of Waves
Depending on your model
Changing the Wave Overlap
Press To choose one of the available numbers
Dependent on model. The boxes in the middle of the screen
Indicate which waves are overlapping
Selecting Realtime Wave Speeds
To return to
To return to the Realtime
Selection window or
Numerics
On/Off
Aligned Numerics
Numeric Positions
Additional
Numeric Sizes
Selecting an Application Window
They are described in more detail in the following sections
Press Until ApplicWindow is selected on
Application window to be displayed
Special Implications for Touch or Mouse Operation
Displaying Split Screen Trends
Viewing Trend
Data for
Invasive Blood
Systolic pressure
Data for Non
With a thicker line than the other trends
Below
OxyCRG Display
Main Screen Display with oxyCRG
Main Screen
OxyCRG
Standard Display OxyCRG Display
Monitor
CSA Display CMS only
Main Screen Standard Display CSA Display
Realtime waves
Press Until Wave Replace is selected on
Wave Replace
Will be filled with another wave
Trace Mode
Press To choose fixed or moving traces
Configuring a Second Independent Display CMS only
Switch this setup off again using On/Off Setup or
Other Functions You Can Configure
Parameters On/Off
→ On/Off Setup
Adjusting the Volume Control
135/72
Message will appear with the date and time settings
Adjusting the Date and Time
Corresponding 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 Neo
Adult Neo
Adult Neo Inv. Pressure
Examples
Adult
Pediatric
Neonate
Setting up your Monitor
Morphology
NBP Recommendations
ECG
Recommendation
Recommendations
Heart Rate HR / Pulse
Pressure
SpO2
Adult bpm Pedi/Neo bpm
CO2
Adult/Pedi Neo
Changing the Configuration Set
Type, as this is automatically set to or
Configuration Set are displayed
Set you require. The universal settings for the selected
To switch to the selected set
Changing Operating Modes
Returning to
Mode
Enter the password by pressing the appropriate combination
Instrument goes through the boot-up sequence and reverts
Password by pressing
Again Press the softkey Move the highlighting to
Test Signals Function
Procedure Analog Output CMS only
Press softkey Instrument Configuration
Press hardkey
Then
25 rpm Temperature 40C 104F Numeric only
ECG and ECG
MmHg 6.0 kPa
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
Including alarms and INOPs
Philips Patient Care System
Other
Patients
Automatic Alarm Other Patients
Incoming Alarm
Multiple 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 to
Using the Change Limits display. Tachy
Bpm using the Change Limits display
Alarm
Minimum Condition Required for Alarm
On-T VPBs
HR XXX UUU HR XXX LLL
Arrhythmia Alarms on the 78720 Arrhythmia Computer
Alarm Minimum Condition Requiring an Alarm
Fibrillatory wave for 4 consecutive seconds
Tach
HR V-Tach HR limit
Run limit
Message Minimum Condition Requiring an Alarm
Extended Overview CMS only
To View an Extended Other Patients Bed
Select the bed, using
Extended Overview Task Window will be displayed
When done, select To return to the Main Screen or to
To view an Alarming Bed from Alert Notification
Alert Notification
Pressed on the source bedside monitor or On the central
Alarm Functions
Alarm Functions
Alarm Display
Control Panel
Alarm Lamps
Suspending Alarms
What the Symbol Means
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
Audible Alarms
Viewing Alarm Messages
Hardkey
Alarm Functions
When an
Occurs
Alarm Setup
Alarms Selection Window
Adjust the limits
Changing Alarm Limits
If there are more than 10 alarm bars to review, press
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
General Recorder Information
Model Number
Recorder
Plug-In M1116A/B a Channel Bedside
Controls and Indicators on the Plug- In Recorder
Continue light
RUN/CONT key
Stop key
Controls and Indicators on the 4- Channel Recorder CMS only
Recorder Capabilities
Key
Makes currently printing recording
Plug-In Recorder M1116A/B
Makes delayed recordings of waveforms broadcast over
Central station and other monitors in overview mode
Central
Recorder 1
Types of Recordings
Delayed Recording
Configuring Delayed Recordings
For Plug-In and 4-Channel Bedside Recorders
Select wave for each channel Press
Press To select waveform
For Central Recorders
Press Change Second to select secondary wave
To store the selected wave
Display To return to the standard monitoring
Making Delayed Recordings
Alarm Recording
Configuring Alarm Recordings
Starting at the bottom channel, in the following priority
Recording
Channel
Yellow CO2 alarm would produce a recording ordered as
Channel P3 alarm
All AlarmRec
AlRecType
Procedure Recordings
Configuring
Procedure Recordings
Recordings can be made during cardiac output measurements
Making Procedure Recordings
ST Recordings
Procedure Recordings Recording Functions
Non-Preset Recordings
Preset Recordings
Realtime Wave Recordings
Configuring Preset Recording Modes
Channel Press To give a name to the mode being
Configured Modes B and C are configured in the same way
Select wave for each channel
If available
Making Preset Recordings Making Non
To stop realtime recordings
Making Calibrated
Recordings If the Recorder is Busy
Recording Functions
Realtime Vital Signs / Blood Recordings
Definitions
Recording Functions
Recording Functions
Recording Functions
Monitor Setup selection window
Trended Vital Signs Recordings
Header
On the control panel
Recording Functions
Systolic Value has been entered Manually
Making Trended Vital Signs Recordings
To stop trended vital signs recordings
Neonatal Event Review Recordings
Tabular
Neonatal
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
Cal Pulse
Where @@@ is the signal value as follows
@@@
Delayed and realtime recordings can be extended or
Changing
Length
Recording as many times as needed
Changing the Recorder Speed Continuing Timed Recording
On the recorder. The recording runs until you stop it by
Pressing On the recorder or Softkey on
Display
Signal
Inserting a
Calibration
Layouts
Layout Choices on Recorder M1117A Sector
#11 25 mm Wave1 75 mm 50 mm Wave 3,4
Recording Status Messages
Message Meaning
Recorder door is open load new paper
Recorder Or shut the door
An actively running recording has been
Stopped Stopped by pressing On the recorder
Accessories and Ordering Information
Philips’ approval Use only Philips-approved accessories
For details
Damaged
Loading 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
Step
Equipment
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
Ending a
Discharging
Case
Endcase.tif
Trends and Calculations
Introduction to Trends & Calculations
Viewing Patient Data
Standard Database No. of Parameters Resolution Size
Minute Hours Seconds
Extended Database CMS only No. of Parameters Resolution Size
Trending
Priority
Viewing
Blood Mea
Calculations Trends
Trends and Calculations
Status Monochrome Display Color Display Printout
Yellow
Vital Signs Interval Direction Graph Trends Span
Viewing Vital Signs
Minute Hour Hours
Calculations Trends
Trends and Calculations
Selecting
Parameters
For Graph
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
Calibration pulse varies according to the wave type
MV square wave
Ohm M-shaped wave
All Pressures
Performing and Reviewing Calculations
There are two calculation functions available
HemodynamicsVentilation
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
Printing Reports
Printing
Window Reports
Scheduled
To turn the scheduled report capability on or off, press
Graph Trends Report
Vital Signs Report Blood Review Report
David Schultz
What to Do
If Your
Report Does
Not Print
Calculations
Drug Calculator
Calculations Trends
Aution
Trends and Calculations
Calculations Trends
Neonatal Event Review
Introduction to Neonatal Event Review
Viewing Neonatal Events
Storage
Manual
Followed by
Graphical
Details
Event Bar
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
BD =
AD =
ABD =
Event Review
Example of an Event Summary Line
Selecting an
Event
Viewing an
OxyCRG
Recording
Summary
Printing
Summary Changing
Viewing oxyCRG Episodes
Neonatal Event Review
Episode
Jumps from one oxyCRG episode to the next in both directions
Recording an
Selecting Softkey documents the selected oxyCRG
Associated oxyCRG episodes
Printing an
Adjusting Neonatal Event Review Settings
Criteria
Settings
Apnea Event
Bradycardia
Operating In the Event Setup task window you can
Select items Change the item content
Selecting
Listed under each event group
Contents of an item
Contents
Changing Item
Data Transfer
Data Transfer Module
CMS
Data
What is Transferred
Symbol Name Function Which Modules?
Data Transfer
To Module
Types of Transfer
Transfer All Data to Module
Data Transfer
Data Transfer
When a
To Monitor
Are automatically erased
Transfer Data to the Monitor
Transferring
Blood
Analysis
Data
Data Transfer
Blood Analysis
Scenarios
CTS
Combining Data
Time
Conversion
Database
Transfers to the Monitor
Data Transfer
To the Monitor
Vital Signs, Blood Review and Graphs
To the Module
When the transfer is finished
Indicator of time change
At calculation time
Troubleshooting
Event Results
Performance Specifications
Transfer
Transfer Time
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
Care Operating Storage
Acms with Anesthetic Gas Module
Operating Storage
Philips M1205A V24, V26, V24C and V26C
Condensa- tion
Philips M1205A V24CT and V26CT
To 35C 41 to 95F 15 to 40ºC 5 to 104ºF
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
Leads
Cables
Failure and possible health hazards
Controls and Connectors
Following diagram
Front
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
M1094B Display Module
Controls
M1092A
M1094A
Connectors
Monitor Installation Patient Safety
M1095A
M1095A Display Module Controls
Display
Rear Panel M1109A External Alarm Device
Controls Connectors M1109A External Alarm Device
Shown in the following diagram
Rear
M1026A Anesthetic Gas Module
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-#J10
78599AI-#J06
78599AI-#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 indicator
Operating Instructions
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
General cleaning of the System
Soaps
Ammonias
Alcohol
Maintenance
General Disinfecting of the System
Based Aldehyde
Based Bleach
Phenol based
Maintenance
Monitor Maintenance
Procedure Frequency Source of Information
Inspect
Inspect
Exterior
Monitor
Maintenance
Perform a System Self Test
Performance Assurance Checks
Maintenance
Check
Overview
System Self-test Values Module Test Numeric Test Waveform
Performing ECG Module
Self-Test
Module Test Numeric Test Waveform
Auto Check None
Performing Invasive Pressure
Module Self
Performing NBP Module Self Test SpO2 Pleth Cardiac Output
Self-Test None Auto Check None
Malfunction is given refer to the Troubleshooting Chapter
To the normal monitoring mode
Performing
TcpO2
Press
ET CO2 40 mmHg 6.0kPa
MmHg 0.0kPa
25 rpm
Ment Data
Manage
Base 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