Part Number M1046-9220L Printed 02/2003
PHI
Warranty
Iii
Electromagnetic Interference
Avoiding Electromagnetic Interference
Electromagnetic Compatibility M1205A Only
Description
Intended Use
Purpose
Environment
Condition
Indications for Use
Frequency of Use
Physiological Purpose
Prescription Versus Over-the-Counter
Viii
Indications for Use
Monitor Setup Monitor Revision → Show SW Rev
Manufacturer´s Address
Responsibility of the Manufacturer
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
CMS Patient
Introduction
Monitoring
System
M1167/77A System
M1167/77A System with External Alarm Device
Full Title Abbreviation
M1165/75A and M1166/76A System
CMS and V24 and V26 Patient Monitors
V24 Patient Monitor
Panel
Control
Softkeys
Hardkeys
CMS Control Panel
V24 and V26 Patient Monitor Control Panel
Key instead
Handheld Keypad
CMS only
Keys
External Alarm Device
Until
Normal
Functions
Hardkey
Confirm Key
Battery
V26CT/V24CT Power Supply
Power
Supply
Battery
Specifications
Volt
Parameter Modules
Symbol Name Function Which Modules?
Symbols to Indicate Key Functions
CMS Patient Monitoring System
Rack Type Mounting Comments
V24 and V26 Patient Monitor
Rack can be used
Is displayed if an unknown module is plugged into the rack
Message
Operating Levels
CMS and V24 and V26 Patient Monitors
135/72
Selection
For information on how to change the selection see
Window
Function
Task
By pressing the Setup key on the parameter module
There are two ways to get into the second operating level
Via the Selection Window
Below to get into the Selection and Task Windows
Getting into the Operating Levels
Selection Window
Task Window
CMS and V24 and V26 Patient Monitors
Touch or Mouse/Trackball Operation
Control Panel Task Window
Touch
General
Mouse
Trackball
Touch Responsive Objects
From
Items Task Window the Touchboard was accessed from Press
Disabling
M1046A
CMS Computer Modules
Computer
Module
ECG Output and Defibrillator Marker Input
M1046B
V24 and V26 Parameter Module Rack
Operating Rules to Remember
Performance Specifications of the Philips Displays
Safety
Using an ITE Display
Safety
Performance Requirements
Perfor
Specification Requirement or Value Units
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
Screen
Adjusting
Contrast
V24
Messages
Starting Monitoring
Reserving a Channel
Below the alarm and Inop messages
Prompt messages appear for 3 seconds
Task Window the prompt and status messages remain until
Information
Failure
Center
Standby
Getting Started
Getting Started
Setting up your Monitor
Changing Display Screens
Selecting a Screen
Procedure
Press the hardkey
CMS or
You can freeze any wave movement on the screen via
Freezing Waves CMS only
Keys. Press
Other key except To restart the waves
What you Can Configure
Hardkeys are indicated in the text like this
Changes to the Configuration
Making Changes to the Main Display
Assigning Waves to Screen Channels
Screen
Press Repeatedly to select a channel on
Press To move the selection to the wave you want
To place in your selected channel
Press To select a screen A-E. The selected
Depending on the configuration of the different screens
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
Selecting the Number of Waves
Screen Press To choose 4, 6, or 8 waves to be displayed
Depending on your model
Press To choose one of the available numbers
Changing the Wave Overlap
Dependent on model. The boxes in the middle of the screen
Indicate which waves are overlapping
Selecting Realtime Wave Speeds
To return to the Realtime
To return to
Selection window or
On/Off
Numerics
Numeric Positions
Aligned Numerics
Numeric Sizes
Additional
They are described in more detail in the following sections
Selecting an Application Window
Press Until ApplicWindow is selected on
Application window to be displayed
Special Implications for Touch or Mouse Operation
Displaying Split Screen Trends
Data for
Viewing Trend
Invasive Blood
Systolic pressure
With a thicker line than the other trends
Data for Non
Below
Main Screen Display with oxyCRG
OxyCRG Display
OxyCRG
Main Screen
Standard Display OxyCRG Display
Monitor
CSA Display CMS only
Realtime waves
Main Screen Standard Display CSA Display
Wave Replace
Press Until Wave Replace is selected on
Will be filled with another wave
Press To choose fixed or moving traces
Trace Mode
Configuring a Second Independent Display CMS only
Other Functions You Can Configure
Switch this setup off again using On/Off Setup or
Parameters On/Off
→ On/Off Setup
Adjusting the Volume Control
135/72
Adjusting the Date and Time
Message will appear with the date and time settings
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
Adult Pedi Neo
Parameter Patient Category Adult Pedi Neo
Adult Neo
Adult Neo Inv. Pressure
Adult
Examples
Pediatric
Neonate
Setting up your Monitor
NBP Recommendations
Morphology
ECG
Recommendations
Recommendation
Pressure
Heart Rate HR / Pulse
SpO2
Adult bpm Pedi/Neo bpm
Adult/Pedi Neo
CO2
Type, as this is automatically set to or
Changing the Configuration Set
Set you require. The universal settings for the selected
Configuration Set are displayed
To switch to the selected set
Changing Operating Modes
Mode
Returning to
Instrument goes through the boot-up sequence and reverts
Enter the password by pressing the appropriate combination
Password by pressing
Again Press the softkey Move the highlighting to
Test Signals Function
Press softkey Instrument Configuration
Procedure Analog Output CMS only
Press hardkey
Then
ECG and ECG
25 rpm Temperature 40C 104F Numeric only
MmHg 6.0 kPa
MmHg 0.0 kPa
Parameter Settings Transfer
Monitor
Message Condition Action required
Parameter Settings Transfer Messages
Setting up your Monitor
Other Patients
Using Philips Patient Care System with an Arrhythmia
Overview
Philips Patient Care System
Including alarms and INOPs
Other
Patients
Incoming Alarm
Automatic Alarm Other Patients
Multiple 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 signal
Using the Change Limits display. Tachy
Bpm using the Change Limits display
Minimum Condition Required for Alarm
Alarm
On-T VPBs
HR XXX UUU HR XXX LLL
Alarm Minimum Condition Requiring an Alarm
Arrhythmia Alarms on the 78720 Arrhythmia Computer
Tach
Fibrillatory wave for 4 consecutive seconds
HR V-Tach HR limit
Run limit
Message Minimum Condition Requiring an Alarm
Extended Overview CMS only
Select the bed, using
To View an Extended Other Patients Bed
Extended Overview Task Window will be displayed
To view an Alarming Bed from Alert Notification
When done, select To return to the Main Screen or to
Alert Notification
Pressed on the source bedside monitor or On the central
Alarm Functions
Alarm Display
Alarm Functions
Control Panel
Suspending Alarms
Alarm Lamps
What the Symbol Means
Suspended Alarms during Arrhythmia Monitoring
Silencing and Resetting Alarms
Alarm Reminder Alarm Behavior
Alarm Reminder Reminder Time
New Alarm Recording
Full alarm tone
Alarm is given Audible alarm
Priorities
Viewing Alarm Messages
Audible Alarms
Hardkey
Alarm Functions
Occurs
When an
Alarms Selection Window
Alarm Setup
Changing Alarm Limits
Adjust the limits
If there are more than 10 alarm bars to review, press
QRS and the alarm tone volume can be set independently Press
Setting Volume Control
Call Relay
Alarm Reminder Nurse Call Relay Signal Behavior
Alarm Functions
Recording Functions
Model Number
General Recorder Information
Recorder
Plug-In M1116A/B a Channel Bedside
Continue light
Controls and Indicators on the Plug- In Recorder
RUN/CONT key
Stop key
Controls and Indicators on the 4- Channel Recorder CMS only
Key
Recorder Capabilities
Makes currently printing recording
Plug-In Recorder M1116A/B
Central station and other monitors in overview mode
Makes delayed recordings of waveforms broadcast over
Central
Recorder 1
Types of Recordings
Delayed Recording
For Plug-In and 4-Channel Bedside Recorders
Configuring Delayed Recordings
Select wave for each channel Press
Press To select waveform
Press Change Second to select secondary wave
For Central Recorders
To store the selected wave
Display To return to the standard monitoring
Making Delayed Recordings
Alarm Recording
Configuring Alarm Recordings
Recording
Starting at the bottom channel, in the following priority
Channel
Channel P3 alarm
Yellow CO2 alarm would produce a recording ordered as
All AlarmRec
AlRecType
Configuring
Procedure Recordings
Procedure Recordings
Recordings can be made during cardiac output measurements
Making Procedure Recordings
ST Recordings
Procedure Recordings Recording Functions
Preset Recordings
Non-Preset Recordings
Realtime Wave Recordings
Channel Press To give a name to the mode being
Configuring Preset Recording Modes
Configured Modes B and C are configured in the same way
Select wave for each channel
Making Preset Recordings Making Non
If available
To stop realtime recordings
Recordings If the Recorder is Busy
Making Calibrated
Recording Functions
Definitions
Realtime Vital Signs / Blood Recordings
Recording Functions
Recording Functions
Recording Functions
Trended Vital Signs Recordings
Monitor Setup selection window
Header
On the control panel
Recording Functions
Systolic Value has been entered Manually
To stop trended vital signs recordings
Making Trended Vital Signs Recordings
Tabular
Neonatal Event Review Recordings
Neonatal
Event
Making a Tabular Neonatal Event Recording
OxyCRG Episode Recordings for Neonatal Events
Making an oxyCRG Episode Recording
OxyCRG Episode Data
OxyCRG Recordings
Patient Name Current Numerics & Alarms
Alarm Recording
Code Meaning
Additional Information
Recording Functions
Where @@@ is the signal value as follows
Cal Pulse
@@@
Changing
Delayed and realtime recordings can be extended or
Length
Recording as many times as needed
On the recorder. The recording runs until you stop it by
Changing the Recorder Speed Continuing Timed Recording
Pressing On the recorder or Softkey on
Display
Inserting a
Signal
Calibration
Layouts
#11 25 mm Wave1 75 mm 50 mm Wave 3,4
Layout Choices on Recorder M1117A Sector
Message Meaning
Recording Status Messages
Recorder Or shut the door
Recorder door is open load new paper
An actively running recording has been
Stopped Stopped by pressing On the recorder
Philips’ approval Use only Philips-approved accessories
Accessories and Ordering Information
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
Step
Cleaning the Roller on the Four Channel M1117A Recorder
Equipment
Required
Loading Paper Recording Functions
Admit/Discharge/End Case
Admitting a Patient
Admit/Discharge/End Case
Admit/Discharge/End Case
To clear data
Changing Patient Information
V24 and V26 only
Case
ICU Mode Adult/Pediatric ICU Mode Neonatal
Or Mode
Discharging
Ending a
Case
Endcase.tif
Trends and Calculations
Introduction to Trends & Calculations
Standard Database No. of Parameters Resolution Size
Viewing Patient Data
Minute Hours Seconds
Extended Database CMS only No. of Parameters Resolution Size
Priority
Trending
Viewing
Blood Mea
Calculations Trends
Trends and Calculations
Yellow
Status Monochrome Display Color Display Printout
Viewing Vital Signs
Vital Signs Interval Direction Graph Trends Span
Minute Hour Hours
Calculations Trends
Trends and Calculations
Parameters
Selecting
For Graph
Trends
Graph
Data management configuration and the options purchased
Up 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 Pulse
MV square wave
Calibration pulse varies according to the wave type
Ohm M-shaped wave
All Pressures
There are two calculation functions available
Performing and Reviewing Calculations
HemodynamicsVentilation
Left Cardiac Work LCW
Trends and Calculations
Calculation Task Window for Touch Screen
Calculation Task Window
Trends and Calculations
Stores the resampled values at the current time
Pressing
Keys or
Printing
Printing Reports
Window Reports
Scheduled
To turn the scheduled report capability on or off, press
Graph Trends Report
David Schultz
Vital Signs Report Blood Review Report
If Your
What to Do
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
Manual
Storage
Followed by
Details
Graphical
Event Bar
Indicated by two or three event bars
Neonatal Event Review
Neonatal Event Review
Neonatal Event Review
Specifically by the user
This value represents the most severe value during an event
AD =
BD =
ABD =
Example of an Event Summary Line
Event Review
Event
Selecting an
Viewing an
OxyCRG
Summary
Recording
Printing
Summary Changing
Viewing oxyCRG Episodes
Neonatal Event Review
Jumps from one oxyCRG episode to the next in both directions
Episode
Selecting Softkey documents the selected oxyCRG
Recording an
Associated oxyCRG episodes
Printing an
Adjusting Neonatal Event Review Settings
Settings
Criteria
Apnea Event
Bradycardia
Select items Change the item content
Operating In the Event Setup task window you can
Selecting
Listed under each event group
Contents
Contents of an item
Changing Item
Data Transfer
Data Transfer Module
CMS
Data
Symbol Name Function Which Modules?
What is Transferred
Data Transfer
Types of Transfer
To Module
Transfer All Data to Module
Data Transfer
Data Transfer
To Monitor
When a
Are automatically erased
Transfer Data to the Monitor
Blood
Transferring
Analysis
Data
Blood Analysis
Data Transfer
Scenarios
CTS
Time
Combining Data
Conversion
Database
Transfers to the Monitor
Data Transfer
Vital Signs, Blood Review and Graphs
To the Monitor
To the Module
Indicator of time change
When the transfer is finished
At calculation time
Event Results
Troubleshooting
Transfer
Performance Specifications
Transfer Time
Back up Memory Time
Monitor Installation and Patient Safety
Philips M1026A Anesthetic Gas Module V24
CMS Acms Ncms
Monitor Installation Patient Safety
Aution
Source
Installation Information
Do not use a 3-wire to 2-wire adapter with these instruments
Earth interconnected with either monitor
Monitor Installation Patient Safety
Ment
Environ
Acms with Anesthetic Gas Module
Care Operating Storage
Operating Storage
Philips M1205A V24, V26, V24C and V26C
Philips M1205A V24CT and V26CT
Condensa- tion
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 Frequency Source of Information
Maintenance Checks
Maintenance Checks
Cables
Leads
Failure and possible health hazards
Following diagram
Controls and Connectors
Front
M1046A Computer Module is a component of the M1165A/66A/75A
Rack Connector ECG Output P-p Module Connectors
Connectors M1046A Computer Module
Front Panel M1046B Computer Module
For 100
Connectors M1046B Computer Module
Rear Panel M1046A/B Computer Modules
Monitor Installation Patient Safety
Rear Panel Display Modules
M1092A/M1094A Display Module
Controls
M1094B Display Module
M1092A
M1094A
Connectors
Monitor Installation Patient Safety
M1095A Display Module Controls
M1095A
Display
Controls Connectors M1109A External Alarm Device
Rear Panel M1109A External Alarm Device
Rear
Shown in the following diagram
M1026A Anesthetic Gas Module
ITE display
Line protection fuses, T1.6 H Anesthetic Gas Exhaust
Monitor Installation Patient Safety
Lifting the Display Module
Connecting the Anesthetic Gas Module
V26 Connectors
Monitor Installation Patient Safety
Assembling V24 V26
78599AI-#J06
78599AI-#J10
78599AI-#J20
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 cycle
Operating Instructions
Amber LED
Up to 30-40% Flashing Off
Information V26CT Battery V24CT
100
Battery Indicator and Messages
Information V26CT Battery V24CT
External Battery Charger
Battery Care and Maintenance
Handling
Care
40488A 12 Volt Lead-Acid Batteries M1278A Battery Charger
Information V26CT Battery V24CT
Maintenance
Soaps
General cleaning of the System
Ammonias
Alcohol
Maintenance
Based Aldehyde
General Disinfecting of the System
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
System Self-test Values Module Test Numeric Test Waveform
Overview
Self-Test
Performing ECG Module
Module Test Numeric Test Waveform
Auto Check None
Module Self
Performing Invasive Pressure
Self-Test None Auto Check None
Performing NBP Module Self Test SpO2 Pleth Cardiac Output
To the normal monitoring mode
Malfunction is given refer to the Troubleshooting Chapter
Performing
TcpO2
ET CO2 40 mmHg 6.0kPa
Press
MmHg 0.0kPa
25 rpm
Manage
Ment Data
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