Philips Expression MR400

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Prescription only Foot site

NIBP cuff, correct side out Temperature range

Non-pyrogenic fluid path NIBP cuff, wrong side out

Airway adapter quantity

equals

NIBP cuff circumference

range

Anesthetic oxygen (O2)

sensor location and part

number

IBP transducer cable

quantity equals

Weight Cannula quantity equals

Humidity range

Humidity range, non

condensing

For indoor use only

Equipotential (earth)

ground

Fragile Keep dry

Symbol Symbol

Main Page

Manufacturer2
Identification and Publication Details2
Regulatory3
Explanation of Symbols3
Conventions11
- System Conventions11
- Document Conventions11
Important Information23
- About23
- Intended Use24
- Compatibility24
- Indications for Use25
- Contra-indications25
- Training26
- Safety26
  - Equipment Classification (According to IEC 60601-1)29
- Electromagnetic Compatibility (EMC)30
  - Radios30
- Using Batteries Safely34
- Examining the Shipment35
  - Disposing of the Packaging36
- Initial Setup36
  - Installing and Connecting Cart Batteries38
  - Attaching the SpO2 Probe to the wSpO2 Module40
- Rear Panel Connections41
  - Connecting AC Mains Power42
- Understanding Battery Operations43
- Understanding Wireless Network Operations49
  - Setting the Wireless Network Channel of the Cart49
  - Setting the Wireless Network Channel of the wECG and wSpO2 Modules51
- Advanced User Options55
  - Expression Information Portal (Model IP5)55
  - Additional Options55
- Accessory List55
System Overview63
- System Parameters63
- System Components64
  - Use Model64
- Hardware Features67
- wECG and wSpO2 Modules70
  - wECG Module71
    - wECG Module Indicators71
  - wSpO2 Module73
    - wSpO2 Module Indicators73
- Storing Modules and Accessories74
- Displayed Information and Controls75
- Navigation and Operation84
- Modes of Operation85
Getting Started87
- Defibrillator and Electrosurgical Use87
- Positioning the MR40088
- Operating the MR40089
  - System Power-up and Communications Verification90
    - Cart Power-down92
    - Wireless Module Power-down92
- Monitor Initialization92
- Viewing the Displayed Information93
- Default Settings93
  - Default Setting Indications93
  - User Settings94
- Initial Alarm Indications96
- Selecting the Patient Type97
- Setup Menus99
  - Monitor Setup Menu100
Alarms125
- Alarm Safety Information126
- Visual Alarm Indications126
- Audible Alarm Indications128
- Managing Alarm Functions132
- Alarms Menu141
- Adjustable Alarm Limit Ranges146
- Alarm Limit Factory Defaults148
- Measurement Limits and Over / Under Values149
- Listing of Alarms150
  - Patient and INOP Alarms151
  - Technical (INOP) Alarms and Other Status Flags155
Monitoring ECG165
- ECG Monitoring Considerations for the MR Environment165
- wECG Module and ECG Lead Cable166
- Quadtrode Electrodes167
- ECG Waveforms and VS Box186
  - Changing the Heart Rate Alarm Limits188
- ECG Menu190
Monitoring SPO2199
- wSpO2 Module, SpO2 Probe and SpO2 Attachment199
- Patient Preparation for SpO2 Monitoring200
- SPO2 Waveform and VS Box206
- SPO2 Menu210
Monitoring CO2 (LoFlo Option)217
- MR400 Preparation for CO2 Monitoring217
- Operation and Use218
- Patient Preparation for CO2 Monitoring220
- CO2 Waveform and VS Box223
  - Changing the CO2 and CO2 (RESP) Alarm Limits225
  - Changing the Unit of Measure227
- CO2 Menu228
Monitoring Invasive Blood Pressure233
- Indications and Contraindications233
  - Adult and Pediatric Patients233
  - Neonatal Patients233
- Patient Preparation for IBP Monitoring234
- Transducer Component, Connection, and Feature Locations234
- MR 400 Preparation for IBP Monitoring235
  - Adult and Pediatric Patients: Expression MR IBP DPT Kit, A/P (REF 989803194631)236
  - Neonatal Patients: Expression MR IBP DPT Kit, I/N (REF 989803194641)242
- Zeroing the Pressure Transducer248
- P1 (and P2) Menu254
Monitoring Agents and Gases (AGENT Option)261
- MR400 Preparation for AGENT Monitoring261
- Operation and Use261
- CO2 Low Flow and Occlusion Conditions264
- Selecting AGENT Accessories265
- AGENT Tubing Preparation265
  - Pre-Use System Checks268
  - Applying the Sampling Line to the Patient270
- Water Trap Replacement273
- AGENT and GAS VS Boxes274
- MAC Window280
- CO2 Waveform and VS Box282
  - Changing the CO2 and CO2 (RESP) Alarm Limits283
  - Changing the Unit of Measure286
- CO2 Menu287
Monitoring RESP291
- Patient Preparation for RESP Monitoring291
  - Monitoring Respiration using CO2291
  - Monitoring Respiration using the Bellows291
- Bellows Preparation292
- Respiration VS Box293
  - Changing the CO2 (RESP) Alarm Limits295
- RESP Menu295
Monitoring Temperature301
- General Usage Precautions301
- Initial Use302
- Connecting and Disconnecting the Sensor303
- Temperature Measurements304
  - Making Surface Temperature Measurements304
  - Making Body Temperature Measurements305
    - Placing the Temperature Sensor in a Jacket305
    - Placing the Temperature Sensor at the Body Site306
- Post-Measurement Processing307
- Accuracy Check308
- TEMP VS Box308
  - Changing the TEMP Alarm Limits309
  - Changing the Unit of Measure310
- TEMP Menu310
  - Units311
Monitoring NIBP313
- Patient Preparation for NIBP Monitoring314
  - Selecting the NIBP Cuff315
  - Positioning the NIBP Cuff317
- Connecting the NIBP Cuff317
- NIBP VS Box320
- NIBP Menu326
Trend Data and Printing331
- Trending Functions331
  - Viewing Tabular Trend Data331
  - Tabular Trends Menu331
- Printing Functions340
- Printer Menu341
Maintenance and Troubleshooting347
- General Cleaning Guidelines347
- Removing all Power to the MR400348
  - Restoring all Power to the MR400350
- Removing Power from the Wireless Modules350
  - Restoring Power to the Wireless Modules350
- User Routine-Checks and Planned Maintenance350
- Cleaning, Disinfection, and Damage Inspection352
  - Cleaning, Disinfecting, and Inspecting the Accessories353
  - Cleaning, Disinfecting, and Inspecting MR400 and Wireless Modules355
- Sterilization356
- Testing Alarms357
- Testing a Dropped Wireless Module358
- Verification Testing359
- Anesthetic Oxygen (O2) Sensor Depletion359
  - Replacing the O2 Sensor359
- Updating Software361
- Calibrating the Touch Screen362
- Troubleshooting362
- Repair362
- Environmental Requirements363
- Passing the Product on to another User364
  - Packaging the MR400364
- Final Disposal of the Product367
  - Disposal of the MR400 and Accessories367
  - Fitting, Removing and Disposing of Batteries368
Specifications369
- General369
- Displayed Information374
- ECG375
- Pulse Oximeter377
- CO2 (Optional LoFlo)378
- Invasive Blood Pressure (Optional)381
- AGENT (Optional)383
- Bellows Respiration391
- Temperature (Optional)391
- Non-Invasive Blood Pressure392
- Gating Outputs396
Warranty397
- Warranty Statement397
Regulatory Information399
- European Union399
  - Declaration of Conformity399
  - Authorized Representative399
- Australia399
Gating Feature401
- MR400 Preparation for Gating401
  - Gating Connector Pin-outs401
- Using the Gating Feature402
  - Using ECG Gating402
  - Using SPO2 Gating404
Guidelines and References405
- Guidelines for the Prevention of Excessive Heating and Burns Associated with Magnetic Resonance Procedures405
- References407

Philips Expression MR400 - Page 6

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