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IntelliVue MP5
Philips IntelliVue MP5 User Manual
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Patient Monitoring
INSTRUCTIONS FOR USE
IntelliV
ue P
atient Monitor
MP5
Release G.0 with Softwa
re Revision G.0x.xx
2
Table of Contents
Installation
11
Installation Checklist
11
Unpacking and Checking the Shipment
12
Initial Inspection
12
Claims for Damage
12
Repacking
13
Mounting the Monitor
13
Connecting the Monitor to AC Mains
13
Checking Out The Monitor
13
Loading Paper
14
Operating the Monitor
15
Setting the Date and Time
16
Checking Country-Specific Default Settings
16
Handing Over the Monitor
16
Basic Operation
19
Introducing the Monitor
19
MP5/MP5T Major Parts and Keys
22
Operating and Navigating
23
Selecting Screen Elements
24
Using the Setup Menu
24
Disabling Touchscreen Operation
24
Moving Windows
24
Using Keys
25
Permanent Keys
25
SmartKeys
25
Pop-Up Keys
27
Using the On-Screen Keyboard
27
Using the On-Screen Calculator
28
Operating Modes
29
Standby Mode
29
Understanding Screens
30
Switching to a Different Screen
30
Changing a Screen’s Content
30
Using the XDS Remote Display (not MP5T)
31
Using the Visitor Screen
31
Understanding Profiles
32
Swapping a Complete Profile
34
Swapping a Settings Block
34
Default Profile
34
Locked Profiles
34
Understanding Settings
34
Changing Measurement Settings
35
Switching a Measurement On and Off
35
Adjusting a Measurement Wave
35
Changing Wave Speeds
35
Changing the Wave Group Speed
35
Changing Wave Speed for a Channel
36
Freezing Waves
36
Freezing An Individual Wave
36
Freezing All Waves
36
Measuring Frozen Waves
36
Changing The Wave Speed
36
Updating The Frozen Wave
37
Releasing Frozen Waves
37
Using Labels
37
Changing Measurement Labels (e.g. Pressure)
37
Resolving Label Conflicts
37
Label Compatibility
38
Entering Measurements Manually
39
Switching Manually Entered Measurements On and Off
39
Changing Monitor Settings
39
Adjusting the Screen Brightness
40
Adjusting Touch Tone Volume
40
Setting the Date and Time
40
Checking Your Monitor Revision
40
Getting Started
40
Inspecting the Monitor
40
Switching On
41
Power On/Power Off Behavior
41
Setting up the Measurements
41
Starting Monitoring
41
Disconnecting from Power
42
Monitoring After a Power Failure
42
Networked Monitoring
42
Using the MP5 with a Host Monitor
43
What’s New?
45
What’s New in Release G.0?
45
What’s New in Release F.0?
46
Alarms
49
Visual Alarm Indicators
50
Audible Alarm Indicators
51
Alarm Tone Configuration
51
Traditional Audible Alarms (HP/Agilent/Philips/Carenet)
51
ISO/IEC Standard Audible Alarms
52
Changing the Alarm Tone Volume
52
Minimum Volume for No Central Monitoring INOP
52
Minimum Volume for Severe Yellow or Red INOPs
52
Power Loss Tone
53
Acknowledging Alarms
53
Acknowledging Disconnect INOPs
53
Alarm Reminder (ReAlarm)
53
Pausing or Switching Off Alarms
54
To Pause All Alarms
54
To Switch All Alarms Off
54
To Switch Individual Measurement Alarms On or Off
54
While Alarms are Paused or Off
54
Restarting Paused Alarms
55
Resetting Arrhythmia Alarm Timeouts
55
Extending the Alarm Pause Time
55
Alarm Limits
55
Viewing Individual Alarm Limits
56
Viewing All Alarm Limits
56
Changing Alarm Limits
57
About Automatic Alarm Limits (AutoLimits)
59
Documenting Alarm Limits
59
Reviewing Alarms
60
Alarm Messages Window
60
Review Alarms Window
60
Latching Alarms
62
Viewing the Alarm Latching Settings
62
Alarm Latching Behavior
62
Testing Alarms
62
Alarm Behavior at On/Off
63
Alarm Recordings
63
Patient Alarms and INOPs
65
Patient Alarm Messages
65
Technical Alarm Messages (INOPs)
71
Managing Patients
95
Admitting a Patient
95
Patient Category and Paced Status
97
Admitting a Centrally-Monitored Patient
97
Quick Admitting a Patient
97
Editing Patient Information
97
Discharging a Patient
98
New Patient Check
98
Transferring Patients
99
Transferring a Centrally-Monitored Patient using IIT
99
Transferring a Centrally-Monitored Patient with the Monitor
99
Data Exchange Between Information Centers
100
Resolving Patient Information Mismatch
100
Manually Resolving Patient Mismatch
100
Patient Mismatch - If One Set of Patient Data is Correct
101
Patient Mismatch - If Neither Patient Data Set is Correct
101
Patient Mismatch - If Both Patient Data Sets Are Correct
101
Care Groups
102
Understanding the Care Group Overview Bar
102
Viewing the My Care Group Window
104
Viewing the Other Bed Window
105
Other Bed Pop-Up Keys
106
Visual Alarm Status Information in the Other Bed Window
106
Care Group Alarms
106
ECG, Arrhythmia, ST and QT Monitoring
109
Skin Preparation for Electrode Placement
109
Connecting ECG Cables
109
Selecting the Primary and Secondary ECG Leads
110
Checking Paced Status
110
Understanding the ECG Display
110
Monitoring Paced Patients
111
Setting the Paced Status (Pace Pulse Rejection)
112
Avoiding Pace Pulse Repolarization Tails
112
Changing the Size of the ECG Wave
113
To Change the Size of an Individual ECG Wave
113
To Change the Size of all the ECG Waves
113
Changing the Volume of the QRS Tone
113
Changing the ECG Filter Settings
114
Selecting Positions of Va and Vb Chest Leads (for 6- lead placement)
114
Choosing EASI or Standard Lead Placement
115
About ECG Leads
115
ECG Leads Monitored
115
Changing Lead Sets
115
ECG Lead Fallback
116
ECG Lead Placements
116
Standard 3-Lead Placement
117
Standard 5-Lead Placement
117
6-Lead Placement
117
Chest Electrode Placement
118
10-Lead Placement
119
Conventional 12-Lead ECG
119
Modified 12-Lead ECG
120
Choosing Standard or Modified Electrode Placement
120
Capture 12-Lead
120
EASI ECG Lead Placement
121
ECG and Arrhythmia Alarm Overview
122
Using ECG Alarms
123
Extreme Alarm Limits
123
ECG Alarms Off Disabled
123
HR Alarms When Arrhythmia Analysis is Switched Off
123
Enhanced Asystole Detection
123
ECG Safety Information
124
About Arrhythmia Monitoring
125
Arrhythmia Options
125
Where Can I Find More Information?
125
Switching Arrhythmia Analysis On and Off
126
Choosing an ECG Lead for Arrhythmia Monitoring
126
Aberrantly-Conducted Beats
126
Atrial Fibrillation Alarm
126
Intermittent Bundle Branch Block
127
Understanding the Arrhythmia Display
127
Viewing Arrhythmia Waves
128
Arrhythmia Beat Labels
128
Arrhythmia Status Messages
129
Rhythm Status Messages
129
Ectopic Status Messages
130
Arrhythmia Relearning
130
Initiating Arrhythmia Relearning Manually
130
Automatic Arrhythmia Relearn
131
Arrhythmia Relearn and Lead Fallback
131
Arrhythmia Alarms
131
Yellow Arrhythmia Alarms
132
Arrhythmia Alarms and Latching
132
Switching Individual Arrhythmia Alarms On and Off
132
Switching All Yellow Arrhythmia Alarms On or Off
132
Adjusting the Arrhythmia Alarm Limits
132
Arrhythmia Alarm Timeout Periods
133
What is a Timeout Period?
133
Resetting the Timeout Period
133
How are Yellow Arrhythmia Alarms Indicated?
133
Arrhythmia Alarm Chaining
134
Understanding PVC-Related Alarms
135
About ST Monitoring
137
Switching ST On and Off
137
Selecting Leads for ST Analysis
137
Understanding the ST Display
138
Updating ST Baseline Snippets
139
Recording ST Segments
140
About the ST Measurement Points
140
Adjusting ST Measurement Points
140
ST Alarms
142
Single- or Multi-lead ST Alarming
142
Changing ST Alarm Limits
142
Viewing ST Maps
143
Current View
143
Trend View
144
Viewing an ST Map
145
Working in the ST Map Task Window
145
Switching Between ST Map Views
145
Displaying an ST Reference Baseline
146
Updating an ST Map Reference Baseline
146
Changing the Scale of the ST Map
146
Changing the Trending Interval
146
Printing an ST Map Report
146
About QT/QTc Interval Monitoring
147
QT Measurement Algorithm
147
Where Can I Find More Information?
147
Indications For Use Of QT Interval Monitoring
148
Limitations For Use Of QT Interval Monitoring
148
Selecting The QT Leads
148
QT View
149
Changing The View To A Single Wave Set
149
Setting The QT Baseline
149
Printing The QT Waves
150
Recording The QT Waves
150
QT Alarms
150
Switching Individual QTc Alarms On and Off
151
Changing QTc Alarm Limits
151
Switching QT Monitoring On and Off
151
Monitoring Pulse Rate
153
Entering the Setup Pulse Menu
153
System Pulse Source
153
Switching Pulse On and Off
154
Using Pulse Alarms
154
Selecting the Active Alarm Source: ECG or Pulse?
154
Alarm Source Selection Disabled
155
Changing HR/Pulse Alarm Limits
155
Extreme Alarm Limits
155
QRS Tone
155
Monitoring Respiration Rate (Resp)
157
Lead Placement for Monitoring Resp
157
Optimizing Lead Placement for Resp
157
Cardiac Overlay
157
Lateral Chest Expansion
158
Abdominal Breathing
158
Understanding the Resp Display
158
Changing Resp Detection Modes
158
Auto Detection Mode
158
Manual Detection Mode
159
Resp Detection Modes and Cardiac Overlay
159
Changing the Size of the Respiration Wave
159
Changing the Speed of the Respiration Wave
160
Using Resp Alarms
160
Changing the Apnea Alarm Delay
160
Resp Safety Information
160
Monitoring SpO2
163
SpO2 Sensors
163
Applying the Sensor
163
Connecting SpO2 Cables
164
Measuring SpO2
164
SpO2 Signal Quality Indicator (Fast SpO2 only)
165
Assessing a Suspicious SpO2 Reading
165
Changing the Averaging Time
166
Setting the Measurement Mode
166
Making a Manual Measurement
166
Understanding SpO2 Alarms
166
Alarm Delays
167
Adjusting the Alarm Limits
167
Adjusting the Desat Limit Alarm
167
Pleth Wave
167
Perfusion Numeric
168
Perfusion Change Indicator
168
Setting SpO2/Pleth as Pulse Source
168
Setting Up Tone Modulation
168
Setting the QRS Volume
169
Monitoring NBP
171
Introducing the Oscillometric NBP Measurement
171
Measurement Limitations
172
Measurement Methods
172
Reference Method
172
Preparing to Measure NBP
172
Correcting the Measurement if Limb is not at Heart Level
173
Understanding the NBP Numerics
173
Starting and Stopping Measurements
174
Enabling Automatic Mode and Setting Repetition Time
175
Enabling Sequence Mode and Setting Up The Sequence
175
Choosing the NBP Alarm Source
176
Switching Pulse from NBP On/Off
176
Assisting Venous Puncture
177
Calibrating NBP
177
Measuring Predictive Temperature
179
Making a Temperature Measurement
179
Selecting a Temperature Label
181
Selecting Predictive or Continuous mode
181
Monitoring Temperature
183
Making a Temp Measurement
183
Selecting a Temperature for Monitoring
183
Extended Temperature Label Set
184
Calculating Temp Difference
184
Monitoring Invasive Pressure
185
Setting up the Pressure Measurement
185
Selecting a Pressure for Monitoring
185
Extended Pressure Label Set
186
Zeroing the Pressure Transducer
186
Zeroing ICP (or IC1/IC2)
186
Determining a Pressure’s Most Recent Zero
187
Zeroing a Pressure Measurement
187
Zeroing Two Pressures Simultaneously
187
Troubleshooting the Zero
187
Adjusting the Calibration Factor
188
Displaying a Mean Pressure Value Only
188
Changing the Pressure Wave Scale
188
Optimizing the Waveform
189
Using the Wave Cursor
189
Non-Physiological Artifact Suppression
189
Choosing the Pressure Alarm Source
189
Extreme Alarm Limits
190
Calibrating Reusable Transducer CPJ840J6
191
Making the Pressure Calibration
191
Troubleshooting the Pressure Calibration
192
Calculating Cerebral Perfusion
192
Calculating Pulse Pressure Variation
192
Monitoring Carbon Dioxide
195
Using the CO2 Measurement
196
Preparing to Measure Mainstream CO2
196
Preparing to Measure Sidestream CO2
197
Using the Sidestream Sensor Holder
198
Removing Exhaust Gases from the System
199
Measuring Microstream CO2
199
Preparing to Measure Microstream CO2
199
Using Microstream Accessories
199
Using the FilterLine and Airway Adapter
199
Removing Exhaust Gases from the System
200
Suppressing Zero Calibration
200
Setting up all CO2 Measurements
200
Adjusting the CO2 Wave Scale
200
Setting up CO2 Corrections
200
Suppressing Sampling (not Mainstream CO2)
201
Changing CO2 Alarms
201
Changing the Apnea Alarm Delay
201
Deriving Alarms From awRR
201
Changing awRR Alarm Limits
202
Assigning Two Devices to One Patient
205
How Can You Combine Devices?
205
Indirect Connection - Manual Pairing
205
Telemetry Data Window
206
Direct Connection - Automatic Pairing
206
Assigning a Telemetry Transceiver with an SRR Adapter to a Monitor
207
SpO2T Manual Mode
208
Unassigning a Telemetry Transceiver with SRR Adapter at the Monitor
208
Pairing an MP5 With a Telemetry Interface to a Host Monitor
208
Unpairing the Monitor and Telemetry Device
209
Functions Available When the Telemetry Data Window is Displayed
209
Controlling the Telemetry Device from the Bedside
209
Viewing and Silencing Telemetry Alarms at the Bedside
209
Suspending Telemetry Alarms
210
Using Standby
210
Functions Available For Devices Connected Via SRR
210
Temporarily Stopping the Short Range Radio Connection
210
Setting Up Measurements
211
General Telemetry-related Functions
211
ECG Source Tracking at the Information Center
211
Synchronized Settings
211
Use Models With Telemetry
212
Enhancing Telemetry Monitoring with the Monitor
215
Monitor and Telemetry Transceiver Requirements
215
Data Sent to the Information Center
215
Changing Assignment to a New Telemetry Transceiver
215
Trends
217
Viewing Trends
217
Trends Pop-Up Keys
218
Viewing Graphic Trends
218
Viewing Vital Signs Trends
219
Viewing Histogram Trends
220
Setting Up Trends
220
Making Segment Settings
220
Expanded View
221
Trend Scales for Segment Measurements
221
Optimum Scale
221
Trend Group
221
No. of Segments
221
Trend Groups
222
Trend Interval
222
Trend Priority
222
Trend Parameter Scales
222
Graphical Trend Presentation
223
Setting Measurement and Period for Histograms
223
Documenting Trends
223
Trends Databases
224
Aperiodic Trends Database
224
Trending Multiple-Value Measurements
224
Screen Trends
225
Setting the Screen Trend Time
225
Changing the Selection of Screen Trends Displayed
226
Activating the Cursor for Screen Trends
226
Changing the Screen Trend View
226
Tabular View
226
Histogram View
227
Horizon View
227
Setting the Horizon
227
Setting the Horizon Trend Scale
228
Setting the Time Period for the Trend Indicator Arrow
228
High Resolution Trend Waves
229
OxyCRG
229
Printing Hi-Res Trend Wave Reports
229
Hi-Res Trend Wave Recordings
230
Event Surveillance
231
Event Episodes
231
Events Pop-Up Keys
232
Event Triggers
232
Event Retriggering
233
Setting Triggers
233
Triggering Events Manually
233
Running a Car Seat Assessment Record
233
The Events Database
234
Viewing Events
234
Event Counter
234
Counting Combi-Events
235
Event Review Window
235
Event Episode Window
235
Annotating Events
236
Documenting Events
236
Documenting Event Review
236
Documenting an Event Episode
237
Event Recordings
237
Event Review Recordings
237
Event Episode Recordings
237
Event Reports
238
Event Review Reports
239
Event Episode Reports
240
ProtocolWatch
241
Severe Sepsis Screening
241
Orientation On The Screen
242
Suspending the Protocol for 24 Hours
242
Severe Sepsis Screening
243
Changing Conditions
244
Two Or More Infection Signs Or Symptoms Confirmed
244
Lactate Measurement
244
Hypotension Evaluation
245
Authorized Clinician Review
245
Viewing And Printing The Protocol Log
246
Always Discharge Patients
246
Recording
247
Starting and Stopping Recordings
247
Quickstarting Recordings
248
Extending Recordings
248
Stopping Recordings
248
Recording Without a Template
248
Overview of Recording Types
248
All ECG Waves Recordings
249
Creating and Changing Recordings Templates
249
Changing ECG Wave Gain
250
Recording Priorities
251
Sample Recording Strip
251
Recording Strip Code
251
Recorded Waveforms
252
Maintaining Recording Strips
252
Reloading Paper
253
Recorder Status Messages
253
Printing Patient Reports
255
Starting Report Printouts
255
Stopping Reports Printouts
256
Setting Up Reports
256
Setting Up ECG Reports
257
Setting Up Vital Signs and Graphic Trend Reports
257
Setting Up Auto Reports
257
Setting Up Individual Print Jobs
258
Checking Printer Settings
259
Printing a Test Report
259
Switching Printers On Or Off for Reports
259
Dashed Lines on Reports
259
Unavailable Printer: Re-routing Reports
259
Checking Report Status and Printing Manually
260
Printing Manually
260
Printer Status Messages
261
Sample Report Printouts
262
Alarm Limits Report
263
Realtime Report
263
ECG Reports
265
Other Reports
265
Using the Drug Calculator
267
Accessing the Drug Calculator
267
Performing Drug Calculations
268
About the Rule of Six
268
Performing Calculations for a Non-Specific Drug
268
Performing Calculations for a Specific Drug
269
Charting Infusion Progress
270
Using the Titration Table
270
Documenting Drug Calculations
270
Using the Timer
271
Viewing the Timer
271
Timer Types
271
Timer Setup Pop-up Keys
271
Setting Up Timers
272
Timer Label
272
Run Time
272
Timer Counting Direction
272
Notification
273
Timer Volume
273
Displaying a Timer On The Main Screen
273
Main Screen Timer Pop-up Keys
274
Displaying A Clock On The Main Screen
274
Laboratory Data
275
Viewing Received Data
275
Care and Cleaning
277
General Points
277
Cleaning the Monitor
278
Disinfecting the Monitor
278
Sterilizing the Monitor
278
Cleaning, Sterilizing and Disinfecting Monitoring Accessories
279
Cleaning and Disinfecting the Predictive Temperature Accessories
279
Probes
279
Probe Holders
279
Cleaning Batteries and the Battery Compartment
279
Using Batteries
281
Battery Power Indicators
281
Battery LED
282
Battery Status on the Main Screen
282
Battery Status Window
283
Recording Battery Status
283
Printing Battery Reports
283
Checking Battery Charge
284
Replacing a Battery
284
Optimizing Battery Performance
284
Display Brightness Setting
284
Charging a Battery
285
Conditioning a Battery
285
Storing a Battery
285
Battery Safety Information
285
Maintenance and Troubleshooting
287
Inspecting the Equipment and Accessories
287
Inspecting the Cables and Cords
287
Maintenance Task and Test Schedule
288
Troubleshooting
289
Disposing of the Monitor
289
Disposing of Empty Calibration Gas Cylinders
289
Accessories
291
ECG/Resp Accessories
291
Recommended Cables
291
Trunk Cables
291
3-Electrode Cable Sets
292
5-Electrode Cable Sets
292
6-Electrode Cable Sets
292
10-Electrode (5+5)Cable Sets
292
10-Electrode (6+4)Cable Sets
292
One-piece Cables
293
Radio-translucent Cables
293
Set Combiners and Organizers
293
Supported Cables
293
Trunk Cables
293
3-Electrode Cable Sets
294
5-Electrode Cable Sets
294
3-Electrode One Piece Cables
294
5-Electrode One Piece Cables
294
Set Combiners and Organizers
294
NBP Accessories
295
Adult/Pediatric Multi-Patient Comfort Cuffs and Disposable Cuffs
295
Reusable Cuff Kits
295
Adult/Pediatric Antimicrobial Coated Reusable cuffs
295
Adult/Pediatric Soft Single Patient Single-Hose Disposable Cuffs
296
Neonatal/Infant Cuffs (Disposable, non-sterile)
296
Invasive Pressure Accessories
296
SpO2 Accessories
297
Temperature Accessories
301
Predictive Temperature Accessories
301
Mainstream CO2 Accessories
302
Sidestream CO2 Accessories
302
Microstream CO2 Accessories
302
Recorder Accessories
303
Cable for Direct Connection of a Telemetry Device
304
Battery Accessories
304
Installation and Specifications
305
Intended Use
305
Manufacturer’s Information
306
Trademark Acknowledgement
306
Symbols
306
Installation Safety Information
308
Connectors
308
Left Side of Monitor
309
Right Side of Monitor
310
Altitude Setting
310
Monitor Safety Specifications
310
EMC And Radio Regulatory Compliance
311
Out-Of-Hospital Transport - Standards Compliance
312
Physical Specifications
313
Environmental Specifications
314
Monitor Performance Specifications
314
M4605A Battery Specifications
318
Measurement Specifications
319
ECG/Arrhythmia/ST/QT
319
Respiration
321
SpO2
323
NBP
324
Invasive Pressure and Pulse
326
Temp
327
Predictive Temperature
327
CO2
327
Interfering Gas and Vapor Effects On CO2 Measurement Values
330
Safety and Performance Tests
331
Electromagnetic Compatibility (EMC) Specifications
331
Accessories Compliant with EMC Standards
331
Electromagnetic Emissions
331
Avoiding Electromagnetic Interference (Resp)
332
Electromagnetic Immunity
332
Recommended Separation Distance
333
Recommended separation distances from portable and mobile RF communication equipment
334
Electrosurgery Interference/Defibrillation/Electrostatic Discharge
334
Fast Transients/Bursts
334
Restart time
335
Default Settings Appendix
337
Country-Specific Default Settings
337
Alarm and Measurement Default Settings
343
Alarm Default Settings
343
ECG, Arrhythmia, ST and QT Default Settings
344
Pulse Default Settings
347
Respiration Default Settings
347
SpO2 Default Settings
348
NBP Default Settings
349
Temperature Default Settings
349
Predictive Temperature Default Settings
350
Invasive Pressure Default Settings
350
CO2 Default Settings
352
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Philips IntelliVue MP5 Specifications
General
Brand
Philips
Model
IntelliVue MP5
Category
Medical Equipment
Language
English
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