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Philips IntelliVue MX800 User Manual

Philips IntelliVue MX800
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Instructions for Use
IntelliVue Patient Monitor
MX800
Release H.0 with Software Revision H.0x.xx
Patient Monitoring
Draft

Table of Contents

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Philips IntelliVue MX800 Specifications

General IconGeneral
Resolution1280 x 1024 pixels
TouchscreenYes
Display TypeTFT LCD
Parameters MonitoredECG, SpO2, Temperature
Network ConnectivityEthernet, Wi-Fi
ConnectivityUSB, Ethernet
Operating Temperature10°C to 40°C
Storage Temperature-20°C to 60°C

Summary

1 Introduction

Devices for Acquiring Measurements

Explains how the patient monitor acquires measurements using various devices and how to extend capabilities.

Operating and Navigating

Details how to navigate the monitor's screen, interact with elements, and use keys and touch screen.

Understanding Settings

Covers how monitor functions and appearance are defined by settings, including categories like screen, measurement, and monitor settings.

Networked Monitoring

Explains how to connect the monitor to an Information Center via a network using various interfaces.

Using the Integrated PC

Describes how to run applications on the integrated PC, display data, and manage PC functions.

Using the X2 or MP5 with a Host Monitor

Explains the system formed when connecting X2 or MP5 modules in companion mode to a host monitor.

2 Alarms

Visual Alarm Indicators

Details the visual cues for alarms, including alarm messages, flashing numerics, and alarm lamps.

Audible Alarm Indicators

Explains how audible alarm indicators function, their patterns, and configuration options.

Pausing or Switching Off Alarms

Guides on how to temporarily pause or permanently switch off alarms for patient monitoring needs.

Alarm Limits

Explains how to set alarm limits to trigger yellow and red limit alarms and how to view them.

Latching Alarms

Defines how alarm indicators behave when not acknowledged, including visual and audible indications.

Testing Alarms

Describes how to test visible and audible alarm indicators for correct functionality upon monitor startup.

3 Patient Alarms and INOPs

Patient Alarm Messages

Lists patient alarms alphabetically, detailing their source, condition, and indication.

Technical Alarm Messages (INOPs)

Lists technical alarms (INOPs) arranged by source and alphabetically, with troubleshooting steps.

5 ECG, Arrhythmia, ST and QT Monitoring

Skin Preparation for Electrode Placement

Provides instructions for proper skin preparation to ensure good electrode-to-skin contact for ECG signal quality.

Selecting the Primary and Secondary ECG Leads

Guides on choosing primary and secondary ECG leads for HR computation and arrhythmia analysis.

ECG Safety Information

Covers essential safety precautions related to ECG monitoring, including defibrillation, electrosurgery, and cable handling.

About Arrhythmia Monitoring

Explains how arrhythmia analysis provides information on patient condition using ECG leads and continuous monitoring.

Switching Arrhythmia Analysis On and Off

Details how to enable or disable arrhythmia analysis and the resulting impact on alarms and messages.

About ST Monitoring

Describes ST segment analysis for elevations and depressions, and its use in monitoring patient condition.

About QT/QTc Interval Monitoring

Explains QT/QTc interval monitoring and its role in detecting prolonged QT interval syndrome.

QT Alarms

Details the QT and QTc high limit alarms, their generation, and potential causes of invalid measurements.

6 Monitoring Pulse Rate

System Pulse Source

Explains how to select the pulse rate source for system pulse monitoring, alarms, and trending.

Switching Pulse On and Off

Guides on how to switch individual pulse numerics on or off via the setup menu.

Selecting the Active Alarm Source: ECG or Pulse?

Discusses choosing ECG or Pulse as the active alarm source to avoid simultaneous alarms on HR and Pulse.

Changing HR/Pulse Alarm Limits

Details how to change high and low alarm limits for HR and Pulse, noting shared limits.

7 Monitoring Respiration Rate (Resp)

Lead Placement for Monitoring Resp

Provides guidance on correct patient skin preparation and electrode placement for accurate Resp measurement.

Changing Resp Detection Modes

Covers how to change the Resp detection mode between automatic and manual settings.

Resp Safety Information

Provides critical safety warnings regarding respiration detection level, apnea, and interference.

8 Monitoring SpO2

SpO2 Sensors

Lists available SpO2 sensors and adapter cables, emphasizing correct selection for patient category and site.

Applying the Sensor

Details the steps for applying the SpO2 sensor, including site preparation and checking emitter/photodetector alignment.

Measuring SpO2

Guides on selecting patient category and ensuring proper application site for accurate SpO2 and pulse measurements.

Assessing a Suspicious SpO2 Reading

Explains how to assess suspicious SpO2 readings using signal quality indicators, pleth wave, and perfusion indicator.

Understanding SpO2 Alarms

Covers SpO2 specific alarms including high/low limit and high priority desat alarms.

Alarm Delays

Explains the delay between physiological events and alarm indications, with components and configuration options.

9 Monitoring NBP

Introducing the Oscillometric NBP Measurement

Describes the oscillometric method for measuring NBP and its accuracy compared to other techniques.

Measurement Modes

Details the four modes for NBP measurement: Manual, Auto, Sequence, and STAT.

Preparing to Measure NBP

Guides on connecting the cuff, tubing, and ensuring correct cuff application for accurate NBP measurement.

Starting and Stopping Measurements

Explains how to start and stop NBP measurements using the setup menu, SmartKeys, or MMS hardkey.

Enabling Automatic Mode and Setting Repetition Time

Details how to set the monitor to Auto mode for automatic measurements and configure the repetition time.

Choosing the NBP Alarm Source

Explains how to monitor alarm conditions in systolic, diastolic, and mean pressure, singly or in parallel.

10 Monitoring Temperature

Making a Temp Measurement

Guides on selecting the correct probe, connecting it, applying it to the patient, and checking alarm settings.

Selecting a Temperature for Monitoring

Explains how to tell the monitor which temperature label to monitor, influencing color and alarm settings.

Calculating Temp Difference

Describes how the monitor calculates and displays the difference between two temperature values.

11 Monitoring Invasive Pressure

Setting up the Pressure Measurement

Details steps for setting up pressure measurement, including plugging in the cable and flushing the system.

Selecting a Pressure for Monitoring

Explains how to select the pressure label, which determines stored settings and the processing algorithm.

Zeroing the Pressure Transducer

Covers the critical procedure for zeroing the transducer to avoid inaccurate pressure readings and ensure safety.

Adjusting the Calibration Factor

Explains how to compare and set the calibration factor for reusable transducers to ensure accurate measurements.

Calculating Pulse Pressure Variation

Details how Pulse Pressure Variation (PPV) is calculated from beat-to-beat arterial pressure values.

Measuring Pulmonary Artery Wedge Pressure

Describes how to obtain PAWP values by introducing a balloon-tipped catheter and occluding the pulmonary artery.

12 Monitoring Cardiac Output

Hemodynamic Parameters

Illustrates available hemodynamic parameters, their measurement methods, and display options.

Using the C.O.Procedure Window

Explains how to open and use the procedure window for carrying out C.O.-related tasks.

Measuring C. O. Using the PiCCO Method

Details the PiCCO method, combining thermodilution and pulse contour analysis, for cardiac output measurement.

Performing PiCCO C.O. Measurements

Guides through the steps of performing PiCCO C.O. measurements, including injection and data display.

Saving and Calibrating PiCCO C.O. Measurements

Details how to save edited trials and calibrate the monitor for CCO measurement.

C.O./CCO Safety Information

Provides critical safety warnings for C.O. and CCO measurements, including catheter constant and IABP precautions.

13 Monitoring Carbon Dioxide

Measurement Principles

Explains the infrared transmission principle for measuring CO2 and the parameters provided.

Measuring CO2 using M3014A or X2

Describes measuring carbon dioxide using mainstream or sidestream methods with M3014A or X2.

Preparing to Measure Mainstream CO2

Guides on attaching the transducer, reaching operating temperature, and performing sensor zero calibration.

Preparing to Measure Sidestream CO2

Details steps for connecting the sensor, airway adapter, and zeroing the sensor for sidestream CO2 measurement.

Setting up all CO2 Measurements

Covers tasks common to all CO2 measurements, including wave scale adjustment and CO2 corrections.

Changing CO2 Alarms

Explains how to configure CO2 specific alarms, including etCO2 High/Low and imCO2 High limits.

14 Monitoring Airway Flow, Volume and Pressure

Attaching the Flow Sensor

Provides guidance on selecting and attaching appropriate flow sensors for different patient categories.

Zero Calibration

Explains the process of zero calibration to maintain accuracy of spirometry waves and numerics.

Gas Compensation

Details how to set gas compensation modes (manual or gas analyzer) for accurate flow measurement.

Changing the Concentration of Inspired O2 and the Inspired Agents

Guides on adjusting inspired O2 and agent concentrations within the spirometry settings.

15 Monitoring tcGas

Setting the tcGas Sensor Temperature

Explains how to set the transducer temperature for optimal correlation and response time.

Using the tcGas Site Timer

Details the site timer function to reduce skin burn risk by limiting transducer use at one site.

Calibrating the tcGas Transducer

Covers the procedure for calibrating the transducer to maintain accuracy, recommending frequency and conditions.

Troubleshooting tcGas Calibration

Provides steps to resolve issues encountered during tcGas transducer calibration attempts.

Applying the tcGas Transducer

Guides on correct application of the tcGas transducer to the skin for optimal measurement.

TcGas Corrections

Explains how temperature and metabolism corrections adjust transcutaneous CO2 values.

16 Monitoring Intravascular Oxygen Saturation

Selecting a Measurement Label

Explains how to select the correct label for catheter/probe location, crucial for oxygen extraction calculations.

Carrying out a Pre-insertion Calibration

Details the recommended pre-insertion calibration for all insertions, or in-vivo calibration if not possible.

Performing In-Vivo Calibration

Outlines the conditions and procedure for performing an in-vivo calibration of the oxygen saturation measurement.

Calculating Oxygen Extraction

Describes how the monitor calculates and displays oxygen extraction as the difference between SpO2 and SvO2 values.

17 Monitoring EEG

EEG Monitoring Setup

Guides on preparing patient skin, selecting montage, and connecting electrodes for EEG monitoring.

Choosing an EEG Electrode Montage

Details the five pre-configured electrode montages and how to attach electrodes for EEG signal acquisition.

About Electrode-to-Skin Impedance

Explains electrode-to-skin impedance as the primary quality indicator for EEG signal measurement.

About Compressed Spectral Arrays (CSA)

Describes CSA as a view of EEG values over time, processed using Fast Fourier Transformation.

EEG Safety Information

Provides critical safety warnings for EEG monitoring, including defibrillation and electrical interference.

18 Monitoring BIS

BIS Monitoring Setup

Covers setup for BIS monitoring using DSC/BIS Engine or BISx solutions.

BIS Continuous Impedance Check

Explains the continuous check of signal electrode and ground electrode impedance for optimal BIS values.

BIS Cyclic Impedance Check

Describes the measurement of exact impedance for each electrode and its causes and manual controls.

BIS Window

Details how to open the BIS window to view sensor status and impedance indicators.

Changing the BIS Smoothing Rate

Explains how to adjust the smoothing rate to control BIS value averaging for responsiveness or trend stability.

Switching BIS and Individual Numerics On and Off

Guides on switching the BIS measurement and individual numerics (SQI, TP, SEF, SR, EMG, Bursts) on or off.

BIS Safety Information

Provides essential safety information for BIS monitoring, including conductive parts, surgery, and impedance checks.

19 Assigning a Telemetry Device and a Monitor to One Patient

How Can You Combine Devices?

Explains combining monitors and telemetry devices via indirect or direct connections for patient data integration.

Indirect Connection - Manual Pairing

Details the process of manually pairing a telemetry device with the monitor at the Information Center or monitor.

Direct Connection - Automatic Pairing

Describes possible direct connections for automatic pairing of telemetry devices with monitors via MSL cable.

Pairing an X2 or MP5 With a Telemetry Interface to a Host Monitor

Explains automatic pairing of X2/MP5 with telemetry interfaces to host monitors and manual pairing options.

Controlling the Telemetry Device from the Bedside

Guides on changing settings for a paired telemetry device directly from the monitor.

ECG Source Tracking at the Information Center

Explains how the Information Center tracks ECG signal source between monitor and telemetry device.

Synchronized Settings

Details how monitor settings are synchronized with the telemetry device via the Information Center.

20 Trends

Viewing Trends

Explains how to view trend information embedded on screens or in windows (graphic, tabular, histogram).

Setting Up Trends

Covers setting up trends in Configuration Mode and making temporary changes in Monitoring Mode.

Trend Interval

Defines the resolution of trend data, explaining suitability for neonatal vs. adult monitoring.

Trend Priority

Explains how to set a priority list for measurements when configuration restricts the number of trended measurements.

Trend Parameter Scales

Details how parameter scales define trend waveform appearance and can be set for different patient categories.

21 Calculations

Viewing Calculations

Explains how to open the Calculations window and select calculation types for display.

Performing Calculations

Guides on checking input values and performing calculations, including using the Calcs SmartKey.

Entering Values for Calculations

Details how to enter or edit calculation values manually or use automatically entered values.

Documenting Calculations

Guides on sending calculations recordings to a connected recorder or printing reports.

23 Event Surveillance

Event Triggers

Explains how to trigger event capture manually or automatically based on patient values or procedures.

Setting Triggers for NER and Basic Event Surveillance

Guides on setting event triggers and episode types for NER and Basic Event Surveillance.

Setting Triggers and Notification for Advanced Event Surveillance

Details setting triggers and notification types for Advanced Event Surveillance groups.

Viewing Events

Explains how to access the Event Summary, Event Review, and Event Episode windows to view stored events.

Documenting Events

Guides on printing reports or making recordings of events history or individual event episodes.

24 ProtocolWatch

SSC Sepsis Protocol

Describes the SSC Sepsis Protocol for screening and monitoring severe sepsis treatment.

Transferring Patients And Moving Manually Between Phases

Explains how to transfer patient data and settings between monitors for moving patients between phases.

Severe Sepsis Screening

Details the Severe Sepsis Screening phase, comparing patient values to criteria and confirming infection.

Sepsis Resuscitation Bundle

Covers the treatment recommendations for sepsis resuscitation and monitoring their implementation.

Sepsis Management Bundle

Presents stabilization recommendations and monitors their implementation after sepsis resuscitation.

Always Discharge Patients

Emphasizes the importance of discharging patients when monitoring ends to clear protocol logs and reset timers.

25 Recording

Central Recording

Explains how to perform central recording by connecting the monitor to an Information Center via a network.

Starting and Stopping Recordings

Guides on starting and stopping recordings using SmartKeys and pop-up keys.

Creating and Changing Recordings Templates

Details how to create and change recording templates for commonly used recording settings.

Recording Priorities

Explains the priority hierarchy for manually-started, automatically-started, and alarm recordings.

Recorder Status Messages

Lists and explains various recorder status messages and their possible causes and suggested actions.

26 Printing Patient Reports

Starting Report Printouts

Guides on starting report printouts by selecting Main Setup, Reports, and then the report name.

Starting the Different Types of Report

Details how to start various types of reports, including Vital Signs, Graphic Trends, and ECG Reports.

Setting Up Auto Reports

Covers setting up Auto Reports that print automatically based on triggers like predefined intervals or patient discharge.

Checking Printer Settings

Explains how to check printer settings, including paper size and orientation, defined in Configuration Mode.

Checking Report Status and Printing Manually

Guides on viewing print request status and manually printing reports that are not printed automatically.

27 Using the Drug Calculator

Accessing the Drug Calculator

Details how to access the Drug Calculator via Main Setup or a SmartKey.

Performing Drug Calculations

Explains how to perform drug calculations using pre-configured lists or for non-specific drugs.

Charting Infusion Progress

Describes how to view the Drip Table to monitor infusion progress and remaining time.

Using the Titration Table

Explains how to use the Titration Table to see drug doses at different infusion rates.

28 IntelliBridge EC10 Module

Connecting an External Device

Guides on inserting the module, checking the EC5 ID, connecting the device, and confirming communication.

Changing Waves and Numerics Displayed

Details how to change the waves and numerics displayed from the IntelliBridge module on the screen.

Alarms/INOPs from External Devices

Explains how the IntelliBridge module transmits external device alarms and generates INOPs.

Language Conflict with External Device Drivers

Warns about language conflicts when connecting modules with different operating languages.

29 VueLink Modules

Connecting an External Device

Guides on inserting the module, checking the device selection LED, and connecting/switching on the external device.

Changing VueLink Waves and Numerics Displayed

Details how to change the waves and numerics from a VueLink module displayed on the screen.

Switching VueLink On and Off

Explains how to switch VueLink measurements on and off via the device interface setting.

Alarms/INOPs From External Devices

Describes how VueLink modules transmit external device alarms and generate INOPs.

30 Using Timers

Viewing Timers

Explains how to view active timers in the Timers window or directly on the Main Screen.

Setting Up Timers

Guides on setting up timers, including selecting labels, run time, and counting direction.

Displaying a Timer On The Main Screen

Details how to substitute a timer for a numeric on the Main Screen for at-a-glance viewing.

31 Respiratory Loops

Viewing Loops

Explains how to view current and stored respiratory loops, and access pop-up keys for further actions.

Capturing and Deleting Loops

Guides on capturing current loops for reference and deleting loops from the reference list.

Changing Loops Display Size

Details how to adjust the display size of loops in the Loops window.

Changing Loops Type

Explains how to change the loop type (Press/Volume, Flow/Volume, Press/Flow) for display.

Documenting Loops

Guides on printing reports of individual loops or all loops from the Loops window.

32 Laboratory Data

Viewing Received Data

Describes how to view received laboratory data, grouped by categories, and how manual entries are marked.

33 Care and Cleaning

General Points

Provides general precautions for keeping equipment clean and free of dust and dirt.

Cleaning the Monitor

Details the recommended method for cleaning the monitor, screen, and connectors using lint-free cloth and mild soap.

Disinfecting the Monitor

Lists recommended disinfecting agents and emphasizes following hospital policy to avoid product damage.

Cleaning, Sterilizing and Disinfecting Monitoring Accessories

Refers to accessory instructions for cleaning, disinfecting, and sterilizing reusable transducers, sensors, and cables.

34 Maintenance and Troubleshooting

Inspecting the Equipment and Accessories

Outlines the visual inspection procedure for the monitor and accessories before each use.

Inspecting the Cables and Cords

Details inspection of system cables, power plug, Measurement Link cable, and patient cables for damage or loose connections.

Maintenance Task and Test Schedule

Presents a schedule of maintenance tasks and performance tests for qualified service professionals.

Troubleshooting

Provides guidance on troubleshooting individual measurements and system-wide problems by checking setup logs.

Disposing of the Monitor

Covers safe and proper disposal of the monitor and accessories according to country laws and recycling guidelines.

35 Accessories

ECG/Resp Accessories

Lists ECG/Resp accessories, including trunk cables, and highlights special protection features.

NBP Accessories

Details NBP accessories, including multi-patient comfort cuffs, disposable cuffs, and reusable cuff kits.

Invasive Pressure Accessories

Lists transducers, accessories, sensor kits, and cables for invasive pressure measurements.

SpO2 Accessories

Lists accessories for Philips SpO2 technology, including reusable and disposable sensors and adapter cables.

BIS Accessories

Lists Aspect BIS sensors and other accessories for BIS monitoring, including patient interface cables.

SO2 Accessories for M1011A

Provides accessory information for the M1011A module, including optical modules and catheters.

36 Specifications

Intended Use

Defines the intended use of the monitor for physiological parameter monitoring in healthcare facilities.

Monitor Safety Specifications

Lists the monitor's compliance with Medical Device Directives and various IEC/EN/UL safety standards.

Physical Specifications

Lists physical specifications such as weight and dimensions for the MX800 monitor and its modules.

Environmental Specifications

Details the operating and storage temperature, humidity, and altitude ranges for the monitor and accessories.

Performance Specifications

Provides performance specifications for the MX800 monitor, including power, sounds, trends, and events.

Interface Specifications

Details the specifications for various interfaces, including Network, MIB/RS232, USB, and Wireless Network Adapters.

Measurement Specifications

Lists performance specifications for ECG, Arrhythmia, ST, QT, Respiration, SpO2, NBP, and other measurements.

37 Default Settings Appendix

Country-Specific Default Settings

Documents default settings specific to countries, including line frequency, units, and ECG cable color.

Alarm and Measurement Default Settings

Lists default settings for alarms and measurements, including wave speed and patient category configurations.

Alarm Default Settings

Details factory default settings for alarm volume, pausing, reminders, and visual/audible latching.

ECG, Arrhythmia, ST and QT Default Settings

Provides factory default settings for ECG, arrhythmia, ST, and QT parameters like limits, modes, and filters.

Pulse Default Settings

Lists default settings for pulse alarms, including alarm source, limits, and tone settings.

Respiration Default Settings

Details factory default settings for respiration parameters like apnea time, detection modes, and alarms.

SpO2 Default Settings

Covers default settings for SpO2 measurements, including mode, averaging time, alarms, and signal quality.

NBP Default Settings

Lists default settings for NBP measurements, including mode, limits, alarms, and overpressure settings.

Temperature Default Settings

Provides default settings for temperature measurements, including limits, alarms, unit, and color.

Invasive Pressure Default Settings

Details default settings for invasive pressure measurements like limits, alarms, scale, and filter.

Cardiac Output Default Settings

Covers default settings for C.O. and CCO measurements, including calibration, limits, and alarms.

CO2 Default Settings

Lists default settings for CO2 measurements, including limits, alarms, scale, and corrections.

Spirometry Default Settings

Provides default settings for spirometry measurements like apnea time, volume, pressure, and gas compensation.

tcGas Default Settings

Details default settings for tcGas measurements, including limits, alarms, site timer, and transducer temperature.

SO2 Default Settings

Lists default settings for SO2 measurements, including limits, alarms, and light intensity.

SvO2 Default Settings

Provides default settings for SvO2 measurements, including limits, alarms, and light intensity.

ScvO2 Default Settings

Lists default settings for ScvO2 measurements, including limits, alarms, and light intensity.

EEG Default Settings

Details default settings for EEG measurements, including TP, SEF, impedance, and filters.

BIS Default Settings

Covers default settings for BIS measurements, including SQI, EMG, SR, SEF, and filters.

VueLink Default Settings

Lists default settings for VueLink modules, including device alarms and color.

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