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Philips IntelliVue X2 User Manual

Philips IntelliVue X2
308 pages
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Patient Monitoring
INSTRUCTIONS FOR USE
IntelliVue X2
Multi-Measurement Module
Release G.0 with Software Revision G.0x.xx
To Purchase, Visit Avobus.com or call 1-800-674-3655

Table of Contents

Questions and Answers:

Philips IntelliVue X2 Specifications

General IconGeneral
BrandPhilips
ModelIntelliVue X2
CategoryControl Unit
LanguageEnglish

Summary

IntelliVue X2 Multi-Measurement Module - Instructions for Use

Installation

Operating the Monitor

Introduction to basic monitor operation using the touchscreen interface.

Basic Operation

Introducing the IntelliVue X2

Overview of the IntelliVue X2 patient monitoring device.

Controls, Indicators and Connectors

Overview of the X2 monitor's physical controls, indicators, and connectors.

X2 Controls and Indicators

Detailed explanation of the X2's controls, LEDs, and keys.

Operating and Navigating

How to operate the monitor using the touchscreen and physical keys.

Using the Touchscreen

Interaction methods for the touchscreen interface and measurement setup menus.

Operating Modes

Description of the different operating modes: Monitoring, Demonstration, Configuration, Service.

Understanding Profiles

How profiles adapt monitor configuration to different monitoring situations.

Starting Monitoring

Initial steps after switching on the monitor to begin patient monitoring.

Using the X2 with a Host Monitor (Companion Mode Indicated)

How the X2 functions when connected to a host monitor as a multi-measurement module.

Alarms

Visual Alarm Indicators

Explanation of visual cues for alarms, including messages, flashing numerics, and alarm lamps.

Audible Alarm Indicators

How audible alarms function and can be configured based on hospital standards.

Acknowledging Alarms

Procedure for acknowledging alarms using the Silence key or by removing the cause.

Pausing or Switching Off Alarms

Temporarily pausing or switching off alarms, especially during patient movement.

Alarm Limits

Setting conditions that trigger yellow and red limit alarms for measurements.

Changing Alarm Limits

How to change individual measurement alarm limits via the setup menu.

Reviewing Alarms

Viewing active and historical alarms and INOPs in the Review Alarms window.

Patient Alarms and INOPs

Patient Alarm Messages

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

Technical Alarm Messages (INOPs)

Lists technical alarms (INOPs), their source, and recommended actions.

Managing Patients

Admitting a Patient

Process of admitting a patient, entering physiological data and settings.

Discharging a Patient

Procedure for discharging a patient and clearing data.

Transferring a Centrally-Monitored Patient

Moving a monitored patient to another location without interrupting data collection.

Resolving Patient Information Mismatch

Identifying and resolving discrepancies in patient data across connected devices.

ECG, Arrhythmia, ST and QT Monitoring

Skin Preparation for Electrode Placement

Proper skin preparation techniques for good ECG signal quality.

Selecting the Primary and Secondary ECG Leads

Choosing primary and secondary leads for HR and arrhythmia analysis.

Understanding the ECG Display

Explanation of the ECG display elements, including heart rate and pacer spikes.

Monitoring Paced Patients

How to optimize ECG display for monitoring patients with pacemakers.

Setting the Paced Status (Pace Pulse Rejection)

Configuring pace pulse rejection to correctly count QRS complexes.

ECG and Arrhythmia Alarm Overview

Overview of ECG and arrhythmia alarms, depending on measurement and option enabled.

Using ECG Alarms

How to switch ECG alarms on/off and change high/low alarm limits.

ECG Safety Information

Safety precautions related to ECG monitoring, defibrillation, and electrosurgery.

About Arrhythmia Monitoring

How arrhythmia analysis provides information on patient's rhythm and ectopics.

Switching Arrhythmia Analysis On and Off

Turning arrhythmia analysis on or off and understanding its effect on alarms.

Choosing an ECG Lead for Arrhythmia Monitoring

Selecting suitable ECG leads for accurate arrhythmia monitoring.

Understanding the Arrhythmia Display

Explanation of beat labels and rhythm status messages on the arrhythmia display.

Arrhythmia Status Messages

Display of rhythm and ectopic status messages indicating patient's condition.

Arrhythmia Alarms

How arrhythmia alarms are detected, generated, and applied.

Yellow Arrhythmia Alarms

Specific short yellow alarms for arrhythmia-related patient conditions.

About ST Monitoring

How the monitor performs ST segment analysis and displays elevations/depressions.

About the ST Measurement Points

Explanation of ST value calculation based on ISO, J, and ST points.

Adjusting ST Measurement Points

Positioning ISO, J, and ST points for accurate ST segment measurement.

ST Alarms

How ST alarms are triggered and managed based on alarm limits.

Viewing ST Maps

Displaying multi-axis portraits of ST values to detect changes.

About QT/QTc Interval Monitoring

Monitoring QT/QTc intervals to detect prolonged QT interval syndrome.

QT Alarms

Information on QTc high limit and ΔQTc high alarms.

Monitoring Pulse Rate

System Pulse Source

Selecting the system pulse source for monitoring and alarm generation.

Using Pulse Alarms

Changing pulse rate alarm limits in the ECG/Pulse Alarms menu.

Selecting the Active Alarm Source: ECG or Pulse?

Choosing ECG or Pulse as the active alarm source to avoid simultaneous alarms.

Monitoring Respiration Rate (Resp)

Lead Placement for Monitoring Resp

Importance of patient skin preparation and ECG cable sets for Resp measurement.

Understanding the Resp Display

How the respiration rate is displayed as a continuous wave and numeric.

Changing the Apnea Alarm Delay

Setting the time delay before the monitor alarms for apnea.

Resp Safety Information

Safety precautions and limitations for respiration measurement.

Monitoring SpO2

SpO2 Sensors

Information on selecting and using SpO2 sensors and adapter cables.

Applying the Sensor

Steps for correctly applying the SpO2 sensor to the patient.

Measuring SpO2

Selecting patient category and ensuring proper application site for SpO2 measurement.

SpO2 Signal Quality Indicator (Fast SpO2 only)

Using the signal quality indicator to assess the reliability of SpO2 values.

Assessing a Suspicious SpO2 Reading

Methods to assess the validity of SpO2 readings using indicators and waveforms.

Understanding SpO2 Alarms

Specific alarms for SpO2, including high/low limits and desaturation alarms.

Adjusting the Alarm Limits

Setting high and low alarm limits for SpO2 measurements.

Adjusting the Desat Limit Alarm

Setting the Desat alarm for life-threatening drops in oxygen saturation.

Monitoring NBP

Introducing the Oscillometric NBP Measurement

Explanation of the oscillometric method for measuring Non-Invasive Blood Pressure (NBP).

Starting and Stopping Measurements

How to start and stop NBP measurements, with safety precautions.

Choosing the NBP Alarm Source

Selecting the source (Systolic, Diastolic, Mean) for NBP alarm conditions.

Monitoring Temperature

Making a Temp Measurement

Steps for selecting probes, connecting cables, and applying the temperature probe.

Selecting a Temperature for Monitoring

Choosing a temperature label to tell the monitor which temperature to monitor.

Monitoring Invasive Pressure

Setting up the Pressure Measurement

Steps for plugging in the pressure cable, preparing flush solution, and flushing the system.

Selecting a Pressure for Monitoring

Choosing a pressure label to monitor, which sets stored parameters and algorithms.

Zeroing the Pressure Transducer

Procedure for zeroing the pressure transducer to ensure accurate readings.

Adjusting the Calibration Factor

Comparing and setting the calibration factor for reusable transducers.

Choosing the Pressure Alarm Source

Selecting the source (systolic, diastolic, mean) for pressure alarm conditions.

Calibrating Reusable Transducer CPJ840J6

Performing mercury calibration for reusable transducers.

Monitoring Carbon Dioxide

Preparing to Measure Mainstream CO2

Steps for preparing to measure mainstream CO2, including adapter and zeroing.

Measuring CO2 using the CO2 Option or M3014A

Measuring CO2 using the monitor option or M3014A Capnography Extension.

Preparing to Measure Sidestream CO2

Steps for preparing to measure sidestream CO2, including filter lines and adapters.

Measuring Mainstream CO2 using M3016A

Measuring CO2 using the M3016A Mainstream CO2 Extension.

Changing CO2 Alarms

Adjusting etCO2 alarm settings, including limits and on/off status.

Assigning Two Devices to One Patient

How Can You Combine Devices?

Methods for combining monitor and telemetry device data for patient monitoring.

Assigning a Telemetry Transceiver with an SRR Adapter to a Monitor

Assigning a telemetry device with an SRR adapter directly to a monitor.

Trends

Viewing Trends

How patient data collected over time is displayed graphically or tabularly.

Viewing Graphic Trends

Navigating and viewing trends data using cursors and pop-up keys.

Recording

Starting and Stopping Recordings

Using pop-up keys to start and stop recordings.

Overview of Recording Types

Types of recordings (Delayed, Alarm, Realtime) and their configurations.

Creating and Changing Recordings Templates

Creating templates for commonly used recording settings.

Printing Patient Reports

Starting Report Printouts

How to print patient reports manually or set up automatic printing.

Setting Up Reports

Defining ECG report layout and Auto Reports settings in Configuration Mode.

Setting Up Individual Print Jobs

Adjusting appearance of individual print jobs, including report type, size, and orientation.

Care and Cleaning

General Points

General precautions for keeping the monitor, cables, and accessories clean and safe.

Cleaning the Monitor

Procedures for cleaning the monitor, including the screen and connectors.

Disinfecting the Monitor

Hospital policy guidelines for disinfecting the monitor.

Using Batteries

When monitoring a patient

Requirement to always insert a Philips M4607A battery when monitoring.

Battery Power Indicators

Using battery LED and status information to track power status.

Battery Safety Information

Critical safety warnings regarding battery handling, disposal, and usage.

Maintenance and Troubleshooting

Maintenance Task and Test Schedule

Schedule of maintenance tasks and performance tests for Philips-qualified professionals.

Troubleshooting

Steps to diagnose individual measurement or system-wide problems.

Accessories

ECG/Resp Accessories

Lists of ECG and Respiration accessories, including recommended trunk cables.

NBP Accessories

NBP cuffs, disposable cuffs, and reusable cuff kits with part numbers.

SpO2 Accessories

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

Temperature Accessories

Probes and accessories for temperature measurement.

Battery Accessories

Battery charger, conditioner, and size adapter.

Specifications

Intended Use

Describes the monitor's intended use by healthcare professionals for patient monitoring.

Installation Safety Information

Warnings and precautions related to connecting multiple instruments and medical devices.

Monitor Safety Specifications

Compliance with Medical Device Directive and various international standards.

EMC And Radio Regulatory Compliance

Compliance with Canadian ICES-001 and FCC Rules for radio frequency emissions.

Monitor Performance Specifications

Key performance specifications for the X2 monitor, including power and battery.

X2 (M3002A) Interface Specifications

Details on measurement link, ECG sync pulse output, and wireless interface specifications.

M4607A Battery Specifications

Physical, performance, environmental, and safety specifications for the M4607A battery.

Measurement Specifications

Default settings and performance specifications for ECG, Arrhythmia, ST, and QT.

ECG/Arrhythmia/ST Performance Specifications

Performance specifications for ECG, Arrhythmia, ST, and QT measurements.

Respiration Performance Specifications

Range, accuracy, resolution, bandwidth, and noise specifications for respiration.

Safety and Performance Tests

National regulations and requirements for testing personnel and facilities.

Electromagnetic Immunity

Monitor suitability for specific electromagnetic environments based on immunity tests.

Invasive Pressure Performance Specifications

Performance specifications for invasive pressure and pulse rate measurements.

CO2 Performance Specifications

Performance specifications for Microstream CO2 measurements.

Electromagnetic Emissions

Monitor suitability for electromagnetic environments based on emissions tests.

Default Settings Appendix

Country-Specific Default Settings

Default settings for line frequency, units, and ECG cable color by country.

Alarm and Measurement Default Settings

Factory default settings for alarms and measurements.

ECG, Arrhythmia, ST and QT Default Settings

Factory default settings for ECG, Arrhythmia, ST, and QT monitoring parameters.

Pulse Default Settings

Factory default settings for pulse monitoring and alarms.

Respiration Default Settings

Factory default settings for respiration monitoring and apnea alarms.

SpO2 Default Settings

Factory default settings for SpO2 monitoring, alarms, and pulse.

NBP Default Settings

Factory default settings for NBP measurement, alarms, and overpressure.

Invasive Pressure Default Settings

Factory default settings for invasive pressure and pulse measurements.

CO2 Default Settings

Factory default settings for CO2 measurements, including alarms and corrections.

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