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13 Monitoring Invasive Pressure

202

Table of Contents

Basic Operation11
- Safety Information12
  - Electrical Hazards and Interference12
  - Use Environment12
  - Alarms13
  - Accessories13
- Security Information13
  - Protecting Personal Information13
  - About HIPAA Rules14
  - About the EU Directives14
  - Philips Product Security Policy Statement14
  - Manufacturer Disclosure Statement for Medical Device Security – MDS215
- Introducing the IntelliVue MP215
- Controls, Indicators and Connectors15
  - MP2 Overview15
  - MP2 Controls and Indicators16
  - MP2 Patient Connectors, Right Side17
  - MP2 Left Side17
- Extending Measurements17
  - M3014A, M3015A, and M3015B Capnography MMS Extensions19
  - M3012A Hemodynamic MMS Extension20
  - Using the Battery Extension20
    - Connecting the Battery Extension20
    - LED Indicators21
  - IntelliVue Cableless Measurements22
    - Measurement Device Main Parts and Keys22
- Operating and Navigating22
  - Using the Touchscreen24
  - Measurement Setup Menus24
  - Main Setup Menu25
  - SmartKeys26
  - Pop-Up Keys27
  - Using the On-Screen Keyboard27
- Operating Modes27
  - Standby Mode28
- Understanding Screens29
  - Switching to a Different Screen29
  - Changing a Screen’s Content29
- Using the XDS Remote Display29
- Using the Visitor Screen30
- Understanding Profiles30
  - Swapping a Complete Profile31
  - Swapping a Settings Block31
  - Default Profile31
- Understanding Settings31
- Changing Measurement Settings32
- Switching a Measurement On and Off32
- Adjusting a Measurement Wave32
  - Changing Wave Speeds32
    - Changing the Wave Group Speed33
    - Changing Wave Speed for a Channel33
- Using Labels33
  - Changing Measurement Labels (e.g. Pressure)33
  - Resolving Label Conflicts33
  - Label Compatibility35
- Using IntelliVue Cableless Measurements35
  - Adding a Cableless Measurement Device35
    - Adding With an RFID Reader and Tagged Cableless Devices35
    - Adding Manually36
  - Removing a Cableless Measurement Device36
- Changing Monitor Settings37
  - Adjusting the Screen Brightness37
  - Setting the Date and Time37
- Checking Your Monitor Revision37
- Getting Started37
  - Inspecting the Monitor38
  - Switching On38
  - Power On/Power Off Behavior38
  - Setting up the Measurements38
  - Starting Monitoring39
- Disconnecting from AC Mains Power39
- Monitoring After a Power Failure39
- Networked Monitoring40
- Capturing Alarm Reports and Printing40
  - Capturing Alarm Events40
What's New?41
- What's New in Release L41
- What's New in Release K.242
- What's New in Release J.042
- What's New in Release H.044
- What's New in Release G.0?44
- What's New in Release F.0?45
Alarms47
- Visual Alarm Indicators48
- Audible Alarm Indicators49
- Acknowledging Alarms51
  - Acknowledging Disconnect INOPs51
  - Alarm Reminder51
- Pausing or Switching Off Alarms51
- Alarm Limits54
- Reviewing Alarms57
  - Review Alarms Window58
- Latching Alarms58
  - Viewing the Alarm Latching Settings58
  - Alarm Latching Behavior59
- Testing Alarms59
- Alarm Behavior at Power On59
- Alarm Recordings60
Patient Alarms and INOPs61
- Patient Alarm Messages61
- Technical Alarm Messages (INOPs)68
Managing Patients and Equipment85
- Patient Concepts85
- Equipment Concepts85
- Managing Patients86
  - Admitting a Patient86
  - Ending Monitoring for a Patient89
- Transferring Patients91
- Managing Equipment95
- Information Center Compatibility103
ECG, Arrhythmia, ST and QT Monitoring105
- Skin Preparation for Electrode Placement105
- Connecting ECG Cables105
- Selecting the Primary and Secondary ECG Leads106
- Checking Paced Mode106
- Understanding the ECG Display107
- Monitoring Paced Patients108
  - Setting the Paced Status108
  - Avoiding Pace Pulse Repolarization Tails109
- Changing the Size of the ECG Wave109
  - To Change the Size of an Individual ECG Wave109
  - To Change the Size of all the ECG Waves109
- Changing the Volume of the QRS Tone110
- Changing the ECG Filter Settings110
- Choosing EASI or Standard Lead Placement110
- Selecting Positions of Va and Vb Chest Leads (for 6-lead placement)111
  - 6-lead Placement111
  - 6-Lead Placement for Hexad Derived 12-lead111
- About ECG Leads111
  - ECG Leads Monitored112
  - Changing Lead Sets112
- ECG Lead Fallback112
- ECG Lead Placements112
  - Standard 3-Lead Placement113
  - Standard 5-Lead Placement113
  - Standard 6-Lead Placement114
  - Hexad 6-Lead Placement114
  - Chest Electrode Placement115
  - 10-Lead Placement115
  - Conventional 12-Lead ECG116
    - Modified 12-Lead ECG117
  - Choosing Standard or Modified Electrode Placement117
- Capture 12-Lead118
  - Viewing the Realtime 12-Lead ECG118
  - Capturing the 12-Lead ECG119
  - Changing Settings for a Captured 12-Lead ECG119
  - Storing and Sending the 12-Lead ECG120
  - Printing the 12-Lead ECG120
  - Downloading Analysis Results (PIIC iX only)121
  - Reviewing Previewed or Stored 12-Lead Captures121
  - Information Center Remote Export (PIIC iX only)121
  - Information Center Remote Lock/Unlock (PIIC iX only)121
  - Capture 12-Lead Pop-up Keys121
  - Setting Up the 12-Lead ECG122
- EASI ECG Lead Placement122
  - EASI Electrode Placement123
- ECG and Arrhythmia Alarm Overview123
- Using ECG Alarms125
  - Extreme Alarm Limits for Heart Rate125
  - ECG Alarms Off Disabled126
  - HR Alarms When Arrhythmia Analysis is Switched Off127
  - Enhanced Asystole Detection127
- ECG Safety Information127
- About Arrhythmia Monitoring129
  - Arrhythmia Options129
  - Where Can I Find More Information?129
- Switching Arrhythmia Analysis On and Off129
- Choosing an ECG Lead for Arrhythmia Monitoring129
  - Aberrantly-Conducted Beats130
  - Atrial Fibrillation Alarm130
  - Intermittent Bundle Branch Block131
- Understanding the Arrhythmia Display131
  - Viewing Arrhythmia Waves131
  - Arrhythmia Beat Labels131
  - Arrhythmia Status Messages132
    - Rhythm Status Messages132
    - Ectopic Status Messages133
- Arrhythmia Relearning134
  - Initiating Arrhythmia Relearning Manually134
  - Automatic Arrhythmia Relearn134
    - Arrhythmia Relearn and Lead Fallback134
- Arrhythmia Alarms135
  - Yellow Arrhythmia Alarms135
  - Arrhythmia Alarms and Latching135
  - Switching Individual Arrhythmia Alarms On and Off135
  - Switching All Yellow Arrhythmia Alarms On or Off136
  - Adjusting the Arrhythmia Alarm Limits136
  - Arrhythmia Alarm Timeout Periods136
    - What is a Timeout Period?136
    - Resetting the Timeout Period136
  - How are Yellow Arrhythmia Alarms Indicated?137
    - Arrhythmia Alarm Chaining137
  - Understanding PVC-Related Alarms139
- About ST Monitoring139
- Switching ST or STE On and Off140
  - Selecting Leads for ST Analysis140
- Understanding the ST Display and Windows141
- Updating ST Baseline Snippets143
- About the ST Measurement Points143
  - Setting ISO and J-Point Detection Mode144
  - Adjusting ST Measurement Points144
- ST Alarms146
  - Changing ST Alarm Limits146
- STE Alarms147
- Viewing ST Maps147
  - Viewing an ST Map147
  - Current View147
  - Trend View149
  - Working in the ST Map Task Window150
  - Viewing STE Maps150
- About QT/QTc Interval Monitoring152
  - QT Measurement Algorithm152
    - Where Can I Find More Information?153
  - Indications For Use Of QT Interval Monitoring153
  - Limitations For Use Of QT Interval Monitoring153
  - Selecting the QT Leads154
  - QT View154
- QT Alarms155
  - Switching Individual QTc Alarms On and Off156
  - Changing QTc Alarm Limits156
- Switching QT Monitoring On and Off156
Monitoring Pulse Rate157
- Entering the Setup Pulse Menu157
- System Pulse Source157
- Switching Pulse On and Off158
- Using Pulse Alarms158
Monitoring Respiration Rate (Resp)161
- Lead Placement for Monitoring Resp161
- Understanding the Resp Display162
- Changing Resp Detection Modes163
- Changing the Size of the Respiration Wave164
- Changing the Speed of the Respiration Wave164
- Using Resp Alarms164
- Changing the Apnea Alarm Delay164
- Resp Safety Information164
Monitoring with the CL Respiration Pod (cmResp)167
- Measurement Principles167
- Measurement Modes168
- Making Measurements168
- Understanding the Numerics168
- Setting the Measurement Mode169
- Setting the Repeat Time169
- Switching Posture and Activity Level On and Off170
Monitoring SpO2171
- SpO2 Sensors171
- Applying the Sensor172
- Connecting SpO2 Cables173
- Measuring SpO2173
- Understanding the SpO2 Numerics174
  - SpO2 Signal Quality Indicator (FAST SpO2 only)174
- Assessing a Suspicious SpO2 Reading175
  - Comparing Values and Waves175
- Changing the Averaging Time175
- Setting the Measurement Mode176
  - Making a Manual Measurement176
  - Making an Automatic Measurement176
- Understanding SpO2 Alarms176
- Pleth Wave181
- Perfusion Numeric181
- Perfusion Change Indicator181
- Setting SpO2/Pleth as Pulse Source181
- Setting Up Tone Modulation182
- Setting the QRS Volume182
Monitoring NBP183
- Introducing the Oscillometric NBP Measurement183
- Preparing to Measure NBP185
- Starting and Stopping Measurements187
- Enabling Automatic Mode and Setting Repetition Time188
- Enabling Sequence Mode and Setting Up The Sequence189
- Choosing the NBP Alarm Source189
- Switching Pulse from NBP On/Off190
- Assisting Venous Puncture190
- Calibrating NBP190
Monitoring Temperature191
- Making a Temp Measurement191
  - Selecting a Temperature for Monitoring192
  - Extended Temperature Label Set192
- Calculating Temp Difference192
Monitoring Invasive Pressure193
- Setting up the Pressure Measurement193
  - Selecting a Pressure for Monitoring194
  - Extended Pressure Label Set194
- Overview of Calibration Procedures195
- Zeroing the Pressure Transducer195
- Calibrating Reusable Transducers197
  - Making the Pressure Calibration197
  - Troubleshooting the Pressure Calibration198
- Adjusting the Calibration Factor199
- Displaying a Mean Pressure Value Only199
- Changing the Pressure Wave Scale199
- Optimizing the Waveform199
- Non-Physiological Artifact Suppression199
- Choosing the Pressure Alarm Source200
  - Extreme Alarm Limits for Pressure200
- Calculating Cerebral Perfusion Pressure201
Monitoring Carbon Dioxide203
- Measurement Principles204
- Measuring CO2 using the CO2 Option or M3014A205
  - Preparing to Measure Mainstream CO2205
  - Preparing to Measure Sidestream CO2206
    - Using the Sidestream Sensor Holder208
    - Removing Exhaust Gases from the System208
- Measuring Microstream CO2 using M3015A/B209
- Setting up all CO2 Measurements210
- Understanding the IPI Numeric213
Using a Telemetry Device and a Monitor215
- How Can You Combine Devices?215
  - Indirect Connection - Manual Pairing215
    - Own Patient Overview Window216
  - Direct Connection - Automatic Pairing216
    - Assigning a Telemetry Transceiver with an SRR Adapter to a Monitor216
- Unpairing the Monitor and Telemetry Device218
- Temporarily Stopping the Short Range Radio Connection218
Enhancing Telemetry Monitoring with the Monitor219
- Monitor and Telemetry Transceiver Requirements219
  - Data Sent to the Information Center219
  - Changing Assignment to a New Telemetry Transceiver219
Trends221
- Viewing Trends221
- Setting Up Trends224
- Documenting Trends227
- Trends Databases227
  - Aperiodic Trends Database228
  - Trending Multiple-Value Measurements228
- Screen Trends228
Recording231
- Starting and Stopping Recordings231
  - Recording Without a Template231
- Overview of Recording Types232
- Creating and Changing Recordings Templates232
  - Maintaining Recording Strips233
- Recorder Status Messages233
Printing Patient Reports235
- Starting Report Printouts235
  - Printout Location235
  - Starting the Different Types of Report236
- Stopping Reports Printouts236
- Setting Up Reports236
- Setting Up Individual Print Jobs238
- Checking Printer Settings238
- Printing a Test Report239
- Switching Printers On or Off for Reports239
- Dashed Lines on Reports239
- Unavailable Printer: Re-routing Reports239
- Checking Report Status and Printing Manually240
  - Printing Manually240
- Printer Status Messages241
- Sample Report Printouts242
Care and Cleaning245
- General Points245
- Cleaning the Monitor246
- Disinfecting the Equipment246
- Sterilizing the Equipment247
- Cleaning, Sterilizing and Disinfecting Monitoring Accessories247
- Cleaning Batteries and the Battery Compartment247
Using Batteries249
- Battery Power Indicators250
- Checking Battery Charge252
- When Battery Lifetime is Expired252
- Replacing a Battery253
  - Replacing the Battery in the Battery Extension254
- Optimizing Battery Performance254
- Battery Safety Information256
Maintenance and Troubleshooting257
- Inspecting the Equipment and Accessories257
- Inspecting the Cables and Cords258
- Maintenance Task and Test Schedule258
- Troubleshooting258
- Disposing of the Monitor259
- Disposing of Empty Calibration Gas Cylinders259
Accessories261
- ECG/Resp Accessories261
- NBP Accessories264
- Invasive Pressure Accessories270
  - Transpac 4 Disposable Pressure Transducer Pressure Monitoring Kits271
- SpO2 Accessories273
- Temperature Accessories278
- Mainstream CO2 Accessories279
- Sidestream CO2 Accessories279
- Microstream CO2 Accessories280
- Battery Accessories281
Specifications283
- Indications for Use283
- Use Environment283
- Restricted Availability284
- Manufacturer's Information284
  - Trademark Acknowledgement284
- Symbols285
- Installation Safety Information287
  - Connectors287
- Monitor Mounting Precautions287
  - Repositioning a Monitor on the Mounting Arm287
- Altitude Setting288
- Monitor Safety Specifications288
- EMC and Radio Regulatory Compliance288
  - The MP2 including IntelliVue Instrument Telemetry WMTS (US only))288
  - The MP2 including IntelliVue Instrument Telemetry ISM (2.4 GHz)289
  - The MP2 Including the IntelliVue 802.11 Wireless Network Adapter289
    - Radiofrequency Radiation Exposure Information290
  - The MP2 and 865244 Remote Control Including the Short Range Radio Interface290
- Out-Of-Hospital Transport - Standards Compliance290
- Physical Specifications291
- Environmental Specifications292
- Monitor Performance Specifications293
- Monitor Interface Specifications294
- 865297 Battery Extension Specifications296
- M4607A Battery Specifications296
- M4605A Battery Specifications297
- Measurement Specifications298
  - ECG/Arrhythmia/ST/QT298
  - Respiration300
  - Respiration from the CL Respiration Pod301
  - SpO2301
  - NBP305
  - Invasive Pressure and Pulse307
    - Invasive Pressure Alarm Specifications308
  - Temp308
  - CO2309
- Safety and Performance Tests312
  - Electromagnetic Compatibility (EMC) Specifications312
    - Accessories Compliant with EMC Standards312
  - Electromagnetic Emissions312
    - Avoiding Electromagnetic Interference (Resp)313
  - Electromagnetic Immunity313
  - Recommended Separation Distance314
  - Recommended separation distances from portable and mobile RF communication equipment315
Default Settings Appendix317
- Alarm and Measurement Default Settings317
- Alarm Default Settings317
- ECG, Arrhythmia, ST and QT Default Settings318
  - Arrhythmia Default Settings319
  - ST and QT Default Settings320
- Pulse Default Settings321
- Respiration Default Settings321
- SpO2 Default Settings322
- NBP Default Settings322
- Temperature Default Settings323
- Invasive Pressure Default Settings323
- CO2 Default Settings325
  - #327
  - A327
  - B327
  - C328
  - D328
  - E328
  - F328
  - G328
  - H329
  - I329
  - J329
  - K329
  - L329
  - M329
  - N329
  - O329
  - P329
  - Q330
  - R330
  - S330
  - T331
  - U331
  - V331
  - W331
  - Z331

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