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Philips MX400 User Manual

Philips MX400
534 pages
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Instructions for Use
IntelliVue Patient Monitor
MX400/450/500/550/600/700/800
MX400/450/500/550 Release K with Rev. K.1x.xx
MX600/700/800 Release J with Revison J.xx.xx
Patient Monitoring

Table of Contents

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Philips MX400 Specifications

General IconGeneral
SpO2Yes
NIBPYes
TemperatureYes
RespirationYes
Display TypeTFT LCD
ECGYes
Battery TypeLithium Ion
NetworkingEthernet
ParametersECG, SpO2, NIBP, Respiration, Temperature
Power SupplyAC 100-240V, 50/60Hz

Summary

1 Introduction

Safety Information

General warnings regarding electrical hazards, use environment, and interference.

Introducing the Monitor

Overview of the IntelliVue patient monitor, its capabilities, and basic operation.

Devices for Acquiring Measurements

Details on various modules and accessories used for patient data acquisition.

Operating and Navigating

How to interact with the monitor's screen, keys, and controls for operation.

Understanding Profiles and Settings

Predefined configurations (Profiles) and general settings to adapt the monitor to monitoring situations.

2 What's New?

What's New in Release K.1 (for MX400/450/500/550 only)

Features and improvements introduced in Release K.1 for specific monitor models.

What's New in Release J.0

Enhancements in Release J.0, including NMT module and alarm functionality.

3 Alarms

Alarm Indicators and Messages

Explanation of visual and audible alarms, messages, and indicators for monitoring alarm status.

Alarm Limits

How alarm limits are set to trigger yellow and red alarms based on patient condition.

Reviewing Alarms

Methods for viewing active alarms, messages, and historical alarm data.

4 Patient Alarms and INOPs

Patient Alarm Messages

Alphabetical listing of patient-specific alarms, their sources, conditions, and indications.

Technical Alarm Messages (INOPs)

List of technical alarms (INOPs), their causes, and recommended actions.

5 Managing Patients and Equipment

Managing Patients

Steps for admitting, identifying, and managing patient data for system operation.

Transferring Patients

Procedures for transferring patient data between devices and Information Centers.

Resolving Patient Information Mismatch

Methods for identifying and resolving mismatches in patient data between connected devices.

6 ECG, Arrhythmia, ST and QT Monitoring

Skin Preparation and Connecting ECG Cables

Essential steps for preparing patient skin and connecting ECG cables for clear signals.

Selecting ECG Leads and Checking Paced Mode

Guidelines for choosing appropriate leads for HR and arrhythmia analysis.

Monitoring Paced Patients

How to monitor patients with pacemakers, including identifying pace pulses and normal beats.

7 Monitoring Pulse Rate

System Pulse Source

Defining which measurement source is used as the system pulse for alarms and trending.

Selecting the Active Alarm Source: ECG or Pulse?

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

8 Monitoring Respiration Rate (Resp)

Lead Placement for Monitoring Resp

Importance of correct lead placement for accurate respiration measurement and signal quality.

Changing Resp Detection Modes

How to set respiration detection level automatically or manually for optimal performance.

9 Monitoring SpO2

SpO2 Sensors

Information on SpO2 sensors, adapter cables, and color coding for proper connection.

Applying the Sensor

Step-by-step instructions for applying the SpO2 sensor to the patient for accurate readings.

Understanding SpO2 Alarms

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

10 Monitoring NBP

Introducing the Oscillometric NBP Measurement

Overview of the oscillometric method for NBP measurement and its advantages.

Preparing to Measure NBP

Essential steps for preparing the NBP cuff and applying it correctly for accurate measurements.

11 Monitoring Temperature

Making a Temp Measurement

Step-by-step process for taking a temperature measurement, including probe selection and settings.

Selecting a Temperature for Monitoring

How to select the correct temperature label for the monitor to use stored color and alarm settings.

12 Monitoring Invasive Pressure

Setting up the Pressure Measurement

Procedures for connecting the pressure line, flushing the system, and applying the cuff.

Zeroing the Pressure Transducer

Importance and methods for zeroing the pressure transducer to ensure accurate readings.

Choosing the Pressure Alarm Source

How to select the pressure source for alarm monitoring and set limits.

13 Monitoring Cardiac Output

Hemodynamic Parameters

Table illustrating available hemodynamic parameters, their measurement methods, and display options.

Measuring C. O. Using the PiCCO Method

Detailed steps for measuring Cardiac Output using the PiCCO method and its requirements.

Measuring C.O. Using the Right Heart Thermodilution Method

Steps for measuring Cardiac Output using the right heart thermodilution method.

14 Monitoring Carbon Dioxide

Measurement Principles

Explanation of the infrared transmission principle used for measuring carbon dioxide.

Preparing to Measure Mainstream CO2

Steps for preparing the mainstream CO2 sensor, including zero calibration.

Preparing to Measure Sidestream CO2

Instructions for connecting the sensor cable and sample line for sidestream CO2 measurement.

15 Monitoring Airway Flow, Volume and Pressure

Attaching the Flow Sensor

Guidance on selecting and attaching the correct flow sensor for accurate airway measurements.

Zero Calibration

How the zero calibration process maintains spirometry accuracy and its automatic execution.

Gas Compensation

How to adjust gas compensation settings to ensure accurate flow and volume measurements.

16 Monitoring tcGas

Setting the tcGas Sensor Temperature

How to choose an appropriate temperature value for the transducer for optimal correlation and response.

Calibrating the tcGas Transducer

Procedures for calibrating the tcGas transducer to ensure measurement accuracy.

17 Monitoring Intravascular Oxygen Saturation

SpO2 Sensors

Information on SpO2 sensors, adapter cables, and color coding for proper connection.

Carrying out a Pre-insertion Calibration

Recommended procedure for pre-insertion calibration of the catheter and optical module.

18 Monitoring EEG

EEG Monitoring Setup

Steps for setting up EEG monitoring, including skin preparation and electrode placement.

Using the EEG Impedance/Montage Window

How to open and use the EEG Impedance/Montage window to view electrode status and wiring.

About Electrode-to-Skin Impedance

Importance of electrode-to-skin impedance as a quality indicator for EEG signal monitoring.

19 Monitoring BIS

BIS Monitoring Setup

Solutions for BIS monitoring using DSC/BIS Engine or BISx, including connection steps.

BIS Continuous Impedance Check

How the continuous impedance check functions and how to switch it off if necessary.

BIS Cyclic Impedance Check

How the cyclic impedance check measures individual electrode impedance.

20 Monitoring NMT

Stimulation Modes

Overview of the four stimulation modes for NMT measurement: TOF, Twitch, PTC, DBS.

Skin Preparation for Electrode Placement

Skin preparation and electrode placement guidelines for accurate NMT measurements.

Taking NMT Measurements

Steps for taking NMT measurements, including calibration and arm position.

21 Guardian Early Warning Scoring

Performing the Scoring Procedure

Steps to run Guardian Early Warning Scoring by switching to the EWS/SpotCheck Screen.

Understanding Guardian Early Warning Scoring

Explanation of scoring types (SPS, MEWS) and how they assess patient deterioration.

22 Using a Telemetry Device and a Monitor (PIIC only)

How Can You Combine Devices?

Ways to combine a monitor and telemetry device for integrated patient monitoring.

Direct Connection - Automatic Pairing

How automatic pairing works for direct connections between devices like X2 and monitors.

23 Trends

Viewing Trends

How to view trend information graphically, tabularly, or in histogram format.

Setting Up Trends

How to configure trend settings like groups, priorities, and scales for graphical and screen trends.

24 Calculations

Hemodynamic, Oxygenation, and Ventilation Calculations

Overview of patient data calculated by the monitor, including hemodynamic, oxygenation, and ventilation parameters.

Performing Calculations

Steps to check input values and perform calculations, including manual entry and automatic substitution.

25 High Resolution Trend Waves

Changing the Hi-Res Trend Waves Displayed

How to select and change the hi-res trend waves displayed on the screen.

Hi-Res Trend Wave Scales

How hi-res trend wave scales are determined by wave scale or patient category.

26 Event Surveillance

Levels of Event Surveillance

Differences between basic, advanced, and neonatal event surveillance options.

Event Episodes

Information on stored event data, including pre-time, post-time, and episode types.

Event Triggers

How to define manual or automatic triggers for event capture based on thresholds or procedures.

27 ProtocolWatch

SSC Sepsis Protocol

Details on the SSC Sepsis Protocol for screening and monitoring severe sepsis and its treatment.

Severe Sepsis Screening

How the monitor screens for severe sepsis by comparing vital signs and observations to set criteria.

28 Recording

Paper-Strip Recording

How to make paper recordings using the M1116B/C recorders for numerics and waveforms.

Starting and Stopping Recordings

Using pop-up keys to start and stop various types of recordings.

Changing Recordings Templates

How to create and modify templates for commonly used recording types.

29 Printing Patient Reports

Starting Report Printouts

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

Setting Up Reports

How to define content and settings for Auto Reports (Scheduled, End Case) and individual print jobs.

Checking Printer Settings

How to configure and check printer settings and port connections for report output.

30 Using the Drug Calculator

Performing Drug Calculations

Using the Drug Calculator to perform calculations for specific or non-specific drugs, based on patient data.

Charting Infusion Progress

How to use the Drip Table to monitor infusion progress and time remaining.

31 VueLink Modules

Connecting an External Device

Steps to insert and connect external devices using the VueLink module and its setup.

Alarms/INOPs from External Devices

How external device alarms and INOPs are transmitted and displayed on the monitor.

32 IntelliBridge EC10

Connecting an External Device

Steps to connect external devices using the IntelliBridge EC10 module or interface board.

Alarms/INOPs from External Devices

How IntelliBridge modules transmit alarms and INOPs from external devices to the monitor.

33 Using Timers

Viewing Timers

How to view currently active timers on the monitor screen or in the Timers window.

Setting Up Timers

How to configure timer settings like type, display color, and run time.

34 Respiratory Loops

Viewing Loops

How to view stored and realtime respiratory loops on the monitor screen.

Capturing and Deleting Loops

Procedures for capturing current loops for reference and deleting them from the list.

35 Laboratory Data

Viewing Received Data

How to view laboratory data received from an Information Center, grouped by category.

36 Using Batteries

Battery Power Indicators

How to interpret battery LEDs and status information for tracking power status.

Replacing a Battery

Step-by-step instructions for safely replacing the monitor's battery.

37 Care and Cleaning

Cleaning the Equipment

Procedures for cleaning the monitor, display screen, and measurement connectors with approved agents.

Disinfecting the Equipment

Recommended disinfecting agents and procedures for cleaning equipment before disinfection.

38 Maintenance and Troubleshooting

Inspecting the Equipment and Accessories

Visual inspection guidelines for the monitor and accessories before each use for safety and condition.

Troubleshooting

Steps for troubleshooting individual measurements or system-wide problems, including viewing status logs.

39 Accessories

ECG/Resp Accessories

List of Philips-approved ECG/Resp cables and accessories, noting defibrillator proofing.

NBP Accessories

Details on NBP cuffs and kits, including reusable comfort care and multi-care options.

SpO2 Accessories

Accessories for Philips SpO2 technology, including sensors, cables, and options.

40 Specifications

Indications for Use

Specifies the intended use of the monitors for healthcare professionals monitoring patients.

Use Environment

Requirements for the monitor's operating environment, including electrical installation and prohibited conditions.

Monitor Safety Specifications

Compliance with directives and standards for monitor safety, including EMC and software.

Physical Specifications

Dimensions and weights of monitors and modules for installation and integration planning.

40 Specifications (cont.)

Environmental Specifications

Operating and storage ranges for temperature, humidity, and altitude for optimal performance.

ECG/Arrhythmia/ST/QT Performance Specifications

Detailed performance specifications for ECG, arrhythmia analysis, ST, and QT monitoring parameters.

SpO2 Performance Specifications

Performance details for SpO2 measurement, including accuracy, averaging, and alarm specifications.

NBP Performance Specifications

Specifications for NBP measurement ranges, accuracy, modes, and alarm settings.

40 Specifications (cont. 2)

Intravascular Oxygen Saturation Performance Specifications

Performance details for SO2, SvO2, ScvO2 measurements, including accuracy and resolution.

EEG Performance Specifications

Specifications for EEG measurements, including bandwidth, filters, and impedance settings.

BIS Performance Specifications

Specifications for Bispectral Index, SQI, EMG, SR, SEF, TP, Bursts, and impedance.

NMT Performance Specifications

Specifications for NMT stimulation output, modes, and alarms.

40 Specifications (cont. 3)

Electromagnetic Compatibility (EMC) Specifications

Guidelines for ensuring proper use in electromagnetic environments and avoiding interference.

Recommended Separation Distances from Portable and Mobile RF Communication Equipment

Guidelines for maintaining safe distances from RF equipment to prevent interference.

41 Default Settings Appendix

Country-Specific Default Settings

Default line frequency, units, and ECG cable color settings specific to various countries.

Alarm and Measurement Default Settings

Factory default settings for alarms, measurements, and wave display.

ECG, Arrhythmia, ST and QT Default Settings

Default settings for ECG, arrhythmia analysis, ST, and QT monitoring parameters across patient categories.

SpO2 Default Settings

Default settings for SpO2 measurement, including mode, alarms, and signal quality.

41 Default Settings Appendix (cont.)

NBP Default Settings

Default settings for NBP measurement modes, alarms, and pressure ranges across patient categories.

Temperature Default Settings

Default settings for temperature measurements, including limits, alarms, and color.

Invasive Pressure Default Settings

Default settings for invasive pressure measurements (ABP, CVP, PAP, ICP) and their associated alarms.

41 Default Settings Appendix (cont. 2)

Cardiac Output Default Settings

Default settings for C.O. and CCO measurements, including calibration and alarms.

CO2 Default Settings

Default settings for CO2 measurements, including etCO2, imCO2, awRR, IPI, and color.

Spirometry Default Settings

Default settings for spirometry measurements like apnea time, MVexp, PIP, PEEP, and scales.

41 Default Settings Appendix (cont. 3)

tcGas Default Settings

Default settings for tcGas measurements, including limits, alarms, site timer, and corrections.

Intravascular Oxygen Saturation Default Settings

Default settings for SO2, SvO2, ScvO2 measurements, including limits, alarms, and color.

EEG Default Settings

Default settings for EEG measurements, including TP, SEF, filters, impedance, and smoothing.

41 Default Settings Appendix (cont. 4)

BIS Default Settings

Default settings for BIS monitoring, including SQI, EMG, SR, SEF, filters, and smoothing rate.

NMT Default Settings

Default settings for NMT measurements, including stimulation mode, repeat time, and alarms.

41 Default Settings Appendix (cont. 5)

VueLink Default Settings

Default settings for VueLink device alarms and color configurations.

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