Philips MX400 - Page 184

534 pages

Save Page as PDF

To Next Page

To Next Page

To Previous Page

To Previous Page

Loading...

7 Monitoring Pulse Rate

184

Table of Contents

Introduction13
- Safety Information14
  - Electrical Hazards and Interference14
  - Use Environment14
  - Alarms15
  - Accessories15
- Security Information15
  - Protecting Personal Information15
  - About HIPAA Rules16
  - About the EU Directives16
  - Philips Product Security Policy Statement16
  - Manufacturer Disclosure Statement for Medical Device Security – MDS216
- Introducing the Monitor16
  - Major Parts and Keys17
- Devices for Acquiring Measurements18
  - Flexible Module Rack (M8048A)19
  - 4-Slot Flexible Module Rack (FMS-4)19
  - Measurement Modules20
    - Example Module (SpO2)21
  - X1 Multi-Measurement Module (M3001A)21
    - X1 Connectors and Symbols22
  - X2 Multi-Measurement Module (M3002A)22
  - MMS Extensions25
    - M3014A, M3015A, M3015B and M3016A Capnography MMS Extensions25
    - M3012A Hemodynamic MMS Extension27
  - Using MMSs in a Mixed Software Environment27
- Operating and Navigating27
  - Selecting Screen Elements30
  - Using the Touchscreen30
  - Disabling Touchscreen Operation30
  - Using a Mouse or Trackball30
  - Moving Windows30
  - Using Keys30
  - Using the Remote Control34
    - Using the SmartKeys Key35
  - Using the On-Screen Keyboard35
  - Using the On-Screen Calculator35
- Operating Modes36
  - Standby Mode36
- Understanding Screens37
  - Switching to a Different Screen37
  - Changing a Screen's Content37
- Connecting Additional Displays to the Monitor38
  - Independent Displays38
- Using the XDS Remote Display39
- Using the Visitor Screen39
- Understanding Profiles39
  - Swapping a Complete Profile40
  - Swapping a Settings Block40
  - Default Profile40
  - Locked Profiles40
- Understanding Settings41
  - Changing Measurement Settings41
  - Switching a Measurement On and Off41
  - Switching Numerics On and Off42
  - Adjusting a Measurement Wave42
- Changing Wave Speeds42
  - Changing the Wave Group Speed42
  - Changing Wave Speed for a Channel42
- Freezing Waves42
  - Freezing An Individual Wave43
  - Freezing All Waves43
  - Measuring Frozen Waves43
  - Changing The Wave Speed43
  - Updating The Frozen Wave43
  - Releasing Frozen Waves44
- Using Labels44
  - Changing Measurement Labels (e.g. Pressure)44
  - About Label Sets44
  - Resolving Label Conflicts44
  - Label Compatibility46
- Entering Measurements Manually46
  - Switching Manually Entered Measurements On and Off47
- Changing Monitor Settings47
  - Adjusting the Screen Brightness47
  - Setting the Date and Time47
- Checking Your Monitor Revision48
- Getting Started48
  - Inspecting the Monitor48
  - Setting up the Modules48
  - Switching On48
    - Power On/Power Off Behavior49
  - Starting Monitoring49
- Disconnecting from Power49
  - Monitoring After a Power Failure49
- Networked Monitoring50
- Using the Integrated PC50
  - Starting the iPC51
  - Viewing the iPC Desktop on the Monitor Display51
  - Adjusting the iPC Audio Volume51
  - Using Input Devices with the iPC and Monitor51
  - Shutting the iPC Down52
    - Special Situations at Shutdown52
- Using Your Monitor with a Monitor in Companion Mode52
What's New?55
- What's New in Release K.1 (for MX400/450/500/550 only)55
- What's New in Release K.055
  - MX400/MX45055
- What's New in Release J.056
Alarms59
- Visual Alarm Indicators60
- Audible Alarm Indicators61
- Acknowledging Alarms63
  - Acknowledging Disconnect INOPs64
  - Alarm Reminder64
- Pausing or Switching Off Alarms64
- Alarm Limits67
- Reviewing Alarms71
  - Alarm Messages Window71
  - Review Alarms Window71
- Latching Alarms72
  - Viewing the Alarm Latching Settings72
  - Alarm Latching Behavior72
- Testing Alarms73
- Alarm Behavior at Power On73
- Alarm Recordings73
Patient Alarms and INOPs75
- Patient Alarm Messages75
- Technical Alarm Messages (INOPs)81
Managing Patients and Equipment105
- Patient Concepts105
- Equipment Concepts105
- Managing Patients106
- Managing Equipment119
- Care Groups126
- Information Center Compatibility132
ECG, Arrhythmia, ST and QT Monitoring133
- Skin Preparation for Electrode Placement133
- Connecting ECG Cables133
- Selecting the Primary and Secondary ECG Leads134
- Checking Paced Mode134
- Understanding the ECG Display134
- Monitoring Paced Patients135
  - Setting the Paced Mode (Pace Pulse Rejection)136
  - Avoiding Pace Pulse Repolarization Tails136
- Changing the Size of the ECG Wave136
  - To Change the Size of an Individual ECG Wave137
  - To Change the Size of all the ECG Waves137
- Changing the Volume of the QRS Tone137
- Changing the ECG Filter Settings137
- Selecting Positions of Va and Vb Chest Leads (for 6-lead placement)138
- Choosing EASI or Standard Lead Placement138
- About ECG Leads138
  - ECG Leads Monitored139
  - Changing Lead Sets139
- ECG Lead Fallback139
- ECG Lead Placements139
  - Standard 3-Lead Placement140
  - Standard 5-Lead Placement141
  - 6-Lead Placement141
  - Chest Electrode Placement142
  - 10-Lead Placement142
  - Conventional 12-Lead ECG143
    - Modified 12-Lead ECG144
  - Choosing Standard or Modified Electrode Placement144
- EASI ECG Lead Placement145
  - EASI Electrode Placement145
- Capture 12-Lead146
  - Viewing the Realtime 12-Lead ECG146
  - Capturing the 12-Lead ECG146
  - Changing Settings for a Captured 12-Lead ECG147
  - Storing and Sending the 12-Lead ECG147
  - Printing the 12-Lead ECG148
  - Downloading Analysis Results (PIIC iX only)148
  - Reviewing Previewed or Stored 12-Lead Captures148
  - Information Center Remote Export (PIIC iX only)148
  - Information Center Remote Lock/Unlock (PIIC iX only)148
  - Capture 12-Lead Pop-up Keys148
  - Setting Up the 12-Lead ECG149
- ECG and Arrhythmia Alarm Overview149
- Using ECG Alarms151
  - Extreme Alarm Limits for Heart Rate151
  - ECG Alarms Off Disabled152
  - HR Alarms When Arrhythmia Analysis is Switched Off152
  - Enhanced Asystole Detection152
- ECG Safety Information152
- About Arrhythmia Monitoring154
  - Arrhythmia Options154
  - Where Can I Find More Information?154
- Switching Arrhythmia Analysis On and Off154
- Choosing an ECG Lead for Arrhythmia Monitoring155
- Atrial Fibrillation Alarm155
- Aberrantly-Conducted Beats156
- Intermittent Bundle Branch Block156
- Understanding the Arrhythmia Display156
  - Viewing Arrhythmia Waves156
  - Arrhythmia Beat Labels157
  - Arrhythmia Status Messages157
    - Rhythm Status Messages157
    - Ectopic Status Messages158
- Arrhythmia Relearning159
  - Initiating Arrhythmia Relearning Manually159
  - Automatic Arrhythmia Relearn159
    - Arrhythmia Relearn and Lead Fallback160
- Arrhythmia Alarms160
  - Yellow Arrhythmia Alarms160
  - Arrhythmia Alarms and Latching161
  - Switching Individual Arrhythmia Alarms On and Off161
  - Switching All Yellow Arrhythmia Alarms On or Off161
  - Adjusting the Arrhythmia Alarm Limits161
  - Arrhythmia Alarm Timeout Periods161
    - What is a Timeout Period?161
    - Resetting the Timeout Period162
  - How are Yellow Arrhythmia Alarms Indicated?162
    - Arrhythmia Alarm Chaining162
  - Understanding PVC-Related Alarms164
- About ST Monitoring164
- Switching ST or STE On and Off165
  - Selecting Leads for ST Analysis165
- Understanding the ST Display166
- Updating ST Baseline Snippets168
- Recording ST Segments168
- About the ST Measurement Points168
  - Setting ISO and J-Point Detection Mode169
  - Adjusting ST Measurement Points169
- ST Alarms171
  - Changing ST Alarm Limits171
- STE Alarms171
- Viewing ST Maps172
  - Current View172
  - Trend View173
  - Viewing an ST Map174
  - Working in the ST Map Task Window174
- About QT/QTc Interval Monitoring175
  - QT Measurement Algorithm175
    - Where Can I Find More Information?176
  - Indications For Use Of QT Interval Monitoring176
  - Limitations For Use Of QT Interval Monitoring176
  - Selecting The QT Leads176
  - QT View177
- QT Alarms178
  - Switching Individual QTc Alarms On and Off179
  - Changing QTc Alarm Limits179
- Switching QT Monitoring On and Off179
Monitoring Pulse Rate181
- Entering the Setup Pulse Menu181
- System Pulse Source181
- Switching Pulse On and Off182
- Using Pulse Alarms182
Monitoring Respiration Rate (Resp)185
- Lead Placement for Monitoring Resp185
- Understanding the Resp Display186
- Changing Resp Detection Modes186
- Changing the Size of the Respiration Wave187
- Changing the Speed of the Respiration Wave188
- Using Resp Alarms188
- Changing the Apnea Alarm Delay188
- Resp Safety Information188
Monitoring SpO2191
- SpO2 Sensors191
- Applying the Sensor191
- Connecting SpO2 Cables192
- Measuring SpO2192
- SpO2 Signal Quality Indicator (FAST SpO2 only)193
- Assessing a Suspicious SpO2 Reading194
- Changing the Averaging Time194
- Understanding SpO2 Alarms194
- Pleth Wave200
- Perfusion Numeric200
- Perfusion Change Indicator200
- Setting SpO2/Pleth as Pulse Source200
- Setting Up Tone Modulation201
- Setting the QRS Volume201
- Calculating SpO2 Difference201
Monitoring NBP203
- Introducing the Oscillometric NBP Measurement203
- Preparing to Measure NBP205
- Starting and Stopping Measurements207
- Enabling Automatic Mode and Setting Repetition Time208
- Enabling Sequence Mode and Setting Up The Sequence208
- Choosing the NBP Alarm Source209
- Switching Pulse from NBP On/Off209
- Assisting Venous Puncture210
- Calibrating NBP210
Monitoring Temperature211
- Making a Temp Measurement211
  - Selecting a Temperature for Monitoring211
  - Extended Temperature Label Set212
- Calculating Temp Difference212
Monitoring Invasive Pressure213
- Setting up the Pressure Measurement213
  - Selecting a Pressure for Monitoring214
  - Extended Pressure Label Set214
- Zeroing the Pressure Transducer215
- Adjusting the Calibration Factor217
- Displaying a Mean Pressure Value Only217
- Changing the Pressure Wave Scale217
- Optimizing the Waveform217
- Using the Wave Cursor217
- Non-Physiological Artifact Suppression218
- Choosing the Pressure Alarm Source218
  - Extreme Alarm Limits for Pressure218
- Calibrating Reusable Transducer CPJ840J6219
  - Making the Pressure Calibration219
  - Troubleshooting the Pressure Calibration220
- Calculating Cerebral Perfusion Pressure221
- Calculating Pulse Pressure Variation221
- Measuring IAP222
  - Manual Entry222
  - Using a Pressure Waveform222
- Measuring Pulmonary Artery Wedge Pressure222
- Editing the Wedge223
- Identifying the Pressure Analog Output Connector224
Monitoring Cardiac Output225
- Hemodynamic Parameters226
- Using the C.O. Procedure Window226
- Accessing the Setup C.O. and Setup CCO Menus228
- Entering the HemoCalc Window228
- Measuring C. O. Using the PiCCO Method228
- Measuring C.O. Using the Right Heart Thermodilution Method233
- Documenting C.O. Measurements235
- C.O. Injectate Guidelines235
- C.O./CCO Curve Alert Messages236
- C.O./CCO Prompt Messages238
- C.O./CCO Warning Messages238
- C.O./CCO Safety Information239
Monitoring Carbon Dioxide241
- Measurement Principles242
- Measuring CO2 using M3014A or X2242
  - Preparing to Measure Mainstream CO2243
  - Preparing to Measure Sidestream CO2244
    - Using the Sidestream Sensor Holder246
    - Removing Exhaust Gases from the System246
- Measuring Mainstream CO2 using M3016A246
- Measuring Microstream CO2 using M3015A/B248
- Setting up all CO2 Measurements250
- Understanding the IPI Numeric252
Monitoring Airway Flow, Volume and Pressure255
- Attaching the Flow Sensor256
- Zero Calibration258
- Automatic Purging258
  - Adult Mode259
  - Neonatal and Pediatric Modes259
- Manual Purging259
- Gas Compensation259
- Setting up Spirometry260
Monitoring tcGas263
- Identifying tcGas Module Components263
- Setting the tcGas Sensor Temperature264
- Using the tcGas Site Timer264
- Setting the tcGas Barometric Pressure265
- Remembraning the tcGas Transducer265
  - New/Dried Out Transducers265
  - Storing tcGas Transducers265
- Calibrating the tcGas Transducer265
  - Calibration Failure267
  - Troubleshooting tcGas Calibration267
- Applying the tcGas Transducer267
  - Selecting the tcGas HeatPowerDisplay Mode268
- Finishing tcGas Monitoring268
- Zeroing the tcGas Relative Heat Power268
- TcGas Corrections268
  - Temperature Correction for tcpCO2268
  - Metabolism Correction for tcpCO2269
Monitoring Intravascular Oxygen Saturation271
- Selecting a Measurement Label272
- Preparing to Monitor with the M1021A Wide Module272
- Preparing to Monitor with the M1011A Narrow Module275
- Further Information for Both Modules277
  - Checking Suspicious Values277
  - Calculating Oxygen Extraction277
Monitoring EEG279
- EEG Monitoring Setup279
- Using the EEG Impedance/Montage Window280
- About Compressed Spectral Arrays (CSA)282
  - Changing CSA Settings282
- Changing EEG Settings283
- EEG Reports284
- EEG Safety Information284
- EEG and Electrical Interference284
Monitoring BIS285
- BIS Monitoring Setup286
- BIS Continuous Impedance Check288
- BIS Cyclic Impedance Check288
  - Starting a Cyclic Impedance Check288
  - Stopping a Cyclic Impedance Check288
- BIS Window289
  - BIS Impedance Indicators289
- Changing the BIS Smoothing Rate290
- Switching BIS and Individual Numerics On and Off290
- Changing the Scale of the EEG Wave290
- Switching BIS Filters On or Off290
- BIS Safety Information291
Monitoring NMT293
- Stimulation Modes294
- Preparing to Measure NMT295
- Taking NMT Measurements296
  - Calibrating the NMT Measurement296
    - Starting Calibration296
    - Clearing a Reference Twitch297
  - Starting/Stopping NMT Measurements297
- Changing the NMT Measurement Settings298
- Alarms299
  - TOFcnt High Limit Alarm299
  - NMT Alarm Suppress299
- Understanding NMT Numerics299
Guardian Early Warning Scoring301
- Performing the Scoring Procedure301
- Understanding Guardian Early Warning Scoring303
  - Which Type of Scoring is Being Used?304
- Viewing EWS Trend Data304
  - Symbols Used in the Trend Views305
  - Making Recordings305
- Using Different Types of Scoring305
Using a Telemetry Device and a Monitor (PIIC only)307
- How Can You Combine Devices?307
- Use Models With Telemetry309
Trends311
- Viewing Trends311
- Setting Up Trends315
- Documenting Trends319
- Trends Databases319
  - Aperiodic Trends Database320
  - Trending Multiple-Value Measurements320
- Screen Trends320
Calculations325
- Viewing Calculations326
  - Calculations Windows326
  - Calculations Pop-Up Keys326
- Reviewing Calculations327
- Performing Calculations327
- Entering Values for Calculations328
- Documenting Calculations329
High Resolution Trend Waves331
- Changing the Hi-Res Trend Waves Displayed331
- Hi-Res Trend Wave Scales331
- Hi-Res Trend Waves and OxyCRG331
- Printing Hi-Res Trend Wave Reports332
- Hi-Res Trend Wave Recordings332
Event Surveillance333
- Levels of Event Surveillance333
- Event Groups334
- Event Episodes334
- Events Pop-Up Keys335
- Event Triggers336
- The Events Database339
- Viewing Events340
- Annotating Events342
- Documenting Events342
ProtocolWatch349
- SSC Sepsis Protocol349
Recording357
- Paper-Strip Recording357
- Electronic Recording365
  - Capturing Alarm Events365
  - Alarm-Triggered Realtime Reports366
    - More Information About the Print Database366
Printing Patient Reports369
- Starting Report Printouts369
  - Printout Location369
  - Starting the Different Types of Report370
- Stopping Reports Printouts371
- Setting Up Reports371
- Setting Up Individual Print Jobs372
- Checking Printer Settings373
- Printing a Test Report374
- Switching Printers On or Off for Reports374
- Dashed Lines on Reports374
- Unavailable Printer: Re-routing Reports374
- Checking Report Status and Printing Manually375
  - Printing Manually375
- Printer Status Messages375
- Sample Report Printouts376
Using the Drug Calculator381
- Accessing the Drug Calculator382
- Performing Drug Calculations382
- Charting Infusion Progress385
- Using the Titration Table385
- Documenting Drug Calculations386
VueLink Modules387
- Connecting an External Device388
- Changing VueLink Waves and Numerics Displayed388
- Viewing the VueLink Device Data Window389
- Using VueLink Screens389
- Switching VueLink On and Off389
- Alarms/INOPs From External Devices389
- Language Conflict with External Device Drivers390
IntelliBridge EC10391
- Connecting an External Device391
- Changing Waves and Numerics Displayed392
- Viewing the IntelliBridge Device Data Window392
- Using Screens with External Device Data393
- Alarms/INOPs from External Devices393
  - INOPs from the IntelliBridge Module/Interface Board393
Using Timers395
- Viewing Timers395
  - Timer Types395
- Timer Setup Pop-up Keys396
- Setting Up Timers396
- Displaying a Timer On The Main Screen397
  - Main Screen Timer Pop-up Keys398
- Displaying A Clock On The Main Screen398
Respiratory Loops399
- Viewing Loops399
- Capturing and Deleting Loops400
- Showing/Hiding Loops400
- Changing Loops Display Size400
- Using the Loops Cursor400
- Changing Loops Type401
- Setting Up Source Device401
- Documenting Loops401
Laboratory Data403
- Viewing Received Data403
Using Batteries405
- Battery Power Indicators405
- Checking Battery Charge407
- When Battery Lifetime is Expired407
- Replacing a Battery407
- Optimizing Battery Performance408
- Battery Safety Information409
Care and Cleaning411
- General Points411
- Cleaning the Equipment412
- Disinfecting the Equipment412
- Sterilizing the Equipment413
- Cleaning, Sterilizing and Disinfecting Monitoring Accessories413
- Cleaning the SO2 Optical Module413
- Cleaning the Recorder Printhead (M1116B only)413
- Cleaning Batteries and the Battery Compartment414
Maintenance and Troubleshooting415
- Inspecting the Equipment and Accessories415
- Inspecting the Cables and Cords416
- Maintenance Task and Test Schedule416
- Troubleshooting417
- Returning Equipment for Repair417
- Disposing of the Monitor417
- Disposing of Empty Calibration Gas Cylinders418
Accessories419
- ECG/Resp Accessories419
  - Recommended Cables419
  - Supported Cables422
- NBP Accessories423
  - Adult/Pediatric Reusable Comfort Care Cuffs423
  - Adult/Pediatric Reusable Comfort Care Cuff Kits423
  - Adult/Pediatric Reusable Easy Care Cuffs424
  - Adult/Pediatric Reusable Easy Care Cuff Kits424
  - Adult/Pediatric Multi Care Cuffs424
  - Adult/Pediatric Single Patient, Gentle Care Cuffs425
  - Adult/Pediatric Single Care Cuffs425
  - Adult/Pediatric Value Care Cuffs425
  - Neonatal/Infant Single Patient Cuffs426
  - Neonatal/Infant Single Patient, Soft Cuffs426
  - Neonatal/Infant Cuff Kits426
- Invasive Pressure Accessories426
- Transpac 4 Disposable Pressure Transducer Pressure Monitoring Kits427
- SpO2 Accessories429
  - Philips Reusable Sensors430
  - Philips Disposable Sensors431
  - Nellcor Sensors431
  - Extension Cables and Adapter Cables for Philips and Nellcor Sensors432
  - MASIMO LNOP Reusable Sensors433
  - MASIMO LNCS Reusable Sensors433
  - MASIMO LNOP Disposable Adhesive Sensors433
  - MASIMO LNCS Disposable Adhesive Sensors434
  - Adapter Cable for MASIMO Sensors434
- Temperature Accessories435
- Cardiac Output (C.O.) Accessories436
- Mainstream CO2 Accessories437
- Sidestream CO2 Accessories437
- Mainstream CO2 Accessories (for M3016A)438
- Microstream CO2 Accessories438
- Spirometry Accessories439
  - Measurement of CO2 and Spirometry with Neonates439
- tcGas Accessories439
- EEG Accessories440
- BIS Accessories440
- SO2 Accessories for M1021A440
- SO2 Accessories for M1011A441
- NMT Accessories441
  - Symbols on the Accessory Packaging441
- Recorder Accessories442
- Battery Accessories442
Specifications443
- Indications for Use443
- Restricted Availability444
- Use Environment444
  - Physical Security and Limited Access to the Monitor444
- Manufacturer's Information444
  - BIS Manufacturer's Information444
  - Trademark and License Acknowledgment445
- Symbols445
- Installation Safety Information447
  - Connectors447
- Monitor Mounting Precautions455
  - Repositioning a Monitor on the Mounting Arm456
- Altitude Setting456
- Monitor Safety Specifications456
- Physical Specifications457
- Environmental Specifications458
- EMC and Radio Regulatory Compliance462
- Monitor Performance Specifications464
- Interface Specifications470
- Display Specifications474
  - Compatible Devices475
- M4605A Battery Specifications475
- Measurement Specifications475
- Safety and Performance Tests495
Default Settings Appendix501
- Country-Specific Default Settings501
- Alarm and Measurement Default Settings508
- Alarm Default Settings508
- ECG, Arrhythmia, ST and QT Default Settings509
  - Arrhythmia Default Settings510
  - ST and QT Default Settings511
- Pulse Default Settings512
- Respiration Default Settings513
- SpO2 Default Settings513
- NBP Default Settings514
- Temperature Default Settings514
- Invasive Pressure Default Settings515
- Cardiac Output Default Settings517
- CO2 Default Settings518
- Spirometry Default Settings518
- tcGas Default Settings519
- Intravascular Oxygen Saturation Default Settings519
- SvO2 Default Settings520
- ScvO2 Default Settings520
- EEG Default Settings520
- BIS Default Settings521
- NMT Default Settings521
- VueLink Default Settings522
  - #523
  - A523
  - B524
  - C524
  - D525
  - E525
  - F526
  - G526
  - H526
  - I526
  - J527
  - K527
  - L527
  - M527
  - N527
  - O528
  - P528
  - Q528
  - R528
  - S529
  - T530
  - U531
  - V531
  - W531
  - Z531

Related product manuals

Philips IntelliVue MX800

IntelliVue MX800IntelliVue MP2

Philips IntelliVue MP5

Philips IntelliVue MP20

Philips IntelliVue MP70

Philips Expression MR400

Philips HeartStart OnSite M5066A

Philips Amara View

Philips REMstar Auto A-Flex