Philips MP60/70/80/90 manuály

IntelliVue Patient Monitor

1

*M8000-9001G*

2

Table Of Contents

3

2 What’s New? 35

4

3 Alarms 41

5

4 Patient Alarms and INOPs 53

5

5 Managing Patients 77

5

7 Monitoring Pulse Rate 127

8

9 Monitoring SpO

9

10 Monitoring NBP 143

9

11 Monitoring Temperature 149

9

16 Monitoring tcGas 195

12

17 Monitoring SvO

12

18 Monitoring EEG 207

12

19 Monitoring BIS 215

13

20 Trends 223

13

21 Calculations 233

14

23 Event Surveillance 241

14

24 Recording 257

15

27 VueLink Modules 281

16

28 Using Timers 285

16

29 Respiratory Loops 289

17

30 Care and Cleaning 293

17

31 Using the Batteries 297

17

33 Accessories 309

18

Basic Operation

21

IntelliVue MP20/MP30

22

IntelliVue MP40/MP50

24

IntelliVue MP60/MP70

25

IntelliVue MP80/MP90

26

D80 Intelligent Display

27

Remote Alarm Device

27

Related Products

28

Measurement Modules

29

Operating and Navigating

34

Selecting Screen Elements

35

Using the Setup Menu

35

Using the Touchscreen

35

Using the SpeedPoint

36

Using the Navigation Point

37

Using a Mouse or Trackball

37

Using Keys

37

SmartKeys

38

Hardkeys

39

Pop-Up Keys

39

Using the On-Screen Keyboard

40

Operating Modes

41

Understanding Screens

42

Using Additional Displays

43

Understanding Profiles

44

Swapping a Complete Profile

45

Understanding Settings

46

Changing Wave Speeds

47

Freezing Waves

48

Using Labels

49

Resolving Label Conflicts

50

Changing Monitor Settings

51

Getting Started

52

Disconnecting from Power

53

Networked Monitoring

53

Using Remote Applications

53

Remote Application Popup Keys

54

What’s New?

55

What’s New in Release C.0?

56

What’s New in Release B.1?

57

What’s New in Release B.0?

58

What’s New in Release A.2?

59

Visual Alarm Indicators

62

Audible Alarm Indicators

62

Acknowledging Alarms

64

To Pause All Alarms

65

To Switch All Alarms Off

65

Alarm Limits

66

Viewing All Alarm Limits

67

Changing Alarm Limits

68

Documenting Alarm Limits

69

Reviewing Alarms

70

Understanding Alarm Messages

71

Latching Alarms

71

Testing Alarms

72

Alarm Behavior at On/Off

72

Patient Alarms and INOPs

73

, anesthetic agent, and

79

(M4605A)

79

CO2 OCCLUSION is

85

Lead Setup

87

Setup SVR menu

94

Setup TCGas menu

94

∆Temp> CHK SOURCES

95

∆Temp> CHK UNITS

95

°C, or greater than 45°C.]

95

Managing Patients

97

Quick Admitting a Patient

98

Editing Patient Information

99

Discharging a Patient

99

Transferring Patients

100

Data Upload from an MMS

101

Care Groups

104

Bed 12 Bed 13

105

Other Patients SmartKey, if

106

Viewing the Other Bed Window

107

Care Group Alarms

108

Telemetry Data Overview

109

Suspending Telemetry Alarms

110

Using Standby

110

ECG, Arrhythmia, and ST

111

Monitoring

111

Checking Paced Status

112

Understanding the ECG Display

113

Monitoring Paced Patients

113

Paced is set to Yes:

114

About ECG Leads

116

ECG Lead Fallback

117

ECG Lead Placements

117

Standard 3-Lead Placement

118

Standard 5-Lead Placement

118

Chest Electrode Placement

119

10-Lead Placement

120

Conventional 12-Lead ECG

120

Labelling 12-Lead ECG Reports

121

Capture 12-Lead

122

EASI ECG Lead Placement

122

Using ECG Alarms

125

ECG Safety Information

125

About Arrhythmia Monitoring

127

Aberrantly-Conducted Beats

128

Viewing Arrhythmia Waves

129

Arrhythmia Beat Labels

129

Arrhythmia Status Messages

130

Arrhythmia Relearning

131

Arrhythmia Alarms

132

What is a Timeout Period?

134

Resetting the Timeout Period

134

Arrhythmia Alarm Chaining

135

but ≤ 12

136

About ST Monitoring

137

Switching ST On and Off

137

Understanding the ST Display

138

Updating ST Baseline Snippets

139

Recording ST Segments

139

ST Alarms

142

Viewing ST Maps

142

Trend View

143

Viewing an ST Map

144

Printing an ST Map Report

145

Monitoring Pulse Rate

147

Switching Pulse On and Off

148

Using Pulse Alarms

148

Extreme Alarm Limits

149

QRS Tone

149

Monitoring Respiration Rate

151

Changing Resp Detection Modes

152

Manual Detection Mode

153

Using Resp Alarms

154

Resp Safety Information

154

Monitoring SpO

157

Connecting SpO

158

Measuring SpO

158

Assessing a Suspicious SpO

159

Reading

159

Understanding SpO

160

Pleth Wave

160

Setup menu, select First SpO

162

Second SpO

162

Monitoring NBP

163

Preparing to Measure NBP

164

Choosing the NBP Alarm Source

167

Assisting Venous Puncture

167

Calibrating NBP

167

Monitoring Temperature

169

Calculating Temp Difference

170

Monitoring Invasive Pressure

171

Extended Pressure Label Set

172

Zeroing ICP (or IC1/IC2)

173

Using the Zero Hardkey

173

Troubleshooting the Zero

174

Optimizing the Waveform

175

Editing the Wedge

179

(module M1006B

180

Monitoring Cardiac Output

181

Hemodynamic Parameters

182

Entering the HemoCalc Window

184

Save C.O. and Cal CCO

187

Save C.O. & Cal CCO

187

Thermodilution Method

188

Documenting C.O. Measurements

189

C.O. Injectate Guidelines

190

C.O./CCO Curve Alert Messages

191

C.O./CCO Prompt Messages

192

C.O./CCO Warning Messages

193

C.O./CCO Safety Information

193

Monitoring Carbon Dioxide

195

Start Zero

197

Zero done at <date

197

Start Zero Cal

198

Using the Mainstream CO

199

Extension (M3016A)

199

Calibrating the Transducer

200

Attaching and Removing the CO

200

Transducer

200

Using the Microstream CO

201

Extension (M3015A)

201

Suppressing Zero Calibration

203

Adjusting the CO

203

Wave Scale

203

Setting up CO

203

Corrections

203

14 Monitoring Carbon Dioxide

205

Monitoring Airway Flow

207

Volume and Pressure

207

Attaching the Flow Sensor

208

Pediatric/adult sensor

209

Zero Calibration

210

Automatic Purging

210

Manual Purging

211

Gas Compensation

211

Setting up Spirometry

212

and the Inspired Agents

213

Monitoring tcGas

215

Using the tcGas Site Timer

216

New/Dried Out Transducers

218

Storing tcGas Transducers

218

Calibration Failure

220

Applying the tcGas Transducer

221

Finishing tcGas Monitoring

222

TcGas Corrections

222

Monitoring SvO

223

Preparing to Monitor SvO

224

Inserting the Catheter

225

Calculating Oxygen Extraction

226

Monitoring EEG

227

EEG Monitoring Setup

228

Changing the Impedance Limit

229

Impedance Indicators

230

Changing EEG Settings

232

EEG Reports

233

EEG Safety Information

234

Monitoring BIS

235

BIS Monitoring Setup

236

Monitoring BIS using the BISx

237

BIS Cyclic Impedance Check

238

BIS Window

239

BIS Safety Information

241

Viewing Trends

243

Viewing Graphic Trends

244

Viewing Vital Signs Trends

244

Setting Up Trends

245

Making Segment Settings

246

Trend Groups

247

Trend Interval

247

Trend Priority

247

Trend Parameter Scales

247

Documenting Trends

248

Trends Databases

249

Screen Trends

249

Setting the Screen Trend Time

250

Tabular View

251

Horizon View

252

Setting the Horizon

252

Calculations

253

Calculations Windows

254

Calculations Pop-Up Keys

254

Reviewing Calculations

255

Performing Calculations

255

Automatic Value Substitution

256

Automatic Unit Conversion

256

Manual Unit Conversion

256

BSA Formula

256

Documenting Calculations

257

High Resolution Trend

259

Hi-Res Trend Wave Recordings

260

Event Surveillance

261

Event Groups

262

Event Episodes

262

Events Pop-Up Keys

263

Event Triggers

264

Event Retriggering

265

Event Notification

265

Triggering Events Manually

266

The Events Database

267

Viewing Events

267

Counting Combi-Events

268

Event Summary Window

269

Event Review Window

269

Event Episode Window

270

Annotating Events

271

Documenting Events

271

Documenting an Event Episode

272

Event Recordings

272

Event Reports

273

Event Review Reports

274

Event Episode Reports

275

Event Summary Reports

275

Recording

277

Quickstarting Recordings

278

Overview of Recording Types

279

All ECG Waves Recordings

280

Changing ECG Wave Gain

281

Recording Priorities

282

Sample Recording Strip

282

Recorded Waveforms

283

Maintaining Recording Strips

283

Reloading Paper

284

Recorder Status Messages

285

Printing Patient Reports

287

Stopping Reports Printouts

288

Setting Up Reports

288

Setting Up Auto Reports

289

Checking Printer Settings

290

Printing a Test Report

291

Dashed Lines on Reports

291

Printer Status Messages

292

Sample Report Printouts

292

Alarm Limits Report

293

Realtime Report

294

Cardiac Output Report

295

ECG Reports

296

Other Reports

296

Using the Drug Calculator

297

Performing Drug Calculations

298

Drug Calculator

299

Lidocaine

299

Patient Category

299

Charting Infusion Progress

300

Using the Titration Table

300

Documenting Drug Calculations

300

VueLink Modules

301

Using VueLink Screens

303

Switching VueLink On and Off

303

Using Timers

305

Timer Setup Pop-up Keys

306

Setting Up Timers

306

Run Time

307

Timer Counting Direction

307

Main Screen Timer Pop-up Keys

308

Respiratory Loops

309

Capturing and Deleting Loops

310

Showing/Hiding Loops

310

Changing Loops Display Size

311

Using the Loops Cursor

311

Changing Loops Type

311

Setting Up Source Device

311

Documenting Loops

312

Care and Cleaning

313

Cleaning

314

Disinfecting

314

Sterilizing

315

Using the Batteries

317

3:40 hrs

318

Checking Battery Charge

320

Replacing Batteries

321

Display Brightness Setting

322

Charging Batteries

322

Conditioning Batteries

322

Unequally-Charged Batteries

322

Battery Safety Information

323

Maintenance and

325

Troubleshooting

325

Disposing of the Monitor

327

Accessories

329

5-Electrode Cable Sets

330

10-Electrode Cable Sets

330

3-Electrode One Piece Cables

330

5-Electrode One Piece Cables

330

NBP Accessories

331

Invasive Pressure Accessories

333

33 Accessories SpO

334

Temperature Accessories

338

Description Part No

340

Microstream CO

341

Spirometry Accessories

341

EEG Accessories

342

BIS Accessories

342

Recorder Accessories

344

Intended Use

345

Indication for Use

345

Manufacturer’s Information

346

Trademark Acknowledgement

347

Connectors

349

MP20/MP30

350

MP40/MP50

351

MP60/MP70

352

MP80/MP90

354

Altitude Setting

356

Monitor Safety Specifications

356

Physical Specifications

357

Environmental Specifications

359

MP20/MP30/

361

Display Specifications

366

Measurement Specifications

368

Respiration

370

Performance Specifications

372

Adult: 165 ±15 mmHg

373

Pedi: 130 ±15 mmHg

373

Neo: 100 ±15 mmHg

373

Invasive Pressure and Pulse

374

Spirometry

379

Safety and Performance Tests

385

Electromagnetic Immunity

386

Fast Transients/Bursts

388

Restart time

388

Default Settings Appendix

389

Alarm Default Settings

390

On Off Off

392

Pulse Default Settings

393

Respiration Default Settings

394

Default Settings

394

NBP Default Settings

395

Temperature Default Settings

395

Spirometry Default Settings

398

EEG Default Settings

400

BIS Default Settings

400

VueLink Default Settings

401

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