Release D.0 With Software Revision D.00.xx Patient Monitoring

I n t e l l i V u e M P 2 0 / 30 , M P 4 0/ 5 0 a n d M P 6 0 / 70 / 8 0/ 9 0I NS TR UCTI ON S FOR US EIntelliVue Patient MonitorMP20/30, MP40/50, MP60/70/80/90R e l ea se D. 0 wi th So ft wa r e R e v is i on D . 0 0. x xP a t i e nt M o n i t o r i n g

Part Number M8000-9001GPrinted in Germany 02/064512 610 13551*M8000-9001G*

M8000-9001GTable Of Contents11 Basic OperationIntroducing the IntelliVue FamilyIntelliVue MP20/MP30MP20/MP30 Major Parts and KeysIntelliVue MP40/MP50MP40/MP50 Major Parts and KeysIntelliVue MP60/MP70MP60/MP70 Major Parts and KeysIntelliVue MP80/MP90MP80/MP90 Major Parts and KeysD80 Intelligent DisplayRemote Alarm DeviceDocking StationRelated ProductsFlexible Module Server (M8048A)Measurement ModulesMulti-Measurement Server (M3001A)Measurement Server ExtensionsM3014A, M3015A and M3016A Capnography ExtensionsM3012A Hemodynamic Measurement Server ExtensionOperating and NavigatingSelecting Screen ElementsUsing the Setup MenuUsing the TouchscreenDisabling Touchscreen OperationUsing the SpeedPointUsing the Navigation PointUsing a Mouse or TrackballUsing KeysPermanent KeysSmartKeysHardkeysPop-Up KeysUsing the On-Screen KeyboardUsing the On-Screen CalculatorOperating ModesStandby ModeUnderstanding ScreensSwitching to a Different ScreenChanging a Screen’s ContentUsing Additional DisplaysUsing the Visitor 181919202021212222222324i

Understanding ProfilesSwapping a Complete ProfileSwapping a Settings BlockDefault ProfileLocked ProfilesUnderstanding SettingsChanging Measurement SettingsSwitching a Measurement On and OffSwitching Numerics On and OffAdjusting a Measurement WaveChanging Wave SpeedsChanging the Wave Group SpeedChanging Wave Speed for a ChannelFreezing WavesFreezing An Individual WaveFreezing All WavesMeasuring Frozen WavesChanging The Wave SpeedUpdating The Frozen WaveReleasing Frozen WavesUsing LabelsAbout Label SetsChanging Measurement Labels (e.g. Pressure)Resolving Label ConflictsChanging Monitor SettingsAdjusting the Screen BrightnessAdjusting Touch Tone VolumeSetting the Date and TimeChecking Your Monitor RevisionGetting StartedInspecting the MonitorSwitching OnSetting up the Measurement Servers and ModulesStarting MonitoringDisconnecting from PowerMonitoring After a Power FailureNetworked MonitoringUsing Remote ApplicationsRemote Application Popup 303131313132323232323333333333342 What’s New?What’s New in Release D.0?What’s New in Release C.0?What’s New in Release B.1?What’s New in Release B.0?What’s New in Release A.2?ii353536373839

3 AlarmsVisual Alarm IndicatorsAudible Alarm IndicatorsAlarm Tone ConfigurationTraditional Audible Alarms (HP/Agilent/Philips/Carenet)ISO/IEC Standard 9703-2 Audible AlarmsChanging the Alarm Tone VolumeMinimum Volume for No Central Monitoring INOPAcknowledging AlarmsAcknowledging Disconnect INOPsAlarm Reminder (ReAlarm)Pausing or Switching Off AlarmsTo Pause All AlarmsTo Switch All Alarms OffTo Switch Individual Measurement Alarms On or OffWhile Alarms are Paused or OffRestarting Paused AlarmsResetting Arrhythmia Alarm TimeoutsExtending the Alarm Pause TimeAlarm LimitsViewing Individual Alarm LimitsViewing All Alarm LimitsChanging Alarm LimitsAbout Automatic Alarm Limits (AutoLimits)Documenting Alarm LimitsReviewing AlarmsAlarm Messages WindowReview Alarms WindowUnderstanding Alarm MessagesLatching AlarmsViewing the Alarm Latching SettingsAlarm Latching BehaviorTesting AlarmsAlarm Behavior at 4849495050505151515252524 Patient Alarms and INOPsPatient Alarm MessagesTechnical Alarm Messages (INOPs)5353595 Managing PatientsAdmitting a PatientPatient Category and Paced StatusAdmitting a Centrally-Monitored PatientQuick Admitting a PatientEditing Patient Information777778787879iii

Discharging a PatientTransferring PatientsTransferring a Centrally-Monitored PatientTransferring a Patient with an MMS (no Central Station)Data Upload from an MMSData Exchange Between Information CentersResolving Patient Information MismatchManually Resolving Patient MismatchPatient Mismatch - If One Set of Patient Data is CorrectPatient Mismatch - If Neither Patient Data Set is CorrectPatient Mismatch - If Both Patient Data Sets Are CorrectAutomatically Resolving Patient MismatchCare GroupsUnderstanding the Care Group Overview BarViewing the My Care Group WindowViewing the Other Bed WindowOther Bed Pop-Up KeysVisual Alarm Status Information in the Other Bed WindowCare Group AlarmsTelemetry Data OverviewUnpairing a Telemetry DeviceTelemetry Data Overview Screen ElementSilencing Telemetry Alarms from the BedsideSuspending Telemetry AlarmsUsing 09090906 ECG, Arrhythmia, and ST MonitoringSkin Preparation for Electrode PlacementConnecting ECG CablesSelecting the Primary and Secondary ECG LeadsChecking Paced StatusUnderstanding the ECG DisplayMonitoring Paced PatientsSetting the Paced Status (Pace Pulse Rejection)Avoiding Pace Pulse Repolarization TailsChanging the Size of the ECG WaveTo Change the Size of an Individual ECG WaveTo Change the Size of all the ECG WavesChanging the Volume of the QRS ToneChanging the ECG Filter SettingsChoosing EASI or Standard Lead PlacementAbout ECG LeadsECG Leads MonitoredChanging Lead SetsECG Lead FallbackECG Lead 97

Standard 3-Lead PlacementStandard 5-Lead PlacementChest Electrode Placement10-Lead PlacementConventional 12-Lead ECGModified 12-Lead ECGChoosing Standard or Modified Electrode PlacementLabelling 12-Lead ECG ReportsCapture 12-LeadEASI ECG Lead PlacementECG, Arrhythmia, and ST Alarm OverviewUsing ECG AlarmsExtreme Alarm LimitsECG Alarms Off DisabledHR Alarms When Arrhythmia Analysis is Switched OffHR Alarms When Arrhythmia Analysis is Switched OnECG Safety InformationAbout Arrhythmia MonitoringArrhythmia OptionsWhere Can I Find More Information?Switching Arrhythmia Analysis On and OffChoosing an ECG Lead for Arrhythmia MonitoringAberrantly-Conducted BeatsAtrial Fibrillation and FlutterIntermittent Bundle Branch BlockUnderstanding the Arrhythmia DisplayViewing Arrhythmia WavesArrhythmia Beat LabelsArrhythmia Status MessagesRhythm Status MessagesEctopic Status MessagesArrhythmia RelearningInitiating Arrhythmia Relearning ManuallyAutomatic Arrhythmia RelearnArrhythmia Relearn and Lead FallbackArrhythmia AlarmsYellow Arrhythmia AlarmsArrhythmia Alarms and LatchingSwitching Individual Arrhythmia Alarms On and OffSwitching All Yellow Arrhythmia Alarms On or OffAdjusting the Arrhythmia Alarm LimitsArrhythmia Alarm Timeout PeriodsWhat is a Timeout Period?Resetting the Timeout PeriodHow are Yellow Arrhythmia Alarms Indicated?Behavior of Unsilenced Arrhythmia 11112112112113113113113113113114114114114v

Behavior of Silenced Arrhythmia AlarmsArrhythmia Alarm ChainingUnderstanding PVC-Related AlarmsAbout ST MonitoringSwitching ST On and OffSelecting ST Leads for AnalysisUnderstanding the ST DisplayUpdating ST Baseline SnippetsRecording ST SegmentsAbout the ST Measurement PointsAdjusting ST Measurement PointsST AlarmsSingle- or Multi-lead ST AlarmingChanging ST Alarm LimitsViewing ST MapsCurrent ViewTrend ViewViewing an ST MapWorking in the ST Map Task WindowSwitching Between ST Map ViewsDisplaying an ST Reference BaselineUpdating an ST Map Reference BaselineChanging the Scale of the ST MapChanging the Trending IntervalPrinting an ST Map 21221231241241241251251251251257 Monitoring Pulse RateEntering the Setup Pulse MenuSystem Pulse SourceSwitching Pulse On and OffUsing Pulse AlarmsSelecting the Active Alarm Source: HR or Pulse?Alarm Source Selection DisabledChanging HR/Pulse Alarm LimitsExtreme Alarm LimitsQRS Tone1271271271281281281291291291298 Monitoring Respiration Rate (Resp)Lead Placement for Monitoring RespOptimizing Lead Placement for RespCardiac OverlayLateral Chest ExpansionAbdominal BreathingUnderstanding the Resp DisplayChanging Resp Detection ModesAuto Detection Modevi131131131131132132132132132

Manual Detection ModeResp Detection Modes and Cardiac OverlayChanging the Size of the Respiration WaveChanging the Speed of the Respiration WaveUsing Resp AlarmsChanging the Apnea Alarm DelayResp Safety Information1331331331341341341349 Monitoring SpO2SpO2 SensorsApplying the SensorConnecting SpO2 CablesMeasuring SpO2Assessing a Suspicious SpO2 ReadingUnderstanding SpO2 AlarmsAlarm DelaysAdjusting the Alarm LimitsAdjusting the Desat Limit AlarmPleth WavePerfusion (Pleth) IndicatorSetting SpO2/Pleth as Pulse SourceSetting Up Tone ModulationSetting the QRS VolumeCalculating SpO2 4114114110 Monitoring NBPIntroducing the Oscillometric NBP MeasurementMeasurement LimitationsMeasurement MethodsReference MethodPreparing to Measure NBPCorrecting the Measurement if Limb is not at Heart LevelUnderstanding the NBP NumericsStarting and Stopping MeasurementsEnabling Automatic Mode and Setting Repetition TimeChoosing the NBP Alarm SourceAssisting Venous PunctureCalibrating NBP14314314414414414414514514614614714714711 Monitoring TemperatureMaking a Temp MeasurementSelecting a Temperature for MonitoringExtended Temperature Label SetCalculating Temp Difference149149149150150vii

12 Monitoring Invasive PressureSetting up the Pressure MeasurementSelecting a Pressure for MonitoringExtended Pressure Label SetZeroing the Pressure TransducerZeroing ICP (or IC1/IC2)Determining a Pressure’s Most Recent ZeroZeroing a Pressure MeasurementUsing the Zero HardkeyZeroing All Pressures SimultaneouslyTroubleshooting the ZeroAdjusting the Calibration FactorDisplaying a Mean Pressure Value OnlyChanging the Pressure Wave ScaleOptimizing the WaveformNon-Physiological Artifact SuppressionChoosing the Pressure Alarm SourceCalibrating Reusable Transducer CPJ840J6Making the Pressure CalibrationTroubleshooting the Pressure CalibrationCalculating Cerebral PerfusionCalculating Pulse Pressure VariationMeasuring Pulmonary Artery Wedge PressureEditing the WedgeIdentifying the Pressure Analog Output 415515515515615615715715715815916013 Monitoring Cardiac OutputHemodynamic ParametersUsing the C.O. Procedure WindowAccessing the Setup C.O. and Setup CCO MenusEntering the HemoCalc WindowMeasuring C. O. Using the PiCCO MethodMeasuring Continuous Cardiac OutputMeasuring Systemic Vascular ResistanceSetting Up the PiCCO C.O. MeasurementPerforming PiCCO C.O. MeasurementsEditing PiCCO C.O. MeasurementsSaving and Calibrating PiCCO C.O. MeasurementsCCO Calibration Status IndicatorsMeasuring C.O. Using the Right Heart Thermodilution MethodSetting up RH C.O. MeasurementsIce-Bath Setup for RH Thermodilution C.O. MeasurementsSetting the Computation ConstantPerforming RH C.O. MeasurementsEditing and Saving RH C.O. 67167168168168169169169

Documenting C.O. MeasurementsC.O. Injectate GuidelinesGuidelines for Right Heart Thermodilution C.O. InjectateGuidelines for PiCCO C.O. InjectateInjectate Volume, Patient Weight and ETVI Values (PiCCO Only)C.O./CCO Curve Alert MessagesC.O./CCO Prompt MessagesC.O./CCO Warning MessagesC.O./CCO Safety Information16917017017017017117217317314 Monitoring Carbon DioxideUsing the Capnography Extension (M3014A)Preparing to Measure Mainstream CO2Preparing to Measure Sidestream CO2Using the Sidestream Sensor HolderRemoving Exhaust Gases from the SystemUsing the Mainstream CO2 Extension (M3016A)Preparing to Measure Mainstream CO2Checking Transducer AccuracyCalibrating the TransducerAttaching and Removing the CO2 TransducerUsing the Microstream CO2 Extension (M3015A)Preparing to Measure Microstream CO2Using Microstream AccessoriesUsing the FilterLine and Airway AdapterRemoving Exhaust Gases from the SystemSuppressing Zero CalibrationSetting up Mainstream and Sidestream CO2Adjusting the CO2 Wave ScaleSetting up CO2 CorrectionsSuppressing Sampling (not Mainstream CO2)Changing CO2 AlarmsChanging the Apnea Alarm DelayDeriving Alarms From awRRChanging awRR Alarm 218218318318318318418418418418415 Monitoring Airway Flow, Volume and PressureAttaching the Flow SensorZero CalibrationAutomatic PurgingAdult ModeNeonatal and Pediatric ModesManual PurgingGas CompensationSetting up SpirometryOptimizing Scale Settings187188190190191191191191192192ix