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INSTRUCTIONS FOR USE
IntelliVue Patient Monitor
MP20/30, MP40/50, MP60/70/80/90
Release D.0 with Software Revision D.00.xx
Patient Monitoring
IntelliVue MP20/30, MP40/50 and MP60/70/80/90
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Part Number M8000-9001G Printed in Germany 02/06 4512 610 13551 *M8000-9001G*
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M8000-9001G 1Table Of Contents 1 Basic Operation 1 Introducing the IntelliVue Family 1 IntelliVue MP20/MP30 2 MP20/MP30 Major Parts and Keys 3 IntelliVue MP40/MP50 4 MP40/MP50 Major Parts and Keys 4 IntelliVue MP60/MP70 5 MP60/MP70 Major Parts and Keys 6 IntelliVue MP80/MP90 6 MP80/MP90 Major Parts and Keys 7 D80 Intelligent Display 7 Remote Alarm Device 7 Docking Station 8 Related Products 8 Flexible Module Server (M8048A) 8 Measurement Modules 9 Multi-Measurement Server (M3001A) 10 Measurement
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Understanding Profiles 24 Swapping a Complete Profile 25 Swapping a Settings Block 26 Default Profile 26 Locked Profiles 26 Understanding Settings 26 Changing Measurement Settings 26 Switching a Measurement On and Off 27 Switching Numerics On and Off 27 Adjusting a Measurement Wave 27 Changing Wave Speeds 27 Changing the Wave Group Speed 27 Changing Wave Speed for a Channel 28 Freezing Waves 28 Freezing An Individual Wave 28 Freezing All Waves 28 Measuring Frozen Waves 28 Changing The Wave Speed
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3 Alarms 41 Visual Alarm Indicators 42 Audible Alarm Indicators 42 Alarm Tone Configuration 42 Traditional Audible Alarms (HP/Agilent/Philips/Carenet) 43 ISO/IEC Standard 9703-2 Audible Alarms 43 Changing the Alarm Tone Volume 43 Minimum Volume for No Central Monitoring INOP 43 Acknowledging Alarms 44 Acknowledging Disconnect INOPs 44 Alarm Reminder (ReAlarm) 44 Pausing or Switching Off Alarms 44 To Pause All Alarms 45 To Switch All Alarms Off 45 To Switch Individual Measurement Alarms On or Off
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Discharging a Patient 79 Transferring Patients 80 Transferring a Centrally-Monitored Patient 80 Transferring a Patient with an MMS (no Central Station) 81 Data Upload from an MMS 81 Data Exchange Between Information Centers 82 Resolving Patient Information Mismatch 82 Manually Resolving Patient Mismatch 82 Patient Mismatch - If One Set of Patient Data is Correct 83 Patient Mismatch - If Neither Patient Data Set is Correct 83 Patient Mismatch - If Both Patient Data Sets Are Correct 84 Automatical
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Standard 3-Lead Placement 98 Standard 5-Lead Placement 98 Chest Electrode Placement 99 10-Lead Placement 100 Conventional 12-Lead ECG 100 Modified 12-Lead ECG 101 Choosing Standard or Modified Electrode Placement 101 Labelling 12-Lead ECG Reports 101 Capture 12-Lead 102 EASI ECG Lead Placement 102 ECG, Arrhythmia, and ST Alarm Overview 104 Using ECG Alarms 105 Extreme Alarm Limits 105 ECG Alarms Off Disabled 105 HR Alarms When Arrhythmia Analysis is Switched Off 105 HR Alarms When Arrhythmia Ana
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Behavior of Silenced Arrhythmia Alarms 114 Arrhythmia Alarm Chaining 115 Understanding PVC-Related Alarms 116 About ST Monitoring 117 Switching ST On and Off 117 Selecting ST Leads for Analysis 117 Understanding the ST Display 118 Updating ST Baseline Snippets 119 Recording ST Segments 119 About the ST Measurement Points 120 Adjusting ST Measurement Points 120 ST Alarms 122 Single- or Multi-lead ST Alarming 122 Changing ST Alarm Limits 122 Viewing ST Maps 122 Current View 122 Trend View 123 View
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Manual Detection Mode 133 Resp Detection Modes and Cardiac Overlay 133 Changing the Size of the Respiration Wave 133 Changing the Speed of the Respiration Wave 134 Using Resp Alarms 134 Changing the Apnea Alarm Delay 134 Resp Safety Information 134 9 Monitoring SpO 137 2 SpO Sensors 137 2 Applying the Sensor 137 Connecting SpO Cables 138 2 Measuring SpO 138 2 Assessing a Suspicious SpO Reading 139 2 Understanding SpO Alarms 140 2 Alarm Delays 140 Adjusting the Alarm Limits 140 Adjusting the Desa
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12 Monitoring Invasive Pressure 151 Setting up the Pressure Measurement 151 Selecting a Pressure for Monitoring 152 Extended Pressure Label Set 152 Zeroing the Pressure Transducer 152 Zeroing ICP (or IC1/IC2) 153 Determining a Pressure’s Most Recent Zero 153 Zeroing a Pressure Measurement 153 Using the Zero Hardkey 153 Zeroing All Pressures Simultaneously 153 Troubleshooting the Zero 154 Adjusting the Calibration Factor 154 Displaying a Mean Pressure Value Only 154 Changing the Pressure Wave Sca
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Documenting C.O. Measurements 169 C.O. Injectate Guidelines 170 Guidelines for Right Heart Thermodilution C.O. Injectate 170 Guidelines for PiCCO C.O. Injectate 170 Injectate Volume, Patient Weight and ETVI Values (PiCCO Only) 170 C.O./CCO Curve Alert Messages 171 C.O./CCO Prompt Messages 172 C.O./CCO Warning Messages 173 C.O./CCO Safety Information 173 14 Monitoring Carbon Dioxide 175 Using the Capnography Extension (M3014A) 176 Preparing to Measure Mainstream CO 176 2 Preparing to Measure Side
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Spirometry Values Window 192 Alarms and Alarm Limits 192 Changing the Apnea Alarm Delay 192 Automatic Alarm Suppression 193 Choosing Measured AWV Components 193 Setting the Gas Compensation Mode 193 Changing the Type of Balance Gas 193 Changing the Concentration of Inspired O2 and the Inspired Agents 193 Changing the Temperature of the Inspired Gas 194 16 Monitoring tcGas 195 Identifying tcGas Module Components 195 Setting the tcGas Sensor Temperature 196 Using the tcGas Site Timer 196 Setting t
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Changing the Impedance Limit 209 About Electrode-to-Skin Impedance 210 Impedance Indicators 210 About Compressed Spectral Arrays (CSA) 211 Changing CSA Settings 212 Changing EEG Settings 212 Switching EEG Numerics On and Off 212 Changing the Scale of the EEG Waves for Display 212 Changing Filter Frequencies 213 Changing the Speed of the EEG Wave 213 EEG Reports 213 EEG Safety Information 214 EEG and Electrical Interference 214 19 Monitoring BIS 215 BIS Monitoring Setup 216 Monitoring BIS Using t
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Trend Parameter Scales 227 Graphical Trend Presentation 228 Documenting Trends 228 Trends Databases 229 Aperiodic Trends Database 229 Trending Multiple-Value Measurements 229 Screen Trends 229 Setting the Screen Trend Time 230 Changing the Selection of Screen Trends Displayed 231 Activating the Cursor for Screen Trends 231 Changing the Screen Trend View 231 Tabular View 231 Horizon View 232 Setting the Horizon 232 Setting the Horizon Trend Scale 232 21 Calculations 233 Viewing Calculations 233 C
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Triggering Events Manually 246 The Events Database 247 Viewing Events 247 Event Counter 247 Counting Combi-Events 248 Counting Neonatal Event Review (NER) Events 248 Event Summary Window 249 Event Review Window 249 Event Episode Window 250 Annotating Events 251 Documenting Events 251 Documenting Event Review 251 Documenting an Event Episode 252 Event Recordings 252 Event Review Recordings 252 Event Episode Recordings 253 Event Reports 253 Event Review Reports 254 Event Episode Reports 255 Event
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Setting Up Individual Print Jobs 270 Checking Printer Settings 270 Printing a Test Report 271 Switching Printers On Or Off for Reports 271 Dashed Lines on Reports 271 Unavailable Printer: Re-routing Reports 271 Printer Status Messages 272 Sample Report Printouts 272 Alarm Limits Report 273 Realtime Report 274 Cardiac Output Report 275 ECG Reports 276 Other Reports 276 26 Using the Drug Calculator 277 Accessing the Drug Calculator 277 Performing Drug Calculations 278 About the Rule of Six 278 Per
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29 Respiratory Loops 289 Viewing Loops 289 Capturing and Deleting Loops 290 Showing/Hiding Loops 290 Changing Loops Display Size 291 Using the Loops Cursor 291 Changing Loops Type 291 Setting Up Source Device 291 Documenting Loops 292 30 Care and Cleaning 293 General Points 293 Cleaning 294 Disinfecting 294 Cleaning Monitoring Accessories 294 Sterilizing 295 Cleaning the Recorder Printhead (M1116B only) 295 Cleaning the Batteries and Battery Compartment 295 31 Using the Batteries 297 Battery Pow
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33 Accessories 309 ECG/Resp Accessories 309 Trunk Cables 309 3-Electrode Cable Sets 309 5-Electrode Cable Sets 310 10-Electrode Cable Sets 310 3-Electrode One Piece Cables 310 5-Electrode One Piece Cables 310 Set Combiners and Organizers 311 NBP Accessories 311 Adult/Pediatric Multi-Patient Comfort Cuffs and Disposable Cuffs 311 Reusable Cuff Kits 311 Adult/Pediatric Antimicrobial Coated Reusable cuffs 312 Adult/Pediatric Soft Single Patient Single-Hose Disposable Cuffs 312 Neonatal/Infant Cuffs
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802.11 Bedside Adapter (Wireless Network Adapter) 335 Altitude Setting 336 Monitor Safety Specifications 336 Physical Specifications 337 Environmental Specifications 339 M4605A Battery Specifications 341 Monitor Performance Specifications 342 Measurement Specifications 348 ECG/Arrhythmia/ST 348 Respiration 350 SpO 350 2 NBP 352 Invasive Pressure and Pulse 354 Temp 355 CO 356 2 Interfering Gas and Vapor Effects On CO Measurement Values 359 2 Spirometry 359 Cardiac Output / Continuous Cardiac Outp
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tcGas Default Settings 379 SvO Default Settings 379 2 EEG Default Settings 380 BIS Default Settings 380 VueLink Default Settings 381 xviii
