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Philips M1165/66/67/75/76/77A
CMS Patient Monitoring System
and
Philips M1205A
V24 and V26 Patient Monitor
User’s Reference Manual
Volume 1
System Information
PHI
Part Number M1046-9220L
Printed 02/2003
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Notice This document contains proprietary information which is protected by copyright. All Rights Reserved. Reproduction, adaptation, or translation without prior written permission is prohibited, except as allowed under the copyright laws. Philips Medical Systems Cardiac and Monitoring Systems 3000 Minuteman Road Andover, MA 01810 Publication number M1046-9220L Warranty The information contained in this document is subject to change without notice. Philips Medical Systems makes no warranty of
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The M1165/66/75/76A Systems comply with UL544, CSA 22.2-125, IEC 601-1, EN 60601-1, and EN 60601-1-2 and carries Marking to Council Directive 93/42/EEC, European Medical 0366 Device Directive (MDD). The M1167/77A Systems comply with UL2601-1, CSA 22.2 No. 601.1-M90, IEC 601-1, EN 60601-1, and EN 60601-1-2 and carries Marking to Council Directive 93/42/EEC, 0366 European Medical Device Directive (MDD). The M1205A Systems comply with UL2601, IEC 601-1, CSA C22.2 no. 601-1, EN60601-1, and EN60
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Electromagnetic Interference Anomalies due to electromagnetic interference are not unique to the M1165/66/67/75/76/77A or the M1205A but are characteristic of patient monitors in use today. This performance is due to the very sensitive high gain front end amplifiers used to display the physiological signals. Among the many similarly performing patient monitors already in use by customers, interference from electromagnetic sources is rarely a problem in actual use. Avoiding Electromagnetic In
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Intended Use Intended Use Description The Philips M1165/66/67/75/76/77A CMS Patient Monitoring System and the Philips M1205A V24 and V26 Patient Monitors are network connectable bedside patient monitoring devices. The Philips M1205A Models V24CT and V26CT may powered by either AC line power or by battery power. Purpose The Philips M1165/66/67/75/76/77A CMS Patient Monitoring System and the Philips M1205A V24 and V26 Patient Monitors measure and display multiple physiological parameters and
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Indications for Use Indications for Use Condition The Philips M1165/66/67/75/76/77A CMS Patient Monitoring System and the Philips M1205A V24 and V26 Patient Monitors are generally indicated when the clinician decides there is a need to measure and display multiple physiological parameters and waves, to generate alarms and recordings of adult, pediatric, or neonatal patients. Part of Body or Type of Tissue with Which the Device Interacts The Philips M1165/66/67/75/76/77A CMS Patient Monitorin
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Indications for Use Prescription Versus Over-the-Counter The Philips M1165/66/67/75/76/77A CMS Patient Monitoring System and the Philips M1205A V24 and V26 Patient Monitors are prescription devices. vii
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Indications for Use Warnings, Cautions, and Notes Warnings, cautions, and notes are used throughout this User's Manual to give you additional information about the Philips M1165/66/67/75/76/77A CMS Patient Monitoring System and the Philips M1205A V24 and V26 Patient Monitors. The warnings and cautions included in this safety section refer to the equipment in general. Wa War rn niin ng g A “warning” calls attention to the user of imminent hazard to people if proper procedures are not followe
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Indications for Use Exposure of electrical contacts or connections to saline or other liquids and gels is dangerous. Electrical contacts and connections such as cable connectors, power supplies, parameter module plug-in connections and rack connections must be kept clean and dry. Thoroughly dry any electrical connections that become contaminated with liquids. If additional decontamination is required please contact your biomedical department or Philips Medical Systems Response Center.
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Indications for Use Replacement Parts - It is highly recommended that only Philips Medical Systems recommended parts and accessories be used with this equipment. Failure to do so may result in the degradation of performance. Accessories and parts for individual modules and components are listed at the back of the appropriate section in this manual. Note—A note gives special instructions to highlight an operating procedure or practice. Notes may precede or follow the applicable text. At t
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Responsibility of the Manufacturer Responsibility of the Manufacturer Philips Medical Systems only considers itself responsible for any effects on safety, reliability and performance of the equipment if: assembly operations, extensions, re-adjustments, modifications or repairs are carried out by persons authorized by Philips, and the electrical installation of the relevant room complies with national standards, and the instrument is used in accordance with the instructions for use. To ensure o
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Responsibility of the Manufacturer xii
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Contents This book is divided into three volumes. This volume contains chapters 1 to 13 (see the following table of contents for more details): 1. The CMS and V24 and V26 Patient Monitors 2. Getting Started 3. Setting up your Monitor 4. Other Patients 5. Alarm Functions 6. Recording Functions 7. Admit/Discharge/End Case 8. Trends and Calculations 9. Neonatal Event Review 10. Data Transfer 11. Monitor Installation and Patient Safety 12. Battery Information (V24CT and V26CT only) 13. Maintenance V
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Intended Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-v Description. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-v Purpose. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-v Environment. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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ECG Output and Defibrillator Marker Input . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-34 The V24 and V26 Parameter Module Rack . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-35 Operating Rules to Remember. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-36 Performance Specifications of the Philips Displays . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-37 M1
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Selecting the Number of Waves . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-13 Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-13 Changing the Wave Overlap . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-14 Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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Changing the Configuration Set. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-53 Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-54 Changing Operating Modes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-55 Returning to Monitoring Mode. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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Recorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-2 Controls and Indicators on the Plug-In Recorder. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-3 Controls and Indicators on the 4-Channel Recorder (CMS only) . . . . . . . . . . . . . . . . . . . . . 6-4 Recorder Capabilities. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
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Changing the Recorder Speed. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-43 Changing the Recorder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-43 Continuing a Timed Recording. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-43 Inserting a Calibration Signal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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Neonatal Event Review 9-1 Introduction to Neonatal Event Review . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-2 Viewing Neonatal Events . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-3 Manual Event Storage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-4 Graphical Details . . . . . . . . . . . . . . . . . . . . . . . . . . . .
