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92901-vB Cardiomax IOM

1. 30 December 2016 Ver E Installation and Operation Manual Cardiomax TD 92901EN Alarm Specifications upe Sa 92 Aewlid 3 38 02 dmpeg S a NY eS1eu d a spuodas 09 d a spuodas 09 8 ON S94 S 19410 0N S9A 8 ou 8a Jad 8 23104 uue v S 9 8 UOI18 e2s3 T 8 8 1uaidi22 Z 9 8 1uaid ay I A 11u ldi3 u uun uoneje s3 uu 1uone e3s3 yeaday Asng 3 1de y s3 s ur Aejag pausissy 30 December 2016 Ver E Installation and Operation Manual Cardiomax TD 92901EN Acknowledgment Alarm specifications are used for configuration programming and post installation testing This alarm configuration is active in the production system unless otherwise noted in superseding documentation such as the post installation checklist E E E oO oO oO Yn oO oO oO c c c g o g o g o o K am o y E ed 5 e a e a e a 4 e oO Q vo Cc 5 E 60 ES oO C gt Oo Q i E Er fs lt o c js oO oO ec E 2 O e 2 o p cS 5 2 5 2 le o 5 E o 1t E o l le IE I5 e S E S je E Ig le G o 5 2 ia G W j o o rz ea Lir nN lt WY lt Zz 2 lt Zz WY Lr 30 December 2016 Ver E
2. 10 3 2 Authentication Levels and Default Passwords 10 3 4 User Server Parameter Settings 11 3 5 EOBBIIB 22 epo scc ec oos A SS E w cecssecssecssccasessoasseasescest v 3 6 Time SCTLINGS s u q u RSS SSS qaqas aaa Sas Sata L2 3 7 Selecting a Template for Action Configuration 12 4 Clinical System Interface Manager CSIM Configuration 14 4 1 Changing CSIM Interface Settings 14 4 2 Units and Filters eere esee eere eene eere ene tonsa esin aa ess ese senes esesnsesssesssessesesse 16 4 2 1 Extension Modules eere assaka eene tense senses sese sese seseeseeesesssesssesss L9 4 2 2 Reset Location Table for Philips Monitoring Systems 19 423s PASS lisi eese M HX 4 3 Changing Common Settings eee eee eee aa aa sese sesesssesssessessseses 20 4 3 1 Network Settings 20 4 3 2 Licerise NUITIDBIS sicceisesscedsssssssesvassesscssessssvecsessessdsessssssvecveotesecssesecccsscescussanseses 22 4 3 3 Restarting the System u a aaa eene eee ens esses
3. The primary module now acts as an active module and the secondary module acts as a standby module 8 3 4 Deactivating Module Redundancies NOTE This setting can only be performed on the primary module From the Start page click CSIM Configuration Click Network Click the Home Click the Advanced tab and then click Redundancy 1 2 3 4 From the Configuration page select Other Redundancy 5 6 Click the Deactivate 30 December 2016 Ver E Installation and Operation Manual Cardiomax TD 92901EN 7 Select one of the following Click Cancel deactivate to undo the deactivation Click Really deactive to perform the deactivation Both modules immediately reboot The GUI is not updated automatically when the reboot is done Update the GUI by pressing F5 8 Do one of the following e Ifthe IP address was changed in the primary module Change the IP address in the former primary module to its origin IP address NOTE If a DCHP server is used ask your network administrator to reserve the IP address to the module s MAC address e fthe module s IP address was changed in the equipment that communicates with the module change back to the module s origin IP address IMPORTANT Do not remove the SD memory card from the former primary module since the card also is used as storage when the module redundancy has been deactivated 8 4 Replacement of a Broken Module in a Redundant System This section describes how to re
4. Nurses Day shift Le Cancel 6 Click OK 7 Select which applications the user team should have access to by selecting or clearing the check boxes for access rights 8 Select between Admin User or None for the Duty Assignment 9 Click Submit to save the changes Removing a user team from the Access Rights Page 1 Click Access Rights 2 Click Select user teams 30 December 2016 Ver E Installation and Operation Manual Cardiomax TD 92901EN 3 Select the user team whose access rights is removed Move the user team from the selected user teams by clicking on the arrow pointing to the left The user team is moved to the all user teams 4 Click OK 5 Click Yes to remove the user team from the Access Rights page Deleting Invalid User Teams By clicking the delete invalid user teams all user teams not available in the system are deleted 30 December 2016 Ver E Installation and Operation Manual Cardiomax TD 92901EN Appendix D Action Tree Templates By using an Action Tree template for monitor alarm in event configuration no actions or messages need to be set up Four templates are available for Philips IntelliVue Nihon Kohden Mindray Panorama and Spacelabs systems D 1 Action Tree for Philips IntelliVue System The Action Tree for Monitor Alarm in the Template for Philips IntelliVue Action Tree operator dispatch El Root Fl Normal Monitor alarm notification OP Alarm Level O
5. 2 To change CSIM interface settings see 4 1 Changing CSIM Interface Settings 3 Click Activate to save the CSIM parameters NOTE Activation of changes to these parameters could cause a temporary loss of connectivity with the clinical system 4 1 Changing CSIM Interface Settings Mindray Mindray TAP Settings Parameters associated with the configuration of the serial port TAP parameters used to interface with the Mindray Panorama paging service Nihon Kohden Connection port Enter the port number of the Nihon Kohden server Phillips The following parameters handle incoming alarms Patient Monitoring System Allows for the selection and identifies the currently enabled Patient Monitoring System Interface Update Status True or False If the status is updated for locations that are experiencing an Active Alarm True or not False Update On Alarm Clear If terminated alarms indications is notified True or not False Time Format Set the time stamp format for active alarm notifications Example hh mm Date Format Set the date format active alarm notifications Example mm dd yy Unsolicited Listening Port The port number associated with the Auto Unsolicited out from the HL7 Export Interface of the Intellivue information center Connection Timeout Defines the number of seconds that a socket will wait for PDI data before 1 US only 30 December 2016 Ver E Installation and Operation Manual TD
6. Appendix B Cardiomax Filtering Description DD Appendix C Setting up Access Rights DO Appendix D Action Tree Templates 58 Appendix E Basic Module Troubleshooting 62 Appendix F Acceptance Test 63 30 December 2016 Ver E Installation and Operation Manual Cardiomax TD 92901EN 1 Introduction 1 1 This manual intends to provide information required to operate Cardiomax For additional information and technical assistance please contact your Ascom service representative CAUTION A general understanding of the features and functions of Cardiomax and its components is a prerequisite for the proper use of this equipment Do not operate this equipment before reading these instructions thoroughly including all appropriate warnings and cautions Cardiomax is a product based on the Elise3 hardware platform It receives alarms from medical alarm devices and sends alerts about alarms to professional healthcare personnel via display devices such as handsets text signs etc Cardiomax also provides an assignment interface to enable users to dynamically assign alerts to
7. recipients US Federal and Canadian law restricts this device to sale by or on the order of a licensed medical practitioner NOTE Figures in this manual are provided for reference purposes only Screens may differ based on the product configuration licenses available and system configuration Caution and Notes Please read and adhere to all of the cautions listed throughout this manual A WARNING is provided to outline items that if not followed may result in death or serious injury to the patient or damage to the equipment A CAUTION is provided to alert the user that special care should be taken for the safe and effective use of the device A NOTE is provided when additional general information is available WARNING Shall not be relied upon for receipt of ALARM SIGNALS The system does not substitute for the primary monitoring system and must only be used as a redundant parallel notification mechanism to provide remote secondary alerting of alarms WARNING Acceptance testing must be performed for each location Failure to complete acceptance testing may result in failed or delayed notification resulting in potential patient harm CAUTION The product must utilize the hospital emergency power system Failure to do so may result in loss of operation during extended periods of power failure A battery backup system must be in place to maintain operation in the event of a power failure The minimum battery backup time is based upo
8. 9 Other versions may be compatible but cannot be guaranteed Interface Mindray s PMS default serial port settings are the following Port 2 e Baud rate 9600 Parity N e Data bits 8 Stopbits 1 Error logging N The default serial port settings on the module s serial ports are configured to align with the default port settings on the Mindray PMS 30 December 2016 Ver E Installation and Operation Manual Cardiomax TD 92901EN Configuration The module is designed to process received alarm paging messages formatted according to the Paging Demographics Option Bed This is the default setting for the Mindray PMS Implementation Variants None Limitations This vendor supplied interface does not provide a mechanism by which Cardiomax can detect if the communication between the alarm source and Cardiomax is disrupted The Mindray PMS cannot contain any space characters in the BED label Technical Alarms A technical alarm is published when a parsing error occurs with an Alarm Paging Message A parsing error consists of no data being stored for the Panorama Name UnitName Bed BedLabel and alarm text AlertText The Event Text event element value is Alarm Paging Message Parsing Error when the technical alarm is published Presets None Delays The average delay time is measured under normal system operation from the point that the presentation of the ALARM CONDITION arrives at Cardio
9. 92901EN determining a connection Changes to this value are effective only for new connections Displays the IP address of the remote system on loss of connectivity Changes to this value are effective only for new connections Display IP on Error Displays the IP address of the remote system on loss of connectivity Changes to this value are effective only for new connections For parameters concerning Units Filters see 4 2 Units and Filters on page 77 Spacelabs CEI amp ENI Configure the specific parameters necessary for the Spacelabs Healthcare Clinical Event Interface Server IP Set the Server IP field to the IP Address of the Clinical Event Interface Server Server Port Number Set the Server Port field to the Listening Port of the Clinical Event Interface Server Event Data Start Field Event Data Stop Field The Event Data Start and Stop fields determine the substring derived from the Clinical Event Alarm Message Event Data element received from the Clinical Event Interface The substring is stored in the CEl_AlarmData_Parsed Event Element Set Event Data Start Field to the desired start character count Set Event Data Stop Field to the desired end character count For example if the Event Alarm Message Data element value is this is a test and the Event Data Start Field value is 9 and Event Data End Field is 14 then the CEI AlarmData Parsed event element value is a test Client Active Determines wh
10. Center within the medical device system RoomLabel Contains the Room value in the HL7 ORU message received from the medical device system The value is the room as configured on the Information Center within the medical device system UnitName Contains the Clinical Unit Name value in the HL7 ORU message received from the medical device system The value is the Point Of Care as configure on the Information Center within the medical device system Priority Contains the group of observation identifier values in the HL7 ORU message received from the medical device system Includes each priority value for all OBX alert segments comma delimited AlertText Contains the group of observation result values in the HL7 ORU message received from the medical device system Includes each alarm text for all OBX alert segments separated by new lines AlarmTextWithSever Contains the group of observation result values in the HL7 ORU ity message received from the medical device system Includes each alarm text and severity for all OBX alert segments new line delimited Example RED HF 120 EventTime Contains the time stamp associated with the clinical event as provided the medical device system EventDate Contains the date associated with the clinical event as provided the medical device system 30 December 2016 Ver E Installation and Operation Manual Cardiomax 6 7 Nihon Kohden Clinical Systems TD
11. Level 2 F Monitor alarm taken by other Philips Taken Level 1 On success 9 On failure If the notification is accepted the second level On success is followed but if the notification was not accepted within a specified time the second level On failure is followed 30 December 2016 Ver E Installation and Operation Manual Cardiomax TD 92901EN Under the second On failure level actions for what is done if the second recipient did not accept the message are set up In a similar way a third recipient may accept or reject a message and so on Figure 9 Actions under the second On failure level On failure fal Monitor alarm notification Philips Alarm Level 3 F Monitor alarm escalated Philips Esc Level 2 E On success f Monitor alarm update notification Philips Alarm Level 3 Monitor alarm taken by other Philips Taken Level 3 f Monitor alarm taken by other Philips Taken Level 1 f Monitor alarm taken by other Philips Taken Level 2 The template has four escalation levels For the last On failure level if no recipient has accepted a high priority message is sent to all recipients that the alarm has not been handled and an output is activated This output could for example be connected to a siren Figure 10 Actions under the last On failure level On failure f Monitor alarm unhandled Philips Alarm Level 1 f Monitor alarm unhandled Philips Alarm Level 2 f Monitor a
12. Level 5 Events Levels Users Assigned Users lt The layout setup is created in the Options menu Menu Description Layout setup Add new locations and define conditions for each location Determines who is available for duty and location Auto activate Saves the configuration periodically the time is set in seconds Disabled as default 30 December Default locations are root and common These cannot be deleted You can change the default location names to something else For assignments that all locations have in common select common User teams and users are defined in the Unite CM see Configuration Manual Unite Connectivity Manager TD 92735EN Adding Locations IMPORTANT When a location is added and the condition for the location is defined the value must correspond to the value set for that location in the clinical system If not the alarms are not distributed See example below 2016 Ver E Installation and Operation Manual Cardiomax TD 92901EN Vale ICU RM201 BED1 amp 1 amp 2 By selecting a predefined event element and entering its value an incoming event can be connected to a location 2 Click Option and select Layout Setup 3 Select root and click Add Layout Setup x i root 4 common 4 Ward BLUE Define Condition 4 Ward RED o Ward Gre
13. Monitor alarm takein by other Taken Level 2 Monitor alarm takein by other Taken Level 1 e On failure F3 Monitor alarm notification Alarm Level 3 Monitor alarm escallated Esc Level 2 On success Monitor alarm update notification Alarm Level 3 Monitor alarm taken by other Taken Level 3 Monitor alarm taken by other Taken Level 1 Monitor alarm taken by other Taken Level 2 9 On failure Fl Monitor alarm motification Alarm Level 4 Monitor alarm escalated Esc Level 3 Fl On success Monitor alarm update notification Alarm Level 4 Monitor alarm taken by other Taken Level 4 Monitor alarm taken by other Taken Level 1 f Monitor alarm taken by other Taken Level 2 Monitor alarm taken by other Taken Level 3 EF On failure Monitor alarm unhandled Alarm Level 1 Monitor alarm unhandled Alarm Level 2 f Monitor alarm unhandled Alarm Level 3 f Monitor alarm unhandled Alarm Level 4 xp Unhandled alarm siren I When a Monitor alarm is received an interactive message is sent to a recipient If the notification is accepted the first level On success is followed The other recipients in the hunting chain is notified that the alarm has been accepted by someone and a confirmation message is sent back to the recipient that acknowledged the alarm If the notification was not accepted within a specified time the first level On failure is followed Under the first On failure le
14. NOTE The diagnostic data in the file is encrypted and can only be read by an Ascom technician From the Start page click CSIM The CSIM window appears Click Troubleshoot he Cardiomax Advanced Configuration window appears Click Troubleshoot Click System diagnostics Under Export Diagnostic Data click Export num WN HG You are prompted to open or save the diag bin file 30 December 2016 Ver E Installation and Operation Manual Cardiomax TD 92901EN Appendix F Acceptance Test The acceptance test ensures that the functionality of the Ascom messaging system installed complies with the expectations of the customer The approval sheets found on the following pages in this appendix should be completed to record that the system configuration conforms to established installation standards When the test is completed and verified according to customer requirements the approval sheets are to be signed by both parties i e the installer from Ascom and the customer By signing the approval sheets the parties agree that the equipment meets the requirements after installation and configuration The intended functionality should be operational to a degree only limited by needs associated with adjunct or supporting peripherals that Ascom has no control over Operational deficiencies should be noted and appropriate actions specified in the approval sheets WARNING Acceptance testing must be performed for each location
15. The table that maintains the current alarm state and location data for all monitored clinical systems locations supported by Cardiomax can be cleared The current state of all monitored location is restored on next update interval from the clinical system 1 From the CSIM window click Reset Location Table The Reset Locations window appears CAUTION Activation parameter changes cause a connectivity loss Reset Locations This operation resets the table maintaining the Alarm State and Location data associated with each patient monitoring location supported by this device Ce 30 December 2016 Ver E Installation and Operation Manual Cardiomax TD 92901EN 2 Click Activate to reset the table 4 2 3 Pass Filters NOTE Available for Digistat Phillips and Nihon Kohden clinical systems The pass filter represents an integral function of an optimized Cardiomax system Pass Filters reduce the number of alerts to alerts recommended and or requested during clinical consulting IMPORTANT All alerts are delivered by default except when one pass filter is set up no other alerts except the one specified in the pass filter are delivered Failure to properly define parameters within the pass filter may impact performance and increase latency in the delivery of alerts to portable devices Each central and extension module provides its own set of pass filters define a multi unit or site wide configuration Each instance defined in
16. as average occurrences of simultaneous alarms for any supported system size taking in account average active alarm durations and active alarm updates CAUTION Extension modules do not maintain a persistent connection to the central module a loss of connectivity between the extension and Central may not be detected and can result in a loss of alerts Each extension module should be supervised separately to assure that failures are reported The Philips IntelliVue HL7 Parameter Data Interface PDI outputs alert data to Cardiomax Central and extension Modules by persistent point to point TCP IP Sockets using HL7 version 2 x protocol The HL7 messages are formatted according to Phillips IntelliVue Information Center IIC release L HL7 PDI programmer s guide For PDI HL7 Export configuration within Phillips IntelliVue refer to the manufacturer s Operator s Manual s 30 December 2016 Ver E Installation and Operation Manual Cardiomax TD 92901EN NOTE Improper PDI HL7 Export and alarm configuration within Phillips IntelliVue results in improper operation of Cardiomax The module has been verified for compatibility up to release L amp M HL7 PDI programmer s guide and Philips Intellivue Information Center iX PIIC ix HL7 Interface A 0x amp B 00 BO1 NOTE Other versions may be compatible but cannot be guaranteed Interface Cardiomax supports interfacing with PDI directly and indirectly through PDI interfaces provided
17. matches HR LO HR HO HR O and HR NNO e HRLO HR LO matches HR LO 9 and HR LO 10 e HR O matches HR LO but not AAAHR LO HR LO Heartrate low also describes in plain text which alarm text that this filter will match HR LO is a comment and will not match anything e 4 in Alarm delay filters delays all alarms with alarm level 4 30 December 2016 Ver E Installation and Operation Manual Cardiomax TD 92901EN Appendix C Setting up Access Rights For user administration different access rights are given to different user teams in order to log into access rights action configuration event and duty assignments You can grant level of access to users admin user or none access to the GUI Authority Description Admin rights to administrate duty assignments User rights to make assignments in duty assignments None no access rights to duty assignments User teams are set up in the Unite Connectivity Manager see Configuration Manual Unite Connectivity Manager TD 92735EN To set up access rights 1 From the Start page click ADVANCED ADMIN The Backup Restore window appears Click ACCESS RIGHTS and log in with your user name and password Click Select User Teams Select the user team that is granted access rights uUi WN Click L gt to move the user team to the selected user teams Select User Teams All User Teams Selected User Teams
18. on the central module as well as with additional extension modules Each PDI interface supports up to 10 concurrent connection from PDI transmitting centrals or database servers Within larger systems each extension module provides it s own independent pass filter functionality but relies on the central module for additional filtering and message routing and delivery The PDI client initiates TCP connection with a central or extension module and if the connection is broken or closed the PDI client attempts to reestablishes the connection and continues to do so until the connection is reestablished or the system is shut down PDI allows multiple connections but only one connection at one time to one particular client machine as identified by the IP address Capacity Max messages pages hour 6000 Maxsimultaneous actions 50 e Max alarm broadcasts sec 20 central 40 extensions Configuration PDI HL7 export The following parameters define those values that are not the typical default values provided by the IIC Config Wizard for HL7 Export e Network devices should be defined as either Cardiomax central module or available extension modules based on system size The PDI unsolicited messages interface outputs alert data at a configured interval The configured interval is set to 5 seconds lowest possible The PDI unsolicited messages interface is configured to transmit OBX for alerts and the Information Cente
19. 05EN and Appendix A Clinical System Protocols on page 108 Abbreviations and Glossary Action handler CSIM Elise Event Groups Intensive care unit ICU Interactive message Handset Unite Unite Connectivity Manager 30 December 2016 Ver E Handles actions in Cardiomax Set up in Action Configuration Clinical system interface manager Embedded Linux server Triggers actions in Cardiomax Sets up messaging in the Unite Connectivity Manager If a message is sent from Cardiomax to a group number the message is sent to all call IDs included in that group In the group setup the call IDs to be included are specified See also User teams Hospital unit A message sent from Cardiomax to a handset requesting a response from the use Any type of Ascom handset or page Another name for the Ascom Professional messaging system The Unite communication protocol is used for communication within the Ascom Unite system Unite module handling users communication interfaces message routing activity logging and other essential messaging services Installation and Operation Manual Cardiomax TD 92901EN Unite name server UNS Unite component that holds the number plan The number plan is a list of users and call IDs Mainly used during setup of a system Preferably prepared prior to installation User teams Used in duty assignments in Cardiomax to set up work shifts and define different types of personnel such as do
20. 6 Licenses For available licenses see the Unite License Configuration Guide TD 93113EN 30 December 2016 Ver E Installation and Operation Manual Cardiomax TD 92901EN 3 Configuration Cardiomax configuration utilizes a Web browser To configure Cardiomax enter the IP address in the Web browser address field http XxXX XXX XXX XXx 3 1 The Graphical User Interface GUI You can select different functions from the Cardiomax start menu such as duty assignment action configuration event trigger assignment advanced admin and CSIM configuration ascom DUTY ASSIGNMENT ACTION EVENT TRIGGER CONFIGURATION ASSIGNMENT Administration of the daily duty assignment Refer to User Manual Duty Assignment TD 92904EN Configuration of available events and actions Configuration of different conditions before indicating that an event has occurred Advanced administration Configuration of the clinical system interface CSIM parameters Information about manufacturer markings and device e g item number description version number date of manufacture UDI and module key number 3 2 Authentication Levels and Default Passwords There are two different authentication levels an administrator or a defined user 30 December 2016 Ver E Installation and Operation Manual Cardiomax 3 3 3 4 3 5 TD 92901EN Unite AM Administrator rights are required for setu
21. 92901EN Name Description BedLabel Contains the SourceToken element value in the Send Pager Notification Request message received from the Nihon Kohden Pager Gateway Token is used to associate a bed number AlertText Contains the Description element value in the Send Pager Notification Request message received from the Nihon Kohden Pager Gateway Description is the text that is displayed on the device 30 December 2016 Ver E Installation and Operation Manual Cardiomax 6 8 Mindray Clinical Systems TD 92901EN Name Description TAP PagerlD Contains the received TAP 1 8 pager ID value in the Alarm Paging Message UnitName Contains the Panorama name value within the message body text in the Alarm Paging Message BedLabel Contains the Bed value within the message body text in the Alarm Paging Message AlertText Contains the alarm text value within the message body text in the Alarm Paging Message TAP MessageBody Contains the complete message body text in the Alarm Paging Message 6 9 DigiStat Connect Clinical Systems Name AlertText Description Contains the group of active non filtered alerts for a device TranslatedAlertText Contains the group of active non filtered alerts for a device using translated alert text provided by UMS DeviceType Contains a 3 character mnemonic description of device type e g MON monitor VEN ventilator AlertType P
22. Configuration page 4 Enter Select the following Proxy Determines if the proxy settings below are to be used HTTP proxy address The proxy server address HTTP proxy port The port the proxy server is listening to 30 December 2016 Ver E Installation and Operation Manual Cardiomax TD 92901EN 8 Module Redundancy 8 1 8 2 A redundant system consists of an active Unite module and a standby Unite module When setting up redundancy in the system the primary module will act as an active module and the secondary module will act as a standby module If the active module fails the system will automatically switch to the standby module which then becomes the active module The modules will indicate that the system is no longer redundant since no data synchronization between the two modules can be performed IMPORTANT A redundant system does not replace a backup of a module Prerequisites In order to set up module redundancy the following requirements must be fulfilled The hardware variant must be identical on both the primary and secondary module Theinstalled software application and software version must be identical on both modules The modules must use the same type of SD card of minimum 1 GB capacity Refer to Data Sheet Elise3 TD 92678GB for more information on which SD cards that currently are supported The primary module must have the license with redundancy functionality instal
23. Failure to complete acceptance testing may result in failed or delayed notification resulting in potential patient harm The following needs to be tested and verified Locations Perform a function check for each location Alarm types All alarm types possible to send from a location need to be tested Make sure the alarm priorities are in accordance with the customer requirements Alarm The alarm priority from patient monitoring systems are not priorities automatically forwarded to the handsets but to provide a priority indication to the user priority symbols can be added to the alarm message Escalation Verify that the escalation chains works chains Default Verify that a default destination has been configured in the escalation destination chains f Verify that filtering settings works as intended ER Filters are used for reducing the number of non relevant alarms and settings thereby minimizing the number of messages sent to clinicians Figure 15 Actions under the last On failure level 1 A location is a place from where an alarm can be sent 30 December 2016 Ver E Installation and Operation Manual Cardiomax TD 92901EN m v E E o oO E e j t vo ao 3 o0 E 9 u a E v ae o0 ir 3 O p Yn v M E o0 i o d SIS m S o Ss O Oo d2 c o o
24. Filter 9 BT HI Group Filter 10 BT LO Group Filter 11 CO2 HIGH Group Filter 1 100 See Appendix B Cardiomax Filtering Description for details and examples Alarm Text Delay Filters For alarm text delay filters all alarms with alarm text matching any of the filters must be active for as long as the time defined for that filter before any alerts are sent out This type of filtering is available only for Philips XprezzNet and DigiStat 30 December 2016 Ver E Installation and Operation Manual Cardiomax TD 92901EN Alarm Text Delay Filter Doi Ft Es Previous Delay Filter 1 m Factory Disabled v Delay Filter 2 Disabled v Delay Filter 3 H Disabled Delay Filter 4 Delay filter 1 10 Set filter value Select delay time or Disabled See Appendix B Cardiomax Filtering Description for details Unit Configuration Use this to configure settings specific for a certain unit or department This type of filtering is available only for Philips XprezzNet and DigiStat To add or configure alarm text filters from the alarm text Filters window click Not Used The Unit Configuration window appears Unit Configuration Name E Delay Filters Ei Delay Filter 1 l Disabled Delay Filter 2 Disabled Delay Filter 3 Disabled v Delay Filter 4 Name Name of the unit department This name must match the unit name in the received alarm locatio
25. TD 92901EN Installation and Operation Manual Ascom Unite Connect for Clinical Systems Cardiomax 28 April 2017 Ver F Installation and Operation Manual Cardiomax TD 92901EN About this document This document describes the installation and configuration of Cardiomax It also describes the administrative part of Duty Assignment i e the configuration and administration of events and actions related to a specific event and where action chains with success failure conditions and access rights for the users are handled These activities require a trained system administrator and a certified engineer Duty Assignment is where the locations in for example a hospital and the conditions for events are set up It is operated on a daily basis by for example a nurse A description of how to assign users to specific locations and associated events is found in the User Manual Duty Assignment TD 92904EN How to use this document The document is mainly intended for Ascom installation personnel and a local administrator for normal system maintenance Reading instructions e Ascom installation personnel For installation and configuration see 2 Installation on page 69 and 3 Configuration on page 71 Local administrator For administration see 6 Advanced Administration on page 89 Forthe daily operation refer to User Manual Duty Assignment TD 92904EN C Address Ascom Wireless Solutions Ascom Sweden AB Grimbodal
26. The template has four escalation levels For the last On failure level if no recipient has accepted a high priority message is sent to all recipients that the alarm has not been handled and an output is activated This output could for example be connected to a siren Figure 14 Actions under the last On failure level F On failure F Monitor alarm unhandled Alarm Level 1 E Monitor alarm unhandled Alarm Level 2 Monitor alarm unhandled Alarm Level 3 F Monitor alarm unhandled Alarm Level 4 sp Unhandled alarm siren 30 December 2016 Ver E Installation and Operation Manual Cardiomax TD 92901EN Appendix E Basic Module Troubleshooting E 1 E 2 Log Files When troubleshooting you should examine the log files since they provide additional useful information The first log you should examine is the status log found under Status on the Configuration page but when reporting an error to your supplier more advanced logs might be needed Always include the appropriate log file To find the Info log and Error log 1 From the start page click Configuration 2 From the Configuration page select Other Advanced Configuration 3 From the Advanced Configuration page click Troubleshoot 4 Click View Info Log or View Error Log Export Diagnostic Data You can export diagnostic data to a file that includes logs configuration files etc That file can be provided when requesting technical support from Ascom
27. Unite Connectivity Manager that is configured to receive the logs etc To define the relay release length click View advanced parameters The time is defined in seconds between 0 and 900 where 0 means that the error relay is not released at all NOTE The error relay should always be connected in order to notify users if an error has been detected Extended Activity Log Click the Extended Activity Log link When enabled intermediate activity logs are sent while a message passes through the system towards the destination The extra information is not saved in the log file It is only displayed in continuously updated log viewers NOTE Use this function with caution as it generates more traffic in the system Time Settings The time settings control how the module handles the time and date To ensure that the module has the exact time and date as the rest of the messaging system it must be set to synchronize its clock to a time server The Unite Connectivity Manager can be used as the time server for the entire messaging system Click Settings in the Time section in the menu for parameter settings Time Source Select Time server from the drop down box Time server address Set the value to the IP Address of the time server for the messaging system i e Unite Connectivity Manager Time zone Select the appropriate GMT offset for the given place of operation If Web browser has been selected as time source the tim
28. active module The system is redundant when this status is shown Data out of sync The modules are not synchronized This is shown for example if the connection to the other module is lost When the system has become redundant the virtual IP address is used by the module that currently is active 8 3 1 Module Redundancy Testing IMPORTANT Perform a module redundancy test to ensure that you have configured the system correctly 1 Unplug the active module s power cord from the power source The standby module starts up and becomes an active module which takes up to 80 seconds before all applications are up and running The status LED flashes red EH E indicating that the system no longer is redundant since the connection to the primary module former active module is lost When the standby module has become active the power LED changes to steady blue but the status LED is unchanged as long the system is not redundant 2 Go to the secondary module using the virtual IP address Note that secondary in the upper left corner indicating that this module currently is the active module 3 View the log on the Unite CM that supervises the module From the Unite CM select Status gt Active Faults on the Configuration page The log shows for example that the secondary module is active and that the primary module has failed Other faults might also be shown TIP The IP address of the Unite CM that supervises the module can be found in
29. ains the type of clinical system that produced the clinical alarm This value is Patient Monitor Event Event Type Contains the type of clinical system event The value of this element is Clinical for clinical events and Technical for technical events Event Text Contains the description associated with a technical alarm event 6 11 Technical Alarms The module will publish technical alarms when certain failures occur during operation The Event Type event element value is set to Technical and the Event Text event element value contains the text description pertaining to the technical alarm 30 December 2016 Ver E Installation a Cardiomax nd Operation Manual TD 92901EN 7 Network and Security Recommendations This section describes recommended network scenarios for the highest possible network security Other measures taken to prevent automatic scripts or similar to force a way into the system are e Incoming IP traffic is only allowed on selected ports in use No services such as web server mail server etc show type and version Protection against modification of executable files It is recommended that the messaging system is placed on a separate subnet VLAN Advantages include Isolates system from the LAN e Broadcasts in the LAN will not load the CPU of the messaging module e Less traffic handling for the messaging modules 7 1 Encry
30. al repository in the messaging system When the module is powered off or experiences an unexpected loss of power no activity log entries are published to the Unite Connectivity Manager When the Unite Connectivity Manager is powered off or experiences an unexpected loss of power it cannot receive published activity logs Click Logging in the menu for parameter settings Status Log 1 Configure the following parameters Destinations The syntax for these fields is IP address SERVICE The Unite Connectivity Manager s FaultHandler service is added to the distribution list Set the value to Unite Connectivity Manager s IP Address FaultHandler System Activity Log The syntax for these fields is IP address SERVICE Add the Unite Connectivity Manager s Activity Logger service to the distribution list Set the value to Unite Connectivity Manager s IP Address Activity Logger 30 December 2016 Ver E Installation and Operation Manual Cardiomax 3 6 3 7 TD 92901EN 2 Click Activate The module sends all status log activity log messages to the Unite Connectivity Manager Advanced Parameters Click View advanced parameters Error Relay Time for Status Log Failure If it is not possible to generate or send status logs on errors the error relay is released This might happen if there are major problems in the module for example if all internal queues are full or in case there is a communication failure with the
31. ay filter All alarms with alarm text matching any of the delay filters must be active for the period of time defined by the filter before an alert are sent out Group filter Determines which alarm updates are considered to be equivalent to a previously delivered alert Active alarms with updates that matches an active group filter are considered to be equivalent and discarded by Cardiomax By setting a group filter alarm texts with a similar content such as updated heart rate can be bundled and not sent as updates for each heart rate change 1 From the CSIM page click Units Filters The alarm text Filters window opens 30 December 2016 Ver E Installation and Operation Manual Cardiomax TD 92901EN Alarm Text Filters Alarm Text Group Filter Alarm Text Delay Filter Factory Units Not Used Not Used Not Used Not Used NOTE The filtering feature is case sensitive Alarm Text Group Filters For alarm text group filters all alarm texts that match the same group filter are considered to be the same alarm This type of filtering is available only for Philips XprezzNet and DigiStat Alarm Text Group Filters Group Filter 1 ART D HI Group Filter 2 ART D LO Group Filter 3 ER ART M HF Group Filter 4 ART M LO Group Filter 5 ART R Hl Group Filter 6 ART R LO Group Filter 7 ART S HI Group Filter 8 EE ART S HI Group
32. by a space The format of the log file is as follows Field Description Date The date local date when the log entry was written Time The time local time when the log entry was written Identity The host name of the module Application The application in the module that generated the log entry Log type Indicates the seriousness of the log entry Application identity The application has an identifying name File This is the file that the log entry concerns Log info A text string within apostrophes The text string can be divided into columns Each column is separated by a carriage return character 6 3 Upgrade Procedure Cardiomax can be upgraded but not all later software revisions allow application upgrades A complete image may be required Please refer to the software release notes for details 6 3 1 Software Backup Important Before upgrading Cardiomax you must back up your Cardiomax configuration N FR 6 3 2 From the start page click Advanced Admin Click Backup Restore to restore the backup Click Backup Software Installation Upgrade from the start page click Advanced Admin Click Upgrade The Software Installation window appears Select a software pkg to upload The software replaces the previously installed software Select Switch immediately to install the new software Select Use factory default settings when upgrading only necessary for versions prior t
33. ctors or nurses user team setup is performed in the Unite Connectivity Manager User teams are also setup in the Unite Connectivity Manager See also Groups 30 December 2016 Ver E Installation and Operation Manual Cardiomax TD 92901EN 2 Installation 2 1 2 2 2 3 2 4 Hardware Installation Cables and Connectors The Elise3 hardware is used by Cardiomax For installation of the hardware cables and connectors refer to the Installation Guide Elise3 TD 92679GB NOTE Ethernet and RS232 cables not included in delivery Information Required for Setup Make sure the following information is available e MAC address found on the license certificate enclosed in delivery e License number found on the license certificate enclosed in delivery Network parameters ask site network administrator IP address assigned to product NOTE The IP address must not change during operation because renew of IP address via DHCP is not handled Other equipment connected to this product also expects a fixed IP address in some cases If the IP plan is changed this product must be restarted to update the IP address Otherwise there is a risk for IP address collision Getting Started For information on accessing the product refer to the Getting Started leaflet included in delivery and the Installation Guide Elise3 TD 92679GB Description of LED indicators The Elise3 hardware has LEDs that indicates the status of Cardi
34. d to a location To set up a condition 1 Click Define Condition 2 Click Add 30 December 2016 Ver E Installation and Operation Manual Cardiomax TD 92901EN Define Condition Event Element Hospital Call Value lal Cancel 3 Select Event Element 4 Enter a value and click OK Define Condition Event Element Hospital Call 3 More conditions can be defined by clicking Add At least one condition must be fulfilled If one location has conditions matching a received event all locations on the path between the top location and this location in the tree is selected as well even if they have do not have matching conditions You can edit or delete a defined condition When finished either click Done to save the configuration or Cancel if you do not want to save the configuration Available on Locations This is how you define events that should be available on a location 30 December 2016 Ver E Installation and Operation Manual Cardiomax TD 92901EN Events Available on location Toilet Call Staff Assist Normal Cal 1 User Teams Available for duty RN DR gt 4 Activate Cancel 1 Select an event Click the right arrow button to move it to the Available on location box Double click an event to move it to the Available on location box Available for Duty Defines an available user team Events Availabl
35. den PagerService Protocol A 1 1 Nihon Kohden Pager Gateway The Nihon Kohden Pager Gateway is a software product that allows a Nihon Kohden clinical system device to provide remote pager notification of certain alarm events The Pager Gateway software collects alarm information from all networked patient monitors in a Nihon Kohden clinical system in order to format and send pager messages to a third party delivery system For Pager Gateway configuration within the Nihon Kohden clinical system refer to the manufacturer s Operator s Manual s NOTE Improper Pager Gateway and alarm configuration within the Nihon Kohden clinical system result in improper operation of Cardiomax NOTE The module has been verified for compatibility with NK Pager Gateway Message Schema and Interaction Version 1 0 Other versions may be compatible but cannot be guaranteed Interface The interface is designed to process Pager Notification Request Messages as SOAP XML Web services procedure transmitted by the Nihon Kohden Pager Gateway Communication is done over a point to point HTTP POST request using SOAP XML messages Configuration The Pager Gateway PagerURL registry key value needs to be set to http cardiomax ip address 8888 cardiomax aspx Implementation Variants None Limitations This vendor supplied interface does not provide a mechanism by which Cardiomax can detect if the communication between the alarm source and Cardiomax is disrupt
36. e if configurations and data are to be stored on an external SD memory card instead of storing the information on the module s internal flash memory The SD memory card can be used if higher storage capacity is needed For information about which SD memory cards that currently are supported see Data Sheet Elise3 TD 92678GB MPORTANT Once a SD memory card is selected as data storage the module uses the SD memory card permanently This means that it is not possible to roll back to the internal flash memory later on From the start page click CSIM Configuration Click Network Click Home From the on the Configuration page select Other Data Storage Click Activate mM WN H 30 December 2016 Ver E Installation and Operation Manual Cardiomax TD 92901EN 9 Related Documents Data Sheet Cardiomax TD 92905EN Data Sheet Unite Connectivity Manager TD 92739EN nstallation Guide Elise3 TD 92679GB Data Sheet Elise3 TD 92678GB Data Sheet Ascom Unite Messaging Suite for Healthcare TD 92948EN Configuration Manual Unite Connectivity Manager TD 92735EN User Manual Duty Assignment TD 92904EN Documentation for the Unite Application Manager and help text in the application software 30 December 2016 Ver E Installation and Operation Manual Cardiomax TD 92901EN Appendix A Clinical System Protocols This appendix describes the functionality of clinical systems and any protocol specific limitations A 1 Nihon Koh
37. e must be set manually Otherwise this setting is not done Selecting a Template for Action Configuration To facilitate the configuration of events for monitoring systems a you ll need to apply a template The templates have preconfigured action trees adapted for different systems Unite events are included in the template but you can add new Unite events if necessary To add a new template 1 In Unite AM click Integrations 2 In the upper left hand corner click Add A drop down menu appears 30 December 2016 Ver E Installation and Operation Manual Cardiomax TD 92901EN 3 Select the system template name the integration and select an interface NOTE If an interface is already in use you cannot use that same interface for another integration 4 Click Add The new template appears below any previously added templates The list of event elements reflects the new template NOTE If a template is used there is normally no need to set up any actions Refer to Appendix D Action Tree Templates on page 119 for an explanation of the Action Tree in Event Configuration for different monitoring systems 30 December 2016 Ver E Installation and Operation Manual Cardiomax TD 92901EN 4 Clinical System Interface Manager Configuration The CSIM interface enables an administrator to configure interface parameters necessary to interface with the clinical system 1 Click the CSIM Configuration from the module s start page
38. e on location Toilet Call Staff Assist Normal Call k k User Teams Available for duty RN DR Activate Cancel 2 Double click available user team 3 Click Activate Once the configuration is saved events and user teams display in main duty assignment window and the location is highlighted Members of a user team are visible 30 December 2016 Ver E Installation and Operation Manual Cardiomax TD 92901EN Figure 4 The layout configuration Assignment Work shifts Options Layout Assignments root Event Level 1 Level 2 common taff Assist FH Ward BLUE F 4 Ward RED Normal Call ICU ER POST El Ward Green Room 1 Room 2 Events Staff Assist Normal Call Users RN Jacob Wilson e RN Mia Griffin DR Ethan Robinsson 4 058 30 December 2016 Ver E Installation and Operation Manual Cardiomax TD 92901EN 6 Advanced Administration ADVANCED ADMIN Advanced Admin enables an administrator to configure advanced administration functions As an administrator you can Event element configuration event handler overview event handler log and event handler administration View software information switch software e Access rights settings Setlanguages Data monitoring Perform I O setup e Backup and restore configuration Turn on or off demonstration mode e Use a diagnostic log to troubleshoot issues Upgrade software Remov
39. e received from the Spacelabs Clinical Event Interface UnitName Contains the Unit Name element value in the Clinical Event Alarm Message received from the Spacelabs Clinical Event Interface AlertText Contains the Event Data element value in the Clinical Event Alarm Message received from the Spacelabs Clinical Event Interface Priority Contains the Priority element value in the Clinical Event Alarm Message received from the Spacelabs Clinical Event Interface AlarmData_Parsed Contains a character substring derived from the Clinical Event Alarm Message Event Data element The start and end character values are configured in the CSIM Administration interface 30 December 2016 Ver E Installation and Operation Manual Cardiomax TD 92901EN 6 6 Philips Clinical Systems Name Description AlarmState Contains a value representing the current state of a received HL7 ORU message For each unique location identifier when an alert is initiated the value is Active to represent an active alarm When this alert is no longer present the value is nactive Location Contains the Assigned Patient Location value in the HL7 ORU message received from the medical device system This element serves as the location unique identifier value BedLabel Contains the Bed Label value in the HL7 ORU message received from the medical device system The value is the bed label as configured on the Information
40. ed Technical Alarms A technical alarm is published when a parsing error occurs with Pager Notification Request messages A parsing error consists of no data being present in the received Pager Notification Request Message SourceToken and Description elements The Event Text event element value is Pager Notification Request Parsing Error Presets None 30 December 2016 Ver E Installation and Operation Manual Cardiomax A 2 TD 92901EN Delays The average delay time is measured under normal system operation from the point that the presentation of the ALARM CONDITION arrives at Cardiomax to the time that the display device is annunciating to the healthcare professional The average delay time is 4 seconds NOTE The delay time in the customer environment may vary based upon their specific environment and cannot be guaranteed Spacelabs Healthcare Clinical Event Interface CEI Protocol A 2 1 Clinical Event Interface The Spacelabs CEI Server is a Windows Service whose purpose is to query the Spacelabs Database for Clinical Events and send them to connected messaging applications A clinical event is a discrete patient event like an ECG alarm that Cardiomax can transmit to the desired wireless device For CEI configuration within the Spacelabs clinical system refer to the manufacturer s Operator Manual s NOTE Improper CEI and alarm configuration within the Spacelabs clinical system result in improper operati
41. en is Events Available on location 4 POST Normal Call Administrators Patient Call Staff Assist Toilet Call 4 User Teams Available for duty Test team 1 Test team 10 Test team 100 Test team 11 Test team 12 cum Test team 13 Test team 14 rc Test team 15 Moveup Movedown Activate Cancel Add Delete 4 Enter a name for the location and press Enter A new field for a location is added every time you press Enter after the location name After all locations are added click outside the editing frame to stop adding fields To clear an unnecessary empty field click outside the editing frame press Enter or Esc 5 To add levels below a location select it and click Add 30 December 2016 Ver E Installation and Operation Manual Cardiomax TD 92901EN Layout Setup root common 4 Ward BLUE 4 Ward RED 4 Ward Green ICU ER POST Administrators Move up Add al un Delete 6 Enter a name for the location NOTE To handle alarms for a location set up conditions first Renaming Locations 1 Select the location you want to rename 2 Enter a new name for the location Deleting Locations 1 Select the location you want to delete 2 Click Delete Defining Conditions Conditions can be defined for each location except common which is always active for assignments By selecting a predefined event element and enter a value for it an incoming event can be connecte
42. en 2 SE 417 49 Goteborg Sweden www ascom com ws 30 December 2016 Ver E Installation and Operation Manual Cardiomax TD 92901EN NEM DP Dp hu u us 1 1 CAUTION ANA NOTES E 1 2 Intend gd 86 55 55 3 6 12 cocoa hia otra a cesacseusdeadeed lt cdevusscsbescdscusecssensescssuateass 1 3 Symbols and Descriptions eese eere tenete eene etna nena atas staat ia sese ese snstosio 1 4 Reg lrermetS sa 1 4 1 PC Te VIT CST S0 RR 1 5 Technical SUPPOr P 1 6 Supported Clinical System Device Inputs c O A Ui Ui Ui KR W UJ 1 7 Abbreviations and Glossary 2 llati E uclrup e r H 2 1 Hardware Installation Cables and Connectors 2 2 Information Required for Setup u aS S au ens en sensn 233 GETTING STA io Pec 2 4 Description of LED indicators y u l l l ia Sa pasas 2 5 EPFOF rye CO WO OO Oo oO OO CO 26 LIGGMSOS EEE E AO INNO OEE IAEI Bz CoOnfigurationug u qaqa osare kaqa n 3 1 The Graphical User Interface GUI
43. ent is triggered Priority Content should represent an optional priority assigned to a given alert Bed Label Content should represent the Bed Label assigned to a location this location is considered the unique identifier NK MR SL Alert Type Content should represent the Alert Type Clinical or Technical Units and Filters Units and filters offer centralized filtering in a distributed Cardiomax systems architecture NOTE Units and filters are only applicable when the configured clinical system is defined for Philips Spacelabs XprezzNet amp Digistat Connect clinical systems If the system is configured for Phillips and includes additional Cardiomax extension modules Units and filters are only available on Cardiomax central module Four types of filters exist in Cardiomax pass stop delay and group fulfilling different System needs The different filter types and how to use them are explained below Filter setting information is collected before the actual configuration starts All filter settings are set up during configuration of the system 1 Pass filter All alarms with alarm text matching any of the pass filters are accepted and alerts will continue to be by any of the additional configured filters If no pass filters are configured then all alarms are accepted for further processing Stop filter All alarms with alarm text matching any of the stop filters are discarded and no alerts are sent out Del
44. eosse ess seesssesesseesessesses 21 5 Layout Setup eese eee e eere a asa see een qa sess sse tease esses sse eesssseeesssseeessseeeesseesesseees 2D 6 Advanced Administration 28 6 1 Backup and Restore q uu u a a 20 6 2 DBIRBROSUC L08422 EAS 6 3 UPBhad QPLOCEC UPC uper 30 December 2016 Ver E Installation and Operation Manual Cardiomax TD 92901EN 6 3 1 Software Backup u S qS asas sce isses ines 29 O 6 3 2 Software Installation Upgrade 30 6 3 3 Restoring Saeltwarea lu l l l Aa assaka 30 aud H dE L 6 5 Spacelabs Clinical Systems cessere ea sas eene eene enne seen tn estes senssnnsenee nere SL 6 6 Philips Clinical Systems a a a aaa a Q aqo a w w eneeeneenneenes SD 6 7 Nihon Kohden Clinical Systems 32 6 8 Mindray Clinical Systems ceres UU U u 34 6 9 DigiStat Connect Clinical Systems eee eese eee a u ui a s 6 SA 6 10 Default Event Elements esee eese a iaia 2 3D 6 11 Technical AlArinS acccsscsssessecaescvassasnccecdecsecdssnecessevdedecdecddecsaduececsscsscosendessecsve
45. es at Cardiomax to the time that the display device is annunciating to the healthcare professional The average delay time is 4 seconds NOTE The delay time in the customer environment may vary based upon their specific environment and cannot be guaranteed 30 December 2016 Ver E Installation and Operation Manual Cardiomax TD 92901EN Appendix B Cardiomax Filtering Description The filtering feature can be used to filter alarms to avoid spamming of handsets Four types of case sensitive filters can be used 1 Pass filters alarms matching complete pass filter texts are accepted 2 Stop filters alarm levels and texts that match a stop filter are not sent must be case sensitive 3 Group filters matching alarm texts are considered to be the same alarm 4 Delay filters matching alarm texts must still be active for as long as defined in Cardiomax before the alerts are sent out When using delay filters the alarm level is combined with the alarm text and must be taken into consideration when writing the filter for example 6HR LO Definitions e equals exactly one character e can be zero or more characters e is used as a logical OR operator only allowed in group filters e is used as a comment sign A filter string beginning with a will ignore all alarm text strings NOTE The filtering feature is case sensitive Examples e HR O matches HR LO and HR HO but not HR O HR O
46. ether the module will establish a connection with the Clinical Event Interface Server Enable Activate Connection by clicking the check box Only activate a connection if the module interfaces with the Spacelabs Healthcare Clinical Event Interface DigiStat Patient Monitoring System Allows for the selection and identifies the currently enabled Patient Monitoring System Interface DigiStat Connect Configuration Settings Listening Port The TCP port on which the MLLP receiver listens on Client Timeout Amount of elapsed time sec after which the UMS Server shall remove a client from its connection list if that client fails to send a keep alive message Time Stamp of Alarms The format of the time associated with alarms 12 hr or 24 hr XprezzNet All XprezzNet configuration utilizes the installer in the Unite AM configuration section The use of test alarm functionality does not replace the end to end acceptance procedure described in Alarm Specifications on page 63 Send test alarms which contain event element data to a handset from Cardiomax 30 December 2016 Ver E Installation and Operation Manual Cardiomax 4 2 TD 92901EN Event Type Content should represent the Alert Type Clinical or Technical Alert Text Content should reflect the description of the alert this element typically serves as the triggering event element Unit Name Content should reflect an optional Unit name where the ev
47. hown on the primary module s Configuration page Information Status Number of Active Faults Software Version Module Key License Number Additional License Number Hardware type Data Storage Redundancy Sync Status MAC Address Host Name IP Address Service Discovery Domain NTP Server Time Uptime Application problem 0 4 02 A 00129413 XXXXXXXX80000818 XXXXXXXX06BE836B Elise3 Standard SD card Data out of sync 00 01 3e 01 f9 85 Elise 10 30 4 131 E3 ST Unite MC1 10 30 0 101 2011 12 07 13 54 55 6d 4h 18m 37s Figure 7 Status information shown on the secondary standby module Software Version Module Key Redundancy Sync Status Virtual IP Address Primary IP Address MAC Address Host Name IP Address Uptime Module in redundancy standby 4 00 A 00129413 Data in sync 10 30 6 246 10 30 4 129 00 01 3e 01 f9 85 Elise 10 30 4 131 Od 21h 36m 56s NOTE You cannot make settings on a standby module In the Redundancy Sync Status field the following status can be shown Synchronizing The synchronizing is in progress Additionally a counter shows the amount of data in percentage that has been synchronized Datain sync The modules are synchronized meaning that all data has been copied to the secondary module that now will act as standby module and the 30 December 2016 Ver E Installation and Operation Manual Cardiomax TD 92901EN Primary module will act as
48. hysio Technical other unknown DeviceTypeLocation A combination of device type and device location which identifies a unique device Status The status of an alert Active Cleared ExternalLocation The location identifier provided by UMS Includes unit and bed ExternalUnit The unit component of the location identifier provided by UMS ExternalBed The bed component of the location identifier provided by UMS PatientGender The patient name provided by UMS UniteLocationld This is the unite location identifier UniteUnitld This is the unite unit identifier Priority High medium low The priority of the highest priority alert in the message NumericPriority 2 3 5 7 info these map to High Medium Low Info 30 December 2016 Ver E Installation and Operation Manual Cardiomax TD 92901EN 6 10 Default Event Elements Name Description Symbol High Priority Contains the high priority symbol I This event element can be included in the message to provide a priority indication to the user Symbol Medium Priority Contains the medium priority symbol This event element can be included in the message to provide a priority indication to the user Symbol Low Priority Contains the low priority symbol This event element can be included in the message to provide a priority indication to the user Clinical System Type Cont
49. igiStat connect as the Unite Listening Port Client Timeout Amount of elapsed time in seconds after which Cardiomax shall indicate a loss of connectivity if proper information is not exchanged over the interface Caution After Cardiomax has lost and is unable to re establish connectivity with DigiStat Connect for a period of time not exceeding 60 seconds all active alarms are terminated and notified as cleared Time Stamp of Alarms The format of the time stamp associated with onset of the alarm provided in the alert distributed to display devices The format is configurable for 12 or 24 hour format A 4 3 AlarmFilters In combination with Digistat Connect Cardiomax offers an array of filters that can be used to better assure that the correct alarms are being delivered to display devices The type of filters available for use in with Clinical System supported by Digistat Connect include Pass Stop Delay and Group The filter operation and sequence of execution are defined in the following table 30 December 2016 Ver E Installation and Operation Manual Cardiomax TD 92901EN For additional information related to the filter of alarms please see Appendix B Cardiomax Filtering Description for details and examples A 4 4 Clear Message Indication CAUTION If Cardiomax loses connectivity for a period of time not to exceed 60 Seconds all active alarms are cleared by Cardiomax Notifications are
50. ing a user team from the Access Rights Page I Click Access Rights 2 Click Select User Teams 3 Select the user team whose access rights shall be removed Move the user team from the Selected User Teams section by clicking on the arrow pointing to the left The user team are moved to the All User Teams section 4 Click OK 5 Click Yes to remove the user team from the Access Rights page Deleting Invalid User Teams Click Delete invalid User Teams to delete all unavailable user teams 6 1 Backup and Restore From the Advanced Admin page you can backup and restore the configuration The format of the backup restore file is xxx tar gz There is also a backup restore in the Basic Administration Web page XXX XXX XXX XxXX admin This is to be used when a module should be replaced with another module in case of hardware failure and to update the network and system configuration Both backup files are necessary to achieve a complete backup of the module 1 To backup or restore the database go to Backup Restore in the menu on Cardiomax Configuration page 30 December 2016 Ver E Installation and Operation Manual Cardiomax TD 92901EN Backup Restore Backup current settings Restore settings Browse Backup 1 Click Backup 2 Click Save in the dialog window The Save As dialog window opens 3 Select a location enter a file name then save the file Restore 1 Click Browse to locate the
51. larm unhandled Philips Alarm Level 3 f Monitor alarm unhandled Philips Alarm Level 4 xb Unhandled alarm siren When the alarm is cleared at the monitor a notification is sent to the recipient who accepted the alarm or if no one has accepted yet to all recipients that has received the alarm so far X On Terminate F Monitor alarm cleared Philips f Monitor alarm cleared Philips f Monitor alarm cleared Philips F Monitor alarm cleared Philips D 2 Action Tree for Nihon Kohden Mindray Panorama and Spacelabs Systems NOTE Nihon Kohden and Mindray Panorama is applicable for US only The Action Tree templates for monitor alarms for Nihon Kohden Mindray Panorama and Space labs systems are similar The difference to the Philips template is that there are no actions taken when the alarm is cleared This also means that even if a recipient accepts the alarm new or updated alarms will start a new escalation chain 30 December 2016 Ver E Installation and Operation Manual Cardiomax TD 92901EN Figure 11 The Action Tree for Monitor Alarm in the Templates Action Tree El Root Fil Monitor alarm notification Alarm Level 1 9 On success F Monitor alarm taken by other Taken Level 1 Monitor alarm update motification Alarm Level 1 E On failure E Monitor alarm notification Alarm Level 2 Monitor alarm escalateid Esc Level 1 E On success Monitor alarm update notification Alarm Level 2
52. lation and Operation Manual Cardiomax TD 92901EN This connection represents a supervised interface where by if specific data is not periodically exchanged between Cardiomax and Digistat client a loss of connectivity are reported by Cardiomax in the form of distributed alert and registered as a persistent fault within the applicable Unite supervision node The Unite supervision node and its accompanying notification methods should be configured and used to properly disseminate information about possible loss of connectivity and other system level errors possibly encountered during the use of this product A 4 2 Clinical System Interface Manager DigiStat Connect Configuration The configuration of Cardiomax to establish and maintain the connection to Digistat Connect begins in the Clinical System Interface Manager After selecting Digistat from the available list of clinical system select the Digistat Connect Configuration Settings link UMS Server Settings Listening Port EE 27604 Previous Client Timeout EE 30 Time Stamp of Alarms EE No Timestamp v Alarm Text Filters The following settings relate to configuring Cardiomax in combination with Digistat connect to realize the interface functionality described above Listening Port Configurable TCP IP port on which Cardiomax will await for and maintain a connection from the Digistat Connect client This port should match the port defined in D
53. le for 30 days without a connected repaired primary module If you shut down the secondary module on day 10 it can still use the remaining twenty days when it is started again If the repaired primary module is not connected within 30 days the secondary module falls back as a standby module This means that no alarm notifications can be forwarded to the users since no module is up and running It is not possible to Disable the module redundancy Use the Troubleshoot mode Perform a backup restore Add a license eRun the wizard Activate the demonstration mode 8 3 3 Fallback to the Primary Module When a secondary module has become an active module it will only switch back to the primary module if the secondary module goes down It is possible to manually switch back to the primary module when it is in standby mode after repair NOTE If you reboot the secondary module via the GUI the primary module will not take over as an active module However if the secondary module is not up and running again after 3 minutes the primary module become active On the secondary module perform the following From the Start page Click CSIM Configuration Click Network Click Home From the Confirmation page select Other Redundancy Click the Advanced tab then click Redundancy Click Fallback to primary module num WN HG NOTE It is only possible to press the button if the data has been synchronized with the primary module
54. led e The secondary module must NOT have any licenses installed e RS232 Data Splitter Only required if you want to connect equipment via serial interface for example external equipment via TAP or ESPA protocol Three static IP addresses Ask your network administrator to obtain the IP addresses TIP See also Preparing IP Addresses in a Redundant System e Cardiomax must be supervised by a Unite CM The Unite CM is used to report if Cardiomax goes down Make sure that the Unite CM is configured to redirect any Cardiomax failures to dedicated users See Configuration Manual Unite Connectivity Manager TD 92735EN Preparing IP Addresses in a Redundant System NOTE It is assumed that your system already has one Unite module installed and that an additional Unite module is installed in order to set up a redundancy system The three static IP addresses are used as follows Two IP addresses are used by the primary and secondary Unite module Thethird IP address is used by the equipment for example IP DECT Base Stations VoWiFi handsets etc to interact with the active Unite module when the system has become redundant In this document the third IP address is called virtual IP address To avoid changing the configured Unite IP address in the equipment that will interact with the active Unite module follow the instructions below 30 December 2016 Ver E Installation and Operation Manual Cardiomax TD 92901EN Network
55. max to the time that the display device is annunciating to the healthcare professional The average delay time is 3 seconds NOTE The delay time in the customer environment may vary based upon their specific environment and cannot be guaranteed A 4 Systems Supporting HL7v2 Protocol Output Interfaces A 4 1 Digistat Connect Cardiomax supports a clinical alarm based event interface from Digistat Connect capable of acquiring alarms and accompanying vital sign data from clinical systems The extensible interface monitors the active alarm status of those clinical system integrated with Digistat Connect Data Acquisition Server DAS and provides alert based notification to display devices indicating the onset updates and termination of active alarms The notification characteristics of Cardiomax supports the independent assignment of alerts based on device category and the redirection of alerts between individuals and or care teams based on availability The clinical alarm interface established between Cardiomax and Digistat Connect is supported via persistent TCP IP socket based connection In this integration with Digistat Connect Cardiomax operates as a server responsible for accepting and maintaining connections from the DigiStat Connect client Once a connection is established the two system exchanges data related to the alarm state of the clinical Systems currently integrated with Digistat Connect 30 December 2016 Ver E Instal
56. ms Ascom Cardiomax is intended to serve as a parallel redundant forwarding mechanism to inform healthcare professionals of particular medical related events 30 December 2016 Ver E Installation and Operation Manual Cardiomax TD 92901EN Ascom Cardiomax does not alter the behaviour of the primary medical devices and associated alarm annunciations The display device provides a visual and or audio and or vibrating mechanism upon receipt of the alert Ascom Cardiomax is intended for use as a secondary alarm It does not replace the primary alarm function on the monitor The product must be installed by an Ascom Certified System Integrator authorized to install and provision the Ascom Cardiomax product Please contact your Ascom service representative for additional information 1 3 Symbols and Descriptions In the SW About File Description Indicates the manufacturer s name and i address Attention consult accompanying BH documents Module The module key number of the device key The About section shows the software version year of manufacture and the CE mar On Hardware Description S N The serial number of the device Model The hardware model 1 Can also be found on the hardware For U S only 1 4 Requirements 1 4 1 PC Requirements These requirements refer to computers that run duty assignments and administer Cardiomax from a Web browser e Microsoft Interne
57. n the time required for the hospital emergency power system to take effect With proper emergency and battery backup protection the product will not experience any service disruption during power failure and restoration CAUTION The proper installation of the product should include the use of the external error relay to provide auxiliary notification in case the standard notification procedure should fail 30 December 2016 Ver E Installation and Operation Manual Cardiomax CA CA CA CA CA CA CA CA CA CA CA CA UTION UTION UTION UTION UTION UTION UTION UTION UTION UTION UTION UTION TD 92901EN Only qualified and trained personnel or service personnel should attempt to service the equipment Service is defined as any activity requiring the cover to be removed for internal adjustments parts replacements repairs or software upgrades of any kind to insure compatibility To ensure compatibility with the product software use only approved components to repair any part of the product Use of unauthorized software devices accessories or cables may render the application unsuitable for its intended use It may also result in increased electromagnetic emissions or decreased immunity of the system Properly dispose of batteries according to local and national laws Incorrect settings or silencing of display devices can jeopardize the performance of the sys
58. n field Delay filters 1 10 Enter delay filter settings as in Alarm Text Delay Filters These are additional delay filters that are valid only for this unit Ten delay filters can be set for each of the 25 units that can be configured 30 December 2016 Ver E Installation and Operation Manual Cardiomax TD 92901EN 4 2 1 Extension Modules NOTE Only applicable for the Phillips monitoring system The location capacity of a Cardiomax system can be increased by adding extension modules Up to 9 extension Modules can be added Each extension module added to a Cardiomax system increases the number of clinical systems locations supported by the central Cardiomax unit by an additional 150 locations Extension modules are provisioned on the central module by entering the IP address of each extension module Upon activation each extension module is individually contacted and instructed to send any received alarms to the central module for further processing and eventual delivery to the portable devices 1 From the CSIM page click Interface Modules The Extension Modules window appears Extension Modules Extension Modules Ei ii Extension Module 1 Extension Module 2 Extension Module 3 Extension Module 4 Extension Module 5 2 Enter the IP addresses in the text fields 3 Click Activate 4 2 2 Reset Location Table for Philips Monitoring Systems NOTE Applicable for Phillips monitoring system only
59. n success f Normal Monitor alarm update notification Philip f Normal Monitor alarm taken by other Philips O On success 9 On failure On failure EX On Terminate f Normal Monitor alarm cleared Philips Toggle tree Operator time s 45 When a monitor alarm is received an interactive message is sent to a recipient If the notification is accepted the first level On success is followed The other recipients in the hunting chain is notified that the alarm has been accepted by someone and a confirmation message is sent back to the recipient that acknowledged the alarm All further updates for this patient will now be sent to this recipient as long as any alarm is active for the patient If the notification was not accepted within a specified time the first level On failure is followed Under the first On failure level there are actions for what is done if the first recipient did not accept the message These actions sends the same interactive message to the second recipient and notifies the first recipient that the message was forwarded In a similar way a second recipient may accept or reject a message Figure 8 Actions under the first On failure level On failure Fl Monitor alarm notification Philips Alarm Level 2 fl Monitor alarm escalated Philips Esc Level 1 On success F Monitor alarm update notification Philips Alarm Level 2 F Monitor alarm taken by other Philips Taken
60. o version 6 0 1 Click Start Installation Restoring Software from the start page click Advanced Admin Click Backup Restore to restore the backup Select Restore settings only necessary for versions prior to version 6 0 1 30 December 2016 Ver E Installation and Operation Manual Cardiomax TD 92901EN 6 4 Event Elements Event elements contain information about an event that has occurred Event elements can be used for filtering actions addressing assignment location conditions and message content The following event elements are available 6 5 Spacelabs Clinical Systems Name Description EventTimeDate Contains the Event Time element value in the Clinical Event Message received from the Spacelabs Clinical Event Interface PatientName Contains the Patient Info Name element value in the Clinical Event Alarm Message received from the Spacelabs Clinical Event Interface PatientID1 Contains the Patient Info ID1 element value in the Clinical Event Alarm Message received from the Spacelabs Clinical Event Interface PatientID2 Contains the Patient Info ID2 element value in the Clinical Event Alarm Message received from the Spacelabs Clinical Event Interface BedLabel Contains the Bed Info Name element value in the Clinical Event Alarm Message received from the Spacelabs Clinical Event Interface BedNodelD Contains the Bed Info NodelD element value in the Clinical Event Alarm Messag
61. omax software as shown in figure 1 30 December 2016 Ver E Installation and Operation Manual Cardiomax TD 92901EN Figure 1 Elise3 module Color Indicator e Red Fault indication O Yellow Mode indication Blue Normal operation OK Figure 2 Flashing patterns Status LED Status OK Starting up shutting down Feedback 7 second Error fault Warning Mode LED Boot mode Yellow Demonstration mode Yellow Waiting for automatic Yellow startup 1 minute Troubleshoot mode and during firmware upgrade Yellow Mass storage mode E Secured settings Status LED Mode LED Indicates that manual confirmation is required Confirmation is done and setting can be activated Power Power LED Power OK Closing down caused by low voltage Low voltage also used if the Power parameter conflicts with the actual setup 2 5 Error Relay The error relay output indicates Cardiomax operation When Cardiomax starts the error relay operates When Cardiomax shuts down or restarts the error relay releases For connections of the error relay and error relay output configuration see the Installation Guide Elise3 TD 92679GB NOTE The proper installation of the product should include the use of the external error relay in order to provide auxiliary notification in case the standard notification procedure fails 2
62. on of Cardiomax NOTE The module has been verified for compatibility with Spacelabs Medical CEI Client Software Interface Spec 062 xxxx 00 rev 3 1 and Enterprise Network Interface ENI Ver A Other versions may be compatible but cannot be guaranteed Interface Communication is done over a persistent point to point TCP IP socket using XML messages Cardiomax will establish a single TCP socket connection if activated to one CEI server at the following events e Start up Change in Clinical System Interface Manager parameters that impact the interface with CEI server Upon connection with the CEI Server Cardiomax will routinely receive a heartbeat message from the CEI server If the heartbeat message is ever interrupted or delayed Cardiomax system will automatically attempt to establish a connection until successful Configuration The CEI Server is configured with Clinical Event Message type set for Alarm Text Only The CEI Server is configured with Vital Sign Update Message notification disabled Implementation Variants None Limitations Cardiomax only supports CEI Clinical Event Messages of type ALARM Alarm Text Only 30 December 2016 Ver E Installation and Operation Manual Cardiomax A 3 TD 92901EN Technical Alarms A technical alarm is published when a CEI server connection is established The Event Text value is CEI Connection Success A technical alarm is published when Cardiomax detec
63. p configuration and administration of the product and for simple troubleshooting The default user names and password are admin and changeme Adefined user logs in with a user ID and password that is set up by a local administrator The user has access to Cardiomax on a level depending on which user teams the user belongs to see Appendix C Setting up Access Rights on page 117 e Change default passwords to protect the system from unauthorized access Refer to the Configuration Manual Unite Connectivity Manager TD 92735EN UNS 1 Set the module to forward UNS requests to the Unite Connectivity Manager 2 Click UNS in the menu for parameter settings Operating Mode Configure the following parameters Operating Mode Select Forwarding from the drop down Paddress of forward destination UNS Set value to the Unite Connectivity Manager s IP address User Server Parameter Settings The module communicates with a user server to understand the available users and user teams defined in the messaging system The Unite Connectivity Manager serves as the user server in the messaging system Click User Server in the menu for parameter settings User Server IP address Set value to the Unite Connectivity Manager s IP address Logging System activity logs and status information from the module must be distributed to a central repository for activity logging and fault handling The Unite Connectivity Manager serves as the centr
64. place a broken i e hardware fault primary module in a redundant system To replace a broken primary module 1 Disconnect the power source and other cable connections from the primary module 2 Loosen the four screws on the backside of the module by using a Torx T 10 screwdriver 3 Open the housing by pulling top cover towards the backside of the module 4 Remove the module key i i 1 No O9 Wo122 c f m Em m lt SD card Elise3 circuit board To replace the module 30 December 2016 Ver E Installation and Operation Manual Cardiomax 8 5 TD 92901EN 5 Loosen the four screws on the backside of the module by using a Torx T 10 screwdriver Open the housing by pulling top cover towards the backside of the module Replace the module key with the one from the broken module Connect the power source and other cable connections to the primary module O 0 N O Insert a SD card into the module NOTE The vendor and capacity must be identical as the SD card inserted in the secondary module 10 Configure network settings and license settings see 4 3 1 Network Settings on page 81 and 4 3 2 License Numbers on page 82 11 Configure the module redundancy see 8 3 Configuring Redundancy on page 100 When the primary module is up and running it synchronizes with the active secondary module Data Storage Selection t is possible to decid
65. proceeding make sure that the SD memory cards are inserted in both modules 5 In the Virtual IP address text field enter the virtual IP address 6 In the Virtual netmask text field enter the netmask of the virtual IP address 7 In the Secondary IP address text field enter the IP address of the secondary module 8 In the Network monitor IP address text field enter the IP address of the equipment to be used as network reference The Unite module will check that 30 December 2016 Ver E Installation and Operation Manual Cardiomax TD 92901EN it has connection to the network by sending ICMP Internet Control Message Protocol ping inquiries to this equipment every second If you do not want you use a network reference set the IP address to 127 0 0 1 NOTE The network topology used in the system may have impact on which equipment that should be used as network reference see appendix in the Configuration Manual Unite Connectivity Manager TD 92735EN 9 Click Activate NOTE Once Activate is pressed it is not possible to undo the activation of the module redundancy However it is possible to deactivate the module redundancy by clicking Deactivate and then click Really deactivate The module reboots immediately The GUI is not updated automatically when the reboot is done To refresh the GUI press F5 10 Click Reboot now or Reboot later The module reboots and copies data from its internal flash memory to the SD memory du
66. ption All information transferred within the system is encrypted with a 128 bit encryption algorithm 7 2 IP Ports The following ports on Cardiomax are open Port Application or Unit Transport protocol 20 21 FTP traffic inbound outgoing TCP traffic 25 Simple Mail Transfer Protocol TCP SMTP 53 Domain Name Server DNS UDP 68 DHCP UDP 80 Web traffic HTTP TCP 113 Authentication for mail server UDP 123 Time synchronization NTP UDP 162 Simple Network Management UDP Protocol SNMP 443 Web traffic HTTPS TCP 10132 10135 GUI for Duty assignment Action TCP configuration and Event assignment 3217 Unite traffic UDP 8080 Web traffic HTTPS TCP 30 December NOTE The Nihon Kohden Pager Gateway port amp Philips Parameter Data Interface port can be changed to match the configuration of the Spacelabs CEI Server or IntelliVue Information Center respectively Any port number can be chosen as long as it is not used by another application or service 2016 Ver E Installation and Operation Manual Cardiomax TD 92901EN 7 3 Proxy Settings For details in the latest version see change bars in the document If your corporate network is using a proxy server Cardiomax must send all outgoing requests through the proxy server to be able to send the requests outside the corporate network 1 Click CSIM CONFIGURATION from the start page 2 Click Network 3 Select Proxy under Security in the menu on the Advanced
67. r is configured to send alerts Time of day transmissions HL7 NMD messages is disabled in the PDI to avoid unnecessary processing by the module e Auto unsolicited is enabled in the PDI Limitations The module do not respond with HL7 MLLP acknowledgment messages because the PDI disregards them and will not resend messages that have not been acknowledged This is done to avoid unnecessary processing by the module The module only processes OBX alert segments within the HL7 ORU messages except to determine the end of an alert by the absence of the OBX Alert segments after the onset of an alert for a given location 30 December 2016 Ver E Installation and Operation Manual Cardiomax TD 92901EN Technical Alarms A technical alarm is published when a PDI server TCP IP connection is established The Event Text value is PDI Connection Success A technical alarm is published when a PDI server TCP IP disconnection occurs The Event Text value is PDI Connection Failure A technical alarm is published when a parsing error occurs with OBX Alert segments of an HL7 ORU message A parsing error consists of no data being present in OBX Alerts segment field 3 component 1 and in OBX Alerts segment field 5 The Event Text event element value is HL7 Message Parsing Error Presets None Delays The average delay time is measured under normal system operation from the point that the presentation of the ALARM CONDITION arriv
68. ring the start up sequence This can take up to 3 minutes The GUI is not updated automatically when the reboot is done Update the GUI by pressing F5 NOTE Primary is stated in the GUI s upper left corner when the module is up and running again IMPORTANT Do not remove the SD memory card from Cardiomax that acts as primary module The SD memory card on that module is used as storage even when the module redundancy has been deactivated When the data has been copied the primary module sends configuration settings to the secondary module that reboots and applies the settings After the reboot the data is synchronized with the secondary module s SD memory card It can take up to one hour to synchronize all data to a SD memory card with 1 GB capacity the first time During this time the primary module is fully operational Figure 5 The LEDs on each module indicate the status of the synchronization Status LED Power LED Active module during Red Blue synchronization Synchronized active module Blue Status LED Power LED Standby module Yellow Blue during synchronization Synchronized standby module FY nej It is also possible to view the synchronization status via the GUI See figure 6 and figure 7 Use the virtual IP address to access the active module and the static IP address to access the standby module 30 December 2016 Ver E Installation and Operation Manual Cardiomax TD 92901EN Figure 6 Status information s
69. se number in the License field 4 Click Activate to save the settings or Cancel 4 3 3 Restarting the System Cardiomax can be restarted from the CSIM page From the Start page click Reboot You are prompted to reboot or cancel The status LED flashes a when rebooting and once complete returns to a steady light NOTE If the Reboot window is reloaded this triggers another reboot 30 December 2016 Ver E Installation and Operation Manual Cardiomax TD 92901EN 5 Layout Setup To set up the layout structure with locations and user teams and set up available users for duty and location open Duty Assignment Only an administrator has permission to set up duties A separate document for users and administrators describes how to assign events and levels for users See User Manual Duty Assignment TD 92904EN The document can be reached via the link in the upper right corner on the entry window in Duty Assignment 1 From the start page click Duty Assignment and log in with your user ID and password A window prompts you whether or not you want to the Duty Assignment application Click Run Figure 3 The Duty Assignment window indicating a layout example Duty Assignment User Manual Assignment Work shifts Options Layout root common HH ward BLUE H 4 Ward RED Hi ward Green ER POST Assignments Normal Mode Location Event Level 1 Level 2 Level 3 Level 4
70. secdesssess OD 7 Network and Security Recommendations 36 7 1 ENCryPtiOn DO EXAM olor SASA ista a w a 77 Ed Led PEFOXV SEINE S areo u E A 8 Module Redundanvcy 38 8 1 PrereguisitES a AA OG 8 2 Preparing IP Addresses in a Redundant System 38 8 3 Configuring Redundancy esee eese l senatus en sens EEA SO 8 3 1 Module Redundancy Testing 42 8 3 2 Restrictions on an Active Secondary Module 43 8 3 3 Fallback to the Primary Module 43 8 3 4 Deactivating Module Redundancies 43 8 4 Replacement of a Broken Module in a Redundant System 44 8 5 Data Storage Selection cerei eee eee esten tenentes eene Suwa u q ias 45 9 Related Documents W seen senses ssnse stesse ssseesesnsesssesssssseessese 46 Appendix A Clinical System Protocols 47
71. sent to display devices The Cleared Alarm notification should not be used as absolute indication of a terminated alarm from a clinical system A 4 5 Technical Alarms A technical alarm is initiated by Cardiomax if specific data is not periodically exchanged between Cardiomax and Digistat client The sequence of events are indicated as a loss of connectivity and will reported by Cardiomax in the form of a distributed alert A 4 6 Presets None A 4 7 Delays A 5 The average delay time is measured under normal system operation from the point that the presentation of the ALARM CONDITION arrives at Cardiomax to the time that the display device is annunciating to the healthcare professional The average delay time is 4 seconds NOTE The delay time in the customer environment may vary based upon their specific environment and cannot be guaranteed Philips IntelliVue Cardiomax supports a distributed architecture in order to maximize the number of Philips clinical system locations supported by a single system Cardiomax is based on a Hub and Spoke architecture where the Hub or Central is able to provide support for up to 100 Philips clinical system locations as well as centralized filtering and management for up to 9 Spokes or extension Modules Each extension module provides support for up to an additional 200 Philips clinical system locations Individual capacities for each module are based on simulations representing bursts as well
72. t Explorer 8 0 or later Sun Java Runtime Environment JRE 6 or later The product relies on properly wired and wireless network setup and operations The product requires a 10 100 BaseT switched Ethernet network Follow the manufacturer s instructions to ensure that wired and wireless networks are properly designed and operational 30 December 2016 Ver E Installation and Operation Manual Cardiomax 1 5 1 6 1 7 Technical Support TD 92901EN For technical assistance please contact your Ascom service representative Additional information relating to the installation servicing and operation of the product is provided in the following documents User Manual Duty Assignment TD 92904EN e Configuration Manual Unite Connectivity Manager TD 92735EN e Installation Guide Elise3 TD 92679GB Supported Clinical System Device Inputs Cardiomax is designed to accept inputs from a variety of clinical systems utilizing standardized and proprietary protocols including the following e Mindray Panorama TAP v1 8 Paging Protocol e Nihon Kohden PagerService Protocol e Spacelabs Healthcare ICS Enterprise Network Interface ENI Clinical Event Interface CEI Protocol XprezzNet Philips Parameter Data Interface PDI e IntelliVue Information Center iX PIIC ix HL7 Interface Digistat Connect For additional details on specific system compatibility and functionality refer to the Data Sheet Cardiomax TD 929
73. tar gz file 2 Click Restore When Cardiomax is restored all changes that have been made since the last backup are discarded 6 2 Diagnostic Log The diagnostic log contains information that assists in troubleshooting the operation of the module The maximum size of a log file is 100 KB When a log file is full another one is created The module has capacity to store 50 log files When the limit is reached the log is rotated All processing related event messages published to the diagnostic log is also published to the Activity Log on the Unite Connectivity Manager Search Page To search the diagnostic log files go to Diagnostic Log in the left menu of the Advanced Admin page Field Description Search for A regular search expression in column Search in columns 1 5 The number of columns depends on what is selected from the drop down list under View DefaultDB 2 columns to search in one Action list and one Info list Full 5 columns to search in Text 1 Text 5 user defined information Short 1 column to search in Text 1 user defined information Start End Time The time interval for the search result Max no of rows 1 50 30 December 2016 Ver E Installation and Operation Manual Cardiomax TD 92901EN Downloading Diagnostic Logs You can download the log file from the module The log file is compressed Each line in the log file corresponds to a log entry The information is separated
74. tem Operators should check that the current notification events and assignments are appropriate prior to use Set the annunciation parameters including volume levels of the display devices so that alarms can be heard at all times For proper operation ensure proper operation of display devices before each use Mobile display devices are wireless devices and may be subject to intermittent signal dropout A crowded wireless environment or interference from other wireless devices either intentional or unintentional may result in a significantly increased amount of signal dropout experienced by any one or multiple wireless device s Only compatible display devices capable of supporting the outlined minimum characteristics and communication protocols included in this manual is used with the product Only compatible medical systems capable of supporting the outlined communication protocols included in this manual is used with the product Changes or modifications not expressly approved by Ascom Sweden AB could void the user s authority to operate the equipment Other systems distributing information on the same messaging system can impact the overall messaging capacity of Cardiomax system 1 2 Intended Use The intended use of Ascom Cardiomax is to provide an interface with clinical systems to forward information associated to the particular event to the designated display device s For medical near real time alar
75. the Logging window on the module 4 Perform an action to ensure that the active module works properly For example simulate a test alarm to see if a handset receives the alarm a Enter the virtual IP address in a Web browser to access the active module In this case it should be the secondary module that has become active b In the module start page select Configuration gt Other gt Advanced Configuration and click Troubleshoot c Click Send Test Message enter a call ID and click Send message d Check the handset to ensure it received the test message 5 Connect the primary module and check if the secondary module starts to synchronize with the primary module A completed synchronization is as follows e Onthe secondary module the status LED and the power LED are steady blue as long the module acts as an active module Onthe primary module the status LED is turned off and the power LED still flashes blue as long the module acts as a standby module The synchronization status on both modules is changed to data in sync when the data is synchronized After the test switch back to the primary module See 8 3 3 Fallback to the Primary Module on page 104 30 December 2016 Ver E Installation and Operation Manual Cardiomax TD 92901EN 8 3 2 Restrictions on an Active Secondary Module A secondary active module has redistricted functionality IMPORTANT The secondary module can only be up and running as active modu
76. the pass filter should represent the syntax of the specific alarm requested characters represent wildcard or variable character strings One character can match 0 or more characters Example HR matches and therefore allows for passing on any alert text equal to HR160 gt 120 or similar Alert text NOT matching this syntax is discarded allowing Cardiomax the ability to more quickly process requested alert types Pass Filter Alarm Text il Alarm Text Alarm Text Alarm Text Alarm Text Up to 25 pass filters can be set 4 3 Changing Common Settings 4 3 1 Network Settings From the start page click CSIM CONFIGURATION 1 Click Network The Network window appears 30 December 2016 Ver E Installation and Operation Manual Cardiomax Require network connection DHCP IP address Default gateway Subnet mask Host name Domain name Primary DNS Secondary DNS WINS Server 2 Enter IP settings TD 92901EN Yes v Enabled v 10 30 4 163 10 30 0 1 255 255 248 0 Elise ascom rd com 10 30 0 101 10 30 0 101 3 Click Activate to save the settings or click Cancel For additional information see also Installation Guide Elise3 TD 92679GB 4 3 2 License Numbers Available licenses are shown and new licenses can be added here Click CSIM from the start page The CSIM window appears Under Common click License The Module Settings window appears 1 2 3 Enter the licen
77. ts a failure in the established CEI socket connection The Event Text value is CEI Connection Failure A technical alarm is published when a parsing error occurs with a Clinical Event message A parsing error consists of no data being present in the received Clinical Event Message BedInfo Name Bedlnfo ID UnitName and EventData elements The Event Text event element value is Clinical Event Parsing Error Presets None Delays The average delay time is measured under normal system operation from the point that the presentation of the ALARM CONDITION arrives at Cardiomax to the time that the display device is annunciating to the healthcare professional The average delay time is 4 seconds NOTE The delay time in the customer environment may vary based upon their specific environment and cannot be guaranteed Systems supporting TAP 1 8 Protocol Output Interfaces A 3 1 Mindray Panorama Network The Mindray Panorama Central Monitoring system Mindray PMS outputs alarm event information to the module by a point to point serial interface using TAP 1 8 protocol For alarm paging configuration within the Mindray Panorama Central Monitoring System refer to the manufacturer s Operator s Manual s NOTE Improper alarm paging configuration within the Mindray PMS result in improper operation of Cardiomax system NOTE The module has been verified for compatibility with Mindray PMS software version 8 9 3 Baseline version 10
78. vel actions for what is done if the first recipient did not accept the message are set up These actions sends the same interactive message to the second recipient and notifies the first recipient that the message was forwarded In a similar way a second recipient may accept or reject a message Figure 12 Actions under the first On failure level On failure 4 Monitor alarm notification Alarm Level 2 Monitor alarm escalateid Esc Level 1 F On success Monitor alarm update notification Alarm Level 2 Monitor alarm taken by other Taken Level 2 Monitor alarm takein by other Taken Level 1 30 December 2016 Ver E Installation and Operation Manual Cardiomax TD 92901EN If the notification is accepted the second level On success is followed but if the notification was not accepted within a specified time the second level On failure is followed Under the second On failure level there are actions for what is done if the second recipient did not accept the message In a similar way a third recipient may accept or reject a message and so on Figure 13 Actions under the second On failure level F On failure F Monitor alarm notification Alarm Level 3 f Monitor alarm escallated Esc Level 2 E On success Fs Monitor alarm update notification Alarm Level 3 f Monitor alarm taken by other Taken Level 3 F Monitor alarm taken by other Taken Level 1 f Monitor alarm taken by other Taken Level 2
79. without DCHP Server 1 Replace the IP address in the origin Unite module with the static IP address to be used by the primary module The replaced IP address can now be used as virtual IP address by the external equipment 2 Make sure the other Unite module to be used as secondary module has been assigned correct IP address Network with DCHP Server 1 Make sure that the origin IP address of the Unite module no longer is reserved to the Unite module s MAC address Note the IP address still must be available but not reserved to a specific MAC address Consult your network administrator This IP address is used as virtual IP address later on 2 Ask your network administrator to reserve a new static IP address to the origin Unite module that later on is used as primary module The IP address must be reserved to the module s MAC address 3 Ask your network administrator to reserve a static IP address for the Unite module to be used as secondary module The IP address must be reserved to the module s MAC address 8 3 Configuring Redundancy Do the following on the Unite module to be used as primary module Click CSIM Configuration from the start page Click Network Click the Home button WN HG Select Other gt Redundancy on the Configuration page Redundancy Configuration Configuration of module redundancy Virtual IP address Virtual netmask Secondary IP address Network monitor IP address Activate NOTE Before

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