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Philips CMS Patient Monitoring System

1. Item Name TEE ase User Configuration Note Colors are Display configuration independent User Default Values Red Yellow Green Cyan White Blue or Magenta ECG Green PRESS 1 Red PRESS 2 Yellow PRESS 3 Cyan PRESS 4 Magenta PRESS 5 Green PRESS 6 Green CPP Green NBP Green PAWP Green C O Green SpO gt Cyan SpO 2 Blue PLETH Cyan PLETH 2 Blue SvO gt Yellow CO Green FIO gt Green RESP White tcpO gt Blue tcpCO Green Ventlf Green AirwyO gt Blue AirwyCO gt Blue AirwyN gt O Yellow AirwyAGT Green EEG Yellow BIS Yellow 56 Universal Settings Configuration Tables Item Name atte vice User Configuration CCO Green TEMP1 Green TEMP2 Green TEMP3 Green TEMP4 Green DIFF1 Green DIFF2 Green VueLink A Green VueLink B Green 1 Only available with the 7900 Ohmeda Ventilator Interface 2 The default color for some parameters provided by this Module is overwritten by the color configuration selected in the Configuration Task Window of the Module NOTE The color of each numeric is identical to its source parameter The color for ST is the same as for ECG Patient Data Management Default Tables Note The following items are Configuration Set dependent e Database Storage e Weight Units e BSA Formula To access the Patient Data information press gt Patient Data Universal Settings 57 Configuration
2. SCREEN A SCREEN B SCREEN C SCREEN D SCREEN E Channel 1 Any wave can be assigned to any channel of 1 to 6 Channel 2 note number of waves in Wave Format Channel 3 Channel 4 Channel 5 Channel 6 Screen Label Standard Surgeon Cardio vascular Swan Ganz Neuro Surgical Ventilator Perfusionist Induction Non invasive User Def Blank or any value typed in on the numeric keypad Number Of Waves 4 or 6 Waves Overlap 1 to 7 1 non overlap 2 waves 3 5 overlap 3 waves 3 6 overlap 4 waves 2 5 overlap 5 waves 2 6 overlap 5 waves 2 3 4 5 overlap 7 waves 3 4 5 6 overlap Application Window OxyCRG Split Screen CSA Display or None Wave Replace Enabled or Disabled Trace Mode Fixed or Moving Numerics Prompt Yes or No Realtime speeds 6 25 12 5 25 or 50 Each wave can be configured separately 1 It is recommended that you use Fixed Trace Mode for Flatscreen and XGA displays Universal Settings 47 Configuration Tables Table 13 ACMS Model 76 S Factory Defaults 48 see the Parameter Display Colors Table for color configuration Item Name Factory Default Values Realtime waves SCREEN A SCREEN B SCREEN C SCREEN D SCREEN E Channel 1 ECG CH1 ECG CH1 ECG CH1 ECG CH1 ECG CH1 Channel 2 PRESS 1 ECG CH2 PRESS 1 ECG CH2 PRESS 1 Channel 3 PLETH PRESS 1 PRESS 2 PRESS 1 PRESS 2 Channel 4 AG COs PRESS
3. Table 7 CMS Model 68 S Factory Defaults see the Parameter Display Colors Table for color configuration Item Name Factory Default Values Realtime waves SCREEN A SCREEN B SCREEN C SCREEN D SCREEN E Channel 1 ECG CH1 ECG CH1 ECG CH1 ECG CH1 ECG CH1 Channel 2 PRESS 1 ECG CH2 ECG CH2 ECG CH2 PRESS 1 Channel 3 PRESS 2 PRESS 1 PRESS 1 PRESS 1 PRESS 2 Channel 4 PRESS 3 PRESS 2 PRESS 2 PRESS 2 PRESS 3 Channel 5 PRESS 4 PRESS 3 PRESS 3 PRESS 3 PRESS 4 Channel 6 PRESS5 PRESS 4 PRESS 4 PRESS 4 CO Channel 7 PLETH PLETH PRESS5 PLETH EEG CH1 Channel 8 RESP CO PRESS6 CO EEG CH2 Screen Label Standard Surgeon Surgeon Standard Neuro Number Of Waves 8 waves 8 waves 8 waves 8 waves 8 waves Overlap 1 2 2 1 1 non overlap 3 6 overlap 3 6 overlap non overlap non overlap Application Window Split Split Split Split CSAt Wave Replace Enabled Enabled Enabled Enabled Enabled Trace Mode Fixed Fixed Fixed Fixed Fixed Numerics Prompt Yes Yes Yes Yes Yes Realtime speeds 25mm s for all except RESP and COs 6 25mm s 1 For model 48 S the factory default is BLANK 2 OxyCRG and CSA application windows can only be active for one Display at a time If it OxyCRG or CSA application windows are chosen for more than one display it will only appear on lower number display 3 If Wave Replace is enabled CMS will automatically assign measured waves to any empty channels Disable this feature if the display configuration sh
4. of one card Upper Port Lower Port Upper Port Lower Port Computer Off Computer On Touch Computer On Touch Computer Off Mouse Mouse AGM AGM VENT VENT AGM Computer Off VENT Computer Off Touch Touch Mouse Mouse VENT AGM Output Interfaces Analog Output Default Table Note Configuration Tables e Analog Output configuration is performed in Monitoring Mode e There is no softkey to return settings to factory default values To access the Analog Output information press Analog Output Table 33 CMS and NCMS Analog Outputs Factory Default User Item Name Values User Default Values Configuration ASSIGNMENTS Channel 1 ECG CH1 Absolute wave Parameters can be assigned as follows Channel 2 ECG CH2 Absolute wave Absolute Waves Channel 3 PRESS 1 Absolute wave ECG PRESS CO Channel 4 PRESS 2 Absolute wave Scale Waves Channel 5 PRESS 3 Absolute wave Any parameter Channel 6 PRESS 4 Absolute wave Numerics Any Channel 7 CO Absolute wave parameter Channel 8 PLETH Scale wave Absolute Waves GAIN adjust with up and down arrow keys ECG 1 00 mV 1V 0 01 t0 9 99 mV 1V PRESS CO 100 mmHg 1 V 1 to 999 mmHg 1V Absolute Waves OFFSET adj ust with left and right arrow keys ECG 0 00 mV OV 9 99 to 9 99 mV 0 V PRESS CO 0mmHg 0V 999 to 999 mmHg 0 V Scaled Waves GAIN
5. 1 Intervals are dependent on report duration to prevent extremely long reports For 1 hr duration 1 min 5 min 15 min 1 hr intervals allowed For 2 hrs duration 5 min 15 min 1 hr 2 hr intervals allowed For 8 hrs duration 5 min 15 min 1 hr 2 hr intervals allowed For 16 hrs duration 15 min 1 hr 2 hr intervals allowed For 24 hrs duration 15 min 1 hr 2 hr 3 hr intervals allowed 62 Universal Settings To access the Reports Schedule information press Reports Schedule Table 28 Reports Schedule Universal Settings Configuration Tables Factory User Default Item Name Default User Configuration Values Values Start hour 07 any hour Start minute 00 any minute Report frequency hr 24 any hour Report frequency min 00 any minute On Off schedule Off On or Off 1 If Report Frequency hr is set to 24 Report frequency min is not adjustable 63 Configuration Tables Neonatal Event Review Default Table NOTE Neonatal Event Review is not available on the ACMS To access the Neonatal Event Review information press Event Config Item Name Factory Default Values User Default Values User Configuration HR Brady Event Settin gs Trigger Mode Brady Alarm Brady Alarm or User Def Trig Threshold 80 bpm 2 Trigger Time 3 sec SpO Desaturation Event Settings Trigger Mode Desat ICU Low Alarm OR Desat Low
6. e Alarm Reminder e Ifthe alarm reminder is configured to Or an active silenced alarm will be re announced after 2 or 3 minutes temporary acknowledgment 3 minutes for the ACMS e Ifthe alarm reminder is configured to Off an active silenced alarm will not be re announced indefinite acknowledgment Ensure that the label provided for the monitor corresponds to the monitor s configuration for Alarm Reminder Universal Settings Alarms On Off Default Table Universal Settings Configuration Tables To access the Alarm information press Alarms On Off The table lists all existing features Availability depends upon the model or option selected Item Name Factory User Default a ara Configura Parameter Label Values tion HR HR On On or Off ST ch1 ST1 On On or Off ST ch2 ST2 On On or Off ST ch3 ST3 On On or Off Pulse Pulse On On or Off Press 1 Any On On or Off Press 2 Any On On of Off Press 3 Any On On or Off Press 4 Any On On or Off Press 5 Any On On or Off Press 6 Any On On or Off CPP CPP On On or Off NBP NBP On On or Off SpO SpO gt On On or Off SpO 2 SpO 2 On On or Off ETCO gt On On or Off AWRR On On or Off IMCO gt On On or Off FIO gt FIO On On or Off Resp Resp On On or Off tcpO gt On On or Off tcpCO On On or Off AG etO2 etO gt On On or Off AG inO inO gt On On or Off AG ETCO 2 ETCO gt On On or
7. Trace Mode Fixed or Moving Numerics Prompt Yes or No Realtime speeds 6 25 12 5 25 or 50 Each wave can be configured separately 1 It is recommended that you use Fixed Trace Mode for Flatscreen and XGA displays 2 When Yes is selected for this item the reminder message Not all numerics displayed will appear at the top of the display screen if one or more of the parameter numerics are switched off Universal Settings 51 Configuration Tables Table 17 ACMS Model 76 S Second and Third Independent Display Factory Defaults 52 see the Parameter Display Colors Table for color configuration Item Name Factory Default Values Realtime waves SCREEN A SCREEN B SCREEN C SCREEN D SCREEN E Channel 1 ECG CH1 ECG CH1 ECG CH1 As Screen C As Screen C Channel 2 PRESS 1 PRESS 1 PRESS 1 Channel 3 PRESS 2 PRESS 2 Blank Channel 4 PRESS 3 PRESS 3 PRESS 2 Channel 5 Blank Blank Blank Channel 6 Blank Blank Blank Screen Label Surgeon Perfusionist Blank Number Of Waves 6 waves 6 waves 6 waves Overlap 4 4 6 2 3 4 5 2 5 overlap 2 5 overlap overlap Application Window Split Split Split Wave Replace Enabled Enabled Enabled Trace Mode Fixed Fixed Fixed Numerics Prompt Yes Yes Yes Realtime speeds 25mm s for all except RESP CO AG Oo AG COs AG Agent 6 25mm s 1 OxyCRG
8. What is in this Manual 1 Introduction 2 Procedures 3 Configura tion Tables 4 Drug Calculator Configuration A Selecting the Correct Patient Category B Sign off Sheets C Printing the Configuration This guide is intended for Biomedical Engineers or Philips Service and Clinical Specialist personnel who are about to perform the off line configuration procedures for the CMS This manual contains information for configuring the CMS at software Release C 0 This introduces the concepts of what configuration actually is why it is necessary and how best to use it This describes the configuration procedure in more detail explaining the method by which values are altered This is a detailed list of all the parts of the system that can be configured There are tables showing the pre configured factory values and all the possible values for every part of the system A fourth blank column has been provided for you to record your configuration changes This chapter lists the standard drugs of the CMS s Drug Calculator feature Instructions are given for defining a set of drugs specific to your unit A worksheet is included Appendix B on which you can keep a record of the drugs that you configure This appendix fully details the effects of changing patient category on the parameters in particular NBP and ECG to allow the selection of the correct category This appendix contains a configuration sign off s
9. Patient Category and Unit Type information as well as the ECG filtering frequency This part of the Configuration Set is used to store all the parameter settings The procedure for making any changes is identical Each set of changes for example Global Switches or ECG parameters have their own Task Window that displays the possible items that can be changed The Task Window displays all the items that can be changed and their current values The first item in the Task Window is highlighted The procedure to change the values is described in the following steps Step Action Comment Select the item you want to change for example Patient Categ Use the arrow keys or Select Item Press Change Content The lower part of the Task Window is used to display the list of values that can be used For example Patient categ would be Adult Pediatric Neonate The current value is highlighted Highlight the new value of the item Use the arrow keys or Change Content The value in the upper half of the Task Window changes accordingly Repeat Steps 1 to 3 for all the items you wish to change in the Task Window Changing Values 25 Procedures NOTE Step Action Comment 5 Now you have made the changes to all the items in the Task Window you can press Store Settings To save the changes you have made to the settings Restore Settings To recall
10. Start Time Synchronized NotSynchron or Synchronized Venipunc Press 60mmHg Adult 20 120mmHg 40mmHg Ped 20 80mmHg 30mmHg Neo 20 50mmHg Alarm Limits Alarm limits can be adjusted within the specified ranges in the following steps Up to 3B0mmHg in 2mmHg steps Over 30mmHg in 5mmHg steps Low Systolic 90mmHg Adult 30 265mmHg 70mmHg Ped 30 175mmHg 40mmHg Neo 30 125mmHg High Systolic 160mmHg Adult 35 270mmHg 120mmHg Ped 35 180mmHg 90mmHg Neo 35 130mmHg Low Diastolic 50mmHg Adult 10 240mmHg 40mmHg Ped 10 145mmHg 20mmHg Neo 10 95mmHg High Diastolic 90mmHg Adult 18 240mmHg 70mmHg Ped 18 150mmHg 60mmHg Neo 18 100mmHg Parameter Settings 77 Configuration Tables Item Name o User Default Values User Configuration Low Mean 60mmHg Adult 20 250mmHg 50mmHg Ped 20 155mmHg 24mmHg Neo 20 115mmHg High Mean 110mmHg Adult 28 255mmHg 90mmHg Ped 28 160mmHg 70mmHg Neo 28 120mmHg 1 Only available for modules with the venous puncture symbol on the front 2 Venous puncture pressure can be adjusted within the specified ranges in 5mmHg steps 3 Neonatal alarm limits only available with the Philips M1008B Module check for availability of this module 78 Parameter Settings SpO SpO gt 2 Pleth Default Table
11. gt Recordng Setup AlarmRec On Off The table lists all existing features Availability depends upon the model or option selected Item Name BE ea ie User Default Values User Configuration ECG Red Yellow Red Yellow Off or Red ST Yellow Yellow or Off PULSE Yellow Yellow or Off PRESS 1 ABP Red Yellow Red Yellow Off or Red PRESS 2 PAP Red Yellow Red Yellow Off or Red PRESS 3 CVP Red Yellow Red Yellow Off or Red PRESS 4 P4 Red Yellow Red Yellow Off or Red PRESS 5 P5 Red Yellow Red Yellow Off or Red PRESS 6 P6 Red Yellow Red Yellow Off or Red CPP Yellow Yellow or Off NBP Yellow Yellow or Off C O Yellow Yellow or Off CCO Yellow Yellow or Off SpO2 Yellow Red Yellow Off or Red SpO 2 Yellow Red Yellow Off or Red SvO gt Yellow Yellow or Off COs Red Yellow Red Yellow Off or Red FIO gt Red Yellow Red Yellow Off or Red RESP Red Yellow Red Yellow Off or Red tcpO gt Yellow Yellow or Off tcpCO Yellow Yellow or Off BIS Yellow Yellow or Off 100 Parameter Settings Configuration Tables Item Name Rete nds User Default Values User Configuration VentIf Red Yellow Red Yellow Off or Red Airwy Op Red Yellow Red Yellow Off or Red Airwy Cos Red Yellow Red Yellow Off or Red Airwy NO Yellow Yellow or Off Airwy AGT Yellow Yellow or Off TEMP 1 4 Yellow Yellow or Off VueLink A Red Yellow Red Yellow Off or Red
12. Ventilator Perfusionist Induction Non invasive User Def Blank or any value typed in on the numeric keypad Number Of Waves 4 6 or 8 Waves Overlap 1 to 8 1 non overlap 2 waves 3 6 overlap 3 waves 3 8 overlap 4 waves 2 7 overlap 5 waves 4 7 overlap 5 waves 3 5 6 8 overlap 7 waves 2 4 5 7 overlap 8 waves 3 4 5 6 overlap Application Window OxyCRG Split Screen CSA Display or None Wave Replace Enabled or Disabled Trace Mode Fixed or Moving Numerics Prompt Yes or No Realtime speeds 6 25 12 5 25 or 50 Each wave can be configured separately 1 It is recommended that you use Fixed Trace Mode for Flatscreen and XGA displays 2 When Yes is selected for this item the reminder message Not all numerics displayed will appear at the top of the display screen if one or more of the parameter numerics are switched off Universal Settings 45 Configuration Tables Table 11 ACMS Model 84 S Factory Defaults see the Parameter Display Colors Table for color configuration Item Name Factory Default Values Realtime waves SCREEN A SCREEN B SCREEN C SCREEN D SCREEN E Channel 1 ECG CH1 ECG CH1 ECG CH1 As Screen C As Screen C Channel 2 PRESS 1 PRESS 1 PRESS 1 Channel 3 PLETH PRESS 2 PRESS 2 Channel 4 RESP PRESS 3 AG COs Screen Labe
13. Ventiltr Gas Alzr GCS An Mach Aux Plus 7 8 or 9 Refer to M1032A VueLink Module Handbook for more details on the configuration of the VueLink Module Parameter Settings 91 Configuration Tables BIS Default Table To access the BIS information press Module Soup BIS Item Name aos Renin User Default Values User Configuration Scale 100 uV 50 100 200 500 uV Filters On On Off Notch Filter On On Off High Pass Filter 2 Hz 0 25 1 2 Hz Low Pass Filter 70 Hz 30 50 70 Hz Off Impedance Chk Cont Cont Off Smoothing Rate 30s 15 30s Display SR On On Off Display Units Off On Off Low Alarm Limit 20 O 99 High Alarm Limt 70 1 100 92 Parameter Settings Differential Temperature Default Table Configuration Tables To access the Differential Temperature information press Module Setup followed by the required Differential Temperature softkey Item Name Factory Defaul User Default Values User Configuration Values Parameter On On or Off First TEMP TEMP1 TEMP1 TEMP4 or Tblood Second TEMP DIFF 1 TEMP2 TEMP1 TEMP4 or Tblood DIFF 2 TEMP 3 TEMP1 TEMP4 or Tblood Display Range 0 12 0 4 0 12o0r0 40 Units Display Off On or Off NOTE Notes Temperature Defaults are not Configuration Set dependent they are identical for all Configuration Sets CPP Default Table Alarm limits ca
14. 0 0 0 0 eee eee eee 64 oxyORG Default Tables cegenesssstaeeneeeveserecasdgekesaceted ad 65 CONMBUFALION SES eagles ciated era AAA ZEEE LEE eee ARA 66 Global Switches menre Peau eure ae say ee E A A 66 Parameter Settings conien nicer e ed a DORR EE iaa LOSS 68 Parameter Settings Translat ca Dees wake Bowe wees er eRe 68 Restoring Parameter Settings Transfer factory defaults 68 Heart Rate HR Pulse Default Table 0 00 ccc eee 69 BOG Detault Table 0 bs oun talk omens A ee ed ous ee sewed ee ae E 71 ECG Defaults with EASI 12 Lead Option 0 00 cece eens 72 Respiration Default Table covVjs oras aa a ida de ata 73 ST Delatit Table RIRS ee ee Os RE ae RR ERED RR 74 Pressure Default Tables cones nna Bee vedus dias ke es wate ds oie a 75 Content 11 General Pressure Defaults 0 0 0 eee cece eee eee ene 75 Pressure Default Alarm Limits oooocoomoonooncrnormoo 76 NBP Default able ccciceceudeave AS a RERE TT SpO2 5pO2 2 Pleth Default Table 0 ccc eee ence eens 79 SvO2 Defa lt Table Ss ied AG es ode MRE ED Oe Ba PERRET a 80 COZ Detail Table ia bite eae as ao 81 tcp0O2 tcpCO2 Default Tableta O A we wR ENA ROE ORS 82 FIOZ Detault Table A AAA AAA ROPER GC RDS 84 Airway Gases s arras le 84 Ventilator Configuration Default Table 0 0 84 7800 7810 Ohmeda Ventilator Configuration Values oo oooo o 85 7900 Ohmeda Ventilator Co
15. 1 0 mm 9 8 to 9 8 mm chamnels ST High Alarm Limit all 1 0 mm 9 8 to 9 8 mm chamnels Set ST Using reference J 60 ms ST Point J 60 ms or point J 80 ms Isoelectric Point 80 ms 460 to 460 ms ST Point 108 ms 380 to 460 ms J Point 48 ms 460 to 380 ms Units Display On On or Off Trend Range 12 mm 1 mm 2 mm or 5 mm ST Off if SDN No Yes or No 1 If the Set ST Using ST Measurement point is configured to ST Point the J Point configuration is not shown in the configuration task window 2 If the Set ST Using ST Measurement point is configured to J Point J 60 or J 80 the ST Point configuration is not shown in the configuration task window 3 If YES switches off the ST parameter if the monitor is connected to SDN 74 Parameter Settings Pressure Default Tables NOTE To access the Pressure information press gt the required Pressure softkey Configuration Tables There are four different factory defaults for pressure Pressures 1 2 and 3 have differing factory default values Pressures 4 to 6 share common factory default values The respective factory defaults are shown in the table preceded by the pressure numbers General Pressure Defaults Item Name Factory Default User Default Values User Configuration Values Scale 1 120mmHg Adult 6 10 18 30 60 120 180 240mmHg or Optimum 1 60mm
16. 120 Adult Low Limit 5 to 250 200 Neo Ped Low Limit 5 to 300 Display Range 30 250 Adult 30 150 30 190 30 250 30 300 Neo Ped 50 210 50 270 30 300 HR Alarms ON OFF Enabled Enabled or Disabled see Note below Pulse at Startup On On or Off 1 Only when the Alarm Parameter is Heart Rate HR If the Alarm Parameter is PULSE then the Low Alarm Limit User Defaults can be set as follows 30 to High Limit 5 For Adult Pediatric and Neonatal Note French language CMSs only If conforming to French standards the following configuration settings are required The Alarm Parameter is always fixed to HR and cannot be changed Parameter Settings to PULSE The Low Alarm Limit for HR cannot be lower than 30 bpm The Brady Limit cannot be lower than 30 bpm for both pediatric and neonatal patients HR Alarms ON OFF must be set to Disabled for SDN networked environments and Enabled for non SDN networked environments 69 Configuration Tables Note HR Alarms ON OFF If the item HR Alarms ON OFF is set to Disabled and HR is selected as the alarming parameter e HR Alarms cannot be switched OFF in Monitoring Mode e The softkey on off Alarms in the HR PULSE Adjust Alarms task window is inactive If the item HR Alarms ON OFF is set to Disabled and PULSE is selected as the alarming parameter e HR Alarms can be switched OFF in Monitoring Mod
17. 4 If this item is configured to Off PERF will not be trended Parameter Settings 79 Configuration Tables 5 Not active in OR mode SvO Default Table To access the SvO information press gt SvO Factory Item Name Default User Default Values User Configuration Values Low Alarm Limit 60 10 to 99 in steps of 1 High Alarm Limit 80 11 to 100 in steps of 1 Trend Scale 60 100 30 100 40 100 50 100 60 100 70 100 or 80 100 Time Scale 1 hr 1 2 or 4 hrs Light Intensity Trend On On or Off SpO display On On or Off Units Display Off On or Off 80 Parameter Settings CO Default Table To access the CO information press gt Configuration Tables CO NOTE The CO algorithm makes an adjustment to the measurement according to altitude An adjustment for altitude must therefore be entered under Global Switches in Service Mode before using the CO Module Factory Default Item Name Values User Default Values User Configuration N O Correction Off ICU On OR On or Off Unit mmHg mmHg or kPa IMCO High Limit 4mmHg 0 5kPa 2mmHg to 20mmHg 0 3kPa to 3 0kPa AWRR High Limit 30 rpm Adult Ped 10 rpm to 100 rpm 100 rpm Neo 30 rpm to 150 rpm AWRR Low Limit 8 rpm Adult Ped 0 rpm to 95 rpm 30 rpm Neo O rpm to 145 rpm Apnea time 20 sec 10 sec to 40 sec ETCO 5 High Limit 50mmHg 6
18. No offset adjust AC coupling Refer to the ECG RESP Chapter in Volume 2 of the User s Reference Manual Parameter Settings 71 Configuration Tables ECG Defaults with EASI 12 Lead Option Item Name Factory Default Values User Default Values User Configuration Lead Placement EASI Standard or EASI Active ECG Channels Ch1 to Ch3 Ch1 Chi 8 Ch2 or Ch1 to Ch3 Lead on Channel1 I Any Lead on Channel2 V2 Any Lead on Channel3 V5 Any Bandwidth Monitor ICU Filter Diag or Monitor Filter OR ECG Trigger Mode Auto Auto or Manual Auto Filter2 Off ICU On On or Off OR Auto Gain Mode AutoAdj AutoAdj AutoSize Gain x1 Gain x2 Paced Mode Off On or Off 12 Lead Sequence Normal Normal or Cabrera 12 Lead Window Normal Normal or Large Auto Reports NoReport NoReport OnAlarm or All Alarm Type ST ST or ST amp HR Schedule Interval 2 0 hours 0 5 hours to 48 hours Reports by Alarm Printer Printer or Recorder Scheduled Reports Printer Printer or Recorder 12 leads on SDN On On or Off Size of 12 lead Gain x2 Auto Adjust Gain of Channel 1 Gain x1 or Gain x2 Grid On Printout 5mm 1mm or 5mm 1 During ST Segment monitoring the CMS automatically adjusts the low end of the bandwidth to 0 05 Hz There is no change to the high end of the bandwidth 2 Automatic switch to Filter Bandwidth as long as ESU ongoing 3 AutoAdj Automatic gain offset ad
19. To access the SpOy Pleth information press Sp02 Pleth or Sp022 Pleth Configuration Tables ltem Name Factory Default Values User Default Values User Configuration Low Alarm Limit 90 Adult Pedi 85 Neo 50 to 99 in steps of 1 Adult 30 to 99 in steps of 1 Pedi Neo High Alarm Limit 100 Adult Pedi 95 Neo 51 to 100 in steps of 1 Adult 31 to 100 in steps of 1 Pedi Neo Averaging Time Medium 10s Fast 5s Medium 10s or Slow 20s Tone Modulation Enhanced Enhanced Standard or Off NBP Alarm Suppr On On or Off Units Display Off On or Off Low Alarm Trigger 10 sec 0 30 in steps of 1 Time Adult Pedi amp Neo High Alarm Trigger Time 10 sec Adult Pedi amp Neo 0 30 in steps of 1 Wave Amplitude SpO SQI SpO3 SQI or Perfusion PERF Indicator in Off On or Off SpO gt Task Window DESAT Limit 80 50 to Low Limit in steps Adult Pedi amp Neo of 1 Adult 30 to Low Limit in steps of 1 Pedi Neo DESAT TrigTime 20 sec 0 to 30 in steps of 1 Avg TrigTimeAd Disabled Enabled or Disabled 1 The second SpOz module cannot be configured separately for these items Joint configuration is assigned through the first SpO module 2 Enhanced tone modulation gives better audible differentiation for small changes of SpOz level 3 Standard tone modulation is identical to NELLCOR implementation
20. VueLink B Red Yellow Red Yellow Off or Red 1 For CMS or NCMS applications we recommend Red Yellow or Red for optimum notification about Desat alarms 2 Only available for the ACMS Parameter Settings 101 Configuration Tables Blood Analysis Default Table To access the Blood Analysis configuration information press Blood Analysis Factory Item Name Default User Default Values User Configuration Values Auto Transmit Disabled 0 5 10 15 30 60 min Disabled Out Of Range Enabled Enabled Disabled Range Unit Def 2 Units Units Ranges Blank BA IF Warning Enabled Enabled Disabled Setup Window Manual Auto Manual Sample Type Unspec Unspec Last Patient Temp Off Off Last O2 Input Cleared Cleared Last Disabled Field Input Cleared Cleared Last Disabled Field2 Input Cleared Cleared Last Disabled Field3 Input Cleared Cleared Last Disabled Patient ID Requestd Optional Requestd Required Operator ID Requestd Disabled Requestd Required Op ID Input Cleared Cleared Last Op ID Hidden No Yes No Op ID Digits Any Any 2 3 4 5 6 Operator ID Defaults 1 Operator ID1 0 999 999 Operator ID2 0 999 999 Operator ID15 0 999 999 102 Parameter Settings Configuration Tables 1 If Enabled is selected the module indicates values which are outside th
21. adjust with up and down arrow keys ECG PRESS C O PLETH CO RESP EEG CH1 EEG CH2 BIS EEG VUELINK 1 00 0 01 to 8 00 Scaled Waves OFFSET adjust with left and right arrow keys Output Interfaces 107 Configuration Tables Item Name Factory Default Values User Default Values User Configuration ECG PRESS C O PLETH CO RESP EEG CH1 EEG CH2 BIS EEG VUELINK OV 5 0 V to 5 0 V Numerics GAIN adjust with up and down arrow keys HR btb HR PULSE 100 bpm 1 V 999 to 999 bpm 1 V PRESS CPP NBP 100 mmHg 1 V 999 to 999 mmHg 1 V PAWP 10 mmHg 1V 99 9 to 99 9 mmHg 1 V C O 100 l min 1 V 99 9 to 99 9 l min 1 V ITBV 100 ml 1V 999 to 999 ml 1 V ITBVI 100 ml m 1 V 999 to 999 ml m 1 V EVLW 100 ml 1 V 999 to 999 ml 1 V EVLWI 100 ml Kg 1 V 999 to 999 ml Kg 1 V eco 100 ml min 1 V 999 to 999 ml min 1 V CCI 100 ml min m 1 V 999 to 999 ml min m 1 V SVR 100 DS em 1 V 999 to 999 DS cm 1 V SVRI 100 DSm cm 1 V 999 to 999 DSm cm 1 V SpO 100 1 V 999 to 999 1 V SpO 2 100 1 V 999 to 999 1 V SvO 100 1 V 999 to 999 1 V CO ETCO and IMCOs 100 mmHg 1 V 999 to 999 mmHg 1 V RESP AWRR 50 rpm 1 V 999 to 999 rpm 1 V FIO gt 1 00 1V 9 99 to 9 99 1 V
22. for 60s i P M1008B 15 mmHg 15 mmHg 5 mmHg AS for 180s for 180s for 90s Time to inflate M1008A 40s 20s N A from O to 60 mm Hg Time to inflate M1008B 40s 20s 20s from O to 60 mm Hg Time to inflate M1008B N A N A N A from 0 to 60 mm Hg Max inflation time M1008A 60s 40s N A Max inflation time M1008B 60s 40s 30s Max inflation time M1008B 120s 90s 45s Max deflation time M1008A 80s 80s N A Max deflation time M1008B 80s 80s 60s Max deflation time M1008B 150s 150s 80s Max measurement time M1008A 100s 100s N A Max measurement time M1008B 100s 100s 60s NBP Patient Category Safety Values Adult Pedi Neo Max measurement time M1008B 175s 175s 90s Overpressure protection M1008A 300 mmHg 200 mmHg N A Overpressure protection M1008B 300 mmHg 200 mmHg 150 mmHg Recommended Cuff Size AtoE Any Cuff 1to4 amp A Default Inflation Pressure 165 mmHg 125 mmHg 100 mmHg 1 With venous puncture functionality NBP Recommendations ECG ECG Philips makes the following recommendations when selecting a patient category for NBP 1 Choose the category patient with the most appropriate safety values for your patients physiological condition 2 Reduce stress on the patient by choosing the appropriate cuff size A cuff that is too large prolongs inflation time 3 Use a repetition time appropriate to the patient The most important factor in deciding whic
23. tcpO tcpCO 100 mmHg 1 V 999 9 to 999 9 mmHg 1 V EEG1 1 EEG2 1 100nW 1V 999 to 999 nW 1 V EEG1 2 EEG2 2 100Hz 1V 999 to 999 Hz 1V Tblood TEMP 10 0 C 1V 99 9 to 99 9 C 1V DIFF TEMP 5 0 C 1V 99 9 to 99 9 C 1V ST 1 0mm 1V 99 9 to 99 9mm 1V VueLink2 1 0mm 1V 999 to 999 mm 1 V PERF 100 1 V 99 9 to 99 9 mm 1 V Numerics OFFSET adjust with left and right arrow keys 108 Output Interfaces Configuration Tables Item Name Factory Default User Default Values User Values Configuration HR btb HR PULSE 0 bpm 0 V 999 to 999 bpm 0 V PRESS NBP CPP 0 mmHg 0 V 999 to 999 mmHg 0 V CO 0 mmHg 0 V 999 to 999 mmHg 0 V PAWP 0 mmHg 0 V 99 9 to 99 9 mmHg 0 V C O 0 l min 0 V 99 9 to 99 9 l min 0 V ITBV Oml 0V 999 to 999 ml 0 V ITBVI 0 ml m 0 V 999 to 999 ml m 0 V EVLW Oml 0V 999 to 999 ml 0 V EVLWI 0 ml Kg 0 V 999 to 999 ml Kg 0 V CCO 0 ml min 0 V 999 to 999 ml min 0 V CCI 0 ml min m 0V 999 to 999 ml min m 0 V SVR 0 DS cm 0 V 999 to 999 DS cm 0 V SVRI 0 DSm cem gt 0 V_ 999 to 999 DSm cm 0 V SpO 0 0 V 999 to 999 0 V FIO 0 00 0 V 9 99 to 9 99 0 V tcpO tcpCO 0mmHg 0V 999 9 to 999 9 mmHg 0 V RESP AWRR Orpm 0V 999 to 999 rom 0 V EEG1 1 EEG2 11 OnW 0V 999 to 999 nW 0 V EEG1 2 EEG2 2 0Hz 0 V 999
24. 2 Blank PRESS 2 EEG CH1 Channel 5 Blank PRESS 3 Blank PLETH EEG CH2 Channel 6 Blank AG CO AG CO AG CO AG CO Screen Label Standard Cardio Swan Ganz Standard Neuro Vascular Number Of Waves 6 waves 6 waves 6 waves 6 waves 6 waves Overlap 1 2 2 1 1 non overlap 3 5 overlap 3 5 overlap non overlap non overlap Application Window Split Split Split Split CSA Wave Replace Enabled Enabled Enabled Enabled Enabled Trace Mode Fixed Fixed Fixed Fixed Fixed Yes Yes Yes Yes Yes Numerics Prompt Realtime speeds 25mm s for all except RESP COs AG Oo AG CO AG Agent 6 25mm s 1 OxyCRG and CSA application windows can only be active for one Display at a time If it OxyCRG or CSA application windows are chosen for more than one display it will only appear on lower number display 2 If Wave Replace is enabled CMS will automatically assign measured waves to any empty channels Disable this feature if the display configuration should not be changed when measurements are not available 3 When Yes is selected for this item the reminder message Not all numerics displayed will appear at the top of the display screen if one or more of the parameter numerics are switched off Numeric On Off Press gt Displayl Setup Choose Screen gt Numeric On Off If you wish the new setting to be retained after a cold start has been performed press Universal Settings
25. 5 Pmin TV RRaw MV Pmax Pmin Pplat Pmean cktO sTV sRRaw SI E 1 sPEEP sPin sPmax COMP or lt Off gt Numeric 6 Pplat TV RRaw MV Pmax Pmin Pplat Pmean cktO sTV sRRaw SI E 1 sSPEEP sPin sPmax COMP or lt Off gt Numeric 7 Pmean TV RRaw MV Pmax Pmin Pplat Pmean cktOs STV sRRaw SI E 1 SPEEP sPin sPmax COMP or lt Off gt Numeric 8 cktO TV RRaw MV Pmax Pmin Pplat Pmean cktO sTV sRRaw SI E 1 sPEEP sPin sPmax COMP or lt Off gt Numeric 9 COMP TV RRaw MV Pmax Pmin Pplat Pmean 1 The AWV wave and the TV and sTV numerics are displayed in litres for adults and pediatrics and millilitres for neonates 86 Parameter Settings Configuration Tables Cardiac Output Default Table To access the Cardiac Output information press gt co To access the Tblood information press gt Tblood Item Name gr Artigas User Default Values User Configuration C O INJ LOW TEMP Off On or Off Units Display Off On or Off ITBV EVLW View Indexed Absolute or Indexed Homologation Dependent on U S or Non U S Fixed at Geography factory Tblood Low Alarm Limit 36 C 17 C 42 9 C2 High Alarm Limit 39 C 17 5 C 43 C Display Range 35 C 43 C 35 C 43 C or 17 C 43 C Units Display Off On or Off 1 Right heart thermodilution method only 2 From 17 C to 35 C in steps of 0 5 from 35 C to 42 9 C in s
26. Alarm User Def or Off ICU Low Alarm User Def or Off OR Trig Threshold 80 1 3 Trigger Time 20 sec 3 Global Event Settings Pre Post Time 2 2 1 3 or 2 2 1 If Trigger Mode set to UserDef 2 If the trigger mode is set to Brady Alarm the Brady items must be changed in the HR Setup task window 3 If the trigger mode is set to SpO2 Desat or Low Alarm theSpO2 items must be changed in the SpO2 Setup task window 64 Universal Settings oxyCRG Default Table To access the oxyCRG information press gt oxyCRG Configuration Tables Factory User nom Mame Default Values peel DETAI ales Configuration Oxygen Channel SpOz SpO or tcpO2 Recorder Speed 2 cm min 1 2 or 3 cm min 1 You can select between SpO2 or tcpO2 as the source for the oxygen channel in the dis play and recorder NOTE not from external devices using VueLink NOTE oxyCRG recordings can only run with the M1116B plug in recorder No oxyCRG recordings will be given at the M1116A M1117A or central station Universal Settings 65 Configuration Tables Configuration Sets Global Switches To access the Configuration Set information press Config Sets To access the Global Switches information press gt Global Switches Note e The line frequency is the same for all configuration sets e Pressing Factory Defaults only restores the factory defaul
27. Algorithm Adult Neo Neo CO Airway Resp Rate Adult Adult Neo Ranges 1 Paced Patient mode is switched off when changing from Adult to Pediatric or Neonatal mode 2 Ranges Measurement ranges and Alarm Limit ranges Changing the Patient Category NBP Examples Overpressure Continuous NBP Pressure For example The ECG parameter uses the neonatal algorithm if either the Neonatal or Pediatric patient category is chosen If you choose the Adult patient category the ECG parameter uses the adult algorithm The following pages detail how the choice of patient category significantly influences NBP and ECG monitoring they also list the minor differences effected by patient category choice to the other parameters The patient s tolerance for the cuff pressure i e stress when an NBP measurement is made is an important factor to consider when choosing patient category The amount of stress is determined by e the cuff pressure e the duration of time the cuff pressure is applied Since a neonate can usually tolerate less stress than a pediatric patient and a pediatric patient can tolerate less than an adult the System algorithm has category dependent safety values If the cuff pressure exceeds these values for more than a given time period the cuff immediately deflates and a hard INOP Alarm is given These valwes are adapted to normal physiological values Overpressure occurs if the cuff maintains a pressure
28. Amount Amount Volume mi Volume mi 4 litration Table a Calculate Rate Dose b from a low of Varying Dose Rate to a high of in increments of Figure 4 Drug Calculator Configuration Worksheet Signoff Sheets and Worksheets 135 136 Signoff Sheets and Worksheets C Printout of Configuration Information Configuration Printout Note Note The CMS is able to send configuration data in the form of a screen shot to a printer via the RS232 interface It is also possible to combine more than one screen shot per page Each printout contains a header with additional device configuration data Configuration Printout are prints of the information displayed on the screen To ensure that this is the same information that is stored by the CMS make sure that the setting are stored Store Settings softkey Configuration printouts must be directed to the CMS printer port 2 This port must also be configured to Computer Off Configuration printouts are independent of the display type Printouts from a CMS CRT display are made at a resolution of 150 dpi Printouts from a CMS flat screen display are made at a resolution of 100 dpi If the printer does not support the appropriate resolution 100 dpi or 150 dpi page layout anomalies may occur The following additional device information is printed as a header with each configuration printout e Device type e g CMS e Date and Time e Serial Number e
29. CMS Model 44 S Factory Defaults see the Parameter Display Colors Table for color configuration ltem Name Factory Default Values Realtime waves SCREEN A SCREEN B SCREEN C SCREEN D SCREEN E Channel 1 ECG CH1 ECG CH1 ECG CH1 As Screen C As Screen C Channel 2 PLETH PLETH PLETH Channel 3 PRESS 1 PRESS 1 Blank Channel 4 RESP RESP RESP Screen Label Standard oxyCRG Standard Number Of Waves 4 waves 4 waves 4 waves Overlap 1 1 1 Application Window None oxyCRG Split Wave Replace Enabled Enabled Enabled Trace Mode Fixed Fixed Fixed Numerics Prompt Yes Yes Yes Realtime speeds 25mm s for all except RESP and CO 6 25mm s 1 OxyCRG and CSA application windows can only be active for one Display at a time If it OxyCRG or CSA application windows are chosen for more than one display it will only appear on lower number display 2 If Wave Replace is enabled CMS will automatically assign measured waves to any empty channels Disable this feature if the display configuration should not be changed when measurements are not available 3 When Yes is selected for this item the reminder message Not all numerics displayed will appear at the top of the display screen if one or more of the parameter numerics are switched off Numeric On Off Press gt Displayl Setup Choose Screen gt Numeric On Off If you wish the new setting to be reta
30. Off 31 Configuration Tables resto user petat oer Parameter Label Values tion AG AWRR AWRR On On or Off AG IMCO IMCO gt On On or Off AG in N20 in N20 On On or Off Tblood Tblood On On or Off Temp 1 T1 On On or Off Temp 2 T2 On On or Off Temp 3 T3 On On or Off Temp 4 T4 On On or Off CCO CCO On On or Off BIS BIS On On or Off 1 HR Pulse alarm exceptions e The on off alarm status for HR and Pulse cannot be controlled through this configuration alone The desired parameter must also be selected in the HR Pulse configuration task window Without this consistency the required alarm will not be activated in monitoring mode e The above mentioned consistency must also be adhered to if the HR Alarms On Off control has been disabled e If Arrhythmia is assigned the HR alarm is automatically switched off and pulse is switched on The original alarm setting is preserved and restored as soon as arrhythmia is deactivated 2 ACMS only Other Patients Overview Default Table To access the Other Patient information press Then the required softkey NOTE Parameters that have more than one wave or numeric will occupy more than one slot in the priority list However they will only appear once in the broadcast priority list WARNING Do not alter the parameter priorities of 2 to 6 only use the factory default settings T
31. SCREEN A SCREEN B SCREEN C SCREEN D SCREEN E Channel 1 ECG CH1 ECG CH1 ECG CH1 ECG CH1 ECG CH1 Channel 2 PRESS 1 PRESS 1 ECG CH2 ECG CH2 ECG CH2 Channel 3 PLETH PRESS 2 PRESS 1 PRESS 1 PRESS 1 Channel 4 RESP PRESS 3 PRESS 2 PRESS 2 PRESS 2 Screen Label Standard Surgeon Surgeon Surgeon Surgeon Number Of Waves 4 waves 4 waves 4 waves 4 waves 4 waves Overlap 1 1 3 3 3 Application Window Split Split Split Split Split Wave Replace Enabled Enabled Enabled Enabled Enabled Trace Mode Fixed Fixed Fixed Fixed Fixed Numerics Prompt Yes Yes Yes Yes Yes Realtime speeds 25mm s for all except RESP and CO 6 25mm s 1 OxyCRG and CSA application windows can only be active for one Display at a time If it OxyCRG or CSA application windows are chosen for more than one display it will only appear on lower number display 2 If Wave Replace is enabled CMS will automatically assign measured waves to any empty channels Disable this feature if the display configuration should not be changed when measurements are not available 3 When Yes is selected for this item the reminder message Not all numerics displayed will appear at the top of the display screen if one or more of the parameter numerics are switched off Numeric On Off Press gt Displayl Setup Choose Screen gt Numeric On Off If you wish the new setting to be retained after a cold start has been performed press Confirm 38 Universal Settings Conf
32. Scaled Waves GAIN adjust with up and down arrow keys ECG PRESS C O PLETH COs AG CO AG Agent AG O RESP EEG CH1 EEG CH2 VUELINK 1 00 0 01 to 8 00 Scaled Waves OFFSET adjust with left and right arrow keys ECG PRESS C O PLETH CO AG COs AG Agent AG O RESP EEG CH1 EEG CH2 VUELINK OV 5 0 V to 5 0 V Numerics GAIN adjust with up and down arrow keys 110 Output Interfaces Configuration Tables Item Name Factory Default Values User Default Values User Configuration HR btb HR PULSE 100 bpm 1 V 999 to 999 bpm 1 V PRESS CPP NBP 100 mmHg 1 V 999 to 999 mmHg 1 V PAWP 10mmHg 1 V 99 9 to 99 9 mmHg 1 V C O 100 l min 1 V 99 9 to 99 9 I min 1 V SpO2 100 1V 999 to 999 1 V SvO gt 100 1V 999 to 999 1 V CO ETCO and IMCOz 100 mmHg 1 V 999 to 999 mmHg 1 V RESP AWRR 50 rpm 1V 999 to 999 rpm 1 V VENTNUM 1 100L 1V 999 to 999 L 1 V VENTNUM 2 50rpm 1V 999 to 999 rpm 1 V VENTNUM 3 100 1 V 999 to 999 1 V VENTNUM 4 100 l min 1 V 999 to 999 l min 1 V VENTNUM 5 7 100 cmH 0 1 V 999 to 999 cmH20O 1 V VENTNUM 8 100 1V 999 to 999 1 V AG O etO and inO 100 1 V 999 to 999 1 V AG CO ETCO and IMCO 100 mmHg 1 V 999 to 999 mmHg 1 V AG NoO e
33. Tables Table 22 Patient Data Item Name Factory Default Values User Default Values User Configuration Database Storage 16 parameters at 24 hrs ICU 16 parameters at 4 hrs OR Normal Database 16 at 24 16 at 42 Extended Database 16 at 9 16 at 48 32 at 4 or 32 at 24 Calculation Time C O Cardiac Output Time C O Time or Current Time Reference Height Units cm in or cm Weight Units kg Adult Ped g Neo lb g or kg Hemo Pressure Units mmHg kPa or mmHg Gas Pressure Units mmHg kPa or mmHg HGB units used by Oxy g dl g dl or mmol l Calcs Store Alarm Suspend Yes Yes or No BSA Formula Dubois Adults Ped Boyd Dubois or Boyd Neo Printer Type HP LaserJet HP ThinkJet HP QuietJet HP DeskJet HP LaserJet HP 2673 or None Printer Locale Central Central or Local see following information Printer Setting Roman 8 Roman 8 or ISO see following information End Case Report Yes Yes or No 1 This item is dependent on the chosen Configuration Set Global Switch dependent 2 If the configuration is set to a 4 hour or 9 hour database data will be stored at a 12 second resolution 3 Cardiac Output Time Calculation made using all the values that correspond to the last C O measurement Current Time Calculation made using the newest data 4 No data samples will be stored while alarms are suspended if No is selected 5 This
34. These items are automatically configured when the port is assigned to Computer Off or additionally to AGM or VENT for the ACMS 104 Output Interfaces Configuration Tables Note RS232 printer connections can only be made using Port 2 when the port is configured to Computer Off Port 1 Port 3 and Port 4 do not support RS232 printer connections For the CMS and NCMS e AGM Anesthetic Gas Module and VENT Ventilator connections are not supported For the ACMS e AGM Anesthetic Gas Module and Personal Computer connections are not supported on the same RS232 Card e VENT Ventilator and Personal Computer connections are not supported on the same RS232 Card Supported RS 232 Configurations In configuration mode selections to set up a touch screen or mouse trackball are available under RS 232 configurations These are labelled Touch and Mouse NOTE Once Touch or Mouse configurations are made the CMS Monitor must be restarted in order to activate the new configuration settings NOTE Printer is only supported at Port 2 Upper port of first RS 232 card configured to Computer Off Multiple AGM VENT Touch or Mouse configurations are not supported Mouse or Trackball is not supported on upper ports 2 and 4 Output Interfaces 105 Configuration Tables 106 The following table shows the supported RS 232 configuration settings
35. Units mg mg g mg mg Starting Volume 500 250 500 250 250 Table Orientation Rate varying Dose Rate varying Dose Rate varying Dose Rate varying Dose Rate varying Dose Table Low 0 5 0 5 0 5 0 5 0 5 Table High 20 25 10 40 25 Table Increment 0 5 0 5 0 5 0 5 0 5 120 Standard Drug Configuration Table 38 Standard Drug Configuration continued Drug Calculator Configuration ltem Name Drug Name Epinephrine Heparin Insulin Isoproterenol Levarterenol Unknown Rate Rate Rate Rate Rate Unknown Units not applicable not applicable not applicable not applicable not applicable Starting Dose 0 01 1000 4 2 2 Dose Units mcg kg min U hr U hr mcg min mcg min Starting Rate not applicable not applicable not applicable not applicable not applicable Starting Amount 5 25000 100 2 4 Amount Units mg U U mg mg Starting Volume 250 500 100 500 500 Table Orientation Rate varying Dose Rate varying Dose Rate varying Dose Rate varying Dose Rate varying Dose Table Low 0 005 500 1 0 5 0 1 Table High 0 20 2500 20 10 12 Table Increment 0 005 50 1 0 5 0 1 Standard Drug Configuration 121 Drug Calculator Configuration Table 39 Standard Drug Configuration continued Drug Name Item Name Morphine Lidocaine Sulpha
36. correctly Overview Procedures Entering and Leaving Configuration Mode To start configuring the system you must select Configuration Mode Once you have completed all the changes to the configuration of the CMS you must change the operating mode back to Monitoring Mode NOTE From Rel C 0 returning to monitoring mode is allowed without entering a password Just press followed by Step Action Comment 1 Press f The Monitor Setup or Instrument Configuration selection window is displayed 2 Press Operating Modes The Operating Mode Task Window displays the current operating mode in words for example Operating Mode Monitoring and prompts for the password 3 Enter the password Use the keys labeled 1 to 5 If the Password 1245 password is correct then the Change OpMode key is highlighted If the password is incorrect the system returns to the Standard Display 4 Press Change OpMode The Operating Mode Task Window displays both Monitor and Config in reverse video with the current operating mode highlighted 5 Select the required Operating Use the arrow keys or press Mode Change OpMode 6 Press f The system now performs a cold start and switches Operating Modes When in Configuration Mode 7 Press any on Pressing a hardkey of your choice allows the System you to enter configuration Task Windows When Configuration Mode is entered the display becomes blank
37. new setting to be retained after a cold start has been performed press __Confirm_ Universal Settings Configuration Tables Table 6 CMS Model 56 S User Configuration see the Parameter Display Colors Table for color configuration Item Name Pene Sian User Configuration Values Realtime waves SCREEN A SCREEN B SCREEN C SCREEN D SCREEN E Channel 1 Any wave can be assigned to any channel of 1 to 6 Channel 2 note number of waves in Wave Format Channel 3 Channel 4 Channel 6 Channel 6 Screen Label Standard Surgeon Cardio vascular Swan Ganz Neuro Surgical Ventilator Perfusionist Induction Non invasive User Def Blank or any value typed in on the numeric keypad Number Of Waves 4 or 6 Waves Overlap 1 to 7 1 non overlap 2 waves 3 5 overlap 3 waves 3 6 overlap 4 waves 2 5 overlap 5 waves 2 6 overlap 5 waves 2 3 4 5 overlap 7 waves 3 4 5 6 overlap Application Window OxyCRG Split Screen CSA Display or None Wave Replace Enabled or Disabled Trace Mode Fixed or Moving Numerics Prompt Yes or No Realtime speeds 6 25 12 5 25 or 50 Each wave can be configured separately 1 It is recommended that you use Fixed Trace Mode for Flatscreen and XGA displays Universal Settings 41 Configuration Tables
38. often performed on the System This manual comes in 2 volumes Volume 1 Provides detailed reference information on the operation of the System Volume 2 Provides detailed reference information on the operation of Plug in Modules used with the System This guide provides a brief summary of the important service information on the System This manual provides information on the 21 Slave Display for the System M1117A Multi channel Thermal Array Recorder Service Manual M1032A VueLink Handbook RS232 Computer Interface Programming Guide Schematics Book Volume 1 M1092A 94A Displays and DC DC Converter Schematics Book Volume 2 Computer Module and HIF Devices Schematics Book Volume 3 Plug In Modules Schematics Book Volume 4 M1094B Display This manual provides service and support information for the Philips M1117A Multi channel Thermal Array Recorder This manual provides detailed installation configuration and service information specific to the M1032A VueLink device interface Module This guide provides information on the capabilities of the System s RS232 Computer Interface to allow the users Software Professionals at medical research clinics or industrial institutions and Biomedical Engineers to create applications on PC based systems Volume 1 of the Schematics Book provides schematic diagrams and parts lists to aid the component level servicing of the M1092A 14 Monochrom
39. recorder that will produce cardiac output wedge and ST measurement curve recordings To access the Procedure Recording information press gt Recordng Setup gt Procedur Recordng Item Name Factory Default User Default Values User Configuration Values Recorder Plug in 2 ch 4CH BS 1 4CH BS 2 Plug in 2Ch or CENTRAL x ch Note Recorder Labels Plug in 2ch 2 Channel Plug in Recorder M1116A B 4ch BS 1 or 4ch BS 2 4 Channel Bedside Recorder M1117A 2ch BS 2 Channel Bedside Recorder 78574 CENTRAL x ch Number of channels depends on the recorder connected to the Central Station Other Recording Configuration Settings To access other recording configuration settings press Recordng Setup Other Config Item Name die ad User Default Values User Configuration Record Key Preset Recordng Select or Preset Key Label Mode B Mode B or VS Blood NBP Start No Yes or No Rec Includes Vitals Vitals Blood or Both Blood Start No Yes or No Rec Includes Blood Vitals Blood or Both Timer Start No Yes or No Repeat Time 5 min 1 2 2 5 3 5 10 15 20 30 45 60 or 120 min Rec Includes Vitals Vitals Blood or Both 1 Repeat Time can only be configured if Start Rec On is set to Timer Parameter Settings 99 Configuration Tables Configurable Alarm Recordings Default Table To access the Configurable Alarm Recording information press
40. s for all except RESP and CO 6 25mm s 1 OxyCRG and CSA application windows can only be active for one Display at a time If it OxyCRG or CSA application windows are chosen for more than one display it will only appear on lower number display 2 If Wave Replace is enabled CMS will automatically assign measured waves to any empty channels Disable this feature if the display configuration should not be changed when measurements are not available 3 When Yes is selected for this item the reminder message Not all numerics displayed will appear at the top of the display screen if one or more of the parameter numerics are switched off Numeric On Off Press gt Display1l Setup Choose Screen gt Numeric On Off If you wish the new setting to be retained after a cold start has been performed press f 44 Universal Settings Table 10 NCMS Model 48 S User Configuration Configuration Tables see the Parameter Display Colors Table for color configuration ltem Name User Default Values User Configuration Realtime waves SCREEN A SCREEN B SCREEN C SCREEN D SCREEN E Channel 1 Channel 2 Channel 3 Channel 4 Channel 5 Channel 6 Channel 7 Channel 8 Any wave can be assigned to any channel of 1 to 8 note number of waves in Wave Format Screen Label Standard Surgeon Cardio vascular Swan Ganz Neuro Surgical
41. the Universal Set are independent of and unaffected by the selected Configuration Set The following are examples of some of the configurable settings within the Universal Set Display Alarm Manager Interfaces Configuration Features The display settings control the way the patient information is presented This includes the color and wave positioning speeds etc The Alarm Manager controls the way the alarms are handled both Latching or Non latching alarms alarms suspended alarms suspended for 3 minutes etc These settings control the way in which the interfaces are used for connection to a Serial Distribution Network SDN STRIP recorder RS232 and Analog Output on CMS and NCMS or Serial Distribution Network SDN STRIP recorder Analog Output and RS232 interface to the Omheda 7800 7810 7900 Anesthesia Machine Ventilators Printer or Personal Computer for the ACMS 17 Introduction Configuration Sets Global Switches NOTE Note Parameters There are four Configuration Sets which are used to store information at two levels The first level contains information about the patient category Neonate Pediatric or Adult and hospital environment type ICU OR collectively known as Global Switches The second level contains information about the measured parameters for example the alarm limits for various parameter values This part of the Configuration Set is used to store information about the pa
42. to 999 Hz 0 V Tblood TEMP 20 0 C 0 V 99 9 to 99 9 C 0 V DIFF TEMP 0 0 C 0 V 99 9 to 99 9 C 0 V ST 0 0mm 0V 99 9 to 99 9 mm 0 V VueLink2 0 0mm 0V 999 to 999 mm 0 V PERF 0 0V 99 9 to 99 9 mm 0 V 1 The actual unit depends on the selected montage and numeric 2 The actual unit depends on the selected VueLink driver and numeric Output Interfaces 109 Configuration Tables Table 34 ACMS Analog Outputs User Item Name Factory Default Values User Default Values Configuration ASSIGNMENTS Channel 1 ECG CH1 Absolute wave Parameters can be assigned as follows Channel 2 ECG CH2 Absolute wave Absolute Waves ECG Channel 3 PRESS 1 Absolute wave PRESS CO AG CO AG Channel 4 PRESS 2 Absolute wave Agent AG O Channel 45 PRESS 3 Absolute wave Scale Waves Any parameter Channel 6 PRESS 4 Absolute wave Numerics Any parameter Channel 7 CO Absolute wave Channel 8 PLETH Scale wave Absolute Waves GAIN adj ust with up and down arrow keys ECG 1 00 mV 1V 0 01 to 9 99 mV 1V PRESS COs AG CO AG Agent AG O 100 mmHg 1 V 1 to 999 mmHg 1V Absolute Waves OFFSET adjust with left and right arrow keys ECG 0 00 mV 0V 9 99 to 9 99 mV 0 V PRESS CO AG CO AG Agent AG O 0mmHg 0V 999 to 999 mmHg 0 V
43. 0 sec CSA Epoch B 30sec 2 4 10 30 60 120 sec CSA Epoch C 120sec 2 4 10 30 60 120 sec CSA Smoothing On On Off CSA on Display Frequency Scale 30 Hz 7 5 15 30 Hz CSA Epoch Epoch A Epoch A Epoch B Epoch C CSA on Printout CSA Epoch Epoch C Epoch A Epoch B Epoch C 1 If Show Gridlines is No 2 If Show Gridlines is Yes 3 Depends on interval chosen in Print out every Parameter Settings 89 Configuration Tables Configuring Electrode Montages Press the Montage Config softkey in the main EEG Configuration Task Window To change an electrode placement montage you must first press Select Montage or use the up and down arrow keys to select the montage you wish to modify You can now use Select Item and Change Content to change the selected item as usual Changing the Items in an Electrode Montage For each electrode columns EEG1 EEG1 EEG2 EEG2 you can select one of the following electrode positions Fp1 Fp2 F7 F3 FZ F4 F8 Al T3 C3 CZ C4 T4 A2 T5 P3 PZ P4 T6 O1 O2 The lead label is automatically generated and can be edited NOTE It is possible for channel 1 and channel 2 to have a common electrode position All other electrode positions MUST be different Name EEG1 EEG1 Labell EEG2 EEG2 Label2 Factory Default Values Mont A Fp1 T3 Fp1 T3 Fp2 T4 Fp2 T4 User Default Values Factory Default Value
44. 1 ECG Ch 1 ECG Ch 1 ECG Ch 1 Channel 2 PRESS 1 ECG Ch 2 ECG Ch 2 ECG Ch 2 PRESS 1 Channel 3 PRESS 2 PRESS 1 PRESS 1 PRESS 1 PRESS 2 Channel 4 PRESS 3 PRESS 2 PRESS 2 PRESS 2 PRESS 3 Channel 5 Pleth PRESS 3 PRESS 3 Pleth Pleth Channel 6 CO Pleth PRESS 3 CO CO Screen Label Standard Surgeon Surgeon Standard Standard Number Of Waves 6 waves 6 waves 6 waves 6 waves 6 waves Overlap 1 2 2 1 1 non overlap 3 5 overlap 3 5 overlap non overlap non overlap Application Window Split Split Split Split CSA Wave Replace Enabled Enabled Enabled Enabled Enabled Trace Mode Fixed Fixed Fixed Fixed Fixed Numerics Prompt Yes Yes Yes Yes Yes Realtime speeds 25mm s for all except RESP and CO 6 25mm s 1 OxyCRG and CSA application windows can only be active for one Display at a time If it OxyCRG or CSA application windows are chosen for more than one display it will only appear on lower number display 2 If Wave Replace is enabled CMS will automatically assign measured waves to any empty channels Disable this feature if the display configuration should not be changed when measurements are not available 3 When Yes is selected for this item the reminder message Not all numerics displayed will appear at the top of the display screen if one or more of the parameter numerics are switched off Numeric On Off Press gt Displayl Setup Choose Screen gt Press Numeric On Off If you wish the
45. 360 Alarm Limits 2 SYS DIA MEAN in mmHg Low Alarm Limit Adult 10 0 0 40 to 360 High Alarm Limit Adult 35 16 20 40 to 360 Low Alarm Limit Neo Ped 24 4 12 40 to 360 High Alarm Limit Neo Ped 60 4 26 40 to 360 Alarm Limits 3 SYS DIA MEAN in mmHg Low Alarm Limit Adult 6 4 0 40 to 360 High Alarm Limit Adult 14 6 10 40 to 360 Low Alarm Limit Neo Ped 2 4 0 40 to 360 High Alarm Limit Neo Ped 10 2 4 40 to 360 Alarm Limits 4 6 SYS DIA MEAN in mmHg Low Alarm Limit Adult 6 4 0 40 to 360 High Alarm Limit Adult 14 6 10 40 to 360 Low Alarm Limit Neo Ped 2 4 0 40 to 360 High Alarm Limit Neo Ped 10 2 4 40 to 360 Note Different user default ranges may be set for pressures 4 5 and 6 but all these pressures share the same set of Factory Defaults The Alarm Limits can be adjusted in the specified range in 2mmHg steps up to 30mmHg and in steps of 5mmHg over 30mmHg 76 Parameter Settings NBP Default Table Configuration Tables To access the NBP information press gt NBP Item Name Factory Default Values User Default Values User Configuration Mode Auto Adult Ped Manual Neo Auto or Manual Repetition in auto 15 mins ICU 1 2 2 5 3 5 10 15 20 mode 5 mins OR 30 45 60 or 120 mins Alarm Parameter Sys Sys Dia or Mean Pressure Units mmHg mmHg or kPa NBP Done Tone No ICU Yes or No Yes OR
46. 5kPa 20mmHg to 100mmHg 2 0kPa to 14kPa ETCO Low Limit 30mmHg 4 0 kPa 10mmHg to 95mmHg 1 0kPa to 13kPa Units Display Off On or Off 1 In steps of ImmHg 2 Range steps Ranges from 0 up to 19 rpm in steps of 1 rpm Ranges from 20 up to 150 rpm in steps of 5 rpm 3 In steps of 5sec 4 Up to 40mmHg in 2mmHg steps Over 40mmHg in 5mmHg steps Up to 5 0kPa in 0 2kPa steps Over 5 0kPa in 0 5kPa steps Parameter Settings 81 Configuration Tables tcpO tcpCO Default Table To access the tcpOy tcpCO information press tcpO27 tcpCo Note Patient Safety e If the item Heat Swichtoff is configured to No factory default the transducer will remain at operating temperature on the patient therefore avoiding interruption of ttpO tcpCO gt monitoring e If the item Site Timer Off is set to Allowed the user can disable the Site Timer so that the Change Site reminder message is not displayed If the monitored site is not changed the transducer will remain at operating temperature on the patient Indefinite transducer heating on the patient can cause skin irritation reddening or blistering For patient safety reasons ensure that Heat Switchoff and Site Timer Off are configured in accordance with the standard medical procedures of the hospital NOTE The tcpO tcpCO algorithm makes an adjustment to the measurement according to altitude An adjustment for a
47. Hg Neo Ped 6 10 18 30 60 120 180 240mmHg or Optimum 2 30mmHg 3 30mmHg 4 6 30mmHg Label 1 ABP P1 ABP ART Ao PAP CVP RAP LAP ICP UAP or UVP 2 PAP Any Label 3 CVP Any Label 4 6 P4 P6 Any Label Alarm Parameter 1 Systolic Systolic Diastolic or Mean 2 Diastolic Systolic Diastolic or Mean 3 Mean Systolic Diastolic or Mean 4 6 Mean Systolic Diastolic or Mean Respiration On On or Off Suppression Pressure Filter 12Hz 12Hz or 40Hz Display Mean On On or Off Pressure Units mmHg mmHg or kPa Units Display Off On or Off Artifact Suppr 60 sec Off 30 sec 60 sec 90 sec 1 For information regarding the Respiration Suppression algorithm refer to Appendix A in this manual 2 When Display Mean is configured to On only the mean pressure will be displayed Display Mean will override any label selected in Monitoring Mode even if the pressure signal is a pulsatile Display Mean can only be set to On for the following labels ICP LAP RAP CVP and UVP Parameter Settings 75 Configuration Tables Pressure Default Alarm Limits Item Name E Freee ere User Configuration Alarm Limits 1 SYS DIA MEAN in mmHg Low Alarm Limit Adult 90 50 70 40 to 360 High Alarm Limit Adult 160 90 110 40 to 360 Low Alarm Limit Neo Ped 55 20 35 40 to 360 High Alarm Limit Neo Ped 90 60 70 40 to
48. NOTE Note Universal Settings Configuration Tables Maintain Visual Alarms If Maintn VisualAl is set to Yes an alarm which has been silenced and then suspended will remain silent even if an instrument alarm is reactivated To ensure that an alarm continues to sound after it has been silenced and suspended you must set the item Maintn VisualAl to No Alarm Reminder If the alarm reminder is configured to On an active silenced alarm will be re announced for 6 seconds after the configured Alarm Reminder Time temporary acknowledgment If the alarm reminder is configured to Off an active silenced alarm will not be re announced indefinite acknowledgment If the alarm reminder is configured to Re Alarming an active silenced alarm will be re announced after the configured Alarm Reminder Time has passed The alarm tone will sound continuously until it is silenced by pressing the key 29 Configuration Tables Note 30 French language CMSs only If French Homologation behaviour is required all settings are configurable in Service mode under Global Switches If conforming to these standards the following alarm configurations must be selected e Prompt tone volume 60 to 255 in steps of 15 e Alarm suspend 3 Min for a SDN networked environment Infinite for a non SDN networked environment Ensure that the monitor s Alarm Reminder configuration corresponds to the monitor s environment
49. Philips CMS Patient Monitoring System Configuration Manual Anesthesia Neonatal Standard PHILIPS Part Number M1046 9322L Printed March 2003 Notice Warranty This document contains proprietary information which is protected by copyright All Rights Reserved Reproduction adaptation or translation without prior written permission is prohibited except as allowed under the copyright laws Philips Medical Systems Cardiac and Monitoring Systems 3000 Minuteman Road Andover MA 01810 1 800 934 7372 Publication number M1046 9322L Printed March 2003 The information contained in this document is subject to change without notice Philips Medical Systems makes no warranty of any kind with regard to this material including but not limited to the implied warranties or merchantability and fitness for a particular purpose Philips Medical Systems shall not be liable for errors contained herein or for incidental or consequential damages in connection with the furnishing performance or use of this material Philips Medical Systems assumes no responsibility for the use or reliability of its software on equipment that is not furnished by Philips Medical Systems 2002 Philips Medizin Systeme B blingen GmbH All rights are reserved Reproduction in whole or in part is prohibited without the prior written consent of the copyright holder Printing History New editions of this document will incorporate all materia
50. Range 0 to 95 rpm 0 to 145 rpm AWRR High Range 10 to 100 30 to 150 rpm rom AWRR Alarm Delay 20s 10s 1 This setting cannot be changed CO2 B Sign Off Sheets Signoff Sheets and Worksheets This appendix contains e Configuration Sign off Sheet e Drug Calculator Configuration Worksheet for configuring drugs for a specific unit These forms have been included for your convenience When the system has been configured and the User Configuration documented please give a completed copy of the Configuration Sign off Sheet to e The Nurse Manager or Biomed e Philips Implementation Planning Specialist e Philips Clinical Application Specialist If you will be configuring drugs using the Drug Calculator make photocopies of the worksheet before you start to document your new drug configuration The Drug Calculator Configuration Worksheet should be filled out by the clinical staff at the hospital Please use the Configuration Sign off Sheet to record who was responsible for your Drug Calculator Configuration and give a completed copy of the Worksheet and Sign off sheet to e The Nurse Manager or Biomed e Philips Implementation Planning Specialist e Philips Clinical Application Specialist Signoff Sheets and Worksheets 133 134 Date Hospital Address Unit Hospital Contact Customer Signature Title Philips Representative Signature Title Philips Clinical Application Specialist Philips Service Phi
51. Software Revision e Configuration Set e EEPROM Number e Language Code e Application Type OR ICU Adult Pedi Neo If the configuration settings are sent to a PC this header information is transmitted before the settings Configuration Printout 137 How to Print Configuration Data Note Note Note Configuration printouts can only be made while in the configuration Mode To start a configuration printout press Realtime Record To eject a page from the printer press Delayed Record To cancel a configuration printout request that is currently in progress press any key excluding Realtime Record and Delayed Record If a configuration printout request is currently in progress the Realtime Record and Delayed Record have no effect Configuration printout status is displayed by CMS using one of the following messages e Configuration printout in progress e Configuration printout done e Configuration printout cancelled Configuration printout cancelled is displayed if the configuration printout or transmission was cancelled manually Configuration printout cancelled is also displayed if communication with the device cannot be established Printing More than One Configuration Screen on a Page 138 When a configuration printout is started the appropriate data is sent to the printer but the page is not ejected from the printer unless the printout is too large for the page or it is manually ejected by pressing the Dela
52. Split Split Wave Replace Enabled Enabled Enabled Trace Mode Fixed Fixed Fixed Numerics Prompt Yes Yes Yes Realtime speeds 25mm s for all except RESP CO AG Oo AG CO AG Agent 6 25mm s 1 OxyCRG and CSA application windows can only be active for one Display at a time If it OxyCRG or CSA application windows are chosen for more than one display it will only appear on lower number display 2 If Wave Replace is enabled CMS will automatically assign measured waves to any empty channels Disable this feature if the display configuration should not be changed when measurements are not available 3 When Yes is selected for this item the reminder message Not all numerics displayed will appear at the top of the display screen if one or more of the parameter numerics are switched off Numeric On Off Press gt Display1 Setup Choose Screen gt Numeric On Off If you wish the new setting to be retained after a cold start has been performed press Universal Settings Configuration Tables Table 20 ACMS Model 88 S Second and Third Independent Display User Configuration see the Parameter Display Colors Table for color configuration Item Name User Default Values User Configuration Realtime waves SCREEN A SCREEN B SCREEN C SCREEN D SCREEN E Channel 1 Channel 2 Channel 3 Channel 4 Channel 5 Channel 6 Cha
53. Table 14 ACMS Model 76 S User Configuration Configuration Tables see the Parameter Display Colors Table for color configuration ltem Name User Default Values User Configuration Realtime waves SCREEN A SCREEN B SCREEN C SCREEN D SCREEN E Channel 1 Any wave can be assigned to any channel of 1 to 6 Channel 2 note number of waves in Wave Format Channel 3 Channel 4 Channel 5 Channel 6 Screen Label Standard Surgeon Cardio vascular Swan Ganz Neuro Surgical Ventilator Perfusionist Induction Non invasive User Def Blank or any value typed in on the numeric keypad Number Of Waves 4 or 6 Waves Overlap 1 to 7 1 non overlap 2 waves 3 5 overlap 3 waves 3 6 overlap 4 waves 2 5 overlap 5 waves 2 6 overlap 5 waves 2 3 4 5 overlap 7 waves 3 4 5 6 overlap Application Window OxyCRG Split Screen CSA Display or None Wave Replace Enabled or Disabled Trace Mode Fixed or Moving Numerics Prompt Yes or No Realtime speeds 6 25 12 5 25 or 50 Each wave can be configured separately 1 It is recommended that you use Fixed Trace Mode for Flatscreen and XGA displays Universal Settings 49 Configuration Tables Table 15 ACMS Model 88S Factory Defaults see the Parameter Display Colors Table for color configuration Item Name Factory Default Values Real
54. above the safety value for more than two seconds The safety values are given in the tables below Continuous Pressure occurs if for any reason a safety pressure value is maintained in the cuff for more than a safety period The safety values are given in the tables below These safety values affect the measurement range of each category The Adult category has the greatest range systolic 30 to 270 mmHg and the Neonate has the smallest systolic 30 to 130 mmHg Therefore you cannot use Neonate or Pediatric if the expected pressure values are outside the measurement range for that category The table below lists the measurement ranges for each patient category 127 128 Table 41 NBP measurement ranges in mmHg for differing patient categories Patient Category Measurement Range Adult Pedi Neo Systolic 30 to 270 30 to 180 30 to 130 Mean 20 to 255 20 to 160 20 to 120 Diastolic 10 to 245 10 to 150 10 to 100 Venous Puncture 20 to 120 20 to 80 20 to 50 Recommended Cuff Size Ato E Any Cuff 1to4 amp A Default Inflation Pressure 165 mmHg 125 mmHg 100 mmHg The table below lists the safety values for each patient category Table 42 NBP safety values for differing patient categories Patient Category Safety Values Adult Pedi Neo Continuous Pressure M1008A 15 mmHg 15 mmHg N A Continuous Pressure M1008B 15 mmHg 15 mmHg 5 mmHg for 120s for 120s
55. ample Configuration Worksheet Drug Change Procedures and Filing in the Worksheet Configuring Drugs 1 Enter the Drug Name The name can include up to 20 characters consisting of upper case letters A Z numbers periods slashes and dashes Other characters including lower case letters a z cannot be used To enter a slash press the divide key on the keypad To enter a dash press the minus key on the keypad Circle the Unknown Value that is the calculation result at the right of the form The choices are Dose Rate Amount or Volume If the item selected for the unknown value requires units enter them also The units for rate and volume are fixed at ml hr and ml respectively but you can select units for dose refer to the Dose Units table and amount refer to the Amount Units table For example if you want to calculate the rate of the pump choose Rate as the unknown If instead the drug will be used with a fixed rate of infusion you may wish to select Amount as the unknown 117 Drug Calculator Configuration 118 Table 35 Dose Units ng min nanograms per minute ng kg min nanograms per kilogram per minute ng hr nanograms per hour ng kg hr nanograms per kilogram per hour mcg min micrograms per minute mcg kg min micrograms per kilograms per minute mcg hr micrograms per hour mcg kg hr micrograms per
56. and CSA application windows can only be active for one Display at a time If it OxyCRG or CSA application windows are chosen for more than one display it will only appear on lower number display 2 If Wave Replace is enabled CMS will automatically assign measured waves to any empty channels Disable this feature if the display configuration should not be changed when measurements are not available 3 When Yes is selected for this item the reminder message Not all numerics displayed will appear at the top of the display screen if one or more of the parameter numerics are switched off Numeric On Off Press Display1 Setup Choose Screen gt Numeric On Off If you wish the new setting to be retained after a cold start has been performed press i Universal Settings Configuration Tables Table 18 ACMS Model 76 S Second and Third Independent Display User Configuration see the Parameter Display Colors Table for color configuration ltem Name User Default Values User Configuration Realtime waves SCREEN A SCREEN B SCREEN C SCREEN D SCREEN E Channel 1 Any wave can be assigned to any channel of 1 to 6 Channel 2 note number of waves in Wave Format Channel 3 Channel 4 Channel 5 Channel 6 Screen Label Standard Surgeon Cardio vascular Swan Ganz Neuro Surgical Ventilator Perf
57. and the message Config mode active NO MONITORING appears at the top of the screen Entering and Leaving Configuration Mode 23 Procedures Changing the Configuration Set This procedure is used to change the active Configuration Set NOTE This procedure can also be performed in Monitoring Mode Step Action Comment 1 Press This displays the Monitor Setup or Instrument Configuration Selection Window Press Config Sets This displays the Configuration Set Task Window with the current Active Configuration Set and its Global Switches Select the required configuration set Use the arrow keys or press Change ConfSet The Global Switches for the highlighted Configuration Set are displayed for example Adult OR Press To switch to the highlighted Configuration Set The system now performs a cold start and the chosen Configuration Set is made Active After you have selected the new Configuration Set you can configure the various items of the Set in Configuration Mode 24 Changing the Configuration Set Procedures Changing Values Once you have entered Configuration Mode and made active the Configuration Set you wish to alter then you can make changes to the values within the active set Changes to the active set can be made on two levels Global Switches Parameters Change Procedure This part of the Configuration Set is used to store
58. c 3 O TV MV PMax Pplat Pmin sIE 1 O RRaw or lt Off gt Numeric 4 MV TV MV PMax Pplat Pmin sIE 1 O RRaw or lt Off gt Numeric 5 Pmax TV MV PMax Pplat Pmin sIE 1 O RRaw or lt Off gt Numeric 6 Pplat TV MV PMax Pplat Pmin sIE 1 O RRaw or lt Off gt Numeric 7 Pmin TV MV PMax Pplat Pmin sIE 1 O RRaw or lt Off gt Numeric 8 sIE 1 TV MV PMax Pplat Pmin sIE 1 O RRaw or lt Off gt Numeric 9 lt Off gt TV MV PMax Pplat Pmin sIE 1 O RRaw or lt Off gt Parameter Settings 85 Configuration Tables 7900 Ohmeda Ventilator Configuration Values cktO sTV sRRaw SI E 1 sPEEP sPin sPmax COMP or lt Off gt Factory Item Name Default User Default Values User Configuration Values Wave 1 Paw Paw AWF or AWV lt Off gt Wave 2 AWF Paw AWF AWV or lt Off gt Units Display Off Off or On Numeric 1 TV TV RRaw MV Pmax Pmin Pplat Pmean cktO sTV sRRaw SI E 1 sPEEP sPin sPmax COMP or lt Off gt Numeric 2 MV TV RRaw MV Pmax Pmin Pplat Pmean cktO s sTV sRRaw SI E 1 sSPEEP sPin sPmax COMP or lt Off gt Numeric 3 RRaw TV RRaw MV Pmax Pmin Pplat Pmean cktO sTV sRRaw SI E 1 sPEEP sPin sPmax COMP or lt Off gt Numeric 4 Pmax TV RRaw MV Pmax Pmin Pplat Pmean cktO sTV sRRaw SI E 1 sSPEEP sPin sPmax COMP or lt Off gt Numeric
59. c or Neonate patient categories Recommendations If pace pulses are counted as HR pulses e Derive the cardiac rate from pulse e Look for a lead on channel 1 where the pace pulse amplitude is as low as possible NOTE If the pace pulse amplitude is not zero the cardiotach may count beats even if there is cardiac arrest 130 ECG Heart Rate HR Pulse Adult Pedi Neo bpm bpm Cardiotach Range 15 to 300 15 to 350 HR Alarm Limit Range 15 to 250 15 to 300 Pleth Pressure Pulse Alarm Limit 30 to 250 30 to 300 Range Specific HR Alarm Limit Ranges for French standards 30 to 250 bpm Adult 30 to 300bpm Pedi Neo Expected range can be estimated by doing a manual pulse count Resp Adult Pedi Neo rpm rpm Respirotach Range 0 to 120 0 to 180 Low Alarm Limit Range 0 to 95 0 to 145 High Alarm Limit Range 10 to 100 30 to 150 In general use Pediatric if rates below 50 rpm are expected use Neo if expected rate is above 100 Respiration Suppression Algorithm The Respiration Suppression Algorithm is designed to reduce respiration induced variation in Pulmonary Artery pressure A description of this algorithm is provided in the Application Note An Algorithm for Reduction of Respiration Artifact in Pulmonary Artery Pressure Measurements part number 5953 7352 Resp 131 CO 132 Adult Pedi Neo AWRR Low
60. ct of adjusting Dose or Rate without re entering the calculator The table provides a display or report of a range of either Rate varying Dose or Dose varying Rate a Circle the table orientation that meets your needs For example a choice of Calculate Rate Varying Dose will provide a table where a range of doses is given as input and the calculated rate for each dose will be provided as output b Enter the high and low ends of the range and the increment of the Varying parameter For example a table might range from 100 mcg kg min to 500 mcg kg min in increments of 10 mcg kg min The units are implied by those chosen in the Dose field The number of entries in the titration table depends on the range and increment Up to 30 values will fit on one display and 120 values on one report page 119 Drug Calculator Configuration Standard Drug Configuration Table 37 Standard Drug Configuration Drug Name ltem Name Aminophylline Amrinone Lactate Bretylium Dobutamine Dopamine Unknown Rate Rate Rate Rate Rate Unknown Units not applicable not applicable not applicable not applicable not applicable Starting Dose 0 5 2 0 2 0 2 5 2 0 Dose Units mg kg hr mcg kg min mg min mcg kg min mcg kg min Starting Rate not applicable not applicable not applicable not applicable not applicable Starting Amount 500 250 2 250 400 Amount
61. e 70 Parameter Settings ECG Default Table Configuration Tables To access the ECG information press gt ECG Table 29 ECG Defaults without EASI 12 Lead Option ltem Name Factory Default Values User Default Values User Configuration Active ECG Channels Ch1 8 Ch2 Adult Ch1 Chi 8 Ch2 or Ch1 Neo Ped Ch1 to Ch3 Lead on Channel1 II Any Lead on Channel2 V Any Bandwidth Ch1 Monitor ICU Filter Diag or Filter OR Monitor Bandwidth Ch21 Monitor ICU Filter Diag or Filter OR Monitor Bandwidth Ch31 Monitor ICU Filter Diag or Filter OR Monitor ECG Trigger Mode Auto Auto or Manual Fallback Mode On On or Off Auto Filter Off ICU On or Off On OR Auto Gain Mode AutoAdj AutoAdj AutoSize Gain x1 Gain x2 Paced Mode Off On or Off 1 During ST Segment monitoring the CMS automatically adjusts the low end of the bandwidth to 0 05 Hz There is no change to the high end of the bandwidth 2 Fallback for ECG Leads if Fallback is On and ECG Channel One goes into INOP for more than 10 seconds the second ECG lead becomes Channel One for the Heart Rate detection 3 Automatic switch to Filter Bandwidth as long as ESU ongoing 4 AutoAdj Automatic gain offset adjust AutoSize Only wave amplitude adjusted automatically No offset adjust AC coupling Gain x1 Amplitude set at Gain x1 No offset adjust AC coupling Gain x2 Amplitude set at Gain x2
62. e Display the M1094A 14 Color Display and the DC DC Converter of the System Volume 2 of the Schematics Book provides schematic information and parts lists for the function cards in the Computer Module and Human Interface Devices of the System Volume 3 of the Schematics Book provides schematic information and parts lists for the Plug in Modules of the System Volume 4 of the Schematics Book provides schematic diagrams and parts lists to aid the component level servicing of the M1094B 14 Color Display M2003A Patient Data Server Service and Installation Guide M3640A Central Data Station Service and Installation Guide This guide provides detailed Installation and Service Information for the Blood Analysis Interface which is used to transmit Blood Analysis information from the CMS to a Central Data Station This guide provides detailed Installation and Service Information for the Central Data Station which can be used to collect and store Blood Analysis information Contents Le Introduction EA a dE 15 Configuration Overview a ta aye eg ia 15 What is Configuration Mode rss ca das 15 Why Configure ia orth lute A A kaha a 15 How Best to Configure estad Sos Gece a ds chee ead wR aa hoe das eek 15 Contiguration Features dto e aoe hE es GARR EE E o deme e sete s 16 Temporary and Permanent Configuration 0 00 cee eee eee eee 16 Temporary Configuration Changes 2 0 c cece eee eee ee
63. e eee 16 Permanent Configuration Changes 0 0 cece eee ences 16 Unersal Seba as 17 Configuration pels sd is it ee ee Seg 18 Global Switches o eta d nay Ses Sele Sag Se Ngee cat tee Mee 2 nD a 18 PAPAMOLCTS 222560 a a lene se eee l tages eevee S eS e tees 18 Configuration in Monitoring and Service Modes 1 eee ee 19 Printing the Configuration cui A YR AA aa ah 19 2 Procedures AAA UES PSOE EEO EEE RECIEVE 21 COV OR VIO A AU Rae hd whe Modes Bhs Bike item a We ede U Aces nana Gy ER wae 21 Entering and Leaving Configuration Mode ok cece nee 23 Changing the Configuration Set 2 2 0 024 bse sia e bee ee ead Sees e wee eee een es 24 Ch nging Y ales inesi nitanna oan ere Ae eh andi a Wa oa RS ee oh ee eo Hb aa 25 Change Procedure crese eene SI ee ae eh ag vores tae ha eh eues 25 3 Configuration Tables lt 5 56 6 6 60 NG OF 8a OOS as OFS ea coe Ba ie 27 Overview A a ors a Me gh MND aM O A hated tad nats 27 Universal Settings 3 lt uepon Wiad tan Bose E daa ra da ia 28 Alarms Configuration Default Table 0 0 0 0 eee eee eee 28 Alarms On Off Default Table 0 ccc ccc ee ee cence eee neens 31 Other Patients Overview Default Table 0 0 0 0 eee eee eee ee 32 Display Default Tables dde dal ce hi 35 Patient Data Management Default Tables 0 0 0 cece eee 57 Printer Setting Configuration 2 5 64 0464 sees eh a SG es 58 Neonatal Event Review Default Table
64. e reference range and passes this information to other system components 2 Selects whether Units Ranges or nothing appears as default next to the measurement values in the Results window 3 If Enabled is selected a warning will appear on the CMS when the connection to the Blood Analysis Inter face is interrupted If Auto is selected the Setup Window automatically appears when a cartridge is inserted If Last is selected the Setup screen starts with the settings made from the last setup change If Cleared is selected the Setup screen starts with these settings blank If O Input is Disabled O selection does not appear in the Setup screen SANS If Patient ID is Optional the user can leave it empty without consequences If Requestd is selected the user will be asked for a Patient ID but can continue by pressing If Required is selected the User must enter a Patient ID in order to view and transmit the results 9 If Operator ID is Disabled the Select Oper ID key does not appear in the Setup screen If Requestd is selected the user will be asked for an Operator ID but can continue by pressing Tf Required is selected the User must enter an Operator ID in order to view and transmit the results 10 When an Operator ID is left blank there will be no entry in the selection screen for this ID number Setting all IDs to blank will mean that there are no entries in the
65. ee eee we Gels ee pees eG des 132 B Sign Off Sheets lt ocase ss na bn ww a SNS SD Le li 133 signoff Sheets and Worksheets 4 0 544 iii id denne hs 133 C Printout of Configuration Information ooooooooo ooo oo o o 137 Configuration Printouts das siseses tene oe ld ae ee eee A tak 137 How to Print Configuration Data o ooooccocoocccocncocrcncr eee 138 Printing More than One Configuration Screen on a Page 2 138 Contents 13 Contents 1 Introduction Configuration Overview What is Configuration Mode Configuration can be thought of as sets of instructions which inform the CMS about how you want it to work when it is switched on Configuration Mode is the operating environment in which you define these sets of instructions WARNING The Configuration Mode does not support patient monitoring when the system is attached to a patient it must be in the Monitoring Mode Why Configure Configuration of the CMS may be required to suit different hospital environments ICU OR and patient characteristics Adult Neonate or Pediatric The grouping of a hospital environment and patient characteristic is known as a Configuration Set The CMS is pre configured on installation These pre configured settings are known as the Factory Default Values The pre configured factory default values in any of the Configuration Sets can be changed according to your specific application needs How Be
66. equired Mode for Feature configuration Refer to Parameter Settings Service Mode Service Manual Vol 2 Transfer Analog Output Monitoring Model Reference Manual Vol 1 For configuration details on the System s VueLink Module refer to Philips M1032A VueLink Module Handbook Printing the Configuration Please refer to Appendix C for details of how printouts of screens of information can be printed Configuration Features 19 Introduction 20 Configuration Features 2 Procedures Overview This chapter describes how to change operating modes and how to make and save changes in Configuration Mode NOTE The configuration of the System requires the use of a password This is to prevent the configuration being altered either accidentally or by unauthorized personnel Change Operating Mode to Configuration Mode Modify the Universal Settings i e Display Layout Patient Data etc E Select the Configuration Set that you want to configure If required modify Patient Category and Unit Type Where required modify Parameter defaults according to your needs Modify another Configuration Set Yes No Y To resume monitoring change to Monitoring Mode Figure 1 Configuration Procedure Flow diagram Overview 91 Procedures NOTE 22 If the power fails during configuration check all the items you have configured to confirm they have been saved
67. ettings are highlighted in a note accompanying the appropriate table Alarms Configuration Default Table To access the Alarm information press Alarms Volume Alarms Config Factory User Item Name Default User Default Values Configuration Values QRS tone volume 45 15 to 255 in steps of 15 or 0 to 255 Alarm tone vol 120 15 to 255 in steps of 15 or 0 to 2552 Prompt tone vol 60 0 to 255 in steps of 15 Alarm Suspend Infinite 1 2 3 mins or Infinite Visual amp Audible Latched Latched Nonlatched VisL AudNL3 Alarm Reminder On On Off or Re Alarming see note below Relay sensitive RedYellow Red RedYell RedYell Inop Red Inop QRS type QRS Tone QRS Tick or QRS Tone Lowend QRS tone Inaudible Audible or Inaudible Lowend Al tone Audible 15 Audible 15 or Inaudible 0 Range 0 255 Maintn VisualAl No Yes or No see Maintain Visual Alarms note below Reminder Time 3 mins 2 or 3 mins see Alarm Reminder note below 1 Dependent on selection of item Lowend QRS tone 2 Dependent on selection of item Lowend AL tone 3 Visual alarms are latched audible alarms nonlatched Central Station acts on visual alarm setting only 4 If Maintn VisualAl is set to Yes all numerics for the active alarming parameters or latched alarms will continue to blink even if alarms are suspended or the individual parameter alarm is switched off 28 Universal Settings
68. guration The information in this chapter introduces the Philips standard drug configuration and will help you determine the drug configuration for your CMS The following topics are covered in this chapter e Description of the drug calculator e Worksheet for configuring drugs for a specific unit This should be filled out by the clinical staff at the hospital e Directions for filling out the worksheet with examples e Default drug configuration provided by Philips Please use the Configuration Sign off Sheet Appendix B to record who was responsible for your Drug Calculator Configuration Drug Calculator Features Overview The CMS supports a unique configuration of up to 24 drugs Each drug can have its own e Normal values e Unknown result to be calculated e Titration table range A list of the Standard Drug Configuration provided by Philips can be found on page 120 You can modify the standard configuration of these drugs or enter your own selection of drugs 115 Drug Calculator Configuration Configuring Drugs Note e The Handheld Keypad is required for Drug Calculator configuration e Drug Calculator configuration is accessed in Configuration Mode through Trends Calcs gt Drug Calc From here the configuration of existing drugs can be modified deleted and new drugs added Your Philips Representative will enter the drug configuration during system installation e When a standard drug i
69. guration Set 4 is for pediatric Intensive Care Unit application Before beginning to monitor a new patient the user should determine whether the current Patient Category Adult Pediatric or Neonate meets the needs of the patient In most cases the choice of category is determined by the patient s size and age although there may be cases where a category chosen on this basis is not appropriate 125 Changing the Patient Category NOTE 126 The patient category can be changed within a Configuration Set during normal monitoring All the parameter settings and patient data management information is kept if the patient category is changed without changing Configuration Set In Monitoring Mode the key pressing sequence is as follows gt Adult Pedi Neo Change PatCateg Depending on the patient category the System processes patient signals using different algorithms Value ranges and alarm limit ranges can be different for each patient category If the new alarm limits are no longer within range after you change patient category the limits are adjusted to the closest possible values within the new range The table below outlines the differences between the patient categories for the affected parameters Patient Category Parameter What is different Adult Pedi Neo NBP Safety Values Adult Pedi Neo ECG Algorithm Adult Neo Neo HR PULSE Ranges Adult Neo Neo RESP Algorithm Ranges Adult Adult Neo Inv Pressure
70. h category to choose for ECG monitoring is the action of the cardiotach which uses the QRS to count the heart rate Three factors can potentially cause the cardiotach to calculate an incorrect heart rate e Morphology of the ECG e Signal being too weak e Paced patients The following paragraphs describe the three causes and the recommended actions to deal with them 129 Morphology of the ECG The CMS implements two different signal processing paths with the ECG algorithm to allow for changes in the morphology of ECG Recommendation Choose the category according to the QRS morphology rather than the patient s age Use the ADULT patient category if the duration of the QRS base is 50 to 70 ms use Neonate Pediatric if the duration is less than 50 ms Weak ECG Signal The signal may be weak due to the patient s constitution the electrode placement or other factors A 1 mV calibration bar at the left side of the ECG channel enables you to estimate the quality of the signal Recommendation Use the strongest signal on channel 1 and compare the QRS amplitude with the 1 mV bar the height should be at least half of that size If not change the lead or try a different electrode placement Paced Patients With CMS Release D and later releases and all releases of CMS and NCMS pace pulse rejection is available for all patients categories CMS s with Release C or earlier pace pulse rejection is not available for the Pediatri
71. he table lists all existing features Availability depends upon the model or option selected 32 Universal Settings Universal Settings Configuration Tables ltem Name Factory Default Values User Default Values User Configuration Broadcast Parameter Press gt Broadcst Param Priority 1 ECG ECG Priority 2 PRESS 1 Do not alter this setting Priority 3 PRESS 2 Do not alter this setting Priority 4 PRESS 3 Do not alter this setting Priority 5 PRESS 4 Do not alter this setting Priority 6 RESP Do not alter this setting Priority 7 PLETH Any Parameter Priority 8 PULSE Any Parameter Priority 9 SpO gt Any Parameter Priority 10 NBP Any Parameter Priority 11 C O Any Parameter Priority 12 CCO Any Parameter Priority 13 TEMP 1 Any Parameter Priority 14 TEMP 2 Any Parameter Priority 15 DIFF 1 Any Parameter Priority 16 CO Any Parameter Priority 17 AirwyCO gt Any Parameter Priority 18 SvO Any Parameter Priority 19 FIO gt Any Parameter Priority 20 ST Any Parameter Priority 21 PAWP Any Parameter Priority 22 CPP Any Parameter Priority 23 PRESS 5 Any Parameter Priority 24 PRESS 6 Any Parameter Priority 25 VueLink B Any Parameter Priority 26 VueLink B Any Parameter Priority 27 VueLink B Any Parameter Priority 28 Ventlf Any Parameter Priority 28 VueLink A Any Parameter Priorit
72. heet for recording who was responsible for making any configuration changes and a drug calculator worksheet to document the hospital unit s specific drug configuration This appendix describes how to print screens from the configuration Notation Used The following symbols are used in this manual in This Manual Represents the keys on the monitor s Control Panel or Handheld Keypad Softkey Represents the keys in the Task Window Related Documents Service Guide Concepts Guide Site Preparation and Installation manual User s Guide User s Reference Manual Quick Reference Service Guide M1234B 21 Slave Display Installation amp Service Manual This manual is a combined reference guide and self paced course featuring 7 chapters on how to test troubleshoot and repair the instrument The manual is intended for hospital Biomedical Engineers and Technicians Philips Customer Engineers Response Center Engineers and Installation Planning Specialists This manual provides a conceptual foundation for the monitoring systems in order to support effective troubleshooting and repair The manual is intended for all hospital Biomedical Engineers and Technicians responsible for troubleshooting repairing and maintaining Philips patient monitoring systems This manual contains the information required for site planning and installation of the System This guide provides operating procedures for the tasks most
73. ign a parameter to the selected position within the graph group Table 26 Graph Groups Item Name Factory Default Values User Default Values User Configuration Graph Group 1 1 2 3 4 or5 Position 1 1 2 0r3 Parameter Group 1 HR ABP PAP any parameter Group 2 HR ABP CVP Group 3 HR ABP Events Group 4 HR PAP C O Group 5 HR NBP RESP Suffix S D M M2 or H L AS S D M S D S D M H L A H L H Lor A 1 S D M default for the following labels ABP PAP IUP ART Ao UAP NBP P Pg 2 M default for the following labels CVP LAP ICP RAP UVP 3 H L A default for label LI Light Intensity of SvO3 Universal Settings 61 Configuration Tables To access the Reports Content information press Reports Content Table 27 Reports Content ltem Name Factory Default Values User Default Values User Configuration Report Item 1 1 2 3 4 or5 Report Type Report 1 Vitals Report 2 Calc Report 3 Graph Report 4 Blank Report 5 Blank Vitals Graph Calc Blood Blank Report Duration Report 1 8 hrs Report 2 8 hrs Report 3 8 hrs 24 48 hr database 1 2 8 16 24 hrs 4 9 hr database 1 2 8 16 hrs for Table Calc reports and 1 4 hrs for Graphs reports Contents Report 1 1 hr intervals Report 2 Hemo Report 3 Group 1 Table 1 5 15 min and 1 2 3 hr intervals Graphs Group 1 5 Calc Hemo Oxy Vent
74. iguration Tables Table 4 CMS Model 64 S User Configuration see the Parameter Display Colors Table for color configuration Item Name Pene Sian User Configuration Values Realtime waves SCREEN A SCREEN B SCREEN C SCREEN D SCREEN E Channel 1 Any wave can be assigned to any channel of 1 to 4 Channel 2 note number of waves in Wave Format Channel 3 Channel 4 Screen Label Standard Surgeon Cardio vascular Swan Ganz Neuro Surgical Ventilator Perfusionist Induction Non invasive User Def Blank or any value typed in on the numeric keypad Number Of Waves 4 Waves Overlap 1 to 4 1 non overlap 2 waves 2 3 overlap 3 waves 3 4 overlap 4 waves 2 4 overlap Application Window OxyCRG Split Screen CSA Display or None Wave Replace Enabled or Disabled Trace Mode Fixed or Moving Numerics Prompt Yes or No Realtime speeds 6 25 12 5 25 or 50 Each wave can be configured separately 1 It is recommended that you use Fixed Trace Mode for Flatscreen and XGA displays Universal Settings 39 Configuration Tables Table 5 40 CMS Model 56 S Factory Defaults see the Parameter Display Colors Table for color configuration Item Name Factory Default Values Realtime waves SCREEN A SCREEN B SCREEN C SCREEN D SCREEN E Channel 1 ECG Ch 1 ECG Ch
75. in the Broadcast Parameter configuration Task Window press Show Broadest key to enter the Show Broadcast Task Window Universal Settings Configuration Tables Display Default Tables NOTE The following tables give the factory default values and the values that can be selected as user defaults for the display Separate tables are provided for the following Models of the CMS and NCMS e Model 44 S e Model 64 S e Model 56 S e Model 68 S e Model 48 S and the following models of the ACMS e Model 76 S e Model 84 S e Model 88 S This is followed by the Parameter Display Colors table dedicated to the colors available for waves on CMS Models 64 S 68 S 48 S and for the ACMS Model 88 S The display values are independent of and unaffected by the chosen Configuration Set Color assignment is determined by the individual parameter and can therefore not be configured for an independent display See the Parameter Display Colors table for possible color configurations All other User Default Values can be configured for an independent display Universal Settings To make changes to the Display Setup press Displayl Setup To make changes to the Independent Display Setup if available press gt Display2 Setup Or Display3 Setup To access a different Screen for example Screen A B C D or E press Displayl Setup Choose Screen 35 Configuration Tables Table 1 36
76. inder message Not all numerics displayed will appear at the top of the display screen if one or more of the parameter numerics are switched off Numeric On Off Press gt Display1 Setup Choose Screen gt Numeric On Off 50 Universal Settings Configuration Tables If you wish the new setting to be retained after a cold start has been performed press Confirm Table 16 ACMS Model 88S User Configuration see the Parameter Display Colors Table for color configuration Item Name User Default Values User Configuration Realtime waves SCREENA SCREEN B SCREEN C SCREEN D SCREEN E Channel 1 Channel 2 Channel 3 Channel 4 Channel 5 Channel 6 Channel 7 Channel 8 Any wave can be assigned to any channel of 1 to 8 note number of waves in Wave Format Screen Label Standard Surgeon Cardio vascular Swan Ganz Neuro Surgical Ventilator Perfusionist Induction Non invasive User Def Blank or any value typed in on the numeric keypad Number Of Waves 4 6 or 8 Waves Overlap 1 to 8 1 non overlap 2 waves 3 6 overlap 3 waves 3 8 overlap 4 waves 2 7 overlap 5 waves 4 7 overlap 5 waves 3 5 6 8 overlap 7 waves 2 4 5 7 overlap 8 waves 3 4 5 6 overlap Application Window OxyCRG Split Screen CSA Display or None Wave Replace Enabled or Disabled
77. ined after a cold start has been performed press Universal Settings Configuration Tables Table 2 CMS Model 44 S User Configuration see the Parameter Display Colors Table for color configuration Item Name Pene Sian User Configuration Values Realtime waves SCREEN A SCREEN B SCREEN C SCREEN D SCREEN E Channel 1 Any wave can be assigned to any channel of 1 to 4 Channel 2 note number of waves in Wave Format Channel 3 Channel 4 Screen Label Standard Surgeon Cardio vascular Swan Ganz Neuro Surgical Ventilator Perfusionist Induction Non invasive User Def Blank or any value typed in on the numeric keypad Number Of Waves 4 Waves Overlap 1 to 4 1 non overlap 2 waves 2 3 overlap 3 waves 3 4 overlap 4 waves 2 4 overlap Application Window OxyCRG Split Screen CSA Display or None Wave Replace Enabled or Disabled Trace Mode Fixed or Moving Numerics Prompt Yes or No Realtime speeds 6 25 12 5 25 or 50 Each wave can be configured separately 1 It is recommended that you use Fixed Trace Mode for Flatscreen and XGA displays Universal Settings 37 Configuration Tables Table 3 CMS Model 64 S Factory Defaults see the Parameter Display Colors Table for color configuration Item Name Factory Default Values Realtime waves
78. item only applies for the ACMS or if the selected Unit Type Configuration Set is OR NOTE Printer Setting Configuration 58 On the ACMS the hospital name can be entered as patient data by pressing Hospital Name A maximum of 38 characters can be entered using the Handheld Keypad Philips M1106C When selecting the correct configuration for item Printer Setting Universal Settings Configuration Tables Roman 8 or ISO the following User Default Value must be chosen depending on the configuration of item Printer Locale Local or Central Table 23 Printer Setting Configuration Lanauaaes Printer Locale set to Printer Locale set to guag Local Central German D Roman 8 See figure below Swedish S Roman 8 See figure below Norwegian N Roman 8 See figure below Spanish E Roman 8 See figure below Danish DK Roman 8 See figure below Finnish SF Roman 8 See figure below Other languages Roman 8 Roman 8 Is a Deskjet 600 Printer locale central gt lt connected independent Setting Roman 8 of Central Station Language Yes there any 78XXX D S N E DK g monitors connected Setting 189 to the SDN 9 pra network No Setting Roman 8 Is an arrhythmia Yes computer present Setting ISO at the central station Setting Roman 8 prntcont tif If the CMS i
79. just AutoSize Only wave amplitude adjusted automatically No offset adjust AC coupling Gain x1 Amplitude set at Gain x1 No offset adjust AC coupling Gain x2 Amplitude set at Gain x2 No offset adjust AC coupling Refer to the ECG RESP Chapter in Volume 2 of the User s Reference Manual 4 In half hour steps 72 Parameter Settings Respiration Default Table Module Setup gt Resp To access the Respiration information press Configuration Tables Item Name Factory Default User Default Values User Values Configuration Trigger Mode Auto Auto or Manual Apnea Time 20 sec Between 10s 40s in steps of 5s RESP Low Limit 8 rpm Adult P edi Between 0 rpm amp 95 rpm Adult P edi 30 rpm Neo Between 0 rpm 145rpm Neo RESP High Limit 30 rpm Adult P edi Between 10 rpm amp 100 rpm Adult P edi 100 rpm Neo Between 30 rpm 150 rpm Neo Units Display Off On or Off Resp at Startup On On or Off 1 Range steps Ranges from 0 up to 19 rpm in steps of 1 rpm Ranges from 20 up to 150 rpm in steps of 5 rpm Parameter Settings 73 Configuration Tables ST Default Table To access the ST information press Monitoring Procedures gt ST Analysis Item Name Factory Default User Default Values User Configuration Values ST Monitoring ST1 ST2 Off ST1 ST1 ST2 or ST1 ST3 ST Low Alarm Limit all
80. kilogram per hour mg min milligrams per minute mg kg min milligrams per kilograms per minute mg hr milligrams per hour mg kg hr milligrams per kilogram per hour g min grams per minute g kg min grams per kilograms per minute g hr grams per hour g kg hr grams per kilogram per hour mU min milliUnits per minute mU kg min milliUnits per kilograms per minute mU hr milliUnits per hour mU kg hr milliUnits per kilogram per hour U min Units per minute U kg min Units per kilograms per minute U hr Units per hour U kg hr Units per kilogram per hour Table 36 Amount Units ng nanograms mcg micrograms mg milligrams g grams mU milliUnits U Units Configuring Drugs Configuring Drugs Drug Calculator Configuration 3 Enter the starting value for each of the three Known Values that is the values that will appear when the calculator is first called up for a particular drug If units are required you can select from the dose units and amount units tables above The known values will be listed when the drug is first displayed We recommend you choose values typically encountered for this drug in the your patient environment Any changes made either in Value or Unknown will be displayed the next time the drug is selected Once a patient is discharged the values will return to the config ured set Complete the Titration Table setup The titration table enables you to determine the effe
81. l Standard Surgeon Blank Number Of Waves 4 waves 4 waves 4 waves Overlap 1 2 2 non overlap 3 5 overlap 2 3 overlap Application Window Split Split Split Wave Replace2 Enabled Enabled Enabled Trace Mode Fixed Fixed Fixed Numerics Prompt Yes Yes Yes Realtime speeds 25mm s for all except RESP CO AG Oo AG CO AG Agent 6 25mm s 1 OxyCRG and CSA application windows can only be active for one Display at a time If it OxyCRG or CSA application windows are chosen for more than one display it will only appear on lower number display 2 If Wave Replace is enabled CMS will automatically assign measured waves to any empty channels Disable this feature if the display configuration should not be changed when measurements are not available 3 When Yes is selected for this item the reminder message Not all numerics displayed will appear at the top of the display screen if one or more of the parameter numerics are switched off Numeric On Off Press gt Displayl Setup gt Choose Screen gt Numeric On Off If you wish the new setting to be retained after a cold start has been performed press Confirm 46 Universal Settings Table 12 ACMS Model 84 S User Configuration Configuration Tables see the Parameter Display Colors Table for color configuration ltem Name User Default Values User Configuration Realtime waves
82. l updated since the previous edition Update packages may be issued between editions and contain replacement and additional pages to be merged by a revision date at the bottom of the page Note that pages which are rearranged due to changes on a previous page are not considered revised The documentation printing date and part number indicate its current edition The printing date changes when a new edition is printed Minor corrections and updates which are incorporated at reprint do not cause the date to change The document part number changes when extensive technical changes are incorporated Printing History Overview Manual Part Edition Print Date CMS and NCMS Edition 1 Dec 1988 Edition 2 May 1989 Edition 3 Feb 1990 Edition 4 Oct 1990 Edition 4 Revision 1 Oct 1991 Edition 5 Dec 1992 Edition 5 Revision 1 Feb 1993 Edition 5 Revision 2 Aug 1993 Edition 6 Jul 1994 Edition 7 Feb 1995 Edition 8 Dec 1995 Edition 9 April 1997 Edition 10 Jan 1998 Edition 11 June 1998 ACMS Edition 1 Feb 1995 Edition 1 Revision 1 May 1995 Edition 2 Dec 1995 Manual Part Edition Print Date ACMS Edition 3 April 1997 Edition 4 Jan 1998 Edition 5 June 1998 CMS NCMS and ACMS M1046 9321K Edition12 Feb 1999 M1046 9321L Edition 13 June 2000 M1046 9322L September 2002 What is in this Manual
83. lips Sales Model Number Philips CMS Patient Monitoring System Configuration Sign off Sheet Date Date Serial Number Figure 3 Configuration Sign Off Sheet Please give a completed copy of this Configuration Sign off Sheet to The Nurse Manager or Biomed Philips Implementation Planning Specialist Philips Clinical Application Specialist Signoff Sheets and Worksheets 1 Drug Name 3 Known Values 2 Unknown Value Dose Dose Rate mi hr Rate mins Amount Amount Volume mi Volume mi 4 Titration Table a Calculate Rate Dose b from a low of Varying Dose Rate to a high of in increments of 1 Drug Name 3 Known Values 2 Unknown Value Dose Dose Rate ml hr Rate mil hr Amount Amount Volume mi Volume ml 4 Jitration lable a Calculate Rate Dose b from a low of Varying Dose Rate to a high of in increments of 1 Drug Name 3 Known Values 2 Unknown Value Dose Dose Rate mi hr Rate ml hr Amount Amount Volume mi Volume mi 4 Titration Table a Calculate Rate Dose b from a low of Varying Dose Rate to a high of in increments of ES Drug Name 3 Known Values 2 Unknown Value Dose Dose Rate mi hr Rate mbr
84. lt Tables 57 U Unit Type 18 Universal Set 16 Universal Settings 27 28 Unknown Value 117 vV Ventilator Configuration Default Table 84 Vital Signs table trends configuration 60 VueLink Module Default Table 91 WwW Wave Assignment User Default Values 96 142 Index
85. ltitude must therefore be entered under Global Switches in Service Mode before using the tcpO tcpCO gt Module 82 Parameter Settings Configuration Tables ltem Name Factory Default Values User Default Values User Configuration tcpO Low Alarm Limit 50mmHg 6 5kPa 10mmHg to 95mmHg tcpO High Alarm Limit 80mmHg 10 5kPa 20mmHg to 300mmHg 2 5kPa to 40kPa tcpCO gt Low Alarm Limit 30mmHg 4 0kPa 10mmHg to 95mmHg 1 0kPa to 12 5kPa in steps of 0 5kPa tcpCO High Alarm Limit 50mmHg 6 5kPa 20mmHg to 150mmHg 2 5kPa to 20kPa Transducer Temp 43 C 37 C 41 C to 45 C Site Time 4hrs Off 0 5hrs to 3hrs or 4hrs to 8hrs Site Timer Off Not Allowed Allowed or Not allowed Heat Switchoff No Yes or No On with metabolism On or Off CO Correction factor of 8mmHg Metabolism Factor 8mmHg 0 6kPa OmmHg to 12mmHg 0 OkPa to 1 6kPa Unit of measurement mmHg mmHg or kPa Units Display Off On or Off 1 Site Time and Site Timer Off settings are interactive If Site Timer Off is set to Not Allowed the Off selection is not available under Site Time If Site time is set to Off and Site Timer Off is changed from Allowed to Not allowed the Site Time setting is automatically changed to 8hrs Take note of the patient safety statement above 2 Automatic switch off of the transducer heater interrupting tepOy te
86. lts Selectn Disabled Field1 Input Cleared Setup Window Manual Field2 Input Cleared Finish Window Manual Field3 Input Cleared Pref Finish Win Results FIO Configuration Low Alarm Limit 0 25 High AlarmLimit 0 80 Figure 5 An Example of a Configuration Printout Configuration Printout 139 140 Configuration Printout Index A Active Configuration Set 15 Airway Gases 84 Alarm Defaults French Standards 30 Alarm Recordings Configurable Default Table 100 Alarms Configuration Default Table 28 Aminophylline 120 Amount Units 118 Amrinone Lactate 120 Analog Output Configuration 113 Analog Output Default Table 107 Anesthetic Gas Module 84 Any Dose mcg kg min 123 Any Dose mcg min 123 Any Dose mg hr 123 Any Dose mg kg hr 123 B BIS Default Table 92 Blood Analysis Default Table 102 Bretylium 120 C Cardiac Output Default Table 87 Change Procedure 25 Changing the Configuration Set 24 Changing Values 25 CO2 Default Table 81 Configurable Alarm Recordings Default Table 100 Configuration In Monitoring Mode 19 In Service Mode 19 Configuration Features 16 Configuration Mode 15 Active Configuration Set 15 How best to configure 15 Why Configure 15 Configuration Procedures 21 23 Change Procedure 25 Changing Configuration Set 24 Changing Values 25 Entering and Leaving Configuration Mode 23 Configuration Set Dependent Items 60 BSA Formula 57 Column interval 60 Database
87. n be adjusted within the specified range in steps of 2mmHg To access the CPP information press gt CPP Factory Default User Default Item Name Values Values User Configuration Arterial Source ABP ABP ART or Ao Units Display Off On or Off Alarm Limits Low Alarm Limit 50mmHg Adult 30 to 268mmHg 40mmHg Ped 30 to 268mmHg 30mmHg Neo 30 to 268mmHg High Alarm Limit 130mmHg Adult 28 to 270mmHg 100mmHg Ped 28 to 270mmHg 90mmHg Neo 28 to 270mmHg Parameter Settings 93 Configuration Tables Recorder Default Table The following table gives the factory default values and the values that can be selected as user defaults for Recording functions A separate table for marking up User Configuration follows the Recorder Strip Overlap Choices tables To access the Delayed amp Alarm information press gt Recordng Setup Delayed Alarm To access the Realtime Waves Modes A B or C information press Recordng Setup followed by the required Mode s softkey Note e Mode Bis affected by the Vital Signs Blood Recording configuration When the Key Label item in Other Recording Configuration Settings is configured to VS Blood Mode B will be assigned to Vital Signs Blood recording only displayed in Monitoring Mode e Mode C is affected by the availability of oxyCRG When oxyCRG is available Mode C will be assigned to o
88. nd 0 mmHg 0 V 999 to 999 mmHg 0 V IMCOz AG N20 etN20 and inN20 0 0 V 999 to 999 0 V AG AGT etAGT and inAGT 0 0 V 999 to 999 0 V AG AWRR Orpm 0V 999 to 999 rpm 0 V RESP AWRR Orpm 0V 999 to 999 rpm 0 V EEG1 1 EEG2 1 OnW 0V 999 to 999 nW 0 V EEG1 2 EEG2 2 0Hz 0V 999 to 999 Hz 0 V Tblood TEMP 20 0 C 0 V 99 9 to 99 9 C 0 V DIFF TEMP 0 0 C 0 V 99 9 to 99 9 C 0 V ST 0 0mm 0V 99 9 to 99 9 mm 0 V VueLink2 0 0mm 0V 999 to 999 mm 0 V PERF 0 0V 99 9 to 99 9 mm 0 V 1 The actual unit depends on the selected montage and numeric 2 The actual unit depends on the selected VueLink driver and numeric 112 Output Interfaces Configuration Tables Analog Output Configuration Output Interfaces The System s Analog Output allows the user to adjust the gain size and offset position of each analog signal When adjusting settings press in the Analog Out Task Window if you wish to retain your settings after a cold start The ranges of user default values for Gain and Offset are more likely to be limited by the external equipment connected to the System than by the System s own limits 113 Configuration Tables 114 Output Interfaces 4 Drug Calculator Configuration Overview This chapter primarily addresses nurses and doctors Please provide a copy of this chapter to the nurse doctor responsible for determining the drug calculator confi
89. nfiguration Values 020e eee eee 86 Cardiac Output Default Table 43364 Ad a WRN BRA OB ERA VRS 87 Continuous Cardiac Output Default Table o ooooooooooooooooo o 88 BEG Detault Tables SES E IS As 89 Configuring Electrode Montages 0 0 e cece eee eee eee eens 90 Changing the Items in an Electrode Montage 000 ecw eee 90 Temperature Default Table gins054 A A A abet AAA DA 91 VueLink Module Default Table oooooooooooroorororonooooo 91 BIS Default Table ii AA Od A da ta ER EOe hee 92 Differential Temperature Default Table ooooooooooromorrnom o o 93 CPP Defa lt Tale 0 a A AE leh Rees 93 Recorder Default Tale e Be ele 94 Recorder Strip Overlap ChoicesS cece eee e cece eee e eee neens 97 Procedure Recording Table vi ren 99 Other Recording Configuration SettingS o ooooooooooomorm oo 99 Configurable Alarm Recordings Default Table ooococoocoomomo o 100 Blood Analysis Default Table 0 ccc ccc cence nee n eens 102 CAMPUS AI AA ES 104 RS232 Configuration Table iniciar ds in a 84 pi we ERK E A 104 A AA TN 104 Second RS232 Card tose A a ia oo 104 Supported RS 232 Configurations oo oooooooocococcnccr ees 105 Analog Output Default Table eirijcnpo pr rt ra ds e 107 Analog Output Configuration 2 0 0 0 cece eee ee eens 113 4 Drug Calculator Configuration 0 ccc ec ec cee ee cror
90. nnel 7 Channel 8 Any wave can be assigned to any channel of 1 to 8 note number of waves in Wave Format Screen Label Standard Surgeon Cardio vascular Swan Ganz Neuro Surgical Ventilator Perfusionist Induction Non invasive User Def Blank or any value typed in on the numeric keypad Number Of Waves 4 6 or 8 Waves Overlap 1 to 8 1 non overlap 2 waves 3 6 overlap 3 waves 3 8 overlap 4 waves 2 7 overlap 5 waves 4 7 overlap 5 waves 3 5 6 8 overlap 7 waves 2 4 5 7 overlap 8 waves 3 4 5 6 overlap Application Window OxyCRG Split Screen CSA Display or None Wave Replace Enabled or Disabled Trace Mode Fixed or Moving Numerics Prompt Yes or No Realtime speeds 6 25 12 5 25 or 50 Each wave can be configured separately 1 It is recommended that you use Fixed Trace Mode for Flatscreen and XGA displays 2 When Yes is selected for this item the reminder message Not all numerics displayed will appear at the top of the display screen if one or more of the parameter numerics are switched off To access the Colors information press gt Colors The table lists all existing features Availability depends upon the model or option selected Universal Settings 55 Configuration Tables Table 21 CMS Parameter Colors
91. off for longer than 60 seconds the stored configuration will be recalled when the System is switched on again Configuration Mode consists of two distinct types of System Settings Universal Set to allow the consistent presentation of the patient information for example display layout alarm characteristics etc for all configuration sets Configuration Sets to control the way the patient parameters are processed for example individual alarm limits The Universal Set For example Display Layout Interfaces Data Management Alarm Manager Configuration Sets Configuration Set 1 Configuration Set 2 Configuration Set 3 Configuration Set 4 Level 1 Levelt fF eel Level 1 P atient Category y Patient Category x Unit Type Patient Category Unit Type Unit Type Level 2 Parameters Patient Category and Unit Type belong to Global Switches in Configuration Mode only Patient Category Unit Type Level 2 Level 2 Level 2 Parameters Parameters Parameters Configuration Features Universal Set NOTE Introduction The values in the Universal Set are responsible for those settings that control for example the Display Alarm Manager Interfaces Recorder Mode and Patient Data Management Several Parameters for example Temperature Differential and configurable items of some Parameters are also part of the Universal Set The configurable values of
92. onatal CMS model 48 S the factory default is OxyCRG recording 2 Only available if HDLC Interface is fitted 3 2 0 and 1 0cm min available with M1116B only 4 Only available if 78574 is connected to SDN Interface 5 The selection between Standard and oxyCRG can only be made when oxyCRG is available on your monitor Parameter Settings 95 Configuration Tables Note 96 A Alarm Recording Type oxyCRG recordings can only run with the M1116B plug in recorder No oxyCRG recordings will be given at the M1116A M1117A or central station oxyCRG recordings are not available for the ACMS Standard alarm recordings will still be given at central station if Alarm Recording Type is set to oxyCRG Wave Assignment User Default Values Realtime Waves e Any wave can be assigned to any position of 1 to 8 e The number of realtime waves that can be recorded at one time depends upon the number of waves that the current recorder supports Delayed Waves The number of delayed waves depends on the model type Model 44 S 64 S 84 S 4 Waves Model 56 S 76 S 6 Waves Model 88 S 68 S 48 S 8 Waves Recorder Labels Plug in 2ch 2 Channel Plug in Recorder M1116A B 4ch BS 1 or 4chBS 2 4 Channel Bedside Recorder M1117A 2ch BS 2 Channel Bedside Recorder 78574 CENTRAL x ch Number of channels depends on the recorder connected to the Central Station Parameter Settings Recorder Strip Overlap Choices Config
93. ooooo s 115 Di oo ail ice e kk NG Gek Oa ed Od AG SESE ea Ree TA a TR 115 Drug Calculator Features 5204 0020 rara 115 Configuring DIES a EA Be ERE ONS Re SoS 116 The WOrksheetivn 2i s 6 ERA ir ea eae y ae a aet 116 Drug Change Procedures and Filing in the Worksheet 117 standard Drug Configuration 2s 44 3 84 ese see eo sananne renren e Se Es Bes eaG 120 A Selecting the Correct Patient Category ccc cece ee we eens 125 INIVOUUCTHION vns ees heehee o e o E a ae wuts Bee ee 125 Factory Default Valles uo oido P45 tr dt A 125 12 Contents Changing the Patient Category 3 vec sae eet eas ee eee eet ae ee tele ex 126 IN DA a Ad RAT A ale Sea owe aa NT 127 Examples erei St oes o eee ee aCe ee bao Ge See gee betes 127 Overpress ure oS ied e ERRE Rae EEE SO RAGS AA AAA eS 127 COntinviOus Pressure ii SS Oa eS ENE OE Re MEE eS PRES 127 NBP Recommendationsis 2 5 040004 a dai id de decia tax 129 Et a its 129 Morphology of the ECG ira a A AAA 130 Recommendation vs ets a ii lt las ls era 130 Weak ECG malta toas io 130 RECOMMEAdA ION TI EA AR Cee See Sees 130 Paceds Patients sueo 4s xicas 3 See dw ods less a a 2 e 130 Recommendations lt a oud iunea iK LA E A A DAR eas 130 Heart Rate HR Pulse lt 2 a soe oe os Le ee Oe SO PERRO Oe ee eee eRe 131 ROD A Jer oneness Shee a hs eee ots 131 Respiration Suppression Algorithm 0 0 0 00 eee eens 131 COP scree eels ee anes ee saee eee Geter eva
94. ould not be changed when measurements are not available 4 When Yes is selected for this item the reminder message Not all numerics displayed will appear at the top of the display screen if one or more of the parameter numerics are switched off Numeric On Off Press Displayl Setup Choose Screen gt Numeric On Off If you wish the new setting to be retained after a cold start has been performed press 42 Universal Settings Configuration Tables Table 8 CMS Model 68S User Configuration see the Parameter Display Colors Table for color configuration Item Name Pene Sian User Configuration Values Realtime waves SCREEN A SCREEN B SCREEN C SCREEN D SCREEN E Channel 1 Channel 2 Channel 3 Channel 4 Channel 5 Channel 6 Channel 7 Channel 8 Any wave can be assigned to any channel of 1 to 8 note number of waves in Wave Format Screen Label Standard Surgeon Cardio vascular Swan Ganz Neuro Surgical Ventilator Perfusionist Induction Non invasive User Def Blank or any value typed in on the numeric keypad Number Of Waves 4 6 or 8 Waves Overlap 1 to 8 1 non overlap 2 waves 3 6 overlap 3 waves 3 8 overlap 4 waves 2 7 overlap 5 waves 4 7 overlap 5 waves 3 5 6 8 overlap 7 waves 2 4 5 7 overlap 8 waves 3 4 5 6 overlap Application Window O
95. pCO monitoring when the Site Time period elapses Take note of the patient safety statement above 3 Refer to Transcutaneous pO and pCO Monitoring in Neonatology Philips p n 5962 9992E Parameter Settings 83 Configuration Tables FIO Default Table To access the FIO information press gt Fio Factory Default User Default ltem Nam te ame Values Values User Configuration Low alarm Limit 0 20 ICU 0 25 OR 0 18 to 0 90 0 18 0 20 then upwards in steps of 0 05 High Alarm Limit 0 80 0 25 to 1 10 in steps of 0 05 Airway Gases The configuration of the Anesthetic Gas Module is described in a dedicated chapter of the M1026A Anesthetic Gas Module Service Manual Ventilator Configuration Default Table To access the Ventilator information press gt VENTILTR NOTE Also refer to the RS232 Configuration Default Table for details on ventilator output interface configuration 84 Parameter Settings 7800 7810 Ohmeda Ventilator Configuration Values Configuration Tables ltem Name Factory Default User Default Values User Configuration Values Ventilator Type Ohmeda 7800 Ohmeda 7800 or Ohmeda 7810 Ventilator Alarms Accepted Accepted Ignored Units Display Off Off or On Numeric 1 TV TV MV PMax Pplat Pmin sIE 1 O RRaw or lt Off gt Numeric 2 RRaw TV MV PMax Pplat Pmin slE 1 O RRaw or lt Off gt Numeri
96. s Mont B O1 T3 01 T3 02 T4 02 T4 User Default Values Factory Default Values Mont C FS C3 F3 C3 F4 C4 F4 C4 User Default Values Factory Default Values Mont D C3 P3 C3 P3 C4 P4 C4 P4 User Default Values Factory Default Values Mont E Fp1 T5 Fp1 T5 Fp2 T6 Fp2 T6 User Default Values 90 Parameter Settings Temperature Default Table To access the Temperature information press Module Setup followed by the required Temperature softkey Configuration Tables Factory User Item Name Default User Default Values Configuration Values Label T1 T4 T1 T4 Trect Tcore Tskin Tesop Tnaso Tart or Tven Low Alarm Limit 36 C 1 C 44 920 1 High Alarm Limit 39 C 0 5 C 45 C Temp Range 35 to 43 C 1 to 45 C 11 to 45 C or 35 to 43 C Units Display Off On or Off 1 From 1 C to 35 C in steps of 0 5 from 35 C to 45 C in steps of 0 1 NOTE Notes Temperature Defaults are not Configuration Set dependent they are identical for all Configuration Sets VueLink Module Default Table To access the M1032A VueLink Module information press Module Setup followed by the required VueLink softkey Item Name Factory Default Values User Default Values User Configuration Device Alarms Accepted ICU Ignored OR Ignored or Accepted Prefer d Module lt Unspec gt lt Unspec gt
97. s configured to ISO then the printer itself must be set to the required local language If the local language of the CMS and or Central Universal Settings 59 Configuration Tables Station is Danish the central printer must be set to Norwegian ISO NOTE For Vital Signs table trends configuration the configurable item Column interval is Configuration Set dependent To access the Vital Signs configuration information press gt Vitals Config Table 24 Vital Signs Table Trends Item Name Factory Default Values User Default Values User Configuration 24 or 48 hour database Column interval 1 hr 1 min Graph 1 hr Graph time span 8 hrs 5 min Graph 1 hr 15 min Graph 2 hrs 1 hr Graph 8 hrs 2 hrs Graph 16 hrs 3 hrs Graph 24 hrs 4 or 9 hour database Column interval 5 min 1 min Graph 1 hr Graph time span 1 hr 5 min Graph 1 hr 15 min Graph 4 hrs 1 hr Graph 4 hrs 2 hrs Graph 4 hrs 1 The ACMS System has a 24 hour database 2 This choice available with 9 hour database only 60 Universal Settings Configuration Tables To access the Graph Groups information press Graph Groups Table 25 Changing the parameters within a Graph Group Step Action Comment 1 Use Graph Group to select the graph group you wish to configure 2 Use Position to select the parameter within the group that you wish to configure 3 Use Parameter to ass
98. s deleted it can not be recalled If you wish to re include the drug in the list after deletion you are required to enter it as a new drug The Worksheet A worksheet is included for your convenience Appendix B If you will be configuring several drugs make photocopies of the worksheet before you start For each new drug complete a section in the worksheet For each modification to the standard configuration only the drug name and the changed information needs to be entered The order of entries on the worksheet is not significant drugs are listed alphabetically by the Drug Calculator An example worksheet is shown in the following figure 116 Configuring Drugs 1 Drug Calculator Configuration Drug Name DOPAMINE 3 Known Values 2 Unknown Value Dose _ meg Es Amin ose Rate 3 mVnr Cate minr Amount eo M Amount Volume oe Volume mi E cl A 4 Titration Table a CalculatefRate Dose b from a low of I Varying to a high ot SO CA in increments of t 1 Drug Name NITROCLYCERINE 3 Known Values 2 Unknown Value 4 Titration Table a calculata Dose 5 mcg min ose Rate mVhe ats mAr Amount go ma Amount Volume 2 So Volume mi mi RatelDose b from a low of e Dosej Rate to a high of 106 QA in increments of 5 Varying Figure 2 Ex
99. selection screen at all and therefore the monitor will go directly into the Manual Entry screen Parameter Settings 103 Configuration Tables Output Interfaces RS232 Configuration Table To access the RS232 Configuration information press gt RS232 First RS232 Card Item Name Factory Default User Default Values User Configuration Values Port 2 Computer Off Computer Off Computer On AGM VENT or Touch Port 1 Computer On Computer Off Computer On AGM VENT Touch or Mouse Baudrate 2 9600 9600 or 19200 Baudrate 11 19200 9600 19200 or 38400 TX RX 2 High Low High Low or Low High TX RX 1 Low High High Low or Low High 1 The configuration of these items is only valid when the port is assigned to Computer On These items are automatically configured when the port is assigned to Computer Off or additionally to AGM or VENT for the ACMS Second RS232 Card Item Name Factory Default User Default Values User Configuration Values Port 4 AGM Computer Off Computer On AGM VENT or Touch Port 3 VENT Computer Off Computer On AGM VENT Touch or Mouse Baudrate 4 9600 9600 or 19200 Baudrate 3 19200 9600 19200 or 38400 TX RX 4 High Low High Low or Low High TX RX 3 Low High High Low or Low High 1 The configuration of these items is only valid when the port is assigned to Computer On
100. st to Configure The best way to configure the System is to determine and select which groups of values suit the differing patient categories and hospital environment types for example an Adult Neonatal or Pediatric patient in either an OR or ICU environment With the values grouped in this way you do not have to change the ranges for many parameters For useful application information on selecting the correct patient category refer to Appendix A in this manual Configuration Overview 15 Introduction Configuration Features Temporary and Permanent Configuration Temporary Configuration Changes Permanent Configuration Changes The System configuration can be changed temporarily or permanently During normal monitoring in Monitoring Mode you can make temporary alterations to the system configuration to suit a particular application without permanently changing the system characteristics These temporary changes are known as Active Settings Any active settings will be lost when the CMS is e Switched off for more than 60 seconds e Switched from one Configuration Set to another Configuration Set e Switched from one Operating Mode to another Operating Mode For more information on which System characteristics can be configured in Monitoring Mode refer to the CMS User s Reference Manual Volume 1 Permanent configuration changes are made in Configuration Mode and stored in the System If the System is switched
101. storage 57 Weight Units 57 Configuration Sets 16 18 27 66 Configuring Drugs 116 CPP Default Table 93 D Delayed Waves 96 Differential Temperature Default Table 93 Display Configuration 35 Model 88 S 50 Models 48 S 44 Models 64 S 36 38 Models 68 S 42 Models 76 S 46 48 Display Default Tables 35 Dobutamine 120 Dopamine 120 Dose Units 117 Drug Calculator Configuration 115 Amount Units 118 Dose Units 117 Drug Change Procedure 117 Entering drug name 117 Entering known values 119 Entering unknown value 117 Standard drugs 120 Drug Configuration 116 Drug Name 117 E ECG Default Table 71 EEG Default Table 89 Entering and Leaving Configuration Mode 23 Epinephrine 121 F FIO2 Default Table 84 French Standards Alarm Defaults 30 G Global Switches 18 25 Patient Category 18 Unit Type 18 Graph Groups 61 H Heart Rate HR Pulse Default Table 69 Heparin 121 I Independent Display Configuration Model 88 S 54 Models 76 S 52 Insulin 121 Isoproterenol 121 K Known Values 119 L Levarterenol 121 Lidocaine 122 Line Frequency 66 M Models 64 S 36 38 Models 76 S 46 48 Morphine Sulphate 122 N NBP Default Table 77 Neonatal Event Review Default Table 64 Nitroglycerine 122 Nitroprusside 122 o Omheda 7800 7810 7900 Ventilator Default Table 84 Other Patients Overview Default Table 32 Other Recording Configuration Settings 99 Ou
102. t value for Line Frequency The factory defaults for Patient Category and Unit Type are not restored e Changing the Global Switches settings will cause the system to perform a cold start making the new Global Switches settings active 66 Configuration Sets Configuration Tables ltem Name Factory Default Values Standard Anesthesia Neonatal User Default Values User Configuration Configuration Set 1 A ctive Configuration Set Patient Category Adult Adult Neo Adult Neonate or Pedi Unit Type ICU OR or ICU Line Frequency 60Hz 50Hz or 60Hz Configuration Set 2 Patient Category Adult Adult Neo Adult Neonate or Pedi Unit Type OR OR or ICU Line Frequency 60Hz 50Hz or 60Hz Configuration Set 3 Patient Category Neo Pedi Pedi Adult Neonate or Pedi Unit Type ICU OR or ICU Line Frequency 60Hz 50Hz or 60Hz Configuration Set 4 Patient Category Neo Neo Pedi Adult Neonate or Pedi Unit Type OR OR or ICU Line Frequency 60Hz 50Hz or 60Hz 1 CMS and NCMS only 2 The Line Frequency belongs to Global Switches but is not dependent on the Configuration Set Refer to the notes below CAUTION Configuration Sets Ensure that the Line Frequency is set correctly for the country option ordered since the ECG Notch Filter is set according to the selected line frequency The factory default is 60Hz for all
103. tN20O and inN20 100 1 V 999 to 999 1 V AG etAGT 100 1V 999 to 999 1 V AG inAGT 100 1V 999 to 999 1 V AG AWRR 50 rpm 1V 999 to 999 rpm 1 V FIO 1 00 1V 9 99 to 9 99 1V tcpO tcpCO 100 mmHg 1 V 999 9 to 999 9 mmHg 1 V EEG1 1 EEG2 11 100nW 1V 999 to 999 nW 1 V EEG1 2 EEG2 2 100Hz 1V 999 to 999 Hz 1V Tblood TEMP 10 0 C 1V 99 9 to 99 9 C 1V DIFF TEMP 5 0 C 1V 99 9 to 99 9 C 1V ST 1 0mm 1V 99 9 to 99 9mm 1V VueLink2 1 0mm 1V 999 to 999 mm 1 V PERF 100 1 V 99 9 to 99 9 mm 1 V Numerics OFFSET adjust with left and right arrow keys Output Interfaces 111 Configuration Tables Item Name Factory Default Values User Default Values User Configuration HR btb HR PULSE 0bpm 0V 999 to 999 bpm 0 V PRESS NBP CPP 0 mmHg 0 V 999 to 999 mmHg 0 V CO 0 mmHg 0 V 999 to 999 mmHg 0 V PAWP 0 mmHg 0 V 99 9 to 99 9 mmHg 0 V C O 0 l min 0 V 99 9 to 99 9 l min 0 V SpO 0 0V 999 to 999 0 V FIO 0 00 0 V 9 99 to 9 99 0 V VENTNUM 1 OL 0V 999 to 999 L 0 V VENTNUM 2 Orpm 0V 999 to 999 rom 0 V VENTNUM 3 0 0V 999 to 999 0 V VENTNUM 4 0 l min 0 V 999 to 999 l min 0 V VENTNUM 5 7 100 cmH20 0 V 999 to 999 cmMH20 0 V VENTNUM 8 0 0V 999 to 999 0 V AG O etO and inO 0 0V 999 to 999 0 V AG CO ETCO a
104. te Nitroglycerine Nitroprusside Procainamide Unknown Rate Rate Rate Rate Rate Unknown Units not applicable not applicable not applicable not applicable not applicable Starting Dose 2 0 0 5 5 0 0 5 2 0 Dose Units mg min mg hr mcg min mcg kg min mg min Starting Rate not applicable not applicable not applicable not applicable not applicable Starting Amount 2000 50 50 50 2000 Amount Units mg mg mg mg mg Starting Volume 250 50 250 250 250 Table Orientation Rate varying Dose Rate varying Dose Rate varying Dose Rate varying Dose Rate varying Dose Table Low 0 5 0 5 5 0 5 0 5 Table High 4 50 250 20 4 Table Increment 0 5 0 5 5 0 5 0 5 122 Standard Drug Configuration Table 40 Standard Drug Configuration continued Drug Calculator Configuration Drug Name Hola Name Any Dose mcg Any Dose mcg Any Dose mg f E Any Dose mg hr kg min min kg hr Unknown Rate Rate Rate Rate Unknown Units not applicable not applicable not applicable not applicable Starting Dose 2 0 5 20 0 5 Dose Units mcg kg min mcg min mg hr mg kg hr Starting Rate not applicable not applicable not applicable not applicable Starting Amount 200 2 250 500 Amount Units mg mg mg mg Starting Volume 250 250 250 250 Table Orientation Rate var
105. teps of 0 1 Parameter Settings 87 Configuration Tables Continuous Cardiac Output Default Table Froceaures gt To access the Cardiac Output information press cco ltem Name Factory Default User Default Values User Configuration Values cco Low Alarm Limit Adult 4 0 0 1 24 5 Pedi 2 6 Neo 0 3 High Alarm Limit Adult 8 5 0 2 25 0 Pedi 3 7 Neo 1 3 Units Display Off On or Off CCI View General General or TW Only SVR View Absolute Absolute or Indexed Auto Calibr Yes Yes or No 88 Parameter Settings EEG Default Table To access the EEG information press then the EEG softkey Configuration Tables Item Name tl User Default Values orion Scale 100uV 20 30 50 100 200 300 500 1000 50uV 10 15 25 50 100 150 250 500 Show Gridlines No Yes No Low Filter 0 5 Hz 0 5 1 2 5 Hz High Filter 30 Hz 15 30 50 Hz Numeric 1 TP TP SEF MDF PPF DELTA THETA ALPHA BETA Off Numeric 2 SEF TP SEF MDF PPF DELTA THETA ALPHA BETA Off SEF Threshold 90 50 to 99 Impedance Limit 5kQ 1to30kQ Units Display Off On Off Printout Configuration Print out every 24h 5 10 15 30 min 1 2 3 4 6 8 12 24 hours Print out at 7 00 3 Scheduled Print outs Off On Off CSA Configuration CSA Epoch A 2sec 2 4 10 30 60 12
106. the previous values for the settings Factory Defaults To recall the factory defaults for the settings 6 Press To confirm your choice The factory defaults that are recalled will depend on the active Patient Category and Unit Type of the Configuration Set 26 After pressing do not continue to operate the monitor until the prompt message Active values stored as user defaults is displayed Changing Values Overview Overview 3 Configuration Tables This chapter lists the Universal Settings Configuration Sets Parameter Settings and Output Interfaces that can be changed The content of each task window is listed in tabular format Each table consists of four columns Column one contains the configurable Item Name Column two contains the Factory Default Values Column three lists all the possible values User Default Values that can be selected for each configurable item Column four has been left blank and can be used for keeping a record of the items that you configure The final page of this chapter is a sign off sheet which can be used to record who was responsible for the configuration changes 27 Configuration Tables Universal Settings The Universal Settings are generally independent of and unaffected by the Configuration Settings However there are some exceptions Configurable items of the Universal Settings that are affected by the Configuration S
107. tient category and hospital environment type Patient Category Changing the Patient Category affects the way the patient parameter data is processed For example the processing algorithm for ECG is different for Adults and Neonates Changing the Patient Category only changes the processing algorithm software for the parameters The alarm limits units and bandwidths are NOT changed automatically These values must be changed in the Parameter section of the Configuration Set This is achieved by selecting each parameter in turn and pressing the Factory Defaults softkey Unit Type CMS and NCMS only This is used as a label or note to remind the person configuring the parameters in which environment the Configuration Set is to be used Certain parameters such as the ECG bandwidth would normally be different depending upon whether the environment is ICU or OR CMS and NCMS only Unit Type is only used as a reminder of the proposed hospital environment so that you make the appropriate changes in the Parameter section of the Configuration Set When you change the Unit Type you must still change the alarm limits parameter units and bandwidths This part of the Configuration Set is used to store parameter units bandwidths and labels for some of the parameters Configuration Features Introduction Configuration in Monitoring and Service Modes The following features of the CMS are configured in either Monitoring or Service Mode R
108. time waves SCREEN A SCREEN B SCREEN C SCREEN D SCREEN E Channel 1 ECG CH1 ECG CH1 ECG CH1 ECG CH1 ECG CH1 Channel 2 ECG CH2 ECG CH2 PRESS 1 ECG CH2 PRESS 1 Channel 3 PRESS 1 PRESS 1 PRESS 2 PRESS 1 PRESS 2 Channel 4 PRESS 2 Blank Blank PRESS 2 PRESS 3 Channel 5 PRESS 3 PRESS 2 Blank PRESS 3 PRESS 4 Channel 6 PLETH PRESS 3 Blank PRESS 4 AG CO Channel 7 AG Agent PLETH PLETH PLETH EEG CH1 Channel 8 AG COs AG CO AG CO gt AG CO EEG CH2 Screen Label Standard Cardio Swan Ganz Standard Neuro Vascular Number Of Waves 1 8 3 4 5 6 2 1 1 non overlap overlap 3 5 overlap non overlap non overlap Overlap 1 2 3 3 3 Application Window Split Split Split Split Split Wave Replace Enabled Enabled Enabled Enabled Enabled Trace Mode Fixed Fixed Fixed Fixed Fixed Numerics Prompt Yes Yes Yes Yes Yes Realtime speeds 25mm s for all except RESP CO AG Oo AG COs AG Agent 6 25mm s 1 OxyCRG and CSA application windows can only be active for one Display at a time If it OxyCRG or CSA application windows are chosen for more than one display it will only appear on lower number display 2 If Wave Replace is enabled CMS will automatically assign measured waves to any empty channels Disable this feature if the display configuration should not be changed when measurements are not available 3 When Yes is selected for this item the rem
109. tput Interfaces 27 Analog Output Default Table 107 RS232 Configuration Table 104 oxyCRG Default Table 65 P Parameter Display Colors 56 Models 64 S 66 S 68 S 48 S 56 Models 74 S 86 S 88 S 56 Parameter Settings 27 68 Parameter Settings Transfer 68 Parameters 18 25 Index 141 Index Patient Category 18 Patient Data 57 Patient Data Management Default Tables 57 Permanent configuration changes 16 Pressure Default Tables 75 Printer Setting Configuration 58 Procainamide 122 Procedure Recording Table 99 R Realtime Waves 96 Recorder Default Grids 97 Recorder Default Table 94 Recorder Labels 96 99 Recorder Strip Overlap Choices 97 Reports Content 62 Reports Schedule 63 Respiration Default Table 73 RS232 Configuration Table 104 S SpO2 SpO2 2 Pleth Default Table 79 ST Default Table 74 Standard drug Configuration Aminophylline 120 Amrinone Lactate 120 Any Dose mcg kg min 123 Any Dose mcg min 123 Any Dose mg hr 123 Any Dose mg kg hr 123 Bretylium 120 Dobutamine 120 Dopamine 120 Epinephrine 121 Heparin 121 Insulin 121 Isoproterenol 121 Levarterenol 121 Lidocaine 122 Morphine Sulphate 122 Nitroglycerine 122 Nitroprusside 122 Procainamide 122 Standard Drugs 120 SvO2 Default Table 80 T tcpO2 tcpCO2 Default Table 82 Temperature Default Table 91 Temporary Configuration Changes 16 Trends and Calculations 57 Trends and Calculations Defau
110. units 67 Configuration Tables Parameter Settings Parameter Settings Transfer The Parameter Settings Transfer is described in Volume 1 of the User s Reference Manual NOTE The Parameter Settings Transfer configuration is performed in Service Mode To access the Parameter Settings Transfer information press Global Switches Then select the Settings Transf item The Factory Default for the Parameter Settings Transfer is No Restoring Parameter Settings Transfer factory defaults There are three ways to restore the factory defaults for Parameter Settings Transfer In Service Mode e Press Global Switches Select Settings Transf Press Factory Defaults gt to store settings e Change Operating Modes e Change Configuration Sets 68 Parameter Settings Heart Rate HR Pulse Default Table Configuration Tables To access the Heart Rate HR Pulse information press Heart Rate HR Pulse Item Name Factory Default Values User Default Values User Configuration Alarm Parameter HR HR or PULSE see Note below PULSE Source PRESS 1 Adult PLETH Neo Ped All available PULSE sources BradyLimit Diff 40 Ped 0 to Low Limit 20 20 Neo O to Low Limit 50 Low Alarm Limit 50 Adult 15 to High Limit 5 100 Neo Ped 15 to High Limit 5 Brady Trig Time 3s Neo 5s Ped 0 1 2 3 4o0r5s High Alarm Limit
111. uration Tables Table 30 Overlap Choices on 2 Channel Recorder Module M1116A B Overlap Sector 1 Sector 2 1 20 mm 20 mm Wave 1 Wave 2 2 40 mm Waves 1 2 3 20 mm 20 mm Wave 1 Wave 2 3 4 40 mm Waves 1 3 Note Recorder Default Grids All waves are printed on a 5mm x 5mm grid except the following Pressure wave CRG wave 4mm x 5mm grid 2 5mm x 5mm grid The CRG wave is not available for the ACMS Table 31 Overlap Choices on 4 Channel Bedside Recorder M1117A Overlap Sector 1 Sector 2 Sector 3 Sector 4 1 25 mm Wave 1 25 mm Wave 2 25 mm Wave 3 25 mm Wave 4 2 25 mm Wave 1 75 mm Wave 2 4 3 25 mm Wave 1 25 mm Wave 2 50 mm Wave 3 4 4 50 mm Wave 1 50 mm Wave 2 4 Parameter Settings 97 Configuration Tables Table 32 Realtime Waves User Configuration Item Name User Configuration Delayed amp Alarm Realtime Waves Mode A Mode B Mode C Channel 1 Channel 2 Channel 3 Channel 4 Channel 5 Channel 6 Channel 7 Channel 8 Speed Recorder Overlap Key Label Delay Time Run Time No Alarm Recording message Alarm Recording On Off Alarm Recording Type 1 Not available for the ACMS 98 Parameter Settings Configuration Tables Procedure Recording Table The Procedure Recording item allows you to select the
112. usionist Induction Non invasive User Def Blank or any value typed in on the numeric keypad Number Of Waves 4 or 6 Waves Overlap 1 to 7 1 non overlap 2 waves 3 5 overlap 3 waves 3 6 overlap 4 waves 2 5 overlap 5 waves 2 6 overlap 5 waves 2 3 4 5 overlap 7 waves 3 4 5 6 overlap Application Window OxyCRG Split Screen CSA Display or None Wave Replace Enabled or Disabled Trace Mode Fixed or Moving Numerics Prompt Yes or No Realtime speeds 6 25 12 5 25 or 50 Each wave can be configured separately 1 It is recommended that you use Fixed Trace Mode for Flatscreen and XGA displays Universal Settings 53 Configuration Tables Table 19 ACMS Model 88 S Second and Third Independent Display Factory Defaults 54 see the Parameter Display Colors Table for color configuration Item Name Factory Default Values Realtime waves SCREEN A SCREEN B SCREEN C SCREEN D SCREEN E Channel 1 ECG CH1 ECG CH1 ECG CH1 As Screen C As Screen C Channel 2 Blank Blank Blank Channel 3 PRESS 1 PRESS 1 PRESS 1 Channel 4 PRESS 2 PRESS 2 PRESS 2 Channel 5 PRESS 3 PRESS 3 PRESS 3 Channel 6 Blank Blank Blank Channel 7 Blank Blank Blank Channel 8 Blank Blank Blank Screen Label Surgeon Perfusionist Blank Number Of Waves 8 waves 8 waves 8 waves Overlap 3 3 3 3 8 overlap 3 8 overlap 3 8 overlap Application Window Split
113. xyCRG Split Screen CSA Display or None Wave Replace Enabled or Disabled Trace Mode Fixed or Moving Numerics Prompt Yes or No Realtime speeds 6 25 12 5 25 or 50 Each wave can be configured separately 1 It is recommended that you use Fixed Trace Mode for Flatscreen and XGA displays 2 When Yes is selected for this item the reminder message Not all numerics displayed will appear at the top of the display screen if one or more of the parameter numerics are switched off Universal Settings 43 Configuration Tables Table9 NCMS Model 48S Factory Defaults see the Parameter Display Colors Table for color configuration Item Name Factory Default Values Realtime waves SCREEN A SCREEN B SCREEN C SCREEN D SCREEN E Channel 1 ECG CH1 ECG CH1 ECG CH1 As Screen C As Screen C Channel 2 PLETH PLETH PLETH Channel 3 Blank PRESS 1 PLETH 2 Channel 4 PRESS 1 PRESS 2 PRESS 1 Channel 5 PRESS 2 PRESS 3 Blank Channel 6 PRESS 3 Blank Blank Channel 7 Blank Blank Blank Channel 8 RESP RESP RESP Screen Label Standard Surgeon Surgeon Number Of Waves 8 waves 8 waves 8 waves Overlap 1 1 1 non overlap non overlap non overlap Application Window None OxyCRG Split Wave Replace2 Enabled Enabled Enabled Trace Mode Fixed Fixed Fixed Numerics Prompt Yes Yes Yes Realtime speeds 25mm
114. xyCRG Recording 94 Parameter Settings Configuration Tables ltem Name Factory Default Values Realtime Waves User Default Values Delayed amp Alarm Mode A Mode B Mode C Channel 1 ECG CH1 ECG CH1 ECG CH1 ECG CH1 See Note B Channel 2 ECG CH2 ECG CH2 ECG CH2 PRESS 1 See Note B Channel 3 PRESS 1 PRESS 12 PRESS 12 PRESS 22 See Note B Channel 4 PRESS 2 PRESS 22 PRESS 22 PRESS 32 See Note B Channels 5 8 BLANK BLANK BLANK BLANK see Note B Speed 25mm s 25mm s 25mm s 25mm s 50 25 12 5 6 25 2 5mm s and 6 3 2 5 2 0 and 1 0cm min 3 and 1 0 3cm min 2 Recorder Plug in 2 Plug in 2 Plug in 2 Plug in 2 Plug in 2 Channel Central x Channel Channel Channel Channel Channel 4ch BS 12 4ch BS 24 2ch BS See Note C Overlap 1 1 1 1 1 to 44 see following tables on Recorder Strip Overlap Choices Key Label Mode A Mode B Mode C Realtime only Mode A B C Baseline 3 ECG 4 Press Slow Spd Standard IABP Code Airway or Wedge Delay Time 15 sec Delayed only 10 or 15 sec Run Time 20 sec Cont Cont Cont Delayed waves 10 15 20 25 or 30 sec Realtime waves 15 sec or continuous No Alarm Yes Delayed only Recording Yes or No message Alarm Recording Disabled Disabled or Enabled On Off Alarm Recording Standard oxyCRG or Standard See Type Note A 1 For the Ne
115. y 30 VueLink A Any Parameter Priority 31 tcpO gt Any Parameter 33 Configuration Tables Factory User Item Name a User Default Values Configuration Priority 32 tcpCO Any Parameter Priority 33 BIS Any Parameter Broadcast Parameter Press gt Broadcst Param Alarm Sensitivity RYI R RY RI or RYI Receive Silenced Alarms Yes see note below Yes or No Overview Controls Press gt Overview Alarms Extended CareUnit No Yes or No Group All All A B C D E F G Send Alarms Yes Yes or No Receive Alarms Yes Yes or No Note 34 1 This item should o CareUnit to avoid tion refer to the User s Reference Manual Volume 1 nly be configured to Yes if the monitor is connected to an Extended unwanted network related malfunction INOPS For more informa e Receive Silenced Alarms only has an affect when Yes is selected for Receive Alarms e When Yes is selected for Receive Silenced Alarms the Alarm Bed window will be retained and the message Silenced appears when the remote alarm is silenced e When No is selected for Receive Silenced Alarms the Alarm Bed window will disappear when the remote alarm is silenced The Show Broadcast Task Window provides an overview of all current prioritized parameters that are send over the SDN network The list is updated after configuring and storing the settings
116. yed Record key Provided that the configuration printouts are small enough normally more than one will be printed on the page before it is ejected Configuration Printout CMS Configuration Printout 01 JUL 99 9 10 Serial No Sw Rev 16 0 Conf Set 2 Eeprom No M1b12TS A81 Lang Code ENG 16 6 Application OR Adult Display Setup 1 ScreenChoice A Screen Label Standard Channel 1 ECG CH1 II I ScreenChoice Channel 2 PRESS 1 ABP Screen Label Standard Channel 3 Blank I NumbrOfWaves 8 Waves Channel 4 Blank Overlap 1 non overlap Channel 5 Blank f Appl icWindow Split Trend Channel 6 Blank Wave Replace Disabled Channel 7 PLETH PLETH Trace Mode Fixed trace Channel 8 RESP RESP Num Prompt Yes Numerics 1 On Off ScreenChoice A Screen Label Standard ECG On SvO2 On PULSE On cOz On ARRHY On CD2 On ARRHY On CD2 Dn ARRHY On FIO2 On PRESS 1 On RESP RESP On CPP On tcp02 On NBP On tcpCOz On PAWP On EEG TP1 On c o On EEG SEF1 On Sp02 SpOz On EEG TP2 On Sp0z 2 SpOz 2 On EEG SEFZ On SpOz 2 dSpOz On c o On Blood Analysis Config Auto Transmit Disabled Patient ID Requestd Out of Range Enabled Range Unit Def Units Operator ID Requestd BA IF Warning Enabled Op 1D Input Cleared Sample Type Default Op ID Hidden No Default Sample Unspec Op ID Digits Any Patient Temp Off 02 Input Cleared Resu
117. ying Dose Rate varying Dose Rate varying Dose Rate varying Dose Table Low 1 0 5 0 5 0 5 Table High 50 20 20 20 Table Increment 1 0 5 0 5 0 5 Standard Drug Configuration 123 Drug Calculator Configuration 124 Standard Drug Configuration A Selecting the Correct Patient Category Introduction This Appendix helps the clinician understand how the choice of Patient Category affects parameters in particular ECG and NBP Factory Default Values Introduction Each System is configured in the factory with the Factory Default Values The settings are collected together to form 4 Configuration Sets CMS Configuration Sets Configuration Set 1 is for adult Intensive Care Unit application Configuration Set 2 is for adult Operating Room application Configuration Set3 is for neonatal Intensive Care Unit application Configuration Set 4 is for neonatal Operating Room application ACMS Configuration Sets Configuration Set 1 is for adult Operating Room application Configuration Set 2 is for adult Operating Room application Configuration Set 3 is for pediatric Operating Room application Configuration Set 4 is for neonatal Operating Room application NCMS Configuration Sets Configuration Set 1 is for neonatal Intensive Care Unit application Configuration Set 2 is for neonatal Intensive Care Unit application Configuration Set 3 is for pediatric Intensive Care Unit application Confi

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