Philips CMS Patient Monitoring System

Philips CMS Patient Monitoring System
Philips CMS Patient Monitoring System
Configuration Manual
Anesthesia/Neonatal/Standard
PAD
Part Number M1046-9322L
Printed March 2003
Notice
This document contains proprietary information which is protected by
copyright. All Rights Reserved. Reproduction, adaptation, or
translation without prior written permission is prohibited, except as
allowed under the copyright laws.
Philips Medical Systems
Cardiac and Monitoring Systems
3000 Minuteman Road
Andover, MA 01810
+1 (800) 934-7372
Publication number
M1046-9322L
Printed March 2003
Warranty
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 Böblingen GmbH
All rights are reserved.
Reproduction in whole or in part is prohibited without the prior
written consent of the copyright holder.
2
Printing History
New editions of this document will incorporate all material 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
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
Edition 1
Feb 1995
Edition 1 - Revision 1
May 1995
Edition 2
Dec 1995
CMS and NCMS
ACMS
3
Manual Part #
Edition
Print Date
Edition 3
April 1997
Edition 4
Jan 1998
Edition 5
June 1998
M1046-9321K
Edition12
Feb 1999
M1046-9321L
Edition 13
June 2000
ACMS
CMS, NCMS and ACMS
M1046-9322L
4
September 2002
What is in this Manual?
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.
What is in this This manual contains information for configuring the CMS at software
Manual? Release C.0.
1. Introduction This introduces the concepts of what configuration actually is, why it is
necessary and how best to use it.
2. Procedures This describes the configuration procedure in more detail, explaining
the method by which values are altered.
3. Configura- This is a detailed list of all the parts of the system that can be
tion Tables 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.
4. Drug This chapter lists the standard drugs of the CMS's Drug Calculator
Calculator feature. Instructions are given for defining a set of drugs specific to
Configuration your unit. A worksheet is included (Appendix B) on which you can
keep a record of the drugs that you configure.
A. Selecting This appendix fully details the effects of changing patient category on
the Correct the parameters (in particular NBP and ECG) to allow the selection of
Patient the correct category.
Category
B. Sign-off This appendix contains a configuration sign-off sheet for recording
Sheets who was responsible for making any configuration changes, and a drug
calculator worksheet to document the hospital unit's specific drug
configuration.
C. Printing the This appendix describes how to print screens from the configuration.
Configuration
5
Notation Used The following symbols are used in this manual:
in This Manual
Hardkey
Represents the keys on the monitor's Control Panel or
Handheld Keypad.
Softkey
6
Represents the keys in the Task Window.
Related Documents
Service Guide 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.
Concepts This manual provides a conceptual foundation for the monitoring
Guide 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.
Site This manual contains the information required for site planning and
Preparation installation of the System.
and
Installation
manual
User’s Guide This guide provides operating procedures for the tasks most often
performed on the System.
User’s This manual comes in 2 volumes:
Reference
Manual 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.
Quick This guide provides a brief summary of the important service
Reference information on the System.
Service Guide
M1234B 21” This manual provides information on the 21” Slave Display for the
Slave Display System.
Installation &
Service
Manual
7
M1117A Multi- This manual provides service and support information for the Philips
channel M1117A Multi-channel Thermal Array Recorder.
Thermal Array
Recorder
Service
Manual
M1032A This manual provides detailed installation, configuration and service
VueLink information specific to the M1032A VueLink (device interface) Module.
Handbook
RS232
Computer
Interface
Programming
Guide
Schematics
Book Volume 1
- M1092A/94A
Displays and
DC/DC
Converter
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”
Monochrome Display, the M1094A 14” Color Display, and the DC/DC
Converter of the System.
Schematics Volume 2 of the Schematics Book provides schematic information and
Book Volume 2 parts lists for the function cards in the Computer Module, and Human
- Computer Interface Devices of the System.
Module and
HIF Devices
Schematics Volume 3 of the Schematics Book provides schematic information and
Book Volume 3 parts lists for the Plug-in Modules of the System.
- Plug-In
Modules
Schematics Volume 4 of the Schematics Book provides schematic diagrams and
Book Volume 4 parts lists to aid the component level servicing of the M1094B 14” Color
- M1094B Display.
Display
8
M2003A This guide provides detailed Installation and Service Information for
Patient Data the Blood Analysis Interface which is used to transmit Blood Analysis
Server Service information from the CMS to a Central Data Station.
and
Installation
Guide
M3640A This guide provides detailed Installation and Service Information for
Central Data the Central Data Station which can be used to collect and store Blood
Station Service Analysis information.
and
Installation
Guide
9
10
Contents
1. Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Configuration Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
What is Configuration Mode? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Why Configure?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
How Best to Configure?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Configuration Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
Temporary and Permanent Configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
Temporary Configuration Changes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
Permanent Configuration Changes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
Universal Set . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Configuration Sets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Global Switches . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Parameters. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Configuration in Monitoring and Service Modes . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Printing the Configuration. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
2. Procedures. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Entering and Leaving Configuration Mode
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Changing the Configuration Set . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
Changing Values . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
Change Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
3. Configuration Tables . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Universal Settings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
Alarms Configuration Default Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
Alarms On/Off Default Table. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
Other Patients (Overview) Default Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
Display Default Tables . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
Patient Data Management Default Tables . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57
Printer Setting Configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58
Neonatal Event Review Default Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64
oxyCRG Default Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65
Configuration Sets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66
Global Switches . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66
Parameter Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68
Parameter Settings Transfer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68
Restoring Parameter Settings Transfer factory defaults. . . . . . . . . . . . . . . . . . . 68
Heart Rate (HR) / Pulse Default Table. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69
ECG Default Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71
ECG Defaults with EASI™ 12-Lead Option . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72
Respiration Default Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73
ST Default Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 74
Pressure Default Tables. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75
Content
11
General Pressure Defaults . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75
Pressure Default Alarm Limits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76
NBP Default Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77
SpO2/SpO2 2/Pleth Default Table. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 79
SvO2 Default Table. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 80
CO2 Default Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81
tcpO2/tcpCO2 Default Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82
FIO2 Default Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 84
Airway Gases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 84
Ventilator Configuration Default Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 84
7800/7810 Ohmeda Ventilator Configuration Values . . . . . . . . . . . . . . . . . . . . . . 85
7900 Ohmeda Ventilator Configuration Values . . . . . . . . . . . . . . . . . . . . . . . . . . . 86
Cardiac Output Default Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87
Continuous Cardiac Output Default Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 88
EEG Default Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89
Configuring Electrode Montages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90
Changing the Items in an Electrode Montage. . . . . . . . . . . . . . . . . . . . . . . . . . . . 90
Temperature Default Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91
VueLink Module Default Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91
BIS Default Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 92
Differential Temperature Default Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93
CPP Default Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93
Recorder Default Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 94
Recorder Strip Overlap Choices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 97
Procedure Recording Table. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 99
Other Recording Configuration Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 99
Configurable Alarm Recordings Default Table. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100
Blood Analysis Default Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 102
Output Interfaces . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 104
RS232 Configuration Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 104
First RS232 Card . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 104
Second RS232 Card . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 104
Supported RS-232 Configurations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 105
Analog Output Default Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 107
Analog Output Configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 113
4. Drug Calculator Configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 115
Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 115
Drug Calculator Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 115
Configuring Drugs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 116
The Worksheet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 116
Drug Change Procedures and Filing in the Worksheet . . . . . . . . . . . . . . . . . . . . . 117
Standard Drug Configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 120
A. Selecting the Correct Patient Category . . . . . . . . . . . . . . . . . . . . . . . . . . . . 125
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 125
Factory Default Values . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 125
12
Contents
Changing the Patient Category . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 126
NBP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 127
Examples . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 127
Overpressure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 127
Continuous Pressure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 127
NBP - Recommendations. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 129
ECG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 129
Morphology of the ECG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 130
Recommendation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 130
Weak ECG Signal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 130
Recommendation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 130
Paced Patients. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 130
Recommendations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 130
Heart Rate (HR) / Pulse . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 131
Resp . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 131
Respiration Suppression Algorithm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 131
CO2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 132
B. Sign-Off Sheets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 133
Signoff Sheets and Worksheets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 133
C. Printout of Configuration Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 137
Configuration Printout. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 137
How to Print Configuration Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 138
Printing More than One Configuration Screen on a Page . . . . . . . . . . . . . . . . . . . . 138
Contents
13
14
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 Best 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
The System configuration can be changed temporarily or permanently.
Temporary
Configuration
Changes
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:
•
Switched off for more than 60 seconds.
•
Switched from one Configuration Set to another Configuration Set.
•
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
Permanent configuration changes are made in Configuration Mode and
stored in the System. If the System is switched 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).
16
Configuration Features
Introduction
Universal Set
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.
NOTE
The configurable values of 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
The display settings control the way the patient
information is presented. This includes the color
and wave positioning, speeds etc.
Alarm Manager
The Alarm Manager controls the way the alarms
are handled both Latching or Non-latching alarms,
alarms suspended, alarms suspended for 3
minutes, etc.
Interfaces
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.
Configuration Features
17
Introduction
Configuration Sets
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.
Global
Switches
This part of the Configuration Set is used to store information about the
patient category and hospital environment type.
Patient Category
NOTE
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
Note
Parameters
18
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.
(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:
Feature
Required Mode for
configuration
Refer to
Parameter Settings
Transfer
Service Mode
Service Manual Vol 2
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.
Figure 1 Configuration Procedure Flow diagram
Overview
21
Procedures
NOTE
22
If the power fails during configuration, check all the items you have
configured to confirm they have been saved 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 Monitor Setup followed by
Resume Monitor .
Step
Action
Comment
1
Press
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.
Password: 1245
Use the keys labeled 1 to 5 . If the
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
Mode.
Use the arrow keys or press
Change OpMode .
6
Press
The system now performs a cold-start
and switches Operating Modes.
Monitor Setup
Confirm
The Monitor Setup or Instrument
Configuration selection window is
displayed.
.
.
When in Configuration Mode:
7
Press any
the System.
Hardkey
on
Pressing a hardkey of your choice allows
you to enter configuration Task Windows.
When Configuration Mode is entered, the display becomes blank 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.
2
Press Config Sets .
This displays the Configuration Set Task
Window with the current Active
Configuration Set and its Global
Switches.
3
Select the required
configuration set.
Use the arrow keys or press
Change ConfSet .
Monitor Setup
The Global Switches for the highlighted
Configuration Set are displayed (for
example, Adult / OR).
4
Press
Confirm
.
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
This part of the Configuration Set is used to store
Patient Category and Unit Type information as
well as the ECG filtering frequency.
Parameters
This part of the Configuration Set is used to store
all the parameter settings.
Change Procedure
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
1
Select the item you want to
change (for example Patient
Categ).
Use the arrow keys or Select Item .
2
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
3
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.
4
Changing Values
Repeat Steps 1 to 3 for all the items you wish to change in the Task
Window.
25
Procedures
Step
5
6
NOTE
Action
Comment
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 the previous values for the
settings.
Factory Defaults
To recall the factory defaults for the
settings.
Press
To confirm your choice.
Confirm
The factory defaults that are recalled will depend on the active Patient
Category and Unit Type of the Configuration Set.
After pressing Confirm , do not continue to operate the monitor until
the prompt message “Active values stored as user defaults” is
displayed.
26
Changing Values
3
Configuration Tables
Overview
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.
Overview
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 Settings are highlighted in a note accompanying the
appropriate table.
Alarms Configuration Default Table
To access the Alarm information press:
Alarms/Volume
→ Alarms Config .
Item Name
Factory
Default
Values
User Default Values
QRS tone volume
45
15 to 255 in steps of 15 or, 0 to 2551
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 & 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 No4(see “Maintain Visual Alarms”
note below)
Reminder Time
3 mins
2 or 3 mins (see “Alarm Reminder” note
below)
User
Configuration
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
Configuration Tables
NOTE
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.
Note
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 Silence/Reset key.
Universal Settings
29
Configuration Tables
Note
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:
• Prompt tone volume
60 to 255 in steps of 15
• 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.
• Alarm Reminder
• If the alarm reminder is configured to “On”, an active silenced
alarm will be re-announced after 2 or 3 minutes (temporary
acknowledgment) (3 minutes for the ACMS).
• If the 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.
30
Universal Settings
Configuration Tables
Alarms On/Off Default Table
To access the Alarm information press:
Alarms/Volume
→ Alarms On/Off .
The table lists all existing features. Availability depends upon the
model or option selected.
Item Name
Parameter
Universal Settings
Factory
Default
Values
Label
User Default
Values
HR
HR
On1
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
SpO2
SpO2
On
On or Off
SpO2 2
SpO2 2
On
On or Off
ETCO2
On
On or Off
AWRR
On
On or Off
IMCO2
On
On or Off
FIO2
FIO2
On
On or Off
Resp
Resp
On
On or Off
tcpO2
On
On or Off
tcpCO2
On
On or Off
AG etO22
etO2
On
On or Off
AG inO22
inO2
On
On or Off
AG ETCO22
ETCO2
On
On or Off
User
Configuration
31
Configuration Tables
Item Name
Parameter
Factory
Default
Values
Label
User Default
Values
AG AWRR2
AWRR
On
On or Off
AG IMCO22
IMCO2
On
On or Off
AG in N2O2
in N2O
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
User
Configuration
1. HR/Pulse alarm exceptions:
• 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.
• The above mentioned consistency must also be adhered to if the ‘HR Alarms On/Off’
control has been ‘disabled’.
• 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:
Other Patients
. 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.
The table lists all existing features. Availability depends upon the
model or option selected.
32
Universal Settings
Configuration Tables
Factory
Default
Values
Item Name
Broadcast Parameter: Press:
Universal Settings
User Default Values
Other Patients
User
Configuration
→ 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
SpO2
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
CO2
Any Parameter
Priority #17
AirwyCO2
Any Parameter
Priority #18
SvO2
Any Parameter
Priority #19
FIO2
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
VentIf
Any Parameter
Priority #28
VueLink A
Any Parameter
Priority #30
VueLink A
Any Parameter
Priority #31
tcpO2
Any Parameter
33
Configuration Tables
Factory
Default
Values
Item Name
User Default Values
Priority #32
tcpCO2
Any Parameter
Priority #33
BIS
Any Parameter
Broadcast Parameter: Press:
Other Patients
→ Broadcst Param
Alarm Sensitivity
RYI
R, RY, RI or RYI
Receive Silenced
Alarms
Yes (see note
below)
Yes or No
Overview Controls: Press:
Other Patients
User
Configuration
→ Overview Alarms
Extended CareUnit1
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
1. This item should only be configured to “Yes” if the monitor is connected to an Extended
CareUnit to avoid unwanted network related malfunction INOPS. For more information, refer to the User’s Reference Manual (Volume 1).
Note
• Receive Silenced Alarms only has an affect when “Yes” is selected
for Receive Alarms.
• 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.
• 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 in the “Broadcast
Parameter” configuration Task Window. press:
Show Broadcst
34
key to enter the Show Broadcast Task Window.
Universal Settings
Configuration Tables
Display Default Tables
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:
• Model 44(S)
• Model 64(S)
• Model 56(S)
• Model 68(S)
• Model 48(S)
and the following models of the ACMS:
• Model 76(S)
• Model 84(S)
• 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.
NOTE
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.
To make changes to the Display Setup, press:
Monitor Setup
→ Display1 Setup .
To make changes to the Independent Display Setup (if available), press:
Monitor Setup
→ Display2 Setup or Display3 Setup .
To access a different Screen (for example: Screen A, B, C, D or E), press:
Monitor Setup
Universal Settings
→ Display1 Setup → Choose Screen.
35
Configuration Tables
Table 1
CMS Model 44(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
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 Window1
None
oxyCRG
Split
Wave Replace2
Enabled
Enabled
Enabled
Trace Mode
Fixed
Fixed
Fixed
Numerics Prompt3
Yes
Yes
Yes
Realtime speeds:
25mm/s for all except RESP and CO2 (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:
Monitor Setup
→ Display1 Setup → Choose Screen →
Numeric On/Off .
If you wish the new setting to be retained after a cold-start has been
performed, press: Confirm .
36
Universal Settings
Configuration Tables
Table 2
CMS Model 44(S) User Configuration
(see the Parameter Display Colors Table for color configuration)
User Default
Values
Item Name
User Configuration
Realtime waves
SCREEN A
Channel #1
Channel #2
SCREEN B
SCREEN C
SCREEN D
SCREEN E
Any wave can be assigned
to any channel of 1 to 4
(note number of waves in
Wave Format)
Channel #3
Channel #4
Screen Label
Standard, Surgeon,
Cardio-vascular, SwanGanz, 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 Moving1
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
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 Window1
Split
Split
Split
Split
Split
Wave Replace2
Enabled
Enabled
Enabled
Enabled
Enabled
Trace Mode
Fixed
Fixed
Fixed
Fixed
Fixed
Numerics Prompt3
Yes
Yes
Yes
Yes
Yes
Realtime speeds:
25mm/s for all except RESP and CO2 (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:
Monitor Setup
→ Display1 Setup → Choose Screen →
Numeric On/Off .
If you wish the new setting to be retained after a cold-start has been
performed, press: Confirm .
38
Universal Settings
Configuration Tables
Table 4
CMS Model 64(S) User Configuration
(see the Parameter Display Colors Table for color configuration)
User Default
Values
Item Name
User Configuration
Realtime waves
SCREEN A
Channel #1
Channel #2
SCREEN B
SCREEN C
SCREEN D
SCREEN E
Any wave can be assigned
to any channel of 1 to 4
(note number of waves in
Wave Format)
Channel #3
Channel #4
Screen Label
Standard, Surgeon,
Cardio-vascular, SwanGanz, 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 Moving1
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
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 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
CO2
Pleth
PRESS 3
CO2
CO2
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 Window1
Split
Split
Split
Split
CSA
Wave Replace2
Enabled
Enabled
Enabled
Enabled
Enabled
Trace Mode
Fixed
Fixed
Fixed
Fixed
Fixed
Numerics Prompt3
Yes
Yes
Yes
Yes
Yes
Realtime speeds:
25mm/s for all except RESP and CO2 (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:
Monitor Setup
→ Display1 Setup → Choose Screen → Press:
Numeric On/Off .
If you wish the new setting to be retained after a cold-start has been
performed, press: Confirm .
40
Universal Settings
Configuration Tables
Table 6
CMS Model 56(S) User Configuration
(see the Parameter Display Colors Table for color configuration)
User Default
Values
Item Name
User Configuration
Realtime waves
SCREEN A
Channel #1
Channel #2
SCREEN B
SCREEN C
SCREEN D
SCREEN E
Any wave can be assigned
to any channel of 1 to 6
(note number of waves in
Wave Format)
Channel #3
Channel #4
Channel #6
Channel #6
Screen Label
Standard, Surgeon,
Cardio-vascular, SwanGanz, 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 Moving1
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
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
PRESS51
PRESS 4
PRESS 4
PRESS 4
CO2
Channel #7
PLETH
PLETH
PRESS51
PLETH
EEG CH1
Channel #8
RESP
CO2
PRESS61
CO2
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 Window2
Split
Split
Split
Split
CSAt
Wave Replace3
Enabled
Enabled
Enabled
Enabled
Enabled
Trace Mode
Fixed
Fixed
Fixed
Fixed
Fixed
Numerics Prompt4
Yes
Yes
Yes
Yes
Yes
Realtime speeds:
25mm/s for all except RESP and CO2 (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 should 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:
→ Display1 Setup → Choose Screen →
Numeric On/Off . If you wish the new setting to be retained after a coldstart has been performed, press: Confirm .
Press:
42
Monitor Setup
Universal Settings
Configuration Tables
Table 8
CMS Model 68(S) User Configuration
(see the Parameter Display Colors Table for color configuration)
User Default
Values
Item Name
User Configuration
Realtime waves
SCREEN A
Channel #1
Channel #2
SCREEN B
SCREEN C
SCREEN D
SCREEN E
Any wave can be assigned
to any channel of 1 to 8
(note number of waves in
Wave Format)
Channel #3
Channel #4
Channel #5
Channel #6
Channel #7
Channel #8
Screen Label
Standard, Surgeon,
Cardio-vascular, SwanGanz, 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 Moving1
Numerics Prompt2
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
Table 9
NCMS Model 48(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
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 Window1
None
OxyCRG
Split
Wave Replace2
Enabled
Enabled
Enabled
Trace Mode
Fixed
Fixed
Fixed
Numerics Prompt3
Yes
Yes
Yes
Realtime speeds:
25mm/s for all except RESP and CO2 (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:
→ Display1 Setup → Choose Screen →
Numeric On/Off . If you wish the new setting to be retained after a coldstart has been performed, press: Confirm .
Press:
44
Monitor Setup
Universal Settings
Configuration Tables
Table 10 NCMS Model 48(S) User Configuration
(see the Parameter Display Colors Table for color configuration)
User Default
Values
Item Name
User Configuration
Realtime waves
SCREEN A
Channel #1
Channel #2
SCREEN B
SCREEN C
SCREEN D
SCREEN E
Any wave can be assigned
to any channel of 1 to 8
(note number of waves in
Wave Format)
Channel #3
Channel #4
Channel #5
Channel #6
Channel #7
Channel #8
Screen Label
Standard, Surgeon,
Cardio-vascular, SwanGanz, 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 Moving1
Numerics Prompt2
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 CO2
Screen Label
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 Window1
Split
Split
Split
Wave Replace2
Enabled
Enabled
Enabled
Trace Mode
Fixed
Fixed
Fixed
Numerics Prompt3
Yes
Yes
Yes
Realtime speeds:
25mm/s for all except:
RESP, CO2, AG O2, AG CO2, 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:
Monitor Setup
→ Display1 Setup → Choose Screen →
Numeric On/Off .
If you wish the new setting to be retained after a cold-start has been
performed, press: Confirm .
46
Universal Settings
Configuration Tables
Table 12 ACMS Model 84(S) User Configuration
(see the Parameter Display Colors Table for color configuration)
User Default
Values
Item Name
User Configuration
Realtime waves
SCREEN A
Channel #1
Channel #2
SCREEN B
SCREEN C
SCREEN D
SCREEN E
Any wave can be assigned
to any channel of 1 to 6
(note number of waves in
Wave Format)
Channel #3
Channel #4
Channel #5
Channel #6
Screen Label
Standard, Surgeon,
Cardio-vascular, SwanGanz, 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 Moving1
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
(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 CO2
PRESS 2
Blank
PRESS 2
EEG CH1
Channel #5
Blank
PRESS 3
Blank
PLETH
EEG CH2
Channel #6
Blank
AG CO2
AG CO2
AG CO2
AG CO2
Screen Label
Standard
CardioVascular
Swan-Ganz
Standard
Neuro
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 Window1
Split
Split
Split
Split
CSA
Wave Replace2
Enabled
Enabled
Enabled
Enabled
Enabled
Trace Mode
Fixed
Fixed
Fixed
Fixed
Fixed
Numerics Prompt3
Yes
Yes
Yes
Yes
Yes
Realtime speeds:
25mm/s for all except:
RESP, CO2, AG O2, AG CO2, 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:
Monitor Setup
→ Display1 Setup → Choose Screen →
Numeric On/Off .
If you wish the new setting to be retained after a cold-start has been
performed, press: Confirm .
48
Universal Settings
Configuration Tables
Table 14 ACMS Model 76(S) User Configuration
(see the Parameter Display Colors Table for color configuration)
User Default
Values
Item Name
User Configuration
Realtime waves
SCREEN A
Channel #1
Channel #2
SCREEN B
SCREEN C
SCREEN D
SCREEN E
Any wave can be assigned
to any channel of 1 to 6
(note number of waves in
Wave Format)
Channel #3
Channel #4
Channel #5
Channel #6
Screen Label
Standard, Surgeon,
Cardio-vascular, SwanGanz, 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 Moving1
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 88(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
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 CO2
Channel #7
AG Agent
PLETH
PLETH
PLETH
EEG CH1
Channel #8
AG CO2
AG CO2
AG CO2
AG CO2
EEG CH2
Screen Label
Standard
CardioVascular
Swan-Ganz
Standard
Neuro
#1
#8 (3-4/5-6
overlap)
#2
#1
#1
(non-overlap)
(3-5 overlap)
(non-overlap)
(non-overlap)
Overlap
#1
#2
#3
#3
#3
Application Window1
Split
Split
Split
Split
Split
Wave Replace2
Enabled
Enabled
Enabled
Enabled
Enabled
Trace Mode
Fixed
Fixed
Fixed
Fixed
Fixed
Numerics Prompt3
Yes
Yes
Yes
Yes
Yes
Number Of Waves
Realtime speeds:
25mm/s for all except:
RESP, CO2, AG O2, AG CO2, 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: Monitor Setup → Display1 Setup → Choose Screen →
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 88(S) User Configuration
(see the Parameter Display Colors Table for color configuration)
User Default
Values
Item Name
User Configuration
Realtime waves
SCREEN A
Channel #1
Channel #2
SCREEN B
SCREEN C
SCREEN D
SCREEN E
Any wave can be assigned
to any channel of 1 to 8
(note number of waves in
Wave Format)
Channel #3
Channel #4
Channel #5
Channel #6
Channel #7
Channel #8
Screen Label
Standard, Surgeon,
Cardio-vascular, SwanGanz, 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 Moving1
Numerics Prompt2
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
(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
(2-5 overlap)
#4
(2-5 overlap)
#6 (2-3/4-5
overlap)
Application Window1
Split
Split
Split
Wave Replace2
Enabled
Enabled
Enabled
Trace Mode
Fixed
Fixed
Fixed
Numerics Prompt3
Yes
Yes
Yes
Realtime speeds:
25mm/s for all except:
RESP, CO2, AG O2, AG CO2, 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:
Monitor Setup
→ Display1 Setup → Choose Screen →
Numeric On/Off .
If you wish the new setting to be retained after a cold-start has been
performed, press: Confirm .
52
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)
User Default
Values
Item Name
User Configuration
Realtime waves
SCREEN A
Channel #1
Channel #2
SCREEN B
SCREEN C
SCREEN D
SCREEN E
Any wave can be assigned
to any channel of 1 to 6
(note number of waves in
Wave Format)
Channel #3
Channel #4
Channel #5
Channel #6
Screen Label
Standard, Surgeon,
Cardio-vascular, SwanGanz, 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 Moving1
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
(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
(3-8 overlap)
#3
(3-8 overlap)
#3
(3-8 overlap)
Application Window1
Split
Split
Split
Wave Replace2
Enabled
Enabled
Enabled
Trace Mode
Fixed
Fixed
Fixed
Numerics Prompt3
Yes
Yes
Yes
Realtime speeds:
25mm/s for all except:
RESP, CO2, AG O2, AG CO2, 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: Monitor Setup → Display1 Setup → Choose Screen →
Numeric On/Off .
If you wish the new setting to be retained after a cold-start has been
performed, press: Confirm .
54
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)
User Default
Values
Item Name
User Configuration
Realtime waves
SCREEN A
Channel #1
Channel #2
SCREEN B
SCREEN C
SCREEN D
SCREEN E
Any wave can be assigned
to any channel of 1 to 8
(note number of waves in
Wave Format)
Channel #3
Channel #4
Channel #5
Channel #6
Channel #7
Channel #8
Screen Label
Standard, Surgeon,
Cardio-vascular, SwanGanz, 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 Moving1
Numerics Prompt2
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:
Monitor Setup
→ 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
Item Name
Factory
Default Values
User Configuration
Note: Colors are Display configuration independent)
User Default Values:
Red, Yellow, Green, Cyan, White, Blue or Magenta
56
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
SpO2
Cyan
SpO2 2
Blue
PLETH
Cyan
PLETH 2
Blue
SvO2
Yellow
CO2
Green
FIO2
Green
RESP
White
tcpO2
Blue
tcpCO2
Green
VentIf1
Green
AirwyO2
Blue
AirwyCO2
Blue
AirwyN2 O
Yellow
AirwyAGT
Green
EEG
Yellow
BIS
Yellow
Universal Settings
Configuration Tables
Factory
Default Values
Item Name
CCO
Green
TEMP1
Green
TEMP2
Green
TEMP3
Green
TEMP4
Green
DIFF1
Green
DIFF2
Green
VueLink A2
Green
VueLink B2
Green
User Configuration
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:
• Database Storage
• Weight Units
• BSA Formula
To access the Patient Data information press:
Trend/Calcs
Universal Settings
→
Patient Data
.
57
Configuration Tables
Table 22 Patient Data
Factory Default
Values
Item Name
16 parameters at 24 hrs
(ICU) 16 parameters at 4 hrs
Database Storage1
(OR)2
Calculation Time
User Default Values
User Configuration
Normal Database: 16 at 24, 16 at 42
Extended Database: 16 at 92, 16 at 48,
32 at 42 or 32 at 24
C.O. (Cardiac Output) Time
C.O. Time or Current Time
Height Units
cm
in or cm
Weight Units1
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
Calcs)
g/dl
g/dl or mmol/l
Store Alarm Suspend4
Yes
Yes or No
BSA Formula1
Dubois (Adults/Ped) Boyd
(Neo)
Dubois or Boyd
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 Report5
Yes
Yes or No
Reference3
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 item only applies for the ACMS or if the selected Unit Type (Configuration Set) is OR.
NOTE
On the ACMS, the hospital name can be entered as patient data by
pressing Trend/Calcs → Hospital Name . A maximum of 38 characters
can be entered using the Handheld Keypad (Philips M1106C)
Printer Setting Configuration
When selecting the correct configuration for item Printer Setting
58
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
Languages
Printer Locale set to:
Local
Printer Locale set to:
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
If the CMS is 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:
Trend/Calcs
→ Vitals Config .
Table 24 Vital Signs (Table Trends)
Item Name
Factory Default Values
User Default Values
User Configuration
24 or 48 hour database1
Column interval
1 hr
(Graph time span = 8 hrs)
1 min (Graph = 1 hr)
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
(Graph time span = 1 hr)
1 min (Graph = 1 hr)
5 min (Graph = 1 hr)
15 min (Graph = 4 hrs)
1 hr (Graph = 4 hrs)
2 hrs (Graph = 4 hrs)2
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:
Trend/Calcs
→
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 assign a parameter to the selected position
within the graph group.
Table 26 Graph Groups
Item Name
Factory Default Values
User Default Values
Graph Group
1
1, 2, 3, 4, or 5
Position
1
1, 2, or 3
Parameter
Group 1: HR, ABP, PAP
Group 2: HR, ABP, CVP
Group 3: HR, ABP, Events
Group 4: HR, PAP, C.O.
Group 5: HR, NBP, RESP
any parameter
Suffix
S/D/M1, M2, or H/L/A3
S/D/M, S/D, S, D, M,
H/L/A, H/L, H, L or A
User Configuration
1. S/D/M default for the following labels: ABP, PAP, IUP, ART, Ao, UAP, NBP, P1-P8.
2. M default for the following labels: CVP, LAP, ICP, RAP, UVP.
3. H/L/A default for label LI (Light Intensity of SvO2)
Universal Settings
61
Configuration Tables
To access the Reports Content information press:
Trend/Calcs
→ Reports Content .
Table 27 Reports Content
Factory Default
Values
Item Name
User Default Values
Report Item
1
1, 2, 3, 4, or 5
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 intervals1
Graphs:
Group 1-5
Calc:
Hemo, Oxy, Vent
User Configuration
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
Configuration Tables
To access the Reports Schedule information press:
Trend/Calcs
→ Reports Schedule .
Table 28 Reports Schedule
Item Name
Factory
Default
Values
User Default
Values
Start hour
07
any hour
Start minute
00
any minute
Report frequency (hr)
24
any hour
Report frequency (min)1
00
any minute
On/Off schedule
Off
On or Off
User Configuration
1. If Report Frequency (hr) is set to 24, Report frequency (min) is not adjustable.
Universal Settings
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:
Alarms/Volume
Item Name
→
Event Config
Factory Default Values
.
User Default Values
User Configuration
(HR) Brady Event Settings
Trigger Mode
Brady Alarm
Trig Threshold
80 bpm1, 2
Trigger Time:
3 sec.1, 2
Brady Alarm or
User Def
SpO2 Desaturation Event Settings
Trigger Mode
Desat (ICU) Low Alarm
(OR)
Desat, Low Alarm,
User Def or Off (ICU)
Low Alarm, User Def or
Off (OR)
Trig Threshold
80%1, 3
Trigger Time
20 sec1, 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
Configuration Tables
oxyCRG Default Table
To access the oxyCRG information press:
Monitor Setup
→ oxyCRG .
Factory
Default Values
User Default Values
Oxygen Channel1
SpO2
SpO2 or tcpO2
Recorder Speed
2 cm/min
1, 2, or 3 cm/min
Item Name
User
Configuration
1. You can select between SpO2 or tcpO2 as the source for the oxygen channel in the display and recorder.
NOTE: not from external devices using VueLink.
NOTE
Universal Settings
oxyCRG recordings can only run with the M1116B plug-in-recorder. No
oxyCRG recordings will be given at the M1116A, M1117A or central
station.
65
Configuration Tables
Configuration Sets
Global Switches
To access the Configuration Set information press:
Monitor Setup
→ Config Sets .
To access the Global Switches information press:
Monitor Setup
Note
→ Global Switches .
• The line frequency is the same for all configuration sets.
• Pressing Factory Defaults only restores the factory default
value for Line Frequency. The factory defaults for Patient
Category and Unit Type are not restored.
• 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
Factory Default
Values Standard /
Anesthesia /
Neonatal
Item Name
User Default Values
User Configuration
Configuration Set 1 (Active Configuration Set)
Patient Category
Adult / Adult / Neo
Adult, Neonate or Pedi
Unit Type1
ICU
OR or ICU
Line Frequency2
60Hz
50Hz or 60Hz
Patient Category
Adult / Adult / Neo
Adult, Neonate or Pedi
Unit Type1
OR
OR or ICU
Line Frequency2
60Hz
50Hz or 60Hz
Patient Category
Neo / Pedi / Pedi
Adult, Neonate or Pedi
Unit Type1
ICU
OR or ICU
Line Frequency2
60Hz
50Hz or 60Hz
Patient Category
Neo / Neo / Pedi
Adult, Neonate or Pedi
Unit Type1
OR
OR or ICU
Line Frequency2
60Hz
50Hz or 60Hz
Configuration Set 2
Configuration Set 3
Configuration Set 4
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 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:
Monitor Setup
→ 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:
•
Press:
Monitor Setup
→ Global Switches .
Select Settings Transf
Press: Factory Defaults →
68
•
Change Operating Modes.
•
Change Configuration Sets.
Confirm
to store settings.
Parameter Settings
Configuration Tables
Heart Rate (HR) / Pulse Default Table
To access the Heart Rate (HR) / Pulse information press:
Module Setup
→ Heart Rate (HR/Pulse) .
Factory Default
Values
Item Name
User Default Values
Alarm Parameter
HR
HR or PULSE
(see Note below)
PULSE Source
PRESS 1 (Adult)
All available PULSE
sources
PLETH (Neo/Ped)
BradyLimit Diff
40 (Ped)
0 to (Low Limit - 20)
20 (Neo)
0 to (Low Limit - 50)
50 (Adult)
15 to (High Limit - 5)1
100 (Neo/Ped)
15 to (High Limit - 5)1
BradyTrig Time
3s (Neo) 5s (Ped)
0, 1, 2, 3, 4 or 5s
High Alarm Limit
120 (Adult)
(Low Limit + 5) to 250
200 (Neo/Ped)
(Low Limit + 5) to 300
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
Low Alarm Limit
Display Range
User Configuration
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
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.
Parameter Settings
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:
• HR Alarms cannot be switched OFF in Monitoring Mode.
• 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:
• HR Alarms can be switched OFF in Monitoring Mode.
70
Parameter Settings
Configuration Tables
ECG Default Table
To access the ECG information press:
Module Setup
→
ECG
.
Table 29 ECG Defaults without EASI™ 12-Lead Option
Factory Default
Values
Item Name
User Default
Values
Active ECG Channels
Ch1 & Ch2 (Adult)
Ch1 (Neo/Ped)
Ch1, Ch1 & Ch2 or
Ch1 to Ch3
Lead on Channel1
II
Any
Lead on Channel2
V
Any
Bandwidth Ch11
Monitor (ICU)
Filter (OR)
Filter, Diag or
Monitor
Bandwidth Ch21
Monitor (ICU)
Filter (OR)
Filter, Diag or
Monitor
Bandwidth Ch31
Monitor (ICU)
Filter (OR)
Filter, Diag or
Monitor
ECG Trigger Mode
Auto
Auto or Manual
Fallback Mode2
On
On or Off
Auto Filter3
Off (ICU)
On (OR)
On or Off
Auto Gain Mode4
AutoAdj
AutoAdj, AutoSize,
Gain x1, Gain x2
Paced Mode
Off
On or Off
User Configuration
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. 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
Lead Placement
EASI
Standard or EASI
Active ECG Channels
Ch1 to Ch3
Ch1, Ch1 & Ch2
or Ch1 to Ch3
Lead on Channel1
II
Any
Lead on Channel2
V2
Any
Lead on Channel3
V5
Any
Bandwidth1
Monitor (ICU)
Filter (OR)
Filter, Diag or Monitor
ECG Trigger Mode
Auto
Auto or Manual
Auto Filter2
Off (ICU) On
(OR)
On or Off
Auto Gain Mode3
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&HR
Schedule Interval
2.0 hours
0.5 hours to 48 hours4
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
User Configuration
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 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. 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
Configuration Tables
Respiration Default Table
To access the Respiration information press:
Module Setup
Item Name
→
.
Resp
Factory Default
Values
User Default Values
Trigger Mode
Auto
Auto or Manual
Apnea Time
20 sec
Between 10s & 40s in steps of 5s
RESP Low Limit
8 rpm (Adult/Pedi)
30 rpm (Neo)
Between 0 rpm & 95 rpm (Adult/Pedi)1
Between 0 rpm & 145rpm(Neo)1
RESP High Limit
30 rpm (Adult/Pedi)
100 rpm (Neo)
Between 10 rpm & 100 rpm (Adult/Pedi)1
Between 30 rpm & 150 rpm (Neo)1
Units Display
Off
On or Off
Resp at Startup
On
On or Off
User
Configuration
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
Item Name
→ ST Analysis .
Factory Default
Values
User Default Values
ST Monitoring
ST1-ST2
Off, ST1, ST1-ST2 or
ST1-ST3
ST Low Alarm Limit (all
channels)
-1.0 mm
-9.8 to 9.8 mm
ST High Alarm Limit (all
channels)
1.0 mm
-9.8 to 9.8 mm
Set ST Using (reference
point)1
J+60 ms
ST Point, J+60 ms or
J+80 ms
Isoelectric Point
-80 ms
-460 to 460 ms
ST Point2
108 ms
-380 to 460 ms
J Point1
48 ms
-460 to 380 ms
Units Display
On
On or Off
Trend Range
±2 mm
±1 mm, ±2 mm or ±5
mm
ST Off if SDN
No3
Yes or No
User Configuration
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
Configuration Tables
Pressure Default Tables
To access the Pressure information press:
Module Setup
NOTE
→ the required Pressure softkey.
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
Scale
Factory Default
Values
User Default Values
(1) 120mmHg (Adult)
6, 10, 18, 30, 60, 120, 180, 240mmHg, or Optimum
(1) 60mmHg (Neo/Ped)
6, 10, 18, 30, 60, 120, 180, 240mmHg or Optimum
User Configuration
(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
(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
On
On or Off
Pressure Filter
12Hz
12Hz or 40Hz
Display Mean2
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
Alarm Parameter
Respiration
Suppression1
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
Factory Default
Values
User Default
Values
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 +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
Configuration Tables
NBP Default Table
To access the NBP information press:
Item Name
Factory Default
Values
Module Setup
User Default Values
Mode
Auto (Adult, Ped)
Manual (Neo)
Auto or Manual
Repetition in auto
mode
15 mins (ICU)
5 mins (OR)
1, 2, 2.5, 3, 5, 10, 15, 20,
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)
Yes or No
Start Time
Synchronized
NotSynchron or
Synchronized
Venipunc. Press1
60mmHg (Adult)
20 - 120mmHg2
40mmHg (Ped)
20 - 80mmHg2
30mmHg (Neo)
20 - 50mmHg2
→
NBP
.
User Configuration
Alarm Limits
Alarm limits can be adjusted within the specified ranges in the following steps: Up to 30mmHg, in
2mmHg steps. Over 30mmHg, in 5mmHg steps.
Low Systolic
High Systolic
Low Diastolic
High Diastolic
Parameter Settings
90mmHg (Adult)
30 - 265mmHg
70mmHg (Ped)
30 - 175mmHg
40mmHg (Neo)3
30 - 125mmHg
160mmHg (Adult)
35 - 270mmHg
120mmHg (Ped)
35 - 180mmHg
90mmHg (Neo)3
35 - 130mmHg
50mmHg (Adult)
10 - 240mmHg
40mmHg (Ped)
10 - 145mmHg
20mmHg (Neo)3
10 - 95mmHg
90mmHg (Adult)
18 - 240mmHg
70mmHg (Ped)
18 - 150mmHg
60mmHg (Neo)3
18 - 100mmHg
77
Configuration Tables
Item Name
Low Mean
High Mean
Factory Default
Values
User Default Values
60mmHg (Adult)
20 - 250mmHg
50mmHg (Ped)
20 - 155mmHg
24mmHg (Neo)3
20 - 115mmHg
110mmHg (Adult)
28 - 255mmHg
90mmHg (Ped)
28 - 160mmHg
70mmHg (Neo)3
28 - 120mmHg
User Configuration
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
Configuration Tables
SpO2/SpO2 2/Pleth Default Table
To access the SpO2/Pleth information press:
Module Setup
Item Name
→ SpO2/Pleth or SpO22/Pleth .
Factory Default
Values
User Default Values
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 Time1
Medium (10s)
Fast (5s), Medium (10s)
or Slow (20s)
Tone Modulation1
Enhanced
Enhanced2, Standard3 or
Off
NBP Alarm Suppr
On
On or Off
Units Display
Off
On or Off
Low Alarm Trigger
Time 1
10 sec.
(Adult/Pedi & Neo)
0-30 in steps of 1
High Alarm Trigger
Time1
10 sec.
(Adult/Pedi & Neo)
0-30 in steps of 1
Wave Amplitude
SpO2, SQI
SpO2,SQI or Perfusion
PERF Indicator in
SpO2 Task Window
Off
On or Off4
DESAT Limit5
80
(Adult/Pedi & Neo)
50 to Low Limit in steps
of 1 (Adult) 30 to Low
Limit in steps of 1 (Pedi/
Neo)
DESAT TrigTime5
20 sec.
0 to 30 in steps of 1
Avg/TrigTimeAdj
Disabled
Enabled or Disabled
User Configuration
1. The second SpO2 module cannot be configured separately for these items. Joint configuration is assigned
through the first SpO2 module.
2. Enhanced tone modulation gives better audible differentiation for small changes of SpO2 level.
3. Standard tone modulation is identical to NELLCOR implementation.
4. If this item is configured to Off, PERF will not be trended.
Parameter Settings
79
Configuration Tables
5. Not active in OR mode.
SvO2 Default Table
To access the SvO2 information press:
Factory
Default
Values
Item Name
Module Setup
User Default 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
SpO2 display
On
On or Off
Units Display
Off
On or Off
80
→
SvO2
.
User Configuration
Parameter Settings
Configuration Tables
CO2 Default Table
To access the CO2 information press:
NOTE
Module Setup
CO2
.
The CO2 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 CO2
Module.
Factory Default
Values
Item Name
User Default Values
N2O Correction
Off (ICU), On (OR)
On or Off
Unit
mmHg
mmHg or kPa
IMCO2 High Limit
4mmHg (0.5kPa)
2mmHg to 20mmHg1
0.3kPa to 3.0kPa
AWRR High Limit
30 rpm (Adult/Ped)
10 rpm to 100 rpm2
100 rpm (Neo)
30 rpm to 150 rpm2
8 rpm (Adult/Ped)
0 rpm to 95 rpm2
30 rpm (Neo)
0 rpm to 145 rpm2
Apnea time
20 sec
10 sec to 40 sec3
ETCO2 High Limit
50mmHg (6.5kPa)
20mmHg to 100mmHg4
2.0kPa to 14kPa
ETCO2 Low Limit
30mmHg (4.0 kPa)
10mmHg to 95mmHg4
1.0kPa to 13kPa
Units Display
Off
On or Off
AWRR Low Limit
→
User Configuration
1. In steps of 1mmHg.
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
tcpO2/tcpCO2 Default Table
To access the tcpO2/tcpCO2 information press:
Module Setup
Note
→ tcpO2/tcpCO2 .
Patient Safety
• 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 tcpO2/tcpCO2 monitoring.
• *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
82
The tcpO2/tcpCO2 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 tcpO2/tcpCO2 Module.
Parameter Settings
Configuration Tables
Factory Default
Values
Item Name
User Default Values
tcpO2 Low Alarm Limit
50mmHg (6.5kPa)
10mmHg to 95mmHg
tcpO2High Alarm Limit
80mmHg (10.5kPa)
20mmHg to 300mmHg
(2.5kPa to 40kPa)
tcpCO2 Low Alarm Limit
30mmHg (4.0kPa)
10mmHg to 95mmHg
User
Configuration
1.0kPa to 12.5kPa (in
steps of 0.5kPa).
tcpCO2High 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 Off1
Not Allowed
Allowed or
Not allowed
Heat Switchoff2
No
Yes or No
CO2 Correction3
On (with metabolism
factor of 8mmHg)
On or Off
Metabolism Factor3
8mmHg (0.6kPa)
0mmHg to 12mmHg
(0.0kPa 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 tcpO2/tcpCO2 monitoring, when the Site Time
period elapses. Take note of the patient safety statement above.
3. Refer to Transcutaneous pO2 and pCO2 Monitoring in Neonatology (Philips p/n 5962-9992E).
Parameter Settings
83
Configuration Tables
FIO2 Default Table
To access the FIO2 information press:
Factory Default
Values
Item Name
Module Setup
User Default
Values
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)
→
FiO2
.
User Configuration
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:
Airway Gases/Ventilation
NOTE
84
→
VENTILTR
.
Also refer to the RS232 Configuration Default Table for details on
ventilator output interface configuration.
Parameter Settings
Configuration Tables
7800/7810 Ohmeda Ventilator Configuration Values
Item Name
Factory Default
Values
User Default 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:,
O2, RRaw, or <Off>
Numeric 2
RRaw
TV, MV, PMax, Pplat, Pmin sIE 1:,
O2, RRaw, or <Off>
Numeric 3
O2
TV, MV, PMax, Pplat, Pmin sIE 1:,
O2, RRaw, or <Off>
Numeric 4
MV
TV, MV, PMax, Pplat, Pmin sIE 1:,
O2, RRaw, or <Off>
Numeric 5
Pmax
TV, MV, PMax, Pplat, Pmin sIE 1:,
O2, RRaw, or <Off>
Numeric 6
Pplat
TV, MV, PMax, Pplat, Pmin sIE 1:,
O2, RRaw, or <Off>
Numeric 7
Pmin
TV, MV, PMax, Pplat, Pmin sIE 1:,
O2, RRaw, or <Off>
Numeric 8
sIE 1:
TV, MV, PMax, Pplat, Pmin sIE 1:,
O2, RRaw, or <Off>
Numeric 9
<Off>
TV, MV, PMax, Pplat, Pmin sIE 1:,
O2, RRaw, or <Off>
Parameter Settings
User Configuration
85
Configuration Tables
7900 Ohmeda Ventilator Configuration Values
Item Name
Factory
Default
Values
User Default Values
Wave 1
Paw
Paw, AWF or AWV1, <Off>
Wave 2
AWF
Paw, AWF, AWV or <Off>
Units Display
Off
Off or On
Numeric 1
TV
TV1, RRaw, MV, Pmax, Pmin, Pplat,
Pmean, cktO2, sTV1, sRRaw, SI:E 1:,
sPEEP, sPin, sPmax, COMP or <Off>
Numeric 2
MV
TV, RRaw, MV, Pmax, Pmin, Pplat, Pmean,
cktO2, sTV, sRRaw, SI:E 1:, sPEEP, sPin,
sPmax, COMP or <Off>
Numeric 3
RRaw
TV, RRaw, MV, Pmax, Pmin, Pplat, Pmean,
cktO2, sTV, sRRaw, SI:E 1:, sPEEP, sPin,
sPmax, COMP or <Off>
Numeric 4
Pmax
TV, RRaw, MV, Pmax, Pmin, Pplat, Pmean,
cktO2, sTV, sRRaw, SI:E 1:, sPEEP, sPin,
sPmax, COMP or <Off>
Numeric 5
Pmin
TV, RRaw, MV, Pmax, Pmin, Pplat, Pmean,
cktO2, sTV, sRRaw, SI:E 1:, sPEEP, sPin,
sPmax, COMP or <Off>
Numeric 6
Pplat
TV, RRaw, MV, Pmax, Pmin, Pplat, Pmean,
cktO2, sTV, sRRaw, SI:E 1:, sPEEP, sPin,
sPmax, COMP or <Off>
Numeric 7
Pmean
TV, RRaw, MV, Pmax, Pmin, Pplat, Pmean,
cktO2, sTV, sRRaw, SI:E 1:, sPEEP, sPin,
sPmax, COMP or <Off>
Numeric 8
cktO2
TV, RRaw, MV, Pmax, Pmin, Pplat, Pmean,
cktO2, sTV, sRRaw, SI:E 1:, sPEEP, sPin,
sPmax, COMP or <Off>
Numeric 9
COMP
TV, RRaw, MV, Pmax, Pmin, Pplat, Pmean,
cktO2, sTV, sRRaw, SI:E 1:, sPEEP, sPin,
sPmax, COMP or <Off>
User Configuration
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:
Procedures
→
C.O.
.
To access the Tblood information press:
Module Setup
Item Name
→ Tblood .
Factory Default
Values
User Default Values
User Configuration
C.O.
INJ LOW TEMP1
Off
On or Off
Units Display
Off
On or Off
ITBV/EVLW View
Indexed
Absolute or Indexed
Homologation
Dependent on
Geography
U.S. or Non-U.S. (Fixed at
factory)
Low Alarm Limit
36°C
17°C - 42.9°C2
High Alarm Limit
39°C
17.5°C - 43°C1
Display Range
35°C - 43°C
35°C - 43°C or 17°C - 43°C
Units Display
Off
On or Off
Tblood
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 steps of 0.1°.
Parameter Settings
87
Configuration Tables
Continuous Cardiac Output Default Table
To access the Cardiac Output information press:
Procedures
Item Name
→
CCO
Factory Default
Values
.
User Default Values
User Configuration
CCO
Low Alarm Limit
Adult: 4.0
Pedi: 2.6
Neo: 0.3
0.1 - 24.5
High Alarm Limit
Adult: 8.5
Pedi: 3.7
Neo: 1.3
0.2 - 25.0
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
Configuration Tables
EEG Default Table
To access the EEG information press:
Module Setup
Factory
Default
Item Name
Scale
, then the EEG softkey.
User Default Values
100µV1
20, 30, 50, 100, 200, 300, 500, 10001
±50µV2
±10, ±15, ±25, ±50, ±100, ±150, ±250, ±5002
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
5kΩ
1 to 30 kΩ
Units Display
Off
On, Off
User
Configuration
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 Epoch A
2sec.
2, 4, 10, 30, 60, 120 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
Frequency Scale
30 Hz
7.5, 15, 30 Hz
CSA Epoch
Epoch A
Epoch A, Epoch B, Epoch C
Epoch C
Epoch A, Epoch B, Epoch C
CSA Configuration
CSA on Display
CSA on Printout
CSA Epoch
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, A1, 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
Factory Default Values
EEG1+
EEG1-
Label1
EEG2+
EEG2-
Label2
Mont.A
Fp1
T3
Fp1-T3
Fp2
T4
Fp2-T4
Mont.B
O1
T3
O1-T3
O2
T4
O2-T4
Mont.C
F3
C3
F3-C3
F4
C4
F4-C4
Mont.D
C3
P3
C3-P3
C4
P4
C4-P4
Mont.E
Fp1
T5
Fp1-T5
Fp2
T6
Fp2-T6
User Default Values
Factory Default Values
User Default Values
Factory Default Values
User Default Values
Factory Default Values
User Default Values
Factory Default Values
User Default Values
90
Parameter Settings
Configuration Tables
Temperature Default Table
To access the Temperature information press:
Module Setup
followed by the required Temperature softkey.
Item Name
Factory
Default
Values
User Default Values
Label
T1 - T4
T1 - T4, Trect, Tcore, Tskin, Tesop, Tnaso, Tart
or Tven
Low Alarm Limit
36°C
-1°C - 44.9°C1
High Alarm Limit
39°C
-0.5°C - 45°C1
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
User
Configuration
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
Device Alarms
Accepted(ICU)
Ignored (OR)
Ignored or Accepted
Prefer’d Module
<Unspec>
<Unspec>, Ventiltr, Gas-Alzr, GCS,
An.Mach, Aux.Plus, 7, 8, or 9
User Configuration
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 Setup
,
BIS
Factory Default
Values
Item Name
User Default Values
Scale
100 µV
50, 100, 200, 500 µV
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
30 s
15, 30s
Display SR
On
On, Off
Display Units
Off
On, Off
Low Alarm Limit
20
0 - 99
High Alarm Limt
70
1 - 100
92
User Configuration
Parameter Settings
Configuration Tables
Differential Temperature Default Table
To access the Differential Temperature information press:
Module Setup
followed by the required Differential Temperature softkey.
Factory Default
Values
Item Name
User Default Values
User Configuration
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 - 12 or 0 - 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
To access the CPP information press:
Item Name
Factory Default
Values
User Default
Values
Arterial Source
ABP
ABP, ART or Ao
Units Display
Off
On or Off
Module Setup
→
CPP
.
User Configuration
Alarm Limits:
Alarm limits can be adjusted within the specified range in steps of 2mmHg.
Low Alarm Limit
High Alarm Limit
Parameter Settings
50mmHg (Adult)
-30 to +268mmHg
40mmHg (Ped)
-30 to +268mmHg
30mmHg (Neo)
-30 to +268mmHg
130mmHg (Adult)
-28 to +270mmHg
100mmHg (Ped)
-28 to +270mmHg
90mmHg (Neo)
-28 to +270mmHg
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 & Alarm information press:
Monitor Setup
→ Recordng Setup → Delayed & Alarm .
To access the Realtime Waves (Modes A, B or C) information press:
Monitor Setup
→ Recordng Setup
followed by the required Mode’s softkey.
Note
• Mode B is 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).
• Mode C is affected by the availability of oxyCRG. When oxyCRG is
available, Mode C will be assigned to oxyCRG Recording.
94
Parameter Settings
Configuration Tables
Factory Default Values
Item Name
Delayed &
Alarm
Realtime Waves
Mode A
Mode B
User Default Values
Mode C1
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
Channel
Plug-in 2
Channel
Plug-in 2
Channel
Plug-in 2
Channel
Plug-in 2 Channel, Central (x
Channel), 4ch BS-12, 4ch BS24, 2ch BS2
(See Note C)
Overlap
#1
#1
#1
#1
#1 to #4 (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
Recording
message
Yes



Delayed only:
Yes or No
Alarm Recording
On/Off
Disabled



Disabled or Enabled
Alarm Recording
Type5
Standard



oxyCRG or Standard (See
Note A)
1. For the Neonatal 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
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.
B Wave Assignment User Default Values
Realtime Waves
• Any wave can be assigned to any position of 1 to 8.
• 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)
Model 56(S)76(S)
Model 88(S) 68(S) 48(S)
4 Waves
6 Waves
8 Waves
C Recorder Labels
Plug-in (2ch)
4ch BS-1 or 4ch BS-2
2ch BS
CENTRAL (x ch)
96
2 Channel Plug-in Recorder (M1116A/B).
4 Channel Bedside Recorder (M1117A).
2 Channel Bedside Recorder (78574).
Number of channels depends on the
recorder connected to the Central Station.
Parameter Settings
Configuration Tables
Recorder Strip Overlap Choices
Table 30 Overlap Choices on 2 Channel Recorder Module (M1116A/B)
Overlap
Note
Sector 1
#1
20 mm
Wave 1
#2
40 mm
Waves 1-2
#3
20 mm
Wave 1
#4
40 mm Waves 1-3
Sector 2
20 mm
Wave 2
20 mm
Wave 2-3
Recorder Default Grids
All waves are printed on a 5mm x 5mm grid except the following:
Pressure wave:
4mm x 5mm grid
CRG wave:
2.5mm x 5mm grid
The CRG wave is not available for the ACMS.
Table 31 Overlap Choices on 4 Channel Bedside Recorder (M1117A)
Parameter Settings
Overlap
Sector 1
Sector 2
#1
25 mm Wave 1
25 mm Wave 2
#2
25 mm Wave 1
75 mm Wave 2-4
#3
25 mm Wave 1
25 mm Wave 2
#4
50 mm Wave 1
50 mm Wave 2-4
Sector 3
25 mm Wave 3
Sector 4
25 mm Wave 4
50 mm Wave 3-4
97
Configuration Tables
Table 32 Realtime Waves User Configuration
User Configuration
Item Name
Realtime Waves
Delayed & Alarm
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 Type1
1. Not available for the ACMS.
98
Parameter Settings
Configuration Tables
Procedure Recording Table
The Procedure Recording item allows you to select the recorder that
will produce cardiac output, wedge and ST measurement curve
recordings.
To access the Procedure Recording information press:
Monitor Setup
Item Name
Recorder
→ Recordng Setup → Procedur Recordng .
Factory Default
Values
User Default Values
Plug-in (2 ch)
Note
User Configuration
4CH BS-1, 4CH BS-2, Plug-in (2Ch) or
CENTRAL (x ch)
Recorder Labels
Plug-in (2ch)- 2 Channel Plug-in Recorder (M1116A/B).
4ch BS-1 or 4ch BS-2
2ch BS
CENTRAL (x ch)
4 Channel Bedside Recorder (M1117A).
2 Channel Bedside Recorder (78574).
Number of channels depends on the recorder
connected to the Central Station.
Other Recording Configuration Settings
To access other recording configuration settings, press:
Monitor Setup
→ Recordng Setup → Other Config .
Factory Default
Values
Item Name
User Default Values
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 Time1
5 min.
1, 2, 2.5, 3, 5, 10, 15, 20, 30, 45, 60, or 120 min.
Rec Includes
Vitals
Vitals, Blood or Both
User Configuration
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:
Monitor Setup
→ Recordng Setup → AlarmRec On/Off .
The table lists all existing features. Availability depends upon the
model or option selected.
Item Name
Factory
Default Values
User Default Values
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 Red1
SpO2 2
Yellow
Red/Yellow, Off or Red2
SvO2
Yellow
Yellow or Off
CO2
Red/Yellow
Red/Yellow, Off or Red
FIO2
Red/Yellow
Red/Yellow, Off or Red
RESP
Red/Yellow
Red/Yellow, Off or Red
tcpO2
Yellow
Yellow or Off
tcpCO2
Yellow
Yellow or Off
BIS
Yellow
Yellow or Off
100
User Configuration
Parameter Settings
Configuration Tables
Item Name
Factory
Default Values
User Default Values
VentIf2
Red/Yellow
Red/Yellow, Off or Red
Airwy O22
Red/Yellow
Red/Yellow, Off or Red
Airwy CO22
Red/Yellow
Red/Yellow, Off or Red
Airwy N2O2
Yellow
Yellow or Off
Airwy AGT2
Yellow
Yellow or Off
TEMP 1 - 4
Yellow
Yellow or Off
VueLink A
Red/Yellow
Red/Yellow, Off or Red
VueLink B
Red/Yellow
Red/Yellow, Off or Red
User Configuration
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:
Monitor Setup
→ Blood Analysis .
Factory
Default
Values
Item Name
User Default Values
Auto Transmit
Disabled
0, 5, 10, 15, 30, 60 min., Disabled
Out Of Range1
Enabled
Enabled, Disabled
Range/Unit Def.2
Units
Units, Ranges, Blank
BA-IF Warning3
Enabled
Enabled, Disabled
Setup Window4
Manual
Auto, Manual
Sample Type
Unspec
Unspec, Last5
Patient Temp.
Off
Off, Last5
O2* Input
Cleared6
Cleared6, Last5, Disabled7
Field1 Input
Cleared
Cleared6, Last5, Disabled
Field2 Input
Cleared
Cleared6, Last5, Disabled
Field3 Input
Cleared
Cleared6, Last5, Disabled
Patient ID8
Requestd
Optional, Requestd, Required
Operator ID9
Requestd
Disabled, Requestd, Required
Op. ID Input
Cleared
Cleared6, Last5
Op. ID Hidden
No
Yes, No
Op. ID # Digits
Any
Any, 2, 3, 4, 5, 6
User Configuration
Operator ID Defaults10:
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 the 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 Interface is interrupted.
4. If “Auto” is selected, the Setup Window automatically appears when a cartridge is inserted.
5. If “Last” is selected, the Setup screen starts with the settings made from the last setup change.
6. If “Cleared “ is selected, the Setup screen starts with these settings blank.
7. If O2* Input is “Disabled”, O2 selection does not appear in the Setup screen.
8. If Patient ID is “Optional”, the user can leave it empty without consequences. If “Requestd” is selected, the user
Confirm
will be asked for a Patient ID but can continue by pressing
must enter a Patient ID in order to view and transmit the results.
. If “Required” is selected, the User
9. If Operator ID is “Disabled”, the Select Oper ID key does not appear in the Setup screen. If “Requestd”
Confirm
is selected, the user will be asked for an Operator ID but can continue by pressing
. If
“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 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:
Monitor Setup
→
RS232
.
First RS232 Card
Item Name
Factory Default
Values
User Default 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 #21
9600
9600 or 19200
Baudrate #11
19200
9600, 19200 or 38400
TX/RX #21
High/Low
High/Low or Low/High
TX/RX #11
Low/High
High/Low or Low/High
User Configuration
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
Values
User Default 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 #41
9600
9600 or 19200
Baudrate #31
19200
9600, 19200 or 38400
TX/RX #41
High/Low
High/Low or Low/High
TX/RX #31
Low/High
High/Low or Low/High
User Configuration
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.
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:
• AGM (Anesthetic Gas Module) and VENT (Ventilator) connections
are not supported.
For the ACMS:
• AGM (Anesthetic Gas Module) and Personal Computer connections
are not supported on the same RS232 Card.
• 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
The following table shows the supported RS-232 configuration settings
of one card:
Upper Port
Computer Off
AGM
106
Lower Port
Computer On
Upper Port
Touch
Lower Port
Computer On
Touch
Computer Off
Mouse
Mouse
AGM
AGM
VENT
VENT
Computer Off
VENT
Computer Off
Touch
Touch
Mouse
Mouse
VENT
AGM
Output Interfaces
Configuration Tables
Analog Output Default Table
Note
• Analog Output configuration is performed in Monitoring Mode.
• There is no softkey to return settings to factory default values.
To access the Analog Output information press:
Monitor Setup
→ Analog Output .
Table 33 CMS and NCMS Analog Outputs
Item Name
Factory Default
Values
User Default Values
User
Configuration
ASSIGNMENTS
Channel #1
ECG CH1
Absolute wave
Channel #2
ECG CH2
Absolute wave
Channel #3
PRESS 1
Absolute wave
Channel #4
PRESS 2
Absolute wave
Channel #5
PRESS 3
Absolute wave
Channel #6
PRESS 4
Absolute wave
Channel #7
CO2
Absolute wave
Channel #8
PLETH
Scale wave
Parameters can be
assigned as follows:
Absolute Waves:
ECG, PRESS, CO2
Scale Waves:
Any parameter.
Numerics: Any
parameter.
Absolute Waves - GAIN (adjust with up and down arrow keys)
ECG
1.00 mV / 1V
0.01 to 9.99 mV / 1 V
PRESS, CO2
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, CO2
0 mmHg / 0 V
-999 to 999 mmHg = 0 V
Scaled Waves - GAIN (adjust with up and down arrow keys)
ECG, PRESS, C.O., PLETH,
CO2, 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
ECG, PRESS, C.O., PLETH,
CO2, RESP, EEG CH1, EEG
CH2, BIS-EEG, VUELINK
Factory Default
Values
0V
User Default Values
User
Configuration
-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 / 1 V
-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 / 1 V
-999 to +999 ml / 1 V
ITBVI
100 ml/m2 / 1 V
-999 to +999 ml/m2 / 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
CCO
100 ml/min / 1 V
-999 to +999 ml/min / 1 V
CCI
100 ml/min/m2 / 1 V
-999 to +999 ml/min/m2 / 1 V
SVR
100 DS/cm5 / 1 V
-999 to +999 DS/cm5 / 1 V
SVRI
100 DSm2/cm5 / 1 V
-999 to +999 DSm2/cm5 / 1 V
SpO2
100% / 1 V
-999 to +999% / 1 V
SpO2 2
100% / 1 V
-999 to +999% / 1 V
SvO2
100% / 1 V
-999 to +999% / 1 V
CO2 (ETCO2 and IMCO2)
100 mmHg / 1 V
-999 to +999 mmHg / 1 V
RESP, AWRR
50 rpm / 1 V
-999 to +999 rpm / 1 V
FIO2
1.00 / 1 V
-9.99 to +9.99 / 1 V
tcpO2/tcpCO2
100 mmHg / 1 V
-999.9 to +999.9 mmHg / 1 V
EEG1.1, EEG2.11
100nW / 1 V
-999 to +999 nW / 1 V
EEG1.2, EEG2.21
100Hz / 1 V
-999 to +999 Hz / 1 V
Tblood, TEMP
10.0°C / 1 V
-99.9 to +99.9 °C / 1 V
DIFF TEMP
5.0°C / 1 V
-99.9 to +99.9 °C / 1 V
ST
1.0 mm / 1 V
-99.9 to +99.9 mm / 1 V
VueLink2
1.0 mm / 1 V
-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
Values
User Default Values
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
CO2
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
0 ml = 0 V
-999 to +999 ml = 0 V
ITBVI
0 ml/m2 = 0 V
-999 to +999 ml/m2 = 0 V
EVLW
0 ml = 0 V
-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/m2 = 0 V
-999 to +999 ml/min/m2 = 0 V
SVR
0 DS/cm5 = 0 V
-999 to +999 DS/cm5 = 0 V
SVRI
0 DSm2/cm5 = 0 V
-999 to +999 DSm2/cm5 = 0 V
SpO2
0% = 0 V
-999 to +999% = 0 V
FIO2
0.00 = 0 V
-9.99 to +9.99 = 0 V
tcpO2/tcpCO2
0 mmHg = 0 V
-999.9 to +999.9 mmHg = 0 V
RESP, AWRR
0 rpm = 0 V
-999 to +999 rpm = 0 V
EEG1.1, EEG2.11
0nW = 0 V
-999 to +999 nW = 0 V
EEG1.2, EEG2.21
0Hz = 0 V
-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
0.0 mm = 0 V
-99.9 to +99.9 mm = 0 V
VueLink2
0.0 mm = 0 V
-999 to +999 mm = 0 V
PERF
0 = 0V
-99.9 to +99.9 mm = 0 V
User
Configuration
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
Item Name
Factory Default Values
User Default Values
Channel #1
ECG CH1 - Absolute wave
Channel #2
ECG CH2 - Absolute wave
Parameters can be assigned as
follows:
Channel #3
PRESS 1 - Absolute wave
Channel #4
PRESS 2 - Absolute wave
Absolute Waves: ECG,
PRESS, CO2 AG CO2, AG
Agent, AG O2
Channel #5
PRESS 3 - Absolute wave
Scale Waves: Any parameter.
Channel #6
PRESS 4 - Absolute wave
Channel #7
CO2 - Absolute wave
Channel #8
PLETH - Scale wave
User
Configuration
ASSIGNMENTS
Numerics: Any parameter.
Absolute Waves - GAIN (adjust with up and down arrow keys)
ECG
1.00 mV / 1V
0.01 to 9.99 mV / 1 V
PRESS, CO2, AG CO2 AG
Agent, AG O2
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, CO2, AG CO2 AG
Agent, AG O2
0 mmHg / 0 V
-999 to 999 mmHg = 0 V
Scaled Waves - GAIN (adjust with up and down arrow keys)
ECG, PRESS, C.O.,
PLETH, CO2, AG CO2 AG
Agent, AG O2 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, CO2, AG CO2 AG
Agent, AG O2 RESP, EEG
CH1, EEG CH2, VUELINK
0V
-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
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 / 1 V
-99.9 to +99.9 mmHg / 1 V
C.O.
100 l/min / 1 V
-99.9 to +99.9 l/min / 1 V
SpO2
100% / 1 V
-999 to +999% / 1 V
SvO2
100% / 1 V
-999 to +999% / 1 V
CO2 (ETCO2 and IMCO2)
100 mmHg / 1 V
-999 to +999 mmHg / 1 V
RESP, AWRR
50 rpm / 1 V
-999 to +999 rpm / 1 V
VENTNUM 1
100 L / 1 V
-999 to +999 L / 1 V
VENTNUM 2
50 rpm / 1 V
-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 cmH2O / 1 V
-999 to +999 cmH2O / 1 V
VENTNUM 8
100 / 1 V
-999 to +999 / 1 V
AG O2 (etO2 and inO2)
100% / 1 V
-999 to +999% / 1 V
AG CO2 (ETCO2 and IMCO2)
100 mmHg / 1 V
-999 to +999 mmHg / 1 V
AG N2O (etN2O and inN2O)
100% / 1 V
-999 to +999% / 1 V
AG etAGT
100% / 1 V
-999 to +999% / 1 V
AG inAGT
100% / 1 V
-999 to +999% / 1 V
AG AWRR
50 rpm / 1 V
-999 to +999 rpm / 1 V
FIO2
1.00 / 1 V
-9.99 to +9.99 / 1 V
tcpO2/tcpCO2
100 mmHg / 1 V
-999.9 to +999.9 mmHg / 1 V
EEG1.1, EEG2.11
100nW / 1 V
-999 to +999 nW / 1 V
EEG1.2, EEG2.21
100Hz / 1 V
-999 to +999 Hz / 1 V
Tblood, TEMP
10.0°C / 1 V
-99.9 to +99.9 °C / 1 V
DIFF TEMP
5.0°C / 1 V
-99.9 to +99.9 °C / 1 V
ST
1.0 mm / 1 V
-99.9 to +99.9 mm / 1 V
VueLink2
1.0 mm / 1 V
-999 to +999 mm / 1 V
PERF
100 / 1 V
-99.9 to +99.9 mm / 1 V
User
Configuration
Numerics - OFFSET (adjust with left and right arrow keys)
Output Interfaces
111
Configuration Tables
Item Name
Factory Default Values
User Default Values
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
CO2
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
SpO2
0% = 0 V
-999 to +999% = 0 V
FIO2
0.00 = 0 V
-9.99 to +9.99 = 0 V
VENTNUM 1
0L=0V
-999 to +999 L = 0 V
VENTNUM 2
0 rpm = 0 V
-999 to +999 rpm = 0 V
VENTNUM 3
0% = 0 V
-999 to +999% = 0 V
VENTNUM 4
0 l/min = 0 V
-999 to +999 l/min = 0 V
VENTNUM 5-7
100 cmH2O = 0 V
-999 to +999 cmH2O = 0 V
VENTNUM 8
0=0V
-999 to +999 = 0 V
AG O2 (etO2 and inO2)
0% = 0 V
-999 to +999% = 0 V
AG CO2 (ETCO2 and
IMCO2)
0 mmHg = 0 V
-999 to +999 mmHg = 0 V
AG N2O (etN2O and inN2O)
0% = 0 V
-999 to +999% = 0 V
AG AGT (etAGT and inAGT)
0% = 0 V
-999 to +999% = 0 V
AG AWRR
0 rpm = 0 V
-999 to +999 rpm = 0 V
RESP, AWRR
0 rpm = 0 V
-999 to +999 rpm = 0 V
EEG1.1, EEG2.11
0nW = 0 V
-999 to +999 nW = 0 V
EEG1.2, EEG2.21
0Hz = 0 V
-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
0.0 mm = 0 V
-99.9 to +99.9 mm = 0 V
VueLink2
0.0 mm = 0 V
-999 to +999 mm = 0 V
PERF
0 = 0V
-99.9 to +99.9 mm = 0 V
User
Configuration
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
The System’s Analog Output allows the user to adjust the gain (size) and
offset (position) of each analog signal. When adjusting settings, press:
Confirm
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.
Output Interfaces
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 configuration.
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:
•
Description of the drug calculator.
•
Worksheet for configuring drugs for a specific unit. This should be
filled out by the clinical staff at the hospital.
•
Directions for filling out the worksheet, with examples.
•
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
The CMS supports a unique configuration of up to 24 drugs. Each drug
can have its own:
•
Normal values.
•
Unknown result to be calculated.
•
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.
Overview
115
Drug Calculator Configuration
Configuring Drugs
Note
• The Handheld Keypad is required for Drug Calculator configuration.
• Drug Calculator configuration is accessed in Configuration Mode
through:
Trends/Calcs
→ 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.
• When a standard drug is 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
Drug Calculator Configuration
Figure 2 Example Configuration Worksheet
Drug Change Procedures and Filing in the Worksheet
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.
2. 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.
Configuring Drugs
117
Drug Calculator Configuration
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 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
118
ng
nanograms
mcg
micrograms
mg
milligrams
g
grams
mU
milliUnits
U
Units
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 configured set.
4. Complete the Titration Table setup. The titration table enables
you to determine the effect of adjusting Dose or Rate without reentering 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.
Configuring Drugs
119
Drug Calculator Configuration
Standard Drug Configuration
Table 37 Standard Drug Configuration|
Drug Name
Item 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 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
Drug Calculator Configuration
Table 38 Standard Drug Configuration (continued)
Drug Name
Item 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
1
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
Sulphate
Lidocaine
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
Drug Calculator Configuration
Table 40 Standard Drug Configuration (continued)
Drug Name
Item Name
.Any Dose, mcg/
kg/min
.Any Dose, mcg/
min
.Any Dose, mg/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 varying 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
.Any Dose, mg/
kg/hr
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
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 Set 3
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.
Configuration 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.
Introduction
125
Changing the Patient Category
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:
Monitor Setup
NOTE
→ 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
Algorithm1
Adult
Neo
Neo
HR/PULSE
Ranges
Adult
Neo
Neo
RESP
Algorithm Ranges2
Adult
Adult
Neo
Inv. Pressure
Algorithm
Adult
Neo
Neo
CO2
Airway Resp. Rate
Ranges
Adult
Adult
Neo
1. Paced Patient mode is switched off when changing from Adult to Pediatric or Neonatal
mode
2. Ranges - Measurement ranges and Alarm Limit ranges
126
Changing the Patient Category
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.
NBP
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:
•
the cuff pressure.
•
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 values are
adapted to normal physiological values.
Examples
Overpressure
Continuous
Pressure
NBP
Overpressure occurs if the cuff maintains a pressure 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
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
A to E
Any Cuff
1 to 4 & 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
128
Pedi
Neo
Continuous Pressure M1008A
15 mmHg
15 mmHg
N/A
Continuous Pressure M1008B
15 mmHg
(for 120s)
15 mmHg
(for 120s)
5 mmHg
(for 60s)
Continuous Pressure M1008B1
15 mmHg
(for 180s)
15 mmHg
(for 180s)
5 mmHg
(for 90s)
Time to inflate M1008A
from 0 to 60 mm Hg
40s
20s
N/A
Time to inflate M1008B
from 0 to 60 mm Hg
40s
20s
20s
Time to inflate M1008B1
from 0 to 60 mm Hg
N/A
N/A
N/A
Max. inflation time M1008A
60s
40s
N/A
Max. inflation time M1008B
60s
40s
30s
Max. inflation time M1008B1
120s
90s
45s
Max. deflation time M1008A
80s
80s
N/A
Max. deflation time M1008B
80s
80s
60s
Max. deflation time M1008B1
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 M1008B1
175s
175s
90s
Overpressure protection M1008A
300 mmHg
200 mmHg
N/A
Overpressure protection M1008B
300 mmHg
200 mmHg
150 mmHg
Recommended Cuff Size
A to E
Any Cuff
1 to 4 & A
Default Inflation Pressure
165 mmHg
125 mmHg
100 mmHg
1. With venous puncture functionality.
NBP - Recommendations
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.
ECG
The most important factor in deciding which 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:
•
Morphology of the ECG.
•
Signal being too weak.
•
Paced patients.
The following paragraphs describe the three causes and the
recommended actions to deal with them.
ECG
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
Pediatric or Neonate patient categories.
Recommendations
If pace pulses are counted as HR pulses:
NOTE
130
•
Derive the cardiac rate from pulse.
•
Look for a lead on channel 1, where the pace pulse amplitude is as
low as possible.
If the pace pulse amplitude is not zero, the cardiotach may count beats
even if there is cardiac arrest.
ECG
Heart Rate (HR) / Pulse
Adult
(bpm)
Pedi/Neo
(bpm)
Cardiotach Range
15 to 300
15 to 350
HR Alarm Limit Range
15 to 250
15 to 300
Pleth/Pressure Pulse Alarm Limit
Range
30 to 250
30 to 300
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
(rpm)
Neo
(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
CO2
Adult/Pedi
Neo
AWRR Low Range
0 to 95 rpm
0 to 145 rpm
AWRR High Range
10 to 100
rpm
30 to 150
rpm
AWRR Alarm Delay1
20 s
10 s
1. This setting cannot be changed
132
CO2
B
Sign-Off Sheets
Signoff Sheets and Worksheets
This appendix contains:
•
Configuration Sign-off Sheet
•
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:
•
•
•
The Nurse Manager or Biomed
Philips Implementation Planning Specialist
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:
•
•
•
The Nurse Manager or Biomed
Philips Implementation Planning Specialist
Philips Clinical Application Specialist
Signoff Sheets and Worksheets
133
Philips CMS Patient Monitoring System
Configuration Sign-off Sheet
Date
Hospital
Address
Unit
Hospital Contact
Customer Signature
Title
Date
Philips Representative
Signature
Title
Date
Philips Clinical
Application Specialist
Philips Service
Philips Sales
Model Number
Figure 3
Serial Number
Configuration Sign-Off Sheet
Please give a completed copy of this Configuration Sign-off Sheet to:
•
•
•
134
The Nurse Manager or Biomed
Philips Implementation Planning Specialist
Philips Clinical Application Specialist
Signoff Sheets and Worksheets
Figure 4
Signoff Sheets and Worksheets
Drug Calculator Configuration Worksheet
135
136
Signoff Sheets and Worksheets
C
Printout of Configuration Information
Configuration Printout
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.
Note
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.
Note
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:
• Device type (e.g. CMS)
• Date and Time
• Serial Number
• Software Revision
• Configuration Set
• EEPROM Number
• Language Code
• 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
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 .
Note
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:
•
•
•
Note
Configuration printout in progress
Configuration printout done
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
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
Delayed Record key.
Provided that the configuration printouts are small enough, normally,
more than one will be printed on the page before it is ejected.
138
Configuration Printout
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
Entering drug name, 117
Entering known values, 119
Entering unknown value, 117
Standard drugs, 120
Drug Configuration, 116
Drug Name, 117
B
BIS Default Table, 92
Blood Analysis Default Table, 102
Bretylium, 120
G
Global Switches, 18, 25
Patient Category, 18
Unit Type, 18
Graph Groups, 61
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 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
Index
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
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
Output 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
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 Default Tables, 57
U
Unit Type, 18
Universal Set, 16
Universal Settings, 27, 28
Unknown Value, 117
V
Ventilator Configuration Default Table, 84
Vital Signs (table trends) configuration, 60
VueLink Module Default Table, 91
W
Wave Assignment User Default Values, 96
142
Index
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