Certification Exhibit FCC ID: DXXWT0707-00000 IC: 3547A-WT0707 FCC Rule Part: 15.247 IC Radio Standards Specification: RSS-210 ACS Report Number: 08-0308 - 15C Manufacturer: Datascope Corp Model(s): 0998-00-0707-01, 0998-00-0707-02 Manual 5015 B.U.
Datascope® is a U.S. registered trademark of Datascope Corp. Masimo SET® is a U.S. registered trademark of Masimo Corp. Nellcor® is U.S. registered trademark of Tyco International Ltd. Panorama™ is a U.S. trademark of Datascope Corp. Passport 2® is a U.S. registered trademark of Datascope Corp. Symbol® is a U.S. registered trademark of Symbol Technologies, Inc. Vigilance® is a U.S. registered trademark of Edwards Lifesciences Corporation. View 12™ is a U.S. trademark of Datascope Corp. PureLight® is a U.S.
Table of Contents Foreword ....................................................................................................................................................... ix Warnings, Precautions and Notes..................................................................................................................... ix Indications for Use ..........................................................................................................................................
Table of Contents Alarm Behaviors ...................................................................................................................................... 3 - 6 Arrhythmia and ST Analysis.............................................................................................. 4 - 1 Lead Placement Procedures .............................................................................................................................. 4 - 2 Skin Preparation.................................
Table of Contents Sidebar Buttons ....................................................................................................................................... 5 - 56 Troubleshooting....................................................................................................................................... 5 - 57 Patient Alarm Functions .................................................................................................... 6 - 1 Patient Alarm Setup Tab (Optional) .........
Table of Contents Event List Report ...................................................................................................................................... 8 - 21 Patient Alarm Report ................................................................................................................................ 8 - 25 Troubleshooting.......................................................................................................................................
Table of Contents System Alarms (Alarm Responses) Tab........................................................................................................ 9 - 26 Passwords Tab ............................................................................................................................................... 9 - 29 Accessing the Installation Setup Tab........................................................................................................... 9 - 29 Modifying a Default Password..
Table of Contents Telepack (Optional)......................................................................................................... 10 - 1 Introduction .................................................................................................................................................. 10 - 2 Button Indicators ........................................................................................................................................... 10 - 3 Nurse Call Button ...........
Table of Contents Pulmonary Artery Wedge Pressure (PAWP)............................................................................................... 12 - 10 Battery Percentage................................................................................................................................. 12 - 10 Invalid Data Display...................................................................................................................................... 12 - 11 Alarms and Events .............
Table of Contents Panorama Central Station and Panorama Telemetry Server ................................................................................ 16 - 8 Real Time Clock .................................................................................................................................... 16 - 8 Power Supply........................................................................................................................................ 16 - 8 Operating Temperature ................
Foreword Introduction Foreword The Panorama Operating Instructions are intended to provide the information required to operate the Panorama Patient Monitoring Network. For additional information and technical assistance, please contact an area or regional Datascope Patient Monitoring Representative. A general understanding of the features and functions of the Panorama Patient Monitoring Network and its components is a prerequisite for the proper use of this equipment.
Introduction Warnings, Precautions and Notes Warnings WARNING: Only qualified and trained personnel or Datascope Service personnel should attempt to service Datascope equipment. Service is defined as any activity requiring the cover to be removed for internal adjustments, parts replacements, repairs or software upgrades of any kind to insure compatibility. WARNING: To insure compatibility with the operating system and applications software, use only Datascope Corp.
Warnings, Precautions and Notes Introduction WARNING: The Telepack should not be used adjacent to or stacked with other equipment. If adjacent or stacked use is necessary, the Telepack should be observed to verify normal operation in the configuration in which it will be used. WARNING: The Telepack with Nonin SpO2 module should only be used with Nonin-manufactured PureLight® pulse oximeter sensors. Using other manufacturers’ sensors can result in inaccurate pulse oximeter performance.
Introduction Warnings, Precautions and Notes WARNING: Changing the patient alarm limits at the WorkStation will automatically change the patient alarm limits at the Panorama Central Station AND the bedside monitor (if applicable) for the selected patient tile. Cautions xii CAUTION: For proper operation do not obstruct the fan air holes. CAUTION: For proper operation use only hospital grade power cords.
Warnings, Precautions and Notes Introduction CAUTION: Follow your hospital protocol for handling of blood and body fluids. CAUTION: The use of the Telepack may affect the functioning of other medical electrical equipment operating in the same frequency band. CAUTION: Conductive parts of electrodes and associated connectors for applied parts and neutral electrode should not contact other conductive parts and earth.
Introduction xiv Warnings, Precautions and Notes CAUTION: Tissue damage or inaccurate SpO2 measurements may be caused by incorrect sensor application or use, such as wrapping too tightly, applying supplemental tape, failing to inspect the sensor site periodically, or failing to position appropriately. Carefully read the sensor directions for use, the Panorama Operating Instructions, and all precautionary information before use.
Warnings, Precautions and Notes Introduction CAUTION: The Telepack with Nonin SpO2 module has motion tolerant software that minimizes the likelihood of motion artifact being misinterpreted as good pulse quality. In some circumstances, however, the Telepack with Nonin SpO2 module may still interpret motion as good pulse quality. This applies to all available outputs (i.e. SpO2, HR, Pleth, PPG).
Introduction Indications for Use Indications for Use Panorama Patient Monitoring Network The indications for use for the Panorama Patient Monitoring Network include: A. Viewing real time patient clinical and demographic data B. Graphical and numeric trending of clinical data C. Storing and printing of clinical and demographic data D. Setting independent alarm limits for data sent by the bedside monitor.
Unpacking Information Introduction Unpacking Information The Panorama Patient Monitoring Network must be installed by a certified Datascope Service Technician or authorized distributor. Please contact your authorized Datascope Service Representative for additional information.
Introduction Symbols and Descriptions Symbols and Descriptions SYMBOL DESCRIPTION SYMBOL DESCRIPTION Attention, Consult Accompanying Touchscreen Documents / Refer to Manual Alternating Current (AC) Alarm On Defibrillator proof - type CF Direct Current (DC) Keyboard Alarm Off Mouse Alarm Mute Input/Output Earth Ground Speaker Monitor Do not dispose of this product as unsorted municipal waste.
SYMBOL DESCRIPTION A symbol designating compliance of the Panorama Central Station Monitoring system with the Medical Device Directive (MDD) 93/42/EEC, as a Class IIb device. A symbol designating compliance of the Telepack with the Medical Device Directive (MDD) 93/42/EEC, as a Class IIb medical device and compliance with the Radio and Telecommunications Terminal Equipment Directive (R&TTE) 1995/5/EC as a Class 2 device.
This page intentionally left blank.
1.0 System Overview This section provides a high level view of the authorized components of the Panorama Patient Monitoring Network.
Components of the Panorama System 1.1 System Overview Components of the Panorama System The Panorama Patient Monitoring Network is a Medical Electrical System comprised of both medical and non-medical devices (data processing equipment components). The system and its components are marked in accordance with MDD, Annex IX classification criteria. Radio equipment is marked in accordance with Commission Decision 2000/299/EC.
System Overview 1.2 Licensing Key Licensing Key The Panorama Central Station uses a licensing key to regulate the operation of the system.
Supported Devices 1.3 System Overview Supported Devices The Panorama Patient Monitoring Network consists of two local area networks (LAN): a Panorama Central Network (C-LAN) and a Panorama Patient Network (E-LAN). The C-LAN manages stored patient data and controls the data flow between systems. The E-LAN manages real-time data by controlling the flow of data that is transmitted to/from the bedside monitors, and the Panorama Wireless Network.
System Overview 1.3.3 Supported Devices Panorama Telemetry Server The Panorama Telemetry Server is provided when the Panorama Wireless Network is required. It acts as a bridge to connect wireless monitoring devices, such as Telepack-608’s or wireless bedside monitors, to the Panorama Central Station. The Panorama Telemetry Server receives data from the wireless monitoring devices and converts it into a protocol recognized by the Panorama Central Station.
Supported Devices System Overview CAUTION: 1.3.5 Operation of the wireless product requires the prior coordination with a frequency coordinator designated by the FCC for the Wireless Medical Telemetry Service. Panorama Gateway The Panorama Gateway enables hospitals to maintain a continuous and comprehensive history of a patient’s clinical information through the use of electronic medical records (EMR).
System Overview 1.3.7 Supported Devices Passport 2® Bedside Monitor Passport 2 bedside monitors are used to monitor patient data and may use either a hardwired or a wireless (2.4 GHz or 608 MHz) configuration. The Passport 2 sends data to the Panorama Central Station for analysis and storage via an Ethernet connection or remotely via the Panorama Telemetry Server. The data collected by the Passport 2 is based on the type of lead wire set and sensors used.
Supported Devices System Overview Parameters/Waveforms (Continued) PARAMETERS SETTINGS PANORAMA ALARMS Gas Module is in use at the bedside monitor. O2 Inspired O2 End Tidal INSP/ET N2O3 Gas Module is in use at the bedside monitor. N2O Inspired N2O End Tidal INSP/ET Iso3 Gas Module is in use at the bedside monitor. Agent Iso Inspired Agent Iso End Tidal 3 Gas Module is in use at the bedside monitor.
System Overview 1.3.8 Supported Devices Spectrum™ Bedside Monitor Spectrum bedside monitors are used to monitor patient data and may use either a hardwired or a wireless (2.4 GHz or 608 MHz) configuration. Currently, the Spectrum sends data to the Panorama Central Station for viewing and storage via an Ethernet connection. The data collected by a Spectrum is dependent on the type of lead wire set and sensors used.
Supported Devices System Overview Parameters/Waveforms PARAMETERS SETTINGS PANORAMA ALARMS Gas Module is in use at the bedside device. High CO2 Inspired Low CO2 End Tidal High CO2 End Tidal INSP/ET O23 Gas Module is in use at the bedside monitor. O2 Inspired O2 End Tidal INSP/ET N2O3 Gas Module is in use at the bedside monitor. N2O Inspired N2O End Tidal INSP/ET Iso3 Gas Module is in use at the bedside monitor.
System Overview 1.3.9 Supported Devices Spectrum OR™ Bedside Monitor Similar to the Spectrum, Spectrum OR bedside monitors are used to monitor patient data and send it to the Panorama Central Station for viewing and storage via an Ethernet connection. The Spectrum OR requires a hardwired configuration. The data collected by a Spectrum OR is dependent on the type of lead wire set and sensors used.
Supported Devices System Overview Parameters/Waveforms PARAMETERS SETTINGS PANORAMA ALARMS INSP/ET Iso Gas Module is in use at the bedside device. Agent Iso Inspired Agent Iso End Tidal INSP/ET Enf Gas Module is in use at the bedside device. Agent Enf Inspired Agent Enf End Tidal INSP/ET Des Gas Module is in use at the bedside device. Agent Des Inspired Agent Des End Tidal INSP/ET Sev Gas Module is in use at the bedside device.
System Overview 1.3.10 Supported Devices Panorama Telepack The Panorama Telepack is a portable, wireless patient telemetry unit that can operate for an extended period of time on a disposable battery source. It can measure 3 or 5 Lead ECG and can also report on SpO2 data when the optional SpO2 module is attached. Telepack models are available for transmission at either 2.4 GHz (802.11 b/g) or 608MHz (WMTS band), depending on the region of use.
Supported Devices System Overview Parameters/Waveforms PANORAMA ALARMS PARAMETERS SETTINGS PVC/min.
System Overview 1.3.11 Supported Devices Network Printer The Network Printer provides a vehicle for printing collected data from the Panorama Patient Monitoring Network. One Panorama Central Station is capable of supporting up to two printers.
Troubleshooting 1.4 System Overview Troubleshooting This section lists some of the potential issues that may occur with the monitor. MESSAGE/ISSUES * REASON SOLUTION Wandering ECG Respiration artifact. Try a different base line lead configuration. Noisy ECG traces Loose or dry electrodes. Apply new electrodes. Defective electrode wires. Replace wires as necessary. Patient cable or leads are routed too close to other electrical devices. Eliminate 60Hz interference.
System Overview Troubleshooting MESSAGE/ISSUES * REASON SOLUTION Disabled Alarm Tone, QRS Tone or Other Function MUTE button pressed. Check for alarm mute symbol and message. Beep volume low. Increase beep volume. ECG Base Line With No Wave form The Gain control is not set high enough. Set through SIZE button. Readjust as required. Lead wires and patient cable not fully inserted into proper receptacle. Check insertion. Cable or lead wires damaged. Check with lead continuity tester.
Troubleshooting System Overview MESSAGE/ISSUES * REASON SOLUTION No Resp. Wave form or Rate Displayed Patient not connected to a patient safety cable. Turn respiration on (“OFF” will be displayed in Resp. window). Check that proper patient cable is used. Patient connected using Patient ESIS Choke/Cable. Use 3-wire lead Patient Cable non ESIS. BAD CARD View 12™ card is not the correct version or the card data has become corrupt. Obtain replacement card.
2.0 Getting Started This section provides an overview of the Panorama Central Station, the ViewStation and the WorkStation.
The Panorama Central Station 2.1 Getting Started The Panorama Central Station The Panorama Central Station collects patient data from both wireless and hardwired devices and displays it based on its configured settings. Data is collected from the bedside monitors (Passport 2®/Spectrum™) and Panorama Telepacks (2.4 GHz and 608 Mhz). The type of data that is collected and viewed is determined by the monitoring device and the selected parameters.
Getting Started The Panorama Central Station The Panorama Central Station uses a split-screen display (shown in FIGURE 2-2) to allow users to simultaneously enter patient information, and monitor patient data. The top half of the screen displays patient data, while the bottom half of the screen is converted to a work space for entering and modifying patient information.
The ViewStation and the WorkStation 2.2 Getting Started The ViewStation and the WorkStation The ViewStation and the WorkStation may display patient tiles from other Panorama Central Stations on the network from a remote location(s). The host central station’s Panorama Central Network (C-LAN) configuration settings, and the software that is installed at the remote location, determine the level of functionality available for each patient tile.
Getting Started The ViewStation and the WorkStation Patient Tiles Menu Bar FIGURE 2-3 Full Screen Display (ViewStation and WorkStation) The full screen display (shown in FIGURE 2-3) includes patient tiles for viewing patient data and a menu bar for navigating the system. NOTE: Panorama™ Operating Instructions The Network and Mute All menu bar buttons are only displayed at the ViewStation and the WorkStation.
The ViewStation and the WorkStation Getting Started The ViewStation and the WorkStation use a split-screen display (shown in FIGURE 2-4) to allow users to view patient information and monitor patient data. The top half of the screen displays patient data, while the bottom half of the screen is used to view patient data in more detail.
Getting Started 2.3 The Main Screen The Main Screen The Main Screen for the Panorama Central Station, the ViewStation, and the WorkStation is used to monitor patient data and to navigate the system. The Main Screen includes the following elements: 2.3.1 • Patient Tiles (shown in FIGURE 2-1/FIGURE 2-2) • Menu Bar (shown in FIGURE 2-1/FIGURE 2-2) • Tabs (shown in FIGURE 2-2) Patient Tiles Patient tiles (shown in FIGURE 2-5) are the core elements of the Panorama system.
The Main Screen Getting Started VIEW/MUTE Button The VIEW/MUTE buttons share the same location within the patient tile. The button that is displayed is dependant on the operating state of the patient tile. During normal operating conditions, the VIEW button (shown in FIGURE 2-5) is displayed in the patient tile. During an alarm condition, the MUTE button is displayed in the patient tile. NOTE: The MUTE button is not available at the ViewStation or the WorkStation.
Getting Started The Main Screen Digital Data Tile The digital data tile (shown in FIGURE 2-5) may include the following patient information: • Digital data measurements Examples of digital data parameters include: Heart Rate, Respiration, SpO2, Temperature, NIBP, PVC, and ST. The parameters available to a patient tile are dependent on the selected monitoring device. Digital data is shown in the color assigned to the parameter.
The Main Screen Getting Started Patient Status Line The Patient Status line (shown in FIGURE 2-5) displays patient demographic information, physiological event messages and technical event messages. Demographic information (Last Name, First Name, Bed, ID) is only shown if it was provided. Demographic information is displayed as configured in the Unit Choices tab.
Getting Started The Main Screen Menu bar selections include: • System Status Line • Menu Buttons • System Date/Time System Status Line System Date/Time Menu Buttons FIGURE 2-6 Panorama Central Station Menu Bar System Status Line System Date/Time Menu Buttons FIGURE 2-7 +Panorama Central Station Menu Bar - Paging Option Enabled System Date/Time System Status Line Menu Buttons FIGURE 2-8 ViewStation and WorkStation Menu Bar System Status Line The System Status line (shown in FIGURE 2-7) dis
The Main Screen Getting Started Table 2-1 provides a list of the tabs that are associated with each menu button. TABLE 2-1 BUTTON PURPOSE Patient Setup Provides access to the following tabs: Patient Alarms Report * ** 2 - 12 • The Demographics tab is used to enter and modify patient demographic information (i.e, Last name, First name, ID, Bed, Height, Weight, etc.).
Getting Started The Main Screen TABLE 2-1 BUTTON PURPOSE System Setup Provides access to the following tabs: • The Parameter Color tab is used to create the system default color and parameter assignment. • The Print Setup tab is used to assign a system default printer for report printing. • The Touch Screen tab is used to turn the touch screen on and off and recalibrate the touchscreen display.
The Main Screen Getting Started TABLE 2-1 BUTTON PURPOSE ** Mute All (Optional) This button does not provide access to any tab. When selected, the Mute All button silences the audio alarms for all patient tiles at a ViewStation or a WorkStation for the configured amount of time. The Mute All button does not affect the audio or visual alarm indicators at the bedside monitor or at the host central station. Print The Print button provides an additional method to print patient information and reports.
Getting Started 2.4 Common Controls and Elements Common Controls and Elements This section provides information regarding several types of controls and elements that are used throughout the system. Common controls and elements include: • Buttons • Progress Bar • Message Dialog Boxes • Keyboard Dialog Box • Keypad Dialog Box • Weight Dial Dialog • Height Dial Dialog Buttons Buttons provide additional options or perform an action when selected. For example: • To perform an action.
Common Controls and Elements Getting Started Progress Bar The Panorama Central Station uses progress bars to indicate the progress of a lengthy operation. FIGURE 2-12 Progress Bar Message Dialog Boxes The Panorama Central Station uses message dialog boxes to verify an action (shown in FIGURE 2-13) and to provide information (shown in FIGURE 2-14). A Question message dialog box contains Yes and No buttons.
Getting Started Common Controls and Elements Keyboard Dialog Box The Panorama Central Station uses a keyboard dialog box (shown in FIGURE 2-15) to enter and edit alphanumeric information. The buttons on the keyboard dialog box are similar to a standard computer keyboard. NOTE: Tab controls are disabled when the keyboard dialog box is displayed.
Common Controls and Elements Getting Started Field Name Edit Box Acceptable Range FIGURE 2-16 Keypad Dialog Box The keypad dialog box includes: • The name of the selected field • An Edit box to show the entered value • The acceptable range of values • A Clear button to delete all of the numbers in the edit box • A CE button to delete a single number from the edit box • A Cancel button to discard changes • An OK button to accept changes Weight Dial Dialog The Weight dial dialog can be used
Getting Started Common Controls and Elements Field Name Current Weight Dial Control Adjustment Buttons FIGURE 2-18 Weight Dial Dialog (Passport 2 bedside device, all patient sizes) The Weight dial dialog includes: • The name of the selected field • A text box to show the selected value • A dial control to select the weight • Turn in a clockwise direction to sequentially increase the numeric value • Turn in a counter-clockwise direction to sequentially decrease the numeric value • Adjustment butt
Quick Reference Guide 2.5 Getting Started Quick Reference Guide The quick reference guide provides abbreviated procedural information for the operation of the Panorama Central Station. For additional information, refer to the Panorama Quick Reference Guide (P/N 0002-08-7538). Quick reference procedures include: • Auto-Admitting a Patient • Standby • Discharge • Display • Patient Alarms (Limits and Responses) • Viewing List Trends • Viewing Events • Viewing Disclosure Data NOTE: 2.5.
Getting Started Quick Reference Guide • The Bedside and Panorama Standby button places the patient in Standby at the Panorama Central Station and the bedside monitor. NOTE: The Bedside and Panorama Standby button is not available when using a Telepack device. 4. Select a patient’s Standby location. a. Select a location from the patient location list b. Choose the Select button To activate Standby mode at the bedside monitor: • Select the STANDBY button on the front of the bedside monitor.
Quick Reference Guide Getting Started 5. A message dialog box is displayed. a. If at least two of the three required demographic fields (First Name, Last Name, Patient ID) are entered, the following message is displayed: Are you sure you want to discharge this patient? Selecting Yes will move the patient to the discharge list. The YES button discharges the patient. The NO button continues monitoring the patient. b.
Getting Started Quick Reference Guide 4. Select a digital parameter tile to change a digital parameter. Select a waveform tile to change a waveform. 5. Select a parameter from the Parameter list. 6. Choose the Select button to confirm the choice. For additional information regarding parameter display, refer to the ‘‘Display Tab’’ on page 5-40. 2.5.5 Patient Alarms Patient alarms provide for customized alarm limits and responses based on patient need.
Quick Reference Guide Getting Started 2. Choose a patient tile by selecting its digital data or waveform area. 3. Select the Alarm Responses tab. 4. Select the parameter. 5. Adjust the alarm responses for the parameter. For additional information on alarm responses, refer to "Alarm Responses Tab (Patient)’’ on page 6-12. Muting Alarms To mute a non-latched alarm (for example, IBP): • Select the MUTE button in the alarming patient tile to silence the alarm violation for the configured time period.
Getting Started Quick Reference Guide To adjust the trend display period: 1. Select the Patient Setup menu button. 2. Select the Display tab. 3. Select the Trend Display sidebar button. For additional information regarding the Trends List, refer to "Trends Tab (List View)’’ on page 7-13. 2.5.7 Viewing Events The Events tab displays all events and related waveform data for a patient. To view events: 1. Select the VIEW button in the desired patient tile. 2. Select the Events tab.
Troubleshooting 2.6 Getting Started Troubleshooting This section lists some of the potential issues that may occur when admitting a patient to the Panorama Central Station. MESSAGE/ISSUE * REASON SOLUTION Cannot admit patient/patient data not displayed at central station. Previous patient not discharged from system and/or monitoring device. Discharge patient from system. Monitoring device not assigned to Panorama Equipment List. Assign device to Panorama Equipment List.
3.0 Alarm Behavior This section outlines the alarm types available in the system and the conditions that would trigger an alarm condition.
General Alarm Behavior 3.1 Alarm Behavior General Alarm Behavior The Panorama Central Station uses alarms to send notification when a patient’s physiological status changes, a patient has a specific technical issue, or when there is a system violation. When a patient is first admitted, the default system alarm settings are in effect. Individual patient alarm settings can be modified by using the Patient Alarms button at the central station or the WorkStation.
Alarm Behavior Physiological Alarms Once the alarm condition is resolved and/or acknowledged, the audible alarm stops, unless the alarm is latched. For additional information regarding alarm limits, refer to ‘‘Alarm Limit Settings’’ on page 13-2. For additional information regarding alarm latching, refer to ‘‘Latching’’ on page 3-3. 3.2.2 Alarm Options The alarm options associated with a parameter dictate how the system responds when an alarm occurs.
Physiological Alarms Alarm Behavior Once a latched alarm condition is acknowledged, the alarm indicators discontinue until another alarm condition occurs. Acknowledging the alarm at the central station will not discontinue the alarm at the bedside monitor, and acknowledging the alarm at the bedside monitor will not discontinue the alarm at the central station, ViewStation, or WorkStation.
Alarm Behavior Physiological Alarms For additional information about defining a parameters alarm priority, refer to ‘‘Configuring Alarm Responses’’ on page 6-14 and ‘‘Setting the System Alarms Responses’’ on page 9-27. Priority 1 Alarms Priority 1 alarms are the most severe alarm type. Lethal-arrhythmia alarms (Asystole, V-Tach, and V-Fib) are automatically configured as Priority 1 alarms and cannot be modified.
Technical Alarms 3.3 Alarm Behavior Technical Alarms Technical alarms are patient specific and are related to technical issues that occur with cables, leads, and parameter sensors. The ViewStation technical event alarm notification will follow those settings at the host central station. 3.3.1 Alarm Behaviors The visual and audio indicators associated with a technical alarm are as follows: Visual Indicators Technical visual indicators display as white text messages in the Patient Status line.
4.0 Arrhythmia and ST Analysis This section describes lead placement, arrhythmia, and ST analysis.
Lead Placement Procedures 4.1 Arrhythmia and ST Analysis Lead Placement Procedures Site preparation and ECG electrode placement directly impact the quality of an ECG signal. Optimizing an ECG signal is imperative for accurate monitoring. The processes involved in successful lead placement include: • Skin Preparation • Electrode Patches • Lead Placement Methods: AHA and IEC 4.1.1 Skin Preparation Proper skin preparation is essential to obtain accurate ECG data.
Arrhythmia and ST Analysis Lead Placement Procedures 2. Attach the electrode patch to the skin at the prepared site. Smooth the electrode patch down in a circular motion to ensure proper skin contact. If using soft gel electrodes, never push down directly over the contact gel medium as this may displace the gel and cause monitoring artifact.
Lead Placement Procedures Arrhythmia and ST Analysis 3-wire Lead Set A 3-wire lead set can monitor one of three ECG vectors (I, II, or III). The recommended 3-wire ECG lead placement is as follows. White Black Red FIGURE 4-1 3-wire Lead Placement (AHA) FIGURE 4-2 3-wire Lead Placement (IEC) • Place RA (white) electrode under right clavicle, mid-clavicular line within the rib cage frame. • Place R (red) electrode under right clavicle, mid-clavicular line within the rib cage frame.
Arrhythmia and ST Analysis Lead Placement Procedures View 12™ Card A View 12™ card utilizes a 10-wire ECG lead set that can monitor 12 ECG vectors (I, II, III, aVR, aVL, aVF, V1, V2, V3, V4, V5, and V6) simultaneously. The recommended lead placement for a View 12™ card is as follows. FIGURE 4-5 View 12™ Card Lead Placement (AHA) FIGURE 4-6 View 12™ Card Lead Placement (IEC) • Place RA (white) electrode under the right clavicle, mid-clavicular line within the rib cage frame.
Lead Placement Procedures Arrhythmia and ST Analysis Lead II Monitoring The recommended lead placement for Lead II monitoring is as follows. 4-6 FIGURE 4-7 Lead II Monitoring (AHA) FIGURE 4-8 Lead II Monitoring (IEC) • Place RA (white) electrode under right clavicle, mid-clavicular line within the rib cage frame. • Place R (red) electrode under right clavicle, mid-clavicular line within the rib cage frame.
Arrhythmia and ST Analysis Lead Placement Procedures Modified Chest Lead (MCL) Monitoring The recommended lead placement for MCL monitoring is as follows. FIGURE 4-9 MCL Monitoring with a 3-wire Lead Set (AHA) FIGURE 4-10 MCL Monitoring with a 3-wire Lead Set (IEC) • Place RA (white) electrode under left clavicle, mid-clavicular line within the rib cage frame. • Place R (red) electrode under left clavicle, mid-clavicular line within the rib cage frame.
Lead Placement Procedures Arrhythmia and ST Analysis Neonatal Electrode Placement (use only with Passport® and Spectrum™) When using a 3-wire lead set, ECG lead placement on a neonate is usually directed towards obtaining the best possible respiration data through the ECG thoracic impedance technique. Thoracic impedance is usually measured between the Right Arm and Left Arm electrode patches.
Arrhythmia and ST Analysis Lead Placement Procedures Monitoring a Pacemaker Patient The recommended lead placement for a pacemaker patient is as follows.
Arrhythmia Algorithm Arrhythmia and ST Analysis WARNING: PACEMAKER PATIENTS - Indication of the heart-rate may be adversely affected by cardiac pacemaker pulses or by cardiac arrhythmias. Keep pacemaker patients under close surveillance. Refer to ‘‘ECG Performance Requirements’’ on page 16-2 for disclosure of the pacer rejection capability. CAUTION: 4.2 Some pacemakers may contain a respiratory sensor that may produce artifact on an ECG waveform.
Arrhythmia and ST Analysis Arrhythmia Algorithm Some of the causes of ECG noise include poor skin preparation, improperly attached electrodes, dried electrode gel, defective lead wires, and patient movement. The algorithm uses several techniques to differentiate a patient’s QRS complexes from noise sources.
ST Segment Analysis Arrhythmia and ST Analysis Beat Detection and Typing The following table describes the leads that are used for beat detection and beat typing.
Arrhythmia and ST Analysis Arrhythmia Alarms ST segments are typically calculated on graph paper with a scale of 1cm/mV, and measured in millimeters where one millimeter is equivalent to 0.1 mV. The reliability of ST measurements is lowered with the presence of atrial fibrillation, flutter, and erratic baseline changes.
Arrhythmia Alarms Arrhythmia and ST Analysis NOTE: 4.4.1 Arrhythmia alarms are not available for the Neonate patient size. Lethal Arrhythmia Alarms A lethal arrhythmia is an arrhythmia that can be life threatening to a patient if left untreated. Ventricular Tachycardia (V-Tach), Ventricular Fibrillation (V-Fib), and Asystole alarms are classified as lethal arrhythmia alarms. These alarms automatically default to Alarm Priority 1.
Arrhythmia and ST Analysis Arrhythmia Alarms • Causes a red V-Fib text message to display in the Patient Status line. Ventricular Tachycardia (V-Tach) Alarm A V-Tach alarm is activated at the Panorama Central Station as follows: • The V-Tach lethal arrhythmia alarm is activated when the configured number of consecutive PVCs is reached at a rate equal to or greater than the V-Tach threshold. The range of the V-Tach rate is 100 to 180 beats. The range of the V-Tach threshold is 3-15 bpm.
Arrhythmia Alarms Arrhythmia and ST Analysis NOTE: Brady alarms may be configured to have a different alarm sound than other non-lethal physiological alarms. The sounds used are determined during system setup and configuration. The Brady alarm has priority settings of 1 and OFF. When the setting is: • Set to 1, the Panorama Central Station produces an Alarm Priority 1 sound once the condition is identified.
Arrhythmia and ST Analysis NOTE: Arrhythmia Alarms The Pause alarm is only available when using a View 12™ card. The Pause alarm has priority settings of 1, 2, 3, and OFF. When the setting is: • Set to 1, the Panorama Central Station produces an Alarm Priority 1 sound once the condition is identified. • Set to 2, the Panorama Central Station produces an Alarm Priority 2 sound once the condition is identified.
Troubleshooting Arrhythmia and ST Analysis Trigeminy Alarm The Trigeminy alarm is activated at the Panorama Central Station when three or more cycles of one PVC coupled to two normal beats are detected. This rhythm could also cause an Irregular HR alarm. The Trigeminy alarm has priority settings of 2, 3 and OFF. When the setting is: • Set to 2, the Panorama Central Station produces an Alarm Priority 2 sound once the condition is identified.
Arrhythmia and ST Analysis Troubleshooting MESSAGE/ISSUE * REASON SOLUTION Excessive Electro-surgical Interference Wrong ECG cable used. Use ECG cable with internal filter block. NOTE: Respiration monitoring via the ECG electrodes will not be available when using the cable. Intermittent Signal Excessive alarms: heart rate, lead fault Low Amplitude ECG Signal Muscle noise. Inadequate skin preparation prior to application of electrode, tremors, tense subject, and/or poor electrode placement.
Troubleshooting Arrhythmia and ST Analysis MESSAGE/ISSUE * REASON SOLUTION No ECG Waveform Gain set too low. Readjust the ECG wave gain as required. Refer to the Wave Gain Tab (System) for instructions on changing the wave gain setting. NOTE: Changing the ECG wave gain does not affect the arrhythmia algorithm. Base Line Wander * 4 - 20 Lead wires and patient cable not fully or properly inserted. Check for proper insertion. Cable or lead wires damaged. Check with lead continuity tester.
5.0 Patient Setup Functions This section describes patient setup at the Panorama Central Station.
Demographics Tab 5.1 Patient Setup Functions Demographics Tab The Demographics tab (shown in FIGURE 5-1) allows for the entry and modification of patient demographic information (such as name, age, and weight) and patient settings (such as care group, pacer, arrhythmia, and ST). The Demographics tab is only accessible when the selected patient tile is assigned to a monitoring device.
Patient Setup Functions Demographics Tab Once the correct "Patient Key" has been entered, communication with the EMR system must be verified.
Demographics Tab Patient Setup Functions FIGURE 5-2 Demographics Tab (WorkStation using a Bedside Monitor device) FIGURE 5-3 Demographics Tab - Bedside and/or Telepack (ViewStation) NOTE: 5.1.3 The layout and functionality of the Demographics tab changes based on the type of monitoring device assigned to the patient tile. Entering Data in the Demographics Tab This section outlines entering and modifying data in the Demographics tab.
Patient Setup Functions Demographics Tab NOTE: When using a WMTS 608 bedside monitor, 15 characters may be entered at the bedside monitor but only the first five (5) characters will be displayed in the Bed field. Entering a value in the Bed Field (Telepack) 1. From the Demographics tab, select the Bed field. The keyboard dialog box is displayed. 2. Enter a bed value. • The Backspace (<==) button clears a single character in the edit box. • The Caps Lock button enables/disables the caps lock function.
Demographics Tab Patient Setup Functions • The Caps Lock button enables/disables the caps lock function. A Caps Lock indicator displays when Caps Lock is enabled. 3. Accept or reject the text entered in the keyboard dialog box. • The Close button discards the changes. • The Enter button accepts the changes. For additional information, refer to ‘‘Simultaneous Patient Demographic Tab Editing’’ on page 5-17. ID Field The ID field is used to enter the ID of a patient.
Patient Setup Functions Demographics Tab 2. Rotate the dial control or use the arrow buttons to select a value in the Height dialog box. Refer to the following value ranges. CONTROLS INCHES (in) CENTIMETERS (cm) Range 8.0 to 120.0 in 20.0 to 305.
Demographics Tab Patient Setup Functions 1. From the Demographics tab, select the Weight field. The Weight dialog box (shown in FIGURE 5-5 and FIGURE 5-6) is displayed. FIGURE 5-5 Weight Dialog Box (Passport 2, all patient sizes) FIGURE 5-6 Weight Dialog Box (Spectrum, Neonate patient size) 2. Rotate the dial control or use the arrow buttons to select a value in the Weight dialog box. Refer to the following value ranges. 3.
Patient Setup Functions Demographics Tab TABLE 5-3 Spectrum (Neonate patient size) CONTROLS POUNDS (lbs) KILOGRAMS (kgs) Range 0 lb to 22 lbs Refer to TABLE 5-2 0 oz to 15 oz Refer to TABLE 5-2 Pound Dial Control Increases number of pounds when turned in a clockwise direction Refer to TABLE 5-2 Decreases number of pounds when turned in a counter-clockwise direction Ounces Dial Control Refer to TABLE 5-2 Increases number of ounces when turned in a clockwise direction Decreases number of ounces
Demographics Tab Patient Setup Functions Patient Size Field The Patient Size field is used to identify the size of the patient in the selected patient tile. The options for patient size include Adult, Pediatric and Neonate. The default patient size is Adult. The value for the Patient Size field must be selected at the bedside monitor. NOTE: Verify monitoring settings when the Patient Size is changed. Date Of Birth Field The Date Of Birth field is used to enter the patient’s date of birth.
Patient Setup Functions Demographics Tab For additional information, refer to ‘‘Simultaneous Patient Demographic Tab Editing’’ on page 5-17. Doctor Field The Doctor field is used to enter the name of the patient’s doctor. 1. From the Demographics tab, select the Doctor field. The keyboard dialog box is displayed. 2. Enter the patient’s doctor (maximum of 15 characters). • The Backspace (<==) button clears a single character in the edit box. • The Caps Lock button enables/disables the caps lock function.
Demographics Tab Patient Setup Functions • Pacer Filtering adjusts the time period during which pacemaker-induced ECG complexes are filtered for ECG sampling. The preset options for the Pacer Filter are 0 to 80 ms (in increments of 20). The Pacer Filter is selected in the Pacer Setting dialog box (shown in FIGURE 5-8).
Patient Setup Functions Demographics Tab FIGURE 5-9 Arrhythmia Menu Dialog Box (Telepack) FIGURE 5-10 Arrhythmia Menu Dialog Box (Bedside) 1. Select the All Arrhythmia On/Off check box button (shown in FIGURE 5-9) to enable or disable arrhythmia analysis for the system. • A checkmark in the All Arrhythmia On/Off box indicates that arrhythmia analysis is enabled. • An empty box indicates that arrhythmia analysis is disabled.
Demographics Tab Patient Setup Functions 2. Rotate the dial control to change the V-Tach Rate. The range available is 100-180 bpm, in 5 bpm increments. 3. Select the Asystole Delay button to change the asystole delay time for arrhythmia processing. When using a 3 or 5-wire lead set, the range available is 3-10 seconds. When using a View 12™ card, the range available is 3-8 seconds. 4. Select the V-Tach Threshold button to change the V-Tach threshold settings. The range available is 3-15 beats. 5.
Patient Setup Functions Demographics Tab 2. Select a Care Group button. 3. Accept or reject the Care Group selection. • The Done button accepts the care group selection. • The Cancel button discards the selection, closes the dialog box, and returns to the Demographics tab. 5.1.3.4 Settings (Telepack) Select the Settings sidebar button to establish the type of ECG monitoring filter that will be used for the Telepack device at the central station or the WorkStation.
Demographics Tab Patient Setup Functions • A checkmark in the ST filter box indicates that the ST analysis is enabled and the Monitor filter is disabled. 4. Accept or reject the selections. • The Done button accepts the selections. • The Cancel button discards the selections, closes the dialog box and returns to the Demographics tab. 5.1.3.5 Retrieving Discharged Patients Select the Retrieve Discharged Pt. sidebar button to retrieve a patient from the discharge list.
Patient Setup Functions Demographics Tab FIGURE 5-13 Retrieve Discharged Patient Setting View 2. Select the patient to be retrieved. 3. Accept or reject the patient retrieval in the Retrieve Discharged Patient Setting view. • The Done button accepts the patient retrieval. • The Cancel button discards the patient retrieval, closes the view, and returns to the Demographics tab. 5.1.3.
Demographics Tab Patient Setup Functions • The CO Setup Menu is active at the bedside monitor and then the Demographics tab is opened at the central station or the WorkStation • The Demographics tab is active at the central station or the WorkStation and then the CO Setup Menu is opened at the bedside monitor Hemodynamic Calculations Menu (applies to the Spectrum and Spectrum OR only) • The Hemodynamic Calculations Menu is active at the bedside monitor and then the Demographics tab is opened at the centra
Patient Setup Functions Demographics Tab NOTE: 5.1.4 While the Demographics tab is in a read-only state because the Patient Menu is open at the bedside, the Pacer, Arrhythmia, and Care Group sidebar buttons will be enabled. Sidebar Buttons The following sidebar buttons are used to expand the functionality of this tab. Pacer This sidebar button was previously described on page 5-11. Arrhythmia This sidebar button was previously described on page 5-12.
Demographics Tab 5.1.5 Patient Setup Functions Troubleshooting This section lists some of the potential messages and issues that may occur while using the Demographics tab. MESSAGE/ISSUE * REASON SOLUTION Can not admit Patient to this tile. No Device attached to this tile There is no device assigned to the selected tile. Select the OK button to close the dialog box. Select a patient tile that has a device attached to it or attach a device to the selected patient tile.
Patient Setup Functions Demographics Tab MESSAGE/ISSUE * REASON SOLUTION The Retrieve Discharged Patient Settings tab was closed while the bedside device’s Patient Menu is active. The Arrhythmia Menu dialog box was closed while the bedside device’s Patient Menu is active. The Pacer Settings dialog box was closed while the bedside device’s Patient Menu is active. The CO Setup Menu is opened at the bedside monitor while the Demographics tab is active at the central station or WorkStation.
Transfer Tab 5.2 Patient Setup Functions Transfer Tab The Transfer tab (shown in FIGURE 5-14) enables the transfer of a patient’s data from one device to another. Two types of transfers can be performed through the Transfer tab: • Room To Room Transfer Without Device • Central To Central Transfer Without Device The Transfer tab is not available at the ViewStation or the WorkStation. Patient transfers can only be performed at a host central station. 5.2.1 Accessing the Transfer Tab 1.
Patient Setup Functions Transfer Tab • When a patient tile actively monitoring a patient, but experiencing a Communications Lost event, is selected as the source To perform a Room To Room Transfer Without Device: 1. Select the patient tile to be transferred. Choose a patient tile by selecting its digital data or waveform area. 2. Select the Room To Room Without Device button. The following prompt is displayed: Please touch tile to which you wish to transfer the patient. 3.
Transfer Tab Patient Setup Functions • The transferred patient's parameter display waveform 2 changes to OFF when the destination device does not support the source device's waveform 2 parameter. • If the source device is a bedside monitor, the units for CO2 and temperature will change to that of the destination device. • If the destination device and the source device are different, the source devices sensor display setup will be reset to the system default settings of the destination device.
Patient Setup Functions Transfer Tab 2. Ensure that the device name for the Source Panorama is properly entered into the Equipment List at the Destination Panorama, as described in the ‘‘Equipment Setup Tab’’ on page 9-33. 3. Ensure that the device name for the Destination Panorama is properly entered into the Equipment List at the Source Panorama, as described in the ‘‘Equipment Setup Tab’’ on page 9-33. 4. Select the patient tile to be transferred.
Transfer Tab Patient Setup Functions 3. Select the Transfer tab. The Transfer tab (shown in FIGURE 5-14) is displayed. 4. Select the Accept/Reject button on the Transfer tab. The Transferred In Patient view (shown in FIGURE 5-16) is displayed. FIGURE 5-16 Transferred In Patient View • Select the Accept button. The message All of the patient's data will be deleted in the destination tile.
Patient Setup Functions Transfer Tab • The Reject button terminates the transfer and returns to the Transfer tab. The message Transfer Out rejected by [the Destination Panorama name] Central. is displayed in the system status line of the Source Panorama. • The Cancel button returns to the Transfer tab without terminating the transfer. NOTE: A Central To Central Transfer Without Device can fail if the network connection is lost or if either Panorama loses power during the process.
Transfer Tab Patient Setup Functions • For all transfers to a Panorama Telepack, the bed ID is cleared and the patient size changes to Adult (the Telepack default). The remaining demographic data is preserved. Alarms • The transferred patient's Alarm Limits, Alarm Delay and ST Alarm Delay change to those of the destination device. 5.2.4 Sidebar Buttons The following sidebar buttons are used to expand the functionality of this tab.
Patient Setup Functions Transfer Tab Transfer List and the destination tile displays the recovered patient information, except in the following situations: • If the destination tile is in Standby mode when the recovery is complete, the digital data displays but the waveform does not display. Upon returning to normal monitoring mode, the waveform is displayed.
Transfer Tab Patient Setup Functions • Selecting the Yes button when the Delete Failed Transfer Patient list contains more patients will delete all of the selected patients data from the Failed Transfer List and then keep the Delete Failed Transfer Patients list open. • When the deletion is complete, the patient information is removed from the Delete Failed Transfer Patient list. • The No button terminates the deletion process and returns to the Transfer tab.
Patient Setup Functions 5.2.5 Transfer Tab Troubleshooting This section lists some of the potential messages and issues that may occur while using the Transfer tab. Room To Room Transfer MESSAGE/ISSUE * REASON SOLUTION Patient tile shown with demographic text and digital data labels, but no waveforms and/or digital values are displayed The selected tile is still in the Bedside and Panorama Standby mode. Return the monitoring device to its active monitoring state.
Transfer Tab Patient Setup Functions Room To Room Transfer (Continued) MESSAGE/ISSUE * REASON SOLUTION The destination tile is blank and all buttons on the Transfer tab are unavailable. The destination tile was in a Communications Lost state when the transfer completed. Re-establish communication.
Patient Setup Functions Transfer Tab Central To Central Transfer MESSAGE/ISSUE * REASON SOLUTION The Central To Central Without Device button is disabled. The Transfer Failed list is full. The list stores a maximum of 5 failed transfers. Delete a patient from this list before attempting to transfer. A patient tile is not selected on the Main Screen. Select the patient tile that is intended to be transferred. The selected patient tile has a device assigned but is not monitoring a patient.
Transfer Tab Patient Setup Functions Central To Central Transfer (Continued) MESSAGE/ISSUE * REASON SOLUTION The destination tile must have a device assigned to perform the transfer. The destination tile does not have a device assigned. Select the OK button on the message box and then select a destination tile that has a device assigned. Please touch tile to which you wish to transfer the patient. A destination tile has not been selected at the Destination Panorama.
Patient Setup Functions Transfer Tab Recovering Failed Transfer Patient Data MESSAGE/ISSUE * REASON SOLUTION The Recover Failed Transfer sidebar button is disabled. The Failed Transfer List is empty. No solution required. Selecting the Recover button has no effect. A patient has not been selected from the Failed Transfer List. Select the patient whose information is to be recovered from the list and then select the Recover button.
Discharge Tab 5.3 Patient Setup Functions Discharge Tab The Discharge tab (shown in FIGURE 5-20) is used to discharge a patient from a patient tile. If the required demographic information was previously entered for the patient to be discharged, the patient will be moved to the list of retrievable patients. For additional information regarding retrieving a patient, refer to ‘‘Retrieving Discharged Patients’’ on page 5-16. The Discharge tab is not available at the ViewStation.
Patient Setup Functions Discharge Tab 2. Select the Bedside and Panorama Discharge button (shown in FIGURE 5-20). One of two messages will be displayed: • If the patient tile contains all the required demographic information (at least two of the three demographic fields, First Name, Last Name, ID must be populated), the Are you sure you want to discharge this patient? Selecting Yes will move the patient to the discharge list dialog box is displayed.
Discharge Tab 5.3.4 Patient Setup Functions Discharging a Patient from a Telepack Device The same messages described in “Discharging a Patient from the Central Station and the Bedside Monitor” on page 5-36 will be displayed, with one exception. If the Yes button is selected after the message Are you sure you want to discharge this patient? Selecting Yes will move the patient to the discharge list is displayed, the Telepack will be discharged from the central station.
Patient Setup Functions Discharge Tab MESSAGE/ISSUE * REASON SOLUTION Unable to perform operation on tile: Central to Central Transfer In in progress. A Central to Central transfer In is in progress for the selected tile and the selected tile is actively monitoring a patient, and the Discharge Patient button is pressed in the Discharge tab at the destination central station. Wait until the Central to Central transfer is complete, then discharge the patient.
Display Tab 5.4 Patient Setup Functions Display Tab The Display tab (shown in FIGURE 5-21) is used to select the digital and waveform parameters that will appear in the selected patient tile. The default settings for patient tiles are defined by the Unit Choices tab, which is described in the “Unit Choices Tab” on page 9-50. The layout and functionality of the Display tab will change based on the type of monitoring device assigned to the selected patient tile.
Patient Setup Functions Display Tab FIGURE 5-22 Display Tab (ViewStation and WorkStation) 5.4.2 Components of the Display Tab Digital Parameter Data The Panorama Central Station is capable of showing three to five digital data parameters in each patient tile.
Display Tab Patient Setup Functions NOTE: When using a WMTS 608 wireless bedside device with a View 12™ card, all 12 leads will be available in the Parameter list, but only the waveforms for leads I, II, III, aVR, aVL, aVF, and V1 will be displayed in the patient tile. Digital data tiles display a minimum of three and a maximum of five parameters depending on the parameters selected. A digital data tile consists of three equal-size tiles. The Heart Rate (HR) parameter is always shown in the first tile.
Patient Setup Functions Display Tab TABLE 5-1 Number of Sub-tiles Occupied by a Parameter PARAMETERS # OF SUB-TILES OCCUPIED PVC 1 ST 1 CO/CI 2 PAWP 1 Battery Percentage 1 NOTE: Digital data is shown in the color configured for the parameter. For additional information, refer to the ‘‘Parameter Color Tab’’ on page 9-2.
Display Tab Patient Setup Functions Waveform Parameter Data The patient tile is capable of showing up to two waveforms for a patient (shown in FIGURE 5-28). NOTE: The initial central station wave default settings come from the System Wave Default settings, if settings were configured. FIGURE 5-28 Display Tab - Waveform Data FIGURE 5-29 Display Tab - Waveform Data (ViewStation and WorkStation) The first waveform is always an ECG waveform.
Patient Setup Functions Display Tab WAVEFORM PARAMETER Waveform 2 5.4.3 AVAILABLE WAVEFORMS I, II, III, aVR, aVL, aVF, V, V1, V2, V3, V4, V5, V6, Resp, SpO2, IBP1, IBP2, IBP3, IBP4, CO2, O2, Agent (Iso, Enf, Sev, Hal, Des) • The ECG waveforms available are dependent on the lead set used. The waveform chosen for the ECG Lead waveform will not be included in the parameter list because it cannot be used in both waveform positions.
Display Tab 5.4.3.1 Patient Setup Functions Configuring a Trend Display Interval Select the Trend Display sidebar button to configure the interval at which a patient’s trend data will be displayed at the Panorama Central Station, ViewStation, and the WorkStation. Regardless of which Trend Display interval is selected, NIBP, CO/CI, and PAWP trend records will be displayed.
Patient Setup Functions Display Tab With the exception of NIBP, CO/CI, and PAWP, selecting the Done button will change the Trend Display interval in the Trends tab based on the standard clock time intervals. Refer to the following table: INTERVAL TREND RECORDS DISPLAYED IN TRENDS TAB 1 minute All trend records will be displayed. 5 minute All trend records having a timestamp of 0, 5, 10, 20, 25, 30, 35, 40, 45, 50, and 55 minutes will be displayed.
Display Tab 5.4.4 Patient Setup Functions Sidebar Buttons The following sidebar buttons are used to expand the functionality of this tab. Restore Previous Settings Select the Restore Previous Settings sidebar button to return patient display settings to those in use when the tab was opened. Trend Display This sidebar button was previously described on page 5-46.
Patient Setup Functions 5.5 Standby Tab Standby Tab The Standby tab (shown in FIGURE 5-31) is used to place a patient in Standby mode at the Panorama Central Station, the WorkStation or the bedside monitor. Standby mode temporarily suspends all patient monitoring, alarm processing, and trending activity. The Standby tab is available at the WorkStation and it may be used in the same manner as it is at the central station.
Standby Tab Patient Setup Functions NOTE: If using a Telepack device, the Panorama Standby Only button will be labeled Standby. b. Select the Bedside and Panorama Standby button to discontinue monitoring the patient at the central station and at the bedside monitor. The Patient Location list box is displayed (shown in FIGURE 5-32). FIGURE 5-32 Standby Tab with Patient Location List displayed 5.
Patient Setup Functions 5.5.5 Standby Tab Troubleshooting This section lists some of the potential messages and issues that may occur while using the Standby tab. MESSAGE/ISSUE * REASON SOLUTION No Patient Selected! This message is displayed in the demographic field when either a patient tile has not been selected or an empty tile was selected. Select an active patient tile.
Wave Gain Tab (Patient) 5.6 Patient Setup Functions Wave Gain Tab (Patient) The Wave Gain tab (shown in FIGURE 5-33) is used to change the wave gain settings for the selected patient’s available waveforms. The layout, functionality, and buttons available in this tab will change based on the type of monitoring device assigned to the selected patient tile. NOTE: Changing the ECG wave gain does not affect the arrhythmia algorithm.
Patient Setup Functions Wave Gain Tab (Patient) FIGURE 5-34 Wave Gain Tab (ViewStation and WorkStation) 5.6.2 Changing a Patient’s Wave Gain Settings This section outlines entering and modifying a patient’s wave gain settings using the Wave Gain tab. ViewStation and WorkStation patient tiles will initially display the same wave gain settings of the associated patient tile at the host central station.
Wave Gain Tab (Patient) 5.6.3 Patient Setup Functions Sidebar Buttons The following sidebar buttons are used to expand the functionality of this tab. Restore Previous Settings Select the Restore Previous Settings sidebar button to return patient display settings to those in use when the tab was opened. Normal Screen Select the Normal Screen sidebar button to return the display to the full screen mode, and close all tabs, message boxes, and dialog boxes. 5.6.
Patient Setup Functions 5.7 Print Setup Tab (Patient) Print Setup Tab (Patient) The Print Setup tab (shown in FIGURE 5-35) is used to select the waveforms that will be printed when an All Strips, Event Zoom-In, or Full Disclosure Zoom-In report is generated for the selected patient tile. The waveforms included in this tab will change based on the parameters in use and the type of monitoring device that is assigned to the selected patient tile.
Print Setup Tab (Patient) Patient Setup Functions FIGURE 5-36 Patient Print Setup Tab (ViewStation) FIGURE 5-37 Patient Print Setup Tab (WorkStation) 5.7.2 Changing a Patient’s Print Setup This section outlines entering and modifying a patient’s print setup via the Print Setup tab. Customizing a Patient’s Print Setup 1. Choose a patient tile by selecting its digital data or waveform area. 2. In the Print Setup tab, select a check box button to enable/disable the printing of a parameter.
Patient Setup Functions Print Setup Tab (Patient) Normal Screen Select the Normal Screen sidebar button to return the display to the full screen mode, and close all tabs, message boxes, and dialog boxes. 5.7.4 Troubleshooting This section lists some of the potential messages and issues that may occur while using the patient Print Setup tab.
Print Setup Tab (Patient) Patient Setup Functions This page intentionally left blank.
6.0 Patient Alarm Functions This section describes the configuration of patient alarms at the Panorama Central Station.
Patient Alarm Setup Tab (Optional) 6.1 Patient Alarm Functions Patient Alarm Setup Tab (Optional) The Patient Alarm Setup tab (shown in FIGURE 6-1) provides password protected access to the patient alarm configuration. When the correct password is entered, the Alarm Limits and the Alarm Responses tabs are opened. The Patient Alarm Setup tab is only shown if the Password Protection option is set to ON in the System Alarms tab.
Patient Alarm Functions Patient Alarm Setup Tab (Optional) 3. The Alarm Limits (shown in FIGURE 6-2) and the Alarm Responses (shown in FIGURE 6-6) tabs are shown after the correct password is entered. For additional information about alarm limits and alarm responses, refer to “Alarm Limits Tab (Patient)” on page 6-4 and “Alarm Responses Tab (Patient)” on page 6-12. 6.1.3 Sidebar Buttons The following sidebar button is used to expand the functionality of this tab.
Alarm Limits Tab (Patient) 6.2 Patient Alarm Functions Alarm Limits Tab (Patient) The patient Alarm Limits tab (shown in FIGURE 6-2) adjusts patient alarm limit settings. The alarm limits available will change according to the type of monitoring device assigned to the selected patient tile. The fields discussed in this section may not apply to all users. For additional information regarding alarm limit settings, refer to ‘‘Alarms and Events’’ on page 13-1.
Patient Alarm Functions Alarm Limits Tab (Patient) Patient Demographic Field Up Arrow Patient Size High Alarm Limit Button Slider Control Low Alarm Limit Button Down Arrow Single Arrow Button Double Arrow Button Scroll Bar FIGURE 6-2 Alarm Limits Tab Patient Size Patient Demographic Field Single Arrow Button Double Arrow Button Scroll Bar FIGURE 6-3 Alarm Limits Tab (ViewStation) 6.2.
Alarm Limits Tab (Patient) Patient Alarm Functions 2. Use the scroll bar or the arrow buttons to locate the parameter to be modified. • Double arrow buttons display the next/previous page of parameter slider controls (until the first/last page is reached). • Single arrow buttons display the next/previous slider control (until the last control is shown). 3. Set the High Alarm Limit button for the selected parameter. This button is either labeled OFF or contains an alarm limit value.
Patient Alarm Functions Alarm Limits Tab (Patient) TABLE 6-1 Auto Set Percent Indicator (continued) 6.2.3 ALARM PERCENT INDICATOR (APPROXIMATE) Delta Temp (F°) 25% Delta Temp (C°) 25% Simultaneous Alarm Limit Editing If using a bedside device with the Panorama Central Station, alarm limit and alarm response configuration changes cannot be made at the bedside monitor, central station, and WorkStation simultaneously.
Alarm Limits Tab (Patient) Patient Alarm Functions Suspend All Alarms (Optional) Select the Suspend All Alarms sidebar button to suspend, for a user configured period of time, all numeric physiological, lethal arrhythmia, non-lethal arrhythmia, and technical alarms at the Panorama Central Station for the selected patient tile. The Suspend All Alarms sidebar button is only shown if the Suspend Alarms option is ON in the System Alarms tab.
Patient Alarm Functions Alarm Limits Tab (Patient) • When the Suspend Non-Lethal sidebar button is disabled, the button changes to blue with white text. Non-lethal alarms are now re-enabled for the selected patient. Relearn (Telepack Only) Select the Relearn sidebar button to relearn/refresh ST and Arrhythmia data at the Panorama Central Station. NOTE: The Relearn button is only available when ST and/or arrhythmia analysis is enabled.
Alarm Limits Tab (Patient) 6.2.7 Patient Alarm Functions Troubleshooting This section lists some of the potential messages and issues that may occur while using the patient Alarm Limits tab. MESSAGE/ISSUE * REASON SOLUTION No Patient Selected! This message appears in the demographic field when either no patient tile or an empty patient tile has been selected. Select an active patient tile.
Patient Alarm Functions Alarm Limits Tab (Patient) MESSAGE/ISSUE * REASON SOLUTION The Restore Previous Settings sidebar button not functioning. The previous alarm limits were cleared because the Alarm Limits tab was open while the patient size was changed at the bedside monitor. No solution required. Within 20 seconds, the alarm limits from the bedside will be displayed at the central station. The Suspend All Alarms sidebar button is not displayed.
Alarm Responses Tab (Patient) 6.3 Patient Alarm Functions Alarm Responses Tab (Patient) The Alarm Responses tab (shown in FIGURE 6-4 and FIGURE 6-6) is used to adjust the behavior or response of an alarm during an alarm condition. The Alarm Responses tab is available at the ViewStation (shown in FIGURE 6-7) but is for viewing purposes only. When a patient tile is assigned to the ViewStation, it will always display the alarm response settings of the associated host central station patient tile.
Patient Alarm Functions Alarm Responses Tab (Patient) Patient Demographic Field Selected Parameter List Box FIGURE 6-4 Alarm Responses Tab (Central Station) Patient Demographic Field Selected Parameter List Box FIGURE 6-5 Alarm Responses Tab (WorkStation) Patient Demographic Field Selected Parameter List Box FIGURE 6-6 Alarm Responses Tab - Paging Option Enabled (Central Station) Panorama™ Operating Instructions 0070-10-0690-01 6 - 13
Alarm Responses Tab (Patient) Patient Alarm Functions Patient Demographic Field Selected Parameter List Box FIGURE 6-7 Alarm Responses Tab (ViewStation) 6.3.2 Configuring Alarm Responses To configure patient alarm responses at the central station, complete the following: NOTE: Alarm response changes are effective immediately after the tab is exited. 1. Choose a patient tile by selecting its digital data or waveform area.
Patient Alarm Functions Alarm Responses Tab (Patient) 5. The Save To Event button automatically saves alarm data in the Events database when an alarm condition occurs. • The ON option automatically saves alarm data during an alarm condition. • The OFF option does not save alarm data during an alarm condition. 6.3.3 Sidebar Buttons The following sidebar buttons are used to expand the functionality of this tab.
Alarm Responses Tab (Patient) Patient Alarm Functions NOTE: The Suspend Non-lethal sidebar button is not available at the ViewStation or at the WorkStation. NOTE: The Brady alarm will not be suspended when the Suspend Non-Lethals sidebar button is selected. When the Suspend Non-Lethal sidebar button is selected: • The Suspend Non-Lethal sidebar button changes to white with black text. • The Non-Lethal Alarms Suspended message displays in yellow text in the Patient Status line of the patient tile.
Patient Alarm Functions Alarm Responses Tab (Patient) 4. Select the Done or the Cancel button. • The Done button accepts the configured alarm delay settings and returns to the Alarm Responses tab. • The Cancel button discards the configured alarm delay settings and returns to the Alarm Responses tab. Normal Screen Select the Normal Screen sidebar button to return the display to the full screen mode, and close all tabs, message boxes, and dialog boxes.
Alarm Responses Tab (Patient) 6.3.4 Patient Alarm Functions Troubleshooting This section lists some of the potential messages and issues that may occur while using the patient Alarm Responses tab. MESSAGE/ISSUE * REASON SOLUTION No Patient Selected! This message appears in the demographic field when either no patient tile or an empty patient tile has been selected. Select an active patient tile.
7.0 Views This section describes the tabs that are available when the VIEW button is selected from the Panorama Central Station Main Screen.
Bedside Tab 7.1 Views Bedside Tab The Bedside tab provides an expanded view of the selected patient data. The parameters selected, and the lead set used, determines the data that is displayed in the Bedside tab. The data in the Bedside tab can be displayed in two different views, the All Waveforms view and the All ECG view. Both views are discussed in the following sections.
Views Bedside Tab Patient Demographic Field Digital Data Area NIBP Area Waveform Area Digital Data Area Data Display Area FIGURE 7-2 Bedside Tab - All Waveforms View (ViewStation and WorkStation) 7.1.2 Bedside Tab (All Waveforms View) The All Waveforms view of the Bedside tab (shown in FIGURE 7-1 and FIGURE 7-2) displays an expanded view of the selected patient tile. 7.1.2.
Bedside Tab Views Digital Data Area The All Waveforms view contains a digital data area that may display the following patient parameters: • PVC • Temperature 1 • Temperature 2 • Temp Blood • CO/CI • N2O NOTE: The Delta T parameter will not display in the digital data area. NOTE: The CO/CI, Temp 2, and T Blood parameters are only available if they are being monitored by the Spectrum/Spectrum OR External Parameter Module (EPM).
Views 7.1.2.2 Bedside Tab Navigating in the All Waveforms View If the waveforms exceed the capacity of the viewable screen, use the navigational buttons to locate the desired waveform. The buttons are described as follows: • The up arrow button moves the group of displayed waveforms up one position within the ordered set of waveforms • The down arrow button moves the group of displayed waveforms down one position within the ordered set of waveforms 7.1.2.
Bedside Tab Views 2. Adjust the location of the vertical reference line as follows: • For coarse adjustments, select the desired location on the touch screen. The reference line will move to that point. • For fine adjustments, use the left/right arrow buttons to position the reference line at the desired point. 3. Once the vertical reference line appears in the desired location, select the Calculate button. The measurement populates the text box beside the selected interval.
Views Bedside Tab All ECG Select the All ECG sidebar button to change to the All ECG view of the Bedside tab. The Bedside tab remains in the All ECG view until the All ECG button is selected again. The All ECG sidebar button is not available when using a: • Telepack device with a 3 or 5-wire lead set • Telepack with Nonin SpO2 module with a 3-wire lead set For additional information about the All ECG view, refer to the ‘‘Bedside Tab (All ECG View)’’ on page 7-8.
Bedside Tab 7.1.3.1 Views Troubleshooting For All Waveforms view troubleshooting information, refer to "Troubleshooting" on page 7-11. 7.1.4 Bedside Tab (All ECG View) The Bedside tab All ECG view displays all the ECG waveforms available based on the lead set currently in use. 7.1.4.1 Accessing the All ECG View To access the All ECG view (shown in FIGURE 7-4), select the All ECG sidebar button from the Bedside tab All Waveforms view.
Views Bedside Tab Patient Demographic Field Digital Data Area Waveform Area NIBP Area Lead Indicator Area Data Display Area FIGURE 7-5 Bedside Tab - All ECG View (ViewStation and WorkStation) 7.1.4.2 Components of the All ECG View Patient Demographic Field The description of this field was previously described on page 7-3. NIBP Area The description of this area was previously described on page 7-3. Digital Data Area The description of this area was previously described on page 7-4.
Bedside Tab 7.1.4.3 Views Navigating in the All ECG View If the waveforms exceed the capacity of the viewable screen, use the navigational buttons to locate the desired waveform.
Views 7.1.4.6 Bedside Tab Troubleshooting This section lists some of the potential messages and issues that may occur while using the either of the Bedside tab views. MESSAGE/ISSUE* REASON SOLUTION A waveform parameter is not displayed. If the waveform parameter exists, it has not been scrolled into view on the display. Use the navigation buttons to scroll to the desired parameter waveform. The waveform parameter is not being monitored at the bedside.
Bedside Tab Views MESSAGE/ISSUE* REASON SOLUTION Selected device is a Telepack with a 3 or 5-wire lead set. Selected device is a Passport 2 or Spectrum with a 3 or 5-wire lead set. Lead sidebar button is disabled Select the All ECG sidebar button to change to the Normal display mode. The selected device is a: No solution required. • Telepack device with a 3 or 5-wire lead • Telepack with Nonin SpO2 module attached with a 3-wire lead set The All ECG sidebar button is latched.
Views 7.2 Trends Tab Trends Tab The Trends tab provides access to a patient’s trended digital data. Trend data is automatically displayed in one minute intervals unless an alternate Trend Display interval was selected. If the Trends tab is selected before the first interval is reached, or before the first NIBP, CO/CI, or PAWP measurement occurs, the list will be empty. All previously collected parameter data will be displayed, even if the parameter is not currently being monitored.
Trends Tab Views When the List view of the Trends tab is selected, the top row in the list is highlighted. Each trend record's date and time display in the first column. All subsequent columns display parameter data in the order that was specified in the Unit Priorities tab. For additional information, refer to ‘‘System Setup Functions’’ on page 9-1.
Views 7.2.2.3 Trends Tab Configuring a Trend Display Interval Select the Trend Display sidebar button to configure the interval at which a patient’s trend data will be displayed. Regardless of which Trend Display interval is selected, NIBP, CO/CI, and PAWP trend records will be displayed. ViewStation and WorkStation patient tiles will initially display the same trend interval settings of the associated patient tile at the host central station.
Trends Tab Views With the exception of NIBP, CO/CI and PAWP, selecting the Done button will change the Trend Display interval in the Trends tab based on the standard clock time intervals. Refer to the following table: INTERVAL 7.2.2.4 TREND RECORDS DISPLAYED IN TRENDS TAB 1 minute All trend records will be displayed. 5 minute All trend records having a timestamp of 0, 5, 10, 20, 25, 30, 35, 40, 45, 50, and 55 minutes will be displayed.
Views Trends Tab Graphic Select the Graphic sidebar button to open the Graphic view of the Trends tab. For additional information regarding the Graphic view, refer to "Accessing the Graphic View" on page 7-19. Trend Display This sidebar button was previously described on page 7-15. Normal Screen Select the Normal Screen sidebar button to return the display to the full screen mode, and close all tabs, message boxes, and dialog boxes. 7.2.2.
Trends Tab Views MESSAGE/ISSUE * REASON SOLUTION No more data found (Previous Event Button) There is no event data in the Trend database. Wait until an event is recorded to the Trend database. None of the rows that are below the currently highlighted row contain a parameter with an event condition. Select the OK button to close the message box and return to the List view of the Trends tab. The last row in the list is already highlighted.
Views 7.2.3 Trends Tab Trends Tab (Graphic View) The Graphic view of the Trends tab (shown in FIGURE 7-9) provides a graphical representation of all of the trended digital data for a selected patient. All previously collected data is displayed, even if the parameter is not currently being monitored. The Graphic view for each parameter includes a range bar, plot area and parameter area for the selected time. A maximum of three parameters can be scrolled into the viewable area of the display.
Trends Tab Views Alarm Indicator Area Vertical lines that are displayed in the alarm indicator area denote the time at which an alarm occurred. The color of each vertical line in the alarm indicator area denotes the priority of the alarm. Date/Time Area The date/time area indicates the date and time associated with the location of the reference line. Display Time Interval The display time interval is the current setting for the viewable snapshot and is one page of the Graphic view.
Views Trends Tab Scrolling through the Time Line There are two methods of scrolling through the time line: • Use the left arrow button to move the reference line to the previous trend record on the time line and the right arrow button to move the reference line to the next trend record on the time line. • Use the Page Left (double left-arrow) button to scroll to the previous page and the Page Right (double right-arrow) button to scroll to the next page. Increments are based on the display time interval.
Trends Tab 7.2.4.1 Views Troubleshooting This section lists some of the potential messages and issues that may occur while using the Graphic view of the Trends tab. MESSAGE/ISSUE * REASON SOLUTION There is no trend data in the display. A patient has not been admitted to the selected tile. Admit a patient to the selected tile or choose a tile that already has an admitted patient. The Trends tab was selected before the first interval was reached or before the first NIBP measurement occurred.
Views 7.3 Events Tab Events Tab The Events tab lists all the events for a selected patient tile. The monitoring device, utilized parameters, and configured settings determine the events that are saved in the Events list. All previously collected data is displayed, even if the parameter is not being monitored.
Events Tab Views Patient Demographic Field Total Number of Events Old Data Page Down Scroll Down Scroll Up List Box Page Up New Data FIGURE 7-11 Events Tab - List View (ViewStation and WorkStation) 7.3.2 Events Tab (List View) The List view lists all the events for the selected tile in a column format. Each event record is displayed as a row in the list, with the most recent filtered event record at the top of the list. The remaining events display in descending chronological order.
Views Events Tab Alarm Indicators If there was an alarm associated with an event, the specific parameter value will be highlighted in the Event list. For example, if a Priority 1 physiological or bedside alarm condition existed for a parameter at the time of event record storage, that parameter’s data is highlighted in red. If a Priority 2 or 3 physiological or bedside alarm condition existed for a parameter at the time of event record storage, that parameter’s data is highlighted in yellow. 7.3.2.
Events Tab Views • The No button does not delete the event. NOTE: Not all event records can be deleted. Refer to the “Alarms and Events” chapter for more information regarding which events cannot be deleted. Delete Events Button Select the Delete Events button to remove multiple events from the List view. Events are deleted from the first selected event downward, towards the older events.
Views Events Tab NOTE: 7.3.2.4 Not all event records can be deleted. Refer to the “Alarms and Events” chapter for more information regarding which events cannot be deleted. Refreshing the List View Depending on the event type, the event may not be displayed in the List view until the list is regenerated or refreshed. To refresh the List view, select any neighboring tab, such as the Disclosure or ST tabs, then reselect the Events tab.
Events Tab Views Done Button Select the Done button to close the All Event Filter view and display the Events tab with the configured filter settings. Cancel Button Select the Cancel button to close the All Event Filter view and display the Events tab with the previously configured filter settings. 7.3.3.3 Time Filters By indicating a start time and an end time, the view will only include events within the configured time period.
Views Events Tab FIGURE 7-15 Start Time Dialog Box 2. Rotate the dial controls to select the hour and minute values. 3. Rotate the dial controls to select the month, day and year values. Refer to the following value ranges. TIME FRAME RANGE Month Month range to be inclusive within the limits of the oldest event to the most recent event in the selected patient tile’s Events database.
Events Tab Views 2. To enter the end time, follow steps 2, 3, and 4 from the previous section (entering a Start Time). 7.3.3.4 Parameter Filters By selecting specific parameters, the Events tab will only display the events that contain the chosen parameter. Parameter filters can be configured for physiological and technical events. The physiological events listed are dependent on the assigned monitoring device and the technical events listed are dependent on the ECG lead wire set currently in use.
Views Events Tab 3. Select the Done button to apply the selected event filter and return to the List view or select the Cancel button to restore the previously chosen filter settings. 7.3.3.5 Printing an Events List Report from the List View Multiple hours of event data can be printed to an Events List Report directly from the List view. To indicate the time interval for printing this report: 1. From the List view, select the Print menu bar button.
Events Tab Views MESSAGE/ISSUE * REASON SOLUTION No data in Events list. Patient tile not selected. Select a patient tile. None of the existing event data meets the criteria of the current event filter. Change the event filter. There is no patient admitted to the selected tile. Admit a patient to the tile. Events list column headers not displayed. Patient tile not selected. Select a patient tile. There is no patient admitted to the selected tile. Admit a patient to the tile.
Views 7.3.4 Events Tab Events Tab (Waveforms View) The Waveforms view (shown in FIGURE 7-18) of the Events tab displays waveform data for the selected patient. In order for the event to display in the Waveforms view, there must be waveform data associated with the event. Physiological alarm events and ‘marked events’ are stored as waveform data. All previously collected data is displayed, even if the parameter is not currently being monitored. 7.3.5 Accessing the Waveforms View 1.
Events Tab Views Digital Data Area The following seven (7) parameters can display in the digital data area depending on the bedside monitor configuration. • PVC/min • Temperature 1 • Temperature 2 • T Blood • N2O • CO/CI • PAWP NOTE: The Temperature 1, Temperature 2, and T Blood parameters are only displayed when they are used in the calculation of the Delta Temperature parameter. Time Interval Area The time interval area is displayed in one second intervals.
Views Events Tab Vertical Navigation Buttons Double Up Arrow Button Select the double up arrow push button to display the previous page of waveforms in the ordered set. This button will be disabled if the first waveform in the ordered set is already visible in the data display area. Up Arrow Button Select the up arrow button to move the group of waveforms displayed up one position within the set of available waveforms.
Events Tab Views Double Right Arrow Button Select the double right arrow button to display the next nine seconds of event data, provided this data was collected. This button will be disabled if the vertical cursor is positioned at the end of the stored data for the event. Next Event Button Select the Next Event button to locate and highlight an event that occurred after the currently highlighted event in the list box. 7.3.5.3 ST Button Select the ST button to open the Waveforms view ST dialog box.
Views Events Tab Done Button Select the Done button to close the Waveforms view ST dialog. 7.3.5.4 Comments Dialog Box (Optional) With the addition of system-wide paging, a paging notification can be sent to clinicians to alert them that a specific event type has occurred. If a page was sent for a selected event in the Waveforms view, an asterisk (*) will appear beside the event in the event description area (shown in FIGURE 7-18).
Events Tab Views Comments (Optional) This sidebar button was previously described in the ‘‘Comments Dialog Box (Optional)’’ on page 7-37. If the Paging feature is unavailable at the central station, the Comments sidebar button will not be displayed. Normal Screen Select the Normal Screen sidebar button to return the display to the full screen mode, and close all tabs, message boxes, and dialog boxes. 7.3.5.
Views Events Tab MESSAGE/ISSUE * REASON SOLUTION ST button is disabled ST was never enabled for the selected patient tile. If the patient tile requires ST analysis, and there is an ST license available, enable ST from the bedside monitor. Lead sidebar button is disabled The selected device is a: No solution required. • Telepack device using a 3 or 5-wire lead • Telepack with Nonin SpO2 module attached with a 3-wire lead set The All ECG sidebar button is latched.
Disclosure Tab 7.4 Views Disclosure Tab The Disclosure tab provides access to a patient’s disclosure database. The disclosure database is a collection of continuous, running, available waveforms that can store between 1 and 72 hours of disclosure data, depending on the type of license key that is issued for the system. License keys are issued for 1-hour, 24-hour, 48-hour, and 72-hour periods.
Views 7.4.1.1 Disclosure Tab Components of the Compressed View Patient Demographic Field The patient demographic field displays the last name and bed number of the selected patient, if this data was entered. Waveform Area The waveform area of the Disclosure tab provides a compressed view of the selected patient’s historical waveform data. A maximum of 10 minutes of waveform data can be scrolled into the viewable area of the display.
Disclosure Tab Views • Red event markers indicate that a Level 1alarm occurred • Yellow event markers indicate that either a Level 2 or a Level 3 alarm occurred • Blue event markers indicate that a user marked event occurred at either the Panorama Central Station or the bedside monitor and/or that the Nurse Call button was pressed on the Panorama Telepack • Orange event markers indicate that a Communications Lost event or a clock adjustment occurred 7.4.1.
Views 7.4.1.3 Disclosure Tab Changing the Displayed Waveform Select the Display Choices sidebar button to select the waveform that will be displayed in the Compressed view of the Disclosure tab. The Display Choices dialog box (shown in FIGURE 7-21) displays the choices that are available based on the monitoring device, ECG lead set, and utilized sensors. Any previously used parameters, ECG lead set or sensors are displayed, even if they are not currently in use.
Disclosure Tab Views FIGURE 7-22 Skip To Dialog Box 2. Rotate the dial controls to select the time and date to be displayed. Ensure that the selected time and date are within the timeframe of the database. • Select the Cancel button to return to the Disclosure tab. • Select the Done button to return to the Disclosure tab with the selected date displayed in the date area, and the selected time displayed in the upper left corner of the waveform area. 7.4.1.
Views Disclosure Tab Normal Screen Select the Normal Screen sidebar button to return the display to the full screen mode, and close all tabs, message boxes, and dialog boxes. 7.4.1.7 Troubleshooting For Compressed view troubleshooting information, refer to "Troubleshooting" on page 7-50. 7.4.2 Disclosure Tab (Waveforms View) The Waveforms view displays a selected area from the Compressed view of the patient’s disclosure waveform (shown in FIGURE 7-23).
Disclosure Tab 7.4.2.2 Views Components of the Waveforms View Patient Demographic Field The patient demographic area displays the patient’s last name and bed number, if available. Digital Data Field The following seven (7) parameters can display in the digital data area depending on the bedside monitor configuration.
Views 7.4.2.3 Disclosure Tab Navigating in the Waveforms View of the Disclosure Tab Navigating in the Waveforms view is accomplished by using buttons. When the Waveforms view is first opened, the colored vertical cursor line will be positioned in the far left position. Vertical Navigation Buttons Double Up Arrow Button Select the double up arrow push button to display the previous page of waveforms in the ordered set.
Disclosure Tab Views Right Arrow Button Select the right arrow button to move the colored vertical cursor line one second forward in time. Double Right Arrow Button Select the double right arrow button to display the next nine seconds of event data, provided this data was collected. Next Event Button Select the Next Event button to locate and highlight an event that occurred after the currently highlighted event in the Waveforms view. 7.4.2.
Views Disclosure Tab Right Arrow Button Select the right arrow button to view the ST data for the next event second. Done Button Select the Done button to close the Full Disclosure Zoom In ST dialog. 7.4.2.5 Comments Dialog Box (Optional) With the addition of system-wide paging, a paging notification can be sent to clinicians to alert them that a specific event type has occurred.
Disclosure Tab Views Measure Select the Measure sidebar button to activate the Measure dialog box (shown in FIGURE 7-3). The Measure dialog contains reference and measurement lines to calculate the time and amplitude of an ECG waveform. For instructions on the use of the Measure button, refer to ‘‘Performing ECG Waveform Measurements’’ on page 7-5. NOTE: The Print menu bar will be enabled when the Measure dialog box is open.
Views Disclosure Tab MESSAGE/ISSUE * REASON SOLUTION A section of the waveform is blank. The system time was altered during the storage of the row of data. Wait for new data to accumulate. The device was placed into Standby mode during the storage of the row of data. Restore the system to normal operating mode to resume data collection. The device experienced a Communications Lost event during the storage of the row of data.
Disclosure Tab Views MESSAGE/ISSUE * REASON SOLUTION A section of the waveform is blank. The system time was altered during the storage of the row of data. Wait for new data to accumulate. The device was placed into Standby mode during the storage of the row of data. Restore the system to normal operating mode to resume data collection. The device experienced a Communications Lost event during the storage of the row of data.
Views Disclosure Tab MESSAGE/ISSUE * REASON SOLUTION Time out of range (Done button in the Skip To dialog box) A time and date that is older than the oldest data or newer than the most recent data was entered in the Skip To dialog box. Select the OK button to close the message box. Select the Skip To sidebar button and enter a time and date that is within the time frame of the database. ST button is disabled ST was never enabled for the selected patient tile.
ST Tab 7.5 Views ST Tab The ST tab is used to view and configure the current ST templates or view the ST numeric data for the selected patient tile. The number of ST templates or ST numeric data displayed depends on the type of ECG lead set and the monitoring device currently in use. ST templates are displayed when using a hardwired or wireless 2.4 GHz bedside device, or Telepack device. When using any of these devices, the ST templates can be adjusted directly from the Panorama Central Station.
Views ST Tab Patient Demographic Field ST Numeric Data ST Status Field FIGURE 7-26 ST Tab - WMTS 608 Wireless Bedside Device (View 12™ card installed) Patient Demographic Field ST Template Area ST Status Field FIGURE 7-27 ST Tab - Hardwired Bedside Monitor - 5-wire lead set (ViewStation and WorkStation) 7.5.1.1 Components of the ST Tab Patient Demographic Field The patient demographic field displays the last name and bed number of the selected patient, if this data was entered.
ST Tab Views • No License indicates that an ST license is not available for the selected patient tile. • Disabled indicates that the ST algorithm on the bedside monitoring device is currently disabled. • Relearning indicates that the ST algorithm is enabled and is in the learning phase of ST analysis. • Real Time indicates that the ST algorithm is enabled, a successful learn phase has been completed, and the most current data is being displayed.
Views ST Tab Point Control Arrows FIGURE 7-28 Point Control Arrows in ST Tab (5-wire Lead Set) 7.5.1.2 Configuring ST (Device Dependent) Configuration settings are device dependent and can only be performed when using a hardwired bedside device, a wireless 2.4 GHz bedside device, or a Telepack device. When using a WMTS 608 bedside device, ST configuration settings must be performed at the bedside monitor.
ST Tab Views 4. Select the ST Point button to select the desired ST Point. Changing the ST point will move the ST reference line to the right of the J reference line for the selected number of milliseconds. The options that are available for ST Point include 40, 60, 80 and 60/80 milliseconds. 5. Select the Done button. 7.5.1.
Views ST Tab Normal Screen Select the Normal Screen sidebar button to return the display to the full screen mode, and close all tabs, message boxes, and dialog boxes. 7.5.2 Generating an ST Report To review the current and reference digital values with the associated ST templates for the selected patient tile, generate an ST Report. This report can be generated directly from the ST tab by selecting the Print menu bar button.
ST Tab Views MESSAGE/ISSUE * REASON SOLUTION The These settings are currently being edited remotely message is displayed. Select the OK button to close the message box and enable the sidebar button. Close the ST Menu at the bedside device. ST templates are not available in the ST tab. A WMTS 608 wireless bedside device is in use. View the ST templates at the bedside device. The Print menu bar button is disabled. The selected patient tile does not have an ST license.
Views ST Tab MESSAGE/ISSUE * REASON SOLUTION The Config ST tab at the central station was closed and all changes were discarded. The ST Menu was opened at the bedside monitor. Use the bedside monitor to make the ST configuration changes. Close the ST Menu at the bedside monitor and then reenter the Config ST tab at the central station. The Config ST sidebar button is disabled. The These settings are currently being edited remotely message is displayed.
ST Tab Views This page intentionally left blank.
8.0 Report Functions This section outlines the types of reports that can be generated by the Panorama Central Station.
Patient Reports Tab 8.1 Report Functions Patient Reports Tab The Patient Reports tab (shown in FIGURE 8-1) is used to print patient-specific reports. The following reports can be printed from the Patient Reports tab: • All Strips Report • Full Disclosure Report • ST Report • Trend List Report • Event List Report • Patient Alarm Report 8.1.1 Accessing the Patient Reports Tab 1. From the menu bar, select the Report button. 2. Select the Patient Reports tab. The Patient Report tab is displayed. 3.
Report Functions Patient Reports Tab FIGURE 8-2 All Strips Report (Page 1) FIGURE 8-3 All Strips Report (Page 2) Panorama™ Operating Instructions 0070-10-0690-01 8-3
Patient Reports Tab Report Functions FIGURE 8-4 All Strip Report - Printed by Print on Alarm 8.1.2.1 Header The All Strips Report’s first page header provides the title of the report and basic demographic information, if it is available. The demographic information includes the patient’s first and last name, identification number, bed number, weight, height and doctor.
Report Functions Patient Reports Tab • A parameter label • A numeric measurement • A unit of measure label • A heart rate (HR) value • Dashes (--) to indicate missing or invalid digital data. • Square brackets ( [ ] ) to indicate alarming parameter values NOTE: 8.1.2.3 Digital Data is only shown on the first page of the report.
Patient Reports Tab Report Functions All non-ECG waveforms in the report contain a parameter label and a unit of measure label. Non-ECG waveforms in the report contain a wave gain scale bar if the waveform is available at the time of the print request. If the waveform is not available, the report prints blank data for the specified time period. Also: • If the IBP waveform was labeled at the bedside monitor, the report contains that IBP label.
Report Functions Patient Reports Tab FIGURE 8-5 Full Disclosure Report (Page 1- ECG waveform layout) Panorama™ Operating Instructions 0070-10-0690-01 8-7
Patient Reports Tab Report Functions FIGURE 8-6 Full Disclosure Report (Page 2- ECG waveform layout) 8-8 0070-10-0690-01 Panorama™ Operating Instructions
Report Functions Patient Reports Tab FIGURE 8-7 Full Disclosure Report (Page 1- non-ECG waveform layout) Panorama™ Operating Instructions 0070-10-0690-01 8-9
Patient Reports Tab Report Functions FIGURE 8-8 Full Disclosure Report (Page 2 - non-ECG waveform layout) 8.1.3.1 Header The Full Disclosure Report’s first page header provides the title of the report and basic demographic information, if it is available. The demographic information includes the patient’s first and last name, identification number, bed number, weight, height and doctor.
Report Functions 8.1.3.2 Patient Reports Tab Waveform Data The ECG waveforms shown in the Full Disclosure Report are based on the ECG lead wire set currently in use and on the waveforms selected in the Print Setup tab. ECG Waveform Format The ECG waveform format for the Full Disclosure Report includes five columns. This format is used for reports that show ECG parameter waveforms. • The first column contains the time (hour and minute) of the disclosure record.
Patient Reports Tab Report Functions • The date and time of the print request. The format displayed is taken from the System Date/Time tab. For more information regarding date/time formats, refer to the “Date/Time Tab” on page 9-41. • A centered page number. • The name of the Panorama Central Station where the report was generated. 8.1.3.
Report Functions Patient Reports Tab 2. Select a non-ECG parameter from the list box, then select the Done button. The waveforms in the tab will change to the selected non-ECG parameter. 3. From the menu bar, select the Print button. The Print Selection dialog is displayed (shown in FIGURE 8-9). 4. Select the Print 1 Hour button. The report is sent to the printer. To print multiple hours of full disclosure data: 1. From the Patient Reports tab, select the Full Disclosure Report button. 2.
Patient Reports Tab 8.1.4 Report Functions ST Report The ST Report (shown in FIGURE 8-11 and FIGURE 8-12) includes current and reference digital values with the associated ST templates, for a selected patient tile. This report includes a header, ST data and a footer section. NOTE: This report is not available when using a WMTS 608 wireless bedside device, during a relearning phase, or when the selected patient tile is in a Communications Lost, Standby, or a Waiting for Patient state.
Report Functions Patient Reports Tab FIGURE 8-12 ST Report (Page 2) 8.1.4.1 Header The ST Report’s first page header provides the title of the report and basic demographic information, if it is available. The demographic information includes the patient’s first and last name, identification number, bed number, weight, height and doctor.
Patient Reports Tab Report Functions • One current and one reference template for the lead being monitored in a 3-lead cable connection. • Three current and three reference templates for the leads being monitored in a 5-lead cable connection. • Twelve current and twelve reference templates for all of the leads in a 12-lead cable connection.
Report Functions 8.1.5 Patient Reports Tab Trend List Report The Trend List Report (shown in FIGURE 8-13 and FIGURE 8-14) shows a patient’s historical trended digital data. The data displayed is based on the time interval selected in the Trend Display dialog box, and can be shown over a 1, 2, 4, 8, 12, or 24 hour time period. This report includes a header, trend records, and a footer.
Patient Reports Tab Report Functions FIGURE 8-14 Trend List Report (Page 2) 8 - 18 0070-10-0690-01 Panorama™ Operating Instructions
Report Functions 8.1.5.1 Patient Reports Tab Header The Trend List Report’s first page header provides the title of the report and basic demographic information, if it is available. The demographic information includes the patient’s first and last name, identification number, bed number, weight, height and doctor.
Patient Reports Tab Report Functions To print multiple hours of trend data from the Patient Reports tab: 1. Select the Trend List Report button. 2. Select one of the time interval buttons or the Cancel button. • The choices are print 1 hour, 2 hours, 4 hours, 8 hours, 12 hours, and 24 hours. • Select the Cancel button to close the dialog box without generating the print request. To print multiple hours of trend data from the Trends tab: 1. From the menu bar, select the Print button.
Report Functions 8.1.6 Patient Reports Tab Event List Report The Event List Report (shown in FIGURE 8-15 and FIGURE 8-16) shows a patient’s historical physiological, system and technical alarm events for a 1, 2, 4, 8, 12 and 24 hour time period. This report includes a header, event records, and a footer.
Patient Reports Tab Report Functions FIGURE 8-16 Event List Report (Page 2) 8.1.6.1 Header The Event List Report’s page header provides the title of the report and basic demographic information, if it is available. The demographic information includes the patient’s first and last name, identification number, bed number, weight, height and doctor.
Report Functions Patient Reports Tab If the demographic data was not previously entered in the system, only the demographic label is shown. 8.1.6.2 Event Record The Event List Report’s event record section includes the digital data that occurred during the specified time period. The data in this report is determined by the events that occurred during the specified time period. Event data records are separated by a solid horizontal line.
Patient Reports Tab Report Functions To print multiple hours of event data from the Patient Reports tab: 1. Select the Event List Report button. 2. Select one of the time interval buttons or the Cancel button. • The choices are print 1 hour, 2 hours, 4 hours, 8 hours, 12 hours, and 24 hours. • Select the Cancel button to close the dialog box without generating the print request. To print multiple hours of trend data from the Events tab: 1. From the menu bar, select the Print button.
Report Functions 8.1.7 Patient Reports Tab Patient Alarm Report The Patient Alarm Report (shown in FIGURE 8-17) is a single page report containing a patient’s alarm settings information (unit of measure, alarm limits, priority and alarm responses). This report includes a header, patient alarm data, optional arrhythmia and paging delay settings, and a footer.
Patient Reports Tab Report Functions FIGURE 8-18 Patient Alarm Report - Paging Option Enabled 8.1.7.1 Header The Patient Alarm Report’s page header provides the title of the report and basic demographic information, if it is available. The demographic information includes the patient’s first and last name, identification number, bed number, weight, height and doctor. If the demographic data was not previously entered in the system, only the demographic label is shown. 8.1.7.
Report Functions Patient Reports Tab • Print On Alarm displays the Print on Alarm response assigned to the parameter specified. • Save to Event displays the Save To Event alarm response that has been assigned to the parameter specified. • Page On Alarm displays the Page On Alarm response that has been assigned to the parameter specified. 8.1.7.
Patient Reports Tab Report Functions MESSAGE/ISSUE * REASON SOLUTION A WMTS 608 wireless bedside device is in use. No solution required. The selected patient tile is relearning phase, or is in a Communications Lost or Standby state. Wait for the patient tile to resume monitoring. The ST Report button is hidden. The selected patient tile is in a Waiting for Patient state. Activate the destination device. The Print All Strips report button is disabled.
Report Functions 8.2 System Reports Tab System Reports Tab The System Reports tab (shown in FIGURE 8-20) is used to generate reports on a system level. A patient tile does not have to be selected to generate a system report. The following reports can be printed from the System Reports tab: • Accessing the System Reports Tab • All Strips (All Patients) Report • Equipment Report • Paging Report 8.2.1 Accessing the System Reports Tab 1. From the menu bar, select the Report button. 2.
System Reports Tab 8.2.2 Report Functions All Strips (All Patients) Report The All Strips (All Patients) Report (shown in FIGURE 8-21 and FIGURE 8-22) contains real-time monitoring data for all the active patients monitored by the Panorama Central Station. This report contains all current numeric values and waveforms. It is similar to the All Strips Report, except that it prints for all active patients. The report includes a header, digital data, waveform data and a footer.
Report Functions System Reports Tab FIGURE 8-22 All Strips (All Patients) Report (Page 2) 8.2.2.1 Header The All Strips (All Patients) Report’s first page header provides the title of the report and basic demographic information, if it is available. The demographic information includes the patient’s first and last name, identification number, bed number, weight, height, and doctor.
System Reports Tab 8.2.2.2 Report Functions Digital Data The All Strips (All Patients) Report’s digital data section displays measurements for the digital data parameters currently available for the selected patient tile. The displayed parameter order is determined by the system Unit Priorities tab. The digital data section contains the following: • A parameter label • A numeric measurement • A unit of measure label • A heart rate (HR) value • Dashes (--) to indicate missing or invalid digital data.
Report Functions System Reports Tab • An ECG lead label • A wave gain scale bar and a calibration pulse for wave gains less than 30 mm/mV • A calibrated grid • Current ECG monitoring label • A continuous straight line for active ECG leads that are not connected Non-ECG Waveforms The non-ECG waveforms shown in the All Strips (All Patients) Report are based on the non-ECG waveforms that are in use and the non-ECG waveforms that are selected to be printed.
System Reports Tab 8.2.3 Report Functions Equipment Report The Equipment Report (shown in FIGURE 8-23) contains a list of devices currently assigned to the Panorama Central Station. This report displays a maximum of 32 devices per page and includes a header, six columns and a footer. NOTE: The Equipment Report is not available at the ViewStation. FIGURE 8-23 Equipment Report 8.2.3.1 Header The header of the Equipment Report displays a centered report title. 8.2.3.
Report Functions System Reports Tab • Label displays the equipment device label. For additional information regarding Device ID’s, refer to the ‘‘Equipment Setup Tab’’ on page 9-33. • Type displays the type of device that is attached to the central station. For example, a Telepack WMTS or a Passport 2®. • Tile displays the tile the device is attached to. Six dashes (- - - - - -) display in this column if the tile number associated with the device in the Equipment Setup dialog is None.
System Reports Tab Report Functions FIGURE 8-24 Paging Report 8.2.4.1 Header The Paging Report’s header provides the title of the report. 8.2.4.2 Pager Information The Paging information section of the report contains all the pager information as they are configured at the central station at the time the report was generated.
Report Functions System Reports Tab • Pager Number displays the number that has been assigned to the pager. This column can display a maximum of 14 alphanumeric characters. • Pager Assignment displays which person or department the pager is assigned to. • Tile displays which patient tile number the pager is assigned to. This column can display a maximum of 30 alphanumeric characters.
Print Status Tab 8.3 Report Functions Print Status Tab The Print Status tab (shown in FIGURE 8-25) contains a list of current print requests. Once the status of a print request changes or the report prints, the list updates automatically without having to refresh the list. . FIGURE 8-25 Print Status Tab 8.3.1 Print Status Tab List Box Once a new print request is submitted, specific information displays in the Print Status tab.
Report Functions Print Status Tab Cancel Selected Print Job Select the Cancel Selected Print job button to delete the selected print request from the job queue. When this button is selected, the multi-column list box Status column displays Deleting, and the request is removed from the multi-column list box. Delete All Print Jobs Select the Delete All Print Jobs button to cancel all print requests in the job queue.
Additional Reports 8.4 Report Functions Additional Reports The Panorama Central Station is capable of generating additional reports from areas other than the Reports menu button. Reports generated by the Panorama Central Station, but cannot be generated from the Reports menu button include: • Event Zoom In Report • Full Disclosure Zoom In Report • Graphic Trend Report • 12-lead Report • Telepack Error Log Report • System Alarm Report 8.4.
Report Functions Additional Reports FIGURE 8-27 Event Zoom In Report (Page 2) 8.4.2.1 Header The Event Zoom In Report’s first page header provides the title of the report and basic demographic information, if it is available. The demographic information includes the patient’s first and last name, identification number, bed number, weight, height and doctor.
Additional Reports Report Functions • A parameter label • A numeric measurement • A unit of measure label • A heart rate (HR) value • Dashes (--) to indicate missing or invalid digital data. • Square brackets ( [ ] ) to indicate alarming parameter values 8.4.2.3 NOTE: Digital Data is only shown on the first page of the report. NOTE: ST digital data includes Current (C) and Reference (R) values.
Report Functions 8.4.2.5 Additional Reports Non-ECG Waveforms The non-ECG waveforms shown in the Event Zoom In Report are limited to the non-ECG waveforms that are in use, and the non-ECG waveforms that are selected to be printed. All non-ECG waveforms in the report contain a parameter label and a unit of measure label. Non-ECG waveforms in the report may contain a wave gain scale bar.
Additional Reports Report Functions FIGURE 8-28 Full Disclosure Zoom In Report (Page 1) FIGURE 8-29 Full Disclosure Zoom In Report (Page 2) 8 - 44 0070-10-0690-01 Panorama™ Operating Instructions
Report Functions 8.4.3.1 Additional Reports Header The Full Disclosure Zoom In Report’s first page header provides the title of the report and basic demographic information, if it is available. The demographic information includes the patient’s first and last name, identification number, bed number, weight, height and doctor.
Additional Reports Report Functions ECG Waveforms The ECG waveforms shown in the Full Disclosure Zoom In Report are limited to the ECG lead wire set currently in use and on the waveforms selected in the Print Setup tab.
Report Functions 8.4.5 Additional Reports Graphic Trend Report The Graphic Trend Report (titled Trend Graphic Report in FIGURE 8-30 and FIGURE 8-31) displays the trends for the selected patient tile in a graphical format. Graphic Trends are viewed by selecting the Graphic button in the Trends tab. This report includes a header, Digital data, Graphic data and a footer section.
Additional Reports Report Functions FIGURE 8-31 Graphic Trend Report (Page 2) 8.4.5.1 Header The Graphic Trend Report’s first page header provides the title of the report and basic demographic information, if it is available. The demographic information includes the patient’s first and last name, identification number, bed number, weight, height and doctor.
Report Functions 8.4.5.2 Additional Reports Digital Data The Graphic Trend Report’s digital data section displays measurements for the digital data parameters currently available for the selected patient tile. The displayed parameter order is determined by the system Unit Priorities tab. The digital data section contains: • A parameter label • A numeric measurement • A unit of measure label • A heart rate (HR) value • Dashes (--) to indicate missing or invalid digital data.
Additional Reports Report Functions • This report shows a cursor line in the graph for the Cursor Time posted on the report. • The data plotted in the Graphic Trend Report reflects the trend data records that were collected based on the Trend Display interval configuration. • The report shows one plotted point for each parameter sensor. • Dual sensor parameters (such as INSP/ET CO2) are plotted individually then connected with a line (for example, inspired and end tidal values).
Report Functions 8.4.6 Additional Reports 12-lead Report The 12-lead Report (shown in FIGURE 8-32) provides analysis of 12 vectors of ECG data for the selected patient tile. This report includes a header and waveform data. All of the data contained in this report is obtained from the bedside monitor. NOTE: This report is not available when using a WMTS 608 bedside device. NOTE: The 12-lead Report is not available at the ViewStation. FIGURE 8-32 12-lead Report 8.4.6.
Additional Reports Report Functions If the patient is less than 18 years old, the message Unable to Obtain Interpretation. Patient Must Be At Least 18 Years Old is displayed. • Unconfirmed Report: The 12-lead Report is marked as an Unconfirmed Report when interpretation strings are printed on the report. This indicates that a physician must review the report for a diagnosis confirmation. 8.4.6.2 Waveform Data The 12-lead Report section displays 2.
Report Functions 8.4.7 Additional Reports Telepack Error Log Report The Telepack Error Log Report (shown in FIGURE 8-33) is a one page report that shows all logged errors for any wireless Telepack devices connected to the Panorama Central Station in service mode. This report includes a header, error log data and a footer. NOTE: The Telepack Error Log Report is not available at the ViewStation. FIGURE 8-33 Telepack Error Log Report 8.4.7.
Additional Reports Report Functions • The date and time of the print request. The format displayed is taken from the System Date/Time tab. For more information regarding date/time formats, refer to the “Date/Time Tab” on page 9-41. • A centered page number. • The name of the Panorama Central Station where the report was generated. 8.4.7.4 Printing a Telepack Error Log Report The Telepack Error Log Report prints in a landscape orientation. Follow these steps to print this report: 1.
Report Functions 8.4.8 Additional Reports System Alarm Report The System Alarm Report (shown in FIGURE 8-34) shows all of the system default settings for the parameter alarms available in the Panorama Central Station. The report includes header, System Alarm data, optional arrhythmia and paging delay settings, and a footer section.
Additional Reports Report Functions FIGURE 8-35 System Alarm Report - Paging Option Enabled 8.4.8.1 Header The System Alarm Report’s header provides the title of the report. 8.4.8.2 System Alarm Information The System Alarm section of the report will display all of the system alarm default settings, as configured at the Panorama Central Station. Alarm limits are listed for the Adult, Pediatric and Neonate patient sizes.
Report Functions Additional Reports • High Limit displays the high limit for the alarm setting. Measurements that exceed this setting will trigger an alarm condition. If a high limit is not applicable to the parameter, dashes (---) display instead of the high limit. • Low Limit displays the low limit for the alarm setting. Measurements below this setting trigger an alarm condition. If a low limit is not applicable to the parameter, dashes (---) display instead of the low limit.
Additional Reports 8.4.9 Report Functions Troubleshooting This section lists some of the potential messages and issues that may occur while trying to print an additional report. MESSAGE/ISSUE * REASON SOLUTION The report will not print There are several reasons that would cause a report not to print. It could be a problem with the communication between the printer and the Panorama Central Station or simply a problem with the printer.
9.0 System Setup Functions This section outlines the tabs and default configuration settings associated with the Panorama Central Station, the ViewStation, and the WorkStation.
Parameter Color Tab 9.1 System Setup Functions Parameter Color Tab The Parameter Color tab (shown in FIGURE 9-1) selects the system default colors for the parameters which will be displayed in the patient tile. This tab is available at the ViewStation and the WorkStation, and it functions in the same manner as it does at the host central station. Parameter Color tab changes made at the central station or remote workstations are independent of each other. 9.1.
System Setup Functions 9.1.4 Parameter Color Tab Troubleshooting This section lists some of the potential messages and issues that may occur while using the Parameter Color tab. MESSAGE/ISSUE * REASON SOLUTION The System Setup menu button is disabled. The System Setup function is already open on another Panorama display and cannot be opened on multiple displays. Close the System Setup function on the Panorama display where it is open. * Messages are shown in all bold text.
Touch Screen Tab 9.2 System Setup Functions Touch Screen Tab The Touch Screen tab provides a means to turn the touch screen on and off and recalibrate (or reset) the touch screen. This tab is available at the ViewStation and the WorkStation, and it functions in the same manner as it does at the host central station. Touch Screen tab changes made at the central station or remote workstations are independent of each other. 9.2.1 Accessing the Touch Screen Tab 1.
System Setup Functions Touch Screen Tab FIGURE 9-3 Recalibration Screen (Part I) 4. Touch the red targets on the screen as instructed. Three calibration targets will be displayed. NOTE: The messages in the Recalibrate Touch Screen display are always displayed in the English language. NOTE: During the recalibration process, the patient tiles, menu bar, and sidebar buttons will be replaced by the recalibration screen. 5. Once the three targets have been touched, the message Touch the screen.
Touch Screen Tab System Setup Functions FIGURE 9-4 Recalibration Screen (Part II) 9.2.2 Sidebar Button - Normal Screen Select the Normal Screen sidebar button to return the display to the full screen mode, and close all tabs, message boxes, and dialog boxes. 9.2.3 Troubleshooting This section lists some of the potential messages and issues that may occur Touch Screen tab.
System Setup Functions 9.3 Installation Setup Tab Installation Setup Tab The system Installation Setup tab (shown in FIGURE 9-5) controls access to restricted central station functions. This tab is available at the ViewStation and the WorkStation, and it functions in the same manner as it does at the host central station. The Installation Setup tab is password protected. 9.3.1 Accessing the Installation Setup Tab 1. From the menu bar, select the System Setup button.
Installation Setup Tab 9.3.3 System Setup Functions Sidebar Button - Normal Screen Select the Normal Screen sidebar button to return the display to the full screen mode, and close all tabs, message boxes, and dialog boxes. 9.3.4 Troubleshooting This section lists some of the potential messages and issues that may occur while using the Installation Setup tab. MESSAGE/ISSUE * REASON SOLUTION Incorrect password. Please try again. The wrong password was entered in the Password text box.
System Setup Functions 9.4 Care Group Tab Care Group Tab The system Care Group tab (shown in FIGURE 9-6) allows for the default assignment of selected patient tiles to specific system care groups. This enables a patient tile to automatically be assigned to a specific care group upon admission to the Panorama Central Station. The central station supports up to twelve care groups. Each care group is associated with a unique color indicator and a unique reference label.
Care Group Tab 9.4.3 System Setup Functions Assigning a Patient Tile to a Care Group The assignment of a system care group occurs when a patient is admitted to a tile at the Panorama Central Station. When a patient tile is assigned to a care group, the color associated with the care group will be shown in vertical bar beside the patient tile VIEW button. To adjust the care group assignment of an active patient tile, refer to the ‘‘Demographics Tab’’ on page 5-2.
System Setup Functions 9.5 Volume Tab Volume Tab The system Volume tab (shown in FIGURE 9-7 and FIGURE 9-8) adjusts the system default volume levels. Volume levels can be adjusted for system alarms and physiological alarms. This tab is available at the ViewStation and the WorkStation, and it functions in the same manner as it does at the host central station. Volume tab changes made at the central station or remote workstations are independent of each other. 9.5.1 Accessing the Volume Tab 1.
Volume Tab System Setup Functions Setting a System Alarms Volume Level The System Alarms volume setting determines the volume of the sound associated with the Panorama Central Station alarm settings. Characteristics of the System Alarms volume setting: • A volume level range of 10-100% • A factory default setting of 30% • It cannot be turned OFF NOTE: Adjustments to the System Alarms volume setting will take effect immediately.
System Setup Functions Volume Tab 3. Set the volume level for the selected physiological alarm. To adjust the volume level, move the volume control scroll bar box or the scroll bar arrows up (to maximize sound) or down (to minimize sound). The colored icon to the right of the scroll bar is automatically moved when the volume level is adjusted. 4. Select the Done button to save the physiological alarm volume adjustments.
System Alarms Tab 9.6 System Setup Functions System Alarms Tab The System Alarms tab (shown in FIGURE 9-10, FIGURE 9-11, and FIGURE 9-11) controls the default settings for system alarm options, specific alarm limits, and alarm response functions. This tab is available at the ViewStation and the WorkStation, and it functions in the same manner as it does at host central station with fewer buttons. System Alarms tab changes made at the central station or remote workstations are independent of each other.
System Setup Functions System Alarms Tab FIGURE 9-11 System Alarms (System Alarm Options) Tab (ViewStation) FIGURE 9-12 System Alarms (System Alarm Options) Tab (WorkStation) 9.6.1.2 Setting the System Alarms Options (Central Station) This section outlines selecting system alarm option defaults. 1. Select the Latch Alarms toggle button to either enable or disable the latch alarms function. Latch Alarm options include ON and OFF. The factory default setting is ON.
System Alarms Tab System Setup Functions 3. Select the Technical Events Sounds toggle button to enable or disable sound during a technical event. Technical Events Sounds options include ON and OFF. The factory default setting is ON. • The ON option indicates that Technical Events Sounds will be heard during a technical event. • The OFF options indicates that Technical Events Sounds will not be heard during a technical event.
System Setup Functions System Alarms Tab NOTE: Changes to the Suspend Alarms option will affect all patients upon entering the Patient Alarms tab. 8. Select the ST Alarm Delay button to set an alarm delay for ST alarms. ST alarm delay is the period of time that the Panorama Central Station will wait before ST alarm notification. ST Alarm Delay options include 30 seconds, 45 seconds, 1 minute, 90 seconds, 2 minutes, and 3 minutes. The factory default setting is 30 seconds.
System Alarms Tab System Setup Functions 2. Select the Mute All button to select the mute duration period for alarms. The mute duration period is the amount of time an alarm parameter will be silenced. Mute duration periods include 10 seconds, 15 seconds, 30 seconds, 45 seconds, 60 seconds, 120 seconds, and Permanent. The factory default setting is 30 seconds. NOTE: The host central station will not have a Mute All button.
System Setup Functions 9.6.2.2 System Alarms Tab Components of the Events Filter Event Filter Text Box The Event Filter text box is where the selected filter settings are displayed. The factory default Event Filter text box lists “All” as the initial filter, which indicates that there are no active event filters being used. Done Button Select the Done button to close the All Event Filter view and return to the System Alarm Options tab.
System Alarms Tab System Setup Functions FIGURE 9-15 Start Time Dialog Box 2. Rotate the dial controls to select the hour and minute values. 3. Rotate the dial controls to select the month, day, and year values. 4. Accept or reject the selection made in the Start Time dialog box. • The Done button accepts the selections. When the Done button is selected, the date and time selected populates the Start Time text box, End Time text box, and the Event Filter text box.
System Setup Functions System Alarms Tab Accessing the Parameter Filter To access the Parameter Filter (shown in FIGURE 9-17), select the Param sidebar button from the All Events view. By default, the physiological events are shown first. If any previously selected parameters were specified, they will be displayed in the Event Filter text box beside the Param: label. FIGURE 9-17 Parameter Event Filter View Configuring a Parameter Filter To configure a parameter filter: 1.
System Alarms Tab System Setup Functions System Alarm Limits Select the System Alarm Limits sidebar button to display the System Alarm Limits tab. For additional information regarding system alarm limits, refer to ‘‘System Alarms (Alarm Limits) Tab’’ on page 9-23. NOTE: The System Alarm Limits sidebar button is not available at the ViewStation or the WorkStation. System Alarm Responses Select the System Alarm Responses sidebar button to display the System Alarm Responses tab.
System Setup Functions 9.6.3 System Alarms Tab System Alarms (Alarm Limits) Tab The System Alarms (System Alarm Limits) tab (shown in FIGURE 9-18) controls the system default settings for the following alarm limits, according to patient size: • Heart Rate (HR) • PVC/min • ST Single • ST Dual The remaining default parameter alarm limits are taken directly from the bedside device. The System Alarms (Alarm Limits) is available at the Panorama Central Station and the WorkStation.
System Alarms Tab System Setup Functions 2. Use the horizontal scroll bar in the System Alarms (System Alarm Limits) tab to locate the slider controls that need to be set or modified. Each page can show a maximum of six slider controls and a minimum of one slider control on each screen. • Select the double arrow scroll bar buttons to display the next/previous page of available parameter slider controls (until the first/last page is reached).
System Setup Functions 9.6.3.4 System Alarms Tab Troubleshooting This section lists some of the potential messages and issues that may occur while using the System Alarm Limits tab. MESSAGE/ISSUE * REASON SOLUTION The System Setup menu button is disabled. The System Setup function is already open on a Panorama display and cannot be opened on multiple displays. Close the System Setup function on the Panorama display on which it is opened.
System Alarms Tab 9.6.4 System Setup Functions System Alarms (Alarm Responses) Tab The System Alarms (System Alarm Responses) tab (shown in FIGURE 9-19 and FIGURE 9-20) controls the system default settings for alarm responses at the Panorama Central Station and the WorkStation. This tab is not available at the ViewStation or the WorkStation. Alarm response settings are transferred from the host central to the ViewStation and the WorkStation when the patient tile is assigned. 9.6.4.
System Setup Functions 9.6.4.2 System Alarms Tab Setting the System Alarms Responses This section outlines setting system defaults for alarm responses. 1. Select a parameter in the System Alarm Limits (System Alarm Responses) tab to make adjustments. • The alarm responses list box shows a list of the available alarm conditions. • When an alarm is selected, it will be highlighted in white with black text and will be displayed on the left side of the Priority button. 2.
System Alarms Tab System Setup Functions System Alarm Limits Select the System Alarm Limits sidebar button to display the System Alarm Limits tab. For additional information regarding System Alarm Limits, refer to the ‘‘System Alarms Tab’’ on page 9-14. Normal Screen Select the Normal Screen sidebar button to return the display to the full screen mode, and close all tabs, message boxes, and dialog boxes. 9.6.4.
System Setup Functions 9.7 Passwords Tab Passwords Tab The system Passwords tab (shown in FIGURE 9-21 through FIGURE 9-24) establishes and modifies the passwords used to access the System Setup and Patient Alarm Setup areas of the Panorama Central Station. This tab is available at the ViewStation and the WorkStation, and it functions in the same manner as it does at the host central station but does not contain an Alarm button.
Passwords Tab System Setup Functions FIGURE 9-23 Passwords Tab (ViewStation) FIGURE 9-24 Passwords Tab (WorkStation) 9.7.2 Modifying a Default Password The Passwords tab changes the password that provides access to the Patient Alarms and System Alarms tab. 1. Select either the Alarm, System, or Paging (displayed if Paging option is enabled) button. The Old Password text box is displayed. NOTE: The Alarm button is not available at the ViewStation. 2. Select the Old Password text box.
System Setup Functions Passwords Tab 5. Select the New Password text box. The keyboard dialog box is displayed. 6. Using the keyboard dialog box, enter the new alarm password. The Alarm password is case sensitive and can be a maximum of 15 characters. 7. Accept the text entered in the keyboard dialog box. For additional information about using the keyboard dialog box, refer to ‘‘Keyboard Dialog Box’’ on page 2-17. 8. Select the Confirm text box. The keyboard dialog box is displayed. 9.
Passwords Tab System Setup Functions MESSAGE/ISSUE * REASON SOLUTION Illegal Password. Password should be 1 to 15 characters. When entering a New Password in the keyboard dialog, the Enter key was selected in the keyboard dialog before any characters/ numbers were selected. Enter a password that contains at least 1 character before selecting the Enter key. The System Setup menu button is disabled.
System Setup Functions 9.8 Equipment Setup Tab Equipment Setup Tab The Equipment Setup tab (shown in FIGURE 9-25 and FIGURE 9-26) adds, deletes, and modifies the equipment used with the Panorama Central Station. The Equipment Setup tab includes an equipment list that shows the types of equipment that may communicate with the central station. This tab is not available at the ViewStation or the WorkStation. Equipment maintenance can only be performed at the host central station. 9.8.
Equipment Setup Tab System Setup Functions • The first column of the equipment list box displays the device Label for the equipment listed. • The second column of the equipment list box displays the Type of device listed. • The third column of the equipment list box displays the Tile number associated with the equipment. • The fourth column of the equipment list box displays the Device ID number for the equipment listed. Device ID Format STARTING CHARACTER DEVICE 9.8.
System Setup Functions Equipment Setup Tab The device type is displayed in the Type field. 4. Select the Label text box to enter a label for the new equipment. 5. Use the keyboard dialog box to enter the device label for the new equipment. A device label must be entered in the equipment list and can only use alphanumeric characters and underscores ( _ ). There is a maximum of 15 characters. 6. Accept or reject the text entered in the keyboard dialog box.
Equipment Setup Tab 9.8.4 System Setup Functions Deleting Equipment in the Equipment List This section outlines deleting equipment from the Panorama Central Station Equipment List. 1. From the equipment list box, select the monitoring device to be modified. A monitoring device has been selected when it changes from white text on a black background to black text on a white background. 2. Select the Delete button below the equipment list box.
System Setup Functions 9.8.6 Equipment Setup Tab Troubleshooting This section lists some of the potential messages and issues that may occur while using the Equipment tab. MESSAGE/ISSUE * REASON SOLUTION Equipment list is full This message appears when the New button is pressed and the equipment list contains the maximum number of equipment list entries. Select the OK button to close the dialog box. Delete a device from the equipment list. Illegal Device Tile. Device Tile must be defined.
Equipment Setup Tab System Setup Functions MESSAGE/ISSUE * REASON SOLUTION Suffix of Device ID last character must be ‘x’ or ‘X’. This message appears when the incorrect device suffix is entered in the Device ID box. Select the OK button to close the dialog box. Enter the correct Device ID suffix. This Device ID already exists! This message appears when a duplicate Device ID is entered in the Device ID field. Select the OK button to close the dialog box.
System Setup Functions 9.9 More Tab More Tab The More tab (shown in FIGURE 9-27) is used for navigational purposes and when selected, will display another set of System Setup tabs at the Panorama Central Station. This tab is not available at the ViewStation or the WorkStation. 9.9.1 Accessing Additional (More) Tabs 1. From the menu bar, select the System Setup button. The Password tab is displayed. 2. Follow the directions in the "Entering a Password" section on page 9-7. 3.
Previous Tab 9.10 System Setup Functions Previous Tab The Previous tab (shown in FIGURE 9-29) is used for navigational purposes and when selected, will display another set of system setup tabs at the Panorama Central Station. This tab is not available at the ViewStation or the WorkStation. 9.10.1 Accessing Previous Tabs 1. From the menu bar, select the System Setup button. The first set of System Setup tabs is displayed. 2. Select the Installation Setup tab. The Installation Setup tab is displayed. 3.
System Setup Functions 9.11 Date/Time Tab Date/Time Tab The Date/Time tab (shown in FIGURE 9-31) sets the system date and time and configures the default date and time formats at the Panorama Central Station. This tab is available at the ViewStation and the WorkStation, and it functions in the same manner as it does at the host central station. Date/Time tab changes made at the central station or remote workstations are independent of each other. NOTE: 9.11.
Date/Time Tab System Setup Functions FIGURE 9-33 Date/Time Tab (ViewStation) 9.11.2 Set Date/Time The settings configured in the Date/Time tab are the settings that will be used for all date/ time related functions in the Panorama Central Station. NOTE: When generating the Full Disclosure Report, Event List Report, etc.
System Setup Functions Date/Time Tab • Select Cancel button to discard changes and close the dialog box • Select OK button to accept changes. The Month field will remain unchanged until the OK button is pressed. 7. Select the Date button to select the desired date format. The date formats available include DD-MM-YYYY, MM-DD-YYYY and YYYY-MM-DD (default). 8. Select the Done button to change the system date format. The Are you sure you want to change the date/time settings? confirmation box is displayed. 9.
Date/Time Tab System Setup Functions 8. Select the Yes or No button in the dialog box. • Select the Yes button to change the system time format • Select the No button to discard the changes that were made to the system time format 9.11.3 Sidebar Button - Normal Screen Select the Normal Screen sidebar button to return the display to the full screen mode, and close all tabs, message boxes, and dialog boxes. 9.11.
System Setup Functions 9.12 Print Setup Tab (System) Print Setup Tab (System) The Print Setup tab (shown in FIGURE 9-34 and FIGURE 9-35) defines the printer(s) that will be used to print standard (defined as reports that do not contain waveforms) and strip reports (such as the All Strips, Event Zoom-In, and Full Disclosure Zoom-In Reports). This tab is available at the ViewStation and WorkStation, and it functions in the same manner as the host central station.
Print Setup Tab (System) 9.12.2 System Setup Functions Accessing the Print Setup Tab (ViewStation and WorkStation) • Follow steps from the "Accessing the Print Setup Tab (Central Station)" section on page 9-45. FIGURE 9-35 System Print Setup Tab (ViewStation and WorkStation) 9.12.3 Setting the System Default Print Setup This section outlines using the Print Setup tab to establish to which default printer print requests will be directed. To set system default print requests: 1.
System Setup Functions 9.13 Unit Priorities Tab Unit Priorities Tab The Unit Priorities tab (shown in FIGURE 9-36) determines the initial order in which parameters in the Main Screen, Bedside tab, Trends tab, and Events (List) are displayed. This tab is not available at the ViewStation or the WorkStation. Unit priority settings are transferred from the host central station to the ViewStation and the WorkStation when the patient tile is assigned. 9.13.1 Accessing the Unit Priorities Tab 1.
Unit Priorities Tab System Setup Functions 3. Choose the Select button. The selected parameter is assigned its new unit priority position and will be shown in the box on the right of the selected unit priority. 4. Repeat steps 2-3 until the parameters are in the desired order. 5. Select the Done button. All priority changes in the Unit Priorities tab have now been confirmed. The changes that were made will only be applied to newly admitted patients and will not affect patients currently being monitored.
System Setup Functions 9.13.4 Unit Priorities Tab Troubleshooting This section lists some of the potential messages and issues that may occur Unit Priorities tab. MESSAGE/ISSUE * REASON SOLUTION Please select a parameter button before selecting from the list This message appears when the Select button is pressed before a Unit Priority button is selected. Select the OK button to close the dialog box. Select a Unit Priority button. The System Setup menu button is disabled.
Unit Choices Tab 9.14 System Setup Functions Unit Choices Tab The Unit Choices tab (shown in FIGURE 9-38, FIGURE 9-39, and FIGURE 9-40) determines the initial units of measure, configures the default pacemaker settings, and selects which patient demographic information is displayed. This tab is available at the ViewStation and WorkStation, and it functions in the same manner as it does at the host central station but contains different buttons.
System Setup Functions Unit Choices Tab FIGURE 9-40 Unit Choices Tab (ViewStation and WorkStation) 9.14.2.1 Setting the Unit Choices (Central Station) This section outlines selecting system defaults for pacemaker settings, order of demographic data and units of measurement. 1. Select the Discharge at Bedside button to set the system default for allowing patient discharge from the central station. Discharge at Bedside options include ON and OFF. The factory default setting is OFF.
Unit Choices Tab System Setup Functions 3. Select the Pacer Reject button to select the system default pacer reject period. Pacer Reject adjusts the time period at which pacemaker-induced ECG complexes are filtered for ECG sampling processes. Pacer Reject options include 0 to 80 milliseconds (ms) in 20-second increments. The factory default setting is 40 ms. NOTE: Changing the Pacer Reject option will affect all newly admitted patients and will have no affect on patients currently being monitored.
System Setup Functions Unit Choices Tab NOTE: This option will only be displayed if the Paging option is enabled at the central station. 5. Select the Paging Password Protection button to enable and/or disable password protection for the Paging tab. Paging Protection options include ON and OFF. The factory default setting is ON. • The ON option indicates that Paging Password Protection is enabled. • The OFF option indicates that Paging Password Protection is disabled.
Unit Choices Tab System Setup Functions 10. Select the Height Units button to select the system default unit of measurement to be used for the height variable in the Panorama Central Station. Height Unit options include cm (centimeters) and in (inches). The factory default setting is cm. NOTE: Changing the Height Units option will affect new Telepack patients upon entering the Demographics tab. NOTE: The Height Units option is not available at the ViewStation or the WorkStation. 11.
System Setup Functions 9.14.2.2 Unit Choices Tab Setting the Unit Choices (ViewStation and WorkStation) • Follow steps 6 - 9 from the "Setting the Unit Choices (Central Station)" section on page 9-51. 9.14.2.3 Arrhythmia Setup (Telepack) Select the Arrhythmia sidebar button to: • Enable or disable arrhythmia analysis for a Telepack device NOTE: If using a Passport 2® or a Spectrum™, arrhythmia analysis must be enabled or disabled at the beside monitor.
Unit Choices Tab System Setup Functions 2. Use the dial control to change the system default V-Tach Rate. The range available is 100-180 bpm, in 5 bpm increments. The factory default setting is 120 bpm. 3. Select the Asystole Delay button to change the system default asystole delay time for Arrhythmia processing. The range available is 3-10 seconds. The factory default setting is 4 seconds. 4. Select the V-Tach Threshold button to change the system default V-Tach threshold settings.
System Setup Functions Unit Choices Tab 2. Select the ST check box to enable or disable ST analysis for the selected patient. • A checkmark in the ST box indicates that ST analysis is enabled. • An empty box indicates that ST analysis is disabled. • When the ST check box is empty, the Monitor filter is automatically enabled. NOTE: If ST licenses are available, an ST license is automatically assigned to the patient when ST is enabled.
Unit Choices Tab System Setup Functions 2. Select the waveform check box button to enable/disable the printing of waveforms in strip reports. The print setup settings are changed instantaneously. • A check mark in a waveform’s check box button indicates the waveform is selected to print in reports when that parameter is in use. • An empty check box button indicates the waveform is not selected and will not print in reports. 3. To return to the Unit Choices tab, select the Previous sidebar button.
System Setup Functions 9.15 Wave Gain Tab (System) Wave Gain Tab (System) The Wave Gain tab (shown in FIGURE 9-44) is used to change the initial wave gain settings. This tab is not available at the ViewStation or the WorkStation. Wave gain settings are transferred from the host central station to the ViewStation and the WorkStation when the patient tile is assigned. For information regarding individual patient tile wave gain settings, refer to the ‘‘Wave Gain Tab (Patient)’’ on page 5-52. NOTE: 9.15.
Wave Gain Tab (System) System Setup Functions NOTE: Changing the ECG wave gain does not affect the arrhythmia analysis. 3. Select the Resp Gain button until the desired Resp Gain wave gain is displayed. The settings available for the Resp Gain wave gain include 1, 2, 3, 4, and 5. The factory default setting is 1. 4. Select the CO2 (%, kPa, mmHG) button until the desired CO2 wave gain is displayed. • The settings available for the CO2 % wave gain include 5.0, 7.5, and 10.0 %.
System Setup Functions 9.15.4 Wave Gain Tab (System) Troubleshooting This section lists some of the potential messages and issues that may occur while using the System Wave Gain tab. MESSAGE/ISSUE * REASON SOLUTION The System Setup menu button is disabled. The System Setup function is already open on a Panorama display and cannot be opened on multiple displays. Close the System Setup function on the Panorama display on which it is opened. * Messages are shown in all bold text.
Wireless Tab 9.16 System Setup Functions Wireless Tab The Wireless tab manages the devices on the Panorama wireless network. It can be used to retrieve information from a wireless device as well as to program it. The Wireless tab should only be used when a wireless monitoring device is assigned to the selected patient tile. The Wireless tab is not available at the ViewStation or the WorkStation. Wireless device maintenance can only be performed from the host central station. NOTE: 9.16.
System Setup Functions 9.16.2 Wireless Tab Entering Wireless Settings (Telepack-2.4) This section outlines the settings available in the Wireless tab for the Telepack-2.4. The settings in the Wireless tab are shown by selecting the Read button and configured by selecting the Program button. NOTE: Programming and assigning of the Telepack must be performed by authorized service personnel only. The fields shown in these images are described on the following pages.
Wireless Tab System Setup Functions Subnet Mask The Subnet Mask field displays and enables editing of the Subnet Mask IP address for the assigned wireless device. It sets the subnet mask of the attached device. • Data is shown in the Subnet Mask IP Address field when the Wireless tab’s Read sidebar button is pressed and the read is successful. The default value of the Telepack IP is 0.0.0.0. If the read is not successful, an error message will be displayed.
System Setup Functions Wireless Tab MESSAGE REASON Connected to 2.4 Telemetry The connection with the Telepack-2.4 was successful. Not Connected The connection with the wireless device was not successful. Error: Could not receive data The connection with the wireless device was not successful. Either there was no response from the device or the device is not connected. Software Version The Software Version field displays the version of software currently in use by the wireless device.
Wireless Tab 9.16.3 System Setup Functions Entering Wireless Settings (Telepack-608) This section outlines the settings available in the Wireless tab. The settings in the Wireless tab are shown by selecting the Read button and configured by selecting the Program button. NOTE: Programming and assigning of the Telepack must be performed by authorized service personnel only. .The fields shown in these images are described on the following pages.
System Setup Functions Wireless Tab Connect Field The Connect field displays the status of the connection between the Panorama Central Station and the wireless device. A connection status is shown in the Connect field when the Wireless tab’s Read sidebar button is selected. The status in the Connect field cannot be edited and has a factory default setting of blank.
Wireless Tab System Setup Functions Protocol Selection The Protocol Selection button displays the protocol selection for the assigned device. It sets the protocol of the attached device. Protocol selection options include Visa™ and OpenNet. • Data is shown in the Protocol Selection field when the Wireless tab’s Read sidebar button is pressed and has a factory default setting of blank. If the read was not successful the Protocol Selection field will remain blank.
System Setup Functions Wireless Tab Selecting the Read button will attempt to obtain a reading from the connected wireless device. • A successful read from a known device will display the fields and sidebar buttons appropriate to the attached device. • An unsuccessful read will only display a connect status in the Connect field. The Device ID, Software Version, and Hardware Version fields will be blank. 9.16.4.
Wireless Tab System Setup Functions For additional information regarding this report, refer to the ‘‘Telepack Error Log Report’’ on page 8-53. 9.16.6 Device ID The Device ID field displays the identification number that was assigned to the connected wireless device. A Device ID has a maximum of 8 alphanumeric characters. Data is shown in the Device ID field when the Wireless tab’s Read sidebar button is selected. If the read was not successful the Device ID field will remain blank.
System Setup Functions Wireless Tab • Arg1 column The Arg 1 column is populated by the text fields sent to the Panorama system by the Telepack device. • Arg2 column The Arg 1 column is populated by the text fields sent to the Panorama system by the Telepack device. Error Log Read Sidebar Button Select the Read sidebar button to retrieve error log messages from the connected wireless device when it is connected to the Panorama Central Station in Service mode.
Wireless Tab 9.16.7.1 System Setup Functions Free Channel Sidebar Button Select the Free Channel sidebar button to free an allocated channel for a wireless device. Selecting the Free Channel sidebar button will request a list of the wireless devices on the wireless network. NOTE: 9.16.7.2 The Free Channel sidebar button will be disabled until a valid device has been detected by the Panorama Central Station.
System Setup Functions Wireless Tab MESSAGE/ISSUE * REASON SOLUTION Warning: Attached device is already programmed with a channel. Allocated channel will be lost if not freed first. Do you want to continue The connected device has already been programmed and allocated with a channel. Select the OK button to close the error message dialog box. • Select the YES button to discard the previously allocated channel and try to obtain a new channel.
Wireless Tab System Setup Functions This page intentionally left blank.
10.
Introduction 10.1 Telepack (Optional) Introduction The Panorama Telepack is a battery powered ambulatory device that acquires ECG information from an adult patient and transmits it to the Panorama Telemetry Server for analysis. The Panorama Telemetry Server is capable of performing data analysis functions such as Heart Rate determination, R-wave detection, and ECG filtering. CAUTION: The Telepack is a wireless product and may be subject to intermittent signal dropout.
Telepack (Optional) 10.2 Button Indicators Button Indicators The following buttons are located on the Telepack device: • One Nurse Call button: • Two Attendant Present button: • One LEAD SELECT button: • One CHECK button: CHECK • One RECORD button: 10.2.1 LEAD SELECT buttons (domestic), (domestic), RECORD (domestic), or (international) (international) (international) Nurse Call Button Press the Nurse Call button to request the presence of a clinician.
LED Indicator Lights 10.2.4 Telepack (Optional) CHECK Button CHECK Press the CHECK button to verify LED indicator lights are functioning, ECG Lead connection, link status, and battery status. For information on interpreting the status of the ECG Lead, Link Status and Battery Status LED indicator lights, refer to the following sections: “ECG Lead Diagram LED Indicator Lights” on page 10-4, “Link Status LED Indicator Light” on page 10-6, and “Battery Status LED Indicator Light” on page 10-6. 10.2.
Telepack (Optional) LED Indicator Lights FIGURE 10-1 Front View of Telepack (AHA) FIGURE 10-2 Front View of Telepack (AHA) with Domestic Overlay with International Overlay Domestic Overlay International Overlay • White RA (right arm) • Red R (right arm) • Black LA (left arm) • Yellow L (left arm) • Brown V (chest) • White C (chest) • Green RL (right leg) • Black N (right leg) • Red LL (left leg) • Green F (left leg) The ECG Lead LED indicator lights remain off except during the initial power u
LED Indicator Lights Telepack (Optional) NOTE: 10.3.2 If a 3-wire Lead set is used, a maximum of three lights will illuminate. If a 5-wire Lead set is used, a maximum of five lights will illuminate. Link Status LED Indicator Light The Telepack Link Status LED indicator light verifies the Telepack’s connection to the Panorama Patient Monitoring Network. The Link Status LED indicator light remains on for approximately 10 seconds during the initial power up and during the test sequence.
Telepack (Optional) 10.4 Operating Instructions Operating Instructions This section of the manual provides instructions for programming the Telepack device for use with the Panorama Central Station. 10.4.1 Initial Setup of Telepack The Panorama Central Station should be installed and running before you begin to set up the Telepack device. For additional information, refer to the Panorama Service Manual (P/N 0070-00-0634).
Operating Instructions Telepack (Optional) CAUTION: The Telepack may not function if the batteries installed in the device are corroded. The Telepack will not transmit data to the Panorama Central Station once the batteries have become depleted. To test the batteries, press the CHECK button and confirm that both the Link LED and the Battery LED is lit. When not in use, the Telepack device should be stored without batteries. 10.4.1.
Telepack (Optional) Operating Instructions FIGURE 10-5 Wireless Tab (Telepack-2.4) 6. Select the Read sidebar button. The information from the Telepack device is displayed in the appropriate fields. 7. For Telepack-2.4 devices, enter the appropriate information in the following fields: Telepack IP, Subnet Mask, Network Name, and Encryption Key. 8. For Telepack-2.4, devices, select the Security Selection and Lead Selection. 9. Select the Program sidebar button. A dialog box appears. 10.
Operating Instructions 10.4.1.5 Telepack (Optional) Telepack Communication Range Telepack-2.4 The range for the Telepack-2.4 device to communicate and transfer data is generally within 100 feet of a network access point. This distance is subject to site survey, and is affected by building materials. The device is for indoor use only. Telepack-608 The range for the Telepack-608 device to communicate and transfer data is generally within 30 feet of a Panorama Antenna.
Telepack (Optional) 10.5 Telepack with Nonin SpO2 Module (Optional) Telepack with Nonin SpO2 Module (Optional) This section of the manual provides instructions for installing the Nonin SpO2 module in the Telepack. 10.5.1 Introduction The Telepack with Nonin SpO2 module is an optional accessory used to monitor and display SpO2 data for a patient that is being monitored at the Panorama Central Station. The SpO2 data includes SpO2 waveform, SpO2 numeric data, and numeric pulse rate. 10.5.
Telepack with Nonin SpO2 Module (Optional) Telepack (Optional) 3. Turn the Telepack off by rotating the battery cap in a counter-clockwise direction. The Telepack is turned off. FIGURE 10-8 Removing Telepack Battery Cap 4. Align the two devices (shown in FIGURE 10-9) and then slide the SpO2 Module into the Telepack. First, the connectors are mated; Continue pushing the devices together firmly until a loud audible "click" is heard as the mechanical latch is engaged.
Telepack (Optional) Telepack with Nonin SpO2 Module (Optional) 2. Press the large button on the right side of the SpO2 module (shown in FIGURE 10-10) until a loud audible click is heard. The click sound indicates that the latch is has been properly disengaged from the Telepack. FIGURE 10-10 SpO2 Module Release Button NOTE: As a safety feature, the connectors should remain connected even after the mechanical latch is disengaged. 3. Remove the flexible cover from the bottom of the SpO2 Module. 4.
Telepack with Nonin SpO2 Module (Optional) Telepack (Optional) 2. Route the cable in the channel on the back of the unit. The channel regions (shown in FIGURE 10-12) should also be pressed firmly to ensure that they are properly placed. FIGURE 10-12 Securing the Patient Cable 10.5.5 Attaching the Finger Clip Sensor 1. Insert the finger (preferably the index, middle, or ring finger) into the Nonin finger clip until the end of the finger reaches the finger stop (shown in FIGURE 10-13).
Telepack (Optional) Telepack with Nonin SpO2 Module (Optional) CAUTION: 10.5.6 Inaccurate SpO2 measurements may be caused by: • Incorrect sensor application or use • Significant levels of dysfunctional hemoglobins, (e.g.
Approved Telepack Accessories 10.
Telepack (Optional) 10.7 Troubleshooting Troubleshooting This section lists some of the potential messages and issues that may occur while using a Telepack device. MESSAGE/ISSUE * REASON SOLUTION Telepack/LED’s not turning on Batteries are not installed correctly, batteries are depleted, or batteries corroded. Visually inspect the battery compartment for any foreign object. Replace the batteries. Telepack not transmitting data to the Panorama Central Station.
Troubleshooting Telepack (Optional) This page intentionally left blank.
11.0 User Maintenance This section of the manual outlines proper maintenance of the Panorama Central Station touch screen and Telepack device.
Touch Screen User Maintenance 11.1 User Maintenance Touch Screen User Maintenance The Panorama display uses a touch screen overlay for more simple navigation of the system. (A mouse can also be used for point-and-click navigation of the system.) For instructions on turning the touch screen on and off, refer to ‘‘Touch Screen Tab’’ on page 9-4. 11.1.1 Care and Cleaning of the Touch Screen For the best performance, it is recommended that the Panorama Central Station touch screen be kept clean.
User Maintenance 11.2 Telepack User Maintenance Telepack User Maintenance The following sections provide information about storing and cleaning the Telepack device and the Nonin SpO2 module. 11.2.1 Storing the Telepack When not in use, carefully store the Telepack by wrapping the lead set loosely around the casing of the Telepack device, or with the lead set attached and hanging freely. Do not wrap the lead set tightly around the casing of the Telepack as it may damage the wires.
Telepack User Maintenance User Maintenance The solutions used to clean the Telepack should be compatible with the cleaning solutions used to clean the ECG lead sets, if they are going to remain attached while the Telepack is cleaned. If the cleaning solution is not compatible, ensure that the ECG leads do not come in contact with the cleaning solution used to clean the Telepack.
User Maintenance Telepack User Maintenance • Soap and water • Glutaraldehyde 2% (for example, Cidex) • Dilute chlorine bleach (sodium hypochlorite), 10% solution, freshly made in past 24 hours • Ethyl Alcohol 30% (for example, green soap tincture) To clean the ECG lead sets, remove them from the Telepack, and follow these guidelines: • Use the cleaning solution to wipe and rinse the lead set. • The cleaning solution should be wiped away with a cloth moistened with distilled water.
Telepack User Maintenance User Maintenance 2. Press downward while angling the top arm of the plug into the shallow circular recess. FIGURE 11-1 Inserting the Cleaning Plug FIGURE 11-2 Securing the Cleaning Plug NOTE: The cleaning plug should remain in place during cleaning. Removing the Cleaning Plug • Remove the cleaning plug by pulling the tip of the top arm from the recess in the SpO2 module. 11.2.
User Maintenance Telepack User Maintenance • The Telepack should be disposed of in a manner adhering to local or country regulations regarding disposal of electronic and computer accessories. • If your state/country laws recommend recycling, you can dispose of the device by following the recycling program offered by state/federal run agencies. 11.2.6 Disposing of Batteries Adhere to the following note when disposing the batteries.
Telepack User Maintenance User Maintenance This page intentionally left blank.
12.0 Parameter Specifications This section is for reference only. The Parameter Specifications section lists the allowable range specifications for all of the parameters measured by the Panorama Central Station and the invalidation of parameter data.
Parameter Specifications 12.1 Parameter Specifications Parameter Specifications The parameters displayed on the Panorama Central Station are dependent on the type of equipment connected to the Panorama system. 12.1.1 Heart Rate: HR The Heart Rate parameter obtains data from ECG and IBP sources.
Parameter Specifications Parameter Specifications Respiration Source: ECG Thoracic Impedance PATIENT SIZE MINIMUM VALUE (rpm) MAXIMUM VALUE (rpm) Neonate 4 199 Pediatric 4 199 Adult 4 199 Respiration Source: CO2 PATIENT SIZE MINIMUM VALUE (rpm) MAXIMUM VALUE (rpm) Neonate 0 150 Pediatric 0 150 Adult 0 150 Respiration Source: Gas Module PATIENT SIZE MINIMUM VALUE (rpm) MAXIMUM VALUE (rpm) Neonate 4 60 Pediatric 4 60 Adult 4 60 The Panorama Central Station supports respir
Parameter Specifications Parameter Specifications NIBP (Sys) PATIENT SIZE MINIMUM VALUE (mmHg) MAXIMUM VALUE (mmHg) Neonate 45 120 Pediatric 55 160 Adult 55 235 PATIENT SIZE MINIMUM VALUE (mmHg) MAXIMUM VALUE (mmHg) Neonate 20 100 Pediatric 30 150 Adult 30 200 NIBP (Dia) NIBP Mean PATIENT SIZE MINIMUM VALUE MAXIMUM VALUE Neonate mmHg greater than the NIBP (Dia) value mmHg less than the NIBP (Sys) value Pediatric mmHg greater than the NIBP (Dia) value mmHg less than the NIB
Parameter Specifications 12.1.5 Parameter Specifications Nonin SpO2 The Nonin SpO2 parameter includes measurements from Nonin sensors. Unit of Measure: % Resolution: 1% PATIENT SIZE MINIMUM VALUE (%) MAXIMUM VALUE (%) Neonate N/A N/A Pediatric N/A N/A Adult --- 100 The Panorama Central Station supports SpO2 waveforms. 12.1.6 IBP: mmHg The Panorama Central Station supports up to four invasive blood pressure parameters.
Parameter Specifications 12.1.7 Parameter Specifications CO2 The Panorama Central Station supports the mmHg, kPa and % measurements for CO2. NOTE: The unit of measure shown for CO2 is based on the selection made at the bedside monitor.
Parameter Specifications 12.1.10 Parameter Specifications N2O The Panorama Central Station supports INSP/ET N2O. Unit of Measure: % Resolution: 1% INSP/ET N2O PATIENT SIZE 12.1.11 MINIMUM VALUE (%) MAXIMUM VALUE (%) Neonate 0 99 Pediatric 0 99 Adult 0 100 Anesthetic Agents: Iso, Enf, Des, Sev, Hal, Agent The Panorama Central Station supports the INSP and ET measurements of the Isofluorane (Iso), Enflurane (Enf), Desflurane (Des), Sevoflurane (Sev), and Halothane (Hal) anesthetic agents.
Parameter Specifications Parameter Specifications • The Panorama Central Station supports Iso, Enf, Sev, Hal and Des waveforms. • The Panorama Central Station displays a Generic Agent waveform when the Gas Module cannot identify a specific agent. 12.1.12 Premature Ventricular Contraction (PVC) The Panorama Central Station supports PVC data. 12.1.
Parameter Specifications Parameter Specifications PATIENT SIZE MINIMUM VALUE (C°) MAXIMUM VALUE (C°) Pediatric 0 5.5 Adult 0 5.5 MINIMUM VALUE (F°) MAXIMUM VALUE (F°) Neonate Not Applicable Not Applicable Pediatric 63.7 109.1 Adult 63.7 109.1 PATIENT SIZE MINIMUM VALUE (C°) MAXIMUM VALUE (C°) Neonate Not Applicable Not Applicable Pediatric 17.5 43 Adult 17.5 43 T Blood Values PATIENT SIZE 12.1.
Parameter Specifications 12.1.16 12.1.17 12.1.18 12 - 10 Parameter Specifications Cardiac Index Unit of Measure: lpm/m2 Resolution: 0.1 lpm/m2 PATIENT SIZE MINIMUM VALUE (LPM/M2) MAXIMUM VALUE (LPM/M2) Adult 0.1 20.
Parameter Specifications 12.2 Invalid Data Display Invalid Data Display The Panorama Central Station uses dashes (---), Xs (XX) or a straight line (waveform) to show invalid data.
Invalid Data Display Parameter Specifications Straight Line (Waveforms) Waveform data is replaced with a continuous straight line for the following reasons: • ECG leads are disconnected • ECG cable is not connected to the system • Respiration parameter is disabled at the bedside monitor and the source is ECG • Respiration parameter is using a View 12™ card at the bedside monitor and the source is ECG • SpO2 cable is connected but not in use • IBP cable is connected but not zeroed or is zeroing • CO2 filte
13.0 Alarms and Events The alarms available at the Panorama Central Station are dependent on the patient monitoring devices in use and on how the alarm options are configured at the Panorama Central Station. This section outlines the alarm types and briefly describes the events that cause alarm conditions.
Physiological Alarms and Events 13.1 Alarms and Events Physiological Alarms and Events The Panorama Central Station uses physiological alarms to indicate that a patient’s physiological alarm thresholds have been violated. 13.1.1 Alarm Limit Settings This section identifies high and low alarm limit settings, and available alarm priorities for each physiological alarm, by patient size. It also differentiates which alarm limit setting are available at each monitoring device.
Heart Rate Units: bpm Heart Rate Units: bpm 0070-10-0690-01 Respiration Units: rpm SpO2 Units: % SpO2 (Nonin) Units: % ALARM PRIORITY 1 or 2 Factory Default: 2 1 or 2 Factory Default: 2 1, 2, and 3 Factory Default: 3 1 and 2 Factory Default: 2 1 and 2 Factory Default: 2 ALARM LIMIT NEONATE PEDIATRIC ADULT DEVICES High Limit Off, 100-350 Factory Default: 200 Off, 100-300 Factory Default:180 Off, 60-250 Factory Default:150 Passport 2® Spectrum™/Spectrum OR™ Telepack Low Limit Off, 30-200
ALARM PRIORITY IBPx Dia.
ET CO2 (mmHg) ET CO2 (%) ET CO2 (kPa) T1/T2 Units: F° ALARM PRIORITY 2 or 3 Factory Default: 3 2 or 3 Factory Default: 3 2 or 3 Factory Default: 3 2 or 3 Factory Default: 3 ALARM LIMIT NEONATE PEDIATRIC ADULT DEVICES High Limit Off, 20-80 Factory Default: 60 Off, 20-80 Factory Default: 60 Off, 20-80 Factory Default: 60 Passport 2® Spectrum™/Spectrum OR™ Low Limit Off, 5-50 Factory Default: Off Off, 5- 0 Factory Default: Off Off, 5-50 Factory Default: Off High Limit Off, 2-10 Factory D
ALARM PRIORITY T Blood Units: F° 2 or 3 Factory Default: 3 T Blood Units: C° 2 or 3 Factory Default: 3 NOTE: ST Single Units: mm 0070-10-0690-01 ST Dual Units: mm ALARM LIMIT NEONATE PEDIATRIC ADULT DEVICES Low Limit N/A Off, 80-100° Factory Default: Off Off, 80-100° Factory Default: Off Spectrum™/Spectrum OR™ High Limit N/A Off, 95-110° Factory Default: Off Off, 95-110° Factory Default: Off Low Limit N/A Off, 26-38° Factory Default: Off Off, 26-38° Factory Default: Off High Limit
Alarms and Events 13.1.2 Physiological Alarms and Events Physiological Alarm Event Messages This section lists the alarm messages that may appear at the Panorama Central Station when an Physiological alarm event occurs. PANORAMA CENTRAL STATION MESSAGES REASON Heart Rate (HR) High Heart Rate Alarm Low Heart Rate Alarm Current value is either equal to or higher/lower than the set alarm limits.
Physiological Alarms and Events 13 - 8 Alarms and Events PARAMETER PANORAMA CENTRAL STATION MESSAGES REASON ET Enf Agent Enf ET Alarm There has been a violation of the Enf ET alarm. INSP Des Agent Des Inspired Alarm There has been a violation of the Des Inspired alarm. ET Des Agent Des ET Alarm There has been a violation of the Des ET alarm. INSP Sev Agent Sev Inspired Alarm There has been a violation of the Sev Inspired alarm.
Alarms and Events 13.2 Physiological Alarms and Events: Arrhythmias Physiological Alarms and Events: Arrhythmias This section lists the alarm messages that may appear at the Panorama Central Station when an Arrhythmia alarm occurs. Arrhythmia Alarms ALARM PRIORITY PANORAMA CENTRAL STATION MESSAGES 1 V-Tach The configured number of consecutive PVCs is reached at a rate equal to or greater than the V-Tach threshold. The range of the V-Tach heart rate is between 100 to 180 beats per minute.
Physiological Alarms and Events: Arrhythmias EVENT ALARM PRIORITY PANORAMA CENTRAL STATION MESSAGES REASON Brady3 1 or Off Factory Default: 1 Brady Heart rate fell to a value 10 % lower than the configured low heart rate alarm. Pause2 1,2,3 or Off Factory Default: 2 Pause No beat is detected during an interval that is greater than 1.8 R-R and when the next beat is not a PVC. 1 2 3 13 - 10 Alarms and Events Indicates alarm is latched. Alarm will only be detected when using a View 12™ card.
Alarms and Events 13.3 Technical Alarms and Events Technical Alarms and Events The Panorama Central Station uses Technical alarms to indicate that a patient specific technical issue has occurred. This section provides the technical event messages that may be posted to the Events database and shown in white text (with the exception of the All Alarms Suspended and Non-Lethal Alarms Suspended events) in the Patient Status line.
Technical Alarms and Events Alarms and Events Technical Events (Continued) MESSAGE REASON Low Battery 5 The monitoring equipment battery is low. NOTE: If the Low Battery message appears and the monitoring device is a Telepack, the Battery Percentage digital data tile will flash yellow until the issue is resolved. Cooling Fan Failure Admit The bedside monitor cooling fan is not operational and the monitor is running on AC power. 2,3 A patient is admitted to the Panorama Central Station.
Alarms and Events Technical Alarms and Events Technical Events (Continued) MESSAGE REASON 4,5 LL Lead Off Leads Off The LL lead is not connected to the patient, ECG lead II or III is selected while using a 3-wire lead, 5-wire lead set, or View 12™ card. 4,5 V Lead Off Two or more of the ECG leads are not connected to the patient and a 3-wire lead set, 5-wire lead set or a View 12™ card is in use.
Technical Alarms and Events Alarms and Events Technical Events (Continued) MESSAGE REASON SpO2 No Sensor The SpO2 Masimo sensor is not plugged in. SpO2 Sensor Failed Communication with the SpO2 Masimo sensor failed. SpO2 Interference There is interference in the communication with the SpO2 Masimo sensor. SPO2 (NELLCOR) TECHNICAL EVENTS SpO2 Motion The SpO2 Nellcor sensor detects motion. SpO2 Check Sensor The SpO2 Nellcor sensor detects a problem.
Alarms and Events Technical Alarms and Events Technical Events (Continued) MESSAGE REASON AGENT TECHNICAL EVENTS Agent Not Calibrated/Zeroed The Agent device is not calibrated. NIBP TECHNICAL EVENTS NIBP Cuff Overpressure The patient’s NIBP cuff has an overpressure episode. NIBP Unable to Measure The patient’s NIBP cuff is unable to take a valid measurement. NIBP Retry There is an NIBP measurement retry. NIBP Pump Higher The patient’s NIBP cuff needs additional pressure to take a measurement.
System Events 13.4 Alarms and Events System Events The Panorama Central Station uses System events to indicate system-wide issues at the central station and/or at the ViewStation. System events are listed based on the system violation. System events are resolved when the system-wide condition no longer exists. This section provides the system event messages that may be shown in the System Status line in white text.
Alarms and Events System Events System Event Messages MESSAGE REASON System Service required - Contact Datascope or Authorized Datascope Distributor (100) This message will be displayed after the central station and/or workstation automatically restarted because a system issue was detected. System Service required - Contact Datascope or Authorized Datascope Distributor (300) The central station or remote workstation has detected a hard drive error.
System Events Alarms and Events This page intentionally left blank.
14.0 Network Tab (Optional) This section outlines how to configure a ViewStation or a WorkStation to display patient tiles from a Panorama Central Station(s) using the Network tab.
Network Tab 14.1 Network Tab (Optional) Network Tab The Network tab (shown in FIGURE 14-1) is where the accessible patient tiles currently monitored on the C-LAN are displayed. These patient tiles may be selected for viewing at the ViewStation or the WorkStation. The Network tab can only be seen from a ViewStation or a WorkStation and is not available from the host central station. The ViewStation and WorkStation are independent of each other.
Network Tab (Optional) Network Tab NOTE: Once a tile is assigned to an associated tile at the ViewStation or the WorkStation, the association to the host patient tile will continue to exist, even if the patient is discharged or the monitoring equipment is removed from the Equipment List at the host central station. Therefore, when a new patient is admitted to the host central station, the patient data will automatically be displayed at the associated ViewStation or the WorkStation tile.
Network Tab 14.1.4 Network Tab (Optional) Removing a Patient Tile Assignment in the Network Tab The Remove button clears the selected rows’ patient tile assignment from the Network tab list box and discontinues displaying the selected host patient tile’s data at the ViewStation or WorkStation. NOTE: Removing a patient tile assignment at the ViewStation or WorkStation will eliminate the connection to the associated host central station patient tile.
Network Tab (Optional) 14.1.7 Network Tab • Any new equipment is added at the host central station • Any existing equipment is removed from the host central station • Any existing equipment is edited at the host central station • Any patient demographic information (Last Name, First Name, ID, Bed, Doctor) or Central Station name/tile number is edited at the host central station Troubleshooting This section lists some of the potential messages and issues that may occur while using the Network tab.
Network Tab Network Tab (Optional) MESSAGE/ISSUE * REASON SOLUTION ViewStation or WorkStation tile goes into a Communication Lost state Host tile at central station is in a Lost Communication state. Reestablish communication at host central station, and if necessary, contact a Datascope Service Representative. ViewStation or WorkStation tile goes into a Standby state Host tile at central station is in a Standby state. Wait for host patient tile to be removed from Standby state.
15.0 Paging Tab (Optional) This section outlines the functionality of the Paging tab and describes how to configure pagers to properly function with the Panorama Central Station(s), when this option has been purchased.
Paging Password Tab 15.1 Paging Tab (Optional) Paging Password Tab The Paging password tab (shown in FIGURE 15-1) provides password protected access to the system paging configuration tab. When the correct password is entered, the Paging tab is opened. The Paging password tab is only shown if the Paging Password Protection option is set to ON in the Unit Choices tab. If Paging Password Protection is OFF, the Paging menu button provides direct access to the Paging tab.
Paging Tab (Optional) Paging Password Tab 3. The Paging tab (shown in FIGURE 15-2) is displayed after the correct password is entered. 15.1.3 Sidebar Buttons The following sidebar button is used to expand the functionality of this tab. Normal Screen Select the Normal Screen sidebar button to return the display to the full screen mode, and close all tabs, message boxes, and dialog boxes. 15.1.
Paging Tab 15.2 Paging Tab (Optional) Paging Tab The Paging tab allows for the configuration of pager information for a Panorama Central Station that has the paging option enabled. If the central station does not have a Paging button on the system Menu Bar, this is an indication that the workstation does not have the Paging option installed. 15.2.1 Accessing the Paging Tab 1. From the Menu Bar, select the Paging button. 2.
Paging Tab (Optional) Paging Tab NOTE: Pager numbers must be unique. If an existing pager number is entered, the message “Pager Number already exists! Please enter a new number.” is displayed. 4. Enter the name of the person who will be responsible for the pager or some other identifying information in the Pager Assignment text box (maximum of 30 alphanumeric characters). NOTE: Pager assignments must be unique.
Paging Tab Paging Tab (Optional) 3. Select a tile number. NOTE: The list box will only include patient tiles that are not currently assigned to the selected pager. NOTE: A patient tile number can be assigned to a maximum of 10 pagers. 4. Accept or reject the selections made in the list box. • The Done button accepts the selection, closes the dialog box, and updates the Paging tab list box. • The Cancel button discards the selection, closes the dialog box, and returns to the Paging tab. 5.
Paging Tab (Optional) Paging Tab 2. Select the Remove All Tiles button. The Are you sure you want to Remove All Tiles? question dialog box is displayed. • The Yes selection confirms the selection, closes the question dialog box, and updates the Tile column in the Paging tab list box. • The No selection cancels the selection, closes the confirmation dialog, and returns to the Paging tab list box. 15.2.7 Editing a Pager To edit an existing pager number or pager assignment: 1.
Paging Tab 15.2.9 Paging Tab (Optional) Resending a Failed Page If an attempt was made to send a page and was unsuccessful, the page will be added to the Failed Pages view. The Failed Pages view contains a list box that can display a maximum of 100 failed pages. The list box orders the failed pages chronologically in descending order. To resend a failed page: 1. Select the Failed Page sidebar button. The Failed Pages view (shown in FIGURE 15-6) is displayed.
Paging Tab (Optional) 15.2.10 Paging Tab Generating a Paging Report To review all of the currently assigned pagers, determine who each pager is assigned to, and to which tile the pager is assigned, generate a Paging Report. This report can be generated directly from the Paging tab by selecting the Print button from the Menu Bar. For additional information regarding the Paging Report, refer to the ‘‘Paging Report’’ on page 8-35. 15.2.
Paging Tab Paging Tab (Optional) MESSAGE/ISSUE * REASON SOLUTION Pager Number already exists! Please enter a new number. Pager numbers must be unique. The pager number entered is a duplicate of an existing pager number. Enter a unique pager number, then select the OK button. Was not able to enter 18 alpha numerics in the Pager Number field. A maximum of 15 alphanumeric characters can be entered to the Pager Number field. Verify the Pager Number is correct.
16.0 Performance Specifications This section outlines performance specifications for the Panorama Patient Monitoring Network.
ECG Performance Requirements 16.1 Performance Specifications ECG Performance Requirements Three Lead Displayable Leads: I, II, III (one vector at a time) Five Lead Displayable Leads: I, II, III, aVR, aVL, aVF, V Twelve Lead Displayable Leads: I, II, III, aVR, aVL, aVF, V1, V2, V3, V4, V5, and V6 Standardizing Voltage: The ECG size is indicated by a scale bar displayed on the left of the waveform window with a scale indicating the height of the bar in mV.
Performance Specifications ECG Performance Requirements Waveform Displays Each waveform in the All Strips, Event List Zoom-In, Full Disclosure Zoom-In and ST reports will be displayed on a calibrated grid (5mm x 5mm) that conforms to ANSI/ AAMI EC13: 2002.4.2.9.7d. Each second of the waveforms in the All Strips, Event List Zoom-In, Full Disclosure Zoom-In and ST reports will be marked with a time annotation marker that conforms to ANSI/AAMI EC13: 2002.4.2.9.7e.
ECG Derived Heart Rate Meter Performance Requirements 16.2 Performance Specifications ECG Derived Heart Rate Meter Performance Requirements Range: 30 to 300 bpm Adult/Pediatric ANSI/AAMI EC13–2002, 4.2.7 30 to 350 bpm Neonatal ANSI/AAMI EC13–2002, 4.2.7 Resolution: 16.2.1 1 bpm Alarm Response High HR alarm Range 60-250 bpm Adult 100-300 bpm Pediatric 100-350 bpm Neonatal (ANSI/AAMI EC13-2002, 4.2.8.
Performance Specifications ECG Derived Heart Rate Meter Performance Requirements User Selectable ST Measurement Points: 40, 60 and 80 ms after J point (heart rate independent) Or 60/80 Heart Rate Dependent Default ISO Point: Located between the P and Q waves. User adjustable ISO Point: User adjustable from “R peak” - 10 ms to “R peak” 200 ms in 8 ms increments. Default J Point: The end of the QRS complex.
ECG Derived Heart Rate Meter Performance Requirements 16.2.4.2 Performance Specifications Pulse Rate Range: 35-245 bpm, for Adults/Pediatric 70– 245 bpm, for Neonate Resolution: 16.2.5 1 bpm IBP Pressure Range 30 to 300 mmHg after zeroing at the Passport 2® Range: 16.2.6 IBP Heart Rate Meter Range: 30 to 300 bpm Adult/Pediatric 30 to 333 bpm Neonatal Resolution: 16.2.
Performance Specifications 16.2.11 16.2.12 ECG Derived Heart Rate Meter Performance Requirements CO2 Performance Requirements Range: 0 - 13%s Respiration Rate Range: 0 - 150 breaths/minute CO2 Alarm ET CO2 High Alarm Range: 2 – 10% ET CO2 Low Alarm Range: 1 – 6% Insp.
Panorama Central Station and Panorama Telemetry Server 16.3 Performance Specifications Panorama Central Station and Panorama Telemetry Server Panorama Central Station hardware consists of a computer, hard drives, Ethernet, display controllers, case and a power supply. There is one basic hardware platform for the Panorama Central Station computer system. It contains the following: • 1 GB of RAM • 1280 x 1024 dpi 24-bit (16.
Performance Specifications 16.3.6 Panorama Central Station and Panorama Telemetry Server Storage Temperature • -20 to +60 º C 16.3.7 Storage Humidity • 5% to 80% Relative Humidity Maximum, non-condensing, maximum wet bulb 35 º C 16.3.8 Storage Altitude • 1060 to 700 hPa (-1250 to 9889 feet ASL) (-380 - 3014 m) (795 to 525 mm Hg) 16.3.9 Safety The Central Station and Server comply with the following standards: 1. UL 60950-1 Safety of Information Technology Equipment 2. CSA-C22.
Panorama Central Station and Panorama Telemetry Server 16.3.10 Performance Specifications Electromagnetic Compatibility The Panorama Central Station, Panorama Telemetry Server, and Panorama Wireless Transceiver meet the requirements of IEC 60601-1-2:2001.
Performance Specifications Panorama Central Station and Panorama Telemetry Server TABLE 16-2 GUIDANCE AND DATASCOPE CORP. DECLARATION - ELECTROMAGNETIC IMMUNITY The Panorama Central Station, Telemetry Server, and Panorama Wireless Transceiver is intended for use in the electromagnetic environment specified below. The customer or the user of the Panorama Central Station and Telemetry Server should assure that it is used in such an environment.
Panorama Central Station and Panorama Telemetry Server Performance Specifications TABLE 16-3 GUIDANCE AND DATASCOPE CORP. DECLARATION - ELECTROMAGNETIC IMMUNITY The Panorama Central Station, Telemetry Server, and Panorama Wireless Transceiver is intended for use in the electromagnetic environment specified below. The customer or the user of the Panorama Central Station and Telemetry Server should assure that it is used in such an environment.
Performance Specifications Panorama Central Station and Panorama Telemetry Server TABLE 16-4 RECOMMENDED SEPARATION DISTANCES BETWEEN PORTABLE AND MOBILE RF COMMUNICATIONS EQUIPMENT AND THE PANORAMA CENTRAL STATION AND TELEMETRY SERVER The Panorama Central Station, Telemetry Server, and Panorama Wireless Transceiver is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled.
Keyboard 16.3.11 Performance Specifications Physical Characteristics Maximum Size (Rack Mount (2U) CPU Case) • Depth: 28.0" (711.2 mm) • Height: 3.5" (88.9 mm) • Width: 19.3" (490.2 mm) Maximum Weight • 36.0 lbs (16.33 kg) Maximum Size (Vertical CPU Case) • Depth: 17.5" (445.5 mm) • Height: 17.0" (431.8 mm) • Width: 7.5" (190.5 mm) Maximum Weight • 30.0 lbs (13.6 kg) 16.4 Keyboard • Keyboard is supported for system diagnostics only.
Performance Specifications Displays • SXGA • 1280 x 1024 dpi capability • 0.27mm dot pitch • 19" viewable image measured diagonally 16.6.2 20" CRT Display (Used with earlier versions of the Panorama Central Station software.) This is an integrated monitor that includes an internal touch screen controller and has the following features: • SXGA • 1280 x 1024 dpi capability • 0.27mm dot pitch • 18.9" viewable image measured diagonally 16.6.
Network Printer 16.6.5 Performance Specifications Touch Screen • A Surface Acoustical Wave (SAW) touch screen is supported as the standard input device on the 18.1", 19”, 20", and/or 21" display. • The touch screen operates independent of a mouse interface. • The actual touch screen and its controller are integrated into the display. • The touch screen communication is accepted by Panorama Central Station via a serial port. • Use of the touch screen does not preclude the use of a mouse. 16.
Performance Specifications Panorama Wireless Transceiver/Splitters/Antennas/Cable Repeaters 16.9 Panorama Wireless Transceiver/Splitters/Antennas/ Cable Repeaters 16.9.1 Panorama Wireless Transceiver 16.9.1.1 Power Supply Voltage • 100-120 VAC (± 10%) Frequency • 60 Hz (± 3 Hz) Power Consumption • 1.25 Amps (maximum) 16.9.1.2 Physical Characteristics Maximum Size • Depth: 16.2" (411.48 mm) • Height: 5.2" (132.08 mm) • Width: 17" (431.8 mm) Maximum Weight • 12.35 lbs (5.6 kg) 16.9.1.
Panorama Wireless Transceiver/Splitters/Antennas/Cable Repeaters Performance Specifications Maximum Weight • 0.88 lbs (0.4 kg) Frequency Range • Receiver Range: 608-614 MHz • Transmit Range:1395-1400 MHz and 1427-1429.5 MHz 16.9.3 Cable Repeater Physical Characteristics Maximum Size • Depth: 4.75" (120.65 mm) • Height: 6.75" (171.45 mm) • Width: 9.75” (247.65 mm) Maximum Weight • 3.96 lbs. (1.8 kg) Frequency Range • Receiver Range: 608-614 MHz • Transmit Range:1395-1400 MHz and 1427-1429.5 MHz 16.9.
Performance Specifications 16.9.5.2 Panorama Wireless Transceiver/Splitters/Antennas/Cable Repeaters Operating Humidity • 20 % to 80 % Relative Humidity Maximum, non-condensing, maximum wet bulb 29 º C 16.9.5.3 Operating Altitude • 1060 to 700 hPa (-1250 to 9889 feet ASL) (795 to 525 mmHg) 16.9.5.4 Storage Temperature • -20 to +60 º C 16.9.5.5 Storage Humidity • 5% to 80% Relative Humidity Maximum, non-condensing, maximum wet bulb 35 º C 16.9.5.
Telepack Specifications 16.10 Performance Specifications Telepack Specifications The following are the specifications for the Telepack: TABLE 16-5 SPECIFICATION DESCRIPTION Acquired Leads ECG 3-Lead: I, II, III (one vector at a time) ECG 5-Lead: Three vectors (I, II, III, aVR, aVF, V(n)) Battery Runtime/ Battery Type 24 16 40 24 hrs hrs hrs hrs minimum minimum minimum minimum for for for for Telepack-2.4 only, Telepack-2.
Performance Specifications 16.10.3 Telepack Specifications Environmental Characteristics The environmental characteristics of the Telepack device are as follows: TABLE 16-7 16.10.4 SPECIFICATION DESCRIPTION Maximum Size (Telepack) Height: 5.10” (129.54 mm) Width: 2.95” (74.93 mm) Depth: 1.23” (31.
Telepack Specifications Performance Specifications TABLE 16-8 GUIDANCE AND DATASCOPE CORP. DECLARATION - ELECTROMAGNETIC EMISSIONS It is important that the Telepack is used in the electromagnetic environment specified in the following table. EMISSIONS TEST COMPLIANCE ELECTROMAGNETIC ENVIRONMENT - GUIDANCE RF emissions CISPR 11 Group 1 The Telepack uses RF energy only for its internal function and external data transmission.
Performance Specifications Telepack Specifications TABLE 16-9 (Continued) GUIDANCE AND DATASCOPE CORP. DECLARATION - ELECTROMAGNETIC IMMUNITY It is important that the Telepack is used in the electromagnetic environment specified in the following table.
Telepack Specifications Performance Specifications TABLE 16-10 GUIDANCE AND DATASCOPE CORP. DECLARATION - ELECTROMAGNETIC IMMUNITY It is important that the Telepack is used in the electromagnetic environment specified in the following table.
Performance Specifications Telepack Specifications TABLE 16-11 RECOMMENDED SEPARATION DISTANCES BETWEEN PORTABLE AND MOBILE RF COMMUNICATIONS EQUIPMENT AND THE TELEPACK The Telepack is intended for use in an electromagnetic environment where radiated RF disturbances are controlled.
Telepack Specifications 16.10.5 Performance Specifications FCC Label • Radio Transceiver - The Telepack-2.4 (FCC ID DXXWT0707-00000) utilizes the frequency range 2400 MHz to 2500 MHz typical. • This Class B digital apparatus meets all requirements of the Canadian Interference Causing Equipment Regulations.
Performance Specifications Nonin SpO2 Module Specifications 16.11 Nonin SpO2 Module Specifications 16.11.1 Environmental Characteristics The environmental characteristics for the Nonin SpO2 module device are: TABLE 16-12 16.11.2 SPECIFICATION DESCRIPTION Maximum Size of Telepack with Nonin SpO2 module Height: 6.25” (158.75 mm) Width: 3.55” (90.17 mm) Depth: 1.75” (44.45 mm) Maximum Weight (Nonin SpO2 module) 4.5 oz.
Nonin SpO2 Module Specifications 16.11.3 Performance Specifications Electromagnetic Compatibility The following section describes the electromagnetic compatibility of the Nonin SpO2 device. The Nonin SpO2 module meets the requirements of: • IEC 60601-1-2 • ISO 9919 TABLE 16-13 GUIDANCE AND DATASCOPE CORP. DECLARATION - ELECTROMAGNETIC EMISSIONS It is important that the Nonin SpO2 module is used in the electromagnetic environment specified in the following table.
Performance Specifications Nonin SpO2 Module Specifications TABLE 16-14 (Continued) GUIDANCE AND DATASCOPE CORP. DECLARATION - ELECTROMAGNETIC IMMUNITY It is important that the Nonin SpO2 module is used in the electromagnetic environment specified in the following table. IMMUNITY TEST IEC 60601 TEST LEVEL COMPLIANCE LEVEL ELECTROMAGNETIC ENVIRONMENT - GUIDANCE Surge IEC 61000-4-5 N/A N/A* Mains power quality should be typical of a commercial or hospital environment.
Nonin SpO2 Module Specifications Performance Specifications TABLE 16-15 GUIDANCE AND DATASCOPE CORP. DECLARATION - ELECTROMAGNETIC IMMUNITY It is important that the Nonin SpO2 module is used in the electromagnetic environment specified in the following table. Portable and mobile RF communications equipment should be used no closer to any part of the device, including cables, than the recommended separation calculated from the equation applicable to the frequency of the transmitter.
Performance Specifications Panorama Instrument Radio-608 TABLE 16-16 RECOMMENDED SEPARATION DISTANCES BETWEEN PORTABLE AND MOBILE RF COMMUNICATIONS EQUIPMENT AND THE NONIN SPO2 MODULE The Nonin SpO2 module is intended for use in an electromagnetic environment where radiated RF disturbances are controlled.
Panorama Instrument Radio-608 16 - 32 Performance Specifications 0070-10-07XX-02 Panorama™ Operating Instructions
17.0 Glossary This section provides a glossary of terminology used throughout the Panorama Operating Instructions.
Terms, Acronyms, and Abbreviations 17.
Glossary Terms, Acronyms, and Abbreviations ACRONYMS/ DEFINITIONS ABBREVIATIONS ADT Admit Discharge Transfer AHA American Heart Association American Hospital Association ART Arterial Line bpm Beats per minute C Current ST Chest Lead (IEC) cm Centimeters CIS Clinical Information System C-LAN Panorama Central Network CO2 Carbon Dioxide CVA Cardiovascular Artifact CVP Central Venous Pressure Des Desoflurane DL Down Link ECG Electrocardiogram E-LAN Panorama Patient Network EMC
Terms, Acronyms, and Abbreviations ACRONYMS/ Glossary DEFINITIONS ABBREVIATIONS Isoelectric when referencing ST monitoring kg Kilograms kPa Kilopascals Per Atmosphere L Left Arm when referring to ECG Leads (IEC) LA Left Arm when referring to ECG Leads (AHA) lbs Pounds LL Left Leg when referring to ECG Leads (AHA) LV Left Ventricle MAP Mean Arterial Pressure MDD Medical Device Directive mmHg Millimeters of Mercury N Right Leg when referring to ECG Leads (IEC) N2O Nitrous Oxide NIB
Index A Abbreviations, 17-2 AC Dropout, 16-14 Access Points/Antennas, 16-16 (ISM), 16-16 Access Points/Antennas (ISM), 16-16 Accessing Additional (More) Tabs, 9-39 Additional Reports, 8-40 Alarm Limits tab, 6-4 Alarm Responses tab, 6-12 All ECG Mode from the Bedside tab, 7-8 Bedside tab, 7-2 Care Group tab, 9-9 Date/Time tab, 9-41 Demographics tab, 5-3 Discharge tab, 5-36 Disclosure tab, 7-40 Display tab, 5-40 Equipment Setup tab, 9-33 Events tab, 7-23 Events tab Waveforms View, 7-33 Installation Setup tab
Index B Battery Percentage, 12-10 Status LED Indicator Light, 10-6 Battery Percentage, 12-10 Battery Status LED Indicator Light, 10-6 Beat Detection and Typing, 4-12 Bed field, 5-4 Bedside Alarm Tracking, 3-3 Bedside Tab, 7-2 Bedside tab, 7-2 All ECG View, 7-8 All Waveforms View, 7-3 sidebar buttons, 7-6, 7-10 Bedside Tab (All ECG View), 7-8 Bedside Tab (All Waveforms View), 7-3 Bigeminy Alarm, 4-15 Bradycardia (Brady) Alarm, 4-15 Button Indicators, 10-3 button indicators, 10-3 C Cable Repeater, 16-18 phy
Index 6-5 Configuring ST (Device Dependent), 7-57 Configuring the Display Tab, 5-45 Connect Field, 9-70 Couplet Alarm, 4-16 Customizing a Patient’s Print Setup, 5-56 D Dashes (---) Digital Data, 12-11 Data Display Area, 7-4, 7-9, 7-34, 7-46 All ECG Mode, 7-9 Normal Display Mode, 7-4 Date and Time Text area, 7-36, 7-48 area, 7-34 field, 7-46 Of Birth field, 5-10 Date Of Birth field ranges, 5-10 Date/Time area, 7-20 Date/Time Tab, 9-41 Date/Time tab, 9-41 Delete All Print Jobs, 8-39 All Print Jobs button, 8
Index ECG Waveform Measurements performing, 7-5, 7-10 ECG Waveforms, 8-5, 8-42 Editing Care Group Labels, 9-9 Paging numbers, 15-7 Editing a Pager, 15-7 Editing Care Group Labels, 9-9 Effects of the Transfer, 5-23, 5-27 Electrode Patches, 4-2 Electrode Patches, placement, 4-2 Electrode Placement neonatal, 4-8 Electromagnetic Compatibility, 16-10, 16-21, 16-27 Entering Data in the Demographics tab, 5-4 Data in the Display tab, 5-45 New Equipment, 9-34 Telepack to the Equipment List, 10-9 Wireless Settings,
Index ranges, 5-7 Horizontal Measurements (Amplitude), 7-6 Horizontal Navigation buttons, 7-35 HR, 12-2 I IBP, 12-2, 12-5 (Dia), 12-5 (Sys), 12-5 Heart Rate Meter, 16-6 Mean, 12-5 mmHg, 12-5 Pressure Range, 16-6 Systolic, 12-5 IBP Heart Rate Meter, 16-6 IBP Pressure Range, 16-6 ID field, 5-6 Indicator Lights, 10-4 Initial Setup of Telepack, 10-7 Inserting Batteries, 10-7 Inserting batteries Telepack, 10-7 INSP/ET CO2, 12-6 INSP/ET CO2, Parameter specifications, See also Parameter specifications, 12-6 INSP
Index Network Name (Telepack-2.
Index Patient Alarm Report, 8-25 Patient Alarm Setup tab Optional, 6-2 sidebar buttons, 6-3 Patient Alarm Setup Tab (Optional), 6-2 Patient Alarms, 2-23 Patient from Standby Mode, Removing a, See also Removing a, 5-50 Patient Reports Tab, 8-2 Patient Setup functions Demographics tab, 5-2 Discharge tab, 5-36 Display tab, 5-40 Print Setup tab, 5-55 Standby tab, 5-49 Wave Gain tab, 5-52 Patient Size field entering, 5-10 Patient Status Line, 2-10 Patient tile REC button, 2-9 Patient Tile Assignment in the Netw
Index Viewing Events data, 2-25 Viewing List Trends, 2-24 Quick Reference Guide, Standby, See also Standby, 2-20 R Radio Certification, 16-19 Range Bars, 7-20 Read, 9-68 Read sidebar button, 9-68 Real Time Clock, 16-8 REC button, 2-9 Recalibrating the Touch Screen, 9-4 Receiver Range, 16-17 RECORD Button, 10-4 RECORD button, 10-4 Recording Password Changes, 9-31 Recover Patient, 5-28 Reference ST, 7-56 Templates, 8-16 Refreshing the Events List, 7-27 List View, 7-27 Network tab List box, 14-4 Refreshing t
Index System Alarms Options (ViewStation), 9-17 System Alarms Responses, 9-27 System Alarms Volume Level, 9-12 System Default Print Setup, 9-46 Time in the Date/Time tab, 9-43 Unit Choices, 9-51 Unit Choices (Central Station), 9-51 Unit Choices (ViewStation), 9-55 Volume Levels, 9-12 Setting the System Alarm Limits, 9-23 Setting the System Alarm Options (ViewStation and WorkStation), 9-17 Setting the System Alarms Options (Central Station), 9-15 Setting the System Alarms Responses, 9-27 Setting the System
Index Technical Alarms, 3-6 Technical Alarms, 3-6 Technical Alarms and Events, 13-11 Technical Event Sound, 3-6 Telepack analysis of data, 16-20 Attendant Present buttons, 10-3 battery compartment, Cleaning, See also Cleaning, 11-4 Communication Range, 10-10 communication range, 10-10 disposal, 11-6 disposal of batteries, 11-7 ECG Lead Indicator Lights, 10-4 Error Log Report, 8-53 FCC labeling, 16-25, 16-30 guidelines for cleaning, 11-4 indicator lights, 10-4 initial setup, 10-7 inserting batteries, 10-7 N
Index Up Arrow button, See also Arrows, 7-35, 7-47 User Maintenance Telepack, 11-3 User Selectable ST, 16-5 Using a Transcutaneous Electrical Nerve Stimulator (TENS), 4-8 V Ventricular Rhythm (V-Rhythm) Alarm, 4-18 Tachycardia (V-Tach) Alarm, 4-15 Ventricular-Fibrillation (V-Fib) Alarm, 4-14 Vertical Calipers (Time), 7-5 Measurements (Time), 7-5 Navigation buttons, 7-35, 7-47 View Print Setup sidebar button, 9-58 View 12™ Card, 4-5 View List sidebar button, 7-37 View Waveforms, 7-31 VIEW/MUTE button, 2-8
Index This page intentionally left blank.
Declaration of Conformity Manufacturer: Datascope Corp. 800 MacArthur Blvd Mahwah, NJ 07430 European Representative: Datascope BV Drs.
Printed in U.S.A.
