User's Manual

ManualsBrandsSpacelabs Healthcare ManualsElectronics90341-05

Ultraview Care Network

Operations Manual

070-1001-17 Rev. A

Summary of content (166 pages)

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® Ultraview Care Network Operations Manual 070-1001-17 Rev.
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Copyright 2003 Datex-Ohmeda, Inc. All rights reserved. Contents of this publication may not be reproduced in any form without the written permission of Datex-Ohmeda, Inc. Products of Spacelabs Medical, a Division of Instrumentarium, Datex-Ohmeda, Inc. (“Spacelabs Medical”) are covered by U.S. and foreign patents and/or pending patents. Printed in U.S.A. Specifications and price change privileges are reserved.
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About This Manual Ultraview® Care Network Operations Manual documents a complete range of patient monitoring functions for critical care. While each module may monitor one or more vital sign parameters, the operation of individual parameters stays the same throughout the system. This CD-ROM manual is organized by operating functions rather than by specific products. Monitor and parameter functions are presented in the CD-ROM titled Ultraview Care Network Operations Manuals (P/N 084-0701-xx).
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Contents Chapter Page System Introduction and Network Basics System Basics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2 Monitor Basics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-3 Power Failure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-4 Network Basics . . . . . . .
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Ultraview Care Network Ultraview 1030/1050 Monitor Printers. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-7 PrintMaster . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-7 Printing Priorities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-11 Selecting Print Duration . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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Module Configuration Manager Directory Directory of Keys - For Configurations With ECG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-1 Directory of Keys - For Configurations Without ECG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-2 Directory of Keys - For Telemetry Configurations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-3 Module Configuration Manager Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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Ultraview Care Network Display Detail . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-9 Controlling Arrhythmia Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-10 Clearing a Class or Event . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-10 Merging Classes/Trends. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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Turning Respiratory Waveform On/Off . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-8 Adjusting Waveform Size . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-8 Adjusting Sweep Speed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-8 Adjusting Respiration Tone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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Ultraview Care Network Suspending/Resuming SpO2 Processing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14-9 Recording SpO2 Waveforms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14-9 Error Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14-10 Sensors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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Assigning a Telemetry Channel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17-14 Tuning a Telemetry Receiver . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17-14 Entering Patient Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17-15 Setting or Adjusting Alarm Limits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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Ultraview Care Network Clearing Cardiac Output Curves. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19-7 Storing Cardiac Output Curves. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19-7 Stopping Curve Drawing and Acquisition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19-7 Selecting Index Normalization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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Selecting a Unit of Measure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Selecting a Sweep Speed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Respiration Tone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Selecting a Text Format . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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Ultraview Care Network EEG Directory of Keys . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24-1 Directory of Keys - Processing Off . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24-2 Directory of Keys . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24-3 EEG Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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Printing the Trend Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26-5 Graphic Trends Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26-6 Tabular Trends Features. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26-7 Trends Troubleshooting Guide . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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Ultraview Care Network Cleaning and Sterilization Monitors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . TRU-CUFF Noninvasive Blood Pressure Cuffs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Cables and Lead Wires . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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System Introduction and Network Basics This chapter gives an overview of the Ultraview Care Network products, provides basic system operating instructions, and describes network functions. Information regarding the operation of clinical information system products are contained under separate cover. Please refer to their respective operations manuals.
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System Introduction and Network Basics Contents System Basics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2 Monitor Basics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3 Power Failure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4 Network Basics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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System Introduction and Network Basics Monitor Basics Ultraview Care Network monitors use modules to monitor various clinical parameters. For example: • • • Electrocardiograph (ECG). Refer to ECG on page 8-3. Noninvasive Blood Pressure (NIBP). Refer to NIBP on page 13-3. Cardiac Output (CO). Refer to Cardiac Output on page 19-3. Remote module housing units may be used with Ultraview Care Network monitors to house additional modules.
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Ultraview Care Network Power Failure WARNING: • In the case of a power failure, the remote module housing (90491 or 90499) provides +5 V of power to maintain data integrity. • If the power is interrupted to the remote module housing but not to the monitor, the module will remain active and the following will occur: • Waveforms will go flat (as if the patient has no vital signs) or will be totally lost.
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System Introduction and Network Basics ! • Check Setup is an optional feature on the ECG channel. Contact your system administrator if your system does not have this feature. Inserting Modules Insert a module into the bedside monitor (Ultraview 1030/1050) or into the remote module housing as shown below.
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Ultraview Care Network Using the Monitor Screen Ultraview Care Network monitors employ touchscreen technology for interaction with the system. To activate a menu or parameter key, simply touch the key on the screen. Using the Screen Keys The Ultraview Care Network monitors use keys on the screen to execute monitor functions. The monitor keys are located to the far right side of the screen and have standard functions regardless of the parameter being monitored.
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System Introduction and Network Basics To customize your monitor: 1 2 Touch MONITOR SETUP. Select any menu key. Touch the MONITOR SETUP key to display a menu that enables you to adjust tones, enter patient data, modify the screen format, set time and date, adjust brightness, determine battery status (Ultraview 1030/1050 only), and specify printing characteristics. The UCW and Ultraview 1700 enable you to display a digital clock, stopwatch, or timer in the lower right corner of the screen.
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Ultraview Care Network Network Basics To aid in understanding the concept of a network operation, consider your need to communicate between beds in a single care unit. While you are in the care unit at a bedside monitor, you can view parameter waveforms from another bed and control those parameters just as if you were at that remote bedside. Advanced networking allows remote access and interaction with Clinical and Drug Calculations, Tabular Trends, Graphic Trends, and parameters from remote beds.
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System Introduction and Network Basics Watching Alarms Remotely Alarm Watch To enable Alarm Watch: 1 2 3a 3b 4 Touch SPECIAL FUNCTIONS. Touch ALARM WATCH. Select a bed or a subnet. If you selected a subnet, then select a bed. Touch ALARM WATCH ENABLE. With the network Alarm Watch function enabled you will be notified of all alarms at all monitors. Once a monitor has been set up to Alarm Watch a bed, any alarm from that bed is reported. WARNING: • The Alarm Watch function is not automatically enabled.
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Ultraview Care Network When a bedside monitor is set up to remotely view a parameter from another bedside, a one-second advisory tone sounds at the onset of the alarm condition. The remote alarm tones must be active at that bedside monitor. Arrhythmia and ST segment review data can also be viewed from remote monitors if optional Arrhythmia and ST segment analysis software is part of your system. WARNING: • Remote View and Alarm Watch are mutually exclusive functions on the bedside monitor.
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System Introduction and Network Basics To activate Full Bed Review at a bedside monitor when a remote view is not displayed: 1 2 3 Touch SPECIAL FUNCTIONS. Touch REMOTE VIEW. Select one of the subnet icons, then select a bed icon. 4a Touch the FBR key displayed after the last parameter icon for that bed. -OR4b Select any parameter icon, then perform the steps in the following Quick Start.
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Ultraview Care Network Reviewing Remote Trends To display a trend from a remote monitor: 1 2 Touch SPECIAL FUNCTIONS. Touch REMOTE TRENDS/ CALCS. 3a Select a bed or a subnet. 3b If you selected a subnet, then select a bed. 4 Touch GRAPHIC TRENDS or TABULAR TRENDS. 1-12 Retrospective vital sign review through either graphic or tabular trends provides minute-by-minute access to data from any monitor on the network.
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Alarms Directory Directory of Keys Adjusting Alarm Tones MONITOR SETUP MONITOR SETUP TONES MONITOR SETUP - Select type of tone to change LOCAL REMOTE ALARM KEY ALARMS ALARMS WATCH TONE MONITOR SETUP - LOCAL ALARM TONE TONE VOLUME VOLUME ON OFF Setting Up Automatic Alarm Recordings MONITOR SETUP MONITOR SETUP RECORDER CONFIG.
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Alarms Directory Directory of Keys Setting Up Alarm Watch (1030/1050/1500/1600) SPECIAL FUNCTIONS SPECIAL FUNCTIONS ALARM WATCH RV/AW OFF ALARM WATCH - Select bed(s) for ALARM WATCH 1001 1002 1003 1004 ON OFF ON OFF ON OFF ON OFF NET 02 ALARM WATCH - Select bed(s) for ALARM WATCH in subnet NET03 3001 3002 3003 3004 3005 ON OFF ON OFF ON OFF ON OFF ON OFF NET 03 3006 ON OFF NET 04 MORE 3006 ON OFF Setting Up Alarm Watch (UCW/Ultraview 1700) SPECIAL FUNCTIONS SPECIAL FUNCTIONS ALARM WATCH ! 2-2
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Alarms Contents Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Default Alarm Limits. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Setting Alarm Limits. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Identifying Alarm Levels. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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Ultraview Care Network Setting Alarm Limits To set alarm limits: 1 2 3 4 5 Touch a parameter key (ECG, TEMP, etc.). Touch ALARM LIMITS. Ensure ALARMS ON is set. Select HI = or LO =. Use arrow keys to adjust. You can change parameter alarm limits by using the parameter’s Alarm Limits menu. The steps to the left illustrate the minimum procedure used to adjust high and low alarm limits for a parameter. ! • Parameters may contain additional alarm limit features not listed here.
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Alarms Table 2: Alarm Watch and Remote View Alarms Priority Tone Type* Visual Tone Duration High Central continuous tone, or 2 bursts of 5 tones every 15-seconds Bedside one single tone flashing key; message appears in red on color monitors Central until the alarm condition is resolved or the tone is reset Bedside one-second Medium Central intermittent tone (one second ON, one second OFF), or burst of tones every 30-seconds Bedside one single tone flashing key; message appears in yellow on color
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Ultraview Care Network Controlling Alarms via the TONE RESET/ALM SUSPEND Key During an Alarm Condition To silence an alarm tone for 45-seconds at any monitor, touch the TONE RESET/ALM SUSPEND key once. If you touch TONE RESET/ALM SUSPEND once at a monitor during an alarm condition: • To resume alarm tones at a central monitor, touch the TONE RESET/ALM SUSPEND key again. • To suspend all alarms at a bedside monitor for 3-minutes, touch the TONE RESET/ALM SUSPEND key again within 45-seconds.
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Alarms To resume alarms at a bedside monitor, touch the TONE RESET/ALM SUSPEND key again. ! • You cannot suspend alarms from a central monitor. However, you can silence alarm tones for 45-seconds. Touching this key has no effect if it is touched at the central monitor when no alarm is sounding. Alarm Watch To enable Alarm Watch: 1 2 3a 3b 4 5 Touch SPECIAL FUNCTIONS. Touch ALARM WATCH. Select a bed or a subnet. If you selected a subnet, then select a bed.
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Ultraview Care Network If multiple alarms occur simultaneously, the messages displayed cycle from one to another every 3-seconds (up to a maximum of ten alarms) until all alarm conditions are resolved, or until you disable alarms at either the local monitor (through Remote View) or the remote monitor. WARNING: • Using the Alarm Watch feature, you can watch for alarms from 32 other monitors. However, more than ten remote alarms cannot be reported simultaneously to any monitor using the Alarm Watch feature.
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Alarms Central Alarm Watch Manager Your system administrator may have configured your central station monitor with the Central Alarm Watch Manager feature enabled. This feature automatically activates the Alarm Watch feature for all beds currently displayed on that central monitor. ! • When the Central Alarm Watch Manager is activated, it displays alarms for each bedside that has the Alarm Watch feature enabled.
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Ultraview Care Network Automatic Recording of an Alarm To select parameters for alarm recording and generate automatic recordings on a bedside recorder: Touch the ALARM PARAMS key to display a menu of parameters that can initiate alarm recordings on a bedside recorder and on a network printer if the parameter goes into an alarm condition. Recording on a network printer is configurationdependent. See your system administrator for details.
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Alarms Troubleshooting Guide Clinical Situation Possible Cause Solution Duplicate alarm recordings print at the bedside and system printer ■ Alarm recording directed to both bedside and network printers under the RECORDING DESTINATION key. ■ Select THIS MONITOR or NETWORK for alarm recordings. No alarm recordings are printed ■ Parameters for alarm recordings are set to OFF. ■ Select parameters for alarm recordings from the Alarm Parameters menu or Record Alarm Parameters menu.
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Admit/Discharge Directory Directory of Keys - Ultraview 1030/1050/1500/1600 To enter patient name, ID, or other data MONITOR SETUP MONITOR SETUP ADMIT/ DISCHARGE ADMIT/DISCHARGE - Select function CHANGE DATA ADMIT DISCHARGE ADMIT- Purge existing data for this bed? YES DISCHARGE - Are you sure? (All data for the bed will be purged) NO YES NO Select data you want to enter ID DATE OF BIRTH NAME WEIGHT lb/kg HEIGHT in/cm BSA m2 MALE FEMALE ADULT NEONATE ADMIT/DISCH.
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Admit/Discharge Directory Directory of Keys - UCW and Ultraview 1700 To enter patient name, ID, or other data MONITOR SETUP TONES ADMIT/ DISCHARGE RECORDER CONFIG. MONITOR CONFIG.
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Admit/Discharge Contents Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Entering New Patient Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Changing Patient Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Discharging a Patient. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Admit/Discharge Troubleshooting Guide . . .
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Ultraview Care Network Entering New Patient Information To enter new patient information (Ultraview 1030/1050/1500/1600): 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Touch MONITOR SETUP. Touch ADMIT/DISCHARGE. Touch ADMIT. Select YES to purge the existing data. Select ID and/or NAME. Enter information using the on-screen keyboard. Touch ENTER. Touch PREVIOUS MENU (if necessary). Select DATE OF BIRTH and enter MONTH, DAY, and YEAR. Touch ENTER. Touch PREVIOUS MENU.
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Admit/Discharge Using the On-Screen Keyboard A keyboard is displayed on the monitor screen as you begin the process of admitting or changing data on a patient. The on-screen keyboard functions differently depending on the monitor model you have. You can also use the external computer keyboard to enter patient data into the selected field. Ultraview 1030/1050/1500/1600 The keyboard shown in Figure 3-1 appears when you touch the NAME or ID key under the ADMIT and CHANGE DATA keys.
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Ultraview Care Network Figure 3-2: UCW/Ultraview 1700 on-screen keyboard Character Keys — Each character key you touch displays above the keyboard on the 1030, 1050, 1500 and 1600. It displays in the selected field on the UCW and Ultraview 1700. Function Keys — DEL or BACKSPACE deletes the character to the LEFT of the cursor. ← moves the cursor left one position. → moves the cursor right one position. RESTART redisplays the last name or value stored and deletes all earlier changes.
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Admit/Discharge Entering Height, Weight, and BSA Table 1 lists the default values and valid ranges for height, weight, and BSA (body surface area). You can adjust the values up or down within the valid range. The values last set for height, weight, and BSA remain until manually changed. Table 1: Height, Weight, BSA Default Value Label Name Units Default Value (1030, 1050, 1500, 1600 only) Adult Neonatal Valid Range BSA Body Surface Area m2 1.81 0.11 0.03 - 3.69 HT Height cm in 170 66.
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Ultraview Care Network HT 66.9 7 8 9 REMOVE KEYPAD 4 5 6 RESTORE 1 2 3 +/- 0 . CLEAR ENTER Figure 3-3: Ultraview 1030/1050/1500/1600 on-screen keypad Numeric Keys — The 0 - 9 and decimal point keys allow you to enter numeric data. Function Keys — ↑ ↓ increases or decreases the displayed parameter value by 1.0, 0.1, 0.01, or 0.001 depending on the resolution of the input value. ENTER stores the value displayed in the top right corner of the keypad in system memory.
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Admit/Discharge Entering Patient Type and Gender To select the patient type, touch the ADULT/NEONATE key. Once the selection has been made, it is stored in the monitor’s memory and either ADULT or NEONATE is highlighted. If you use one patient type exclusively, your system administrator may set the selection to that specific type. To select the patient gender, touch the MALE/FEMALE key. Once the selection has been made, it is stored in the monitor’s memory and either MALE or FEMALE is highlighted.
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Admit/Discharge Troubleshooting Guide Clinical Situation Patient name incorrect as entered on keyboard menu Possible Cause ■ ■ 3-10 Name exceeds 40 character maximum and system has written over some characters. No patient name or ID number stored in system. Solution ■ ■ Re-enter name using 40 characters or less. Enter name or ID number.
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Printing Directory Directory of Keys - Monitor Setup Level To set up the printer: MONITOR SETUP PRIVILEGED ACCESS RECORDER CONFIG. See following pages RECORDER CONFIGURATION RECORDING DURATION Number of Recorder Channels RECORDING DESTINATION ALARM PARAMS 1 2 4 VITALS SETUP Select parameters that require alarm recording from bed x Select duration of recordings initiated from this monitor 12 SEC ECG OFF ON 20 SEC ...
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Printing Directory Directory of Keys - Biomed Level PRIVILEGED ACCESS Enter BIOMED password BIOMED LEVEL: Select Parameter RECORDER SETUP RECORDER SETUP - Select Parameter RECORDER NAMES SELECTION AUTO BACKUP SELECT RECORDERS ALARM EXTENDED DURATION SETTING ALARM EXTENDED DURATION SETTING 0 SECONDS 6 SECONDS Select priority of recorder to be assigned to bed x RECORDER A RECORDER B Select RECORDER x recorder for bed x Laz1 Select recorder name to change Laz1 Selecting a key displays keyboard for
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Printing Directory Directory of Keys - Clinical Level PRIVILEGED ACCESS Enter CLINICAL password PRESELECTED RECORDINGS PRESELECTED RECORDINGS - Select configuration to change PRESELECTED A PRESELECTED B Select option to change - X: (current selection displays) SELECT TYPE SELECT BED Select beds/subnets - X: (current selection displays) ALL SUBNETS THIS SUBNET THIS MONITOR ALL BEDS ON THIS MONITOR Select recording type - X: Beds = (current selection displays) ALL BEDSIDE CONFIGURED BEDSIDE PARAM(S
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Printing Contents Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Bedside Printer Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 System Printer Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Ultraview 1030/1050 Monitor Printers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 PrintMaster . . . . . . . . . . . . . . . .
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Ultraview Care Network Bedside Printer Module The 90449 bedside printer module is a two-channel printer that provides automatic and manual recordings of parameter data on 50mm fanfold paper.
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Printing The Ultraview Care Network system printer module prints recordings of parameters in alarm conditions, requested waveforms, and non-waveform data such as: • • • • tabular trends hemodynamic calculations drug dose calculations graphic trends waveform data Ultraview 1030/1050 Monitor Printers The printers in the Ultraview 1030/1050 monitors are two-channel printers that provide automatic and manual recordings of parameter data on 50mm roll paper.
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Ultraview Care Network The PrintMaster printer functions the same as the bedside and system printer modules in that it prints recordings of parameters in alarm conditions, requested waveforms, and non-waveform data. Clearing Paper Jams (PrintMaster) If a paper jam occurs, a message will indicate the location of the jam. Once the jam is cleared, the cover closed, and the printer warmed up, the printer will print all the pages affected by the jam.
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Printing PrintMaster Display Messages Table 2: Printer Display Messages Message Text Reason ON-LINE Ready to receive data. OFF-LINE Not ready to receive data. DATA PRESENT Print data is in buffer. PRINTING Data is being received and printed. POWER SAVING Power saving mode is active. LOW TONER Toner is running out. 100 more pages can be printed when this message is first displayed. TONER EMPTY REPLACE TNR CART Toner cartridge is empty.
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Ultraview Care Network Table 2: Printer Display Messages (continued) Message Text Reason ERROR PRINT OVERRUN Data too complex for current RASTER BUFFER setting. Increase RASTER BUFFER value and resend job or add memory. Press RECOVER to continue. ERROR HOST I/F Host interface error. Data was lost. Press RECOVER to continue, and resend job. CARD NOT FOUND PLEASE REINSERT Font card removed. Reinstall card. Press RECOVER to continue, and resend job.
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Printing Printing Priorities Each Spacelabs Medical network-connected patient monitor is capable of sending recordings to two network printers. With two printers available to monitors on the network, printer selection rules are used to strike the best possible balance to: • • • generate the most timely output of high priority recordings; ensure that subsequent recordings from one patient over a short time span are processed by one printer; and use paper as efficiently as possible.
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Ultraview Care Network The following list defines recording priorities in descending order: Highest • Lowest Alarm recording or a manual recording request via a monitor • RECORD ALL request via a bedside monitor • RECORD ALL request via a central monitor • Non-waveform recordings • All Arrhythmia/ST classes In all network printing cases: • • • High priority print jobs bump lower priority jobs. For instance, an alarm recording will bump graphic trends to a lower position in the print queue.
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Printing Printer Key Functions To access printer control keys from the monitor: 1 2 3 Touch NORMAL SCREEN. Touch PRINTER CONTROLS. Select the desired key. Ultraview 1030/1050 Monitor, Bedside, and System Printer Modules Printer control keys for the bedside and system printer modules are located on the module front. The printers can also be controlled by keys on the monitor itself. Table 3: Key Descriptions Key SLOW ON/OFF Function Changes the print speed of waveform recordings to 6.25mm/second.
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Ultraview Care Network Recording Alarms To select parameters for alarm recording and generate automatic recordings on a bedside recorder: 1 2 3 4 5 6 7 Touch MONITOR SETUP. Touch RECORDER CONFIG. Select RECORDING DESTINATION. Select a destination for the alarm recording. Touch PREVIOUS MENU. Touch ALARM PARAMS. Select parameter key(s) ON to initiate a recording in case of alarm. If the parameter key is OFF, no alarm recording is produced for that parameter in an alarm condition.
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Printing Waveform Data To print group recordings via the monitor: Waveform data is recorded using the RECORD key on the monitor. 1 Touch RECORD twice. 2a Touch RECORD ALL. -OR2b Touch RECORD PRESELECTED A or B. To start a continuous recording via the monitor: 1 2 3 Touch RECORD. Touch CONTINUOUS RECORD, then touch the desired parameter key (up to four, for each parameter to be continuously recorded. Touch CANCEL RECORD SELECTION to restart the selection process.
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Ultraview Care Network Defining Preselected Recording Keys To define the PRESELECTED A and B parameters (UCW and Ultraview 1700): 1 2 3 4 Touch MONITOR SETUP. Touch PRIVILEGED ACCESS. Enter Clinical password. Touch PRESELECTED RECORDINGS. 5 Touch key to be defined (A or B). 6 Touch SELECT TYPE. 7a Touch FIRST 2 BEDSIDE PARAM(S) and use arrow keys to cycle through parameter selections: ALL BEDSIDE PARAM(S) or FIRST n BEDSIDE PARAM(S) (where n is 1, 2, 4 or 8).
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Printing Loading Paper To load paper in a bedside printer module (2-channel only): 1 Press eject button next to PAPER OUT light. 2 Withdraw plastic paper tray. 3 Discard old cardboard retainer inside tray. 4 Remove label from new paper but keep cardboard retainer in place around one end. 5 Start inserting paper into tray, beginning with cardboard retainer end. 6 With paper halfway into tray, lift up spring-loaded roller. 7 Bring out top fold of paper from under top end of cardboard retainer.
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Ultraview Care Network Ultraview 1030/1050 Printers To load paper in the Ultraview 1030/1050 printer: 1 2 3 4 5 Press release button on door. Open paper tray door all the way. Snap new roll into place. Pull out 6 to 12 inches of paper. Close door. The Ultraview 1030/1050 monitor’s printer uses 50mm wide by 30m long rolls of thermal paper. The printer has an automatic self-feed mechanism for threading the paper through the rollers.
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Printing Record Vitals Report (Ultraview 1030/1050 Only) To define the details of a report: 1 2 3 4 5 6 7 8 9 Touch MONITOR SETUP. Touch RECORDER CONFIG. Touch VITALS SETUP. Touch DATA INTERVAL and select an interval for report history. Touch PREVIOUS MENU. Touch START TIME and select a time period for report history. Touch PREVIOUS MENU. Touch SELECT PARAMETERS and select the parameters you wish to include in the report. Touch PREVIOUS MENU.
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Ultraview Care Network Print Vital Signs To print a manual report with the Record Vitals Report option: 1 2 4-20 Touch VITALS SETUP, PRINT VITAL SIGNS. -ORTouch RECORD twice and touch PRINT VITAL SIGNS. To print the report, touch PRINT VITAL SIGNS or touch RECORD twice and then touch PRINT VITAL SIGNS. ! • Be sure to choose the data interval, the start time, and the parameters you wish to include on the report before printing.
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Printing Troubleshooting Guide Clinical Situation Printer displays PAPER OUT message Printer fails to print selftest strip Message UNABLE TO RECORD THE REQUESTED CHANNEL is displayed CONTINUOUS RECORD key not displayed Possible Cause ■ Printer is out of paper. ■ Printer door is open. ■ Paper was loaded improperly. ■ Failed internal diagnostics. ■ ■ ■ Printer not active. Printer not selected by a system administrator. Printer is out of paper. ■ Menu is at the bottom of the screen.
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Bedside/Transport Monitors Directory Directory of Keys Refer to System Introduction chapter HELP MONITOR SETUP Ultraview 1030/1050 MONITOR SETUP ADMIT/ DISCHARGE TONES MONITOR CONFIG. RECORDER CONFIG.
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Bedside/Transport Monitors Directory Directory of Keys - UCW and Ultraview 1700 (Privileged Access) MONITOR SETUP ADMIT/ DISCHARGE TONES MONITOR CONFIG. RECORDER CONFIG.
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Bedside/Transport Monitors Contents Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Display Detail. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Identifying Special Applications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Bedside and Transport Monitor Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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Ultraview Care Network Display Detail All monitoring data originates at the bedside. Parameter modules plug into the monitor itself or into a remote module housing to obtain patient information, including waveforms and numeric displays. The bedside screen may (optionally) display up to eight full waveform zones. If more than eight zones are used, zones 9 through 24 appear at the bottom of the screen as numeric values.
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Bedside/Transport Monitors Bedside and Transport Monitor Features Adjusting Screen Brightness and Contrast To adjust screen clarity: 1 Touch MONITOR SETUP. 2 Touch MONITOR CONFIG. 3a Touch BRIGHTNESS. -OR3b Touch CONTRAST. -OR3c Touch BRIGHTNESS/CONTRAST (for Ultraview 1500 only). 4 Use arrow keys to adjust. Using the Monitor Setup menu you may increase or decrease the monitors’ screen contrast and brightness.
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Ultraview Care Network Setting the Time and Date To change the network or internal system time and date (UCW and Ultraview 1700 only): 1 2 3 4 5a Touch MONITOR SETUP. Touch PRIVILEGED ACCESS. Enter Clinical password. Touch TIME/DATE. Select TIME. -OR5b Select DATE. 6a Select 24-HOURS or AM/PM (12-hour). -OR6b Select MONTH, DAY, and YEAR. 7 Use arrow keys to set time or date. 8 Touch ENTER. The TIME/DATE key controls both the time and date menus. The current time or date displays above the menu.
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Bedside/Transport Monitors To change a parameter priority or color: 1 2 3 4 5 6 7 8 Touch MONITOR SETUP. Touch MONITOR CONFIG. Touch PARAMETER CONFIG. Select a parameter. Select the destination priority. Select a color. Select the parameter key to be colored (the key and waveform will appear in the chosen color). Touch STORE to store local color and priority settings. Setting Up Priorities and Colors Table 1 lists default priorities and colors for each screen parameter.
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Ultraview Care Network On the UCW and Ultraview 1700 Parameter Configuration screen, you can touch ALL to display all color configurations (Figure 5-3) or touch LOCAL to display the local color configurations (Figure 5-4).
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Bedside/Transport Monitors Not available on Ultraview 1030 monitors ART CO CVP ECG1 WHITE 1 ECG1 2 ECG2 3 RESP 4 VARI ECG2 EEG ETCO2 GAS RED 5 ART 6 UA 7 PA 8 UV ICP INCUB WARMR IV LAP GREEN 9 CVP 10 RAP 11 ICP 12 LAP NIBP OTHER PA PO+ET BLUE 13 PRS 14 UNLP 15 ETCO2 16 SPO2 PRS RAP RESP SPO2 YELLOW 17 NIBP 18 SVO2 19 TCP 20 EEG SVO2 TCP TEMP UA CYAN 21 GAS 22 CO 23 TEMP 24 INCUB UNLP UV VARI VENT MAGENTA 25 PO+ET 26 IV 27 VENT 28 OTHER INS BLA
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Ultraview Care Network For the UCW and Ultraview 1700, the DISPLAY PRIORITIES key displays a list of the currently active parameters, or all possible parameters, ordered by priority. Touch LOCAL to display only this bed’s currently active parameters. STORE — causes the currently displayed parameter priorities and colors to be stored in memory. RESTORE — causes the last stored local priority and color settings to be restored from memory.
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Bedside/Transport Monitors Once the data is completely transferred, the monitor sounds a tone and displays the message DATA TRANSFER COMPLETED below the UPDATE TRANSFER and CANCEL TRANSFER keys. The module is now ready to be removed from that monitor.
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Ultraview Care Network Retrieving Transfer Data To receive transferred data: 1 2 Touch RETRIEVE DATA. Touch YES. When you insert the module into the receiving monitor, the monitor displays the RETRIEVE DATA and CANCEL TRANSFER keys and sounds a low priority alarm tone every 5-seconds until you either cancel the data transfer or retrieve the data.
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Bedside/Transport Monitors Ultraview 1030/1050 Batteries Each transport monitor is shipped with one 12 V battery. Monitors will accept two. Batteries may be changed during battery or AC operation without losing data, provided that one charged battery remains connected at all times during the exchange. A green LED in the lower-right corner of the front panel will flash when the batteries are charging and will be continually illuminated once the batteries are fully charged.
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Ultraview Care Network Battery Status Messages The Ultraview 1030/1050 provides you with several battery condition status messages. Battery Charged — A Solid Green LED A solid green LED indicates the battery, or batteries, installed into the monitor are fully charged and are ready to be used. It functions with the monitor powered ON and with the monitor powered OFF. ! • If a battery is not installed, a solid green LED will also display.
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Bedside/Transport Monitors ! • When the battery power reaches 1/2 battery charge remaining, recordings that drain large amounts of power can cause the monitor to power OFF without warning. Recordings are automatically inhibited when the battery power reaches 1/2 battery charge remaining. ! • When the battery power becomes critically low (approximately 1/4 battery charge remaining), the monitor may power OFF at any time, depending on monitor loading.
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Ultraview Care Network Wireless Ethernet Connection Ultraview 1030/1050 Monitors (Option Z) In wireless mode, the monitor maintains network communication with a central station through the Wireless Network Interface (WNI) that is connected to the standard Spacelabs Medical hardwired Ethernet network. Wireless communication is automatically disabled when the monitor is directly hardwired to the network using its network port, and enabled when the hardwired port is disconnected.
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Bedside/Transport Monitors Optional Model 90310 Wireless Network Interface rack mounting hardware (single or double) antenna connectors connects to AUI multiport for wireless network ã status LEDs channel selection thumbwheel power LED 90310 front panel 90310 rear panel Figure 5-10: 90310 Wireless Network Interface 5-17
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Ultraview Care Network Ultraview 1030/1050 Connections External Power Supply Connection To connect to an external power supply: 1 2 Attach the DC outlet cable to J1. Connect the power cord of the external power supply to an AC outlet. The connection for the external power supply is shown in Figure 5-11. The green LED on the front panel will display ON whenever the unit is powered by an external power supply.
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Bedside/Transport Monitors The Ultraview 1030/1050 also provides an external Flexport System Interface connection (Figure 5-12).
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Ultraview Care Network To connect to the 10BaseT port for network communication: 1 Ethernet Connection - Options F or G for Ultraview 1030/1050 Plug either end of cable assembly 175-0951-XX into the modular jack connection on the back of the monitor. Network communication is done through the 10BaseT cable assembly only. 2 Plug the other end of the cable into the wall in a wall plate with an eight pin modular jack connector.
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Bedside/Transport Monitors Ultraview 1030/1050 with Capnography (Option G or H) To start capnography monitoring: Plug the mainstream EtCO2 sensor cable into the EtCO2 receptacle on the capnography panel. 2 Perform sensor calibration, if necessary. 3 Prepare the patient according to hospital procedures. 4 Select the appropriate airway adapter (neonate or adult). 5 Verify that the windows are clean and dry. 6 Place the sensor head over the airway adapter and perform an adapter calibration, if necessary.
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Ultraview Care Network Maternal Obstetrical Monitor - 94000 The Maternal Obstetrical Monitor (MOM) is a fetal monitor which, when used with an Ultraview Command Module or other Ultraview modules, provides the optional ability to monitor maternal ECG, NIBP, temperature, and SpO2. The multiple trace screen enables simultaneous display of real-time fetal and maternal ECG and maternal SpO2. Both internal and external fetal monitoring capabilities are provided.
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Bedside/Transport Monitors CAUTION: • Excessive bending or twisting of a transducer cable may cause failure or intermittent operation of the transducer. • Do not sterilize a transducer using gas, heat, or liquid methods. Do not autoclave a transducer. These sterilization methods may permanently damage the transducer. • This instrument is not intended for use with defibrillators. • Disposal of these devices and all accessories must be in accordance with local and federal laws.
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Ultraview Care Network Front Panel Power ON/OFF Recorder drawer release button Fetal chart recorder FHR 1 connector (either ultrasound or ECG) UA connector FHR 2 connector (ultrasound only) Battery charging light Right Side Panel Telemetry antenna connector (optional) Mermaid wireless connector (optional) Ultraview Module (optional) J1 - External power supply connector 5-24
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Bedside/Transport Monitors Left Side Panel Maternal chart recorder (optional) Event marker connector Ethernet connector (Ultraview Care Network) Battery compartment door Rear Panel J4 - Other I/O J3 - RS485 port - BirthNet J2 - External device port - RS232 5-25
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Ultraview Care Network WARNING: • The use of accessory equipment that does not comply with the monitor’s safety requirements may lead to a reduced level of safety. Consideration should be given to the use of the accessory in the vicinity of a patient. The safety certification of the accessory must be performed in accordance with the appropriate IEC 601-1 and/or IEC 601-1-1 harmonized national standard. • 5-26 EMC compliance may be compromised by the connection of accessory and/or peripheral equipment.
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Bedside/Transport Monitor Troubleshooting Guide Clinical Situation Possible Cause Solution Cannot change parameter priority or colors ■ Monitor may not be set up to allow the user to change priority or colors. ■ Contact your system administrator. Changed parameter priority or colors are lost ■ The STORE key was not touched after the selection was made. ■ Touch the STORE key to make changes permanent.
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Central Monitors Directory Directory of Keys - UCW and Ultraview 1700 MONITOR SETUP SCREEN FORMAT ADMIT/ DISCHARGE TONES Select waveform zone MONITOR CONFIG. Refer to Admit/Discharge chapter RECORDER CONFIG.
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Central Monitors Directory Directory of Keys - Privileged Access MONITOR SETUP SCREEN FORMAT ADMIT/ DISCHARGE TONES MONITOR CONFIG RECORDER CONFIG PRIVILEGED ACCESS Enter clinical password CLINICAL LEVEL - Select Parameter PRESELECTED UNITS OF TIME/ MEASURE RECORDINGS DATE USER ACCESS ALARM SETUP ALARM WATCH SETUP REMOTE KEYPAD STATION ADDRESS MORE Restart monitor after selecting units of measurement inches lb mmHg kPa cm kg CLINICAL LEVEL - Select Parameter CHANGE CLINICAL PASSWORD RESET MON
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Central Monitors Contents Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Display Detail. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-Trace Option. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Central Monitor Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . System Clock. . . . . . . . .
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Ultraview Care Network CAUTION: • Due to the potential for electromagnetic interference, electronic devices (for example, portable communication transmitters, cellular telephones, personal computers, electronic toys, and other medical devices) should not be operated within 3.5 feet (1.07 meters) of the patient, patient leads, or associated monitoring equipment until evaluated by the Biomedical Engineering staff.
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Central Monitors Central Monitor Features Selecting Parameters for Display To select remote parameters for display: 1 2 3 4 5 Touch MONITOR SETUP. Touch SCREEN FORMAT. Select a bed (or a subnet, then a bed). Select the parameter(s) to be displayed. Select a zone. Use the SCREEN FORMAT key in the Monitor Setup menu to assign remote parameters to specific display zones and to choose the color of those zones. Names of the subnet and bedside keys are assigned by your system administrator.
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Ultraview Care Network Setting the Time and Date To change the network or internal system time and date: 1 2 3 4 5a Touch MONITOR SETUP. Touch PRIVILEGED ACCESS. Enter Clinical password. Touch TIME/DATE. Select TIME. -OR5b Select DATE. 6a Select 24-HOURS or AM/PM (12-hour). -OR6b Select MONTH, DAY, and YEAR. 7 Use arrow keys to set time or date. 8 Touch ENTER. The TIME/DATE key controls both the time and date menus. The current time or date is displayed above the menu.
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Central Monitors Screen Saver To activate the screen saver: 1 2 3 Touch MONITOR SETUP. Touch MONITOR CONFIGURATION. Touch ACTIVATE SCREEN SAVER. Activating the screen saver blanks the screen (displaying only the Spacelabs Medical logo). You may also disable the screen saver by touching the screen, clicking (or dragging) the mouse, or pressing any key on the keyboard. ! • The screen will automatically be restored by an incoming alarm condition.
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Ultraview Care Network Press NO to silence the alarms (if enabled), but to continue display of the DCI notification. All alarms for that bedside monitor are silenced simultaneously. The NO key becomes dithered (inactive) after it is pressed. Enabling Alarms (Optional) When activated, this option causes an alarm to sound and the parameter key to flash when the DCI notification is displayed. This option must be enabled through the Biomed menu.
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Central Monitors Troubleshooting Guide Clinical Situation Cannot assign color to a zone Cannot assign a parameter to a zone Cannot access the clock menu CANNOT deselect ALARM WATCH Possible Cause ■ ■ ■ ■ Monitor may not be set up to allow you to assign colors. Zone may not have been cleared of previous assigned waveforms. Clock may have been left in STOPWATCH or TIMER mode.
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Module Configuration Manager Directory Directory of Keys - For Configurations With ECG E C G ECG MENU ALARM LIMITS LEAD CONTROL SETUP SIZE SUSPEND PROCESSING DISPLAY FORMAT RELEARN PRINT REVIEW ECG - SETUP SWEEP SPEED QRS TONE PACED YES NO MONITOR EXTENDED RATE SOURCE CONFIG RESTORE SETTINGS NO YES ECG - CONFIG ADULT INFANT ARR ON OFF TRANSFER DATA See your system administrator for access to this key HIDDEN KEY DEFAULT STORAGE MENU USER SETTINGS TRANSFER SETTINGS RETRIEVE SETTINGS
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Module Configuration Manager Directory Directory of Keys - For Configurations Without ECG T E M P TEMP MENU RESTORE SETTINGS ALARM LIMITS HIDDEN KEY See your system administrator for access to this key DEFAULT STORAGE MENU USER SETTINGS TRANSFER SETTINGS RETRIEVE SETTINGS FACTORY DEFAULTS NO YES USER SETTINGS - CHANNEL SELECT PRES SPO2 TEMP User Settings screens appear here (Refer to Display Detail) SELECT PARAMETER CURSOR CURSOR CHANGE VALUE PAGE X OF X PREV PAGE NEXT PAGE PRINT PAGE S
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Module Configuration Manager Directory Directory of Keys - For Telemetry Configurations E C G ECG MENU ALARM LIMITS LEAD SELECT SETUP SIZE SUSPEND PROCESSING CHANNEL FORMAT RELEARN PRINT REVIEW ECG - SETUP SWEEP SPEED QRS TONE PACED YES NO MONITOR EXTENDED CONFIG RESTORE SETTINGS YES TM SETUP NO ECG - CONFIG ADULT INFANT ARR ON OFF HIDDEN KEY See your system administrator for access to this key DEFAULT STORAGE MENU USER SETTINGS TRANSFER SETTINGS RETRIEVE SETTINGS YES SELECT PARAM
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Module Configuration Manager Contents Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Display Detail. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Setting User-Defined Default Values . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Storing Changed Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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Ultraview Care Network Display Detail The User Settings screens list all user-configurable options for ECG, respiration, Varitrend 3, temperature, invasive pressure, non-invasive blood pressure, and SpO2. From these screens you can change and store the options in your module. Figure 7-1 illustrates the ECG User Settings screen which is used to change and store ECG rate alarm limits. In this example, LEARNED has been chosen as the adult rate alarms type.
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Module Configuration Manager Setting User-Defined Default Values Use the User Settings screens to change and store settings. If the setting for the selected parameter cannot be changed, the message THIS SETTING CANNOT BE CHANGED will be displayed. The ability to access the Module Configuration Manager screens can either be visible to all users or remain hidden. The factory default setting is Invisible.
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Ultraview Care Network Parameter Configurations ECG To review or change settings: 1 2 3 4 5 6a 6b 6c 6d 6e 6f 6g 7 8 9 10 11 Touch ECG. Touch SETUP. Touch CONFIG. Touch the hidden key 3 times. Touch USER SETTINGS. Select ECG. -ORSelect RESP. -ORSelect VARITREND. -ORSelect PRESSURE. -ORSelect SPO2. -ORSelect NIBP. -ORSelect TEMP. Use CURSOR↑ and CURSOR↓ to scroll through the parameter description list. Use ↑ and ↓ to change the settings. Touch NEXT PAGE to continue to next screen of parameters.
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Module Configuration Manager ! • For telemetry, some settings may or may not be available depending on whether the module is used in a central or bedside monitor. • For Ultraview Digital Telemetry (multiparameter), default settings for SpO2 and NIBP may be found as part of the ECG channel. Telemetry ECG parameter configuration and alarm attributes are found in separate tables in this chapter following the tables for the hardwired (non-telemetry) products.
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Ultraview Care Network Table 1: ECG Parameter Configuration (continued) Available User Settings Factory Defaults On/Off On Abnormals in a Row 2 to 10 or Off 5 Abnormals/Minute 1 to 99 or Off Off On/Off On Limb, V, or augmented lead V2 2.00 mV/cm - 0.10 mV/cm 0.50 mV/cm Limb, V, or augmented lead II 2nd Lead Waveform Size 2.00 mV/cm - 0.10 mV/cm 0.50 mV/cm ST Alarm (single lead) 0.00 mm (Off) to 9.00 mm 1.0 mm ST Alarm (multi-lead) 0.00 mm (Off) to 8.75 mm 0.
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Module Configuration Manager Table 1: ECG Parameter Configuration (continued) Available User Settings Factory Defaults -5 to 0 mm 0 to 5 mm -2 to 0 mm 0 to 2 mm -1 to 1 mm -2 to 2 mm -5 to 5 mm -10 to 10 mm +/- 2.0 mm ST Trend Timebase 1.
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Ultraview Care Network Table 2: ECG Alarm Attributes User Settings Available User Settings Factory Defaults User Settings Available User Settings Factory Defaults User Settings Asystole H H H Y Y Y Y Y Y VFIB H H H Y Y Y Y Y Y High Rate H,M,L,N H Y,N Y Y,N Y Low Rate H,M,L,N H Y,N Y Y,N Y Run H,M,L,N H Y,N Y Y,N Y Couplet H,M,L,N M Y,N Y Y,N Y Tach H,M,L,N M Y,N Y Y,N Y ABN/MIN H,M,L,N M Y,N Y Y,N Y ST Single-lead H,M,L,N M Y,N Y Y,
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Module Configuration Manager ! • Alarm attributes for asystole and ventricular fibrillation cannot be changed. - If ECG alarms are enabled, episodes of asystole and ventricular fibrillation will always trigger a high alarm tone. - If ECG alarm recording is enabled, asystole and ventricular fibrillation will always trigger a recording. - If Alarm Watch is enabled for a patient, asystole and ventricular fibrillation will always trigger an alarm notification.
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Ultraview Care Network Table 3: ECG Parameter Configuration (Telemetry Only) (continued) Available User Settings Factory Defaults On/Off Off 1 (soft) to 8 (loud) 4 On/Off Off Monitor/Extended Monitor On/Off On Abnormals in a Row 2 to 10 or Off 5 Abnormals/Minute 1 to 99 or Off Off On/Off On Limb, V, augmented or MCL lead VI 2.00 mV/cm - 0.10 mV/cm 0.5 mV/cm Limb, V, augmented or MCL lead II 2.00 mV/cm - 0.10 mV/cm 0.
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Module Configuration Manager Table 3: ECG Parameter Configuration (Telemetry Only) (continued) Available User Settings Factory Defaults Control (controls ALARM ON/OFF and SUSPEND PROCESSING keys) On/Off On Automatic Lead Switch On/Off On Single Lead Alarm On/Off Off Visible/Invisible Invisible Low Battery Alarm On/Off On Patient Record On/Off Off Temporary/Permanent Temporary Save/Restore Restore North America UHF, North America VHF, European Telecom, United Kingdom, Australia, Spain
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Ultraview Care Network Table 3: ECG Parameter Configuration (Telemetry Only) (continued) Available User Settings Factory Defaults NIBP Diastolic Low Limit (only if multiparameter is On) 30 to 255 mmHg 60 mmHg NIBP Mean High Limit (only if multiparameter is On) 35 to 260 mmHg 110 mmHg NIBP Mean Low Limit (only if multiparameter is On) 30 to 255 mmHg 90 mmHg Parameter ! • User Settings Multiparameter telemetry displays ECG, SpO2, and NIBP data all in the ECG channel.
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Module Configuration Manager Table 4: ECG Alarm Attributes (Telemetry Only) (continued) User Settings Available User Settings Factory Defaults H,M,L,N L N N N Y,N N Squelch H,M,L,N L N N N Y,N N Signal Interference H,M,L,N L N N N Y,N N Low Battery H,M,L,N L N N N Y,N N SpO2 Monitor Fail H,M,L,N L N N N N SpO2 High Limit H,M,L,N L Y,N N Y,N N SpO2 Low Limit H,M,L,N L Y,N N Y,N N SpO2 Faulty Sensor H,M,L,N L N N N N SpO2 Sensor Disconnected H,M
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Ultraview Care Network Table 4: ECG Alarm Attributes (Telemetry Only) (continued) Factory Defaults L Y,N N Y,N N NIBP Mean Low Limit H,M,L,N L Y,N N Y,N N User Settings Available User Settings H,M,L,N User Settings Factory Defaults NIBP Mean High Limit Alarm Type User Settings Available User Settings Alarm Watch Factory Defaults Alarm Recording Available User Settings Tone Type H = High; M = Medium; L = Low; N = None; Y = Yes; N = No ! 7-18 • Messages and alarms beginning wi
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Module Configuration Manager Respiration To review or change Respiration settings: 1 2 3 4 Touch ECG. Touch SETUP. Touch CONFIG. Touch the hidden key three times. 5 Touch USER SETTINGS. 6 Select RESP. 7 Use CURSOR↑ and CURSOR↓ to scroll through the parameter description list. 8 Use ↑ and ↓ to change the settings. 9 Touch NEXT PAGE to continue to next screen of parameters. 10 Touch STORE to save the new settings. 11 Touch YES when the STORE ALL CHANNEL DEFAULTS message is displayed.
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Ultraview Care Network Table 6: Respiration Alarm Attributes Low Rate Loss of Signal User Settings H,M,L,N Factory Defaults High Rate Available User Settings H Y Y M Y,N H,M,L,N M H,M,L,N M Alarm Watch User Settings Factory Defaults H Apnea Available User Settings Factory Defaults H Alarm Type Alarm Recording User Settings Available User Settings Tone Type Y Y Y Y Y Y,N Y Y,N Y Y,N Y N N Y,N Y N H = High; M = Medium; L = Low; N = None; Y = Yes; N = No ! 7-20
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Module Configuration Manager Varitrend® 3 To review or change Varitrend 3 settings: 1 2 3 4 5 6 7 Touch ECG. Touch SETUP. Touch CONFIG. Touch the hidden key 3 times. Touch USER SETTINGS. Select VARITREND. Use CURSOR↑ and CURSOR↓ to scroll through the parameter description list. 8 Use ↑ and ↓ to change the settings. 9 Touch NEXT PAGE to continue to next screen of parameters. 10 Touch STORE to save the new settings. 11 Touch YES when the STORE ALL CHANNEL DEFAULTS message is displayed.
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Ultraview Care Network Table 7: Varitrend 3 Parameter Configuration Available User Settings Factory Defaults 25 to 95% or Off Off Bradycardia Limit (event 3) 0 to150 BPM or Off Off Tachycardia Limit (event 3) 100 to 300 BPM or Off Off Apnea Limit (event 3) 10- to 40-seconds or Off Off SpO2 Limit (event 3) 25 to 95% or Off Off Bradycardia Limit (event 4) 0 to150 BPM or Off Off Tachycardia Limit (event 4) 100 to 300 BPM or Off Off Apnea Limit (event 4) 10- to 40-seconds or Off Off Sp
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Module Configuration Manager Non-Invasive Blood Pressure To review or change NIBP settings: 1 2 3 4 5 6 7 Touch ECG. Touch SETUP. Touch CONFIG. Touch the hidden key 3 times. Touch USER SETTINGS. Select NIBP. Use CURSOR↑ and CURSOR↓ to scroll through the parameter description list. 8 Use ↑ and ↓ to change the settings. 9 Touch NEXT PAGE to continue to next screen of parameters. 10 Touch STORE to save the new settings. 11 Touch YES when the STORE ALL CHANNEL DEFAULTS message is displayed.
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Ultraview Care Network Table 9: NIBP Alarm Attributes Available User Settings Factory Defaults Y,N N Y,N N Diastolic H,M,L,N M Y,N N Y,N N Mean H,M,L,N M Y,N N Y,N N No Reading H,M,L,N N Y,N N Y,N N System Fault H,M,L,N L Y,N N Y,N N Remove Cuff H,M,L,N H Y,N N Y,N Y H = High; M = Medium; L = Low; N = None; Y = Yes; N = No User Settings Factory Defaults M User Settings Available User Settings H,M,L,N User Settings Systolic Alarm Type 7-24 Alarm Watch Fa
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Module Configuration Manager Temperature Factory Defaults Temperature 1 Alarms On/Off Off High Alarm Limit 0.1° - 50.0°C 37.5°C Low Alarm Limit 0.0° - 49.9°C 36.5°C On/Off Off High Alarm Limit 0.1° - 50.0°C 37.5°C Low Alarm Limit 0.0° - 49.9°C 36.5°C On/Off Off High Alarm Limit 0.1° - 50.0°C 2.0°C Low Alarm Limit 0.0° - 49.9°C 0.
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Ultraview Care Network Invasive Pressure To review or change Invasive Pressure settings: Module Configurations with ECG 1 2 3 4 5 6 7 Touch ECG. Touch SETUP. Touch CONFIG. Touch the hidden key 3 times. Touch USER SETTINGS. Select PRESSURE. Use CURSOR↑ and CURSOR↓ to scroll through the parameter description list. 8 Use ↑ and ↓ to change the settings. 9 Touch NEXT PAGE to continue to next screen of parameters. 10 Touch STORE to save the new settings.
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Module Configuration Manager Table 13: Pressure Parameter Configuration Table (Channel 2) Parameter Available User Settings Factory Defaults ICP, LAP, RAP, CVP, PA, ART, UA, UV, or PRS PA On/Off/Auto Off 10 to 500 mmHg 50 mmHg Filter Frequency 3, 8, 12, 15, 18, 21, 25, 30, 35, 40 Hz 12 Hz Sweep Speed 50, 25, 12.5, 6.25 mm/sec.
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Ultraview Care Network Table 14: Invasive Pressure Parameter Configuration (Channel 3) Parameter Available User Settings Factory Defaults ICP, LAP, RAP, CVP, PA, ART, UA, UV, or PRS PRS On/Off/Auto Off 10 to 500 mmHg 200 mmHg 3, 8, 12, 15, 18, 21, 25, 30, 35, 40 Hz 12 Hz 50, 25, 12.5, 6.25 mm/sec.
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Module Configuration Manager Table 15: Pressure Parameter Configuration Table (Channel 4) Parameter Label (P4) Scales Top of Scale Available User Settings Factory Defaults ICP, LAP, RAP, CVP, PA, ART, UA, UV, or PRS CVP On/Off/Auto Off 10 to 500 mmHg 50 mmHg 3, 8, 12, 15, 18, 21, 25, 30, 35, 40 Hz 12 Hz 50, 25, 12.5, 6.
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Ultraview Care Network Table 16: Invasive Pressure Alarm Attributes Factory Defaults H Y,N Y Y,N Y CH1 Diastolic H,M,L,N H Y,N Y Y,N Y CH1 Mean H,M,L,N H Y,N Y Y,N Y CH1 CCP H,M,L,N H Y,N Y Y,N Y CH2 Systolic H,M,L,N H Y,N Y Y,N Y CH2 Diastolic H,M,L,N H Y,N Y Y,N Y CH2 Mean H,M,L,N H Y,N Y Y,N Y CH2 CCP H,M,L,N H Y,N Y Y,N Y CH3 Systolic H,M,L,N H Y,N Y Y,N Y CH3 Diastolic H,M,L,N H Y,N Y Y,N Y CH3 Mean H,M,L,N H Y,N Y Y,N Y CH3
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Module Configuration Manager To review or change SpO2 settings: Module Configurations with ECG 1 2 3 4 5 6 7 Touch ECG. Touch SETUP. Touch CONFIG. Touch the hidden key 3 times. Touch USER SETTINGS. Select SPO2. Use CURSOR↑ and CURSOR↓ to scroll through the parameter description list. 8 Use ↑ and ↓ to change the settings. 9 Touch NEXT PAGE to continue to next screen of parameters. 10 Touch STORE to save the new settings. Module Configurations without ECG 1 2 Touch TEMP. Refer to steps 4 though 10 above.
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Ultraview Care Network Table 18: SpO2 Alarm Attributes Factory Defaults H Y,N Y Y,N Y Low Limit H,M,L,N H Y,N Y Y,N Y Adapter Disconnected H,M,L,N L N N N Y,N N Sensor Disconnected H,M,L,N L N N N Y,N N Sensor Off Patient H,M,L,N L N N N Y,N N Insufficient Signal H,M,L,N L N N N Y,N N Light Interference H,M,L,N L N N N Y,N N Noisy Signal H,M,L,N L N N N Y,N N Low Signal Strength H,M,L,N N N N N Y,N N User Settings Available User Setting
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Module Configuration Manager Transferring User-Defined Settings To transfer user-defined settings from the module into the monitor: Module Configurations with ECG 1 2 3 4 5 6 Touch ECG. Touch SETUP. Touch CONFIG. Touch the hidden key 3 times. Touch TRANSFER SETTINGS. Select YES. Once you have configured the settings on your module you may transfer these settings to the monitor for subsequent retrieval into other modules. (Refer to Retrieving User-Defined Settings on page 7-33.
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Ultraview Care Network Restoring Factory Settings To restore factory settings: Module Configurations with ECG 1 2 3 4 5 6 Touch ECG. Touch SETUP. Touch CONFIG. Touch the hidden key 3 times. Touch FACTORY DEFAULTS. Select YES. The Factory Default feature changes the user-configurable settings for all parameters in the module to the factory default settings. ! • Alarm ON/OFF status and alarm limits for all parameters are reset to the factory default settings.
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ECG Directory Directory of Keys E C G ECG MENU ALARM LIMITS SIZE LEAD CONTROL SETUP DISPLAY FORMAT SUSPEND PROCESSING RELEARN PRINT REVIEW ECG - REVIEW ST REVIEW REPORT REVIEW ARRHYTHMIA REVIEW REAL TIME ST TREND PRINT MENU ARR CLASSES ST SEGMENTS ALL LEADS PRINT ALL CANCEL PRINT ECG - RELEARN CLEAR MEMORY SAVE MEMORY TREND DISPLAY ON ECG - SUSPEND PROCESSING YES OFF TREND TIMEBASE 15 MIN / 30 MIN NO ECG - DISPLAY FORMAT SPLIT VIEW FULL VIEW ON OFF ON OFF 2 LEAD ON OFF RESP ON OFF
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ECG Contents Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 ECG Setup. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Display Detail. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Selecting Adult or Neonate Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Monitoring Paced Patients. . . . .
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Ultraview Care Network The ECG function: • detects and displays a waveform representing each cardiac cycle • determines lead configuration options • displays heart rate (heart rate is computed from an average of eight beats with a provision for immediately updating the heart rate should the rate slow suddenly) • detects pacemaker pulses • initiates ECG-related alarms when limits are violated • acquires, displays, and prints diagnostic-quality 12-lead reports ECG traces for multiple leads can be
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ECG Accessories WARNING: • Use only monitoring cables and safety lead wires to protect against accidental connection to electrical power cords or outlets. Failure to do so may result in adverse health consequences or death. Use silver/silver-chloride electrodes or their equivalent, and always connect all electrodes required for a particular lead. Missing electrodes may result in the loss of ECG tracing. ! • Use only Spacelabs Medical recommended electrodes.
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Ultraview Care Network Patient Preparation and Electrode Application To prepare the patient: 1 2 3 4 5 Wash area with soap and water. If necessary, shave the area where you plan to position the electrodes. Clean the skin with alcohol. Dry the skin thoroughly. Abrade the skin. To apply ECG electrodes: 1 2 Attach electrode to lead wire. Apply electrode to patient skin. To set up for ECG monitoring, first attach lead wires to the patient cable or telemetry transmitter.
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ECG Table 1 lists electrode color and identifier codes.
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Ultraview Care Network RA RA LA LL LL Maximum Impedance Change: Alternate Method: Position RA and LA electrodes at the nipple level, midaxillary line. Position LL below the diaphragm, preferably below the umbilicus. Position RA and LA electrodes at the 2nd intercostal space, midclavicular line. Position LL below the diaphragm, preferably below the umbilicus.
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ECG Display Detail ! • For telemetry display information refer to Display Detail on page 17-12. Your ECG display may differ from the one shown here depending on: 1) the type of monitor you are using, 2) the options in your module, 3) which functions you have enabled, and 4) which patient type you have selected. The illustrations below show the displays with arrhythmia and ST analysis ON. * II E C G I MON PACED A/M 10 ST=0.00 ROW 4 A=3 120 40 * AVR 70 II AVL I 0.16 II 0.00 III 1.
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Ultraview Care Network 씉 씊 * 123/90 25/12 II E C G RR=23 NIBP=155/100 SPO2=99% MON PACED ST=0.
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ECG ! • If the enhanced vital sign display feature is enabled, you can view SpO2, respiration rate, and non-invasive pressure in the ECG zone on central or remote bedside monitors. However, no alarms are active. Selecting Adult or Neonate Mode To specify the patient type: 1 2 3 4 Touch ECG. Touch SETUP. Touch CONFIG. Select ADULT or INFANT. The ECG function provides both adult and neonate operational modes. When you select adult or infant, ECG alarm limits are adjusted based on your selection.
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Ultraview Care Network WARNING: • ECG detection circuitry may continue to count the pacemaker rate during occurrences of cardiac arrest or some arrhythmias. Do not rely entirely upon ECG rate alarms. Keep pacemaker patients under close surveillance. To check capture threshold: 1 2 3 4 5 6 7 8 9 10 11 12 13 8-12 Touch ECG. Touch SETUP. Select PACED NO. Select EXTENDED. Touch SWEEP SPEED. Select 50 mm/sec. Perform capture threshold verification procedure according to your protocol. Touch ECG.
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ECG Setting and Adjusting Alarms To set or adjust rate alarms: 1 2 3 4 5 Touch ECG. Touch ALARM LIMITS. Touch ALARMS ON. Touch HI = or LO = key. Use arrow keys to adjust. ECG alarms default to the ON position when the module is inserted into a monitor that is powered ON.
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Ultraview Care Network Alarms Table 2 displays the conditions for which an alarm may be initiated.
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ECG WARNING: • Following a lead switch and until the patient’s rate and morphology are learned, some ECG alarms are not active. Alarms for ventricular fibrillation and asystole continue to be active; however, some ECG alarms (high rate, low rate, run, couplet, abnormal per minute, and tachycardia) are not. Displaying Additional Waveforms To display six traces (requires a 12-lead cable): Multiple ECG traces can be displayed by selecting either FULL VIEW, SPLIT VIEW, 2ND LEAD or CASCADE.
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Ultraview Care Network Adjusting Sweep Speed To adjust the sweep speed: 1 2 3 4 Touch ECG. Touch SETUP. Touch SWEEP SPEED. Select the desired sweep speed. The sweep speed determines the speed at which the ECG traces move across the screen. When multiple ECG traces are displayed, changes to SWEEP SPEED affect all waveform traces. Available sweep speeds are 12.5, 25, or 50 mm/second. The factory default setting is 25 mm/second.
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ECG Changing the Display Resolution To change the display resolution: 1 2 3 Touch ECG. Touch SETUP. Select MONITOR or EXTENDED. The MONITOR/EXTENDED key determines the display resolution of the ECG traces. • • The Monitor mode displays a reduced frequency range, but filters out more noise for better viewing. The Extended mode displays a broader frequency range, and also more noise.
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Ultraview Care Network Suspending/Resuming ECG Processing To suspend ECG processing: 1 2 3 Touch ECG. Touch SUSPEND PROCESSING. Touch YES. When you touch YES in the Suspend Processing menu, ECG and respiration waveforms continue to be displayed, but no processing occurs. If you touch NO, the display returns to the ECG menu without affecting ECG and respiration processing. When you suspend ECG processing: • To resume ECG processing: 1 2 3 Touch ECG. Touch RESUME PROCESSING. Touch YES.
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ECG Restoring Default Settings To restore default settings: 1 2 3 4 Touch ECG. Touch SETUP. Touch RESTORE SETTINGS. Select YES. Using the Module Configuration Manager feature, you can restore all default settings. User-configurable settings are described in Setting User-Defined Default Values on page 7-7. After the default settings are restored, the system initiates a learn sequence. Following the learn sequence, rate and ST alarm limits are reset.
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Ultraview Care Network Noise Detection Upon detection of noise, a NOISY SIGNAL message is displayed in the ECG waveform zone. If both the 1st and 2nd leads are noisy, the module suspends processing temporarily. If the noise persists for 10-seconds, the system sounds a tone. When the noise disappears, the message and tone cease.
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ECG Troubleshooting Guide Clinical Situation AC noise Possible Cause ■ ■ ■ Baseline wanders Low amplitude ECG ■ ■ ■ Respiration artifact. ■ ■ Electrodes dry. ■ ■ ■ ■ ■ ■ ■ Excessive alarms Patient cable entwined with other electrical devices. ■ Patient moving excessively. ■ No ECG trace Electrodes dry. ■ ■ ■ Module won’t learn Display resolution set to extended mode (0.05 to 150 Hz). Solution ■ ■ ■ ■ Skin improperly prepared.
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