User's Manual
Table Of Contents
- Instructions for Use
- 1 Introduction and Basic Operation 7
- 2 Monitoring with the IntelliVue Cableless Measurements 19
- 3 Monitoring SpO2 25
- 4 Monitoring NBP 33
- 5 Technical Alarms (INOPs) 41
- 6 Care and Cleaning 47
- 7 Maintenance and Troubleshooting 51
- 8 Integrated Battery Handling 53
- 9 Accessories 55
- 10 Specifications 59
- Index 73
- Introduction and Basic Operation
- Introducing the IntelliVue Cableless Measurements
- Operating and Navigating
- Switching the Devices On and Off
- Screen Layout
- Standard Layout
- 1 Connection status indicator
- 2 Indicator that alarming capability has been transferred to the host (to the monitor or, for the telemetry device, to the Information Center). No patient alarms will be announced on the Cableless Measurement Device.
- 3 Battery indicator
- 4 Measurement values
- 5 Measurement-related symbols (see the measurement chapters for details)
- 6 Patient identification (from a monitor or telemetry device)
- 1 Connection status indicator
- 2 Battery indicator
- 3 Measurement values
- 4 Measurement-related symbols (see the measurement chapters for details) The Alarms Off symbols indicate that no physiological alarms are available from the Cableless Measurement Devices when not assigned to a host.
- 5 Patient identification (from a monitor or telemetry device)
- INOP Layout
- Low-Activity Screen
- Standard Layout
- When a Cableless Measurement Device Cannot be Activated
- Using the Hard Keys
- Using the SmartKeys
- Using the Main Setup Menu
- Operating Modes
- Using the Patient Menu
- Using Profiles
- Setting the Date and Time
- Charging IntelliVue Cableless Measurement Devices
- Monitoring with the IntelliVue Cableless Measurements
- Monitoring SpO2
- NOTE
- SpO2 Sensors
- Connecting SpO2 Sensors
- 1 Connect the sensor to the single patient Mobile CL SpO2 Cradle (if not already connected).
- 2 Insert the SpO2 Pod into the Mobile CL SpO2 Cradle. The correct orientation is indicated by a matching blue dot inside the cradle.
- CAUTION
- Removing the Pod from the Cradle
- Applying the Sensor
- 1 Choose a finger of the patient that matches the sensor dimension in a way that the sensor optical components are properly aligned and the sensor is neither too loose nor applies too much pressure to the finger. For small pediatric patients consider...
- 2 Remove colored nail polish from the application site.
- 3 Apply the sensor to the patient. The application site should match the sensor size so that the sensor can neither fall off, nor apply excessive pressure. See the sections below for details on applying the different sensors.
- 4 Check that the light emitter and the photodetector are directly opposite each other. All light from the emitter must pass through the patient's tissue.
- WARNING
- Measuring SpO2
- Selecting Measurement Modes
- Understanding SpO2 Numerics and Symbols
- Assessing a Suspicious SpO2 Reading
- Changing the Averaging Time
- Understanding SpO2 Alarms
- Perfusion Numeric (only available on the Patient Monitor)
- Monitoring NBP
- Introducing the Oscillometric NBP Measurement
- Preparing to Measure NBP
- 1 Attach the cradle to the NBP cuff and insert the NBP Pod into the cradle.
- 2 Plug the air tubing into the NBP Pod. Hold the flat part of the connector vertically when plugging it into the inlet, then twist it clockwise to lock into place. Avoid compression or restriction of pressure tubes. Air must pass unrestricted through...
- 3 Make sure that you are using a Philips-approved correct sized cuff and that the bladder inside the cover is not folded or twisted.
- 4 Apply the cuff to the upper arm at the same level as the heart. If it is not at heart level, you must use the measurement correction formula to correct the measurement.
- CAUTION
- Additional Information
- Using a Carrying Pouch
- 1 Apply the cuff as described in step 4 above.
- 2 Secure the pouch on the patient, with the upper ties around the patient's head and arm and the lower ties around the patient's torso.
- 3 Insert the NBP Pod into the cradle.
- 4 Attach the extension hose to the NBP Pod in the cradle.
- 5 Insert the NBP cradle into the pouch
- 6 Connect the extension hose to the cuff.
- Starting and Stopping Measurements
- Enabling Automatic Mode and Setting Repetition Time
- Enabling Sequence Mode and Setting Up The Sequence
- 1 In the NBP menu, select Mode and select Sequence from the pop-up menu.
- 2 Select Setup Sequence to open the Setup Sequence menu.
- 3 Select each phase in turn (A, B, C and D) and select the number of measurements and the time interval between the measurements.
- 4 To have measurements continue after the sequence, set the number of measurements for your last phase to Cont and this phase will run indefinitely.
- CAUTION
- Understanding the NBP Numerics and Symbols
- Correcting the Measurement if Limb is not at Heart Level
- Switching Pulse from NBP On/Off
- Assisting Venous Puncture
- Calibrating NBP
- Technical Alarms (INOPs)
- Care and Cleaning
- Maintenance and Troubleshooting
- WARNING
- Inspecting the Equipment and Accessories
- 1 Examine unit exteriors for cleanliness and general physical condition. Make sure that the housings are not cracked or broken, that everything is present, that there are no spilled liquids and that there are no signs of abuse.
- 2 Inspect all accessories (cables, sensors and so forth). If any show signs of damage, do not use them.
- WARNING
- Maintenance Task and Test Schedule
- Troubleshooting
- Disposing of the IntelliVue Cableless Measurement Devices
- Integrated Battery Handling
- Accessories
- Specifications
- WARNING
- Intended Use
- Manufacturer's Information
- Symbols
- Installation Safety Information
- Safety Specifications
- EMC And Radio Regulatory Compliance
- IntelliVue CL SpO2 Pod Specifications
- IntelliVue CL NBP Pod Specifications
- Alarm Specifications
- Telemetry Device Battery Runtime Specifications
- IntelliVue CL Charging Station Specifications
- IntelliVue CL Transmitter Base Station Specifications
- Safety and Performance Tests
- Electromagnetic Compatibility (EMC) Specifications
- Accessories Compliant with EMC Standards
- Electrosurgery Interference/Defibrillation
4
33
4Monitoring NBP
The IntelliVue CL NBP Pod uses the oscillometric method for measuring NBP. The blood pressure
measurements determined with this device comply with the American National Standard for
Electronic or Automated Sphygmomanometers (ANSI/AAMI SP10:2002/(R)2008 + A1:2003/
(R)2008) in relation to mean error and standard deviation, when compared to auscultatory
measurements (depending on the configuration) in a representative patient population. The fifth
Korotkoff sound was used to determine the diastolic pressure.
The accuracy of the mean arterial pressure (MAP) was validated by comparative laboratory testing to
the M3000A Multi-Measurement Server using an NBP simulator and a patient signal database. The
accuracy of the MAP of the M3000A was validated in a clinical evaluation using the intra-arterial
reference method.
The NBP measurement is suitable for use in the presence of electrosurgery and during the discharge of
a cardiac defibrillator according to IEC 60601-2-30:1999/EN 60601-2-30:2000.
A physician must determine the clinical significance of the NBP information.
Introducing the Oscillometric NBP Measurement
Oscillometric devices measure the amplitude of pressure changes in the occluding cuff as the cuff
deflates from above systolic pressure. The amplitude suddenly increases as the pulse breaks through
the occlusion in the artery. As the cuff pressure decreases further, the pulsations increase in amplitude,
reach a maximum (which approximates to the mean pressure), and then diminish.
Studies show that, especially in critical cases (arrhythmia, vasoconstriction, hypertension, shock),
oscillometric devices are more accurate and consistent than devices using other noninvasive measuring
techniques.
WARNING
Patient Category: Do not use the IntelliVue CL NBP Pod on neonatal patients. The initial inflation
pressure and overpressure safety limits are too high for neonatal patients and could cause fractures and
bruises.
Intravenous infusion: Do not use the NBP cuff on a limb with an intravenous infusion or arterial
catheter in place. This could cause tissue damage around the catheter when the infusion is slowed or
blocked during cuff inflation.
Skin Damage: Do not measure NBP in cases of sickle-cell disease or any condition where skin
damage has occurred or is expected.