User's Manual
Table Of Contents
- Installation
- Basic Operation
- Introducing the IntelliVue MP2
- Controls, Indicators and Connectors
- Extending Measurements
- Operating and Navigating
- Operating Modes
- Understanding Screens
- Using the XDS Remote Display
- Using the Visitor Screen
- Understanding Profiles
- Understanding Settings
- Changing Measurement Settings
- Switching a Measurement On and Off
- Adjusting a Measurement Wave
- Using Labels
- Using IntelliVue Cableless Measurements
- Changing Monitor Settings
- Checking Your Monitor Revision
- Getting Started
- Disconnecting from AC Mains Power
- Monitoring After a Power Failure
- Networked Monitoring
- Capturing Alarm Reports and Printing
- What's New?
- What's New in Release J.0
- Flexible, Patient-oriented Workflow (with PIIC iX only)
- Alarm Functionality Enhancements
- Capture 12-Lead ECG Enhancements (with PIIC iX only)
- New "End Afib" and "End Irregular HR" Alarms
- Integrated Pulmonary Index for Microstream CO2
- Improved Visibility of Gridlines in Overlapping Waves
- Timeout for "Aged" Numerics
- What's New in Release H.0
- What's New in Release G.0?
- What's New in Release F.0?
- What's New in Release J.0
- Alarms
- Patient Alarms and INOPs
- Managing Patients and Equipment
- Patient Concepts
- Equipment Concepts
- Managing Patients
- Transferring Patients
- Managing Equipment
- Adding Equipment (PIIC iX)
- Removing Equipment
- Equipment Status Disputes
- Using the Equipment Window
- When Multiple Equipment is Used for One Patient
- Own Patient Overview Window
- Visual Alarm Status Information in the Own Patient Overview Window
- Assigning a Telemetry Transceiver with an SRR Adapter to a Monitor
- Controlling Other Devices from the Bedside
- Viewing and Silencing Other Device Alarms at the Bedside
- Switching Off or Pausing Alarms From Other Devices
- Using Standby
- ECG Source Tracking at the Information Center
- Synchronized Settings
- Information Center Compatibility
- ECG, Arrhythmia, ST and QT Monitoring
- Skin Preparation for Electrode Placement
- Connecting ECG Cables
- Selecting the Primary and Secondary ECG Leads
- Checking Paced Mode
- Understanding the ECG Display
- Monitoring Paced Patients
- Changing the Size of the ECG Wave
- Changing the Volume of the QRS Tone
- Changing the ECG Filter Settings
- Selecting Positions of Va and Vb Chest Leads (for 6-lead placement)
- Choosing EASI or Standard Lead Placement
- About ECG Leads
- ECG Lead Fallback
- ECG Lead Placements
- Capture 12-Lead
- Viewing the Realtime 12-Lead ECG
- Capturing the 12-Lead ECG
- Changing Settings for a Captured 12-Lead ECG
- Storing and Sending the 12-Lead ECG
- Printing the 12-Lead ECG
- Downloading Analysis Results (PIIC iX only)
- Reviewing Previewed or Stored 12-Lead Captures
- Information Center Remote Export (PIIC iX only)
- Information Center Remote Lock/Unlock (PIIC iX only)
- Capture 12-Lead Pop-up Keys
- Setting Up the 12-Lead ECG
- EASI ECG Lead Placement
- ECG and Arrhythmia Alarm Overview
- Using ECG Alarms
- ECG Safety Information
- About Arrhythmia Monitoring
- Switching Arrhythmia Analysis On and Off
- Choosing an ECG Lead for Arrhythmia Monitoring
- Understanding the Arrhythmia Display
- Arrhythmia Relearning
- Arrhythmia Alarms
- About ST Monitoring
- Switching ST or STE On and Off
- Understanding the ST Display and Windows
- Updating ST Baseline Snippets
- About the ST Measurement Points
- ST Alarms
- STE Alarms
- Viewing ST Maps
- About QT/QTc Interval Monitoring
- QT Alarms
- Switching QT Monitoring On and Off
- Monitoring Pulse Rate
- Monitoring Respiration Rate (Resp)
- Monitoring SpO2
- SpO2 Sensors
- Applying the Sensor
- Connecting SpO2 Cables
- Measuring SpO2
- Understanding the SpO2 Numerics
- Assessing a Suspicious SpO2 Reading
- Changing the Averaging Time
- Setting the Measurement Mode
- Understanding SpO2 Alarms
- Pleth Wave
- Perfusion Numeric
- Perfusion Change Indicator
- Setting SpO2/Pleth as Pulse Source
- Setting Up Tone Modulation
- Setting the QRS Volume
- Monitoring NBP
- Introducing the Oscillometric NBP Measurement
- Preparing to Measure NBP
- Starting and Stopping Measurements
- Enabling Automatic Mode and Setting Repetition Time
- Enabling Sequence Mode and Setting Up The Sequence
- Choosing the NBP Alarm Source
- Switching Pulse from NBP On/Off
- Assisting Venous Puncture
- Calibrating NBP
- Monitoring Temperature
- Monitoring Invasive Pressure
- Setting up the Pressure Measurement
- Zeroing the Pressure Transducer
- Adjusting the Calibration Factor
- Displaying a Mean Pressure Value Only
- Changing the Pressure Wave Scale
- Optimizing the Waveform
- Non-Physiological Artifact Suppression
- Choosing the Pressure Alarm Source
- Calibrating Reusable Transducer CPJ840J6
- Calculating Cerebral Perfusion Pressure
- Monitoring Carbon Dioxide
- Using a Telemetry Device and a Monitor (PIIC only)
- Enhancing Telemetry Monitoring with the Monitor
- Trends
- Recording
- Printing Patient Reports
- Starting Report Printouts
- Stopping Reports Printouts
- Setting Up Reports
- Setting Up Individual Print Jobs
- Checking Printer Settings
- Printing a Test Report
- Switching Printers On or Off for Reports
- Dashed Lines on Reports
- Unavailable Printer: Re-routing Reports
- Checking Report Status and Printing Manually
- Printer Status Messages
- Sample Report Printouts
- Care and Cleaning
- Using Batteries
- Maintenance and Troubleshooting
- Accessories
- ECG/Resp Accessories
- Invasive Pressure Accessories
- 5-Electrode One Piece Cables
- Set Combiners and Organizers
- NBP Accessories
- SpO2 Accessories
- Temperature Accessories
- Mainstream CO2 Accessories
- Sidestream CO2 Accessories
- Mainstream CO2 Accessories (for M3016A)
- Microstream CO2 Accessories
- Battery Accessories
- Specifications
- Indications for Use
- Use Environment
- Restricted Availability
- Manufacturer's Information
- Symbols
- Installation Safety Information
- Monitor Mounting Precautions
- Altitude Setting
- Monitor Safety Specifications
- EMC And Radio Regulatory Compliance
- Out-Of-Hospital Transport - Standards Compliance
- Physical Specifications
- Environmental Specifications
- Monitor Performance Specifications
- Monitor Interface Specifications
- 865297 Battery Extension Specifications
- M4607A Battery Specifications
- M4605A Battery Specifications
- Measurement Specifications
- Safety and Performance Tests
- Default Settings Appendix
- Country-Specific Default Settings
- Alarm and Measurement Default Settings
- Alarm Default Settings
- ECG, Arrhythmia, ST and QT Default Settings
- Pulse Default Settings
- Respiration Default Settings
- SpO2 Default Settings
- NBP Default Settings
- Temperature Default Settings
- Invasive Pressure Default Settings
- CO2 Default Settings
7 ECG, Arrhythmia, ST and QT Monitoring
152
Recording The QT Waves
To start a recording,
•Select
Record QT.
QT Alarms
There are two QT alarms, QTc high limit alarm and QTc high alarm. The QTc high limit alarm is
generated when the QTc value exceeds the set limit for more than 5 minutes. The QTc alarm is
generated when the difference between the current value and the baseline value exceeds the set limit
for more than 5 minutes.
The
Cannot Analyze QT INOP and the -?- will be displayed when no QT measurement could be
calculated for 10 minutes. Up to this time the previous valid value will be displayed. The following
additional messages on the cause of the invalid measurements may also be displayed.
Switching Individual QTc Alarms On and Off
Each QTc alarm can be switched off individually.
To switch an alarm on or off, in the
Setup QT Analysis menu, select QTc Alarm or ΔQTc Alarm to
toggle between
On and Off.
Changing QTc Alarm Limits
Set the high alarm limits based on your assessment of the patient's clinical condition, unit protocols,
physician orders or medication specified limits.
1 In the Setup QT Analysis menu, select High Limit.
2 Select the appropriate setting.
Additional Message Cause of Invalid QT Measurement
QT Startup QT monitoring was just turned on or has been reset
Asystole or Leads Off 1 Not all specified leads needed to perform QT analysis are
available, or
2 Asystole condition is detected
Too few N labeled beats Not enough valid QRS complexes to generate a QT measurement
Invalid Rhythm for QTc Not enough valid RR intervals to generate QT-HR, the averaged HR
used for QTc calculation
High QT-HR QT-HR exceeds the specified upper limit of 150 bpm (for adults) or
180 bpm (for neonates and pediatrics)
Small R Wave R-wave of the signal is too small
Small T Wave T-wave of the signal is too small
End of T not Detected End of the T-Wave cannot be accurately detected
QT out of Range QT measurement is outside the specified range of valid QT values
(200-800 msec)
QTc out of Range QTc measurement is outside the specified range of valid QTc values
(200-800 msec)
QTc Erratic QTc measurements are not stable