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The IntelliVue Monitor product family

Philips Healthcare Information Supply Chain – CMS3456, Product Overview

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M8105A – MP5 Measurements

ECG/ Resp

SpO2

Telemetry as a Parameter (TAAP)

NBP

Press

Temp

CO2 Respironics mainstream/ sidestream

Microstream CO2 G1/G5 gas modules Predictive Temp

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M8001A/M8002A – IntelliVue MP20/30 Features • 10.4” (26cm) TFT monitor, SVGA resolution • 3 waves standard, 4 waves optional • Navigation point • Touchscreen (MP30) • Light weight, 5.8 kg (incl. MMS and 1 battery) • LAN (except MP20 Junior) • Built-in recorder optional • Battery operation optional (2 Li-Ion, hot swap, up to 5 hours) • Wireless Network (802.11 or IIT) optional

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M8001A #M20 – IntelliVue MP20 Junior Features • MP20 Junior is based upon the MP20 • Has the same features as the MP20, with a few differences: – Only 3 waves available – No built-in LAN connection, networking not possible – Standard battery operation with one battery included – Only supports ICU and Neonatal application software – Only supports a limited number of hardware interfaces – Full Arrhythmia is not possible • MP20 Junior is obsoleted Philips Healthcare Information Supply Chain – CMS3456, Product Overview

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M8001A/M8002A – IntelliVue MP20/30 Measurements • • • • • • • • • • • •

Supports MMS and extension ECG Standard and EASI Full Arrhythmia Respiration ST Analysis SpO2 NBP Pressure or Temp – 2 x optional Cardiac Output – optional extension CO2 – optional extension BIS – optional (interface slot) G1 and G5 Gas Modules when using the RS232 interface board

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M8003A/M8004A – IntelliVue MP40/50 Features • • • • • • • •

12” (30.5cm) TFT monitor, SVGA resolution 4 or 6 waves Navigation point Touchscreen (MP50) LAN Portal technology support 4-slot rack standard Battery operation optional (2 Li-Ion, up to 5 hours) • Wireless Network (802.11 or IIT) - optional

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M8003A/M8004A – IntelliVue MP40/50 Measurements • MMS and MMS Extensions • Max. 4 modules: – IBP, Temp – EEG, BIS – C.O – M1020B (for dual SpO2) – VueLink / IntelliBridge – Spirometry – Recorder With MIB/RS232 interface • AGM (5-Agt) • G1 and G5 Gas Module (M1013A/M1019A)

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M8005A/M8007A – IntelliVue MP60/70 Features • • • • • • • • • •

15” (38cm) TFT monitor, XGA resolution 4, 6 or 8 waves Speed point (option with MP70) Touch screen (MP70) LAN Portal technology support – optional Internal rack with 2 slots - option FMS support Wireless Network (802.11) - optional Full Arrhythmia

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M8005A/M8007A – IntelliVue MP60/70 Measurements Adjustable to the level of care: • MMS • 1 FMS (8-slots)

• MMS Extension

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M8008A – IntelliVue MP80 Measurements Adjustable to the level of care: • MMS • 1 FMS (8-slots)

• MMS Extension

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M8010A – IntelliVue MP90 Features • Same architecture as MP80, but adds an optional 2nd mainboard – Supports second independent display – Adds a second slave video output • LAN • 6, 8 or 12 waves • Portal technology support • D80 device adds 3rd independent display

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M8010A – IntelliVue MP90 second independent display • • • •

Two displays can be operated independently Displays can have different screens Choose where menus and pop-up keys appear Input devices operate display/CPU to which they are physically connected MP90 CPU MP90 CPU

Display 1

Display 2

&

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M8010A – IntelliVue MP90 third independent display • Combination of MP90 with 2 displays & D80 • 3 displays can be operated independently monitoring one patient • Up to 3 remote SpeedPoints available: 2 on MP90 & 1 on D80 MP90 CPU MP90 CPU

D80 CPU

Display 1

Display 2

&

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Display 3

&

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M8010A – IntelliVue MP90 Measurements Adjustable to the level of care: • MMS • 2 FMS (16-slots)

• MMS Extension

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M8048A Flexible Module Rack • Eight slots for plug-in measurement modules • The MMS M3001A or X2 M3002A with or without the available measurement server extensions can be mounted (optional) • Handle (left and right) – Standard • Mount for BIS module • Not supported by MP2 … MP50

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Modules supported by MP60/70/80/90 • M1006A/B Press (1) • M1029A Temp (1) • M1018A TcpO2 (3) • M1027A EEG (4) • M1012A CO (1, 6)

(4) Requires >= D.0

(3)

• M1032A VueLink

(2) to use in MP60/70 internal module slot SW Rev >= E.0 is required (3) not supported in the MP60/70 internal module slot

• M1034A BIS (2)

• M1021A SvO2

(1) to use in MP60/70 internal module slot SW Rev >= B.05.67 is required

(1)

• M1116B Recorder • M1020B SpO2 (5)

• M1014A Spirometry (3, 4) • IntelliBridge EC10 module (7)

(5) to use in MP60/70 internal module slot SW Rev >= B.1 is required (6) for use of PiCCO +, SW rev E.0 is required (7) SW rev. G.0 or higher is required, G.0 patch is a must for nearly all drivers

With MIB/RS232 interface • M1026A AGM (5-Agt)

• M1026B new AGM • M1013A G1 Gas Module • M1019A G5 Gas Module Philips Healthcare Information Supply Chain – CMS3456, Product Overview

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M3001A Multi Measurement Module • Basic Measurement – ECG/Resp. with EASI – SpO2 – NBP – Multi-lead Arrhythmia Analysis – Multi-lead ST-Analysis • 8 hour of data storage – Measurements – Patient demographics – Alarm settings – Calibration data

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M3012A Hemodynamic Extension Basic • Temp • Pressure • Pressure / Temp Optional • #C05 Cardiac Output • #C10 Cardiac Output / PiCCO

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M3014A Capnography Extension • #A01 Capnography Extension only • #A02 Capnography Extension with Mainstream CO2 Sensor • #C05 Capnography Extension with Press, Press/Temp and C.O. • #C07 Capnography Extension with Press, Press/Temp • #C10 Capnography Extension with Press, Press/Temp, C.O. and PiCCO

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M3015A/M3015B Microstream CO2 Extension • M3015A Microstream® CO2 Extension – MicrostreamTM CO2 – #C06 Pressure/Temp is optional • M3015B Microstream CO2 Extension – MicrostreamTM CO2 – #C06 combined Press/temp – #C08 dual Press + temp – Requires SW H.0 or greater Philips Healthcare Information Supply Chain – CMS3456, Product Overview

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M3016A CO2 Extension • M3016A Mainstream CO2 Extension – Mainstream CO2 – Pressure/Temp

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MP2/X2 with measurement extensions

M3016A

M3015A

M3014A

M3012A

M3015B

Extensions are not operable with battery powered MP2/X2, only when powered from Host Monitor (X2 only) or external Power Supply Philips Healthcare Information Supply Chain – CMS3456, Product Overview

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M8026A – Remote SpeedPoint® • Can be mounted remotely, up to 25m. • Interfaces two PS/2 computer devices • Five buttons (F1 to F5) for direct operation – SW Rev. A-D: default mapping to the first 5 SmartKeys on the screen – SW Rev. E and higher: mapping can be user configured • Bundled with the MP80/90, optional for MP20 to MP70 (not MP20 Junior) • Requires appropriate interface #J23

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Objectives: After completion of this section you will be able to: • Describe the basics of these clinical measurements: – ECG

– Respiration – SpO2 – NBP – Invasive blood pressure – Cardiac output – CO2

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ECG • Standard 3-electrode lead set: – Monitors lead I, II or III • Standard 5-electrode lead set: – Monitors lead I, II, llI, aVR, aVL, aVF, V and MCL • EASI 5-electrode lead set: – Monitors lead I, II, llI, aVR, aVL, aVF, V1, V2, V3, V4, V5 and V6 – EASI Electrode layout – Select EASI in the ECG setup

• Traditional 10-electrode lead set: – Monitors lead I, II, llI, aVR, aVL, aVF, V1, V2, V3, V4, V5 and V6 Philips Healthcare Information Supply Chain – CMS3456, Product Overview

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3-electrode set

• Lead I, II or III can be measured • Only one at the time • One electrode is needed for reference

LA

RA I

III

II

LL

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5-electrode set

• Lead I, II, III, aVR, aVL, aVF, V and MCL are measured

LA

RA aVR

• All available all the time

V

• RL electrode is used for reference

aVF RL

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aVL

LL

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10-electrode set

Traditional electrode placement • Lead I, II, III, aVR, aVL, aVF, V1, V2, V3, V4, V5 and V6 are measured • All available all the time • RL electrode is used for reference • Diagnostic 12 lead ECG

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10-electrode set

Modified electrode placement “Mason-LiKar Lead System”

• In Setup ECG select Mod. Leadplacement and change to ON

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EASI 5-electrode set • In Setup ECG select Lead Placement and change to EASI • Electrode placement and setting need to match • Measures leads AI, AS and ES

• Lead I, II, III, aVR, aVL, aVF, V1, V2, V3, V4, V5 and V6 are available

S

I

E

A

RL

• RL electrode is used for reference • ECG can not be used for Diagnostic purposes Philips Healthcare Information Supply Chain – CMS3456, Product Overview

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ECG - skin preparation • Poor skin preparation can create artifact that distorts the ECG signal

Slow Movement

Rapid Movement

Very Slow Movement, Breathing Philips Healthcare Information Supply Chain – CMS3456, Product Overview

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ECG - skin preparation • • • •

Remove excess hair Clean the area with soap and water- removes excess oils and dirt Avoid alcohol as it drys the skin too much. Use a skin prep pad - light abrasion reduces resistance by up to 334K ohms.

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ECG – applying electrodes • Use quality electrodes - All electrodes selected should be of the same brand and type to help minimize noise. • Avoid pressing directly on the electrode center since it spreads the gel out and may create air pockets that contribute to noise. • Attach the lead wire to each electrode before applying the electrode. • Electrodes that are packaged together in large quantities should be used shortly after the packaging is open or the packaging should be tightly re-sealed since extended exposure to air will dry out electrodes

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Respiration • Respiration is measured between two electrodes: – In standard mode between RA and LL – In EASI mode between I and A • Measures impedance change over the chest • Wave and respiration rate can be displayed

Note: the orange colored OR cable sets do not provide Respiration! Philips Healthcare Information Supply Chain – CMS3456, Product Overview

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SpO2 • SpO2 measurement depends on the option of the MMS: – #A01: FAST® technology: Supports all Philips sensors and selected Nellcor and Masimo sensors via adapter cable – #A02: FAST® technology, but Nellcor OxiMax® sensor compatible. This option is discontinued and in support phase – #A03: Masimo SET® technology, supports Masimo sensors only – #A04: Nellcor OxiMax® technology, supports Nellcor OxiMax sensors only • Pleth and numeric value can be displayed

• SpO2 can be source for Pulse • An Alarm delay can be configured Philips Healthcare Information Supply Chain – CMS3456, Product Overview

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The IntelliVue “cake”

Configuration

- Controls the monitor behaviour - Can be copied across monitors

Applications

- For instance: ST Map, Admit screen or ECG acquisition

Services and I/F managers

Operating System Bootcode

Hardware

- Provide data and hardware control to OS(operative syst) and applications - Reliable and real-time - I/F with Measurement devices - Identity of the Monitor - Low level communication - Power on Self Test - Initializing hardware

Boot order Philips Healthcare Information Supply Chain – CMS3456, Product Overview

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Como los datos fluyen a traves del sistema

Aplicaciones Y servicios

Datos de AdquisiciĂłn o Disp. de entrada

Interface manejador

Proveedor De datos

OS & Services

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Display Y dispositivos De usuario

Datos Redes y salidas

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MDSE Interface manager MDSE = Medical Data Service Element - FMS Internal IP address

MDSE

Internal LAN Internal IP address

MSL connector

- MMS

External IP address

MDSE Philips LAN

Ethernet;UTP CAT5;RJ45 connector

Information Center

The MDSE Interface Manager: • Establishes & maintains communication • Exchanges real-time data and status information

• Configuration information about remote device Philips Healthcare Information Supply Chain – CMS3456, Product Overview

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MP40/50 exterior MMS Mount

4-Slot Rack

Power supply

Powerplug

Battery Compartment

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MP40 building blocks Battery Board

Rack Board

Power Supply Backlight Inv. Board

LCD Assembly

4 Modules

I/O Boards Main Board

System Interface Board

ECG Out

MSL I/F

Dual MIB/ RS232 Interface Parallel Printer Interface Flexible Nurse Call Relay I/F Dual PS2 Interface Remote Device Interface 802.11 Interface USB Interface LAN (wireless) LAN (wired) Bas. Alarm Relays Slave Video out Docking

MMS CPU

Panel Adapter Flex Philips Healthcare Information Supply Chain – CMS3456, Product Overview

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MP50 building blocks Battery Board

Rack Board

4 Modules

Power Supply I/O Boards LCD Touch Assembly Panel

Main Board

System Interface Board

Backlight Inv. Board

Touch Controller

MSL I/F

Dual MIB/ RS232 Interface Parallel Printer Interface Flexible Nurse Call Relay I/F Dual PS2 Interface Remote Device Interface 802.11 Interface USB Interface LAN (wireless) LAN (wired) Bas. Alarm Relays Slave Video out Docking

MMS CPU

ECG Out

Panel Adapter Flex Philips Healthcare Information Supply Chain – CMS3456, Product Overview

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MMS Block Diagram

CPU

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Analog part

NBP Pump

Floating/non-Float. Iso.

MSL

Bank of I/Os

Digital part

P/T SpO2 ECG/ Resp

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FMS Block Diagram

DC/DC CPU MSL

Mother Board Bank of I/Os Module Slot 8

Module Slot 7

Module Slot 6

Module Slot 5

Module Slot 4

Module Slot 3

Module Slot 2

Module Slot 1

*Modules Block Diagrams are the same as with CMS Philips Healthcare Information Supply Chain – CMS3456, Product Overview

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Power Supply • Provides DC power to the mainboard • Provides cooling of the monitor (MP60/70) • Power supply special functions: – Stores the serial number of the monitor • After replacing the power supply, you have to manually enter the serial number into the power supply memory using the Support Tool

– Stores software level and options of monitor

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Main Board • Holds the Processor, Operating software and configuration • Stores software level and options of monitor • Holds DC/DC power converters • Provides two LAN interfaces – To the MMS (and FMS) via the MSL – To the IntelliVue Clinical Network (ICN)

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IntelliVue basic alarm behaviour A new alarm on the monitor is announced using four indicators: • • • •

Alarm sound Alarm LEDs Alarm message Blinking numeric

• Selecting the Silence button will only stop the sound and the LEDs. The other two still continue as long as the alarm condition exists. Silence only applies to the active alarm. • The message and blinking numeric will disappear when the patient‟s condition goes back within alarm limits. Philips Healthcare Information Supply Chain – CMS3456, Product Overview

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Alarms Suspend time The duration for which alarms are suspended can be configured: • 1, 2 or 3 minutes: this creates a “ALARMS PAUSED MM:SS” message in the top right of the screen that counts down until the time is up. Alarms will automatically be switched on after the countdown expires.

• Infinite: this creates a “ALARMS OFF” message that does not count down. Alarms are switched off until they are manually switched on again!

• Suspending alarms applies to all alarms!

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Alarm Reminder • Will be activated if the user has silenced an alarm, but the alarm condition is still present after a configured time (1/2/3 minutes). • Three configuration choices: – Off – On (the monitor will just produce 6 short beeps as reminder tone) – ReAlarm (the original alarm will be completely re-activated)

Upper Alarm Limit

Lower Alarm Limit

AlarmAlarm silenced Philips Healthcare Information Supply Chain – CMS3456, Product Overview

Alarm reminder

Time

48


Alarm latching switched off

Upper Alarm Limit

Lower Alarm Limit

Time Audible and visible alarm

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Alarms latched - audible on, visible on

Upper Alarm Limit

Lower Alarm Limit

Time Audible and visible alarm until silence key is pressed

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Alarms latched – audible off, visible on

Upper Alarm Limit

Lower Alarm Limit

Time Audible and visible alarm

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Visible alarm until silenced

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Alarm Trigger delay This setting only applies to SpO2. Two trigger delays can be set independently. The graphic below illustrates the effect of the settings.

% SpO2

Upper Alarm Limit

Lower Alarm Limit

Desat AlarmtLimit

Desat Alarm ´Trigger Time

´Trigger Time

Time

Yellow SpO2 Low Alarm

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Alarm stars • The number of stars in the alarm description does not correspond to timeouts or level of severity – *** = all red alarms – ** = yellow alarms. These alarms stay active with sound and alarm LEDs on the monitor until the Silence key is pressed or the condition stops – * = yellow short alarms. These alarms only notify the user with a short alarm tone, after which the sound and LEDs disappear automatically. • Yellow arrhythmia alarms can be configured to have two stars • Inop alarms do not have a star rating

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Interface slots on MP20/30/40/50

System interface board

Additional interface boards

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System Interface Board for MP20/30/40/50 • Mandatory on MP20-MP50, except on MP20 Junior • All system interface boards provide LAN connection • Some provide Video Out, Wireless LAN, nurse call, docking interface, or MSL connection, depending on options and monitor • Three choices available: – Standard – Advanced (#J40) – Docking (#J50) • MP20/30 and MP40/50 have the

same option numbers, but the boards are different in size!

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Philips mounting solution: the Quick Release Mount • Option #E22 • Consists of a male and female component • Comes standard with MP40/50/60/70 • Does not come standard with MP5/MP5T/MP20/30, except in the US. These monitors are equipped with a standard fixed mount if #22 is not ordered

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MP5 mounting solutions • Either the Quick Mount (#E22, standard in the US) or Mounting Adapter, part M8105-60310 (default if #E22 was not ordered)

• A low cost roll stand is also available (#989803153021)

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MP 20/30 Basic Mounting Interface • The Quick Release Mount solution (#E22) is not standard for these monitors, except in the US

• A Standard fix mounting interface is built-in in each MP20/30, if #E22 is not ordered. Part no: M8001-64033

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Global settings • • • • •

Are not part of a profile Can be changed in Config mode Are directly stored after change Are configured at installation Since Rev. E country settings are loaded in the factory, older Rev. have US settings as factory defaults • Path: Main Setup Global Settings • A complete outline and explanation of the Global Settings is available in the Configuration Guide Philips Healthcare Information Supply Chain – CMS3456, Product Overview

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Measurement settings • Each profile can have a choice of different predefined measurement settings. These relate directly to individual measurements such as measurement on/off, measurement color, alarms limits, NBP alarm source, NBP repeat time, temperature unit (oF or oC) or pressure unit (mmHg or kPa).

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Battery Status LED AC Power LED (green)

Power On Led (green) Error LED (red) Philips Healthcare Information Supply Chain – CMS3456, Product Overview

Battery LED (green/red/yellow) 61


Battery Status LED AC Power LED (green)

Power On Led (green) Error LED (red) Philips Healthcare Information Supply Chain – CMS3456, Product Overview

Battery LED (green/red/yellow) 62


Battery gauge on screen

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Battery status icons

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Battery Status window

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Batteries need conditioning

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865432 – Smart battery charger LG 1480 • Distributed by Philips • Charges & conditions up to 4 batteries • Handles batteries of M3/4 and MP2MP50 • Adaptor needed for MP2/X2 batteries. Part no. 4512 610 17451 • For specs see monitor User Manual

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General Support Overview Device

PM / PA Interval

PM needed

(*) see next slides for details

Calibration

PA needed

All monitor Models

2 years

M8105: NBP/CO2 check and calibration

M3001A

2 years

NBP check

NBP cal

M3002A

2 years

NBP check

NBP cal

M3012A

2 years

No

No

Unit exchange*

M3014A

2 years

No

No

Unit exchange*

M3015A/B

1 year or 4000 hrs of use

CO2 check

CO2 cal

Unit exchange*

M3016A

2 years

No

No

Unit exchange*

Philips Healthcare Information Supply Chain – CMS3456, Product Overview

According to the instructions in the Service Guide, chapter „Testing and Maintenance‟

Repair Strategy Component replacement Unit exchange* Component replacement

68


PM tests • Performance tests with calibration – NIBP – Microstream CO2 (in MP5 or M3015A) • M3015A old HW also needs scrubber/pump replacement

• Performance Tests without calibration

• Safety test

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NIBP calibration • To be performed once every two years, or more often if specified by law • Required tools: – Reference manometer – Expansion chamber (volume 250 ml +/- 10%) – Appropriate tubing

• Consists of four tests: – Accuracy test – Leakage test – Linearity test – Valve test • Perform tests according the Service Guide Philips Healthcare Information Supply Chain – CMS3456, Product Overview

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CO2 calibration for M3015A or M8105A • To be performed once a year or after 4000 hours continuous use and following repair or replacement of any instrument parts • Required tools: – Standard tools (screwdrivers, tweezers…) – Electronic flow meter – Cal gas 1 and Cal gas 2 – Cal gas flow regulator – Cal tube, calibration line, leakage test kit, flexible connection tube • You need the barometric pressure at your altitude (from nearby weather station or airport) • Perform tests according the Service Guide Philips Healthcare Information Supply Chain – CMS3456, Product Overview

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CO2 check for M3014A • To be performed once a year or after 4000 hours continuous use and following repair or replacement of any instrument parts • Required tools: – Three airway adaptors – Verification gas – Gas cylinder regulator • You need the barometric pressure at your altitude (from nearby weather station or airport)

• Perform tests according the Service Guide

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Performance tests • For individual parameters • To be performed once every two years or if the measurement is suspected to be incorrect • Mainstream and Sidestream CO2 Accuracy Check and Flow Check is required once a year • Required tools: – Depend on parameter, usually a calibrated Patient simulator

• Perform tests according the Service Guide

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Visual checks Check for obvious problems: • Are all cables connected properly? • Are there any damaged cables or connectors? • Other clear signs of damage? MSL problems due to rough use. These kind of damages can lead to all sorts of errors such as power, networking and even ECG synchronization! More information on a renewed MSL design available in SB86201183A

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Visual checks • MMS related problems due to: – Rough handling

– Using aggressive cleaning agents

– Rough repairs

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Interpreting the monitor LEDs

1.

2.

3.

4.

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1. Power on LED (green). Should be on continuously when the monitor is switched on 2. Error LED (red). Only switched on shortly during system boot, should be off in normal conditions 3. Battery operated monitors indicate battery status with a multi-color LED 4. AC Power LED (green). Should be on continuously when connected to AC mains 76


Boot sequence - monitor

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Troubleshooting Battery LED Battery LED Colors

If the monitor is connected to AC power, this means

Green

batteries full (>90%)

Yellow

batteries charging

Red, flashing

Red, flashes intermittently

If the monitor is running on battery power, this means

less than 10 minutes power

battery malfunction

Red, flashes once when on standby switch is pressed

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battery malfunction not enough battery power left to power monitor

78


Interpreting the FMS LEDs Module LEDs (green). Blink once or twice during boot sequence or after inserting into module slot

“Ready” LED (green). Should be on continuously

Error LED (red). Should be off. Only switches on at system bootup

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Boot sequence - FMS

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Interpreting the MMS LEDs Power LED (green), indicating +5V. Should be on continuously

HW A/B

HW C

CPU status LED (yellow). Should be blinking once per second Error LED (red). Should be off. Only switches on at system bootup Both are CPU status LED (yellow). Should be both blinking once per second, if they are off that is an indication of power problems Error LED (red). Should be off. Only switches on at system bootup

NOTE: On some MMS the LED might not be existent, so don‟t rely only on the LED status Philips Healthcare Information Supply Chain – CMS3456, Product Overview

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Interpreting system messages and INOPs • System messages appear in the bottom-left corner. Every new message is also accompanied by a single beep sound

• INOPs appear in the top left corner. Tap on them or use Alarm Review for an explanation

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Using the Service Guide to solve problems • The troubleshoot section of the Service Guide contains troubleshooting tables that are structured by symptom • Let‟s view some examples

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Example 1: Display is blank

The user has stated they have a MP70 and the display is blank.

You turn the monitor on. You watch the LED boot sequence: The Red Error LED blinks and the monitor will not boot.

What could this mean?

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ACTIVIDADES DE SERVICIO • Actividades de servicio en los monitores PHILIPS • Cambiar las baterías cada 3 años. • Hacer ciclos de carga y descarga de batería con el modulo de baterías o con el monitor. • El mantenimiento y calibración de los monitores es de cada 2 años • El modulo de CO2 se debe realizar mantenimiento y calibración cada año o 4000horas. • Los chequeos de seguridad se deben hacer cada 2 años o después de una reparación

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Monitor Philips MP40  

This presentation contains information about the service maintenance for biomed.

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