Philips Medical Systems North America SRRBV1 Dual Short Range Radio Module User Manual ait fm manual en 2010 09 06

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Instructions for Use

IntelliVue Cableless

Measurements

IntelliVue CL SpO2 Pod and CL

NBP Pod

Release A.0

Patient Monitoring

Part Number 453564199661

Printed in Germany 07/10

*453564199661*

1Table of Contents

1Introduction and Basic Operation 7

Introducing the IntelliVue Cableless Measurements 8

Operating and Navigating 11

Operating Modes 15

Using the Patient Menu 16

Using Profiles 17

Setting the Date and Time 17

Charging IntelliVue Cableless Measurement Devices 17

2Monitoring with the IntelliVue Cableless Measurements 19

IntelliVue Cableless Measurements Use Models 19

Assigning an IntelliVue Cableless Measurement Device to a Patient Monitor or Telemetry Device 20

Controls Available with a Patient Monitor 22

Controls Available With a Telemetry Device 23

3Monitoring SpO2 25

SpO2 Sensors 25

Connecting SpO2 Sensors 26

Applying the Sensor 27

Measuring SpO2 28

Selecting Measurement Modes 28

Understanding SpO2 Numerics and Symbols 29

Assessing a Suspicious SpO2 Reading 30

Changing the Averaging Time 30

Understanding SpO2 Alarms 30

Perfusion Numeric (only available on the Patient Monitor) 31

4Monitoring NBP 33

Introducing the Oscillometric NBP Measurement 33

Preparing to Measure NBP 35

Starting and Stopping Measurements 36

Enabling Automatic Mode and Setting Repetition Time 37

Enabling Sequence Mode and Setting Up The Sequence 37

Understanding the NBP Numerics and Symbols 38

Correcting the Measurement if Limb is not at Heart Level 38

Switching Pulse from NBP On/Off 38

Assisting Venous Puncture 39

Calibrating NBP 39

5Technical Alarms (INOPs) 41

Display of INOPs 41

Acknowledging an INOP 41

Displaying a List of Current INOPs 41

Setting the Volume of the INOP Tone 42

Reference List of all INOPs 42

6Care and Cleaning 47

General Points 47

Cleaning and Disinfecting the IntelliVue Cableless Measurements 48

7Maintenance and Troubleshooting 51

Inspecting the Equipment and Accessories 51

Maintenance Task and Test Schedule 51

Troubleshooting 52

Disposing of the IntelliVue Cableless Measurement Devices 52

8Integrated Battery Handling 53

Battery Care 53

Handling Precautions 53

Storage 54

Battery Lifetime Management 54

9Accessories 55

IntelliVue CL SpO2 Pod Accessories 55

IntelliVue CL NBP Pod Accessories 56

Miscellaneous Accessories 57

10 Specifications 59

Intended Use 59

Manufacturer's Information 59

Symbols 60

Installation Safety Information 61

Safety Specifications 61

EMC And Radio Regulatory Compliance 61

IntelliVue CL SpO2 Pod Specifications 63

IntelliVue CL NBP Pod Specifications 65

Alarm Specifications 68

Telemetry Device Battery Runtime Specifications 69

IntelliVue CL Charging Station Specifications 69

IntelliVue CL Transmitter Base Station Specifications 70

Safety and Performance Tests 72

Electromagnetic Compatibility (EMC) Specifications 72

Accessories Compliant with EMC Standards 72

Electrosurgery Interference/Defibrillation 72

Index 73

1Introduction and Basic

Operation

These Instructions for Use are for clinical professionals using the IntelliVue Cableless Measurements

and their respective accessories together with IntelliVue Patient Monitors MP5/MP5T, MP2 or X2 or

with the IntelliVue Telemetry System Transceiver TRx4841A/TRx4851A for monitoring and

recording arterial oxygen saturation, pulse rate and non-invasive blood pressure of adult and pediatric

patients.

This section gives you an overview of the cableless measurements and how they are used. The

remaining sections tell you how to perform individual measurements, and how to care for and

maintain the equipment.

Familiarize yourself with all instructions including warnings and cautions, and attend one of the

training courses, before starting to make measurements with patients. Read and keep the Instructions

for Use that come with any accessories, as these contain important information about care and

cleaning that is not repeated here.

When using the IntelliVue Cableless Measurements with an IntelliVue Patient Monitor or the

telemetry system, refer to and adhere to all warnings in the Instructions for use of the respective

device.

In this guide:

•A warning alerts you to a potential serious outcome, adverse event or safety hazard. Failure to

observe a warning may result in death or serious injury to the user or patient.

•A caution alerts you to where special care is necessary for the safe and effective use of the

product. Failure to observe a caution may result in minor or moderate personal injury or damage

to the product or other property, and possibly in a remote risk of more serious injury.

IntelliVue Cableless Measurements refers to the IntelliVue Cableless Measurements product family

consisting of the IntelliVue CL SpO2 Pod and IntelliVue CL NBP Pod with their accessories and

auxiliary devices such as the IntelliVue CL Charging Station. Display refers to the physical display of

the CL device. Screen refers to everything you see on the IntelliVue CL measurement's display, such

as measurement values, patient data and so forth.

1 Introduction and Basic Operation

Introducing the IntelliVue Cableless Measurements

The IntelliVue Cableless Measurements family consists of the following components and their

respective accessories:

The cableless measurement devices provide measurement values on the built-in display and

communicate them to other system components using a wireless short range radio (SRR) interface.

They can also be controlled via SRR from an assigned patient monitor or an IntelliVue Information

Center via a telemetry device. They have an LCD display and three keys for basic operation e.g. to

assign the device to a patient.

IntelliVue CL SpO2 Pod IntelliVue CL NBP Pod

IntelliVue CL Charging Station

1 Introduction and Basic Operation

IntelliVue CL SpO2 Pod

The IntelliVue CL SpO2 Pod is a battery powered, cableless Pulse Oximetry measuring device. It is a

wrist-worn device; you need a Mobile CL SpO2 Cradle to hold the sensor connector in place and a

wristband to fix the cradle to a patient's arm.

Specialized single-patient SpO2 sensors are available for use with the IntelliVue CL SpO2 Pod. For

details regarding the complete set of single-patient supplies, cradle, wristband and sensors, refer to the

Accessories chapter.

IntelliVue CL NBP Pod

The IntelliVue CL NBP Pod is a battery powered, cableless, non-invasive blood pressure (NBP)

measuring device.

To measure NBP, you need a Mobile CL NBP Cradle and Mobile CL Cuffs. The cradle is used to

attach the Pod to the cuffs and to allow easy removal of the Pod.

Specialized single-patient and reusable NBP cuffs are available for use with the IntelliVue CL NBP

Pod. For details regarding the cuffs and single-patient cradle, refer to the Accessories chapter.

IntelliVue CL Charging Station

The IntelliVue CL Charging Station is used to charge the IntelliVue CL SpO2 Pod and the IntelliVue

CL NBP Pod. It contains nine charger slots for IntelliVue Cableless measurement devices. Depending

on its size a measurement device may occupy one or two charger slots at a time.

As soon as a device is placed onto a charger slot, the device will switch on and the charging cycle

begins automatically.

1 Introduction and Basic Operation

If the ambient temperature is high, the built-in fan will switch on automatically to cool the charging

station.

WARNING

Ensure that the charging station does not come into close contact with implanted pacemakers, to avoid

magnetic interference affecting the mode of the pacemaker.

CAUTION

The charging station generates a magnetic field. Do not store magnetic media (such as identity cards or

credit cards with magnetic strips or magnetic tapes/disks) near to the charging station, as the data may

be damaged.

Availability of Patient Alarms

When the Cableless Measurement Devices are used alone, without an assignment to a monitor or

telemetry device, no patient alarms will be generated.

When the Cableless Measurement Devices are assigned to a monitor or telemetry device, alarms may

be announced at the host device.

•When assigned to a monitor: Alarm messages will be displayed and audible alarm indicators

sounded at the monitor in the same way and under the same conditions as for its own

measurements. See the Instructions for Use of the patient monitor for details.

•When assigned to a telemetry device: Measurement values sent via the telemetry device to the

IntelliVue Information Center can generate alarms at the Information Center when the values

meet the criteria set there for alarms. The alarms will be announced in the same way as

measurements from other sources. See the Instructions for Use of the Information Center for

details.

1 Introduction and Basic Operation

Measurement Device Main Parts and Keys

All IntelliVue Cableless Measurement devices have an integrated monochrome LCD display and 3

keys.

Operating and Navigating

The following sections describe operation on the IntelliVue Cableless Measurement device itself. For

operation from a patient monitor, see “Controls Available with a Patient Monitor” on page 22 and for

operation from an Information Center via a telemetry system, see “Controls Available With a

Telemetry Device” on page 23.

The IntelliVue CL Cableless Measurement devices have three hard keys for basic operation and a set

of configurable SmartKeys which appear on the screen. These are used to navigate through the screen

elements and activate the on-screen menus for the individual items.

Switching the Devices On and Off

The first time an IntelliVue Cableless Measurement Device is used, or after a device has been powered

off for storage, place it on the IntelliVue CL Charging Station. This will automatically switch the device

on. For Power Off details, see the IntelliVue Cableless Measurements Service Guide.

To switch off a device manually, select the Main Setup SmartKey, then select Device Off, then

Confirm. Press any key to turn the device on again.

When an IntelliVue Cableless Measurement Device is not operated, it will automatically switch off the

screen lighting after a short time.A little later the low-activity screen will be displayed.

Screen Layout

There are three variations of the Main Screen layout depending on the INOP status and the general

activity level.

1Integrated monochrome LCD display

2Hard keys: ◄, 9, ►

3Measurement identifier

1 Introduction and Basic Operation

Standard Layout

INOP Layout

If an INOP occurs the full INOP message appears at the top of the screen. After the INOP message

has been acknowledged the INOP indicator is shown as an icon on the right side of the screen.

When assigned to a monitor or telemetry device:

1Connection status indicator

2Indicator 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.

3Battery indicator

4Measurement values

5Measurement-related symbols (see the measurement

chapters for details)

6Patient identification (from a monitor or telemetry

device)

When not assigned to a monitor or telemetry device:

1Connection status indicator

2Battery indicator

3Measurement values

4Measurement-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.

5Patient identification (from a monitor or telemetry

device)

1Full length INOP message

2INOP indicator

1 Introduction and Basic Operation

Low-Activity Screen

If the measurement device has not been operated for a while, the screen lighting will switch itself off

and a little later the screen will switch to a pre-configured "low-activity" screen.

When a Cableless Measurement Device Cannot be Activated

If you cannot activate a device by pressing a key, the battery in the device may have been empty for an

extended period of time. In this case, activate the device by placing it on the IntelliVue CL Charging

Station and leave it there until the battery is fully charged.

Using the Hard Keys

The IntelliVue CL Cableless Measurement devices have three hardkeys: ◄, 9, ►.

In the Main Screen, use ◄ and ► to highlight screen elements (e.g. numeric, battery symbol) and

then 9to select that element and activate the corresponding menu.

The three hardkeys also have an additional function when the key is held down for a couple of

seconds:

Using the SmartKeys

A SmartKey is a graphical key which appears on the screen and gives you fast access to functions.

Smart Keys Menu

Press the 9 hardkey (without any screen element highlighted) to get to the SmartKeys menu.

◄opens the Add To screen to assign a device

9opens the SmartKeys menu

►returns to the Main Screen. If already on the Main Screen, it locks the keys and a lock symbol

appears on the screen above the battery symbol.

1 Introduction and Basic Operation

Use the ◄ and ► hardkeys to move along the row of SmartKeys. The highlighted SmartKey is

displayed in full above the row of SmartKeys. When you use the ◄ or ► hardkey at the end of the

row, an Exit screen appears and then with further presses you move on to the next page of SmartKeys.

To leave the SmartKeys menu you can use the Exit screen or press the ► hardkey for a couple of

seconds to return to the Main Screen.

When the required SmartKey is highlighted, press the 9 key to activate the corresponding function.

To get to the next page of the SmartKeys menu, highlight the rightmost SmartKey then press the ►

key.

List of Available SmartKeys

SmartKey Text Labels

Main Setup

- start/stop manual NBP measurement

- start auto series

- stop current automatic measurement within series

stop any NBP measurement and measurement series

start NBP STAT measurement

start venipuncture (inflate cuff to subdiastolic pressure)

set the NBP repetition time

start an SpO2 measurement

set the SpO2 repetition time

Add/Remove device

enter Battery menu

1 Introduction and Basic Operation

Using the Main Setup Menu

In addition to the hard keys and SmartKeys for the most needed functions, the Main Setup menu gets

you to all settings that can be adjusted for the respective device. Select the Main Setup SmartKey to get

to the Main Setup menu.

Operating Modes

Your device has four operating modes. Some are passcode protected.

•Monitoring Mode: This is the normal, every day working mode that you use for making

measurements. You can change elements such as measurement modes, patient category and so

forth. When you remove the patient from the device, these elements return to their default values.

Changes can be stored permanently only in Configuration Mode. You may see items, such as some

menu options, that are visible but 'grayed out' so that you can neither select nor change them.

These are present for your information only and can be changed only in Configuration Mode.

change Screen

enter Profiles menu

switch device off

enter Patient menu

SmartKey Text Labels

Main Setup

SpO₂

INOPs

Patient

Equipment

User Interface

Device Off

Profiles

Operating Modes

Date, Time

Battery

Revisions

1 Introduction and Basic Operation

•Demonstration Mode: Passcode protected, this is for demonstration purposes only. You must

not change into Demonstration Mode during monitoring.

•Configuration Mode: Passcode protected, this mode is for personnel trained in configuration

tasks. These tasks are described in the Configuration Guide. During installation the Cableless

Measurement Device is configured for use in your environment. This configuration defines the

default settings you work with when you switch on.

•Service Mode: Passcode protected, this is for trained service personnel.

When you switch the device on, it starts up in monitoring mode. To change to a different mode:

1Use the Main Setup SmartKey to get to the Main Setup menu.

2Select Operating Modes and choose the mode you require.

Standby Mode

The IntelliVue Cableless Measurement devices do not have standby mode. However, when connected

to a monitor that is in standby mode, the IntelliVue Cableless Measurement Device will show a

standby screen.

Using the Patient Menu

The Patient menu allows you to see patient demographics information and to remove a patient from a

device. Patient Demographic information is only displayed if the Cableless Measurement Device is

assigned to a patient monitor. Patient Category is the only item of patient data which can be selected

at the Cableless Measurement Device, but only when the device is not assigned to a patient monitor or

telemetry device.

Displaying the Patient Menu

To display the Patient menu,

• select the Patient SmartKey, or

• select the Main Setup SmartKey followed by Patient.

Removing a Patient From The Device

To remove a patient from the Cableless Measurement Device,

•in the Patient menu select Free Device.

All patient data is cleared, settings are reset to the defaults and the device is removed from the monitor

or telemetry device.

Adding a New Patient to the Device

To use a device for a new patient,

•in the Patient menu, select New Patient.

If the device was not free, the existing data will be deleted and the profile set to the default.

1 Introduction and Basic Operation

Using Profiles

A profile is a set of measurement and general settings which have been customized for a particular

purpose. The Cableless Measurement Devices can have four different profiles configured to your

requirements. The default profile is marked with a symbol. To select a different profile,

1Select the Profiles SmartKey or the Main Setup SmartKey followed by Profiles.

2Select the required profile from the list.

Selecting New Patient or Free Device will always reset the profile to the default.

Setting the Date and Time

If the Cableless Measurement Device is assigned to a patient monitor or to a telemetry device, the date

and time will be taken from the host. If this is not the case, you can set the date and time on the

Cableless Measurement Device,

1Select the Main Setup SmartKey and then Date, Time.

2Enter the data for date and time one after another.

3Select Store Date, Time.

If the time has not been set, --:-- will display on the device.

Charging IntelliVue Cableless Measurement

Devices

All IntelliVue Cableless Measurement Devices are battery powered and need to be recharged using the

IntelliVue CL Charging Station. The battery is built in and can only be exchanged by trained service

personnel.

To charge a battery, place it onto a charger slot on the charging station. The NBP Pod should always

be placed on one of the slots in the upper row. The battery power indicators will supply information

about the charge status.

WARNING

• Always use the supplied power cord with the grounded mains plug to connect the charging station

to a grounded AC mains socket. Never adapt the mains plug from the power supply to fit an

ungrounded AC mains socket.

• Do not use AC mains extension cords or multiple portable socket outlets. If a multiple portable

socket outlet without an approved isolation transformer is used, the interruption of its protective

grounding may result in enclosure leakage currents equal to the sum of the individual ground

leakage currents, so exceeding allowable limits.

• Do not connect any devices that are not supported as part of a system.

Battery Power Indicators

There are various indications which help you keep track of the battery power status:

• LEDs on the charging station slots

1 Introduction and Basic Operation

• battery status information on both the device's and the charging station's display

• INOP messages

• battery icon on the patient monitor's screen (when assigned to a patient monitor)

The indicators always show the remaining capacity in relation to the battery's actual maximum capacity,

which may lessen as the battery ages. You can see the actual capacity in the Battery menu.

Charging Station LEDs

The nine charger slot LEDs show the battery status of the device in their slot, and are switched off if

no device is inserted.

If an IntelliVue Cableless Measurement Device is put on a charging station slot, the corresponding

LED will flash yellow until the device and its current state have been identified. Then a beep is issued

and the LED reflects the device's battery status as described in the table below.

The AC Power / Error LED is

• green when the Charging Station is connected to AC power

• cyan during startup or to indicate a general Charging Station error

Battery Status on the Charging Station Display

The IntelliVue CL Charging Station display provides a quick overview of all the connected devices and

their battery status. The screen is arranged in the same layout as the charger slots.

Battery Status on the Cableless Device

All IntelliVue Cableless Measurement Devices show their battery status on their display both in

operating and charging condition. The battery status indicator is located in the lower right corner of

the screen during operation and in the middle of the screen during charging.

Battery Status Menu

Select the battery symbol using the ◄ and ► keys, then press the 9 key to open the Battery menu.

The Battery menu provides the following information: full-charge and remaining capacity, voltage,

current and temperature.

Status LED

no device on charger slot off

device put on charger slot flashing yellow

device not properly recognized, error cyan

device recognized, battery charging yellow

device recognized, battery full (≥90%) green

2Monitoring with the IntelliVue

Cableless Measurements

IntelliVue Cableless Measurements Use Models

With these patient-worn measurement devices you can measure and transmit a patient's vitals regularly

or on an intermittent data collection basis. There are two typical use models:

With a Patient Monitor

The SpO2 and the NBP Pods can be used together with an MP5/MP5T, MP2 or X2 patient monitor

(with a SRR interface). They can communicate their measurement values via short range radio to the

monitor. The monitor may be assigned to a patient sector at the IntelliVue Information Center (IIC).

When assigned to the Information Center, certain actions can be performed at both the patient

monitor and the Information Center. See the table “Controls Available with a Patient Monitor” on

page 22.

In situations where patients are becoming more mobile (for example, in step-down/intermediate care

units) the lightweight, cableless SpO2 and NBP Pods allow increased mobility within the short range

radio range, without giving up vital signs monitoring.

When assigned to a patient monitor, the admitted patient name is displayed on the Pod.

A telemetry device can be assigned to a patient monitor equipped with short range radio at the same

time as any SpO2 and NBP Pods are also assigned to this monitor.

If the connection between the monitor and the NBP Pod or SpO2 Pod is lost, an INOP will be

displayed at the monitor: cl SpO₂ Disconnect or cl NBP Disconnect. A No System Monitor. INOP

will be displayed on the Pod.

With a Telemetry Device

The SpO2 and the NBP Pods can be assigned to a patient with the telemetry device TRx4841A/

TRx4851A. They can communicate their measurement values via short range radio to the telemetry

device which communicates them to an IntelliVue Information Center to provide a consolidated set of

patient values.

Some of the measurement tasks can be performed remotely from the Information Center. See the

table “Controls Available With a Telemetry Device” on page 23.

If the patient name is available at the Information Center, it will be also displayed on the Pod.

2 Monitoring with the IntelliVue Cableless Measurements

When a cableless measurement device is assigned to a telemetry device, it is not possible for the

telemetry device to be wirelessly assigned or directly connected to a patient monitor.

If the connection between the telemetry device and the NBP Pod or SpO2 Pod is lost, an INOP will

be displayed at the Information Center: cl SpO₂ Disconnect or cl NBP Disconnect. A No System

Monitor. INOP will be displayed on the Pod.

Device Compatibility

The Cableless Measurement Devices require the following software levels in the associated equipment:

• Patient Monitor - Release H.0 or above

• Information Center - Release M or above

• Telemetry device TRx4841A/TRx4851A - Revision D.XX

Assigning an IntelliVue Cableless Measurement

Device to a Patient Monitor or Telemetry Device

When an IntelliVue Cableless Measurement Device is used with a patient monitor or telemetry device,

the Cableless Measurement Device must be assigned to that monitor/telemetry device.

The assignment can be done at the Cableless Measurement Device itself (this is the only way for a

telemetry device) or at the patient monitor.

WARNING

Short Range Radio connections are subject to interruption due to interference from other radio

sources in the vicinity, including microwaves, bluetooth devices, WLAN devices (802.11b,g,n) and

DECT phones. Depending on the strength and duration of the interference, the interruption may

occur for an extended period. A loss of connection, due to moving out-of-range, interference, or for

other reasons, is indicated with a No Host Monitoring INOP on the Cableless Measurement Device or

a cl NBP Disconnect or cl SpO₂ Disconnect INOP at the host monitor. Correct channel configuration

is important, refer to the Configuration Guide for details.

Assignment at the Measurement Device

To make an assignment, select:

• the Assignment SmartKey , or

• the connection status symbol (or if the device is not assigned), or

•hold the ◄key pressed.

If the device was not assigned, this opens the Add To menu which lists the available patient

monitors and telemetry devices within the SRR range. In order to save power, the list is only visible for

a short time; the menu is automatically closed after 40 seconds.

2 Monitoring with the IntelliVue Cableless Measurements

A telemetry device must be put into assignment mode by pressing the 9 key on the telemetry device

before it can appear in the list. Pressing the 9 key starts an SRR channel search to find the clearest

channel available. During the search all 4 LEDs flash once per second. The search will take

approximately 20-25 seconds. Once a channel is identified, the first LED will light up and blink once

per second to indicate that the telemetry device is ready for assignment.

1Select a patient monitor or telemetry system using the ◄ and ► keys.

If you select a patient monitor, the measurement selection key on that monitor will change to show

the type of measurement device.

2Activate the assignment by pressing the 9 key twice on the measurement device.

The cableless measurement device is assigned to the selected patient monitor or telemetry device.

A telemetry device plays the assignment tone when the assignment is successful. A patient monitor

issues an assignment prompt message.

If the internal measurement in the patient monitor is active (the measurement selection key is yellow),

you will need to confirm that it should be deactivated in favor of the cableless measurement device you

want to assign. To do this:

1Select the measurement selection key on the monitor.

A prompt message appears with the Confirm and Cancel keys.

2Select Confirm to deactivate the internal measurement.

When the cableless measurement device is assigned, the symbol appears on its display indicating

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.

If the device was assigned, this opens a menu for the patient monitor or telemetry system. To

unassign the measurement device from that monitor or telemetry system, select Remove From. After

confirmation the SRR connection is disconnected.

Assignment at the Patient Monitor

The cableless measurement device must be prepared for assignment by activating the Add/Remove

SmartKey.

At the patient monitor,

1Open the Add Cableless window, e.g. using the measurement selection key followed by the Add

Cbleless pop-up key.

The available cableless measurement devices are shown in the window

2Select the device which you want to assign to the patient in the monitor.

3The monitor displays the assignment prompt message.

If the internal measurement in the patient monitor is active, you will need to confirm that it should be

deactivated in favor of the cableless measurement device you want to assign.

Add To

Mon 1

Mon 2

Tele 33

Tele 44

2 Monitoring with the IntelliVue Cableless Measurements

When the cableless measurement device is assigned, the symbol appears on its display indicating

that alarms from the device will be sent to the patient monitor.

An assigned cableless measurement device can be removed in the Measurement Selection window.

For more details see the Instructions for Use for your patient monitor.

Controls Available with a Patient Monitor

The controls available when the Cableless Measurement Device is assigned to a patient monitor are

described in the table below.

Action At Cableless

Measurement

Device

At Patient

Monitor

At IIC

SpO2

Start SpO2Yes Yes No

Change SpO2 Mode Yes Yes No

Select SpO2 Repetition Time Yes Yes No

Assign SpO2 Pod Yes Yes No

Remove SpO2 Pod Yes Yes No

Change Alarm Limits No Yes No

Place Device in Standby No Yes Yes

Alarm Silence No Yes Yes

Alarm Off/Pause No Yes Yes

NBP

Start/Stop/Stat NBP Yes Yes Yes

Change NBP Mode Yes Yes No

Change NBP Repetition Time Yes Yes No

Change Alarm Limits No Yes No

Assign NBP Pod Yes Yes No

Remove NBP Pod Yes Yes No

Place Device in Standby No Yes Yes

Alarms Silence No Yes Yes

Alarm Off/Pause No Yes Yes

2 Monitoring with the IntelliVue Cableless Measurements

WARNING

If a patient being monitored by Cableless Measurement Devices moves out of range of the patient

monitor, the measurements are available on the Cableless Measurement Device only. They are not

transmitted to the patient monitor or the Information Center. If this occurs, the No Host Monitoring

message is displayed on the measurement device. The measurement device will also sound the INOP

tone. No alarms will be available for the measurements when the devices are out of range, as alarms are

only available on the patient monitor.

Keep the patient monitor with the patient during transport.

Controls Available With a Telemetry Device

The controls available when the Cableless Measurement Device is assigned to a TRx4841/TRx4851A

Transceiver with a short range radio adapter (SRRA) are described in the table below.

Action At the Cableless

Measurement Device

At the IIC

SpO2

Start SpO2Yes Yes

Change SpO2 Mode Yes Yes

Select SpO2 Repetition Time Yes No

Assign SpO2 Pod Yes No

Remove SpO2 Pod Yes Yes

Change Alarm Limits No Yes

Place Device in Standby No No

Alarm Silence No Yes

Alarm Off/Pause No Yes

NBP

Start/Stop/Stat NBP Yes No

Change NBP Mode Yes No

Change NBP Repetition Time Yes No

Change Alarm Limits No Yes

Assign NBP Pod Yes No

Remove NBP Pod Yes Yes

Place Device in Standby No No

Alarms Silence No Yes

Alarm Off/Pause No Yes

2 Monitoring with the IntelliVue Cableless Measurements

NOTE

When you unplug the ECG cable from the telemetry device and plug it into the monitor associated

with the same patient, the ECG source will automatically be from the monitor. The SpO2 and/or NBP

measurement devices assigned to the telemetry device will continue to source data to the telemetry

device and the Information Center. You may need to change screens on the patient monitor to see the

measurements.

NOTE

The SpO2 measurement sourced from the telemetry device (label: SpO2T) has priority over the

IntelliVue CL SpO2 measurement. The SpO2T measurement is sent to the Information Center as long

as it is available and the IntelliVue CL SpO2 measurement is available on the measurement device only.

3Monitoring SpO2

Philips pulse oximetry uses a motion-tolerant signal processing algorithm, based on Fourier artifact

suppression technology (FAST). A sensor is used that transmits light of two different wavelengths

through the tissue of the patient. The measurement principle of pulse oximetry is based on the specific

absorption characteristics of oxyhemoglobin and deoxyhemoglobin and the pulsating arteriolar

vascular bed at the measurement site. It provides four measurements:

• Oxygen saturation of arterial blood (SpO2) - percentage of oxygenated hemoglobin in relation to

the sum of oxyhemoglobin and deoxyhemoglobin (functional arterial oxygen saturation).

• Pleth waveform - visual indication of patient's pulse (only on patient monitor or Information

Center, if assigned).

• Pulse rate (derived from pleth wave) - detected pulsations per minute.

• Perfusion indicator - numerical value for the pulsatile portion of the measured signal caused by

arterial pulsation (only on patient monitor, if assigned).

NOTE

No alarms are generated for SpO2 and Pulse when measuring SpO2 with the SpO2 Pod not assigned to

a host.

SpO2 Sensors

Specialized SpO2 Sensors are available for use with the IntelliVue CL SpO2 Pod. See “Accessories” on

page 55 for details.

Familiarize yourself with the instructions for use supplied with your sensor before using it. In

particular, check that the sensor being used is appropriate for your patient category and application

site.

Additional Information

The following documents contain additional information, depending on which accessories you are

using:

• Mobile CL Single-Patient SpO2 Sensor Instructions for Use

• Mobile CL Reusable SpO2 Sensor1 Instructions for Use

• Mobile CL SpO2 Wristband Instructions for Use

1 may not be available in all geographies

3 Monitoring SpO2

Connecting SpO2 Sensors

1Connect the sensor to the single patient Mobile CL SpO2 Cradle (if not already connected).

2Insert the SpO2 Pod into the Mobile CL SpO2 Cradle. The correct orientation is indicated by a

matching blue dot inside the cradle.

CAUTION

Make sure that the contacts of the SpO2 Pod and the sensor are dry and free of residues.

3Secure the cradle on the patient's arm using the wristband.

a. Feed the free end of the wristband through the slot in the cradle, starting from the underside

of the cradle.

b. Slide the wristband onto the patient's arm and pull the free end until the wristband fits snugly.

c. Close the wristband using the Velcro patch on the free end of the band.

3 Monitoring SpO2

Removing the Pod from the Cradle

To remove the SpO2 Pod from the cradle,

Applying the Sensor

1Choose 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 the thumb. For large adults the little finger

might be suitable.

2Remove colored nail polish from the application site.

3Apply 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.

4Check 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

Loose Sensor: If a sensor is too loose, it might compromise the optical alignment or fall off. If it is

too tight, for example because the application site is too large or becomes too large due to edema,

excessive pressure may be applied. This can result in venous congestion distal from the application site,

leading to interstitial edema, hypoxemia and tissue malnutrition. Skin irritations or lacerations may

occur as a result of the sensor being attached to one location for too long. To avoid skin irritations and

lacerations, periodically inspect the sensor application site and change the application site at least every

four hours.

Venous Pulsation: Do not apply sensor too tightly as this results in venous pulsation which may

severely obstruct circulation and lead to inaccurate measurements.

Ambient Temperature: At elevated ambient temperatures be careful with measurement sites that are

not well perfused, because this can cause severe burns after prolonged application. All listed sensors

operate without risk of exceeding 41°C on the skin if the initial skin temperature does not exceed

35°C.

pull on the Pod at the opening

in the cradle, while holding the

cradle in place on the patient's

arm.

3 Monitoring SpO2

Extremities to Avoid: Avoid placing the sensor on extremities with an arterial catheter, an NBP cuff

or an intravascular venous infusion line.

Measuring SpO2

During measurement, ensure that the application site:

– has a pulsatile flow, ideally with a perfusion indicator value above 1.0 or, if the perfusion

indicator is not available, with signal quality indicator of at least medium.

– has not changed in its thickness (for example, due to edema), causing an improper fit of the

sensor.

WARNING

• For fully conscious pediatric or adult patients, who have a normal function of perfusion and

sensory perception at the measurement site:

To ensure skin quality and correct optical alignment of the sensor, inspect the application site

when the measurement results are suspicious or when the patient complains about pressure at

the application site, but at least every 24 hours. Correct the sensor alignment if necessary.

Move the sensor to another site, if the skin quality changes.

• For all other patients:

Inspect the application site every two to three hours to ensure skin quality and correct optical

alignment. Correct the sensor alignment if necessary. If the skin quality changes, move the

sensor to another site.

Change the application site at least every four hours.

• Injected dyes such as methylene blue, or intravascular dyshemoglobins such as methemoglobin

and carboxyhemoglobin may lead to inaccurate measurements.

• Inaccurate measurements may result when the application site for the sensor is deeply pigmented

or deeply colored, for example, with nail polish, artificial nails, dye or pigmented cream.

• Interference can be caused by:

– High levels of ambient light (including IR warmers) or strobe lights or flashing lights (such as

fire alarm lamps). (Hint: cover application site with opaque material.)

–Another SpO

2 sensor in close proximity (e.g. when more than one SpO2 measurement is

performed on the same patient). Always cover both sensors with opaque material to reduce

cross-interference.

– Electromagnetic interference, especially at perfusion numeric values below 1.0 or signal quality

indicator below medium.

– Excessive patient movement and vibration.

Selecting Measurement Modes

There are three different modes available for making SpO2 measurements:

3 Monitoring SpO2

•Continuous mode - SpO2 is measured continuously until the measurement is switched off.

•Manual mode - a single SpO2 measurement is made when the Start SpO₂ SmartKey or the Start

SpO₂ menu item is selected. One set of values is then displayed with the time the measurement was

made.

•Automatic mode - a series of measurements is made with an interval between them. The interval

is selected using the Repeat Time SmartKey or the Repeat menu item. The measurement starts

automatically when automatic mode is selected.

The values measured in manual mode or automatic mode will be displayed for one hour. After that the

values are regarded as invalid and are no longer displayed.

Understanding SpO2 Numerics and Symbols

SpO2 Signal Quality Indicator

The SpO2 numeric is displayed together with a signal quality indicator (if configured and enough space

is available) which gives an indication of the reliability of the displayed values.

The level to which the triangle is filled shows the quality of the signal; the indicator below shows a

medium signal quality, the signal quality is at a maximum when the triangle is completely filled.

1SpO2 numeric

2Pulse rate numeric

3Symbol indicating pulse rate

4Measurement mode - indicates here that Auto

mode is active and shows the time to the next

measurement.

5Alarms Off symbol for Pulse

6Timestamp

7Alarms Off symbol for SpO2

Note: The Alarms Off symbols indicate that no physiological alarms are available from the Cableless

Measurement Devices when not assigned to a host.

1SpO2 Quality Indicator

3 Monitoring SpO2

Assessing a Suspicious SpO2 Reading

Traditionally, pulse rate from SpO2 was compared with heart rate from ECG to confirm the validity of

the SpO2 reading. With newer algorithms, such as FAST-SpO2, this is no longer a valid criteria because

the correct calculation of SpO2 is not directly linked to the correct detection of each pulse.

When pulse rate is very low, or strong arrhythmia is present, the SpO2 pulse rate may differ from the

heart rate calculated from ECG but this does not indicate an inaccurate SpO2 value.

If you doubt the measured SpO2, use the signal quality indicator (if available) or, when used with a

patient monitor, the pleth wave and perfusion indicator on the monitor to assess the signal quality.

WARNING

With pulse oximetry, sensor movement, ambient light (especially strobe lights or flashing lights) or

electromagnetic interference can give unexpected intermittent readings when the sensor is not

attached. Especially bandage-type sensor designs are sensitive to minimal sensor movement that might

occur when the sensor is dangling.

Changing the Averaging Time

Depending on the monitor configuration, you may be able to change the averaging time for the SpO2

values.

The averaging time represents the approximate time period used for the calculation. The exact

averaging time also depends on the signal conditions. The longer the averaging time, the longer the

time needed until the SpO2 values reflect the physiological event. The same averaging is applied to all

numerical values: SpO2, pulse rate and Perfusion Index (only available at the patient monitor). Fast

averaging is useful for situations where an extremely fast measurement is required or few artifacts are

expected. Use slow averaging where you expect the number of artifacts to be relatively high.

1In the SpO₂ menu, select Average.

2Select the required averaging time from the list.

Understanding SpO2 Alarms

If you are using the SpO2 pod with an assigned patient monitor, you will see SpO2 alarms and pulse

rate alarms (if configured) on the monitor.

There is a delay between a physiological event at the measurement site and the corresponding alarm at

the host system. This delay has two components:

• The general system delay time is the time between the occurrence of the physiological event and

when this event is represented by the displayed numerical values. This delay depends on the

algorithmic processing and the configured averaging time. The longer the averaging time

configured, the longer the time needed until the numerical values reflect the physiological event.

3 Monitoring SpO2

• The time between the displayed numerical values crossing an alarm limit and the alarm indication

on the monitor. This delay depends on the host system.

Refer to the Instructions for Use of the monitor for information about the SpO2 and pulse rate alarms.

Perfusion Numeric (only available on the Patient

Monitor)

The perfusion numeric (Perf) gives a value for the pulsatile portion of the measured signal caused by

the pulsating arterial blood flow.

You can also use the perfusion numeric as a quality indicator for the SpO2 measurement. Above 1 is

optimal, between 0.3-1 is acceptable. Below 0.3 is marginal; reposition the sensor or find a better site.

3 Monitoring SpO2

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.

4 Monitoring NBP

Unattended measurement: Use clinical judgement to decide whether to perform frequent

unattended blood pressure measurements in cases of severe blood clotting disorders because of the

risk of hematoma in the limb fitted with the cuff.

CAUTION

If you spill liquid onto the equipment or accessories, particularly if there is a chance that it can get

inside the tubing or the measurement device, contact your service personnel.

Measurement Limitations

Measurements are impossible with heart rate extremes of less than 40 bpm or greater than 300 bpm, or

if the patient is on a heart-lung machine.

The measurement may be inaccurate or impossible:

• with excessive and continuous patient movement such as shivering or convulsions

• if a regular arterial pressure pulse is hard to detect

• with cardiac arrhythmias

• with rapid blood pressure changes

• with severe shock or hypothermia that reduces blood flow to the peripheries

• with obesity, where a thick layer of fat surrounding a limb dampens the oscillations coming from

the artery

• on an edematous extremity.

The effectiveness of this sphygmomanometer has not been established in pregnant, including pre-

eclamptic patients.

Measurement Modes

There are four modes for measuring NBP:

•Manual - measurement on demand.

•Auto - continually repeated measurements (between one minute and 24 hours adjustable interval).

•Sequence - up to four measurement cycles which will run consecutively, with number of

measurements and interval between them configurable for each cycle.

•STAT - rapid series of measurements over a five minute period, then the monitor returns to the

previous mode. Use only on supervised patients.

Reference Method

The measurement reference method is always Auscultatory (manual cuff). For further information, see

the Application Note supplied on the documentation DVD.

4 Monitoring NBP

Preparing to Measure NBP

1Attach the cradle to the NBP cuff and insert the NBP Pod into the cradle.

2Plug 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 the tubing.

3Make sure that you are using a Philips-approved correct sized cuff and that the bladder inside the

cover is not folded or twisted.

A wrong cuff size, and a folded or twisted bladder, can cause inaccurate measurements. The width

of the cuff should be in the range from 37% to 47% of the limb circumference.

4Apply 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

Make sure that the air vent, located next to the air tubing connector on the NBP Pod, is not

covered during operation. If air cannot enter the air vent, the pump may be damaged.

Apply the cuff so that the NBP Pod is located at the outside of the arm. The bladder of the cuff is

then automatically over the artery. Make sure that the D-ring is not over the artery as this can lead

to missing or inaccurate readings. Do not wrap the cuff too tightly around the limb. It may cause

discoloration, and ischemia of the extremities. Inspect the application site regularly to ensure skin

quality and inspect the extremity of the cuffed limb for normal color, warmth and sensitivity. If the

skin quality changes, or if the extremity circulation is being affected, move the cuff to another site

or stop the blood pressure measurements immediately. Check more frequently when making

automatic or stat measurements.

Additional Information

The following documents contain additional information, depending on which accessories you are

using:

• Mobile CL Reusable NBP Cuffs Instructions for Use

4 Monitoring NBP

• Mobile CL Single-Patient NBP Cuffs Instructions for Use

• Mobile CL NBP Cradle Instructions for Use

• Mobile CL Extension Air Hose Instructions for Use

Using a Carrying Pouch

As an alternative to fixing the NBP Pod on the cuff, you can insert it in a telemetry pouch which can

be worn. In this case the NBP Pod is connected via an extension hose to the cuff.

1Apply the cuff as described in step 4 above.

2Secure 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.

3Insert the NBP Pod into the cradle.

4Attach the extension hose to the NBP Pod in the cradle.

5Insert the NBP cradle into the pouch

6Connect the extension hose to the cuff.

See the Accessories chapter for ordering details for pouches and extension hose.

Starting and Stopping Measurements

Use the setup menu or SmartKeys to start and stop measurements.

Action to be Performed NBP Setup menu SmartKeys

Start manual measurement

Start Auto series

Start/Stop

Start STAT measurement Start NBP Stat

Start NBP STAT

Stop Manual measurements Start/Stop

Start/Stop

Stop current Auto measurement Start/Stop

Start/Stop

Stop current STAT measurement and

end STAT mode

Start/Stop

Stop Auto, Manual or STAT

measurement, end STAT mode AND

Auto/Sequence series

Stop All

4 Monitoring NBP

CAUTION

Use clinical judgment to decide whether to perform repeated series of STAT measurements because of

the risk of purpura, ischemia and neuropathy in the limb with the cuff.

Enabling Automatic Mode and Setting Repetition

Time

1In the NBP menu, select Mode and select Auto from the pop-up menu.

2For an automatic measurement, select Repeat and set the time interval between two

measurements.

Enabling Sequence Mode and Setting Up The

Sequence

1In the NBP menu, select Mode and select Sequence from the pop-up menu.

2Select Setup Sequence to open the Setup Sequence menu.

Up to four measurement phases can be setup which will run consecutively. For each phase you can

set the number of measurements and the interval between them. If you want to run less than four

phases in a sequence, you can set the number of measurements for one or more phases to Off.

3Select each phase in turn (A, B, C and D) and select the number of measurements and the time

interval between the measurements.

4To have measurements continue after the sequence, set the number of measurements for your last

phase to Cont and this phase will run indefinitely.

CAUTION

Be aware that, if none of the phases are set to Cont, NBP monitoring will end after the last

measurement of the phase.

When the NBP measurement mode is set to Sequence, the repetition time for Auto mode cannot be

changed.

4 Monitoring NBP

Understanding the NBP Numerics and Symbols

Note: The Alarms Off symbols indicate that no physiological alarms are available on the Cableless

Measurement Devices when not assigned to a host.

Measurement modes with a series of measurements can be indicated with two different symbols:

An S in front of the symbol indicates Sequence mode and an A, B, C or D indicates which phase of

the sequence is currently running.

During Measurements

The cuff pressure is displayed instead of the timestamp.

Correcting the Measurement if Limb is not at Heart

Level

To correct the measurement if the limb is not at heart level, to the displayed value

Switching Pulse from NBP On/Off

In the process of making the NBP measurement, a pulse value can be derived and displayed. The pulse

value is displayed together with the time the measurement was made. After one hour the value

becomes invalid.

To switch the display of the pulse value on or off:

1Systolic/Diastolic pressure

2Mean pressure

3Pulse rate

4Pulse rate indicator

5Measurement mode (see below)

6Alarms Off symbol for Pulse

7Timestamp

8Alarms Off symbol for NBP

indicates that a series is running and

shows the relative time to the next

measurement.

indicates that auto or sequence mode is

selected but the measurement series has

not yet started.

add 0.75 mmHg (0.10 kPa) for each centimeter

higher or

deduct 0.75 mmHg (0.10 kPa) for each

centimeter lower or

add 1.9mmHg (0.25kPa) for each inch higher. deduct 1.9mmHg (0.25kPa) for each inch

lower.

4 Monitoring NBP

•In the NBP menu select Pulse.

Assisting Venous Puncture

You can use the NBP cuff to cause sub-diastolic pressure. The cuff deflates automatically after a set

time (adult/pediatric 170 seconds) if you do not deflate it.

1In the NBP menu select Veni Puncture, or select the Veni Puncture SmartKey.

2Puncture vein and draw blood sample.

3Reselect Veni Puncture to deflate the cuff.

During measurement, the NBP display shows the inflation pressure of the cuff and the remaining time

in venous puncture mode.

Calibrating NBP

NBP is not user-calibrated. Cuff-pressure transducers must be verified and calibrated, if necessary, at

least once every two years by a qualified service professional. See the Service Guide for details.

4 Monitoring NBP

5Technical Alarms (INOPs)

Technical alarms, also known as INOPs, indicate that the measuring device cannot measure reliably. If

an INOP interrupts monitoring (for example, NBP INTERRUPTED), there will be a question mark in

place of the measurement numeric. An INOP tone sounds at the Cableless Measurement Device only

when there is no SRR connection to a monitor.

Some INOPs have a severity indication: !! for a medium severity INOP and !!! for a high severity

INOP.

NOTE

The IntelliVue Cableless Measurements do not provide physiological alarms locally on the IntelliVue

CL SpO2 Pod and the IntelliVue CL NBP Pod.

Display of INOPs

INOP messages are shown in black on a light gray background and coded according to their severity:

A status or INOP message that appears is automatically highlighted. Use the 9 key to acknowledge the

message. An acknowledge message is displayed at the bottom of the screen and highlighted. Press 9

again to confirm the acknowledgment of the INOP. After the confirmation, any ongoing INOP

message is displayed in the icon tray on the right side of the screen.

Acknowledging an INOP

To acknowledge an INOP, select the INOP message and press the 9 key.

This will silence the INOP tone and clear the INOP message. If the condition which caused the INOP

is still present, the INOP icon will be displayed on the right hand side of the screen (see “INOP

Layout” on page 12).

Displaying a List of Current INOPs

To display a list of the currently active INOPs,

1Select the Main Setup SmartKey.

2Select INOPs.

3Select INOP Messages Messages

5 Technical Alarms (INOPs)

Setting the Volume of the INOP Tone

To set the volume for the INOP tone,

1Select the Main Setup SmartKey.

2Select INOPs.

3Select Inop Vol and select a volume setting.The maximum is 10 and the minimum depends on

your configuration.

Reference List of all INOPs

INOP Message, Indication Source What to do

Batt Incompatible

INOP tone

Battery Battery cannot be used with this Cableless Measurement

Device. Replace battery with one that has been approved

for use with this Cableless Measurement Device. Contact

your service personnel.

Batt Malfunction

INOP tone

Battery Malfunction of the battery system detected (charger

circuit or battery). Contact your service personnel.

Battery Empty

INOP tone

Battery The remaining monitoring time is below 30 minutes.

Charge battery.

Battery Low

INOP tone

Battery The remaining monitoring time is below 2 hours.

Check Batt Temp

INOP tone

Battery The temperature of the battery is critically high. Check

that Cableless Measurement Device is not covered and

not exposed to a heat source. If INOP persists, remove

Cableless Measurement Device from patient and contact

your service personnel.

Check Battery

INOP tone

Battery The maximum number of charge/discharge cycles of the

battery will be reached in less than 50 cycles. Contact

your service personnel to replace the battery.

Check Charger I/F

INOP tone

Battery Overvoltage or undervoltage detected at the charger

interface. Clean contacts of charger interface at Cableless

Measurement Device and charging station. If the INOP

persists, contact your service personnel.

Check Settings

INOP tone

Cableless

Measurement Device

If this INOP appears and an INOP tone sounds, check

the Cableless Measurement Device and patient settings

before you resume making measurements. If the settings

are unexpected, there may be a problem with the

Cableless Measurement Device software. Contact your

service personnel.

If this INOP is acknowledged at the Cableless

Measurement Device, it is cleared. If it is silenced

remotely, only the tone is cleared.

5 Technical Alarms (INOPs)

cl NBP Disconnect

at Information Center or at patient

monitor

Cableless

Measurement Device

The NBP Pod has lost the SRR connection to the

telemetry device or the patient monitor.

cl SpO₂ Disconnect

at Information Center or at patient

monitor

Cableless

Measurement Device

The SpO2 Pod has lost the SRR connection to the

telemetry device or the patient monitor.

CUFF NOT DEFLATED

Numeric is replaced by -?-

INOP tone

During this INOP, alarms cannot

be paused or switched off.

NBP The NBP cuff pressure has exceeded 15mmHg (2kPa) for

more than 3 minutes.

Remove the cuff from the patient. Make sure that the

tubing is not kinked or twisted and that the correct

patient category is selected. Try repeating the

measurement. You can acknowledge the INOP, but the

INOP message remains visible until the next NBP

measurement is started or the Stop All SmartKey is

selected.

NBP CUFF OVERPRESS

Numeric is replaced by -?-

INOP tone

During this INOP, alarms cannot

be paused or switched off.

NBP The NBP cuff pressure exceeds the overpressure safety

limits. Remove the cuff from the patient. Make sure that

the tubing is not kinked or twisted and that the correct

patient category is selected. Try restarting the

measurement. You can acknowledge this INOP, but the

INOP message remains visible until the next

measurement is started or the Stop All SmartKey is

selected.

NBP EQUIP MALF

Numeric is replaced by -?-

INOP tone

NBP Remove the NBP Pod and cuff from the patient. The

NBP hardware is faulty. Contact your service personnel.

You can acknowledge this INOP, but the INOP message

remains visible until the next measurement is started or

the Stop All SmartKey is selected.

NBP INTERRUPTED

Numeric is replaced by -?-

INOP tone

NBP Check the tubing and cuff for leakages or kinks. Check

that you are using the correct cuff size and placement,

and that the correct patient category is selected. Try

restarting the measurement. If the INOP occurs

repeatedly, contact your service personnel. You can

silence this INOP, but the INOP message remains visible

until the next measurement is started or the Stop All

SmartKey is selected. This INOP arises when the

measurement needed longer than the maximum time for

inflation, deflation or the total measurement.

NBP MEASURE FAILED

Numeric is replaced by -?-

INOP tone

NBP Check that you are using the correct cuff size and

placement, and that the correct patient category is

selected. Try restarting the measurement. You can silence

this INOP, but the INOP message remains visible until

the next measurement is started or the Stop All

SmartKey is selected. Check the condition and suitability

of the patient for NBP monitoring. Use another cuff to

continue measuring.

INOP Message, Indication Source What to do

5 Technical Alarms (INOPs)

NBP Neo Patient?

Numeric is replaced by -?-

INOP tone

NBP The patient monitor that the NBP pod is assigned to is in

neonatal mode or a neonatal cuff has been detected. The

monitor must be in adult or pediatric mode.

No Cradle

Numeric is replaced by -?-

INOP tone

NBP The NBP Pod is not in the cradle. You can silence this

INOP, but the INOP message remains visible until the

NBP Pod is inserted into the cradle and the next

measurement is started or the Stop All SmartKey is

selected.

If INOP appears with the NBP Pod inserted into the

cradle, remove and replace the cradle.

No Host Monitoring

INOP tone

Cableless

Measurement Device

There is a problem with the communication to the

assigned patient monitor and monitoring is currently not

possible (no patient alarms or information). Check the

connection. Contact your service personnel.

No System Monitor. Cableless

Measurement Device

There is a problem with the communication to the

network and central monitoring is currently not possible.

Check the connection. Contact your service personnel.

Remove From Pat

INOP tone

Cableless

Measurement Device

Displayed on the Cableless Measurement Device. The

temperature of the battery is too high. Remove the

Cableless Measurement Device from the patient and

contact service personnel.

Service Battery

INOP tone

Battery Maximum number of charge/discharge cycles for battery

exceeded. Charging of the battery is inhibited. Contact

your service personnel to replace battery.

<SpO₂ Label> EQUIP MALF

Numeric is replaced by -?-

INOP tone

SpO2The SpO2 Pod is faulty. Contact your service personnel.

<SpO₂ Label> ERRATIC

Numeric is replaced by -?-

INOP tone

SpO2Check the sensor placement. Try another adapter cable

and sensor. If the INOP persists, contact your service

personnel.

<SpO₂ Label> EXTD.UPDATE

Numeric is replaced by -?-

SpO2The update time for displayed values is extended due to

an NBP measurement on the same limb or an excessively

noisy signal.

<SpO₂ Label> INTERFERNCE

Numeric is replaced by -?-

INOP tone

SpO2There is too much interference, caused by a high level of

ambient light and/or electrical interference. Cover the

sensor to minimize ambient light. If the INOP persists,

make sure that the sensor cable is not damaged or

positioned too close to power cables.

<SpO₂ Label> LOW PERF

Numeric is replaced by -?-

SpO2Accuracy may be compromised due to very low

perfusion. Stimulate circulation at sensor site. If INOP

persists, change the measurement site.

<SpO₂ Label> NeoPatient?

Numeric is replaced by -?-

INOP tone

SpO2The patient monitor the SpO2 Pod is assigned to is in

neonatal mode. The INOP will remain active until the

monitor is changed to adult or pediatric mode.

INOP Message, Indication Source What to do

5 Technical Alarms (INOPs)

<SpO₂ Label> NO SENSOR

Numeric is replaced by -?-

INOP tone

SpO2Make sure the SpO2 sensor is connected. If the INOP

persists, try another sensor. If you acknowledge this

INOP, the measurement will be switched off.

<SpO₂ Label> NOISY SIGN.

Numeric is replaced by -?-

INOP tone

SpO2Excessive patient movement or electrical interference is

causing irregular pulse patterns. Try to reduce patient

movement or to relieve the cable strain on the sensor.

<SpO₂ Label> NON-PULSAT.

Numeric is replaced by -?-

INOP tone

SpO2Check the perfusion at the measurement site. If

necessary, stimulate circulation or change the

measurement site. If the INOP is due to an NBP

measurement on the same limb, wait until the NBP

measurement is finished.

<SpO₂ Label> POOR SIGNAL SpO2The signal quality of the SpO2 measurement is poor. The

accuracy may be compromised.

<SpO₂ Label> PULSE?

Numeric is replaced by -?-

INOP tone

SpO2The detectable pulsations of the SpO2 signal are outside

the specified pulse rate range.

<SpO₂ Label> SEARCHING

Numeric is unavailable

SpO2The patient signal is analyzed, but no valid numerics are

available yet.

<SpO₂ Label> SENSOR MALF

Numeric is replaced by -?-

INOP tone

SpO2The SpO2 sensor is faulty. Try another sensor. If the

INOP persists, contact your service personnel.

<SpO₂ Label> SENSOR OFF

Numeric is replaced by -?-

INOP tone

SpO2The algorithm has determined that a sensor is connected,

but not properly applied to the patient. The ability of the

algorithm to detect this condition depends on the used

sensor type.

<SpO₂ Label> UNKN.SENSOR

Numeric is replaced by -?-

INOP tone

SpO2The connected SpO2 sensor is not supported by this

measurement hardware.

<SpO₂ Label> UPGRADE

Numeric is replaced by -?-

SpO2SpO2 in upgrade mode, no patient monitoring possible.

INOP Message, Indication Source What to do

5 Technical Alarms (INOPs)

6Care and Cleaning

Use only the Philips-approved substances and methods listed in this chapter to clean or disinfect your

equipment. Warranty does not cover damage caused by using unapproved substances or methods.

Philips makes no claims regarding the efficacy of the listed chemicals or methods as a means for

controlling infection. Consult your hospital’s Infection Control Officer or Epidemiologist. For

comprehensive details on cleaning agents and their efficacy refer to “Guideline for Disinfection and

Sterilization in Healthcare Facilities” issued by the U.S. Department of Health and Human Services,

Public Health Service, Centers for Disease Control, Atlanta, Georgia, 2008. See also any local policies

that apply within your hospital, and country.

General Points

Keep your IntelliVue Cableless Measurement devices and accessories free of dust and dirt. After

cleaning and disinfection, check the equipment carefully. Do not use if you see signs of deterioration

or damage. If you need to return any equipment to Philips, decontaminate it first.

Observe the following general precautions:

• Always dilute according to the manufacturer’s instructions or use lowest possible concentration.

• Do not allow liquid to enter the case.

• Do not immerse any part of the equipment or any accessories in liquid if it is not explicitly allowed

and described in the respective accessory Instructions for Use.

• Do not pour liquid onto the charging station.

• Never use abrasive material (such as steel wool or silver polish).

WARNING

If you spill liquid on the charging station or accessories, or if any device or accessory is accidentally

immersed in liquid, contact your service personnel or Philips service engineer. Do not operate the

equipment before it has been tested and approved for further use.

6 Care and Cleaning

Cleaning and Disinfecting the IntelliVue Cableless

Measurements

The following instructions apply to the IntelliVue CL SpO2 Pod, the IntelliVue CL NBP Pod, the

corresponding single patient Mobile CL Cradles and the IntelliVue CL Charging Station. Clean with a

lint-free cloth, moistened with warm water (40°C/104°F maximum) and soap, a diluted non-caustic

detergent, tenside, ammonia- or alcohol-based cleaning agent. Do not use strong solvents such as

acetone or trichloroethylene.

CAUTION

Solutions: Do not mix disinfecting solutions (such as bleach and ammonia) as hazardous gases may

result.

Hospital policy: Disinfect the product as determined by your hospital’s policy only using the cleaning

agents specified below, to avoid long term damage to the cableless device.

Drying devices: Do not use heat sources, such as ovens or hairdryers, to dry the Pods. Do not put the

Pods in a microwave.

No sterilizing: Do not put the Pods in an autoclave, the devices are not sterilizable.

Rinse the SpO2 Pod and the NBP Pod in water, paying special attention to the contact area to remove

all residues. Wipe them dry with a clean cloth and then leave them to dry completely.

Do not allow any liquid to enter the charging station case and avoid pouring it on the charging station

while cleaning.

The wristbands used with the Mobile CL SpO2 Cradles are single-patient items and cannot be cleaned

or disinfected.

Refer to the accessory Instructions for Use for cleaning and disinfection information for SpO2 sensors,

NBP cuffs and hoses.

Recommended Disinfection Agents

We recommend that you use one of the following disinfectants:

Product Name Product Type Ingredients

Isopropanol liquid Isopropanol 80%

Bacillol® AF liquid, spray 100 g concentrate contains:

Propan-1-ol 45.0 g; Propan-2-ol 25.0 g; Ethanol 4.7 g

Bacillol®25 liquid Ethanol 100 mg/g

Propan-2-ol (= 2-Propanol) 90 mg/g; Propan-1-ol (= 1-

Propanol) 60 mg/g

Meliseptol® spray 50% 1-Propanol

Accel TB RTU liquid 0.5% accelerated hydrogen peroxide

Oxivir® Tb Cleaner Disinfectant spray 0.5% accelerated hydrogen peroxide

Oxivir® Tb Wipes wipes 0.5% accelerated hydrogen peroxide

6 Care and Cleaning

Refer to the accessory Instructions for Use for cleaning and disinfection information for SpO2 sensors,

NBP cuffs and hoses.

Carpe DiemTM/MC Tb

Ready-to-Use General Virucide,

Bactericide, Tuberculocide,

Fungicide, Sanitizer

spray 0.5% accelerated hydrogen peroxide

Carpe DiemTM/MC Tb Wipes wipes 0.5% accelerated hydrogen peroxide

Super Sani-Cloth

Germicidal Disposable Wipes

wipes isopropanol 55%

quaternary ammonium chlorides 0.5%

SANI-CLOTH® PLUS

Germicidal Disposable Wipes

wipes isopropanol 15%

quaternary ammonium chlorides 0.25%

SANI-CLOTH® HB Germicidal

Germicidal Disposable Wipes

wipes isopropanol < 0.15%

quaternary ammonium chlorides 0.14%

Product Name Product Type Ingredients

6 Care and Cleaning

7Maintenance and

Troubleshooting

WARNING

Schedule: Failure on the part of the responsible individual hospital or institution employing the use of

this equipment to implement a satisfactory maintenance schedule may cause undue equipment failure

and possible health hazards.

Contact: If you discover a problem with any of the equipment, contact your service personnel, Philips,

or your authorized supplier.

Inspecting the Equipment and Accessories

You should perform a visual inspection before every use, and in accordance with your hospital's policy.

With the device switched off:

1Examine 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.

2Inspect all accessories (cables, sensors and so forth). If any show signs of damage, do not use

them.

WARNING

If the IntelliVue Cableless Measurement Device is mechanically damaged, or if it is not working

properly, do not use it for any monitoring procedure on a patient, contact your service personnel.

Maintenance Task and Test Schedule

All maintenance tasks and performance tests are documented in detail in the service documentation

supplied on the IntelliVue Cableless Measurements documentation DVD. These tasks are for Philips-

qualified service professionals only.

7 Maintenance and Troubleshooting

Ensure that these tasks are carried out as indicated by the device's maintenance schedule, or as

specified by local laws. Contact a Philips-qualified service provider if your device needs a safety or

performance test. Clean and disinfect equipment to decontaminate it before testing or maintaining it.

Troubleshooting

If a device will not switch on when you press a key, place it onto a charger slot on the charging

station.

If you suspect a problem with an individual measurement device, read the Instructions for Use

and double check that you have set up the measurement correctly. Check also that the measurement

has not been switched off at the patient monitor that the device is assigned to.

If you suspect an intermittent, system-wide problem call your service personnel.

Disposing of the IntelliVue Cableless Measurement

Devices

WARNING

To avoid contaminating or infecting personnel, the environment or other equipment, make sure you

disinfect and decontaminate the IntelliVue Cableless Measurement Devices appropriately before

disposing of them in accordance with your country's laws for equipment containing electrical and

electronic parts. For disposal of parts and accessories, where not otherwise specified, follow local

regulations regarding disposal of hospital waste.

You will find detailed disposal information on the following webpage:

http://www.healthcare.philips.com/in_en/about/Sustainability/Recycling/pm.wpd

The Recycling Passports located there contain information on the material content of the equipment,

including potentially dangerous materials which must be removed before recycling (for example,

batteries and parts containing mercury or magnesium).

Do not dispose of waste electrical and electronic equipment as unsorted municipal waste. Collect it

separately, so that it can be safely and properly reused, treated, recycled, or recovered.

For information in disposal of accessories, refer to the accessory Instructions for Use.

8Integrated Battery Handling

Battery Care

Battery care begins when you receive a new IntelliVue Cableless Measurement Device with built-in

battery and continues throughout the life of the device. The table below lists battery care activities and

when they should be performed.

Handling Precautions

Lithium ion batteries store a large amount of energy in a small package. Use caution when handling the

IntelliVue Cableless Measurement Devices with built-in battery; misuse or abuse could cause bodily

injury and/or property damage.

•Handle with care.

• Do not expose the device to liquids.

• Do not attempt to disassemble the device.

• Do not put device in autoclave.

• Damaged devices should not be used anymore.

WARNING

• Do not crush or puncture - mechanical abuse can lead to internal damage and internal short

circuits which may not be visible externally.

• Do not incinerate the devices or expose them to temperatures above 60°C (140°F).

Activity When to perform

Perform a visual inspection Before using the IntelliVue Cableless Measurement Device

Charge the battery Upon receipt, after use, or if a low battery state is indicated.

To optimize performance, a fully (or almost fully)

discharged battery should be charged as soon as possible.

Store the device in a state of charge in

the range of 40 - 50% and switch off the

device completely.

When not in use for an extended period of time.

8 Integrated Battery Handling

Storage

If unused IntelliVue Cableless Measurement Devices are stored for an extended period of time:

• they should be powered off for storage

• they should be stored in a cool place, ideally between 15°C and 25°C (60°F and 77°F)

• the state of charge should be between 40 and 50%

• they should be recharged every six months

Storing in a cool place slows the aging process of the batteries. They should be fully charged prior to

use. Do not store the device at a temperature outside the range of -20°C (-4°F) to 60°C(140°F).

Do not store cableless devices in direct sunlight.

NOTE

Storing the devices at temperatures above 40°C (104°F) for extended periods of time could

significantly reduce the battery's life expectancy.

Battery Lifetime Management

The lifetime of a Lithium Ion battery depends on the frequency and duration of use. When properly

cared for, the useful life is approximately 4 years or 400 complete charge-discharge cycles, whichever

comes first. In addition, experience indicates that the incidence of failure may increase with battery

service life due to the accumulated stresses of daily use. We therefore strongly recommend that lithium

ion batteries be replaced after 4 years or 400 complete charge-discharge cycles.

The age of a lithium ion battery begins at the date of manufacture. To see the date of manufacture and

the number of charge-discharge cycles:

1Select the battery symbol on the Main Screen.

2Press the ► hardkey to view the battery details.

The date of manufacture and the number of charge-discharge cycles are listed with other battery data

on the screen.

9Accessories

You can order parts and accessories from Philips supplies at www.medical.philips.com or consult your

local Philips representative for details.

WARNING

Reuse: Never reuse single-patient sensors, accessories and so forth that are intended for single use, or

single patient use only. Reuse may compromise device functionality and system performance and cause

a potential hazard, in particular with regard to cross-contamination.

Philips’ approval: Use only Philips-approved accessories. Using non-Philips-approved accessories

may compromise device functionality and system performance and cause a potential hazard.

IntelliVue CL SpO2 Pod Accessories

All listed sensors operate without risk of exceeding 41°C on the skin, if the initial skin temperature

does not exceed 35°C.

Make sure that you use only the accessories that are specified for use with this device, otherwise patient

injury can result.

Order Number Description Contents

989803165941 Mobile CL 20 single patient SpO2

Sensors and Cradles for use on pediatric

and adult patients >10kg

20 Single-Patient Mobile CL DSpO2-1A

Sensors

20 Single-Patient Wristbands

20 Single-Patient Cradles

pre-assembled

989803165921 Mobile CL 20 single patient SpO2

Sensors for use on pediatric and adult

patients >10kg

20 Single-Patient Mobile CL DSpO2-1A

Sensors

9 Accessories

1 May not be available in all geographies

IntelliVue CL NBP Pod Accessories

9898031659311Mobile CL reusable SpO2 sensor and

Cradles for use on pediatric and adult

patients >15kg

1 Reusable Mobile CL RSpO2-1A Sensor

20 Single-Patient Cradles with pre-

attached Wristbands

989803165951 Mobile CL 20 SpO2 Cradles (single

patient)

20 Single-Patient Cradles with pre-

attached Wristbands

989803165961 Mobile CL 50 SpO2 Wristbands (single

patient)

50 Single-Patient Wristbands

989803168861 Mobile CL SpO2 Battery Kit 1 Battery

1 disassembly tool

1 front housing

Order Number Description Contents

Order Number Description Limb

Circumference

Range

Bladder Width Contents

989803163171 Mobile CL Reusable Small Adult

Cuff

21 - 27 cm 10.5 cm 1 cuff

989803163191 Mobile CL Reusable Adult Cuff 26.0 - 34.5 cm 13.0 cm 1 cuff

989803163211 Mobile CL Reusable Large Adult

Cuff

33.5 - 45.0 cm 16.0 cm 1 cuff

989803163181 Mobile CL Single-Patient Small

Adult Cuff

21 - 27 cm 10.5 cm 20 cuffs

989803163201 Mobile CL Single-Patient Adult

Cuff

26.0 - 34.5 cm 13.0 cm 20 cuffs

989803163221 Mobile CL Single-Patient Large

Adult Cuff

33.5 - 45.0 cm 16.0 cm 20 cuffs

989803163251 Mobile CL NBP Cradle Kit - - 20 cradles

989803163131 Mobile CL Extension Air Hose,

1.0 m

- - 1 extension air hose

989803163261 Mobile CL NBP Battery Kit - - 1 Battery

1 disassembly tool

1 front housing

9 Accessories

Miscellaneous Accessories

IntelliVue CL Transmitter Base Station - Product Number 865237

Used for service-related activities, refer to IntelliVue Cableless Measurements Service Guide for

details.

WARNING

The IntelliVue CL Transmitter Base Station may not be operated in the patient vicinity.

Ensure that the CL Transmitter Base Station does not come into close contact with implanted

pacemakers, to avoid magnetic interference affecting the mode of the pacemaker.

CAUTION

The CL Transmitter Base Station generates a magnetic field. Do not store magnetic media (such as

identity cards or credit cards with magnetic strips or magnetic tapes/disks) near to the charging station,

as the data may be damaged.

989803137831 Telemetry Pouch with window - - 50 pouches

989803140371 Telemetry Pouch with window - - 4 boxes of 50

pouches

989803101971

(9300-0768-050)

White Telemetry Pouch with

Snaps; box of 50.

- - 50 pouches

989803101981

(9300-0768-200)

White Telemetry Pouch with

Snaps; 4 boxes of 50.

- - 4 boxes of 50

pouches

Order Number Description Limb

Circumference

Range

Bladder Width Contents

9 Accessories

10Specifications

The specifications in this section apply to the IntelliVue CL SpO2 Pod, the IntelliVue CL NBP Pod,

IntelliVue CL Charging Station and the IntelliVue CL Transmitter.

The IntelliVue Cableless Measurements might not meet the performance specification listed in this

chapter, if stored or operated outside the specified environmental conditions.

WARNING

The IntelliVue Cableless Measurement Devices are not intended for use in an MRI environment or in

an oxygen-enriched environment (e.g. hyperbaric chambers). During MR imaging, remove all

IntelliVue Cableless Measurement Devices and sensors from the patient. Induced currents could cause

burns.

Intended Use

IntelliVue CL SpO2 Pod:

The intended use of the IntelliVue CL SpO2 Pod when used together with IntelliVue Patient Monitors

MP5/MP5T, MP2, X2, or with the IntelliVue Telemetry System Transceiver TRx4841A/TRx4851A is

for monitoring, recording, and alarming arterial oxygen saturation and pulse rate of adult and pediatric

patients inside hospitals. The device is intended for use by health care professionals. It is NOT

intended for home use.

The IntelliVue CL SpO2 Pod is not a therapeutic device.

IntelliVue CL NBP Pod:

The intended use of the IntelliVue CL NBP Pod when used together with IntelliVue Patient Monitors

MP5/MP5T, MP2, X2, or with the IntelliVue Telemetry System Transceiver TRx4841A/TRx4851A,

is for monitoring, recording, and alarming of systolic, diastolic and mean pressure and pulse rate of

adult and pediatric patients inside hospitals. The device is intended for use by health care professionals.

It is NOT intended for home use.

The IntelliVue CL NBP Pod is not a therapeutic device.

Rx only: US Federal Law restricts these devices to sale by or on the order of a physician.

Manufacturer's Information

You can write to Philips at this address

10 Specifications

Philips Medizin Systeme Boeblingen GmbH

Hewlett-Packard-Str. 2

71034 Boeblingen

Germany

Visit our website at: www.healthcare.philips.com/us/.

Symbols

These symbols can appear on the cableless measurement devices and associated equipment.

Symbols

Caution, consult

accompanying

documents

Refer to accompanying

documents

Protective earth

Equipotential grounding Alternating current Connector has special

protection against

electric shocks and is

defibrillator proof

Error LED Built-in wireless network

(WLAN)

USB interface

Non-ionizing radiation

symbol

NBP identifier SpO2 identifier

Always use separate

collection for waste

electrical and electronic

equipment (WEEE)

Identifies year and

month of manufacture

Indicates location of the

date of manufacture

and/or name and address

of manufacturer

Indicates location of

serial number

Indicates location of

catalog number

Indicates location of

service number

Indicates location of

ingress protection grade

10 Specifications

Installation Safety Information

Safety Specifications

IntelliVue CL SpO2 Pod, CL NBP Pod:

CL Charging Station, CL Transmitter:

The devices comply with the Medical Device Directive 93/42/EEC.

In addition, the devices comply with:

IEC 60601-1:1988 + A1:1991 + A2:1995; EN60601-1:1990 + A1:1993 + A2:1995; UL 60601-1:2003;

CAN/CSA C22.2#601.1-M90 + S1 + A2; JIS T 0601-1:1999; IEC 60601-1-1:2000; EN 60601-1-

1:2001; IEC 60601-1-2:2001 + A1 2004; EN 60601-1-2:2001 + A1 2004.

The possibility of hazards arising from software errors was minimized in compliance with ISO

14971:2007, EN60601-1-4:1996 + A1:1999 and IEC 60601-1-4:1996 + A1:1999.

Classification (according to IEC 60601-1):

IntelliVue CL SpO2 Pod, CL NBP Pod, CL Transmitter: Class II, Type CF, Continuous Operation

IntelliVue CL Charging Station: Class I, Continuous Operation

EMC And Radio Regulatory Compliance

FCC and Industry Canada Radio Compliance

This ISM device complies with Canadian ICES-001. Cet appareil ISM est conforme a la norme NMB-

001 du Canada.

Grounding The charging station must be grounded during operation. If a

three-wire receptacle is not available, consult the hospital

electrician. Never use a three-wire to two-wire adapter.

Equipotential Grounding If the charging station is used in an OR, ensure that the room

incorporates an equipotential grounding system to which the

charger has a connection.

Combining Equipment Combinations of medical equipment with non-medical equipment

must comply with IEC 60601-1-1. Never use a multiple portable

socket-outlet or extension cord when combining equipment unless

the socket outlet is supplied specifically for use with that

equipment.

Fusing The charging station uses double pole/neutral fusing.

10 Specifications

This device complies with Part 15 of the FCC Rules and RSS-210 of Industry Canada. Operation is

subject to the following two conditions: (1) this device may not cause harmful interference, and (2) this

device must accept any interference received, including interference that may cause undesired

operation. Any changes or modifications to this equipment not expressly approved by Philips Medical

Systems may cause harmful radio frequency interference and void your authority to operate this

equipment.

Devices Including the Short Range Radio Interface

Philips Medizin Systeme Boeblingen GmbH hereby declares that the radio component used

in this product is in compliance with the essential requirements and other relevant provisions of

Directive 1999/5/EC (Radio Equipment and Telecommunications Terminal Equipment Directive).

Class 1 radio equipment.

In addition the product complies with: ETSI EN 300 328; AS/NZS 4771+A1; ARIB STD-T66.

To obtain a copy of the original Declaration of Conformity, please contact Philips at the address as

stated in the "Manufacturer's Information" section of these Instructions for Use.

WARNING

• This equipment generates, uses and radiates radio-frequency energy, and if it is not installed and

used in accordance with its accompanying documentation, may cause interference to radio

communications.

• The device, equipped with a wireless network interface, intentionally receives RF electromagnetic

energy for the purpose of its operation. Therefore, other equipment may cause interference, even

if that other equipment complies with CISPR emission requirements.

IntelliVue 802.11 WLAN Adapter

FCC and Industry Canada Radio Compliance: This device complies with Part 15 of the FCC Rules and

RSS-210 of Industry Canada. Operation is subject to the following two conditions: (1) this device may

not cause harmful interference, and (2) this device must accept any interference received, including

interference that may cause undesired operation. Any changes or modifications to this equipment not

expressly approved by Philips Medical Systems may cause harmful radio frequency interference and

void your authority to operate this equipment.

The maximum antenna gain permitted (for devices in the 5250-5350 MHz and 5470-5725 MHz bands)

complies with the e.i.r.p. limits as stated in RSS-210.

The maximum antenna gain permitted (for devices in the 5725-5825 MHz band) complies with the

e.i.r.p. limits specified for point-to-point operation, as stated in RSS-210.

The device for the band 5150-5250 MHz is only for indoor usage to reduce potential for harmful

interference to co-channel mobile satellite systems.

The OEM radio device used in this product is in compliance with the essential requirements and other

relevant provisions of Directive 1999/5/EC. This product is intended to be connected to the Publicly

Available Interfaces (PAI) and used throughout the EEA.

10 Specifications

CAUTION

High power radars are allocated as primary users (meaning they have priority) of 5250-5350 MHz and

5650-5850 MHz and these radars could cause interference and /or damage to LE-LAN devices.

IntelliVue 802.11 WLAN Adapter CE compliances:

This device is compliant to Council Directive 73/23/EEC (Low voltage directive) & 89/336/

EEC (EMC directive) & 1999/5/EC (Radio Equipment and Telecommunications Terminal

Equipment Directive)

The radio component contained in this device is compliant to Council Directive 1999/5/

EC (Radio Equipment and Telecommunications Terminal Equipment Directive)

Radiofrequency Radiation Exposure Information

IntelliVue CL Transmitter

For body worn operation, this device has been tested and meets FCC RF exposure guidelines when

used in the standard configuration with the rear side towards the body, without a gap. Alternatively, it

can be used with any accessory that positions the front side of the device a minimum of 10mm from

the body and itself contains no metal parts. Use of other accessories may not ensure compliance with

FCC RF exposure guidelines.

IntelliVue CL SpO2 Pod Specifications

Complies with ISO 9919:2005 / EN ISO 9919:2009.

Physical Specifications

Size (W X D X H) 53.5 mm x 65 mm x 27 mm ±5%

(without cradle and sensor)

Weight 80 g ±10%

Robustness Provides essential performance during exposure to

random vibration according to IEC TR 60721-4-7

Class 7M1

Survives shock, random vibration and bump

according to IEC TR 60721-4-7 Class 7M3 as well as a

1m drop

Ingress Protection IP34 according to IEC 60529 (protection against

ingress of water when water drips, falls or splashes

from any direction)

10 Specifications

Measurement Validation: The SpO2 accuracy has been validated in human studies against arterial

blood sample reference measured with a CO-oximeter. Pulse oximeter measurements are statistically

distributed, only about two-thirds of the measurements can be expected to fall within the specified

accuracy compared to CO-oximeter measurements.

Display Update Period: Typical: 2 seconds, Maximum: 30 seconds. Maximum with NBP INOP

suppression on: 60 seconds.

Environmental Specifications

Operating Temperature Range 0 to 40°C (32 to 104°F)

Operating Humidity Range ≤95% RH @ 40°C (104°F)

Operating Altitude Range -500 to 3000 m

Storage/Transportation Temperature Range -20 to 60°C (-4 to 140°F)

Storage/Transportation Humidity Range ≤90% RH @ 60°C (140°F)

no condensation

Storage/Transportation Altitude Range -500 to 4600 m

Performance Specifications

SpO2

Measurement Range 0 to 100%

Accuracy

The specified accuracy is the root-mean-square

(RMS) difference between the measured values and

the reference values

Mobile CL DSpO2-1A single patient sensor:

3% (70 to 100%)

Mobile CL RSpO2-1A reusable sensor:

3% (70 to 100%)

Resolution 1%

Pulse Oximeter Calibration Range 70% to 100%

Pulse

Measurement Range 30 to 300 bpm

Accuracy ±2% or 1 bpm, whichever is greater

Resolution 1 bpm

Sensors

LED Power Dissipation Temperature rise at sensor skin interface in

compliance with ISO 9919

Optical Output Power ≤15 mW

Wavelength Range

Information about the wavelength range can

be especially useful to clinicians (for instance,

when photodynamic therapy is performed)

500 to 1000 nm

For further information on accessory specifications, refer to the accessory Instructions for Use.

Display Specifications

Type monochrome (4 gray scales), passive LCD (STN),

positive/transflective

10 Specifications

IntelliVue CL NBP Pod Specifications

Complies with IEC 60601-2-30:1999/EN 60601-2-30:2000.

Viewing Area 25.6 mm x 19.2 mm

Dot Size 0.2 mm x 0.2 mm

Resolution 128 x 96 pixel

Backlight white LED

Sounds Hardkey operation tone

INOP tone

Battery Integrated rechargeable Li-Ion battery with battery

gauge and cycle counter

Runtime (fully charged battery) Continuous measurement:

Typically 24 hours

Minimum 12 hours

Intermittent measurement:

Typically > 32 hours with repetition interval of 2.5

minutes

Charging Time max 2.5 hours

Short Range Radio Specifications

Type built in interface with integrated antenna

Technology IEEE 802.15.4

Frequency band 2.4 GHz ISM (2.400 - 2.483 GHz)

Modulation DSSS (O-QPSK)

Receiver bandwidth 5 MHz

Effective radiated power (ERP) max. 0 dBm (1 mW)

Electronic Article Surveillance (EAS) EAS tag inside the housing

Real Time Clock Accuracy less than 5 seconds per day (typically) as long as device

is in power state "Device on" or "Device off".

Automatically synchronized with assigned patient

monitor/telemetry device.

Performance Specifications

10 Specifications

NOTE

The effectiveness of this sphygmomanometer has not been established in pregnant, including pre-

eclamptic patients.

Physical Specifications

Size (H x W x D) 138 x 65 x 30.5 mm ±5%

(without cradle and cuff)

Weight 220 g ±10%

(without cradle and cuff)

Robustness Provides essential performance during exposure to

random vibration according to IEC TR 60721-4-7

Class 7M1

Survives shock, random vibration and bump

according to IEC TR 60721-4-7 Class 7M3 as well as a

1m drop

Ingress Protection IP32 according to IEC 60529 (protected against

ingress of water when the water is dripping vertically

and the monitor is tilted up to 15° and protected

against contact with or ingress of objects larger than

2.5 mm)

Environmental Specifications

Operating Temperature Range 0 to 40°C (32 to 104°F)

Operating Humidity Range ≤95% RH @ 40°C (104°F)

Operating Altitude Range -500 to 3000 m

Storage/Transportation Temperature Range -20 to 60°C (-4 to 140°F)

Storage/Transportation Humidity Range ≤90% RH @ 60°C (140°F) (non-condensing)

Storage/Transportation Altitude Range -500 to 4600 m

IntelliVue CL NBP Pod Performance Specifications

Display Specifications

Type monochrome (4 gray scales), passive LCD (STN),

positive/transflective

Viewing Area 25.6 mm x 19.2 mm

Dot Size 0.2 mm x 0.2 mm

Resolution 128 x 96 pixel

Backlight white LED

Sounds Hardkey operation tone

Assignment tone

NBP done tone

INOP tone

Battery Integrated rechargeable Li-Ion battery with battery

gauge and cycle counter

10 Specifications

Runtime (fully charged battery) Minimum 8 hours @ 4 measurements per hour

Typical 24 hours @ 2 measurements per hour

Battery Recharge Time Maximum 2.5 hours

Short Range Radio Specifications

Type built in interface with integrated antenna

Technology IEEE 802.15.4

Frequency band 2.4 GHz ISM (2.400 - 2.483 GHz)

Modulation DSSS (O-QPSK)

Receiver bandwidth 5 MHz

Effective radiated power (ERP) max. 0 dBm (1 mW)

Electronic Article Surveillance (EAS) EAS tag inside the housing

Real Time Clock Accuracy less than 5 seconds per day (typically) as long as device is

in power state "Device on" or "Device off".

Automatically synchronized with assigned patient

monitor/telemetry device.

Measurement Ranges Adult:

Systolic: 30 to 270 mmHg (4.0 to 36.0 kPa)

Mean: 20 to 255 mmHg (2.5 to 34.0 kPa)

Diastolic: 10 to 245 mmHg (1.5 to 32.0 kPa)

Pediatric:

Systolic: 30 to 180 mmHg (4.0 to 24.0 kPa)

Mean: 20 to 160 mmHg (2.5 to 21.0 kPa)

Diastolic: 10 to 150 mmHg (1.5 to 20.0 kPa)

Pressure Transducer Accuracy (0 to

300 mmHg)

±3 mmHg @ 15 to 25 °C

±(3 mmHg or 2% whichever is greater) @ 10 to 40°C

Blood Pressure Measurement Accuracy According to ANSI/AAMI SP10:2002/(R)2008 +

A1:2003

8 mmHg standard deviation

±5 mmHg mean error

Pulse Rate Measurement Range 40 to 300 bpm

Pulse Rate Measurement Accuracy 40 - 100 bpm: ±5 bpm

101 - 200 bpm: ±5% of reading

201 - 300 bpm: ±10% of reading

(average over NBP measurement cycle)

IntelliVue CL NBP Pod Performance Specifications

10 Specifications

Measurement Validation: 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 in representative patient population. For the

auscultatory reference the 5th Korotkoff sound was used to determine the diastolic pressure.

Alarm Specifications

When the Cableless Measurement Devices are used alone, without an assignment to a monitor or

telemetry device, no patient alarms will be generated.

When the Cableless Measurement Devices are assigned to a monitor or telemetry device, alarms may

be announced at the host device (for the telemetry device, at the Information Center). See the

respective Instructions for Use for detailed alarm specifications.

Alarm delay times are as specified in the Instructions for Use of your patient monitor or IntelliVue

Information Center plus 4 seconds.

NOTE

If the SRR connection between the Cableless Measurement Device and the patient monitor or

telemetry device is interrupted, the patient monitor or telemetry device will issue an INOP within 5

seconds.

Measurement Time Auto/manual/sequence mode:

Typical 40 seconds @ >60 bpm and normal adult cuff

Maximum 180 seconds

STAT Mode:

Typical 30 seconds @ >60 bpm and normal adult cuff

Maximum 180 seconds

STAT Mode Cycle Time 5 minutes

Initial Cuff Inflation Pressure Adult: 165 ±15 mmHg

Pediatric: 130 ±15 mmHg

Venipuncture Pressure Range Adult: 20 to 120 mmHg in steps of 5 mmHg

Pediatric: 20 to 80 mmHg in steps of 5 mmHg

Venipuncture Pressure Accuracy ±10 mmHg

Cuff size detection INOP, if neonatal cuff size is detected

IntelliVue CL NBP Pod Performance Specifications

10 Specifications

Telemetry Device Battery Runtime Specifications

IntelliVue CL Charging Station Specifications

The IntelliVue CL Charging Station is intended for recharging and performing battery maintenance

procedures for the IntelliVue Cableless Measurement devices. The IntelliVue CL Charging Station is

intended for use in medically used rooms (including use within the patient vicinity) which fulfill the

requirements regarding electrical installation according to IEC 60364-7-710 "Requirements for special

installations or locations - Medical locations", or corresponding local regulations.

Operating Mode Battery Runtime

ECG Only Telemetry Device with CL SpO2/NBP Pod connected

Telemetry Device is host to CL SpO2/NBP Pod

20 hours

ECG/SpO2 (continuous) Telemetry Device with internal SpO2 running in

continuous mode and CL SpO2/NBP Pod connected

Telemetry Device is host to CL SpO2/NBP Pod

8 hours

Physical Specifications

Size (W X D X H) 343 mm x 172 mm x 117 mm ±5%

Weight 2000 g ±10%

Robustness Operating within specification during exposure to

random vibration according to IEC TR 60721-4-7

Class 7M1

Survives shock and 0.05 m free fall according to IEC

TR 60721-4-7 Class 7M1

Environmental Specifications

Operating Temperature Range 0 to 35°C (32 to 104°F)

A temperature-controlled fan becomes active at

operating temperatures above 30°C (typical)

Operating Humidity Range ≤95% RH @ 40°C (104°F)

Operating Altitude Range -500 to 3000 m

Storage/Transportation Temperature Range -20 to 60°C (-4 to 140°F)

Storage/Transportation Humidity Range ≤90% RH @ 60°C (140°F)

no condensation

Storage/Transportation Altitude Range -500 to 4600 m

10 Specifications

IntelliVue CL Transmitter Base Station

Specifications

Performance Specifications

Display Specifications

Type monochrome (4 grey scales), passive LCD (STN),

positive/transflective

Viewing Area 25.6 mm x 19.2 mm

Dot Size 0.2 mm x 0.2 mm

Resolution 128 x 96 pixel

Backlight white LED

Sounds Hardkey operation tone

Charging Current (all slots) max. 4.8A (24W @5V)

Charging Current (one slot) max. 2A (10W @ 5V)

Mains Power 50/60 Hz; 1.3 - 0.7A; 100 - 240V~

USB Downstream Standard: USB 2.0 low/full speed Host Port

Power Output: 5V ± 5%, 500 mA max

Connector: USB series "Standard-A" receptacle

USB Upstream Standard: USB 2.0 full speed Device Port

Power input: "self powered device"

Connector: USB series "Standard-B" receptacle

Physical Specifications

Size (W X D X H) 75 mm x 173 mm x 45 mm ±5%

Weight 210 g ±10%

Robustness Operating within specification during exposure to

random vibration according to IEC TR 60721-4-7

Class 7M1

Survives shock and 0.05 m free fall according to IEC

TR 60721-4-7 Class 7M1

Ingress Protection IP21 according to IEC60529 (protection against

ingress of water when the water is dripping vertically)

10 Specifications

Environmental Specifications

Operating Temperature Range 0 to 40°C (32 to 104°F)

Operating Humidity Range ≤95% RH @ 40°C (104°F)

Operating Altitude Range -500 to 3000 m

Storage/Transportation Temperature Range -20 to 60°C (-4 to 140°F)

Storage/Transportation Humidity Range ≤90% RH @ 60°C (140°F)

no condensation

Storage/Transportation Altitude Range -500 to 4600 m

Performance Specifications

Charging Interface (output)

Power output (PoE powered) 5V ±10%

Power output (USB powered) USB input voltage - 100mV (@500mA)

Communication USB 2.0 full speed

USB Interface

Standard USB 2.0 full speed Device Port

Power Input 4.5V - 5.5V (8W)

Connector USB series “Standard-B” receptacle

Network

Standards IEEE 802.3 10-Base-T, IEEE 802.3af (PoE Class 3)

Connector RJ45 (8 pin)

External AC/DC 5V requirements (connection to USB)

Output voltage 5V +/-5%

Power output min. 8 W

Isolation double according to IEC60950-1 Class II

Classification Limited Power Source according to IEC60950-1

External AC/DC 48V requirements (connection to RJ45)

Output Voltage 48V +/-10%

Power output min. 8 W

Compliancy IEEE 802.3af (PoE Class 3)

Isolation double according to IEC60950-1 Class II

Classification Limited Power Source according to IEC60950-1

Connector RJ45 (Data-in), RJ45 (Data&Power Out)

10 Specifications

Safety and Performance Tests

You must observe any national regulations on the qualification of the testing personnel and suitable

measuring and testing facilities. See the maintenance section for a list of required tests. Safety and

performance tests, and what to do if the instrument does not meet these specifications, are described

in the IntelliVue Cableless Measurements Service Guide.

Electromagnetic Compatibility (EMC)

Specifications

Take special precautions regarding electromagnetic compatibility (EMC) when using the IntelliVue

Cableless Measurements. You must operate your IntelliVue Cableless Measurements according to the

EMC information provided in this book and in the Cableless Measurements Service Guide. Portable

and mobile radio frequency (RF) communications equipment can affect the IntelliVue Cableless

Measurements.

WARNING

For paced patients: The output power of the Pods' SRR transceivers and other sources of radio

frequency energy, when used in very close proximity of a pacemaker, might be sufficient to interfere

with pacemaker performance. Due to shielding effects of the body, internal pacemakers are somewhat

less vulnerable than external pacemakers. However, caution should be exercised when monitoring

paced patients.

In order to minimize the possibility of interference, avoid positioning and wearing the Pods in very

close proximity of a pacemaker. Consult the pacemaker manufacturer for information on the RF

susceptibility of their products.

Accessories Compliant with EMC Standards

All IntelliVue CL SpO2 Pod and CL NBP Pod accessories comply, in combination with the IntelliVue

Cableless Measurements, with the requirements of IEC 60601-1-2:2001 + A1:2004.

WARNING

Using accessories other than those specified may result in increased electromagnetic emission or

decreased electromagnetic immunity of the IntelliVue Cableless Measurements.

Electrosurgery Interference/Defibrillation

Measurement accuracy may be temporarily decreased while performing electrosurgery or defibrillation.

This does not affect patient or equipment safety. Do not expose the equipment to X-ray or strong

magnetic fields (MRI).

1Index

Accessories 55

Accessories Compliant with EMC

Standards 72

Acknowledging an INOP 41

Adding a New Patient to the Device 16

Additional Information 25, 35

Alarm Specifications 68

Applying the Sensor 27

Assessing a Suspicious SpO2 Reading 30

Assigning an IntelliVue Cableless

Measurement Device to a Patient Monitor

or Telemetry Device 20

Assignment at the Measurement Device 20

Assignment at the Patient Monitor 21

Assisting Venous Puncture 39

Availability of Patient Alarms 10

Battery Care 53

Battery Lifetime Management 54

Battery Power Indicators 17

Battery Status Menu 18

Battery Status on the Cableless Device 18

Battery Status on the Charging Station

Display 18

Calibrating NBP 39

Care and Cleaning 47

Changing the Averaging Time 30

Charging IntelliVue Cableless

Measurement Devices 17

Charging Station LEDs 18

Cleaning and Disinfecting the IntelliVue

Cableless Measurements 48

Connecting SpO2 Sensors 26

Controls Available with a Patient

Monitor 22

Controls Available With a Telemetry

Device 23

Correcting the Measurement if Limb is not

at Heart Level 38

Device Compatibility 20

Devices Including the Short Range Radio

Interface 62

Display of INOPs 41

Displaying a List of Current INOPs 41

Displaying the Patient Menu 16

Disposing of the IntelliVue Cableless

Measurement Devices 52

During Measurements 38

Electromagnetic Compatibility (EMC)

Specifications 72

Electrosurgery Interference/

Defibrillation 72

EMC And Radio Regulatory

Compliance 61

Enabling Automatic Mode and Setting

Repetition Time 37

Enabling Sequence Mode and Setting Up

The Sequence 37

FCC and Industry Canada Radio

Compliance 61

General Points 47

Handling Precautions 53

INOP Layout 12

Inspecting the Equipment and

Accessories 51

Installation Safety Information 61

Integrated Battery Handling 53

IntelliVue 802.11 Bedside Adapter (Option

J35 Wireless Network Adapter) 62

IntelliVue Cableless Measurements Use

Models 19

IntelliVue CL Charging Station 9

IntelliVue CL Charging Station

Specifications 69

IntelliVue CL NBP Pod 9

IntelliVue CL NBP Pod Accessories 56

IntelliVue CL NBP Pod Specifications 65

IntelliVue CL SpO2 Pod 9

IntelliVue CL SpO2 Pod Accessories 55

IntelliVue CL SpO2 Pod Specifications 63

IntelliVue CL Transmitter Base Station

Specifications 70

Intended Use 59

Introducing the IntelliVue Cableless

Measurements 8

Introducing the Oscillometric NBP

Measurement 33

Introduction and Basic Operation 7

List of Available SmartKeys 14

Low-Activity Screen 13

Maintenance and Troubleshooting 51

Maintenance Task and Test Schedule 51

Manufacturer's Information 59

Measurement Device Main Parts and

Keys 11

Measurement Limitations 34

Measurement Modes 34

Measuring SpO2 28

Miscellaneous Accessories 57

Monitoring NBP 33

Monitoring SpO2 25

Monitoring with the IntelliVue Cableless

Measurements 19

Operating and Navigating 11

Operating Modes 15

Perfusion Numeric (only available on the

Patient Monitor) 31

Preparing to Measure NBP 35

Radiofrequency Radiation Exposure

Information 63

Recommended Disinfection Agents 48

Reference List of all INOPs 42

Reference Method 34

Removing a Patient From The Device 16

Removing the Pod from the Cradle 27

Safety and Performance Tests 72

Safety Specifications 61

Screen Layout 11

Selecting Measurement Modes 28

Setting the Date and Time 17

Setting the Volume of the INOP Tone 42

Smart Keys Menu 13

Specifications 59

SpO2 Sensors 25

SpO2 Signal Quality Indicator 29

Standard Layout 12

Standby Mode 16

Starting and Stopping Measurements 36

Storage 54

Switching Pulse from NBP On/Off 38

Switching the Devices On and Off 11

Symbols 60

Technical Alarms (INOPs) 41

Telemetry Device Battery Runtime

Specifications 69

Troubleshooting 52

Understanding SpO2 Alarms 30

Understanding SpO2 Numerics and

Symbols 29

Understanding the NBP Numerics and

Symbols 38

Using a Carrying Pouch 36

Using Profiles 17

Using the Hard Keys 13

Using the Main Setup Menu 15

Using the Patient Menu 16

Using the SmartKeys 13

When a Cableless Measurement Device

Cannot be Activated 13

With a Patient Monitor 19

With a Telemetry Device 19

Philips Medical Systems North America SRRBV1 Dual Short Range Radio Module User Manual ait fm manual en 2010 09 06

Philips Medical Systems North America Co. Dual Short Range Radio Module ait fm manual en 2010 09 06

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