Philips 830230 User Manual Brochure 452299123501 Xper Flex Cardio Sell Sheet Spec
User Manual: Philips 830230 brochure Xper Information Management (Xper IM) with Xper Flex Cardio Cardiovascular workflow solution830230
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Xper Flex Cardio Flexibility and clinical decision support Xper Flex Cardio with Xper Information Management 2 Contents 1 Introduction 4 10 Clinical and operations workflow modules 10 Charting 10 2 Intended use 5 Xper Flex Cardio 4 10 Vitals capture Xper Information Management 5 Scheduler 10 Inventory 10 5 Billing 11 Standard 5 Transcription 11 Optional 5 Data analysis 11 Registries 11 Monitoring parameters Environmental and usability 6 5 Harmonious Philips connectivity 6 6 Exclusive functionality 7 8 10 5 enhancements 7 10 Hemodynamic calculations Physiomonitoring system 3 Arterial trees 11 Custom forms 11 Whiteboard Viewer 11 Xper Connect and hospital interface 11 Data center 11 Technical specifications 12 General specifications 12 7 ETCO2 module – model: Expanded diagnostic capabilities 7 Philips M2741A Sidestream CO2 sensor Gender-specific ECG interpretation 8 ETCO2 module – model: ECG waveform analysis (DXL Algorithm) 12 STEMI-CA for identification of Culprit Artery 8 Philips M2501A Mainstream CO2 sensor ST Maps 8 NIBP module 12 ST Maps draw attention to abnormalities 8 SPO2 module 13 Body temperature module 13 Supports FFR technology 9 Invasive blood pressure 13 Cardiac output 13 ECG 13 9 Enhanced hemodynamics and alarm controls 9 12 Respirations 13 Physiomonitoring alarms and alarm ranges 14 Patient care consumables 15 3 1. Introduction Philips provides patient care and clinical informatics solutions that improve the clinical practice and simplify the workflow. The Xper Flex Cardio Physiomonitoring system applies these values, putting clinical IT to work through a space-saving design, Fractional Flow Reserve (FFR) support, advanced electrocardiogram (ECG) analysis tools, and a host of other features that deliver high quality physiomonitoring – before, during, and after interventional procedures. This product specifications document contains a complete description of Xper Flex Cardio Physiomonitoring and the enhanced Xper Information Management (Xper IM) software. Xper Flex Cardio Physiomonitoring system Xper Flex Cardio Physiomonitoring system is a hemodynamic monitoring solution for cardiac monitoring in hospitals and clinics where interventional procedures are performed in cardiac catheterization and electrophysiology (EP) labs, as well as interventional radiology. Xper Flex Cardio brings workflowenhancing features as well as advanced clinical decision support tools to the interventional workspace. The small, space-saving design provides flexible workflow inside the lab while offering scalability to meet ever-evolving clinical needs. Key advantages • Comprehensive hemodynamic analysis package and connected with Xper IM • Streamlined FFR workflow makes it easy to perform FFR measurements, from acquisition to automatic data entry onto reports • Patented DXL Algorithm facilitates Culprit Artery Detection, ST Maps and Critical Values • Patient data connection with Philips image guided therapy systems such as Azurion • Philips harmonized patient cables allows for reuse of cables from IntelliVue monitors • Space-saving design delivers mounting and positioning flexibility 4 2. Intended use Xper Flex Cardio Physiomonitoring system The physiomonitoring system is intended for use by professional healthcare providers for complete physiologic and hemodynamic monitoring. The system may be used to display and analyze surface ECG, respiration, invasive pressure, pulse oximetry (SpO2), end tidal CO2 (ETCO2), FFR, non-invasive blood pressure (NIBP), surface body temperature, and thermal cardiac output. The system also provides for clinical data acquisition, medical image and data processing, and analytical assessment. The system is indicated for use in the following areas: cardiology, cardiac catheterization, electrophysiology, radiology, invasive radiology, and other areas where cardiac monitoring may be required. The system is not intended to be used in the proximity of magnetic resonance imaging. The data may also be acquired from and sent to other devices, such as physiological monitoring systems, information management systems, image acquisition and storage devices, and other medical devices. User-adjustable alarms (both visual and audible) available in the system alert the operator to anomalous occurrences to facilitate timely responses. Use of the system is not intended where unattended patient monitoring is desired, or in situations where arrhythmia detection is required. Xper Information Management The information management system is intended for use under the direct supervision of a healthcare practitioner for acquiring, displaying, trending, storing, and transmitting various types of data, such as physiologic/hemodynamic, clinical, medical image, and other related data. The system is capable of processing/ analyzing information, such as multi-channel ECG signals, and performing other data management functions, such as creating reports. Data may be acquired from and/or sent to other devices, such as physiological monitoring systems, information management systems, image acquisition/storage devices, and other medical devices. The system is indicated for use in the following areas: cardiology, cardiac catheterization, electrophysiology, radiology, invasive radiology, and surrounding areas where access to the information is needed. The system consists of modules and may be entirely a software offering or a hardware/software offering. It is intended for use on standard computer systems and does not require proprietary hardware. The solution is available as a single module or combination of modules, or may function as a standalone system. The system is capable of receiving and displaying user-adjustable alarms (both visual and audible) available in the system, which alert the operator to anomalous occurrences and facilitate timely responses. Use of the system is not intended where unattended patient monitoring is desired, or in situations where arrhythmia detection is required. The system provides the ability to transmit patient data files for storage, viewing and analysis at distributed locations via the intranet or internet, or may function as a stand-alone device. 3. Monitoring parameters Standard Optional • 12-lead ECG capability • Philips DXL Algorithm (ECG analysis, • 4 invasive blood pressure channels STEMI-CA, ST Maps and Critical Values) • Non-invasive blood pressure (NIBP) • FFR – with approved third-party vendors • Pulse oximetry (SpO2) • End tidal CO2 (capnography) mainstream • Respiration rate and sidestream • Body surface temperature • Thermodilution cardiac output 5 4. Environmental and usability enhancements • Philips has designed a small form factor physiomonitoring • Compatibility with the VESA standard allows for mounting in system that enables flexible and easy positioning within multiple locations, such as on an X-ray table rail inside a cath the interventional lab environment or outside the lab where lab, an articulating arm, a roll cart that can be used in multiple cardiac monitoring is needed cath labs, or flush against a wall by the bedside in a patient • The Xper Flex Cardio signal acquisition device is one-sixth the size (14.6%) and one-quarter the weight (22%) of the Xper Physiomonitoring 5 device • Xper Flex Cardio has a VESA (Video Electronics Standards monitoring area • Keeping the signal acquisition device off the floor increases available floor space within the procedure room • Smart design enables users to simply swap the device in case Association) mounting capability, an industry-wide standard maintenance is required, allowing them to quickly and easily that enables a variety of positioning options continue their work without major disruption to workflow • Simplified hemodynamic recording control via intuitive graphical user interface 5. Harmonious Philips connectivity Xper Flex Cardio is compatible with a range of Philips cables and accessories that are currently used on the Philips IntelliVue patient monitoring systems. This helps streamline clinician workflow so the focus can be on patient care. 6 6. Exclusive functionality 12 standard leads Xper Flex Cardio brings the power of 12-lead ECGs to interventional environments. Using 12 leads for post-procedure ECGs enables rapid and confident assessment of cardiac symptoms. Xper Flex Cardio also supports standard 12-lead ECG monitoring, recording, and analysis. STMI decision suppport tools In conjunction, Philips-exclusive DXL Algorithm incorporates tools that provide quantitative information for evaluation of ST Elevation Myocardial Infarction (STEMI). The integration of 100 µV STEMI-CA the DXL Algorithm into Xper Flex Cardio extracts quantitative STEMI criteria ST Maps criteria for Culprit Artery identification and displays the spatial orientation of the ST-segment abnormalities in 3D polar maps, 0.30mV 0.30mV aVL + 0.11 which can help improve patient care in the cath lab. + + + III -0.15 + aVF -0.12 + I 0.06 -aVR -0.01 II -0.08 + + + V1 +.3 + V2 +.3 + + V6 0.07 V5 0.27 V4 V3 +.3 +.3 7. ECG waveform analysis (DXL Algorithm) The Philips DXL ECG Algorithm, developed by the Advanced Expanded diagnostic capabilities Algorithm Research Center, uses sophisticated analytical The Philips DXL ECG Algorithm goes beyond traditional 12-lead methods for interpreting resting ECG. The DXL Algorithm analyzes up to 12 leads of simultaneously acquired ECG waveforms to provide an interpretation of rhythm and morphology for a wide variety of patient populations. The algorithm reflects new recommendations, such as the 2007 AHA/ACCF/HRS Recommendations, Part II1 and the 2009 AHA/ACCF/HRS Recommendations, Part VI2 for the Standardization and Interpretation of the ECG. The ECG Analysis Module provides an analysis of the amplitudes, durations, electrical axis, ST Mapping, and morphologies of the ECG waveforms and associated rhythms. ECG waveform analysis is based on standard criteria for interpretation of these interpretation of the resting ECG. It also provides for incremental diagnostic capabilities not associated with analysis programs of the past: • ST Maps that provide a visual representation of ST deviations in frontal and transverse planes, responding to the 2009 AHA/ACCF/HRS Recommendations, Part VI2 for the Standardization and Interpretation of the ECG • Updated criteria based upon the latest clinical research. Examples include the addition of “acute global ischemia” and incorporation of updated gender-specific STEMI criteria, as documented in the 2009 AHA/ACCF/HRS Recommendations • STEMI-CA (Culprit Artery) criteria that suggests the probable parameters. The ECG analysis is a tool site of an occlusion, consistent with the 2009 AHA/ACCF/HRS to assist the physician in making a clinical diagnosis in Recommendations conjunction with the physician’s knowledge of the patient, the results of the physical examination, and other findings, and is not intended to be a substitute for interpretation by a qualified physician. • Critical Values that highlight conditions requiring immediate clinical attention • LeadCheck program that identifies 19 possible lead reversal and placement errors during ECG acquisition • Updated statements that reflect the 2007 AHA/ACCF/HRS Recommendations 7 Gender-specific ECG interpretation ST Maps As cardiovascular medicine continues to advance, there The 2009 AHA/ACCF/HRS document recommends the display has been continued learning regarding the physiological of the spatial orientation of ST-segment deviations in both differences between men and women. Gender-specific criteria frontal and transverse planes. Xper Flex Cardio can display are not new to Philips. They have been incorporated into the patented ST Maps in both planes to provide for rapid visual multi-lead algorithms since 1987 and have been enhanced assessment of the degree of ST abnormalities (see Figure 1). The continually based upon the latest research and guidelines. maps are plotted in “Cabrera sequence” to reflect the anatomical For example, the DXL Algorithm applies gender, lead, and age orientation. This presentation, previously available only on limits to aid in the detection of acute MI. Based upon the 2009 Philips IntelliVue patient monitors, provides distinct patterns for recommendations, STEMI criteria are subject to reduced ST different anatomic sites of infarcts, global ischemia, pericarditis, thresholds in women. The algorithm also uses gender-specific and other conditions that are readily seen using such maps. axis deviation and MI criteria, Cornell gender-specific criteria for detection of left ventricular hypertrophies, and Rochester and Rautaharju criteria for the detection of prolonged QT. Application of these gender-specific criteria results in an ECG interpretation that helps clinicians assess the cardiac state of male and female patient. 0.30mV aVL + 0.11 STEMI-CA for identification of Culprit Artery If STEMI criteria are met, the DXL Algorithm’s STEMI-CA criteria helps you identify the likely Culprit Artery or probable anatomical site causing the functional ischemia. This may + + + III -0.15 + aVF -0.12 + II -0.08 0.30mV I 0.06 -aVR -0.01 + + + V1 +.3 + + V2 +.3 + V4 V3 +.3 +.3 V6 0.07 V5 0.27 have prognostic significance as well as help to pinpoint the offending lesion when multiple obstructions are present, and can thus be used to enhance the treatment approach ST Maps provide rapid visualization of the degree of ST abnormalities in the cath lab. Specific anatomic sites can include the following coronary arteries: • Left anterior descending artery (LAD) • Right coronary artery (RCA) • Left circumflex artery (LCx) • Left main or multi-vessel disease (LM/MVD) ST Maps draw attention to abnormalities Early detection of STEMI shortens “discovery to treatment” times. The DXL Algorithm enables Philips patented ST Maps, a graphical indication of ST elevation or depression. Philips ST Maps meet the 2009 AHA/ACCF/HRS Recommendation that the spatial orientation of ST-segment deviations be displayed in both frontal and transverse planes. The maps provide distinct patterns for different anatomic sites of acute infarcts, region of ischemia, and other conditions, helping physicians assess a patient’s condition before and during the procedure. After the intervention, ST Maps provide visual verification of the results, allowing assessment of the extent of the infarct and the success of the stent in alleviating the condition. 1 AHA/ACCF/HRS Recommendations for the Standardization and Interpretation of the Electrocardiogram, Part II: Electrocardiography Diagnostic Statement List. J Am Coll Cardiology. 2007;49:1128-135. 2 AHA/ACCF/HRS Recommendations for the Standardization and Interpretation of the Electrocardiogram, Part VI: Acute Ischemia/Infarction. Circulation. 2009;119:e262-e270. 8 8. Supports FFR technology FFR is a technique that has been shown to be beneficial in Within Xper Flex Cardio, a single click launches the FFR function assessing ischemia and in determining if a physician should which allows users to identify the appropriate anatomical site deploy a coronary stent as part of the patient’s treatment. and capture FFR data, display the measured result in real time, Xper Flex Cardio allows for interfacing with FFR devices, allowing and store the measurement as part of the hemodynamic record. users to perform integrated FFR measurements. FFR is a lesion‑ These measurements can be used to automatically populate specific physiological index determining the hemodynamic a physician’s final report. severity of intracoronary lesions. 9. Enhanced hemodynamics and alarm controls Intuitive icon-based controls for hemodynamic monitoring have been designed and implemented for simplified usability. Enhancements help users navigate to set-up screens to modify specific parameters and alarm settings. The icons that activate various functionality or commands also display a text bubble when a cursor is placed over them, helping users learn the functionality. Xper Flex Cardio monitoring screen Hemodynamic functions and configurations The alarm capability in Xper Flex Cardio supports the IEC 60601-1-8 standard for alarms 9 10. Clinical and operations workflow modules Xper IM offers a highly configurable cardiovascular workflow solution for the cath lab. This innovative software suite presents a variety of innovations for reporting, scheduling, inventory, and intelligent data management. With tools that enhance efficiency on multiple levels, the solution improves and simplifies workflow for cardiology professionals. It includes: IntelliSpace Cardiovascular integration Xper IM is integrated with Philips IntelliSpace Cardiovascular. This allows a user to access Xper IM directly from the Cardiology Timeline and Worklists applet and launch into study context as screen is created to match that condition. Any data from subsequent samples taken in that condition is recorded on the corresponding hemodynamics screen. well as import images from IntelliSpace Cardiovascular into the Vitals capture Xper IM report for inclusion. The Vitals Capture Module is an automatic function within Xper IM. The Vitals Capture Module can be set to collect and Charting The Charting Module allows quick and easy procedure charting, where users can create custom menus to refine workflow. Procedural charting is integrally connected to transcription and statistical reports, as well as other modules throughout the application. In addition, entries and modifications to charting are tracked, so that users can perform audits if discrepancies arise. Arterial trees The Arterial Trees Module allows a physician to create a graphic representation of a patient’s cardiac or peripheral arterial anatomy. The arterial trees allow users to indicate areas of disease, collaterals and bypass grafts, interventions performed, and other diagnostic data, such as anatomical chart patient vital signs at intervals of 2 to 60 minutes. Once vitals have been captured, users can display the data elements in either a Vitals Record or a Sedation Flowsheet format. This module does not control setting the actual device parameters for vital signs capture, but merely the recording of the results. The actual parameters are set via the Hemodynamic Control Software. Additionally, an interface between Xper IM and PIIC iX allows automatic transfer of vital signs from IntelliVue monitoring units in the pre- and post-holding areas. Scheduler The Scheduler Module allows for the scheduling of patient studies for specific dates and times based on availability of staff and resources. aberrations. The data from the tree is automatically placed in Inventory the appropriate charting menu and can be included in a report The Inventory Module helps manage inventory. Existing or queried at a later time. Operators may use the provided inventory data can be imported from an Excel® spreadsheet templates or replace any or all of them with a preferred set. and HL7 inventory master lists. The Inventory Module is tightly integrated with Charting, Billing, and Reporting modules. Hemodynamic calculations The Hemodynamic Calculations Module features a screen that contains the invasive pressure and cardiac output data that is collected during a procedure. The collected data is used to perform calculations, such as vascular resistance, intracardiac shunting, and valve stenosis. The calculations are performed automatically as samples are captured, and are recalculated when samples are edited using the waveform review screen. Users also enter oxygen saturation data into the hemodynamics screen. Hemodynamics screens correspond to monitoring conditions. When users record an initial pressure sample in a condition on the monitoring screen, a hemodynamics 10 Inventory items are automatically deducted, modified, and updated in the background. Users can store data such as reference codes, barcodes, catalog numbers, pricing information, manufacturer, vendor, serial number and lot numbers (including compatibility with GS1-128 barcodes). The Inventory Module supports bi-directional interfaces to other third-party inventory systems. Bi-directional inventory interface provides real-time updates available via HL7 to import materials data. MFN-M16 record is our standard, but can be configured for any HL7. Another feature includes building and viewing orders. Built-in inventory reports can be run quickly to display items below par, item location, items approaching expiration, and aging reports. Billing Whiteboard Viewer Xper IM Billing module provides association of procedures with The Whiteboard Viewer Module is a utility module that displays diagnostic codes, enabling compliance with regulations for patient status and location during procedures. Users can change meaningful use criteria and reimbursements. Xper IM provides a status to pre-procedure, during-procedure and post-procedure. billing interface to send financial transactions from Xper IM. The The module provides tools to enhance communication among billing interface sends collected charges to a billing system using family members, physicians, and staff. HL7 or hospital-defined flat file (compatible with third-party systems such as Medi-Tech). Additionally, Xper IM supports (BARbilling administration record) HL7 billing transactions. Transcription IntelliBridge Enterprise** IntelliBridge Enterprise is a single engine for enterprise interoperability; it allows two-way data exchange between cardiology informatics products (IntelliSpace Cardiovascular, The Transcription Module offers report templates that can be Xper IM) and hospital’s clinical and administrative systems; edited, modified, and customized. With the Builder, users can Embracing industry standards such as HL7, DICOM, and IHE, reduce data redundancies by saving sections of a template that IntelliBridge Enterprise helps to reduce work required by your can be easily placed into another template report, saving valuable IT department. time. Users can also designate default reports based on the selected procedure. This module permits selection of coronary IntelliBridge Enterprise for Xper IM supports interface installations trees, images, and waveforms included in reports. For users of with ADT, query ADT, billing, orders, outbound inventory, real time Nuance PowerScribe 360, Xper IM offers automatic integration lab values, results, discreet clinical data, electronic medical record, and incorporation of text from dictation in Nuance Power Scribe DICOM worklists and MPPS. 360 into the Xper IM transcription reports. All reports can contain electronic signatures and can be stored as a PDF when finalized. Data center Data analysis Xper IM Data Center is the central server designed to give users The Data Analysis Module can query the database of users can access: information stored in the system. Data can be transformed • Software updates: Data Center manages and performs into accessible and valuable information to create clinical and statistical reports. Users can build queries to filter, group, and sort data elements to create graphical bar graph, pie chart, matrix, and list displays. The queried information can with administrative rights access to system functions. From here, automatic database updates • System auditing tools: users can review all auditing logs to verify that the system is performing optimally be exported from the system. Users can also analyze the data • Client and server updates: this feature provides client and of the Xper IM database using the Advanced Analytics tool in server automated data replication. If a user builds a menu IntelliSpace Cardiovascular. in Xper IM and saves it, that menu will be distributed to all stations Registries The Registries Module allows for the collection of data that is relevant for several purposes, including reporting to registry databases such as the American College of Cardiology National • Security: Data Center provides the user with access to Xper IM’s robust, innovative security features • Administrative features: our convenient administrator toolset allows management of user rights and system configurations Cardiovascular Data Registry (CathPCI, ICD, etc.). Registry data can be exported to a third-party vendor for submission. The module also allows the capture and reporting of information for local, smaller registries, such as various state registries. Custom forms The Custom Forms Module allows users to capture data that is uniquely important to their institutions. Creating custom forms also allows users to organize the data concisely. The fields become part of the database, so scrapers* can be built to make data collection quick and easy. In addition, the data fields can be queried. Users can create as many forms as they need, and can create forms for different modalities. * Data scrapers are powerful tools that enable users to collect data efficiently, and reduce duplication of work and errors in data entry. The functionality of the data scrapers has been expanded to allow data to be copied from one field to another, as well as to be copied from charting to related fields in the patient demographics screen, registry screens, and transcription reports. ** Xper Connect will be phased out as all interfaces become available with IntelliBridge Enterprise. 11 11. Technical specifications General specifications Model FC2010 and FC2020 ETCO2 module – model: Philips M2501A Mainstream CO2 sensor Dimensions Standard ISO 21647 Measurement range 0 – 150 mmHg, 0 – 20 kPa (at 760 mmHg) Accuracy 0 – 40 mmHg ± 2 mmHg 41 – 70 mmHg ± 5% of reading 71 – 100 mmHg ± 8% of reading 101 – 150 mmHg ± 10% of reading Initialization time Full specification within 2 minutes, waveform data in less than 20 seconds at ambient temperature of 25° C Calibration No routine user calibration required Water resistance (sensor) IPX4 Splash-proof Operating temperature 0 – 40° C, 10 – 90% RH, non‑condensing Storage temperature 0 – 70° C, < 90% RH, non-condensing 7.5" x 6.0" x 10.0" (19.05 cm x 15.24 cm x 25.4 cm) Weight 4.4 lb (2 kg) Operating System embedded Windows 7 Component Minimum specification Processor > 1.6 GHz RAM > 1 GB Hard disk > 16 GB SSD Analog output channels 4 100 Ω Analog output impedance Output source, ECG Lead I 1 V ± 0.2 V Output source, ECG Lead II 1 V ± 0.2 V Invasive pressure 10 mV/mmHg QRS 3 V pulse Specification NIBP module Specification Specification Power consumption < 75 W Standard IEC 60601-2-30 Operating range Temperature 0 – 35° C (32 – 95° F) Measurement method Storage temperature range -20 – 60° C (-4 – 140° F) Oscillometric, employing stepwise pressure deflation Relative humidity range 15 – 95% non-condensing Modes Manual or automatic 500 – 1600 hPa Manual: manometer Accuracy check of NIBP pressure Automatic Host can select intervals of 1, 2, 3, 4, 5, 10, 15, 30, 60, 90 minutes STAT Typical measurement time in less than 20 seconds Atmospheric pressure range ETCO2 module – model: Philips M2741A Sidestream CO2 sensor Five-second pause between measurements Runs in continuous STAT mode until user intervention Specification Standard ISO 21647 Measurement range 0 – 150 mmHg, 0 – 20 kPa (at 760 mmHg) Accuracy 0 – 40 mmHg ± 2 mmHg 41 – 70 mmHg ± 5% of reading 71 – 100 mmHg ± 8% of reading 101 – 150 mmHg ± 10% of reading Note: All specifications are ± 12% for respiration rates above 80 BPM Sample flow rate 50 ml/min ± 10 ml/min Respiratory rate Range 0 – 150 ipm Accuracy ± 1 breath Initialization time Full specification within 2 minutes, waveform data in less than 20 seconds at ambient temperature of 25° C Blood pressure range (adult/pediatric) Systolic: 35 – 255 mmHg Diastolic: 15 – 215 mmHg MAP: 20 – 235 mmHg Pulse: 30 – 240 BPM Blood pressure range (neonatal/infant) Systolic: 35 – 135 mmHg Diastolic: 15 – 105 mmHg MAP: 20 – 115 mmHg Pulse: 40 – 240 BPM Pressure and pulse rate resolution Pressure resolution: 1 mmHg Heart rate resolution: 1 BPM Redundant hardware over pressure limits Adult: 300 mmHg +/- 10% Neonatal: 150 mmHg +/- 10% Pressure transducer accuracy± 3 mmHg over the full range (0 – 270 mmHg) Calibration No routine user calibration required Water resistance (sensor) IPX4 Splash-proof Operating temperature 0 – 40° C, 10 – 90% RH, non-condensing Pulse rate accuracy Storage temperature 0 – 70° C, < 90% RH, non-condensing ± 2 BPM or ± 2%, whichever is greater Deflation method Stepwise 12 To maintain accuracy, it is recommended that the ND+ module be calibrated once a year SPO2 module Cardiac output (continued) Specification Specification Standard EN ISO 9919:2005 Saturation range 0 – 100% Resolution 1% Pulse rate 30 – 300 BPM Resolution 1 BPM Accuracy 2% or 1 BPM Arterial accuracy With Philips sensor 70% -100%: M1196A – 3% M1131A – 3% M1132A – 2% M1133A – 3% neonatal, 2% adult/infant CO bath channel Injectate temperature “No Probe” condition detect When measured temperature < -5° C or when probe circuit is open Injectate temperature channel frequency response DC to 2 Hz CO distal Catheter Edwards thermodilution catheters System resolution 0.01° C System accuracy ± 0.05° C System temperature range 30 – 41° C ECG Body temperature module Specification Specification Standard N/A Standard IEC-60601-2-27 Measurement range 25 – 45° C Probe type Philips Reusable Skin Temperature Probe Patient applied risk current (per IEC 60601-2-27) 10 μA normal condition, 50 μA single fault condition Design creepage and clearances Minimum 8 mm Electrical isolation 7.5 kV peak, 6.0 kV rms (1 min.), no breakdown Invasive blood pressure Specification Standard IEC 60601-2-34 ESU withstand 9 kV @ 0.5 – 4.0 MHz no damage Channels Four (4) Defibrillator withstand Transducer type 4-wire bridge 360 j (x5) with 100 Ω patient load no damage Excitation voltage 5 ± 0.1 V Input impedance > 20 MΩ shunted by < 500 pF 20 mA min, 25 mA max (measured sensor short-circuited) Input bias currents < 0.05 μA Selectable 0.01 – 100 Hz (diagnostic mode) or 0.5 – 40 Hz (monitor mode), -30% points Excitation current limit “No Probe” condition detection Supported Frequency and impulse response IEC 60601-2-27 Transfer function 25 μV/mmHg Notch filters Selectable 50/60 Hz Normal output resistance 300 Ω Restore to usable in 3 seconds Resolution Better than 0.04 mmHg Baseline reset after overload IEC 60601-2-27 Measurement range 0 – 300 mmHg < 30 μV p-p referred to input Frequency response Selectable 1.5 Hz, 2.5 Hz, 0-8 Hz, 0-12 Hz, 0-20 Hz, 0-40 Hz, 0-80 Hz Noise (per IEC 60601-2-27) Zero and span adjustment Supported Loose patient lead behavior Flatline and reported at clinical software module level Respirations Cardiac output Specification Specification Standard N/A CO bath channel Injectate temperature range and accuracy 0.0 – 27° C ± 0.3° C Injectate probe characteristic 2613 Ω @ 25° C Injectate temperature resolution 0.1° C Respiration range 4 – 150 ipm Accuracy ± 3 ipm Patient connection RA, LL Measurement method Transimpedance, 60 kHz Applied current @ 60 kHz < 200 μA Open circuit 60 kHz voltage < 5 V p-p 13 Physiomonitoring alarms and alarm ranges Value Default High range Low range Type Silencing Heart rate 140/40 270 to 35 265 to 30 Visual/tone Configurable BP systolic 200/0 360 to 10 295 to -40 Visual/tone Configurable BP diastolic 90/0 360 to 10 295 to -40 Visual/tone Configurable BP mean 110/0 360 to 10 295 to -40 Visual/tone Configurable NIBP systolic 200/60 260 to 25 220 to 10 Visual/tone Configurable NIBP diastolic 160/40 260 to 25 220 to 10 Visual/tone Configurable Temperature 40/29° 45 to 32° 42 to 29° Visual/tone Configurable Configurable ETCO2 39/10 100 to 5 95 to 0 Visual/tone Respirations 50/10 150 to 9 145 to 4 Visual/tone Configurable SP02 101/90 101 to 85 101 to 65 Visual/tone Configurable 14 Patient care consumables Item Part number Item Part number Cardiac output supplies ECG cables and leads CBL 5+5 ECG trunk cable, AAMI/IEC, 2.7 m M1949A Ice bath temperature probe 23002A CBL 5-lead ECG trunk, AAMI/IEC, 2.7 m M1668A Cardiac output cable, 4.8 m M1643A CBL 5-lead set, grabber, chest, AAMI/ICU M1976A CBL 5-lead set, grabber, AAMI/ICU M1968A Temperature supplies CBL 5-lead set, grabber, chest, IEC/ICU M1978A Skin surface temperature probe CBL 5-lead set, grabber, IEC/ICU M1971A CBL 3-lead set, grabber, AAMI/ICU M1671A ETCO2 accessories CBL 3-lead set, grabber, IEC/ICU M1672A Mainstream sensor M1649A Single-patient use adult airway adapter M2533A 989803148861 Single-patient use infant airway adapter M2536A Radiolucent socket leadwires Trunk cable covers 21078A M2501A M1501A Gas cylinder regulator M2505A Combiner for 5-lead sets M1502A GAS verification gas M2506A Bed sheet clip for trunk cables M1509A Sidestream CO2 sensor M2741A CO2 nasal cannula – adult M2744A Combiner for 3-lead sets SpO2 cables, sensors, and accessories CO2 nasal cannula – pediatric M2745A CO2 nasal cannula – infant M2746A M2750A CBL SpO2 9-pin D-sub adapter 1.1 m (8-pin) M1943A Reusable clip, adult SpO2 sensor M1196A CO2/O2 nasal cannula – adult Disposable adult/pediatric SpO2 sensor M1131A CO2/O2 nasal cannula – pediatric M2751A Infant disposable SpO2 sensor M1132A CO2 oral-nasal cannula – adult M2756A Neo/infant/adult/disposable SpO2 sensor M1133A CO2 oral-nasal cannula – pediatric M2757A Wristband M1627A CO2/O2 oral-nasal cannula – adult M2760A Non-invasive blood pressure supplies CO2/O2 oral-nasal cannula – pediatric M2761A Airway adapter set – ET > 4.0 mm M2768A M2772A NIBP interconnect cable 3.0 m M1599B Airway adapter set H – ET > 4.0 mm Reusable NIBP Comfort Cuff assortment M1579A Airway adapter set H – ET ≤ 4.0 mm Reusable NIBP Comfort Cuff/infant M1571A Airway adapter set – ET ≤ 4.0 mm Reusable NIBP Comfort Cuff/pediatric M1572A Reusable NIBP Comfort Cuff/small adult M1573A Miscellaneous accessories Reusable NIBP Comfort Cuff/adult M1574A Patient cable organizer Reusable NIBP Comfort Cuff/large adult M1575A Reusable NIBP Comfort Cuff/thigh M1576A Reusable NIBP Comfort Cuff assortment M1577A Reusable NIBP Comfort Cuff assortment M1578A M2773A 989803144531 M2281A 15 © 2017 Koninklijke Philips N.V. All rights reserved. www.philips.com Specifications are subject to change without notice. 4522 991 23501 * APR 2017
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