Philips IntelliVue CL SpO2 User manual

Instructions for Use
IntelliVue Cableless
Measurements
IntelliVue CL SpO2 Pod and CL
NBP Pod
Release A.3
Patient Monitoring

3
1Table of Contents
1Introduction and Basic Operation 7
Introducing the IntelliVue Cableless Measurements 8
Operating and Navigating 10
Operating Modes 14
Using the Patient Menu 15
Using Profiles 16
Setting the Date and Time 16
Introducing the Cableless Measurement Auxiliary Devices 17
Charging IntelliVue Cableless Measurement Devices 20
2Monitoring or Collecting Vital Signs 23
IntelliVue Cableless Measurements Use Models 23
Trending 24
Assigning an IntelliVue Cableless Measurement Device to a Patient Monitor or Telemetry Device 25
Controls Available with a Patient Monitor 27
Controls Available With a Telemetry Device 28
Controls Available with GuardianSoftware 29
3Monitoring SpO2 31
SpO2 Sensors 31
Connecting SpO2 Sensors 32
Applying the Sensor 33
Measuring SpO2 34
Selecting Measurement Modes 34
Understanding SpO2 Numerics and Symbols 35
Assessing a Suspicious SpO2 Reading 36
Changing the Averaging Time 36
Understanding SpO2 Alarms 36
Perfusion Numeric (only available on the Patient Monitor) 37
4Monitoring NBP 39
Introducing the Oscillometric NBP Measurement 39
Preparing to Measure NBP 41
Starting and Stopping Measurements 43
Enabling Automatic Mode and Setting Repetition Time 43
Enabling Sequence Mode and Setting Up The Sequence 43
Understanding the NBP Numerics and Symbols 44
Correcting the Measurement if Limb is not at Heart Level 45
Switching Pulse from NBP On/Off 45
Assisting Venous Puncture 45

4
Calibrating NBP 45
5Technical Alarms (INOPs) 47
Display of INOPs 47
Acknowledging an INOP 47
Displaying a List of Current INOPs 48
Setting the Volume of the INOP Tone 48
Reference List of all INOPs 48
6Care and Cleaning 53
General Points 53
Cleaning and Disinfecting the IntelliVue Cableless Measurements 54
7Maintenance and Troubleshooting 57
Inspecting the Equipment and Accessories 57
Maintenance Task and Test Schedule 57
Troubleshooting 58
Disposing of the IntelliVue Cableless Measurement Devices 58
8Integrated Battery Handling 59
Battery Care 59
Handling Precautions 59
Storage 60
Battery Lifetime Management 60
9Accessories 61
IntelliVue CL SpO2 Pod Accessories 61
IntelliVue CL NBP Pod Accessories 62
IntelliVue CL Transmitter Accessories 63
10 Specifications 65
Intended Use 65
Compatible Medical Devices 66
Manufacturer's Information 66
Symbols 66
Installation Safety Information 67
Safety Specifications 67
EMC And Radio Regulatory Compliance 68
Safety and Performance Tests 70
Electromagnetic Compatibility (EMC) 70
Accessories Compliant with EMC Standards 71
Electrosurgery Interference/Defibrillation 71
IntelliVue CL SpO2 Pod Specifications 72
IntelliVue CL NBP Pod Specifications 74
Alarm Specifications 76
Telemetry Device Battery Runtime Specifications 76

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IntelliVue CL Charging Station Specifications 76
IntelliVue CL Transmitter Specifications 78
IntelliVue CL Transmitter Base Station Specifications 80
IntelliVue CL Hotspot Specifications 81
11 Default Settings Appendix 85
SpO2 Default Settings 85
NBP Default Settings 85
Index 87

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1Introduction and Basic
Operation
These Instructions for Use are for clinical professionals using the IntelliVue Cableless Measurements
and their respective accessories for monitoring and recording arterial oxygen saturation, pulse rate and
non-invasive blood pressure of adult and pediatric patients together with:
• IntelliVue Patient Monitors MP5/MP5SC/MP5T, MP2 or X2
• IntelliVue Telemetry System Transceivers TRx4841A/TRx4851A and MX40 wearable patient
monitors
• IntelliVue GuardianSoftware
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, a telemetry
system or IntelliVue GuardianSoftware, refer to and adhere to all warnings in the Instructions for Use
of the respective device.
In these Instructions for Use:
•Awarning 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.
•Acaution 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 SpO2Pod and IntelliVue CL NBP Pod with their accessories. Also
included are the auxiliary devices: the IntelliVue CL Charging Station, IntelliVue CL Transmitter,
IntelliVue CL Transmitter Base station and IntelliVue CL Hotspot. 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
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Introducing the IntelliVue Cableless Measurements
The IntelliVue Cableless Measurements family consists of measurement devices and auxiliary devices.
The measurement devices are introduced here. Refer to “Introducing the Cableless Measurement
Auxiliary Devices” on page 17 for an introduction to the auxiliary devices.
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, an IntelliVue Information
Center via a telemetry device, or IntelliVue GuardianSoftware. They have an LCD display and three
keys for basic operation e.g. to assign the device to a patient.
IntelliVue CL SpO2 Pod
The IntelliVue CL SpO2Pod is a battery powered, cableless Pulse Oximetry measuring device. It is a
wrist-worn device; you need a Mobile CL SpO2Cradle to hold the sensor connector in place and a
wristband to fix the cradle to a patient's arm.
Specialized single-patient SpO2sensors are available for use with the IntelliVue CL SpO2Pod. For
details regarding the complete set of single-patient supplies, cradle, wristband and sensors, refer to the
chapter “IntelliVue CL SpO2 Pod Accessories” on page 61.
IntelliVue CL SpO2Pod IntelliVue CL NBP Pod

1 Introduction and Basic Operation
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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 chapter “IntelliVue CL NBP
Pod Accessories” on page 62.
Availability of Patient Alarms
When the IntelliVue Cableless Measurement Devices are used alone, without an assignment to a
monitor or telemetry device, no patient alarms will be generated.
When the IntelliVue Cableless Measurement Devices are assigned to a patient monitor or telemetry
device and a short range radio connection exists, alarms may be announced at the host device.
•When assigned to a patient monitor: Alarm messages will be displayed and audible alarm
indicators sounded at the patient 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.
•When assigned to GuardianSoftware: Measurement values sent via transmitters or hotspots to
IntelliVue GuardianSoftware will be visualized in GuardianSoftware. Since IntelliVue
GuardianSoftware is a data management system, no alarms are derived. The IntelliVue Cableless
Measurement Devices will also not generate physiological alarms when connected to IntelliVue
GuardianSoftware. See the Instructions for Use of GuardianSoftware.

1 Introduction and Basic Operation
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Measurement Device Main Parts and Keys
All IntelliVue Cableless Measurement devices have a 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 27. For
operation from an Information Center via a telemetry system, see “Controls Available With a
Telemetry Device” on page 28.
The IntelliVue CL Cableless Measurement devices have three hardkeys 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
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.
If the device has only been switched off temporarily (see “Switching the Devices Off” on page 14),
press any hardkey 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.
1Integrated monochrome LCD display
2Hardkeys
3Measurement identifier

1 Introduction and Basic Operation
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Screen Layout
There are three variations of the Main Screen layout depending on the INOP status and the general
activity level.
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 a symbol on the right side of the screen.
When assigned to a monitor, telemetry device or a patient in GuardianSoftware:
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
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.
5Cableless Measurement Device equipment label
1Full length INOP message
2INOP indicator

1 Introduction and Basic Operation
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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 Hardkeys
The IntelliVue Cableless Measurement Devices have three hardkeys: ◄, , ►.
In the Main Screen, use ◄and ►to highlight screen elements (e.g. numeric, battery symbol) and
then to 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.
SmartKeys Menu
Press the hardkey (without any screen element highlighted) to get to the SmartKeys menu.
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 key to activate the corresponding function.
To get to the next page of the SmartKeys menu, highlight the rightmost SmartKey then press the ►
key.
◄opens the Add To screen to assign a device
opens 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
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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 SpO2measurement
set the SpO2repetition time
Add/Remove device
enter Battery menu
change Screen
enter Profiles menu
switch device off (or power off when pressed for more than two seconds)
enter Patient menu

1 Introduction and Basic Operation
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Using the Main Setup Menu
In addition to the hardkeys 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 (shown below for an SpO2Cableless Measurement Device).
Switching the Devices Off
To switch off a device manually, select the Device Off SmartKey, then Confirm.
If you keep Device Off pressed for more than two seconds, you can choose between Device Off or
Power Off.
•Device Off means that the display is switched off and the measurements are disabled. Use this
option if your device is not used temporarily. Press any hardkey to turn the device on again.
•Power Off means that the device is switched off completely and can only be switched on again by
putting it on a charger. Use this option when the device is not used for a longer time or prepared
for storage or shipping.
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.
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.
•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
Main Setup
SpO₂
INOPs
Patient
Equipment
User Interface
Device Off
Profiles
Operating Modes
Date, Time
Battery
Revisions

1 Introduction and Basic Operation
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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 or GuardianSoftware. Patient Category is the only item of patient data
which can be changed 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.
Stop Using a Device for a Patient
To remove a patient from the Cableless Measurement Device,
•inthePatient 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.
NOTE
Depending on your configuration, when the device is put on the charger, patient data will also be
cleared and the device will be free for another patient.
Using the Device for a New Patient
To use a device for a new patient,
•inthePatient 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
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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.

1 Introduction and Basic Operation
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Introducing the Cableless Measurement Auxiliary
Devices
IntelliVue CL Transmitter and IntelliVue CL Hotspot
The IntelliVue CL Transmitter and the IntelliVue CL Hotspot are auxiliary network devices that
convert the SRR radio technology from the IntelliVue CL SpO2Pod and the CL NBP Pod into
WLAN or LAN technology. This allows data from the measurement devices to be transmitted to a PC
for use with IntelliVue GuardianSoftware.
The IntelliVue CL Transmitter is a mobile device which can be worn by the patient or by an attending
caregiver. It transmits vital signs data to IntelliVue GuardianSoftware while the patient is moving
around. The display on the CL Transmitter shows only technical data that may be useful for
troubleshooting system problems.
The IntelliVue CL Hotspot serves as an access point in a fixed location, to provide communication to
IntelliVue GuardianSoftware for any CL Pods currently in its transmission area. The CL Hotspots will
normally be located in areas where mobile patients regularly pass by or spend time. When the patient
comes into the transmission area, any available measurement results will be automatically
communicated to GuardianSoftware.
The IntelliVue CL Transmitter is battery-powered while the IntelliVue CL Hotspot is powered by an
external power supply or PoE (power over ethernet).
WARNING
The IntelliVue CL Hotspot may not be used in the patient vicinity.
IntelliVue CL Transmitter IntelliVue CL Hotspot

1 Introduction and Basic Operation
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Screen Layout
The CL Transmitter and CL Hotspots have the same hardkeys and display as the Cableless
Measurement Devices.
However, there is no user interaction required during normal operation.
This is the standard screen of a CL Transmitter or CL Hotspot:
The network status symbols show one of the following states:
Screen of a CL Transmitter / CL Hotspot:
1Equipment label
2Number of GuardianSoftware Servers connected
3Network status symbols (LAN and WLAN)
4Connection status
5Number of Cableless Measurement Devices connected
6Battery gauge
State LAN symbol WLAN symbol
off - (no symbol displayed) - (no symbol displayed)
not connected
no IP address
no Guardian server connected
normally connected

1 Introduction and Basic Operation
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IntelliVue CL Transmitter Base Station
(shown here with the transmitter inserted)
The IntelliVue CL Transmitter Base Station is used with the IntelliVue CL Transmitter. When the
patient is in their room, the Transmitter can be inserted into the Base Station where it is powered and
recharged and also remains connected to the WLAN to communicate vital signs data.
WARNING
The IntelliVue CL Transmitter Base Station may not be used 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 Base Station, as
the data may be damaged.
IntelliVue CL Charging Station
The IntelliVue CL Charging Station is used to charge the IntelliVue CL SpO2Pod, the IntelliVue CL
NBP Pod and the IntelliVue CL Transmitter. The MX40 wearable patient monitor can also be charged
on the IntelliVue CL Charging Station. It contains nine charger slots for IntelliVue Cableless
Measurement Devices. Depending on its size a device may occupy one or two charger slots.
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
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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.
NOTE
Depending on your configuration, when the device is put on the charger, patient data will also be
cleared and the device will be free for another patient.
If a Cableless Measurement Device is placed on the charging
station, the INOP tone is switched off automatically. To indicate
this, the following symbol is displayed on the right icon tray of the
Cableless Measurement Device screen: