Manual Do Utilizadoríndice analítico08-0308 - Manual Cover.pdf10070-10-0690-01 Panorama Operations Maual with Telepack 2.4 - CH16 REVISED2.pdf2Foreword11Warnings, Precautions and Notes11Indications for Use18Unpacking Information19Symbols and Descriptions20Technical Support211.0 System Overview231.1 Components of the Panorama System241.2 Licensing Key251.3 Supported Devices261.3.1 Panorama Central Station261.3.2 Panorama ViewStation and WorkStation261.3.3 Panorama Telemetry Server271.3.4 Panorama Wireless Transceiver271.3.5 Panorama Gateway281.3.6 Panorama Web Viewer281.3.7 Passport 2® Bedside Monitor291.3.8 Spectrum™ Bedside Monitor311.3.9 Spectrum OR™ Bedside Monitor331.3.10 Panorama Telepack351.3.11 Network Printer371.4 Troubleshooting382.0 Getting Started412.1 The Panorama Central Station422.2 The ViewStation and the WorkStation442.3 The Main Screen472.3.1 Patient Tiles472.3.2 Menu Bar502.3.3 Tabs542.3.4 Sidebar Buttons542.4 Common Controls and Elements552.5 Quick Reference Guide602.5.1 Auto-Admitting a Patient602.5.2 Standby602.5.3 Discharge612.5.4 Display622.5.5 Patient Alarms632.5.6 Viewing List Trends642.5.7 Viewing Events652.5.8 Viewing Disclosure Data652.6 Troubleshooting663.0 Alarm Behavior673.1 General Alarm Behavior683.2 Physiological Alarms683.2.1 Alarm Behaviors683.2.2 Alarm Options693.2.3 Physiological Alarm Responses703.2.3.1 Alarm Priorities703.2.3.2 Save To Event713.2.3.3 Print on Alarm713.3 Technical Alarms723.3.1 Alarm Behaviors723.3.2 Alarm Options723.3.3 Alarm Responses723.4 System Alarms723.4.1 Alarm Behaviors724.0 Arrhythmia and ST Analysis734.1 Lead Placement Procedures744.1.1 Skin Preparation744.1.2 Electrode Patches744.1.3 Lead Placement Methods: AHA and IEC754.2 Arrhythmia Algorithm824.3 ST Segment Analysis844.4 Arrhythmia Alarms854.4.1 Lethal Arrhythmia Alarms864.4.2 Non-Lethal Arrhythmia Alarms874.5 Troubleshooting905.0 Patient Setup Functions935.1 Demographics Tab945.1.1 Communications with the Panorama Gateway945.1.2 Accessing the Demographics Tab955.1.3 Entering Data in the Demographics Tab965.1.3.1 Pacer Configuration1035.1.3.2 Arrhythmia Setup1045.1.3.3 Configuring Care Groups1065.1.3.4 Settings (Telepack)1075.1.3.5 Retrieving Discharged Patients1085.1.3.6 Simultaneous Patient Demographic Tab Editing1095.1.4 Sidebar Buttons1115.1.5 Troubleshooting1125.2 Transfer Tab1145.2.1 Accessing the Transfer Tab1145.2.2 Room To Room Transfer Without Device1145.2.2.1 Effects of the Transfer1155.2.3 Central To Central Transfer Without Device1165.2.3.1 Source Panorama1165.2.3.2 Destination Panorama1175.2.3.3 Effects of the Transfer1195.2.4 Sidebar Buttons1205.2.5 Troubleshooting1235.3 Discharge Tab1285.3.1 Accessing the Discharge Tab1285.3.2 Discharging a Patient from the Central Station and the Bedside Monitor1285.3.3 Discharging a Patient from the Central Station1295.3.4 Discharging a Patient from a Telepack Device1305.3.5 Sidebar Button - Normal Screen1305.3.6 Troubleshooting1305.4 Display Tab1325.4.1 Accessing the Display Tab1325.4.2 Components of the Display Tab1335.4.3 Configuring the Display Tab1375.4.3.1 Configuring a Trend Display Interval1385.4.4 Sidebar Buttons1405.4.5 Troubleshooting1405.5 Standby Tab1415.5.1 Accessing the Standby Tab1415.5.2 Placing a Patient in Standby Mode1415.5.3 Removing a Patient from Standby Mode1425.5.4 Sidebar Button - Normal Screen1425.5.5 Troubleshooting1435.6 Wave Gain Tab (Patient)1445.6.1 Accessing the Wave Gain Tab (Patient)1445.6.2 Changing a Patient’s Wave Gain Settings1455.6.3 Sidebar Buttons1465.6.4 Troubleshooting1465.7 Print Setup Tab (Patient)1475.7.1 Accessing the Print Setup Tab1475.7.2 Changing a Patient’s Print Setup1485.7.3 Sidebar Buttons1485.7.4 Troubleshooting1496.0 Patient Alarm Functions1516.1 Patient Alarm Setup Tab (Optional)1526.1.1 Accessing the Patient Alarm Setup Tab1526.1.2 Entering a Password1526.1.3 Sidebar Buttons1536.1.4 Troubleshooting1536.2 Alarm Limits Tab (Patient)1546.2.1 Accessing the Alarm Limits Tab1546.2.2 Configuring Patient Alarm Limits1556.2.3 Simultaneous Alarm Limit Editing1576.2.4 Sidebar Buttons1576.2.5 Generating a Patient Alarm Report1596.2.6 Testing Alarm Limits1596.2.7 Troubleshooting1606.3 Alarm Responses Tab (Patient)1626.3.1 Accessing the Alarm Responses Tab1626.3.2 Configuring Alarm Responses1646.3.3 Sidebar Buttons1656.3.4 Troubleshooting1687.0 Views1697.1 Bedside Tab1707.1.1 Accessing the Bedside Tab1707.1.2 Bedside Tab (All Waveforms View)1717.1.2.1 Components of the All Waveforms View1717.1.2.2 Navigating in the All Waveforms View1737.1.2.3 Performing ECG Waveform Measurements1737.1.2.4 Sidebar Buttons1747.1.3 Generating an All Strips Report1757.1.3.1 Troubleshooting1767.1.4 Bedside Tab (All ECG View)1767.1.4.1 Accessing the All ECG View1767.1.4.2 Components of the All ECG View1777.1.4.3 Navigating in the All ECG View1787.1.4.4 Performing ECG Waveform Measurements1787.1.4.5 Sidebar Buttons1787.1.4.6 Troubleshooting1797.2 Trends Tab1817.2.1 Accessing the Trends Tab1817.2.2 Trends Tab (List View)1817.2.2.1 Components of the List View1827.2.2.2 Navigating in the List View1827.2.2.3 Configuring a Trend Display Interval1837.2.2.4 Printing a Trend List Report from the List View1847.2.2.5 Sidebar Buttons1847.2.2.6 Troubleshooting1857.2.3 Trends Tab (Graphic View)1877.2.3.1 Accessing the Graphic View1877.2.3.2 Components of the Graphic View1877.2.3.3 Navigating in the Graphic View1887.2.3.4 Sidebar Buttons1897.2.4 Generating a Graphic Trend Report1897.2.4.1 Troubleshooting1907.3 Events Tab1917.3.1 Accessing the Events Tab1917.3.2 Events Tab (List View)1927.3.2.1 Components of the List View1927.3.2.2 Navigating in the List View1937.3.2.3 Deleting Event Records1937.3.2.4 Refreshing the List View1957.3.3 Event Filtering1957.3.3.1 Accessing the Events Filter1957.3.3.2 Components of the Events Filter1957.3.3.3 Time Filters1967.3.3.4 Parameter Filters1987.3.3.5 Printing an Events List Report from the List View1997.3.3.6 Sidebar Buttons1997.3.3.7 Troubleshooting1997.3.4 Events Tab (Waveforms View)2017.3.5 Accessing the Waveforms View2017.3.5.1 Components of the Waveforms View2017.3.5.2 Navigating in the Waveforms View of the Events Tab2027.3.5.3 ST Button2047.3.5.4 Comments Dialog Box (Optional)2057.3.5.5 Sidebar Buttons2057.3.5.6 Printing an Event Zoom In Report from the Waveforms View2067.3.5.7 Troubleshooting2067.4 Disclosure Tab2087.4.1 Accessing the Disclosure Tab2087.4.1.1 Components of the Compressed View2097.4.1.2 Navigating in the Waveform Area2107.4.1.3 Changing the Displayed Waveform2117.4.1.4 Locating Specific Disclosure Data2117.4.1.5 Printing a Full Disclosure Report from the Compressed View2127.4.1.6 Sidebar Buttons2127.4.1.7 Troubleshooting2137.4.2 Disclosure Tab (Waveforms View)2137.4.2.1 Accessing the Waveforms View2137.4.2.2 Components of the Waveforms View2147.4.2.3 Navigating in the Waveforms View of the Disclosure Tab2157.4.2.4 ST Button2167.4.2.5 Comments Dialog Box (Optional)2177.4.2.6 Sidebar Buttons2177.4.2.7 Printing a Full Disclosure Zoom In Report from the Waveforms View2187.4.2.8 Troubleshooting2187.5 ST Tab2227.5.1 Accessing the ST Tab2227.5.1.1 Components of the ST Tab2237.5.1.2 Configuring ST (Device Dependent)2257.5.1.3 Simultaneous ST Configuration Editing2267.5.1.4 Sidebar Buttons2267.5.2 Generating an ST Report2277.5.3 Troubleshooting2278.0 Report Functions2318.1 Patient Reports Tab2328.1.1 Accessing the Patient Reports Tab2328.1.2 All Strips Report2328.1.2.1 Header2348.1.2.2 Digital Data2348.1.2.3 Waveform Data2358.1.2.4 ECG Waveforms2358.1.3 Full Disclosure Report2368.1.3.1 Header2408.1.3.2 Waveform Data2418.1.3.3 Footer2418.1.3.4 Printing a Full Disclosure Report (ECG and Non-ECG Layout)2428.1.4 ST Report2448.1.4.1 Header2458.1.4.2 ST Data2458.1.4.3 Footer2468.1.4.4 Printing an ST Report2468.1.5 Trend List Report2478.1.5.1 Header2498.1.5.2 Trend Records2498.1.5.3 Footer2498.1.5.4 Printing a Trend List Report2498.1.6 Event List Report2518.1.6.1 Header2528.1.6.2 Event Record2538.1.6.3 Footer2538.1.6.4 Printing an Event List Report2538.1.7 Patient Alarm Report2558.1.7.1 Header2568.1.7.2 Patient Alarm Data2568.1.7.3 Arrhythmia Settings2578.1.7.4 Paging Delay Settings2578.1.7.5 Footer2578.1.7.6 Printing a Patient Alarm Report2578.1.8 Troubleshooting2578.2 System Reports Tab2598.2.1 Accessing the System Reports Tab2598.2.2 All Strips (All Patients) Report2608.2.2.1 Header2618.2.2.2 Digital Data2628.2.2.3 Waveform Data2628.2.2.4 Footer2638.2.2.5 Printing an All Strips (All Patients) Report2638.2.3 Equipment Report2648.2.3.1 Header2648.2.3.2 Equipment Information2648.2.3.3 Footer2658.2.3.4 Printing the Equipment Report2658.2.4 Paging Report2658.2.4.1 Header2668.2.4.2 Pager Information2668.2.4.3 Footer2678.2.4.4 Printing a Paging Report2678.3 Print Status Tab2688.3.1 Print Status Tab List Box2688.3.2 Removing Print Jobs from the Print Queue2688.3.3 Sidebar Buttons2698.3.4 Troubleshooting2698.4 Additional Reports2708.4.1 Accessing Additional Reports2708.4.2 Event Zoom In Report2708.4.2.1 Header2718.4.2.2 Digital Data2718.4.2.3 Waveform Data2728.4.2.4 ECG Waveforms2728.4.2.5 Non-ECG Waveforms2738.4.2.6 Footer2738.4.2.7 Printing an Event Zoom In Report2738.4.3 Full Disclosure Zoom In Report2738.4.3.1 Header2758.4.3.2 Digital Data2758.4.3.3 Waveform Data2758.4.3.4 Footer2768.4.4 Printing a Full Disclosure Zoom In Report2768.4.5 Graphic Trend Report2778.4.5.1 Header2788.4.5.2 Digital Data2798.4.5.3 Graphic Data2798.4.5.4 Footer2808.4.5.5 Printing a Graphic Trend Report2808.4.6 12-lead Report2818.4.6.1 Header2818.4.6.2 Waveform Data2828.4.6.3 Printing a 12-lead Report2828.4.7 Telepack Error Log Report2838.4.7.1 Header2838.4.7.2 Error Log Data2838.4.7.3 Footer2838.4.7.4 Printing a Telepack Error Log Report2848.4.8 System Alarm Report2858.4.8.1 Header2868.4.8.2 System Alarm Information2868.4.8.3 Arrhythmia Settings2878.4.8.4 Paging Delay Settings2878.4.8.5 Footer2878.4.8.6 Printing a System Alarm Report2878.4.9 Troubleshooting2889.0 System Setup Functions2899.1 Parameter Color Tab2909.1.1 Accessing the Parameter Color Tab2909.1.2 Selecting a Color for Parameter Data2909.1.3 Sidebar Button - Normal Screen2909.1.4 Troubleshooting2919.2 Touch Screen Tab2929.2.1 Accessing the Touch Screen Tab2929.2.1.1 Turning the Touch Screen On or Off2929.2.1.2 Recalibrating the Touch Screen2929.2.2 Sidebar Button - Normal Screen2949.2.3 Troubleshooting2949.3 Installation Setup Tab2959.3.1 Accessing the Installation Setup Tab2959.3.2 Entering a Password2959.3.3 Sidebar Button - Normal Screen2969.3.4 Troubleshooting2969.4 Care Group Tab2979.4.1 Accessing the Care Group Tab2979.4.2 Editing Care Group Labels2979.4.3 Assigning a Patient Tile to a Care Group2989.4.4 Sidebar Button - Normal Screen2989.4.5 Troubleshooting2989.5 Volume Tab2999.5.1 Accessing the Volume Tab2999.5.2 Sidebar Button - Normal Screen3019.5.3 Troubleshooting3019.6 System Alarms Tab3029.6.1 System Alarms (Options) Tab3029.6.1.1 Accessing the System Alarm (Options) Tab3029.6.1.2 Setting the System Alarms Options (Central Station)3039.6.1.3 Setting the System Alarm Options (ViewStation and WorkStation)3059.6.2 System Event Filtering3069.6.2.1 Accessing the Events Filter3069.6.2.2 Components of the Events Filter3079.6.2.3 Time Filters3079.6.2.4 Parameter Filters3089.6.2.5 Sidebar Buttons3099.6.2.6 Troubleshooting3109.6.3 System Alarms (Alarm Limits) Tab3119.6.3.1 Accessing the System Alarms (System Alarm Limits) Tab3119.6.3.2 Setting the System Alarm Limits3119.6.3.3 Sidebar Buttons3129.6.3.4 Troubleshooting3139.6.4 System Alarms (Alarm Responses) Tab3149.6.4.1 Accessing the System Alarms (System Alarm Responses) Tab3149.6.4.2 Setting the System Alarms Responses3159.6.4.3 Sidebar Buttons3159.6.4.4 Troubleshooting3169.7 Passwords Tab3179.7.1 Accessing the Installation Setup Tab3179.7.2 Modifying a Default Password3189.7.3 Sidebar Button - Normal Screen3199.7.4 Troubleshooting3199.8 Equipment Setup Tab3219.8.1 Accessing the Equipment Setup Tab3219.8.2 Entering New Equipment3229.8.3 Modifying Equipment Included in the Equipment List3239.8.4 Deleting Equipment in the Equipment List3249.8.5 Sidebar Buttons3249.8.6 Troubleshooting3259.9 More Tab3279.9.1 Accessing Additional (More) Tabs3279.10 Previous Tab3289.10.1 Accessing Previous Tabs3289.11 Date/Time Tab3299.11.1 Accessing the Date/Time Tab3299.11.2 Set Date/Time3309.11.3 Sidebar Button - Normal Screen3329.11.4 Troubleshooting3329.12 Print Setup Tab (System)3339.12.1 Accessing the Print Setup Tab (Central Station)3339.12.2 Accessing the Print Setup Tab (ViewStation and WorkStation)3349.12.3 Setting the System Default Print Setup3349.12.4 Troubleshooting3349.13 Unit Priorities Tab3359.13.1 Accessing the Unit Priorities Tab3359.13.2 Setting a Default Order in the Unit Priorities Tab3359.13.2.1 Setting the Waveform System Defaults3369.13.3 Sidebar Buttons3369.13.4 Troubleshooting3379.14 Unit Choices Tab3389.14.1 Accessing the Unit Choices Tab (Central Station)3389.14.2 Accessing the Unit Choices Tab (ViewStation and WorkStation)3389.14.2.1 Setting the Unit Choices (Central Station)3399.14.2.2 Setting the Unit Choices (ViewStation and WorkStation)3439.14.2.3 Arrhythmia Setup (Telepack)3439.14.2.4 Settings (Telepack)3449.14.3 Configuring Default Report Waveform Parameters3459.14.4 Sidebar Buttons3469.14.5 Troubleshooting3469.15 Wave Gain Tab (System)3479.15.1 Accessing the Wave Gain Tab3479.15.2 Changing the System Default Wave Gain Settings3479.15.3 Sidebar Button - Normal Screen3489.15.4 Troubleshooting3499.16 Wireless Tab3509.16.1 Accessing the Wireless Tab3509.16.2 Entering Wireless Settings (Telepack-2.4)3519.16.3 Entering Wireless Settings (Telepack-608)3549.16.4 Sidebar Buttons3569.16.4.1 Read3569.16.4.2 Program3579.16.5 Error Log Sidebar Button3579.16.6 Device ID3589.16.7 Connect Field3589.16.7.1 Free Channel Sidebar Button3609.16.7.2 Free Connected Channel Sidebar Button3609.16.7.3 Sidebar Button - Normal Screen3609.16.8 Troubleshooting36010.0 Telepack (Optional)36310.1 Introduction36410.2 Button Indicators36510.2.1 Nurse Call Button36510.2.2 Attendant Present Buttons36510.2.3 LEAD SELECT Button36510.2.4 CHECK Button36610.2.5 RECORD Button36610.3 LED Indicator Lights36610.3.1 ECG Lead Diagram LED Indicator Lights36610.3.2 Link Status LED Indicator Light36810.3.3 Battery Status LED Indicator Light36810.4 Operating Instructions36910.4.1 Initial Setup of Telepack36910.4.1.1 Inserting Batteries36910.4.1.2 Programming the Telepack37010.4.1.3 Entering the Telepack to the Equipment List37110.4.1.4 Telepack Power Up Sequence37110.4.1.5 Telepack Communication Range37210.4.2 Securing the Telepack Device37210.5 Telepack with Nonin SpO2 Module (Optional)37310.5.1 Introduction37310.5.2 Installing the SpO2 Module on the Telepack37310.5.3 Removing the SpO2 Module from the Telepack37410.5.4 Installing the Patient Cable37510.5.5 Attaching the Finger Clip Sensor37610.5.6 Removing the Patient Cable37710.6 Approved Telepack Accessories37810.7 Troubleshooting37911.0 User Maintenance38111.1 Touch Screen User Maintenance38211.1.1 Care and Cleaning of the Touch Screen38211.2 Telepack User Maintenance38311.2.1 Storing the Telepack38311.2.2 Cleaning and Disinfecting the Telepack Device38311.2.2.1 Cleaning the Battery Compartment38411.2.2.2 Cleaning the ECG Lead Sets38411.2.3 Cleaning the SpO2 Module38511.2.4 Cleaning the SpO2 Finger Clip Sensor38611.2.5 Disposal of the Telepack Device38611.2.6 Disposing of Batteries38712.0 Parameter Specifications38912.1 Parameter Specifications39012.1.1 Heart Rate: HR39012.1.2 Respiration: Resp39012.1.3 NIBP39112.1.4 SpO239212.1.5 Nonin SpO239312.1.6 IBP: mmHg39312.1.7 CO239412.1.8 O239412.1.9 INSP/ET O239412.1.10 N2O39512.1.11 Anesthetic Agents: Iso, Enf, Des, Sev, Hal, Agent39512.1.12 Premature Ventricular Contraction (PVC)39612.1.13 Temp: T1,T2, Delta T, and T Blood39612.1.14 ST39712.1.15 Cardiac Output39712.1.16 Cardiac Index39812.1.17 Pulmonary Artery Wedge Pressure (PAWP)39812.1.18 Battery Percentage39812.2 Invalid Data Display39913.0 Alarms and Events40113.1 Physiological Alarms and Events40213.1.1 Alarm Limit Settings40213.1.2 Physiological Alarm Event Messages40713.2 Physiological Alarms and Events: Arrhythmias40913.3 Technical Alarms and Events41113.4 System Events41614.0 Network Tab (Optional)41914.1 Network Tab42014.1.1 Accessing the Network Tab42014.1.2 Sorting the Contents of the Network Tab List Box42014.1.3 Assigning Patient Tiles in the Network Tab42014.1.4 Removing a Patient Tile Assignment in the Network Tab42214.1.5 Removing All Patient Tile Assignments in the Network Tab42214.1.6 Refreshing the Network Tab List Box42214.1.7 Troubleshooting42315.0 Paging Tab (Optional)42515.1 Paging Password Tab42615.1.1 Accessing the Paging Tab42615.1.2 Entering a Password42615.1.3 Sidebar Buttons42715.1.4 Troubleshooting42715.2 Paging Tab42815.2.1 Accessing the Paging Tab42815.2.2 Adding a Pager42815.2.3 Assigning a Patient Tile42915.2.4 Adding All Patient Tiles to a Pager43015.2.5 Removing a Patient Tile Assignment43015.2.6 Removing All Patient Tiles from a Pager43015.2.7 Editing a Pager43115.2.8 Removing a Pager43115.2.9 Resending a Failed Page43215.2.10 Generating a Paging Report43315.2.11 Troubleshooting43317.0 Glossary46717.1 Terms, Acronyms, and Abbreviations468Tamanho: 5 MBPáginas: 484Language: EnglishAbrir o manual
