Solutions Archive by Levone


									Solutions Archive

The solutions column       Spring 2001
                           Performing a learn code if an INVALID SIGNAL E01 occurs;
features questions         troubleshooting Wave Viewer problems on theHP 200LX Palmtop.
biomedical professionals   Winter 2001
                           Which HP printers can be used with Agilent CMS patient monitors; an
have asked recently of
                           overview of the Power On Mode.
engineering and clinical
                           Fall 2000
applications specialists   Available accessories for telemetry used with the Viridia Information
                           Center; how to learn transmitter code.
at the Agilent Response
                           Spring 2000
Center in Atlanta.         An explanation of the numbers in the waveform sector display that look
                           like non-invasive blood pressure numbers.

                           Fall 1999
                           Calibration and configuration information on the HP Anesthetic Gas
                           Module and HP Viridia 24 patient monitor.

                           Spring 1999
                           Learn to change the frequency on your HP Viridia transmitter and review
                           a summary of multivendor devices supported by HP VueLink.
                           Winter 1999
                           Proper procedures for cleaning the HP Viridia Information Center equip-
                           ment; tips on viewing trend data; and a quick way to test signals process-
                           ing on the HP Viridia CMS.
Solutions                                                                                             Spring 2001

What do I do if I get an                I’m having a problem with the Wave       If the Agilent Wave Viewer will not
invalid signal E01?                     Viewer working correctly.                communicate with the transmitter:
Agilent designed the telemetry trans-   The Agilent Wave Viewer is a soft-
mitter with an internal identification   ware application running on the          This generally means you have a
code so only a specific receiver can     Hewlett-Packard 200LX Palmtop PC.        problem in the infrared communica-
acquire its signal. This prevents       Most of the problems you will            tions between the transmitter and the
another patient’s ECG from being        encounter are from the program           Hewlett-Packard 200LX Palmtop
picked up                               locking up, or attempting to perform     Computer where the Agilent Wave
by the wrong receiver.                  another application (such as “Help”)     Viewer program resides.
                                        when you really want to check
Here’s the procedure for completing     waves.                                   1. The battery in the transmitter may
a learn code if an INVALID SIGNAL                                                be too low to support communica-
E01 occurs. You perform learn codes     If the Agilent Wave Viewer applica-      tions with the Wave Viewer. Install a
at the central station.                 tion hangs-up:                           fresh battery.

At the Agilent Information Center       1. Make sure you are not in “Help.” If   2. Make sure the infrared ports on
                                        you are, exit “Help” before you          both the Wave Viewer and the trans-
Step 1. Assign bed to a sector.
                                        attempt any Agilent Wave Viewer          mitter are clean. If you are using the
Step 2. Access the Telemetry            procedures.                              lightpipe, make sure the lightpipe is
        Frequency Window by click-                                               not broken or improperly connected.
        ing on the Telem Freq button    2. If the screen does not respond to
        on the Unit Settings Window.    keypad presses, depress and hold the     3. Check to see if the 200LX commu-
                                        CTRL, ALT, and DEL keys. This            nicates with another transmitter. If it
Step 3. Enter Agilent in the
                                        restarts the Agilent Wave Viewer pro-    does, the problem is in the transmit-
        Password field.
                                        gram. (The Agilent Wave Viewer           ter. Replace the Main PCB in the
Step 4. Click on the telemetry trans-   FLASH card must be installed to          transmitter.
        mitter from the displayed       run.)
        list.                                                                    4. If the 200LX does not communi-
Step 5. Click on the Learn Xmit         3. If you try to restart the Agilent     cate with any transmitters, replace
        Code button.                    Wave Viewer program and it does          the 200LX.
                                        respond, then perform a drastic hard
Step 6. Press the transmitter button                                             If the Agilent Wave Viewer beeps and
                                        reboot by pressing and holding CON-
        on the transmitter within 10                                             shuts off:
                                        TROL, ON, and the gold left up arrow
        seconds. When the learn
                                        key. This re-initializes the 200LX.
        code is successful, the                                                  This symptom indicates the batteries
                                        During the start-up, you will be
        INVALID SIGNAL E01 INOP                                                  in the Palmtop Computer are too low
                                        prompted to initialize the RAM. Press
        goes away. If it does not,                                               to support basic operation. Replace
                                        “N” for no.
        repeat this step.                                                        the batteries following the proce-
                                        4. If the preceding steps do not solve   dures in the Hewlett-Packard 200LX
                                        the problem, replace the batteries in    Palmtop Computer documentation.
                                        the Hewlett-Packard Palmtop PC fol-
                                        lowing the procedures in Palmtop

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                                                                                 Solutions Archive Contents
Solutions                                                                                                         Winter 2001

    Which HP printers can be used with Agilent CMS patient monitors?
    The following printers will work with Agilent CMS patient monitors:
    DeskJet 340                    (C2655A) parallel only
    DeskJet 610C                   (C6450A) parallel only
    DeskJet 695C                   (C4562B) parallel only
    LaserJet 2100TN                (C4172A) parallel only
    LaserJet 5L                    (C3941A) parallel only, must have 2MB memory upgrade
    LaserJet 6L                    (C3990A) parallel only, must have 2MB memory upgrade

    Specifically NOT compatible: DeskJet 700 series

    Non-HP printers are not officially supported, and they must have the following:

•   Support for HP PCL 3 printer language (emulates HP DeskJet or LaserJet)
•   Centronics “B” connector (parallel)
    The usual requirements such as HP serial cable, serial/parallel converter and
    general software revision guidelines for parallel printer support still apply.

    Additional information regarding the serial-to-parallel converter (part number
    5962-4340) includes:

    Due to the missing RS232 interface of the DeskJet 400 and 600 printers, you
    must install a serial-to-parallel converter between the printer and the CMS mon-
    itor. The converter is used to connect the 25-pin serial RS232 printer cable to
    the parallel port of the printer.

    The following table gives the correct settings and is provided for reference:

    Switch         Function                                 Default Settings

      1            Flow Control HW&SW                       ON
      2            LED enabled                              ON
      3            Data (8 bits)                            OFF
      4            Parity (none)                            OFF
      5            Stop Bits (1)                            OFF
      6            BAUD rate (19200)                        ON
      7            BAUD rate (19200)                        OFF
      8            BAUD rate (19200)                        OFF

    Can you provide an overview of the Power On Mode (cold, warm & hot start)?
    The type of Power On Mode executed depends on the system downtime or the
    detection of a fatal error by the operating system:
    Downtime       Power On Mode

    <1 minute      Hot-start — patient data and active user settings are recovered on restart.
    ≤(<=) 3 hours Warm-start — patient data is recovered, default configurations are restored.
    > 3 hours      Cold-start — patient data is lost, default configurations are restored, and sys-
                   tem performs extended test.

    You can also perform these three different “Power On Modes” manually in the
    Service Mode.

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Solutions                                                                                                     Fall 2000

What accessories are available on my telemetry used with the Viridia Information
The only accessories you will need are for the Viridia Transmitter, and the
following table lists them.

Accessories for the Viridia Transmitter
Description                                                                   Part Number

Battery, 9 V Lithium (box of 10)                                              ULBU9VLJ
Battery, 8.4 V Zinc-Air (box of 12) for use with ECG only transmitters only   40455A
3-wire ECG Lead Set, Snap, AAMI for M2601A                                    M2590A
3-wire ECG Lead Set , Grabber, AAMI for M2601A                                M2591A
5-wire ECG Lead Set, Snap, AAMI for M2601A                                    M2592A
5-wire ECG Lead Set, Grabber, AAMI for M2601A                                 M2593A
3-wire ECG Lead Set, Snap, AAMI for M2601A                                    M2594A
3-wire ECG Lead Set, Grabber, AAMI for M2601A                                 M2595A
5-wire ECG Lead Set, Snap, AAMI for M2601A                                    M2596A
5-wire ECG Lead Set, Grabber, AAMI for M2601A                                 M2597A
Combiner Shield, 3-wire                                                       M2598A
Combiner Shield, 5-wire                                                       M2599A
ECG Electrodes High Performance Foam, 1/pack, 200/case                        14445A
ECG Electrodes, High Performance Foam, 3/pack, 300/case                       14445C
ECG Electrodes, Foam, 1/pack, 300/case                                        40493A
ECG Electrodes, Foam, 3/pack , 300/case                                       40493C
ECG Electrodes, Foam, 5/pack, 300/case                                        40493D
ECG Electrodes, Foam, 30/pack, 300/case                                       40493E
Transmitter pouch, disposable, 50/case                                        9300-0768-050
Transmitter pouch, disposable, 200/case                                       9300-0768-200
SpO2 Transducer, Reusable Adult Finger                                        M1191A
SpO2 Transducer, Reusable Pediatric/Small Adult Finger                        M1192A
SpO2 Transducer, Reusable Adult/Pediatric Ear Clip                            M1194A
Wristband                                                                     M1627A
Adapter Cable for use with Nellcor OxisensorTM disposable transducers         M1943A

To order any of the supplies, visit or
call 800 225 0230.

How do I learn my transmitter code?
In order to “learn code” on a transmitter, you must match the transmitter’s fre-
quency with the receiver’s frequency. After you have set the frequency on the
transmitter, follow the steps below.
1. Ensure the transmitter you are working with is not in Monitor Standby sta-
2. Access the Telemetry Frequency Window by clicking on the TELEM FREQ
   button on the Unit Setting Window.
3. Enter a password in the
   PASSWORD field.
4. Click on the telemetry transmitter from the displayed list.
5. Click on the LEARN XMIT CODE button.
6. Press the patient button on the transmitter within 10 seconds. If you do not
   press the button within 10 seconds, repeat the procedure.                                                       Go to
                                                                                              Solutions Archive Contents
Solutions                                                                                                 Spring 2000

In the waveform sector display, I have    The message format is:                        Enable the RF INOP option by
a series of numbers that look like non-   ## HHH/LLL(SSS)NNN                            ensuring that there is a check in
invasive blood pressure numbers.          Where Indicates                               the RF INOP checkbox on the
What are these?                                                                         Telemetry Frequency Window for
The numbers reference Radio               ##       This is an RF measurement            the transmitter in question. When
Frequency (RF) troubleshooting.           HHH      RSSI* + value                        enabled, the RF INOP is of lowest
The Telemetry Frequency Window                                                          priority and is overwritten by any
                                          LLL      RSSI - value
provides an option (RF INOP) that                                                       other active system INOP or alarm.
can assist in troubleshooting per-        SSS      Signal value, median value           During normal clinical use, the RF
formance associated with the RF                    of the RSSI for the preced-          INOP should be turned off.
link from the transmitter to the          ing
receiver. When the RF INOP option                  minute of valid data
is on, the Viridia Information Center     NNN      noise value, or blank if no
collects certain data and displays it              period of noise exists
on the Main Screen as a soft INOP                  (invalid data)
(text but no sound). This provides
service personnel with information        *RSSI is Received Signal Strength Indicator
on the quality of the channel.

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                                                                                        Solutions Archive Contents
Solutions                                                                                         Fall 1999

What does “substitute” mean          1. Enter Service Mode on the HP        How do I change the configu-
when it appears in the calibra-      Viridia Anesthesia CMS                 ration set for the HP Viridia
tion task windows on the HP                                                 24 monitors (M1205A)?
                                     2. Check that there are no
Anesthetic Gas Module
                                     reported errors.                       Perform the following steps to
(M1026A) and the HP Viridia
                                                                            change the configuration set:
CMS and 24 family of                 3. Perform a leakage check and a
monitors                             flow rate check to ensure that          1. Select the Monitor Setup
(M1176A/M1175A/M1205A)?              there are no leaks in the gas sys-     menu. Select Config sets.
                                     tem and that the flow rate is prop-
Halocarbon is represented in the                                            2. Select Change ConfSet to
Calibration Task Window by “Sub-                                            highlight new Configuration Set.
stitute,” which is the default. If   4. Perform zero calibration.
                                                                            3. Select Confirm.
you are using another calibration
                                     5a. Check the barometric
gas, such as an actual anesthetic                                           See HP Virida Model 24/24C/24CT
                                      pressure calibration; perform it if
gas, this must be selected in the                                           Quick Reference Service Guide.
Task Window.
                                      b. Do a zero calibration if a
See HP M1026A Anesthetic Gas          barometer calibration is
Module, Installation and Service      performed.
Guide, Edition 2, Part# M1026-
                                     6a. Check the span calibration of
9300B, B.00.00, Germany, April
                                      gases; perform it if necessary.
                                      b. Do a zero calibration if a span
How often should the HP               calibration is performed.
Anesthetic Gas Module
                                     Warning: Only perform zero,
(M1026A) be
                                     barometric pressure and gas
                                     span calibration checks when
To ensure that the Anesthetic Gas    the top cover is closed. Light
Module (AGM) operates with the       and electromagnetic inter-
specified units, it must be           ference can affect the
checked:                             measurements.
• After installation.                See HP M1026A Anesthetic Gas
• Every 12 months, or if you doubt   Module, Installation and Service
  the measurements.                  Guide, Edition 2, part# M1026-
• After repairing the AGM.           9300B, B.00.00 Germany, April
If you find values outside the tol-
erance limits while checking, the
AGM must be recalibrated.
The basic steps to calibrate the
AGM are:

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                                                                             Solutions Archive Contents
Solutions                                                                                 Spring 1999

How do I change the fre-             Step 2, from the HP Wave View       Datex Capnomac II and Ultima
quency of my HP Viridia trans-       main screen, set the new fre-       Draeger Babylog 8000
mitter on my HP Viridia Infor-       quency for the receiver by:         Draeger Evita 4/2 dura
mation Center?                       • Select Config.                     Draeger Julian
                                     • Select Setup.                     Draeger Cicero EM mono
First you need to confirm that the
                                     • Enter a password, followed by     Draeger Cicero EM color
transmitter is configured to allow
                                     ENTER.                              NAD Narkomed 4
a frequency change by checking
                                     • Select Change Freq.               NAD Narkomed 2B/2C/3200
the status of the transmitter. To
                                     • Enter the new frequency for the   NAD Narkomed GS
check the status, select Config
                                     transmitter, followed by ENTER.     Ohmeda RGM 5250
from the HP Wave Viewer Main
                                     • Enter the check code, followed    Ohmeda RGM 5250 Rev. 6.0
Screen, then Xmtr Info2. If con-
                                     by ENTER.                           Ohmeda Rascal II
figured to No, call HP service for
                                     • Select Confirm to set the new      Ohmeda 7800
assistance. Setting the frequency
                                     frequency.                          Ohmeda 7810
to one already in use can cause
                                                                         Ohmeda 7900
interference with another trans-     See the HP Viridia Information
                                                                         Ohmeda Modulus CD
mitter/receiver pair.                Center User’s Guide, Part
                                                                         Baxter Explorer
                                     #M3150-9051A. Printed in
Perform the following steps to                                           Baxter Vigilance
                                     the U.S.A., August 1998, First
change the frequency.                                                    Mortara ELI 100
Step 1, from the HP Viridia Infor-                                       See HP M1032A VueLink Exter-
mation Center, set the frequency     What devices are supported by       nal Device User’s Booklet,
for the receiver by:                 the HP VueLink module?              November 1996, Sixth edition,
• Click on the Telem Freq                                                M1032-9001D-F.
  button on the Unit Settings Win-   In addition to Free Analog and
  dow to access the                  VueLink Open Interface, HP
  Telemetry Frequency Window         VueLink supports a number of
• Enter a password into the Pass-    devices. The following list
  word field.                         provides a summary.
• Highlight the bed/receiver.        Criticon Datamap 1846
• Enter the new frequency for the    Nellcor N100
  receiver in the New Frequency      Nellcor N200
  field                               Abbott Oximetrix 3
• Enter the check code in the        Siemens 300
  New Check Code field.               Siemens 900 (Adult
  (Note: The check code and          Siemens 900 (Neonatal)
  frequency choices were             Siemens 990 (Neonatal)
  distributed at shipment.           Infrasonic Infant Star/ISV
  See service for assistance.)       Puritan Bennet 7200e/7200ac
• Click on the Set Frequency         Bear 1000
  field.                              Hamilton Veolar/Amadeus
                                     HP M1025A/B

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                                                                          Solutions Archive Contents
Solutions                                                                                         Winter 1999

How do I clean my HP Viridia           • Do not pour liquid or spray onto      Is there a quick way to test the
Information Center?                      the display during cleaning.          entire monitoring system?
You should keep the HP Viridia         • Do not allow any cleaner to re-       The Test Signals function allows a
Information Center equipment             main on any of the equipment sur-     check of the way signals are
free of dust and dirt. HP recom-         faces – wipe it off                   processed from the parameter
mends exterior cleaning of the           immediately.                          module to the screen. The aim of
case and display screen.               See HP Viridia Information              the function is to identify broken
                                       Center/HP Viridia Telemetry Sys-        lines and cables in the signal pro-
You can use any solution catego-
                                       tem User’s Guide, Part #M3150-          cessing areas. While the Test Sig-
rized under the following generic
                                       9171A. Printed in the U.S.A., Feb-      nals function is active, no patient
                                       ruary 1998, First Edition.              monitoring is supported –
Dilute ammonia
                                                                               parameter values are not collect-
Hydrogen peroxide (3%)                 Note: HP makes no claims re-            ed and patient alarms are inactive.
Isopropyl alcohol                      garding the efficacy of these chemi-     Alarms will occur as part of the
Desktop/workstation cleaner            cals or this method as means for        monitor’s self-test procedure.
                                       infection control. Consult your hos-
Clean the case and display             pital’s Infection Control Officer or
                                                                               They are not patient alarms.
screen* with a lint-free cloth or      Epidemiologist.                         The procedure for operating Test
sponge, moistened with either
                                       I can see the numeric from all          Signals function is performed by
soap or water, a diluted non-
                                       my modules but not all the              following these steps:
caustic agent or one of the clean-
ing agents listed above.               waves. Why?                             1. Press hardkey Monitor Setup
                                                                               2. Press softkey More Choices
Specific to cleaning the display        When the main display is in Split
                                                                               3. Press softkey Test Signals in the
screen:                                Screen mode, trend data for the
                                       last 30 minutes is shown in graphi-
• Switch the display off and remove    cal form for all vital signs that are   CONFIGURATION SELECTION WINDOW
  the power plug. Be sure to pull
                                       positioned in the left column of        The monitor returns to the Main
  the plug and not the cable to the
                                       the numeric display. The                Screen. Test waves for each
                                       following types of numerics are         parameter that is present are gen-
• *HP recommends cleaning the dis-     trended:
  play with Hewlett-Packard
                                                                               erated for 30 seconds to test the
  Display Cleaner, HP Part Number
                                       • Numerics related to a scaled          processing abilities of the
                                         waveform, such as Invasive Pres-      monitor. The message “Test
                                         sure or EtCO2                         Signals active – no monitoring”
To avoid damage to the display                                                 appears on the screen.
                                       • Numerics related to a non-scaled
screen:                                  waveform. These are numerics          After 30 seconds, the monitor
• Do NOT use Provodine®,                 that are not directly related to a    automatically switches back to
  Sagrotan®, Mucocit® cleaning           waveform, such as SpO2 or HR.         Monitoring Mode. If you want to
  agents or strong solvents (for                                               go back to Monitoring Mode
                                       See HP Component Monitoring
  example, acetone).
                                       System, Volume 1, May 1995, Part        before 30 seconds have elapsed,
• Always dilute cleaning agents        # M1046-9201E. Edition 8 –              press Monitor Setup, then More
  according to the manufacturer’s      Volume 1, E.08.01                       Choices, then Stop Signals.
  instructions. Most cleaning agents
  must be diluted before use.                                                  See HP Component Monitoring
                                                                               System, Volume 1, May 1995, Part
• Never use abrasive material (such                                            # M1046-9201E, Edition 8 –
  as steel wool or silver polish).                                             Volume 1, E.08.01
• Do not allow any liquid to enter
  the case. Never submerge any part
  of the monitor.

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