intellivue mx40 service training: service q2 2011 · notes on the mx40 service adapter and cable:...
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Patient Monitoring31 August 2011
IntelliVue MX40 Service Training:ServiceQ2 2011
Patient Monitoring, S. Poschmann, 31 August 2011 3
MX40 Service
In this section we will cover the following topics:– MX40 Repair Strategy – Software Licensing for the MX40– IntelliVue Support Tool – Mark2
• MX40 Repairs – Software License Transfer Process• MX40 Copying Configuration • MX40 Update Software and Add Features
– Possible Issues • User Interface• Patient Cables• Batteries (plus some additional information)
– Cleaning and Disinfection– MX40 Built-in Service Features
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MX40 Repair Strategy
REPAIRSNote: The MX40 will not be repairable by a customer or third party –
the factory will not be selling internal parts for repairs • Assembly level repair of the MX40 IS NOT supported. The device
disassembly and reassembly process is much too complex, and requires expensive test and disassembly/assembly tools. This is why assembly level repair will not be supported.
• At release, the MX40 repair strategy is as follows:– Unit exchange through SPS: Available worldwide
Repair Strategy – At product release
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MX40 Repair Strategy
• Post Release Plans:– “Bench Repair” – Factory repair through the LcSC repair bench:
• The factory will be offering a repair service through the PCCI Customer Services organization’s Lifecycle Support Center (LcSC) bench facilities in order to support a “bench repair” alternative. This process will be the same process used today for repairs of the 862439/862231 – IntelliVue Telemetry Transceivers and the M2601B – Telemetry Transmitters in the USA and Canada.
USA and Canada: We expect to have the MX40 added to the current process within the first year of shipments.
We will be investigating expansion of this service to other countries.
Repair Strategy – Post-release
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MX40 Software Licensing
• What is “Software Licensing”?– By device, the factory will be tracking customer information,
software revisions and features enabled, in a new database called the “Software License Server”.
– At first release, this information will only reside in the SW License Server in the factory.
– In the future, the field’s “Installed Base” database and the SW License Server will be connected, and information in the two systems will be synchronized on a regular basis.
– Any changes made by the service person will be sent back to the SW License Server automatically via the IntelliVue Support Tool –Mark2.
– In this way, both the factory system and the IB will have faster access to information on what is currently installed.
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MX40 Software Licensing
• What information gets tracked in the SW License Server?• New product shipments from the factory• Every IntelliVue Support Tool – Mark2 action that impacts the
following, is logged and tracked in the Software License Server by Support Tool user account:
– Software revision changes– Option/capability modifications– Software license transfer (applies to repairs)
• What are some of the benefits to doing software licensing?• It will be easier to know exactly what products/revision/features are
currently in operation at a customer site!• The IntelliVue Support Tool – Mark2 gets entitlement information from
the SW License Server. Therefore, biomeds will be able to reload software and features they purchased without needing to call an FSE.
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MX40 Tools – IntelliVue Support Tool Mark2
IntelliVue Support Tool – CE (FSE) License Key• Anyone who has an active IntelliVue Support Tool CE license key for
the IntelliVue Patient Monitors, automatically will have access to the “CE” (FSE) MX40 tasks on the IntelliVue Support Tool – Mark2
IntelliVue Support Tool – Biomed License Key• Anyone who has an active IntelliVue Support Tool Biomed license key
for the IntelliVue Patient Monitors, automatically will have access to the “Biomed” MX40 tasks on the IntelliVue Support Tool – Mark2
MX40 Support Tasks
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MX40 Tools – IntelliVue Support Tool Mark2
MX40 Support Task Biomed CE
Administration TabUpdate Software: Same Version Level or lower (V.UU.FF) X X
Update Software: Higher Version Level (V.UU.FF) X
MX40 SW License Transfer: Active connection to SW License Server
X X
MX40 SW License Transfer: No active connection to SW License Server
X
MX40 “Capability” Upgrades (Add options) X
Configuration/Reports TabConfiguration: Read from Device X X
Configuration: Write to Device X X
Reports: Get Device Report X X
View TabDevice List: Refresh Device List X X
View Modes: Details X X
MX40 Support Tasks by License Key
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MX40 Repairs – Software License Transfer
• New products shipped from the factory will have a software license
• Exchange devices– Exchange
devices will ship without a software license and therefore will not function clinically.
– The software license from the failed device is transferred to the exchange device using the IntelliVue Support Tool – Mark2.
Exchange Device Screen
“Self-Test Passed” to indicate that the device is functioning as expected.
“SW License Required” to indicate why the device is operating in this mode.
“See Service Manual”, for where to look for information on what to do next.
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MX40 Support Parts
Description Part NumberProduct
865350 865351
TELE PWM, 1.4 GHz, ECG Only, Exchange 453564262491 S01 -
TELE PWM, 1.4 GHz, ECG and Sp02, Exchange 453564262511 S02 or S03 -
TELE PWM, 2.4 GHz, ECG only, Exchange 453564262531 - S01
TELE PWM, 2.4 GHz, ECG &Sp02, Exchange 453564262551 - S02 or S03
ASSY - AA Battery Adapter, Tele PWM 453564132721 All All
PLAST - Battery Door w/Gasket 453564205271 All All
MX40 Rechargeable Battery, Pkg 1 989803176201 All All
MX40 Service Adapter + Cable (tool for service) 453564270071 All All
Note: The software license transfer process expects the same hardware part number as original device.For example, a SW license for S01 can only be transferred to 453564262491 or 453564262531. A SW license for S02 or S03 can only be transferred to 453564262511 or 453564262551.The hardware part number = the “Service #” on the bac k of the device.
AA Battery Adapter
Battery Door
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PC running IntelliVue Support
Tool – Mark2
MX40 Repairs – Software License Transfer
USB
Exchange Device
Direct Physical Connection to
MX40 - Special Service Adapter
required
Key:Optional connection to internet after repair event (FSE only) Note: Biomed license requires use of the internet.
MX40 Service Adapter
LAN To Internet
Philips Software License Server
Defective Device
Required information from defective device:
• SW Serial Number OR
• HW Service Number and HW Serial Number
Notes on the MX40 Service Adapter and cable: • The service adapter is for service and demo use only.• It is not to be used in the patient vicinity.• It is not to be used to power the device when it is connected to a patient!• The service adapter is installed in the battery compartment.• The MX40 connects to the PC via a USB port, and uses a USB cable -
but the MX40 does not operate as a standard USB device.• Maximum cable length = 3ft (1m)
MX40 Connection to the IntelliVue Support Tool – Mark2
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MX40 Repairs – Software License TransferIntelliVue Support Tool – Mark2: “Transfer License”
1
3
1. Select the “Administration” tab2. Select the exchange MX403. Select “Transfer License”
In the first window, information on the defective device is entered. This is the “SOURCE” device, or the device you want to transfer the license FROM.
2
4. Information on the original product “Ship To” address is required to confirm that the data entered in the fields below was done accurately.
4
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MX40 Repairs – Software License TransferIntelliVue Support Tool – Mark2: “Transfer License”
5. Information about the specific device is now entered.
the Hardware Service Number andthe Hardware Serial NumberOREnter either the
Software Serial Number
5453564262511
5
Patient Monitoring, S. Poschmann, 31 August 2011
6M4V5TJEY
The SW Service Number and SW Serial Number can be found on the Software License Certificate which is shipped with every new product.
(The customer should save these!)
15
MX40 Repairs – Software License TransferWhere to find the SW Serial Number, HW Service Number and HW Serial Number
The HW Service Number and HW Serial Number can be found
on the back of the MX40.
453564262511US12345679
865350
0009FB66108B
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If the defective device is still operational, the data is available on the MX40
16
MX40 Repairs – Software License TransferWhere to find the SW Serial Number, HW Service Number and HW Serial Number
Device Status Screen
Device Status Area
57% 3.82 v
Device Info Screen
Service #: 453564262511S/N: US12345679SW Service #: 865350SW SN: 6M4V5TJEY
Appl SW: A.00.38HW Rev: A.00.00
Options: S01 C01 C03 J46
Hardware Service NumberHardware Serial NumberSoftware Service NumberSoftware Serial Number
Patient Monitoring, S. Poschmann, 31 August 2011
US12345679
453564262511
Robert Jones (CE License)
17
MX40 Repairs – Software License TransferIntelliVue Support Tool – Mark2 – “Transfer License”
In the second window, information on the software license that was
retrieved from the Software License Server is displayed before
the license is transferred to the attached exchange device.
When “OK” is selected, the IVST-Mark2 will send the following information to the Software License Server:
IVST License Holder IdentifierSW Service NumberSW Serial Number
Exchange Device HW Data –HW Service Number HW Serial Number
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Defective is Returned
Software License Server
After License Transfer
Software License Server
As Shipped From Factory
Software License Server
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MX40 Repairs – Software License Transfer
Software Service Number 1Software Serial Number 1
Hardware Service Number 1Hardware Serial Number 1
Customer A
Hardware Service Number 2Hardware Serial Number 2
Exchange Part
Software Service Number 1Software Serial Number 1
Customer A
Hardware Service Number 2Hardware Serial Number 2
Hardware Service Number 1Hardware Serial Number 1
Unassigned Device
Software license counter is incremented since two physical
devices have the software license.
Note: If the software license counter exceeds a factory defined threshold based on expected failure rates, the license may not be transferred again. Encourage your customers to return their defectives in order to avoid any problems.
Hardware Service Number 1Hardware Serial Number 1
Exchange Part
Note: The software license counter is decremented because the
software license is removed from the physical device when returned.
Customer A
Software Service Number 1Software Serial Number 1
Hardware Service Number 2Hardware Serial Number 2
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MX40 Repairs
• Exchange Repair– After the SW license has been transferred to the exchange device,
then the device can be configured:• Perform label assignment• Copy the clinical configuration• Process same as covered in the Installation section
Completing the Repair
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Copying the Clinical ConfigurationUsing the IntelliVue Support Tool – Mark2 to “Read from Device”
4
1. Select the “Configuration/Reports” tab2. Select the MX40 that has the desired
configuration from the list3. Select “Read from Device”4. Specify a destination for the file and
select “Start”5. Task status can be checked under “Tasks”
3
2
1
5
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Copying the Clinical ConfigurationUsing the IntelliVue Support Tool – Mark2 to “Write to Device”
1. Select the “Configuration/Reports” tab2. Select the MX40 to be configured3. Select “Write to Device”4. Specify a destination for the file to be used
and select “Start”5. Task status can be checked under “Tasks”
3
2
1
4
5
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MX40 Repairs – Software License RemovalIntelliVue Support Tool – Mark2: Removing a Software License
2
4
2. Select the “Administration” tab3. Select the MX404. Select “Transfer License”
3
5. In this window, select “Reset selected device to exchange status”, and then select “Next”
51. Write down the device’s Software
Serial Number and the Software Service Number for future use. You will need this later to transfer the license to a different device.
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MX40 Repairs – Software License RemovalIntelliVue Support Tool – Mark2: Removing a Software License
Clicking the “OK” key will remove the link between the software license and the MX40 hardware. The MX40 will be come an “exchange device” and in the Software License Server the software license will not be attached to any hardware. The software license can now be assigned to a different device – if you have the software license information! The tool will not be able to find it in the license server using the hardware information because the link was removed.
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MX40 – Update Software & Add FeaturesIntelliVue Support Tool – Mark2 – “Update Software”
Under the “Administration” tab, select the MX40 from the device list and then
click on “Update Software”
Patient Monitoring, S. Poschmann, 31 August 2011
In the “Update Software” window, all versions available for download are displayed. Select the desired
version to be loaded.
If necessary, the language and region can be changed here.
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MX40 – Update Software & Add Features
Note: Changes to the configured options are made on the second page. The second page is not
available with a biomed license.
IntelliVue Support Tool – Mark2 – “Update Software”
If the customer has purchased a feature upgrade, fill in the Sales Order Number for the upgrade,
and then select “OK”.
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MX40 – Update Software & Add Features
Changes to the configured options are made in this window.
IntelliVue Support Tool – Mark2 – “Update Software”
Note: When “OK” is selected, any changes made in this window and in the previous window are sent to the SW License Server, along with the IntelliVue Support Tool License
Holder Identifier.
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Possible Issues – User InterfaceUser “Tools” – Quick Card
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Possible Issues – User Interface
• The screen won’t turn on– The user doesn’t understand
how to turn the screen on • Need to touch the
blue “Main Screen” button for 2 seconds
Main Screen Button
SmartKeys Button
Silence Alarms Button
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Possible Issues – User Interface
• The device doesn’t react to touches– The screen is “Locked”, and needs to be “Unlocked”
• Look for the red “Lock” icon in the lower left hand part of the screen• If locked, press the “SmartKey” button , scroll down to the second
page, and select the SmartKey with the red lock icon to unlock the screen
Locked Unlocked
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Possible Issues – User Interface
• The device doesn’t react to touches– The user is not using their finger to touch the screen
• The device won’t react to touches with a finger nail or pen, etc.
Fingertip Fingertip through pouch and 2 pairs
of gloves (this will work)
Finger nail Pen, etc.
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MX40 Patient Cable Connector
SpO2
Remaining pins are unused
Patient Cable Type Detection
ECG
LLLA
VbVa
RARL
Shield
Patient Monitoring, S. Poschmann, 31 August 2011
Patient Cable Type Detection• In this new generation of patient cables, the patient cable has an
EEPROM that communicates its characteristics to the MX40.
• With this information, the MX40 can adjust its performance accordingly.
32
MX40 Patient Cables
• Type of information that is sent to the MX40:– 3, 5 or 6 wire ECG– AAMI or IEC colors
• This information will change how the chest diagram on the the MX40 appears, and whatlead selections are available to the user.
3-wire AAMI 6-wire IEC
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MX40 IntelliVue Adapter Cable
Patient Cable Type Detection• MX40 to IntelliVue style leadset adapter cable
– This adapter cable allows a customer to use existing IntelliVue leadsets with the MX40. 3-wire or 5-wire leadsets can be used.
– The adapter cable has an EEPROM that communicatesits characteristics to the MX40. It reports that it is an adapter cable.
– With an adapter cable attached, the MX40 defaults to 5-wire operation, because it cannot determine what type of leadset is attached to the adapter (3-wire or 5-wire, AAMI or IEC colors). The colors that are usedcome from the MX40 configuration.
“Config” mode => “Config” menu => “ECG Lead Color” parameter
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MX40 IntelliVue Adapter Cable
3-Wire
5-Wire
New Lead Setup
3-Wire
RL Lead Off
Adjust Size: x2
Arrhythmia
Lead Placement: Standard
ECG: On
New Lead SetupNew Lead Setup
RL Lead Off
If a 3-wire leadset is attached to the adapter cable, the MX40 will issue a “LEAD OFF" inop on the second lead of ECG.
To clear the inop, the user must go into ECG setup by touching the heart rate field, select "New Lead Setup” and then select “3-Wire”.
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Possible Issues – AA Batteries
AA Batteries – Possible Issues• The MX40 won’t power up
– AA adapter is not installed properly• The AA adapter is installed backwards• The AA adapter is not seated all of the way
– Batteries are not installed properlyCheck for proper battery orientation (+/-)MX40 uses 3 AA batteries which are inserted in the same direction for simplicity
The “+” indications on the adapter are
on the left– AA adapter contacts are badCheck that contacts on both top and bottom are clean, and are making good contact with the case and the batteries themselves
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Possible Issues – AA Batteries
Slide the adapter under the post
and snap the adapter in
Free both sides of AA adapter Remove the adapter
AA Adapter Removal and Insertion
RE
MO
VAL
INS
ER
TIO
N
Align cutout in back of adapter (“+” will be on left), with post on wall of battery compartment
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MX40 Rechargeable Li-ion Battery
• Battery charge time = 6.5 hours
• Rechargeable battery replacement – whichever happens first:– Maximum of 500 charge cycles*
• TELE CHECK BATT: Soft inop after 475 charge cycles• TELE SERVICE BATT: Hard inop after 500 charge cycles
– OR if battery is over 2 years old
• Battery over temperature inops• TELE BATTERY TEMP: Hard inop if internal battery temperature
> 55 deg C• TELE REMOVE BATT: Hard, latched inop if internal battery
temperature > 60 deg C
*The battery increments the charge cycle counter when the charge level drops below 50% and is recharged
Patient Monitoring, S. Poschmann, 31 August 2011 38
Possible Issues – Battery Life Complaints
• The following things will impact battery life, so understand how the customer is using the device before responding to questions:
– Use model and features• Battery type and manufacturer• SpO2 – Continuous SpO2 will reduce battery life by 40-65%
– Mode: Continuous, manual (how often are measurements taken?)– Type: Integrated or Cableless Measurement
• If the device is used with the display on all of the time, battery life will be reduced by 45-70%
• If both the Smart-hopping and Short Range Radio radios are continuously active, battery life will be reduced by 25-35% (“TeleMon” use model, used with CL measurements)
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Possible Issues – Battery Life Complaints
AA BatteriesDuracell MN 1500
ECG OnlyECG+SpO2Continuous
Telemetry ModeOn NetworkDisplay Off
24.7 hours 8.9 hours
Monitor Mode Off NetworkDisplay On
7.3 hours 4.6 hours
Philips Li-ion Rechargeable
ECG OnlyECG+SpO2Continuous
Telemetry ModeOn NetworkDisplay Off
25.1 hours 14.1 hours
Monitor ModeOff NetworkDisplay On
8.6 hours 7.0 hours
NOTES:• Data in these tables can be found in the IFU
for the initial release of the product. These numbers may change over time. Please refer to the IFU that shipped with the product in question.
• These numbers are for use models where there is only one active radio.
• AA battery life is based on use of Duracell MN 1500 batteries. Battery life for other brands may differ.
• Li-ion battery life is based on the use of new, fully charged batteries.
Battery Life Specifications from the IFU
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Possible Issues – Battery Life Complaints
• The following things will impact battery life, so know your customer’s use model before responding to questions (continued):
– Li-ion battery aging• Battery capacity for rechargeable Li-ion batteries degrades over time
and number of recharge cycles. Toward the end of its useful life, the battery capacity may be reduced by 25-30%. If this reduced battery life is unacceptable based on the clinical use model, Philips recommends replacing the rechargeable battery sooner.
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MX40 Service ModeDetailed Rechargeable Battery Information
The following detailed information on the rechargeable battery is available in Service Mode only.
Rechargeable (battery type detected)Percent RemainingVoltage (in volts)Average Current (in mA)Average Power (in mW)Temperature (in degrees C and
degrees F)Charge Cycle: Battery increments
counter when the charge level drops below 50% and is rechargedInop occurs at 475, maximum number is 500
If AA batteries are detected, only the voltage and the percent remaining are reported.
23% 3.65 v
Batt. Info
Rechargeable
Percent Remaining: 23%
Voltage: 3.65
Av. Current: ##
Av. Power: ##
Temp: ##
Ch Cycle: 215
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MX40 Battery Operation
Indication on MX40
Inop Messages
Approximate Time Remaining
Functionality
MX40 Battery Gauge
5Segment
IIC Battery Gauge
4Segment
AA Battery Li-ion Battery
ECG only
ECG + Cont.SpO2
ECG only
ECG + Cont.SpO2
100% - <24 hrs <9 hrs <25 hrs <14 hrs All Features
75% - <18 hrs <7 hrs <19 hrs <10.5 hrs All Features
50% - <12 hrs <5 hrs <13 hrs <7 hrs All Features
25% - <6 hrs <2 hrs <6 hrs <3.5 hrs All Features
10% - <2 hrs <1 hr <3 hrs <1.5 hr All Features
10% Low Battery< 30 minutes
remaining<30 mins < 30 mins <30 mins < 30 mins
No SpO2 No SRR
Display at half-
brightness
1%
Replace Battery /Tele Batt Empty
10 minutes remaining
<10 mins < 10 mins <10 mins < 10 mins10 minutes
then RF shutdown
These numbers are pre-release estimates based on one active radio (Smart-hopping or Short Range Radio), the display off, AA batteries = Duracell MN1500 batteries , new and fully charged rechargeable batteries.
Battery Gauge on MX40 and IIC, plus Pre-Release Time Estimates
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Battery Charging Station
• Cableless Measurements Charging Station is used– Software revision A.10.XX or greater is required for proper
operation with the MX40 batteries– MX40 battery uses one charging slot – Charging Station has 9 slots– MX40 battery charge time = 6.5 hours
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Battery Charging Station
AC Power / Error LED
Charger Slot LEDs(one per slot)
Charger Slot LEDsIf a supported device is put on a charging station slot, the corresponding LED will flash yellow until the device and its current state have been identified. Then a beep is issued and the LED reflects the device's battery status as described in the table on the right.
Status LED
No device on charger slot Off
Device put on charger slot Flashing Yellow
Device not properly recognized, error Cyan
Device recognized, battery charging Yellow
Device recognized, battery full (≥90%) Green
Battery Status on Charging Station Display
Charging Station Display
Status LED
Normal operation -AC power present
Green
During Power On Self Test Cyan
Error
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MX40 – Approved Cleaners
• The MX40 has been tested to tolerate cleaning with the listed agents 2 times per week for 7 years.
• The MX40 patient cables and rechargeable batteries have been tested to tolerate cleaning with the listed agents 2 times per week for 2 years.
• Always refer to the IFU and service bulletins for the latest list of approved cleaners.
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MX40 – Approved Cleaners
Applicable Cleaners Manufacturer Active ingredient Mar ket
Isopropyl Alcohol (≥70%) Various Isopropyl alcohol (≥70%) All
Hydrogen Peroxide Various Hydrogen Peroxide, 3% solution All
Sodium Hypochlorite (chlorine bleach)
VariousSodium Hypochlorite(chlorine bleach) diluted solution 1:10 concentration, solution prepared within 24 hours
All
TechSpray®
Isopropyl alcohol General Purpose Cleaner
TechSpray Isopropyl alcohol (70%) All
Metrex Cavi- Wipes Metrex Research Isopropyl alcohol (15%-18%),Sodium Hydroxide (0.1%),2-butoxyethanol (1-5%)
Int’l
Viraguard®, Isopropanol70%
Veridien Corp. Isopropanol 70% Int’l
Resert™ XL HLD Steris Co1.4-2.3% hydrogen peroxide,2-Furnic Acid (≤2.5%)
Int’l
Cleaners for the MX40, rechargeable battery and MX40 reusable patient cables
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MX40 – Approved Cleaners
Applicable Cleaners Manufacturer Active ingredient Mar ket
SporoxTM
II Sterilizing & Disinfection Solution
Sultan Chemicals7.5% hydrogen peroxide,0.85% Phosphoric acid
USA
WipesPlus®
Disinfecting Wipes (item# 74402)
Progressive ProductsPhenylphenol 0.28%,Benzyl-p-chlorophenol 0.03%
USA
Sani-Cloth® Plus Germicidal Wipes (red top)
Nice-Pak product Inc
Quaternary Ammonium (0.5%), n-Alkyl dimethyl ethyl benzyl ammonium chlorides,n-Alkyl dimethyl benzyl ammonium chlorides, Isoprpyl Alcohol (55%)
USA
Oxivir® Tb Cleaner Disinfectant
JohnsonDiversey
2.5-3.5% hydrogen peroxide USA
Oxivir® Tb WipesJohnsonDiversey
3% hydrogen peroxide USA
SANI-CLOTH® HB Professional Disposables
Quaternary Ammonium (1%) USA
SANI-CLOTH® PLUSProfessional Disposables
Quaternary Ammonium (0.25%), 2-Butoxyethol (1-4%),Isoprpyl Alcohol (14.85%)
USA
Super Sani-ClothProfessional Disposables
Quaternary Ammonium (<1%), Isoprpyl Alcohol (55%)
USA
Cleaners for the MX40, rechargeable battery and MX40 reusable patient cables
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MX40 – Approved Sterilization MethodsFor the MX40 and the MX40 reusable patient cables
Sterilization Process Active Ingredients MX40 MX40 Pati ent Cables
Sterrad: standard processHydrogen peroxide plasma or gas
Four times per year over life of product (7 years)
Four times per year over life of product (2 years)
Equivalent process using hydrogen peroxide vapor, such as Steris: V-pro process
Hydrogen peroxide vapor
Four times per year over life of product (7 years)
Four times per year over life of product (2 years)
NOTE: All methods above shall achieve a cross infection assurance level 10e-6 (bacteria level is 1/million after processing
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MX40 Built-in Service Features
Operating Modes– Same passwords as IntelliVue Patient Monitors (IPM)– Monitoring Mode– Configuration Mode
• Same password as IPM (71034)• Monitoring continues
– Service Mode• Same password as IPM (1345)• No monitoring possible
– Demo Mode• Same password as IPM (14432)• No monitoring possible
Configuration, Service and Demo mode operation indicated in status area, and on IIC
Patient Monitoring, S. Poschmann, 31 August 2011
MX40 Monitoring Mode – Device Status
Device Status Area shows icons for basic Short Range Radio and a
generic wireless network icon, plus the battery gauge
Touch the “Device Status” area for more details
50
Patient Monitoring, S. Poschmann, 31 August 2011
57% 3.82 v
51
MX40 Monitoring Mode – Device Status
Smart-Hopping Radio Link Information
Short Range Radio Link Information
Device Information
Service #: 453564262491
S/N: US12345678
SW Service #: 865350
SW SN: 15042011R
Appl SW: A.00.38
HW Rev: A.00.00
Options: S01 C01 C03 J46
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MX40 Monitoring Mode – Device Info
Device Info – Page 1
Service #: 453564262491S/N: US12345678SW Service #: 865350SW SN: 15042011R
Appl SW: A.00.38HW Rev: A.00.00
Options: S01 C01 C03 J46
Hardware Service NumberHardware Serial Number
Software Service NumberSoftware Serial Number
Application Software Revision
and Options
Device Info – Page 2
Detailed Revision Information
Radio: FW Rev: A.02.54HW Rev: A.00.00
SRR: A.00.28
SpO2: HW Rev: 0003Boot: 014aFW Rev: 0627
Patient Monitoring, S. Poschmann, 31 August 2011
1
2
53
MX40 Monitoring Mode – Link InformationSmart-Hopping Radio Link Information – Page 1
Connection Status: Seeking: MX40 has SH radio on and is looking for an Access PointLocked: MX40 has located an Access PointActive: MX40 has an active connection to an Access Point
Inactive: MX40 has SH radio turned offRF Access CodeRetries*: Number of retries since the device was last rebooted
Signal Strength (5 second average):RSSI: “Received Signal Strength Indicator” Signal strength reported in dBm (decibel-milliwatts)SQI: “ Signal Quality Indicator“
Link Quality:The “Link Quality Indicator” is the clearest indicator of current performance. It is based on the number of retries. SQI Signal Strength Coverage
1.4GHz
4 > -60 dBm Excellent
3 -68 to -60 dBm Good
2 -77 to -69 dBmMarginal
1 -83 to -78 dBm
0 < or = -84 dBm Insufficient
2.4GHz
4 > -60 dBm Excellent
3 -68 to -60 dBm Good
2 -77 to -69 dBmMarginal
1 -86 to -78 dBm
0 < or = -87 dBm Insufficient
Bars (LQI)
Average retries (5 seconds)
Link Quality
4 0-1 Excellent
3 2-4 Good
2 5-9 Marginal
1 10-19 Insufficient
0 > 20No
connection
Retries: This retry number represents the number of retries over the last second.
Patient Monitoring, S. Poschmann, 31 August 2011 54
MX40 Monitoring Mode – Link Information
MAC AddressIP Address
Subnet MaskDefault Gateway
Server IP Address
Smart-Hopping Radio Link Information – Page 2
Network information is found on the second “Link Inf o” page:
Patient Monitoring, S. Poschmann, 31 August 2011 55
MX40 Monitoring Mode – Link Information
• Bedside Use Model – Bedside is coordinating SRR communication
CL SpO2
CL NBP
Monitor
X2, MP2 or MP5
SRR
MX40
Link Quality information on the SRR link from the MX40 to the bedside is available on the MX40 by touching the
“SRR Link Quality” area on the “Device Status” screen.
Short Range Radio Link Information – Bedside as SRR Coordinator
57% 3.82 v
Patient Monitoring, S. Poschmann, 31 August 2011 56
MX40 Monitoring Mode – Link InformationShort Range Radio Link Information – Bedside as SRR Coordinator
Connection Status:“Reset”,“Setup”,“Check for Upgrade”: Short Range Radio internal radio startup procedure. This occurs at boot or after
the radio is restarted by selecting the “Add/Remove” SmartKey.Discovery: MX40 is looking for bedsides to connect to.
Link Test: The first step in the association process – the MX40 will check the quality of theradio link before finalizing the association. The MX40 will only finalize the association if the radio link if it has been stable for one minute
“Associated”, “Measurement”: MX40 has an active association with the bedside monitorSRR Channel: Always blank here – bedside controls channel usedAssigned Devices: Always blank when bedside is SRR coordinator. Refers to CL Measurements.Retries*: Number of retries since the connection was madeCul ECG Drop Out: Number of lost ECG packets since the connection was made
RSSI: “Received Signal Strength Indicator”Signal strength reported in dBm (decibel-milliwatts)
Signal Strength Coverage
> -70 dBm Good
< or = -75 dBm Insufficient
LQI(bars)
Criteria –Packet Loss
or Retries
Link Quality
4 None Excellent
3 Several Good
2 Moderate Poor
1 Significant Bad
0 No data from monitor
Insufficient
Link Quality Indicator:Average of last 5 seconds
Retries: Retries over last secondAv LQI: Average Link Quality Indicator
LQI averaged over last 30 secondsECG Drop Out: Number of lost ECG
packets over last second
Patient Monitoring, S. Poschmann, 31 August 2011 57
Short Range Radio Use Models
• Telemetry Use Model – MX40 is coordinating SRR communication
– SRR channel selection is done by the MX40
– SRR channel is selected from the channels programmed in the IIC Config Wizard
• Note: The more channels that are set to selected in the IIC Config Wizard, the longer the cableless assignment process will take since the MX40 has to check more channels – we suggest 2-4 channels
– SRR channel may change if interference occurs
MX40
SRR
CL SpO2
CL NBP
Telemetry Use Model
Patient Monitoring, S. Poschmann, 31 August 2011 58
MX40 Monitoring Mode – Link InformationShort Range Radio Link Information – MX40 as SRR Coordinator
SRR Channel:MX40 displays the SRR channel that it has determined is currently the best.
Assigned Devices:Reports how many Cableless Measurement devices are connected. It does not report the device name in this screen. To see assigned CL devices, select “Add/Remove” SmartKey, and then select “Remove”. The list of connected devices will be displayed.
SRR Channel: 25
Assigned Devices: 1
Conn. Status: SRR Sensor Search
Connection Status:“Reset”, “Setup”, “Check for Upgrade”: Short Range Radio internal radio startup procedure. This occurs at boot or after
the radio is restarted by selecting the “Add/Remove” SmartKey.Network Scan: MX40 is checking configured channels (from IIC config) for best channel
SRR Sensor Search: MX40 has selected channel to operate on, and is searching for cableless (CL) measurement devices wanting to connect. This continues even after a CL devicehas been assigned. It continuously looks for other devices that want to connect.
Link Quality:Does not apply when the MX40
is the SRR Coordinator. Link Quality is determined by the
sending device which has knowledge of number of retries required to send data and how
much data was lost.
Patient Monitoring, S. Poschmann, 31 August 2011 59
MX40 Configuration Mode
• Parameters that are configured through the user interface on the MX40:– Configured in “Config Mode” (password = 71034)
• “Config” Menu– Touch Tone Volume– Default Screen– Screen Color– ECG Cable Color– Alarm Sounds– Alarms On
• SmartKeys – under “Alarms”– Inop Severity– Alarm Reminder– Alarm Volume for Off Network
• Under parameter menus– Lead Placement– SpO2 Mode
– For details, review the MX40 Installation training module
Patient Monitoring, S. Poschmann, 31 August 2011 60
MX40 Configuration – Reset to Defaults
• There are two ways to set the MX40 back to factory default values
– On the MX40 in “Config Mode”, in the “Config” menu• “Unit Defaults”: This will set the MX40 to factory default values, with
the exception of the “Equipment Label” and the “RF Access Code”.• This allows a clinical user to reset the clinical parameters without
impacting the network connectivity.
– On the MX40 in “Service Mode”, in the “Service” menu• “Factory Defaults”: This will set the MX40 to factory default values.
This will also reset the “Equipment Label” to “NEW_DEVICE” and the “RF Access Code” to 0.
Helpful Hints
Patient Monitoring, S. Poschmann, 31 August 2011 61
SpO2 Upgrade Failure and Recovery
• If after performing a software upgrade/downgrade the MX40 displays a “SpO2 Equip Malf” inop, it indicates that the SpO2 software download failed.
• The service person can attempt to reload the SpO2 software using the following procedure:
– Go into “Service Mode”– Select “Recover SpO2” from the list
• If the “Recover SpO2” selection is grayed out, the software download is not the cause of the “SpO2 Equip Malf” inop. This points to a problem with the hardware, and the device will need to be replaced.
“Recover SpO2”