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1. Inside This Issue Click each section header SPRING 2006 News for biomedical and clinical engineers EXPLORING MEDICAL TECHNOLOGY Feature Nurses can t be loaded down with a tool belt full of communication devices so Willlam Beaumont Hospital tapped into a streamlined solution to communicate alarm information Find out how they did it AAMI 2006 Dialogue with Philips technical specialists at the Product Showcase Theater after the education sessions and in the Philips booth News e Special agreement discounts amp biomedical training vouchers via the Service Partnership Promotion e New single patient use SpO2 sensors compatible with Philips Agilent Hewlett Packard and qualified competitors monitors e What s compact ergonomic and easy to use New fetal and maternal monitors e Software release for PageWriter Touch cardiographs increases quality and improves speed e HeartStart defibrillators will meet new one shock protocol recommended by 2005 AHA Guidelines Q amp AS Flashing LEDs and beeping noises what s going on with their M2601B transmitter Read on Education Improve your value to your hospital by taking a technical training course For more information visit http www3 medical philips com en us education course_index asp For More Information Visit www medical philips com SPRING 2006 Philips IntelliVue MP40 patient monitor hd A Pi h j i Xe e J pas hat Probe EXPLOR2. For more information or to receive the upgrade contact your local Philips cardiology representative or call the Philips CUSTOMerCARE Service Center The entire line of Philips HeartStart defibrillators will meet the newly updated American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Virtually all Philips HeartStart defibrillators currently available including the Home OnSite FRx FR2 ForeRunner and MRx shown here can be reconfigured now to support the new one shock defibrillation protocol recommended in the 2005 Guidelines QSA I recently received a M2601B transmitter to replace my defective one but it does not work When insert batteries into the transmitter the LEDs flash and the unit emits a beeping sound Why is that The above symptoms indicate that the transmitter is a New Device and will need to be configured M2601B transmitters can be configured with the new PC based service tool or with a TeleMon C monitor as described here I Configuring M2601B transmitters with the service tool The service tool for the M2601B transmitters and M4841A transceivers comes on a CD ROM and can be ordered using part number 453564017001 Other materials and equipment needed for use with the service tool are e Service PC with CD drive and running either Windows 2000 with Service Pack 4 or higher or Windows XP The service tool does not run on PCs using Wind
3. AAMI2006 CONFERENCE amp EXPO 8 Select RF Configuration and press Go 9 Press the Adjust Frequency button to select the appropriate frequency Note the frequencies jump in increments of 125KHz 10 Press Done 11 The message You have made changes Do you want to save is displayed Press the Accept button to approve the changes 12 Enter the password 13 Enter the Check Code and press the Enter Check Code button 14 Press Done 15 Press the Done button again until the message Do you want to exit Service Mode appears 16 Press Accept to return to the General Configuration Menu 17 Proceed to the Learn Code procedure documented above e M2636B is the TeleMion B Companion Monitor e M2636C is the TeleMon C Companion Monitor e Reference chapter 1 of Software Installation and Configuration Guide 4535 640 21631 for additional information on step above e Reference chapter 4 of Service Manual M2636 90063 and page 2 9 of Instructions for Use M2636 9121C for additional information on step Ill above e Service password is documented in Service Manual M2636 90063 or can be obtained by calling the Philips COUSTOMerCARE Service Center at 800 7 22 9377 PEER EXCHANGE Share your valuable views and insights on medical products and services at the AAMI conference If you are interested in participating in focus groups send a message with AAMI in the subject line by June 9 to marketresearch philip
4. and development and Paul Coss Philips patient monitoring product manager will present An Effective Decision Making Process for Selecting and Installing Wireless Technology on Monday June 26 from 2 30 to 3 45 p m Kotfila and Coss will provide a framework for decision making giving attendees the tools to analyze how their hospitals can determine the appropriate solution s to meet wireless needs now and into the future The product showcase theatre will feature Philips programs on asset tracking patient monitoring solutions and radio frequency analysis Check your conference guide for dates and times Education Classroom Instruction June October 2006 All Philips Education Center courses are developed and tested by the professionals you ve come to rely upon for their technical expertise For more information on Cardiac and Monitoring Systems classes you can visit www medical philips com us Click Education then Biomedical Service Training You can also email victoria kirk philips com for Cardiac and Monitoring classes and deborah schmidt philips com for Ultrasound Classes For Canada please check the web address noted here for the latest information Philips IntelliVue Info Center 4 days 3 485 U S IntelliVue Patient Monitor MP Series 3 days 2 300 U S Dallas TX June 6 Hoffman Estates IL June 6 Phoenix AZ July 11 Cleveland OH July 18 Atlanta GA August 15 Cleveland OH August 22 Hoff
5. CUSTOMerCARE Service Center is a worldwide network of facilities dedicated exclusively to telephone customer support Engineering and clinical applications specialists help biomedical professionals address operations and applications issues related to the company s equipment For fast quality answers call the number in your area U S 800 722 9377 Canada 800 323 2280 Parts Service Phone Numbers Parts Orders and Identification in U S 800 722 9377 PMS Business Centre in Canada 800 291 6743 for non contractual customers
6. ING MEDICAL TECHNOLOGY Philips connects Monitors messages as close and quiet as a nurse s wireless phone At William Beaumont Hospital in Royal Oak Michigan the vision for the eight level 656 000 square foot South Tower was to create a higher standard of excellence for the entire patient care experience Clinical stakeholders and hospital administrators led the initiative insisting that greater comfort convenience service and efficiency be valued as highly as the clinical quality of care One of the many steps toward realizing this vision was to improve overall communications particularly to keep nurses connected with each other and with patients physicians and relevant patient data With a successful pilot complete the hospital planned to implement a low power wireless phone system for nurses in the new care units At the same time we were looking for better ways to communicate alarm information to nurses explained John Crissman Beaumont s manager of biomedical engineering We knew this facility was going to have a large footprint We couldn t expect the local alarm sound to be sufficient and we had an internal design goal to keep the noise to the minimum News for biomedical and clinical engineers Loudspeakers and traditional pages for patient alarm and other data were considered to be unacceptable alarm devices given the quantity of alarm events and other critical infor
7. cost of ownership for IntelliVue monitoring and telemetry solutions and provide needed biomedical training the partnerships can last up to five years Savings can exceed one year of support free and up to 3 485 in biomedical training For more information contact your Philips patient monitoring sales representative Philips expands choice of sensors for patient care Philips now offers two new single patient use SpO2 pulse oximetry sensors primarily for infant and neonatal patients The new disposable sensors are designed to provide greater comfort while maintaining a secure fit using soft foam material and optimized adhesives The new Infant disposable SpO2 sensor was designed for use on patients 3 10kg The new Neonatal disposable SpO2 sensor was designed for use on patients weighing less than 3kg as well as for larger infants from 10 20kg and it can also be used for larger patients weighing over 40kg Both new sensors are compatible with Philips Agilent Hewlett Packard and qualified competitors monitors In addition all Philips sensors are compatible with Philips FAS I SpO2 algorithm technology which can discern a steady signal during patient movement and supports the widest array of SpO2 sensors in the industry Philips announces Avalon fetal and maternal monitors Philips announced its new line of fetal and maternal monitors Avalon FM20 antepartum and Avalon FM30 intrapartum Based on Philips IntelliVue pati
8. ent monitoring platform the new Avalon fetal monitors feature enhanced measurement and documentation capabilities in a compact ergonomic and easy to use product Both monitors can be used to monitor multiple births and provide an easy to use interface that features touch screen operation and large numeric color screen displays Monitoring and measurement technology is integrated into the product s ultrasound transducers without increasing transducer size Avalon FM transducers housing parts conform to IP68 water and dust resistance standards and are designed to be repairable by in house biomedical staff Quality and speed are the focus of the PageWriter Touch release The new A 02 software release for PageWriter Touch cardiographs is designed to greatly increase product quality and improve speed An upgrade kit is available to all installed base users now New shipments of the cardiograph include the performance improvements Extensive clinical testing has confirmed high product reliability and strong user satisfaction with the improved speed Speed improvements include coming out of standby mode time reduced by more than 30 percent or rhythm strip printing initiation time reduced by approximately 50 percent Other changes include networking enhancements support for a Philips USB memory stick to remove the need for floppy disks or PCMCIA cards and a simple mechanism for saving system logs to aid in troubleshooting
9. f its wireless messaging services Philips the hospital s biomed department and the hospital s IT telecom department all had key roles in the project working together to make the integration successful Investment protection matters While investing in an improved overall care experience was paramount Beaumont also placed a high premium on investment protection There was no way we were going to replace the CMS monitors we had purchased just a few years before Philips backward forward compatibility meant that wasn t necessary said Crissman It was also essential that all the monitors and the Information Centers be on a virtual local gt EA Beaumont Royal Oak campus Photo credit Peter Roberts William Beaumont Hospitals alarm messaging solution as well as designing implementing and certifying aVLAN area network VLAN and Crissman looked to Philips to deliver that solution too AVLAN gives us the best of all worlds said Crissman We capitalize on the hospital s investment in the LAN infrastructure yet we achieve a segregation of the physiological alarm data We ve got all these VLANs going at the same time on the same infrastructure and with a Philips VLAN running on our enterprise wide network it s as secure as If it were private he added A new challenge begets a first and custom solution Beaumont was the first VLAN implementation we did of the IntelliVue C
10. ge If the connection fails an error is displayed Retry connecting the device again following steps 7 and 8 9 When connection to the device has been completed the Device Type dialog screen will automatically appear on the PC with the connected device s description e g M2601B with SpO2 Also the device s firmware revisions and configuration status information is shown 10 Click on the Edit Form button Note Only white highlighted fields are editable 11 Enter the appropriate frequency Note that the new service tool no longer requires you to enter the check code Make other changes as necessary such as volume and RF Auto ShutOff 12 Click on Update Device Configuration button To verify that the changes have been successfully implemented go to the Actions drop down menu in the top left tool bar and click on Read Device to view the revised status of the device 13 At this point you should get an Invalid Signal E01 INOP in the sector at the IntelliVue Information Center IIC If you do not get this INOP ensure that the telemetry is not in standby Follow the Learn Code procedure at the IIC to complete the configuration process Il Learn Code 1 Select Patient Window gt gt All Controls gt gt Unit Settings 2 Under Bedside Unit Settings select Telemetry Freq 3 Enter the password 4 Identify the correct receiver frequency and check code listed 5 Select and highlight the correct receive
11. linical Network recalled Harvey Stroyan Philips solution delivery consultant We knew this was going to be a demand from our customers but we had yet to standardize and streamline the processes Beaumont really raised the bar for us and we met the need said Stroyan Philips now has a tried and true VLAN implementation process that we have used for the benefit of other hospitals as well Crissman credited Philips for assigning an expert IT resource who was able to immediately connect with hospital IT We needed good customer support with this project said Crissman Philips was able to provide that support to the biomedical engineering department the IT department and to our clinical users Riding the wave of the future It s quiet in the halls at Beaumont these days a prime design criterion The overhead pages could be used in a disaster but we have designed our communications to avoid being loud said Crissman The noise ts local and minimal The nurse notices when a call or alarm message comes In but the patient doesn t A nurse call event from the Dukane system produces a regular ring on the phone while a physiologic alarm message triggers a distinct sound and cadence prompting the nurse to know what to expect when they look down at the phone s display The nurse sees the text and alarm data on the phone exactly as it looks on the Philips monitor said Cris
12. man Estates IL August 22 Dallas TX September 12 Paramus NJ September 19 OB TraceVue 4 days 3 785 U S Cleveland OH June 12 Cleveland OH August 7 Cleveland OH September 25 Digital Telemetry 2 days 2 000 U S Dallas TX June 12 Hoffman Estates IL June 12 Phoenix AZ July 17 Cleveland OH July 24 Atlanta GA August 21 Cleveland OH August 28 Hoffman Estates IL August 28 Dallas TX September 18 Paramus NJ September 25 Customer Support Center Dallas TX June 14 Hoffman Estates IL June 14 Phoenix AZ July 19 Cleveland OH July 26 Atlanta GA August 23 Cleveland OH August 30 Hoffman Estates IL August 30 Dallas TX September 20 Paramus NJ September 27 Anesthetic Gas Module 2 days 2 000 U S Atlanta GA June 28 IntelliVue Telemetry 4 days 3 485 U S Cleveland OH July 10 Cleveland OH September 25 Component Monitoring System 3 days 2 300 U S Atlanta GA August 30 IntelliVue Clinical Network 3 days 2 960 U S Cleveland OH July 24 Cleveland OH September 11 Network Concepts 3 days 2 300 U S Atlanta GA TraceMasterVue 3 days 3 485 U S Cleveland OH September 6 September 18 All Ultrasound classes are held in Cleveland iU22 iE33 3 days 6 000 HD11 3 days 6 000 U S HDI 3000 3500 5000 4 days 6 000 U S Envisor 3 days 6 000 U S SONOS 4500 5500 7500 4 days 6 000 U S July 31 September 11 June 5 August 14 August 7 July 31 Philips
13. mation that needed to be communicated It wasn t practical to load each nurse down with a tool belt full of communications devices said Crissman Fortunately for the nurses their patients and overall care Beaumont tapped into a more elegant solution via Philips continued on next page PHILIPS Philips connects continued CUSTOMerCARE Value Added Services Philips alarm messages are sent via an Emergin plug and play interface to each nurse s SpectraLink wireless phone The Dukane Nurse Call system also uses an Emergin interface to send nurse call events to the Spectralink phone Matching needs with solutions The hospital opted for the Philips Intellivue patient monitoring system to provide the functionality it needed based on an established relationship with Philips the company s expertise in monitoring and services and the available Emergin alarm integration option Philips IntelliVue patient monitors were to be installed in the new pediatric intensive care unit PICU pediatrics and in the new neuroscience unit In the new neonatal intensive care unit NICU Philips Component Monitoring Systems CMS were moving over from the existing NICU IntelliVue Information Centers were also planned for each all interfacing via Emergin to the Spectralink wireless phones Managing the interface to transmit alarm data to third party devices was something Philips had done more than 200 times before as part o
14. ows 95 OS e Service interface cable that connects your PC to the transmitter The cable is ordered separately as part number 453564007401 e AA batteries for the M2601 transmitter Configure the M2601B transmitter as follows 1 Install the service tool software on your service PC If this has already been done you may skip to step 4 2 Insert the CD ROM into the service PC 3 Double click on the Install bat executable on the CD to automatically create and copy all files to the C TelemetryPWD directory on your service PC NOTE Do not rename the directory or folder where the service tool resides The service tool will not run if the directory or folder is renamed gt Eo 4 Terminate any PC applications or services that are currently using the COM1 port on the PC 5 Remove the batteries from the transmitter Connect the service interface cable to the COM1 port on the PC and the other end to the serial port on the device 6 Go to the C Telemetry PWD directory open the TeleCfgTool folder and double click on the TeleCfgTool exe icon to open the service tool program 7 Go to the top left hand corner of the screen and click on the Actions drop down menu 8 Click on Connect to establish the connection to the device Quickly insert two good AA batteries into the device while the connection progress bar is completing its connection Insert batteries before the progress bar reaches 5 of ran
15. r 6 Click on the Learn Xmit Code button and within one minute you must press and hold the nurse call the button without the check mark button until the E01 error goes away Ill Configuring the transmitter with the M2636C TeleMon C monitor The M2601B transmitter connects to the M2636C TeleMon C via a 9 foot quick release cable rather than physically docking it into the unit Do NOT try to dock the transmitter into the docking port of the TeleMon as it may damage the device NOTE The M2601B is not supported on the M2636B TeleMon B monitor When disconnecting the cable using the quick release mechanism press the latch whenever possible to reduce wear on mechanism components 1 Insert two good AA batteries into the transmitter 2 Connect the quick disconnect of the cable together and insert the cable connector into the connector on the side of the transmitter continued on page 6 Q amp A continued 3 Turn the TeleMon ON 4 After the logo appears at the center of the screen and the message PUSH button for Service appears press the check button below the display 5 Select TeleMon and Transmitter Service from the General Configuration Menu and press Go 6 Enter the password and press Enter Password Use the Select digit arrows to change the number Use the Navigate through digits button to move the cursor to the next field Select Configure Transmitter and press Go
16. s com Capitalize on the opportunities and location of AAMI 2006 Washington D C is the host city for the 2006 annual meeting of the Association for the Advancement of Medical Instrumentation AAMI The AAMI conference and exposition is scheduled June 24 26 at the Marriott Wardman Park Hotel Philips engineers will offer their expertise at the education sessions and product showcase theatre During exhibit hours technical solutions specialists will be in the Philips booth 500 to demonstrate monitoring diagnostic ECG and resuscitation products Service specialists will be there to discuss Philips value added services which hospitals use for many needs ranging from hardware installations to custom network design Eg Wireless technologies are the focus of the three Philips presentations on the education calendar Join Eric Anderson Philips director of hardware quality engineering and Dara McLain Philips EMC engineer for a two part session on Sunday June 25 From 1 to 2 15 p m they will present RF Wireless in Healthcare Part I Challenges and Solutions Proceed with Caution Then from 2 30 to 3 45 p m it s RF Wireless in Healthcare Part Il Conducting RF Surveys for EMC Management Anderson and McLain will also be in the Philips booth to answer questions and talk with biomedical and clinical engineers Mark Kottfila Philips director of patient monitoring engineering research
17. sman As a shift ends and another begins designated unit staff and or nurse managers take a few minutes at the Staff Assignment PCs to assign staff nurse call and alarm data This task ensures nurse calls from patients and alarm data from the monitors get to the right nurse The wave of the future is to have one device and one PC to manage multiple types of messaging The hospital will get there with this advanced technology in place said Crissman We see this as an evolution he added allowing the hospital to move forward at its own pace to continually improve communications Philips new single patient use SpO2 sensors primarily for infant and neonatal patients are compatible with Philips Agilent Hewlett Packard and qualified competitors monitors ate ka ity A a Avalon fetal monitors feature enhanced measurement and documentation capabilities in a compact ergonomic and easy to use product An upgrade with enhancements focused on speed and quality is now available for PageWriter Touch cardiographs Partner with Philips for up to five years of service and training A popular partnership program is continuing from Philips offering special support agreement discounts and biomedical training vouchers for hospitals that invest in Cooperative Response Agreements when purchasing Intell Vue monitoring and telemetry systems Designed to reduce the
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