Philips Medical Systems North America WLANBV2 WLAN Module IEEE 802.11 a/b/g/n User Manual IntelliVue CL
Philips Medical Systems North America Co. WLAN Module IEEE 802.11 a/b/g/n IntelliVue CL
Contents
- 1. Installation Instructions
- 2. User Manual IntelliVue MP2
- 3. User Manual IntelliVue CL
User Manual IntelliVue CL
![Instructions for Use IntelliVue Cableless MeasurementsCL SpO2 Pod – CL NBP Pod – CL Respiration PodRelease B.02Patient Monitoring](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-1.png)
![31Table of Contents1Introduction and Basic Operation 5Introducing the IntelliVue Cableless Measurements 62IntelliVue CL SpO2 Pod 9General Operation of the SpO2 Pod 9Connection with Host Systems 16Monitoring SpO2 22Alarms 28SpO2 Default Settings 38Integrated Battery Handling 39Accessories 41Maintenance and Troubleshooting 423IntelliVue CL NBP Pod 43General Operation of the NBP Pod 43Connection with Host Systems 50Monitoring NBP 56Alarms 63NBP Default Settings 72Integrated Battery Handling 73Accessories 74Maintenance and Troubleshooting 784IntelliVue CL Respiration Pod 79General Operation of the Respiration Pod 79Connection with Host Systems 80Monitoring Respiration 84Technical Alarms (INOPs) 88Respiration Default Settings 89Integrated Battery Handling 89Accessories 91Maintenance and Troubleshooting 915Cableless Measurement Auxiliary Devices 93IntelliVue CL Transmitter and IntelliVue CL Hotspot 93IntelliVue CL Transmitter Base Station 97IntelliVue CL Charging Station 97Maintenance and Troubleshooting 99](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-3.png)
![46Care and Cleaning 101General Points 101Cleaning and Disinfecting the IntelliVue Cableless Measurement Devices 102Disposing of the IntelliVue Cableless Measurement Devices 1037Specifications 105Indications for Use 105Compatible Medical Devices 107Manufacturer's Information 107Symbols 108Safety Specifications 109EMC and Radio Regulatory Compliance 110Safety and Performance Tests 112Electromagnetic Compatibility (EMC) 112Accessories Compliant with EMC Standards 113Electrosurgery Interference/Defibrillation 113IntelliVue CL SpO2 Pod Specifications 113IntelliVue CL NBP Pod Specifications 115IntelliVue CL Respiration Pod Specifications 118Alarm Specifications 119Telemetry Device Battery Runtime Specifications 121IntelliVue CL Transmitter Specifications 121IntelliVue CL Transmitter Base Station Specifications 123IntelliVue CL Hotspot Specifications 124Index 127](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-4.png)
![151Introduction and Basic OperationThese Instructions for Use are for clinical professionals using the IntelliVue Cableless Measurements and their respective accessories for monitoring and recording arterial oxygen saturation, pulse rate, non-invasive blood pressure and respiration rate of adult patients.Familiarize yourself with all instructions including warnings and cautions, and attend one of the training courses, before starting to make measurements with patients. Read and keep the Instructions for Use that come with any accessories, as these contain important information about care and cleaning that is not repeated here.When using the IntelliVue Cableless Measurements with an IntelliVue Patient Monitor, a telemetry system or IntelliVue GuardianSoftware, refer to and adhere to all warnings in the Instructions for Use of the respective device or software.In these Instructions for Use:•A warning alerts you to a potential serious outcome, adverse event or safety hazard. Failure to observe a warning may result in death or serious injury to the user or patient.•A caution alerts you to where special care is necessary for the safe and effective use of the product. Failure to observe a caution may result in minor or moderate personal injury or damage to the product or other property, and possibly in a remote risk of more serious injury.IntelliVue Cableless Measurements refers to the IntelliVue Cableless Measurements product family consisting of the IntelliVue CL SpO2 Pod, IntelliVue CL NBP Pod and IntelliVue CL Respiration Pod with their accessories. Also included are the auxiliary devices: the IntelliVue CL Charging Station, IntelliVue CL Transmitter, IntelliVue CL Transmitter Base station and IntelliVue CL Hotspot. Display refers to the physical display of the Cableless Measurement Device. Screen refers to everything you see on the IntelliVue Cableless Measurement's display, such as measurement values, patient data and so forth.IntelliVue CL Transmitter/WLAN functionality may not be available in all countries.](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-5.png)
![1 Introduction and Basic Operation6Introducing the IntelliVue Cableless MeasurementsThe IntelliVue Cableless Measurement Devices provide measurement values and communicate them to other system components using a wireless short range radio (SRR) interface.The IntelliVue CL SpO2 Pod and the IntelliVue CL NBP Pod can be used together with IntelliVue Patient Monitors MP5/MP5SC/MP5T, MP2/X2, IntelliVue Telemetry System Transceivers TRx4841A/TRx4851A, MX40 wearable patient monitors, and IntelliVue GuardianSoftware. Both devices have an LCD display and three keys for basic operation:IntelliVue CL SpO2 PodThe IntelliVue CL SpO2 Pod is a battery powered, cableless Pulse Oximetry measuring device.IntelliVue CL NBP PodThe IntelliVue CL NBP Pod is a battery powered, cableless, non-invasive blood pressure (NBP) measuring device.1Integrated monochrome LCD display2Hardkeys3Measurement identifier](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-6.png)
![1 Introduction and Basic Operation7IntelliVue CL Respiration PodThe IntelliVue CL Respiration Pod is a battery powered, cableless respiration rate measuring device which can be used together with IntelliVue Patient Monitors MP5/MP5SC/MP5T, or IntelliVue GuardianSoftware. The device has one multi-color LED for status display and one hardkey for basic operation, e.g. to start a measurement.1Multi-color LED2Hardkey](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-7.png)
![1 Introduction and Basic Operation8](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-8.png)
![292IntelliVue CL SpO2 PodThe IntelliVue CL SpO2 Pod is a wrist-worn device; you need a Mobile CL SpO2 Cradle to hold the sensor connector in place and a wristband to fix the cradle to a patient's arm.Specialized single-patient SpO2 sensors are available for use with the IntelliVue CL SpO2 Pod. For details regarding the complete set of single-patient supplies, cradle, wristband and sensors, refer to “IntelliVue CL SpO2 Pod Accessories” on page 41.General Operation of the SpO2 PodThe following sections describe operation on the SpO2 Pod itself. For operation from a patient monitor, see “Controls Available with a Patient Monitor” on page 20. For operation from an Information Center via a telemetry system, see “Controls Available with a Telemetry Device” on page 21. For operation with IntelliVue GuardianSoftware, see “Controls Available with GuardianSoftware” on page 21.The SpO2 Pod has three hardkeys for basic operation and a set of configurable SmartKeys which appear on the screen. These are used to activate and navigate through the on-screen menus and to select individual items. The typical operator's position is such that everything on the device's display can be read clearly and easily.Switching the Device OnThe first time an SpO2 Pod is used, or after the device has been powered off for storage, place it on the IntelliVue CL Charging Station. This will automatically switch the device on.If the SpO2 Pod has only been switched off temporarily (see “Switching the Device Off” on page 13), press any hardkey to turn the device on again.](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-9.png)
![2 IntelliVue CL SpO2 Pod10When an SpO2 Pod is not operated, it will automatically switch off the screen lighting after a short time. A little later the low-activity screen will be displayed.Screen LayoutThere are three variations of the Main Screen layout depending on the Alarm status and the general activity level.Standard LayoutWhen assigned to a monitor, telemetry device or a patient in GuardianSoftware:1Connection status indicator2Indicator that alarming capability has been transferred to the host (to the monitor or, for the telemetry device, to the Information Center). No patient alarms will be announced on the Cableless Measurement Device.3Battery indicator4Measurement values5Measurement-related symbols (see the measurement chapters for details)6Patient identificationWhen not assigned to a monitor or telemetry device:1Connection status indicator2Battery indicator3Measurement values4Measurement-related symbols (see the Monitoring chapter for details). The Alarms Off symbols indicate that no physiological alarms are available from the Cableless Measurement Devices when not assigned to a host.5Cableless Measurement Device equipment label](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-10.png)
![2 IntelliVue CL SpO2 Pod11Alarm LayoutIf an alarm occurs the full alarm message appears at the top of the screen. After the alarm message has been silenced the alarm indicator is shown as a symbol on the right side of the screen.Low-Activity ScreenIf the Cableless Measurement Device has not been operated for a while, the screen lighting will switch itself off and a little later the screen will switch to a pre-configured "low-activity" screen.When a Cableless Measurement Device Cannot be ActivatedIf you cannot activate a device by pressing a key, place it on the IntelliVue CL Charging Station. The device becomes active. Check the battery status. If necessary, leave the device on the charger until the battery is fully charged.Using the HardkeysThe IntelliVue Cableless Measurement Devices have three hardkeys: ◄, , ►.Use ◄ and ► to navigate through SmartKeys and menus and to select items or to silence alarms.The three hardkeys also have an additional function when the key is held down for a couple of seconds:1Full length alarm message2Alarm indicator◄opens the Add To screen to assign a device (or to unassign it when it is already assigned)opens the SmartKeys menu►returns to the Main Screen. If already on the Main Screen, it locks the keys and a lock symbol appears on the screen above the battery symbol. If keys are already locked, it unlocks the keys and the lock symbol disappears](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-11.png)
![2 IntelliVue CL SpO2 Pod12Using the SmartKeysA SmartKey is a graphical key which appears on the screen and gives you fast access to functions.SmartKeys MenuPress the hardkey (without any screen element highlighted) to get to the SmartKeys menu.Use the ◄ and ► hardkeys to move along the row of SmartKeys. The highlighted SmartKey is displayed in full above the row of SmartKeys. When you use the ◄ or ► hardkey at the end of the row, an Exit screen appears and then with further presses you move on to the next page of SmartKeys. To leave the SmartKeys menu you can use the Exit screen or press the ► hardkey for a couple of seconds to return to the Main Screen.When the required SmartKey is highlighted, press the key to activate the corresponding function.To get to the next page of the SmartKeys menu, highlight the rightmost SmartKey then press the ► key.List of Available SmartKeysSmartKey Text LabelsMain Setupstart an SpO2 measurementset the SpO2 repetition timeAdd/Remove deviceenter Battery menuchange Screenenter Profiles menuswitch device off (or power off when pressed for more than two seconds)enter Patient menu](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-12.png)
![2 IntelliVue CL SpO2 Pod13Using the Main Setup MenuIn addition to the hardkeys and SmartKeys for the most needed functions, the Main Setup menu gets you to all settings that can be adjusted for the respective device. Select the Main Setup SmartKey to get to the Main Setup menu.Switching the Device OffTo switch off a device manually, select the Device Off SmartKey, then Confirm.If you keep Device Off pressed for more than two seconds, you can choose between Device Off or Power Off.•Device Off means that the display is switched off and the measurements are disabled. Use this option if your device is not used temporarily. Press any hardkey to turn the device on again.•Power Off means that the device is switched off completely and can only be switched on again by putting it on a charger. Use this option when the device is not used for a longer time or prepared for storage or shipping.When an IntelliVue Cableless Measurement Device is not operated, it will automatically switch off the screen lighting after a short time. A little later the low-activity screen will be displayed.enters the Alarms menu to access: Alarm Messages, Alarm Limits, Alarms On/Off/Pause, Alarm Volume.Change alarm volumeChange pulse tone volumeSmartKey Text LabelsMain SetupSpO₂PulseAlarmsPatientEquipmentUser InterfaceDevice OffProfilesOperating ModesDate, TimeBatteryRevisions](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-13.png)
![2 IntelliVue CL SpO2 Pod14Operating ModesYour device has four operating modes. Some are passcode protected.•Monitoring Mode: This is the normal, every day working mode that you use for making measurements. You can change elements such as measurement modes, patient category and so forth. When you remove the patient from the device, these elements return to their default values. Changes can be stored permanently only in Configuration Mode. You may see items, such as some menu options, that are visible but 'grayed out' so that you can neither select nor change them. These are present for your information only and can be changed only in Configuration Mode.•Demonstration Mode: Passcode protected, this is for demonstration purposes only. You must not change into Demonstration Mode during monitoring.•Configuration Mode: Passcode protected, this mode is for personnel trained in configuration tasks. These tasks are described in the Configuration Guide. During installation the Cableless Measurement Device is configured for use in your environment. This configuration defines the default settings you work with when you switch on.•Service Mode: Passcode protected, this is for trained service personnel.When you switch the device on, it starts up in monitoring mode. To change to a different mode:1Use the Main Setup SmartKey to get to the Main Setup menu.2Select Operating Modes and choose the mode you require.Standby ModeThe IntelliVue Cableless Measurement Devices do not have standby mode. However, when connected to a monitor that is in standby mode, the IntelliVue Cableless Measurement Device will show a standby screen.Using the Patient MenuThe Patient menu allows you to see patient demographics information and to remove a patient from a device. Patient Demographic information is only displayed if the Cableless Measurement Device is assigned to a patient monitor or GuardianSoftware. Patient Category is the only item of patient data which can be changed at the Cableless Measurement Device, but only when the device is not assigned to a patient monitor or telemetry device.Displaying the Patient MenuTo display the Patient menu,• select the Patient SmartKey, or• select the Main Setup SmartKey followed by Patient.Stop Using a Device for a PatientTo remove a patient from the Cableless Measurement Device,•in the Patient menu select Free Device.All patient data is cleared, settings are reset to the defaults and the device is removed from the monitor or telemetry device.](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-14.png)
![2 IntelliVue CL SpO2 Pod15NOTEDepending on your configuration, when the device is put on the charger, patient data will also be cleared and the device will be free for another patient.Using the Device for a New PatientTo use a device for a new patient,•in the Patient menu, select New Patient.If the device was not free, the existing data will be deleted and the profile set to the default.Using ProfilesA profile is a set of measurement and general settings which have been customized for a particular purpose. The Cableless Measurement Devices can have four different profiles configured to your requirements. The default profile is marked with a symbol. To select a different profile,1Select the Profiles SmartKey or the Main Setup SmartKey followed by Profiles.2Select the required profile from the list.Selecting New Patient or Free Device will always reset the profile to the default.Setting the Date and TimeIf the Cableless Measurement Device is assigned to a patient monitor, telemetry device or GuardianSoftware, the date and time will be taken from the host. If this is not the case, you can set the date and time on the Cableless Measurement Device,1Select the Main Setup SmartKey and then Date, Time.2Enter the data for date and time one after another.3Select Store Date, Time.If the time has not been set, --:-- will display on the device.Battery StatusThe IntelliVue CL SpO2 Pods show their battery status on their display both in operating and charging condition. The battery status indicator is located in the lower right corner of the screen during operation and in the middle of the screen during charging.Battery Status MenuSelect the Battery SmartKey or Main Setup followed by Battery using the ◄ and ► keys, then press the key to open the Battery menu. The Battery menu provides the following information: full-charge and remaining capacity, voltage, current and temperature.](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-15.png)
![2 IntelliVue CL SpO2 Pod16Connection with Host SystemsThe following sections describe how the IntelliVue Cableless Measurement Devices work together with host systems (Patient Monitors, Telemetry Devices / Information Center or GuardianSoftware).IntelliVue Cableless Measurements Use ModelsWith these patient-worn measurement devices you can measure and transmit a patient's vitals regularly or on an intermittent data collection basis. There are three typical use models:With a Patient MonitorThe IntelliVue Cableless Measurement Devices can be used together with an MP5/MP5SC/MP5T, MP2 or X2 patient monitor (with an SRR interface). They can communicate their measurement values via short range radio to the monitor. The monitor may be assigned to a patient sector at the IntelliVue Information Center (IIC). When assigned to the Information Center, certain actions can be performed at both the patient monitor and the Information Center. See the table “Controls Available with a Patient Monitor” on page 20.In situations where patients are becoming more mobile (for example, in step-down/intermediate care units) the lightweight Cableless Measurement Devices allow increased mobility within the short range radio range, without giving up vital signs monitoring.When assigned to a patient monitor, the Cableless Measurement Device can be selected for use in patient transport at the patient monitor (for details see the Patient Monitor Instructions for Use). In this case, the Cableless Measurement Device will perform local attended monitoring. The patient must be attended by a caregiver during transport, to ensure that alarms on the Cableless Measurement Device are recognized. In local attended monitoring mode, an alarm message text appears in the alarm status area at the top of the screen indicating the source of the alarm and an alarm tone is issued. See “Alarms” on page 28 for details.A telemetry device can be assigned to a patient monitor equipped with short range radio at the same time as any Cableless Measurement Devices are also assigned to this monitor.When assigned to a patient monitor, the admitted patient name is displayed on the SpO2 Pod.If the connection between the monitor and the Cableless Measurement Device is lost, an INOP will be displayed at the monitor: cl SpO₂ Disconnect. A No Host Monitoring INOP will be displayed on the SpO2 Pod, and an INOP tone will sound. In this case, visual and audible alarms are still available at the SpO2 Pod, but it is not possible to change the alarm settings.With a Telemetry DeviceThe Cableless Measurement Devices can be assigned to a patient with the telemetry device TRx4841A/TRx4851A or an MX40 wearable patient monitor. They can communicate their measurement values via short range radio to the telemetry device which communicates them to an IntelliVue Information Center to provide a consolidated set of patient values.Some of the measurement tasks can be performed remotely from the Information Center. See the table “Controls Available with a Telemetry Device” on page 21.If the patient name is available at the Information Center, it will be also displayed on the SpO2 Pod.When a Cableless Measurement Device is assigned to a telemetry device, it is not possible for the telemetry device to be wirelessly assigned or directly connected to a patient monitor.](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-16.png)
![2 IntelliVue CL SpO2 Pod17If the connection between the telemetry device and the Cableless Measurement Device is lost, an INOP will be displayed at the Information Center: cl SpO₂ Disconnect. A No System Monitor. INOP will be displayed on the SpO2 Pod, and an INOP tone will sound.With IntelliVue GuardianSoftwareThe Cableless Measurement Devices can be used together with IntelliVue GuardianSoftware. GuardianSoftware collects non-continuous vital signs data that are transmitted via a Transmitter or Hotspot from the Cableless Measurement Devices. Using the collected data, it provides trending, review, reporting and notification. The Guardian Early Warning Scoring (Guardian EWS) application provides basic assessment guidance, helping you to recognize the early signs of deterioration in your patients. GuardianSoftware is not intended for monitoring in combination with Cableless Measurement Devices.Some of the measurement tasks can be performed remotely from GuardianSoftware. See the table “Controls Available with GuardianSoftware” on page 21. GuardianSoftware also manages the patient data.If the connection between GuardianSoftware and the Cableless Measurement Device is lost, the connection symbol will be displayed gray at GuardianSoftware. A No System INOP will be displayed on the SpO2 Pod (no alarm sound).If a patient name is available at GuardianSoftware, it will be also displayed on the Pod. Any update of patient data will be synchronized between the Pods and GuardianSoftware. The only patient management action available directly at the Pod is Free Device. Selecting Free Device removes the current patient from the Pod and resets the Pod to the default profile. The Pod is unassigned.Device CompatibilityThe IntelliVue CL SpO2 Pods require the following software levels in the associated equipment:• Patient Monitor - Release H.0 or above• Information Center - Release M or above• Telemetry device TRx4841A/TRx4851A - Revision D.00.22 or above• MX40 wearable patient monitor - Revision A.0 or above• IntelliVue GuardianSoftware - Revision A.0 or aboveAvailability of Patient AlarmsWhen the IntelliVue CL SpO2 Pod is used alone, without an assignment to a monitor or telemetry device, no patient alarms will be generated.When the IntelliVue CL SpO2 Pod is assigned to a patient monitor or telemetry device and a short range radio connection exists, alarms may be announced at the patient monitor or the Information Center.•When assigned to a patient monitor: Alarm messages will be displayed and audible alarm indicators sounded at the patient monitor in the same way and under the same conditions as for its own measurements. See the Instructions for Use of the patient monitor for details.If a Cableless Measurement Device that is assigned to a monitor is selected for use in patient transport at the patient monitor, the Cableless Measurement Device will perform local attended monitoring. See the Instructions for Use of the patient monitor for details on how to do this. The patient must be attended by a caregiver during transport, to ensure that alarms on the Cableless Measurement Device are recognized. In local attended monitoring mode, an alarm message text](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-17.png)
![2 IntelliVue CL SpO2 Pod18appears in the alarm status area at the top of the screen indicating the source of the alarm and an alarm tone is issued. See “Alarms” on page 28 for details.•When assigned to a telemetry device: Measurement values sent via the telemetry device to the IntelliVue Information Center can generate alarms at the Information Center when the values meet the criteria set there for alarms. The alarms will be announced in the same way as measurements from other sources. See the Instructions for Use of the Information Center for details.•When assigned to GuardianSoftware: Measurement values sent via transmitters or hotspots to IntelliVue GuardianSoftware will be visualized in GuardianSoftware. Since IntelliVue GuardianSoftware is a data management system, no alarms are announced. The IntelliVue Cableless Measurement Devices will also not generate physiological alarms when connected to IntelliVue GuardianSoftware. See the Instructions for Use of GuardianSoftware.Assigning an IntelliVue Cableless Measurement Device to a HostWhen an IntelliVue CL SpO2 Pod is used with a host system (patient monitor, telemetry device or GuardianSoftware), the Pod must be assigned to that host system.The assignment can be done at the CL SpO2 Pod itself or at the host system (patient monitor or GuardianSoftware).WARNINGAlways make sure that the applied CL SpO2 Pod is assigned to the correct patient.WARNINGShort Range Radio connections are subject to interruption due to interference from other radio sources in the vicinity, including microwaves, bluetooth devices, WLAN devices (802.11b,g,n) and cordless phones. Depending on the strength and duration of the interference, the interruption may occur for an extended period. A loss of connection, due to moving out-of-range, interference, or for other reasons, is indicated with a No Host Monitoring INOP on the SpO2 Pod, or a cl SpO₂ Disconnect INOP at the host monitor. Correct channel configuration is important, refer to the Configuration Guide for details.Assignment at the Measurement DeviceTo make an assignment, select:•the Add/Remove SmartKey , or• hold the ◄key pressed.This opens the Add To menu which lists the available patient monitors and telemetry devices within the SRR range. In order to save power, the list is only visible for a short time; the menu is automatically closed after 40 seconds.Telemetry device: A telemetry device must be put into assignment mode by pressing the key on the telemetry device before it can appear in the list. Pressing the key starts an SRR channel](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-18.png)
![2 IntelliVue CL SpO2 Pod19search to find the clearest channel available. During the search all 4 LEDs will blink once per second. The search will take approximately 20-25 seconds. Once a channel is identified, the first LED will light up and blink once per second to indicate that the telemetry device is ready for assignment.1Select a patient monitor or telemetry system using the ◄ and ► keys.If you select a patient monitor, the measurement selection key on that monitor will change to show the type of measurement device.2Activate the assignment by pressing the key twice on the measurement device.The Cableless Measurement Device is assigned to the selected patient monitor or telemetry device. A telemetry device plays the assignment tone when the assignment is successful. A patient monitor issues an assignment prompt message.If the internal measurement in the patient monitor is active (the measurement selection key has a yellow frame), you will need to confirm that it should be deactivated in favor of the Cableless Measurement Device you want to assign. To do this:1Select the measurement selection key on the monitor.A prompt message appears with the Confirm and Cancel keys.2Select Confirm to deactivate the internal measurement.When the Cableless Measurement Device is assigned, the symbol appears on its display indicating that alarming capability has been transferred to the host (to the monitor or, for the telemetry device, to the Information Center). No patient alarms will be announced on the Cableless Measurement Device.To unassign the measurement device from the monitor or telemetry system, select the Add/Remove SmartKey, then select Remove From. After confirmation the SRR connection is disconnected.Assignment at the Patient MonitorPrepare the Pod for assignment by activating the Add/Remove SmartKey.At the patient monitor,1Select the Measurement Selection key.2Select the Add cl Msmt pop-up key.This opens the Add Cableless window, which shows the available Cableless Measurement Devices:Add ToMon 1Mon 2Tele 33Tele 44](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-19.png)
![2 IntelliVue CL SpO2 Pod203Select the device which you want to assign to the patient in the monitor.4The monitor displays the assignment prompt message.If the internal measurement in the patient monitor is active, you will need to confirm that it should be deactivated in favor of the Cableless Measurement Device you want to assign.When the Cableless Measurement Device is assigned, the symbol appears on its display indicating that alarms from the device will be sent to the patient monitor.An assigned Cableless Measurement Device can be removed in the Measurement Selection window. For more details see the Instructions for Use for your patient monitor.Assignment with GuardianSoftwareTo assign a Cableless Measurement Device to a patient in GuardianSoftware:1Select the patient on the Chalkboard.2Take the Cableless Measurement Device from the charger.3On the Equipment List tab, select the Cableless Measurement Device on the Available Equipment list, highlighted in green on top of the list. The device on top of the list is always the one with the most recent user interaction (taken off the charger, put on the charger, or key pressed).4Click Use for Patient to assign the device to the patient.Controls Available with a Patient MonitorThe controls available when the Cableless Measurement Device is assigned to a patient monitor are described in the table below.* except when SRR connection to host is lostWARNINGIf a patient being monitored by Cableless Measurement Devices moves out of range of the patient monitor, the measurements are not transmitted to the patient monitor or the Information Center. The measurements are available on the Cableless Measurement Device only. If this occurs, the No Host Action At the Cableless Measurement DeviceAt the Patient MonitorAt the IICStart SpO2Yes Yes NoChange SpO2 Mode Yes Yes NoSelect SpO2 Repetition Time Yes Yes NoAssign SpO2 Pod Yes Yes NoRemove SpO2 Pod Yes Yes NoChange Alarm Limits Yes* Yes NoPlace Device in Standby No Yes YesAlarm Silence Yes Yes YesAlarm Off/Pause Yes Yes Yes](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-20.png)
![2 IntelliVue CL SpO2 Pod21Monitoring message is displayed on the measurement device. The measurement device will also sound the INOP tone.Controls Available with a Telemetry DeviceThe controls available when the Cableless Measurement Device is assigned to a TRx4841/TRx4851A Transceiver or MX40 wearable patient monitor with a short range radio adapter (SRRA) are described in the table below.NOTEWhen you unplug the ECG cable from the telemetry device and plug it into the monitor associated with the same patient, the ECG source will automatically be from the monitor. The SpO2 measurement devices assigned to the telemetry device will continue to source data to the telemetry device and the Information Center. You may need to change screens on the patient monitor to see the measurements.NOTEThe SpO2 measurement sourced from the telemetry device (label: SpO2T) has priority over the IntelliVue CL SpO2 measurement. The SpO2T measurement is sent to the Information Center as long as it is available and the IntelliVue CL SpO2 measurement is available on the measurement device only.Controls Available with GuardianSoftwareThe controls available when the Cableless Measurement Device is assigned to GuardianSoftware are described in the table below.Action At the Cableless Measurement DeviceAt the IICStart SpO2Yes YesChange SpO2 Mode Yes YesSelect SpO2 Repetition Time Yes NoAssign SpO2 Pod Yes NoRemove SpO2 Pod Yes YesChange Alarm Limits No YesPlace Device in Standby No NoAlarm Silence No YesAlarm Off/Pause No YesAction At the Cableless Measurement DeviceAt GuardianSoftwareStart SpO2Yes Yes Change Mode Yes YesSelect SpO2 Repetition Time Yes YesAssign SpO2 Pod Yes Yes](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-21.png)
![2 IntelliVue CL SpO2 Pod22TrendingThe IntelliVue Cableless Measurement Devices provide data for trending of parameters. The trended data are only available via a host system. For details on trends see the Instructions for Use of your host system.When the connection to the host is lost during measurement, the IntelliVue Cableless Measurement Devices are able to collect data in a local memory. These data can be uploaded to GuardianSoftware, but not to other host systems, when a connection is established at a later stage.Monitoring SpO2Philips pulse oximetry uses a motion-tolerant signal processing algorithm, based on Fourier artifact suppression technology (FAST). A sensor is used that transmits light of two different wavelengths through the tissue of the patient. The measurement principle of pulse oximetry is based on the specific absorption characteristics of oxyhemoglobin and deoxyhemoglobin and the pulsating arteriolar vascular bed at the measurement site. It provides four measurements:• Oxygen saturation of arterial blood (SpO2) - percentage of oxygenated hemoglobin in relation to the sum of oxyhemoglobin and deoxyhemoglobin (functional arterial oxygen saturation).• Pleth waveform - auto-scaled visual indication of patient's pulse which is not directly proportional to the pulse volume (only on patient monitor, GuardianSoftware or Information Center, if assigned).• Pulse rate (derived from pleth wave) - detected pulsations per minute.• Perfusion indicator - numerical value for the pulsatile portion of the measured signal caused by arterial pulsation (only on patient monitor, if assigned).NOTENo alarms are generated for SpO2 and Pulse when measuring SpO2 with the SpO2 Pod not assigned to a patient monitor or telemetry device.SpO2 SensorsSpecialized SpO2 Sensors are available for use with the IntelliVue CL SpO2 Pod. See the “Accessories” chapter for details.Familiarize yourself with the Instructions for Use supplied with your sensor before using it. In particular, check that the sensor being used is appropriate for your patient category and application site.Remove SpO2 Pod Yes YesPlace Device in Standby No NoTechnical Alarm Silence No YesAlarm Off/Pause No NoAction At the Cableless Measurement DeviceAt GuardianSoftware](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-22.png)
![2 IntelliVue CL SpO2 Pod23Additional InformationThe following documents contain additional information, depending on which accessories you are using:• Mobile CL Single-Patient SpO2 Sensor Instructions for Use• Mobile CL Reusable SpO2 Sensor1 Instructions for Use• Mobile CL SpO2 Wristband Instructions for Use1 may not be available in all geographiesConnecting SpO2 Sensors1Connect the sensor to the single patient Mobile CL SpO2 Cradle (if not already connected).2Insert the SpO2 Pod into the Mobile CL SpO2 Cradle. The correct orientation is indicated by a matching blue dot inside the cradle.CAUTIONMake sure that the contacts of the SpO2 Pod and the sensor are dry and free of residues.3Secure the cradle on the patient's arm using the wristband.a. Feed the free end of the wristband through the slot in the cradle, starting from the underside of the cradle.b. Slide the wristband onto the patient's arm and pull the free end until the wristband fits snugly.c. Close the wristband using the Velcro patch on the free end of the band.](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-23.png)
![2 IntelliVue CL SpO2 Pod24Removing the Pod from the CradleTo remove the SpO2 Pod from the cradle, pull on the Pod at the opening in the cradle, while holding the cradle in place on the patient's arm.Applying the Sensor1Choose a finger of the patient that matches the sensor dimension in a way that the sensor optical components are properly aligned and the sensor is neither too loose nor applies too much pressure to the finger. For small pediatric patients consider the thumb.2Remove colored nail polish from the application site.3Apply the sensor to the patient. The application site should match the sensor size so that the sensor can neither fall off, nor apply excessive pressure. See the sections below for details on applying the different sensors.4Check that the light emitter and the photodetector are directly opposite each other. All light from the emitter must pass through the patient's tissue.WARNINGProper Sensor Fit: If a sensor is too loose, it might compromise the optical alignment or fall off. If it is too tight, for example because the application site is too large or becomes too large due to edema, excessive pressure may be applied. This can result in venous congestion distal from the application site, leading to interstitial edema, hypoxemia and tissue malnutrition. Skin irritations or lacerations may occur as a result of the sensor being attached to one location for too long. To avoid skin irritations and lacerations, periodically inspect the sensor application site and change the application site regularly.Venous Pulsation: Do not apply sensor too tightly as this results in venous pulsation which may severely obstruct circulation and lead to inaccurate measurements.Ambient Temperature: At elevated ambient temperatures be careful with measurement sites that are not well perfused, because this can cause severe burns after prolonged application. All listed sensors operate without risk of exceeding 41°C on the skin if the initial skin temperature does not exceed 35°C.Extremities to Avoid: Avoid placing the sensor on extremities with an arterial catheter, an NBP cuff or an intravascular venous infusion line.](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-24.png)
![2 IntelliVue CL SpO2 Pod25Measuring SpO2During measurement, ensure that the application site:– has a pulsatile flow, ideally with a perfusion indicator value above 1.0 or, if the perfusion indicator is not available, with signal quality indicator of at least medium.– has not changed in its thickness (for example, due to edema), causing an improper fit of the sensor.WARNING• For fully conscious pediatric or adult patients, who have a normal function of perfusion and sensory perception at the measurement site:To ensure skin quality and correct optical alignment of the sensor, inspect the application site when the measurement results are suspicious or when the patient complains about pressure at the application site, but at least every 24 hours. Correct the sensor alignment if necessary. Move the sensor to another site, if the skin quality changes.• For all other patients:Inspect the application site every two to three hours to ensure skin quality and correct optical alignment. Correct the sensor alignment if necessary. If the skin quality changes, move the sensor to another site.Change the application site at least every four hours.• Injected dyes such as methylene blue, or intravascular dyshemoglobins such as methemoglobin and carboxyhemoglobin may lead to inaccurate measurements.• Inaccurate measurements may result when the application site for the sensor is deeply pigmented or deeply colored, for example, with nail polish, artificial nails, dye or pigmented cream.• Interference can be caused by:– High levels of ambient light (including IR warmers) or strobe lights or flashing lights (such as fire alarm lamps). (Hint: cover application site with opaque material.)– Another SpO2 sensor in close proximity (e.g. when more than one SpO2 measurement is performed on the same patient). Always cover both sensors with opaque material to reduce cross-interference.– Electromagnetic interference, especially at perfusion indicator values below 1.0 or signal quality indicator below medium.– Excessive patient movement and vibration.](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-25.png)
![2 IntelliVue CL SpO2 Pod26Selecting Measurement ModesThere are three different modes available for making SpO2 measurements:•Continuous mode - SpO2 is measured continuously until the measurement is switched off.•Manual mode - a single SpO2 measurement is made when the Start SpO₂ SmartKey or the Start SpO₂ menu item is selected. One set of values is then displayed with the time the measurement was made.•Automatic mode - a series of measurements is made with an interval between them. The interval is selected using the Repeat Time SmartKey or the Repeat menu item. The measurement starts automatically when automatic mode is selected.The values measured in manual mode or automatic mode will be displayed for a configurable time span. After that the values are regarded as invalid and are no longer displayed. Battery power usage will be appreciably higher when measuring in continuous mode, in comparison to manual or automatic mode, resulting in a reduced battery runtime.Starting and Stopping MeasurementsUse the setup menu or SmartKeys to start measurements manually:When manual measurements are made, there will be no continuous SpO2 monitoring or alarming. The manual measurement value reflects a momentary status. The numerics from SpO2 measurements made in manual mode will remain for a time on the main screen. They are annotated with the time that the measurement was made to distinguish them from continuously measured values.Action to be Performed SpO2 menu SmartKeysStart manual measurement Start SpO₂Start](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-26.png)
![2 IntelliVue CL SpO2 Pod27Understanding SpO2 Numerics and SymbolsSpO2 Signal Quality IndicatorThe SpO2 numeric is displayed together with a signal quality indicator (if configured and enough space is available) which gives an indication of the reliability of the displayed values.The level to which the triangle is filled shows the quality of the signal; the indicator below shows a medium signal quality, the signal quality is at a maximum when the triangle is completely filled.Assessing a Suspicious SpO2 ReadingTraditionally, pulse rate from SpO2 was compared with heart rate from ECG to confirm the validity of the SpO2 reading. With newer algorithms, such as FAST-SpO2, this is no longer a valid criteria because the correct calculation of SpO2 is not directly linked to the correct detection of each pulse.When pulse rate is very low, or strong arrhythmia is present, the SpO2 pulse rate may differ from the heart rate calculated from ECG but this does not indicate an inaccurate SpO2 value.If you doubt the measured SpO2, use the signal quality indicator (if available) or, when used with a patient monitor, the pleth wave and perfusion indicator on the monitor to assess the signal quality.WARNINGWith pulse oximetry, sensor movement, ambient light (especially strobe lights or flashing lights) or electromagnetic interference can give unexpected intermittent readings when the sensor is not 1SpO2 numeric2Pulse rate numeric3Symbol indicating pulse rate4Measurement mode - indicates here that Auto mode is active and shows the time to the next measurement.5Alarms Off symbol for Pulse6Timestamp7Alarms Off symbol for SpO2Note: The Alarms Off symbols indicate that no physiological alarms are available from the Cableless Measurement Devices when not assigned to a host.1SpO2 Quality Indicator](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-27.png)
![2 IntelliVue CL SpO2 Pod28attached. Especially bandage-type sensor designs are sensitive to minimal sensor movement that might occur when the sensor is dangling.Changing the Averaging TimeDepending on the monitor configuration, you may be able to change the averaging time for the SpO2 values.The averaging time represents the approximate time period used for the calculation. The exact averaging time also depends on the signal conditions. The longer the averaging time, the longer the time needed until the SpO2 values reflect the physiological event. The same averaging is applied to all numerical values: SpO2, pulse rate and Perfusion Index (only available at the patient monitor). Fast averaging is useful for situations where an extremely fast measurement is required or few artifacts are expected. Use slow averaging where you expect the number of artifacts to be relatively high.1In the SpO₂ menu, select Average.2Select the required averaging time from the list.Understanding SpO2 AlarmsThere is a delay between a physiological event at the measurement site and the corresponding alarm at the host system. This delay has two components:• The general system delay time is the time between the occurrence of the physiological event and when this event is represented by the displayed numerical values. This delay depends on the algorithmic processing and the configured averaging time. The longer the averaging time configured, the longer the time needed until the numerical values reflect the physiological event.• The time between the displayed numerical values crossing an alarm limit and the alarm indication on the device. This delay depends on the Cableless Measurement Device or connected host system.Refer to the Alarms chapter for information about the SpO2 and pulse rate alarms.Perfusion Numeric (only available on the Patient Monitor)The perfusion numeric (Perf) gives a value for the pulsatile portion of the measured signal caused by the pulsating arterial blood flow.You can also use the perfusion numeric as a quality indicator for the SpO2 measurement. Above 1 is optimal, between 0.3-1 is acceptable. Below 0.3 is marginal; reposition the sensor or find a better site.AlarmsThe IntelliVue Cableless Measurements have two different types of alarm: patient alarms and INOPs.Patient AlarmsPatient Alarms are high priority alarms (such as a potentially life threatening situation), also called red alarms, or medium priority alarms, also called yellow alarms.Technical Alarms (INOPs)Technical alarms, also known as INOPs, indicate that the measuring device cannot measure reliably. If an INOP interrupts monitoring, there will be a question mark in place of the measurement numeric.](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-28.png)
![2 IntelliVue CL SpO2 Pod29An INOP tone sounds at the Cableless Measurement Device only when there is no SRR connection to a host.Most INOPs are low priority, however there are a small number of INOPs which, due to their severity, are medium or high priority.Alarm DelaysThere is a delay between a physiological event at the measurement site and the corresponding alarm indication at the Cableless Measurement Device. This delay has two components:• The general measurement delay time is the time between the occurrence of the physiological event and when this event is represented by the displayed numerical values. This delay depends on the algorithmic processing.• The time between the displayed numerical values crossing an alarm limit and the alarm indication on the device is the system alarm delay. The system alarm delay is the processing time the system needs for any alarm on the Cableless Measurement Device to be indicated after the measurement has triggered the alarm. See the performance specifications in the Specifications chapter for the system alarm delay specification.The alarm delay configured for a specific measurement is normally a fixed time.Multiple AlarmsIf more than one alarm is active, the alarm messages are shown in the alarm status area in succession. An arrow symbol next to the alarm message informs you that more than one message is active.The Cableless Measurement Device sounds an audible indicator for the highest priority alarm. If more than one alarm condition is active in the same measurement, the Cableless Measurement Device announces the most severe.NOTEIf you want to use local attended monitoring, make sure to have all Cableless Measurement Devices upgraded to Rev. B.02.Visual Alarm IndicatorsWARNING• No patient alarms are available on the CL devices when assigned to a host monitor (unless they are selected for use in patient transport at the monitor they are assigned to) or GuardianSoftware.• Visual patient alarm indicators are disabled on the CL device when connected to a host monitor (unless they are selected for use in patient transport at the monitor they are assigned to) or GuardianSoftware.Alarm MessageAlarm messages are displayed in black on a light gray background in the alarm status area at the top of the screen indicating the source of the alarm and coded according to their severity. If more than one measurement is in an alarm condition, the message changes every few seconds, and has an arrow ( ) at the side. The asterisk symbols (*) beside the alarm message match the alarm priority: *** for red alarms, ** for yellow alarms. Standard INOPs do not have a symbol, red and yellow INOPs have exclamation marks beside the alarm message: !!! for red INOPs and !! for yellow INOPs.](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-29.png)
![2 IntelliVue CL SpO2 Pod30An alarm message that appears is automatically highlighted. Use the key to silence the message. A Silence message is displayed at the bottom of the screen and highlighted. Press again to confirm the acknowledgment of the alarm. After the confirmation, any ongoing alarm message is displayed in the icon tray of the screen.Alarm StatesDepending on the alarm state of your Cableless Measurement Device, the following icons may be displayed on the device:Audible Alarm IndicatorsAudible alarm indicator patterns are repeated until you acknowledge the alarm by switching it off or pausing it, or until the alarm condition ceases (if audible alarm indication is set to non-latching).Cableless Measurements Devices alone (without host, e.g. a patient monitor) are not suitable for unattended monitoring due to their limited alarm volume.WARNING• Do not rely exclusively on the audible alarm system for patient monitoring. Adjustment of alarm volume to a low level or off during patient monitoring may result in patient danger. Remember that the most reliable method of patient monitoring combines close personal surveillance with correct operation of monitoring equipment.• No patient alarms are available on the Cableless Measurement Device when connected to a host monitor (unless they are selected for use in patient transport at the monitor they are assigned to) or to GuardianSoftware.• When connected to a host monitor or GuardianSoftware, no alarm tones are available on the Cableless Measurement Device (unless they are selected for use in patient transport at the monitor they are assigned to).Icon DescriptionNo local alarming on Cableless Measurement Device. The device is connected to a host monitor or telemetry device and has no visual or audible patient alarm indicators. The device will only display INOP messages.Alarms are switched off.Alarm volume is set to 0.](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-30.png)
![2 IntelliVue CL SpO2 Pod31Silencing an AlarmTo silence an alarm, select the alarm message and press the key.This will silence the alarm tone and clear the alarm message. If the condition which caused the alarm is still present, the alarm indicator will be displayed in the icon tray of the screen.When using a Cableless Measurement Pod with an IntelliVue Information Center iX Release A, make sure to remove the pod at the telemetry device and only when in SRR range of the telemetry device. Otherwise you will get a technical alarm (cl SpO₂ Disconnect) that can not be silenced at the telemetry device. You will then have to reboot the telemetry device to remove the message.Displaying a List of Current AlarmsTo display a list of the currently active alarms,1Select the Alarms SmartKey or Main Setup SmartKey, followed by Alarms.2Select Alarm Messages.Setting the Volume of the Alarm ToneTo set the volume for the Alarm tone,1Select the Alarms SmartKey or Main Setup SmartKey, followed by Alarms.2Select AlarmVol and select a volume setting. The maximum is 10 and the minimum depends on your configuration.If the volume of the Alarm tone is set to zero, the following symbol is displayed on the right icon tray of the Cableless Measurement Device screen: NOTENo Alarm tone will sound at the device as long as it is within the SRR range.Minimum Volume for No Host Monitoring INOPIf your device is connected to a host monitor, and the connection is interrupted, the INOP message No Host Monitoring will appear within 30 seconds, accompanied by an INOP tone. To help ensure that this INOP, and any other active alarm, is not overlooked, the INOP and alarm tones may be configured to have a minimum volume. In this case, INOP and alarm tones will sound even if the device alarm volume is set to zero.1Full length alarm message2Alarm indicator](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-31.png)
![2 IntelliVue CL SpO2 Pod32Alarm ReminderIf Reminder is configured on your device, you will get an audible reminder of alarm conditions that remain active after you have silenced the alarm. This reminder may take the form of a repetition of the alarm tone for a limited time, or an unlimited repetition of the alarm tone (this is the same as a new alarm). Alarm Reminder is not available for standard, light blue INOPs but for yellow and red INOPs.In Configuration Mode, you can set the interval between silencing the alarm and sounding the reminder tone to one, two, or three minutes.Pausing or Switching Off AlarmsIf you want to temporarily prevent alarms from sounding, for example while you are moving a patient, you can pause alarms. Depending on your device configuration, alarms are paused for one, two, or three minutes, or infinitely. Infinite alarm pause is equivalent to switching the alarms off.To view the alarm pause setting chosen for your unit,1In the SmartKeys Menu select Main Setup, Alarms, then OffDurat.2Check the setting.This setting can only be changed in Configuration Mode.To Pause or Switch Off AlarmsSelect the key in the SmartKeys Menu followed by Alarms On/Off. If your device is configured to infinite pause time, selecting this key switches alarms off.Press the hardkey to complete the change.Restarting Paused AlarmsTo manually switch on alarm indication again after a pause, select the key again.Alarm indication starts again automatically after the pause period expires. If the device is configured to stay paused infinitely, you must select again to restart alarm indication.Alarm LimitsThe alarm limits you set determine the conditions that trigger yellow and red limit alarms. For SpO2, where the value ranges from 100 to 0, setting the high alarm limit to 100 switches the high alarm off. In these cases, the alarms off symbol is not displayed.WARNINGBe aware that the devices in your care area may each have different alarm settings, to suit different patients. Always check that the alarm settings are appropriate for your patient before you start monitoring.](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-32.png)
![2 IntelliVue CL SpO2 Pod33Adjusting the Alarm Limits1Select the Alarms SmartKey followed by Alarm Limits (or select Main Setup followed by SpO₂):2Select High Lim then choose the high alarm limit.3Select Low Lim then choose the low alarm limit.WARNINGHigh oxygen levels may predispose a premature infant to retrolental fibroplasia. If this is a consideration do NOT set the high alarm limit to 100%, which is equivalent to switching the high alarm off.Adjusting the Desat Limit AlarmThe Desat alarm is a high priority (red) alarm notifying you of potentially life threatening drops in oxygen saturation.1In the SpO₂ menu, select DesatLim.2Adjust the limit.Setting Up Tone ModulationOnly when the CL device is not connected to a host: If tone modulation is on, the pulse tone pitch lowers when the SpO2 level drops.Select Main Setup followed by User Interface. In this menu, select Tone Modulation to switch between Yes (for on) and No (for off).NOTEIf the SpO2 level drops below 52%, two short tones will be issued rather than one long tone.Tone modulation is licensed under USpatent US 4.653.498 from Nellcor Puritan Bennett Incorporated.Latching AlarmsThe alarm latching setting for your device defines how the alarm indicators behave when you do not acknowledge them. When alarms are set to non-latching, their indicators end when the alarm condition ends. Switching alarm latching on means that visual and/or audible alarm indications are still displayed or announced by the device after the alarm condition ends. The indication lasts until you acknowledge the alarm.Viewing the Alarm Latching SettingsTo see the alarm latching setting for your device1In the Main Setup menu, select Alarms.2Here you can see the Visual Latching and Audible Latching settings.This setting can only be changed in Configuration Mode. You should be aware of the settings chosen for your unit. There are three possible choices each for visual and audible latching, red only, red and yellow, and off. These choices can be combined to give the following settings:](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-33.png)
![2 IntelliVue CL SpO2 Pod34Alarm Latching BehaviorAll INOPs are non-latching.Testing AlarmsWhen you switch the CL SpO2 Pod on, a selftest is started. You must check that the backlight switches on, and that you hear a single tone. This indicates that the alarm indicators are functioning correctly. For further testing of individual measurement alarms, perform the measurement on yourself or use a simulator. Adjust alarm limits and check that appropriate alarm behavior is observed.Alarm Behavior at Power OnIf the device is switched off (Device Off), all alarm settings are maintained. If the device is switched off completely (Power Off), or the battery is completely empty, resulting in complete power loss, all alarm settings will be lost unless they were actively saved by storing the active profile before the device was switched off. See “Switching the Device Off” on page 13 and “Using Profiles” on page 15 for details.When the device is switched back on from either state, it will start in Profile A and you may have to switch to the desired profile which contains your alarm settings.After any of these situations, you should check that the alarm settings are appropriate for your patient and monitoring situation, and if necessary, select the correct Profile and patient category.Visual Latching Audible LatchingRed&Yellow Red&YellowRed&Yellow Red OnlyRed&Yellow OffRed Only Red OnlyRed Only OffOff OffRed & Yellow Measurement AlarmsNon-latching alarms Visual and audible latching Visual latching, audible non-latchingAlarm has not been acknowledged.Alarm condition still present.Alarm tone on. Alarm message. Alarm tone on. Alarm message.Alarm tone on. Alarm message.Alarm condition no longer present.All audible and visual alarm indicators automatically stop.Alarm tone on.Alarm message. Alarm message.Audible alarm indicators automatically stop.Alarm has been acknowledged.Alarm condition still present.All audible and visual alarm indicators automatically stop.All audible and visual alarm indicators automatically stop.All audible and visual alarm indicators automatically stop.Alarm condition no longer present.Audible and visual alarm indicators automatically stop.Audible and visual alarm indicators automatically stop.Audible and visual alarm indicators automatically stop.](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-34.png)
![2 IntelliVue CL SpO2 Pod35Reference List of Patient AlarmsReference List of all INOPsAlarm Message, Indication Source Condition*** Brady (Pulse) SpO2The heart rate from the Pulse signal has fallen below the bradycardia limit.*** Desat SpO2The SpO2 value has fallen below the desaturation alarm limit.** Pulse High SpO2The pulse rate has exceeded the high alarm limit.** Pulse Low SpO2The pulse rate has dropped below the low alarm limit.** <SpO₂ Label> High SpO2The arterial oxygen saturation has exceeded the high alarm limit.** <SpO₂ Label> Low SpO2The arterial oxygen saturation has dropped below the low alarm limit.*** Tachy (Pulse) SpO2The Pulse Rate from the Pleth signal has exceeded the tachycardia limitINOP Message, Indication Source What to doBatt IncompatibleINOP toneBattery Battery cannot be used with this Cableless Measurement Device. Replace battery with one that has been approved for use with this Cableless Measurement Device. Contact your service personnel.Batt MalfunctionINOP toneBattery Malfunction of the battery system detected (charger circuit or battery). Contact your service personnel.Battery EmptyINOP toneBattery The remaining monitoring time is below 30 minutes. Charge battery.Battery LowINOP toneBattery The remaining monitoring time is below 2 hours.Check Batt TempINOP toneBattery The temperature of the battery is critically high. Check that Cableless Measurement Device is not covered and not exposed to a heat source. If INOP persists, remove Cableless Measurement Device from patient and contact your service personnel.Check BatteryINOP toneBattery The maximum number of charge/discharge cycles of the battery will be reached in less than 50 cycles. Contact your service personnel to replace the battery.Check Charger I/FINOP toneBattery Overvoltage or undervoltage detected at the charger interface. Clean contacts of charger interface at Cableless Measurement Device and charging station. If the INOP persists, contact your service personnel.](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-35.png)
![2 IntelliVue CL SpO2 Pod36cl SpO₂ Chk SettINOP toneCableless Measurement DeviceIf this INOP appears and an INOP tone sounds, check the Cableless Measurement Device and patient settings before you resume making measurements. If the settings are unexpected, there may be a problem with the Cableless Measurement Device software. Contact your service personnel.If this INOP is acknowledged at the Cableless Measurement Device, it is cleared. If it is silenced remotely, only the tone is cleared.cl SpO₂ Disconnectonly at the hostCableless Measurement DeviceThe SpO2 Pod has lost the SRR connection to the telemetry device or the patient monitor.No Host MonitoringINOP toneCableless Measurement DeviceThere is a problem with the communication to the assigned patient monitor or telemetry device and monitoring is currently not possible (no patient alarms or information). Check the connection. Contact your service personnel.No System Cableless Measurement DeviceThere is a problem with the communication to the assigned IntelliVue GuardianSoftware and monitoring is currently not possible (no patient alarms or information). Check the connection. Contact your service personnel.Remove From PatINOP toneCableless Measurement DeviceDisplayed on the Cableless Measurement Device. The temperature of the battery is too high. Remove the Cableless Measurement Device from the patient and contact service personnel.Service BatteryINOP toneBattery Maximum number of charge/discharge cycles for battery exceeded. Charging of the battery is inhibited. Contact your service personnel to replace battery.<SpO₂ Label> Equip MalfNumeric is replaced by -?-INOP toneSpO2The SpO2 Pod is faulty. Contact your service personnel.<SpO₂ Label> ErraticNumeric is replaced by -?-INOP toneSpO2Check the sensor placement. Try another adapter cable and sensor. If the INOP persists, contact your service personnel.<SpO₂ Label> Extd.UpdateNumeric is replaced by -?-SpO2The update time for displayed values is extended due to an NBP measurement on the same limb or an excessively noisy signal.<SpO₂ Label>InterferenceNumeric is replaced by -?-INOP toneSpO2There is too much interference, caused by a high level of ambient light and/or electrical interference. Cover the sensor to minimize ambient light. If the INOP persists, make sure that the sensor cable is not damaged or positioned too close to power cables.<SpO₂ Label> Low PerfNumeric is replaced by -?-SpO2Accuracy may be compromised due to very low perfusion. Stimulate circulation at sensor site. If INOP persists, change the measurement site.INOP Message, Indication Source What to do](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-36.png)
![2 IntelliVue CL SpO2 Pod37<SpO₂ Label> NeoPatient?Numeric is replaced by -?-INOP toneSpO2The patient monitor the SpO2 Pod is assigned to is in neonatal mode. The INOP will remain active until the monitor is changed to adult or pediatric mode.<SpO₂ Label> No PulseNumeric is replaced by -?-INOP toneSpO2Check the perfusion at the measurement site. If necessary, stimulate circulation or change the measurement site. If the INOP is due to an NBP measurement on the same limb, wait until the NBP measurement is finished.<SpO₂ Label> No SensorNumeric is replaced by -?-INOP toneSpO2Make sure the SpO2 sensor is connected. If the INOP persists, try another sensor. If you acknowledge this INOP, the measurement will be switched off.<SpO₂ Label> NoisySignalNumeric is replaced by -?-INOP toneSpO2Excessive patient movement or electrical interference is causing irregular pulse patterns. Try to reduce patient movement or to relieve the cable strain on the sensor.<SpO₂ Label> Poor Signal SpO2The signal quality of the SpO2 measurement is poor. The accuracy may be compromised.<SpO₂ Label> Pulse?Numeric is replaced by -?-INOP toneSpO2The detectable pulsations of the SpO2 signal are outside the specified pulse rate range.<SpO₂ Label> SearchingNumeric is unavailableSpO2The patient signal is analyzed, but no valid numerics are available yet.<SpO₂ Label> Sensor MalfNumeric is replaced by -?-INOP toneSpO2The SpO2 sensor is faulty. Try another sensor. If the INOP persists, contact your service personnel.<SpO₂ Label> Sensor OffNumeric is replaced by -?-INOP toneSpO2The algorithm has determined that a sensor is connected, but not properly applied to the patient. The ability of the algorithm to detect this condition depends on the used sensor type.<SpO₂ Label> Unkn.SensorNumeric is replaced by -?-INOP toneSpO2The connected SpO2 sensor is not supported by this measurement hardware.<SpO₂ Label> UpgradeNumeric is replaced by -?-SpO2SpO2 in upgrade mode, no patient monitoring possible.INOP Message, Indication Source What to do](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-37.png)
![2 IntelliVue CL SpO2 Pod38SpO2 Default SettingsThese are the most important default settings of your IntelliVue CL SpO2 Pod as they are delivered from the factory. For a comprehensive list and explanation of default settings, see the Configuration Guide supplied with your devices. The default settings can be permanently changed in Configuration Mode. When the Pod is assigned to a patient monitor, the settings defined at the patient monitor will overwrite the settings defined at the Pod.SpO2 Settings Factory DefaultsAdult Pedi NeoMode Continuous Continuous ContinuousRepeat Time 15 min 15 min 15 minAlarms On On OnQRS Volume 111ToneMod. Yes Yes YesPerfusion OnOnOnAverage 10 sec 10 sec 10 secNBP Alarm Suppr. On On OnAging Time 10 min 10 min 10 minColor Cyan (light blue) Cyan (light blue) Cyan (light blue)Average in Mon. No No NoSignal Quality OnOnOnLabel SpO₂SpO₂SpO₂SpO2 Alarm Default SettingsSetting Adult Pedi NeoDesatLim 80 80 80Low Lim 90 90 85High Lim 100 100 95Desat Delay 20 sec 20 sec 20 secHigh Alarm Delay 10 sec 10 sec 10 secLow Alarm Delay 10 sec 10 sec 10 secPulse Settings Factory DefaultsAdult Pedi NeoPulse OnOnOnAlarms On On OnHigh Lim 120 160 200Low Lim 50 75 100Δ Brady 202020](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-38.png)
![2 IntelliVue CL SpO2 Pod39Integrated Battery HandlingBattery CareBattery care begins when you receive a new IntelliVue Cableless Measurement Device with built-in battery and continues throughout the life of the device. The table below lists battery care activities and when they should be performed.Handling PrecautionsLithium ion batteries store a large amount of energy in a small package. Use caution when handling the IntelliVue Cableless Measurement Devices with built-in battery; misuse or abuse could cause bodily injury and/or property damage.• Handle with care.• Do not expose the device to liquids.• Do not attempt to disassemble the device.• Do not put device in autoclave.• Damaged devices should not be used anymore.WARNING• Do not crush or puncture - mechanical abuse can lead to internal damage and internal short circuits which may not be visible externally.• Do not incinerate the devices or expose them to temperatures above 60°C (140°F).Brady Clamp 404050Δ Tachy 202020Tachy Clamp 200 220 240Pulse Settings Factory DefaultsAdult Pedi NeoActivity When to performPerform a visual inspection Before using the IntelliVue Cableless Measurement DeviceCharge the battery Upon receipt, after use, or if a low battery state is indicated. To optimize performance, a fully (or almost fully) discharged battery should be charged as soon as possible.Store the device in a state of charge in the range of 40-50% and power off the device completely.When not in use for an extended period of time, or when the device is shipped.](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-39.png)
![2 IntelliVue CL SpO2 Pod40StorageIf unused IntelliVue Cableless Measurement Devices are stored for an extended period of time:• they should be powered off for storage• they should be stored in a cool place, ideally between 15°C and 25°C (60°F and 77°F)• the state of charge should be between 40 and 50%• they should be recharged every six monthsStoring in a cool place slows the aging process of the batteries. They should be fully charged prior to use. Do not store the device at a temperature outside the range of -20°C (-4°F) to 60°C(140°F).Do not store cableless devices in direct sunlight.NOTEStoring the devices at temperatures above 40°C (104°F) for extended periods of time could significantly reduce the battery's life expectancy.Battery Lifetime ManagementThe lifetime of a Lithium Ion battery depends on the frequency and duration of use. When properly cared for, the useful life is approximately 4 years or 400 complete charge-discharge cycles, whichever comes first. In addition, experience indicates that the incidence of failure may increase with battery service life due to the accumulated stresses of daily use. We therefore strongly recommend that lithium ion batteries be replaced after 4 years or 400 complete charge-discharge cycles.To see the date of manufacture and the number of charge-discharge cycles:1Select the Battery Smartkey or Main Setup followed by Battery.2Press the hardkey to view the battery details.The date of manufacture and the number of charge-discharge cycles are listed with other battery data on the screen. Use the ◄ hardkey to scroll through the list.The age of a lithium ion battery begins at the date of manufacture.](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-40.png)
![2 IntelliVue CL SpO2 Pod41AccessoriesYou can order parts and accessories from Philips supplies at www.medical.philips.com or consult your local Philips representative for details.WARNINGReuse: Never reuse single-patient sensors, accessories and so forth that are intended for single use, or single patient use only. Reuse may compromise device functionality and system performance and cause a potential hazard, in particular with regard to cross-contamination.Philips’ approval: Use only Philips-approved accessories. Using non-Philips-approved accessories may compromise device functionality and system performance and cause a potential hazard.IntelliVue CL SpO2 Pod AccessoriesAll listed sensors operate without risk of exceeding 41°C on the skin, if the initial skin temperature does not exceed 35°C.Make sure that you use only the accessories that are specified for use with this device, otherwise patient injury can result.1 May not be available in all geographiesOrder Number Description Contents989803165941 Mobile CL 20 single patient SpO2 Sensors and Cradles for use on pediatric and adult patients >10 kg20 Single-Patient Mobile CL DSpO2-1A Sensors20 Single-Patient Wristbands20 Single-Patient Cradlespre-assembled989803165921 Mobile CL 20 single patient SpO2 Sensors for use on pediatric and adult patients >10 kg20 Single-Patient Mobile CL DSpO2-1A Sensors9898031659311Mobile CL reusable SpO2 sensor and Cradles for use on pediatric and adult patients > 15 kg1 Reusable Mobile CL RSpO2-1A Sensor20 Single-Patient Cradles with pre-attached Wristbands989803165951 Mobile CL 20 SpO2 Cradles (single patient) 20 Single-Patient Cradles with pre-attached Wristbands989803165961 Mobile CL 50 SpO2 Wristbands (single patient)50 Single-Patient Wristbands989803168861 Mobile CL SpO2 Battery Kit 1 Battery1 disassembly tool1 front housing](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-41.png)
![2 IntelliVue CL SpO2 Pod42Maintenance and TroubleshootingWARNINGSchedule: Failure on the part of the responsible individual hospital or institution employing the use of this equipment to implement a satisfactory maintenance schedule may cause undue equipment failure and possible health hazards.Contact: If you discover a problem with any of the equipment, contact your service personnel, Philips, or your authorized supplier.Inspecting the Equipment and AccessoriesYou should perform a visual inspection before every use, and in accordance with your hospital's policy. With the device switched off:1Examine unit exteriors for cleanliness and general physical condition. Make sure that the housings are not cracked or broken, that everything is present, that there are no spilled liquids and that there are no signs of abuse.2Inspect all accessories (cables, sensors and so forth). If any show signs of damage, do not use them.WARNINGIf the IntelliVue Cableless Measurement Device is mechanically damaged, or if it is not working properly, do not use it for any monitoring procedure on a patient, contact your service personnel.Maintenance Task and Test ScheduleAll maintenance tasks and performance tests are documented in detail in the service documentation supplied on the IntelliVue Cableless Measurements documentation DVD. These tasks are for Philips-qualified service professionals only.Ensure that these tasks are carried out as indicated by the device's maintenance schedule, or as specified by local laws. Contact a Philips-qualified service provider if your device needs a safety or performance test. Clean and disinfect equipment to decontaminate it before testing or maintaining it.TroubleshootingIf a device will not switch on when you press a key, place it onto a charger slot on the charging station.If you suspect a problem with an individual measurement device, read the Instructions for Use and double check that you have set up the measurement correctly. Check also that the measurement has not been switched off at the patient monitor that the device is assigned to.If you suspect an intermittent, system-wide problem call your service personnel.](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-42.png)
![3433IntelliVue CL NBP PodTo measure NBP, you need Philips standard cuffs, a Mobile CL NBP Cradle and a pouch and extension air hose, or a Mobile CL NBP Cradle and Mobile CL Cuffs. When using Mobile CL Cuffs, the cradle is used to attach the Pod to the cuffs and to allow easy removal of the Pod.Standard Philips cuffs and specialized single-patient and reusable NBP cuffs are available for use with the IntelliVue CL NBP Pod. For details regarding the cuffs and single-patient cradle, refer to “IntelliVue CL NBP Pod Accessories” on page 74.General Operation of the NBP PodThe following sections describe operation on the NBP Pod itself. For operation from a patient monitor, see “Controls Available with a Patient Monitor” on page 54. For operation from an Information Center via a telemetry system, see “Controls Available with a Telemetry Device” on page 55. For operation with IntelliVue GuardianSoftware, see “Controls Available with GuardianSoftware” on page 55.The NBP Pods have three hardkeys for basic operation and a set of configurable SmartKeys which appear on the screen. These are used to activate and navigate through the on-screen menus and to select individual items. The typical operator's position is such that everything on the device's display can be read clearly and easily.](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-43.png)
![3 IntelliVue CL NBP Pod44Switching the Devices OnThe first time an NBP Pod is used, or after the device has been powered off for storage, place it on the IntelliVue CL Charging Station. This will automatically switch the device on.If the NBP Pod has only been switched off temporarily (see “Switching the Device Off” on page 13), press any hardkey to turn the device on again.When an NBP Pod is not operated, it will automatically switch off the screen lighting after a short time. A little later the low-activity screen will be displayed.Screen LayoutThere are three variations of the Main Screen layout depending on the Alarm status and the general activity level.Standard LayoutWhen assigned to a monitor, telemetry device or a patient in GuardianSoftware:1Connection status indicator2Indicator that alarming capability has been transferred to the host (to the monitor or, for the telemetry device, to the Information Center). No patient alarms will be announced on the Cableless Measurement Device.3Battery indicator4Measurement values5Measurement-related symbols (see the measurement chapters for details)6Patient identificationWhen not assigned to a monitor or telemetry device:1Connection status indicator2Battery indicator3Measurement values4Measurement-related symbols (see the Monitoring chapter for details). The Alarms Off symbols indicate that no physiological alarms are available from the Cableless Measurement Devices when not assigned to a host.5Cableless Measurement Device equipment label](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-44.png)
![3 IntelliVue CL NBP Pod45Alarm LayoutIf an alarm occurs the full alarm message appears at the top of the screen. After the alarm message has been silenced the alarm indicator is shown as a symbol on the right side of the screen.Low-Activity ScreenIf the Cableless Measurement Device has not been operated for a while, the screen lighting will switch itself off and a little later the screen will switch to a pre-configured "low-activity" screen.When a Cableless Measurement Device Cannot be ActivatedIf you cannot activate a device by pressing a key, place it on the IntelliVue CL Charging Station. The device becomes active. Check the battery status. If necessary, leave the device on the charger until the battery is fully charged.Using the HardkeysThe IntelliVue Cableless Measurement Devices have three hardkeys: ◄, , ►.Use ◄ and ► to navigate through SmartKeys and menus and to select items or to silence alarms.The three hardkeys also have an additional function when the key is held down for a couple of seconds:Using the SmartKeysA SmartKey is a graphical key which appears on the screen and gives you fast access to functions.SmartKeys MenuPress the hardkey (without any screen element highlighted) to get to the SmartKeys menu.1Full length alarm message2Alarm indicator◄opens the Add To screen to assign a device (or to unassign it when it is already assigned)opens the SmartKeys menu►returns to the Main Screen. If already on the Main Screen, it locks the keys and a lock symbol appears on the screen above the battery symbol. If keys are already locked, it unlocks the keys and the lock symbol disappears](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-45.png)
![3 IntelliVue CL NBP Pod46Use the ◄ and ► hardkeys to move along the row of SmartKeys. The highlighted SmartKey is displayed in full above the row of SmartKeys. When you use the ◄ or ► hardkey at the end of the row, an Exit screen appears and then with further presses you move on to the next page of SmartKeys. To leave the SmartKeys menu you can use the Exit screen or press the ► hardkey for a couple of seconds to return to the Main Screen.When the required SmartKey is highlighted, press the key to activate the corresponding function.To get to the next page of the SmartKeys menu, highlight the rightmost SmartKey then press the ► key.List of Available SmartKeysSmartKey Text LabelsMain Setup- start/stop manual NBP measurement- start auto series- start measurement sequence- stop current automatic measurement within seriesstop any NBP measurement and measurement seriesstart NBP STAT measurementstart venipuncture (inflate cuff to subdiastolic pressure)set the NBP repetition timeAdd/Remove deviceenter Battery menuchange Screenenter Profiles menuswitch device off (or power off when pressed for more than two seconds)](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-46.png)
![3 IntelliVue CL NBP Pod47Using the Main Setup MenuIn addition to the hardkeys and SmartKeys for the most needed functions, the Main Setup menu gets you to all settings that can be adjusted for the respective device. Select the Main Setup SmartKey to get to the Main Setup menu.Switching the Device OffTo switch off a device manually, select the Device Off SmartKey, then Confirm.If you keep Device Off pressed for more than two seconds, you can choose between Device Off or Power Off.•Device Off means that the display is switched off and the measurements are disabled. Use this option if your device is not used temporarily. Press any hardkey to turn the device on again.•Power Off means that the device is switched off completely and can only be switched on again by putting it on a charger. Use this option when the device is not used for a longer time or prepared for storage or shipping.When an IntelliVue Cableless Measurement Device is not operated, it will automatically switch off the screen lighting after a short time. A little later the low-activity screen will be displayed.enter Patient menuenters the Alarms menu to access: Alarm Messages, Alarm Limits, Alarms On/Off/Pause, Alarm Volume.change alarm volumechange pulse tone volumeaccess NBP mode selection and setup, with direct start/stop functionSmartKey Text LabelsMain SetupNBPAlarmsPatientEquipmentUser InterfaceDevice OffProfilesOperating ModesDate, TimeBatteryRevisions](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-47.png)
![3 IntelliVue CL NBP Pod48Operating ModesYour device has four operating modes. Some are passcode protected.•Monitoring Mode: This is the normal, every day working mode that you use for making measurements. You can change elements such as measurement modes, patient category and so forth. When you remove the patient from the device, these elements return to their default values. Changes can be stored permanently only in Configuration Mode. You may see items, such as some menu options, that are visible but 'grayed out' so that you can neither select nor change them. These are present for your information only and can be changed only in Configuration Mode.•Demonstration Mode: Passcode protected, this is for demonstration purposes only. You must not change into Demonstration Mode during monitoring.•Configuration Mode: Passcode protected, this mode is for personnel trained in configuration tasks. These tasks are described in the Configuration Guide. During installation the Cableless Measurement Device is configured for use in your environment. This configuration defines the default settings you work with when you switch on.•Service Mode: Passcode protected, this is for trained service personnel.When you switch the device on, it starts up in monitoring mode. To change to a different mode:1Use the Main Setup SmartKey to get to the Main Setup menu.2Select Operating Modes and choose the mode you require.Standby ModeThe IntelliVue Cableless Measurement Devices do not have standby mode. However, when connected to a monitor that is in standby mode, the IntelliVue Cableless Measurement Device will show a standby screen.Using the Patient MenuThe Patient menu allows you to see patient demographics information and to remove a patient from a device. Patient Demographic information is only displayed if the Cableless Measurement Device is assigned to a patient monitor or GuardianSoftware. Patient Category is the only item of patient data which can be changed at the Cableless Measurement Device, but only when the device is not assigned to a patient monitor or telemetry device.Displaying the Patient MenuTo display the Patient menu,• select the Patient SmartKey, or• select the Main Setup SmartKey followed by Patient.Stop Using a Device for a PatientTo remove a patient from the Cableless Measurement Device,•in the Patient menu select Free Device.All patient data is cleared, settings are reset to the defaults and the device is removed from the monitor or telemetry device.](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-48.png)
![3 IntelliVue CL NBP Pod49NOTEDepending on your configuration, when the device is put on the charger, patient data will also be cleared and the device will be free for another patient.Using the Device for a New PatientTo use a device for a new patient,•in the Patient menu, select New Patient.If the device was not free, the existing data will be deleted and the profile set to the default.Using ProfilesA profile is a set of measurement and general settings which have been customized for a particular purpose. The Cableless Measurement Devices can have four different profiles configured to your requirements. The default profile is marked with a symbol. To select a different profile,1Select the Profiles SmartKey or the Main Setup SmartKey followed by Profiles.2Select the required profile from the list.Selecting New Patient or Free Device will always reset the profile to the default.Setting the Date and TimeIf the Cableless Measurement Device is assigned to a patient monitor, telemetry device or GuardianSoftware, the date and time will be taken from the host. If this is not the case, you can set the date and time on the Cableless Measurement Device,1Select the Main Setup SmartKey and then Date, Time.2Enter the data for date and time one after another.3Select Store Date, Time.If the time has not been set, --:-- will display on the device.Battery StatusThe IntelliVue CL NBP Pods show their battery status on their display both in operating and charging condition. The battery status indicator is located in the lower right corner of the screen during operation and in the middle of the screen during charging.Battery Status MenuSelect the Battery SmartKey or Main Setup followed by Battery using the ◄ and ► keys, then press the key to open the Battery menu. The Battery menu provides the following information: full-charge and remaining capacity, voltage, current and temperature.](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-49.png)
![3 IntelliVue CL NBP Pod50Connection with Host SystemsThe following sections describe how the IntelliVue Cableless Measurement Devices work together with host systems (Patient Monitors, Telemetry Devices / Information Center or GuardianSoftware).IntelliVue Cableless Measurements Use ModelsWith these patient-worn measurement devices you can measure and transmit a patient's vitals regularly or on an intermittent data collection basis. There are three typical use models:With a Patient MonitorThe IntelliVue Cableless Measurement Devices can be used together with an MP5/MP5SC/MP5T, MP2 or X2 patient monitor (with an SRR interface). They can communicate their measurement values via short range radio to the monitor. The monitor may be assigned to a patient sector at the IntelliVue Information Center (IIC). When assigned to the Information Center, certain actions can be performed at both the patient monitor and the Information Center. See the table “Controls Available with a Patient Monitor” on page 54.In situations where patients are becoming more mobile (for example, in step-down/intermediate care units) the lightweight Cableless Measurement Devices allow increased mobility within the short range radio range, without giving up vital signs monitoring.When assigned to a patient monitor, the Cableless Measurement Device can be selected for use in patient transport at the patient monitor (for details see the Patient Monitor Instructions for Use). In this case, the Cableless Measurement Device will perform local attended monitoring. The patient must be attended by a caregiver during transport, to ensure that alarms on the Cableless Measurement Device are recognized. In local attended monitoring mode, an alarm message text appears in the alarm status area at the top of the screen indicating the source of the alarm and an alarm tone is issued. See “Alarms” on page 28 for details.A telemetry device can be assigned to a patient monitor equipped with short range radio at the same time as any Cableless Measurement Devices are also assigned to this monitor.When assigned to a patient monitor, the admitted patient name is displayed on the NBP Pod.If the connection between the monitor and the Cableless Measurement Device is lost, an INOP will be displayed at the monitor: cl NBP Disconnect. A No Host Monitoring INOP will be displayed on the NBP Pod, and an INOP tone will sound. In this case, visual and audible alarms are still available at the NBP Pod, but it is not possible to change the alarm settings.With a Telemetry DeviceThe Cableless Measurement Devices can be assigned to a patient with the telemetry device TRx4841A/TRx4851A or an MX40 wearable patient monitor. They can communicate their measurement values via short range radio to the telemetry device which communicates them to an IntelliVue Information Center to provide a consolidated set of patient values.Some of the measurement tasks can be performed remotely from the Information Center. See the table “Controls Available with a Telemetry Device” on page 55.If the patient name is available at the Information Center, it will be also displayed on the NBP Pod.When a Cableless Measurement Device is assigned to a telemetry device, it is not possible for the telemetry device to be wirelessly assigned or directly connected to a patient monitor.](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-50.png)
![3 IntelliVue CL NBP Pod51If the connection between the telemetry device and the Cableless Measurement Device is lost, an INOP will be displayed at the Information Center: cl NBP Disconnect. A No System Monitor. INOP will be displayed on the NBP Pod, and an INOP tone will sound.With IntelliVue GuardianSoftwareThe Cableless Measurement Devices can be used together with IntelliVue GuardianSoftware. GuardianSoftware collects non-continuous vital signs data that are transmitted via a Transmitter or Hotspot from the Cableless Measurement Devices. Using the collected data, it provides trending, review, reporting and notification. The Guardian Early Warning Scoring (Guardian EWS) application provides basic assessment guidance, helping you to recognize the early signs of deterioration in your patients. GuardianSoftware is not intended for monitoring in combination with Cableless Measurement Devices.Some of the measurement tasks can be performed remotely from GuardianSoftware. See the table “Controls Available with GuardianSoftware” on page 55. GuardianSoftware also manages the patient data. If the connection between GuardianSoftware and the Cableless Measurement Device is lost, the connection symbol will be displayed gray at GuardianSoftware. A No System INOP will be displayed on the NBP Pod (no alarm sound).If a patient name is available at GuardianSoftware, it will be also displayed on the Pod. Any update of patient data will be synchronized between the Pods and GuardianSoftware. The only patient management action available directly at the Pod is Free Device. Selecting Free Device removes the current patient from the Pod and resets the Pod to the default profile. The Pod is unassigned. Device CompatibilityThe IntelliVue CL NBP Pods require the following software levels in the associated equipment:• Patient Monitor - Release H.0 or above• Information Center - Release M or above• Telemetry device TRx4841A/TRx4851A - Revision D.00.22 or above• MX40 wearable patient monitor - Revision A.0 or above• IntelliVue GuardianSoftware - Revision A.0 or aboveAvailability of Patient AlarmsWhen the IntelliVue CL NBP Pod is used alone, without an assignment to a monitor or telemetry device no patient alarms will be generated.When the IntelliVue CL NBP Pod is assigned to a patient monitor or telemetry device and a short range radio connection exists, alarms may be announced at the patient monitor or the Information Center.•When assigned to a patient monitor: Alarm messages will be displayed and audible alarm indicators sounded at the patient monitor in the same way and under the same conditions as for its own measurements. See the Instructions for Use of the patient monitor for details.If a Cableless Measurement Device that is assigned to a monitor is selected for use in patient transport at the patient monitor, the Cableless Measurement Device will perform local attended monitoring. See the Instructions for Use of the patient monitor for details on how to do this. The patient must be attended by a caregiver during transport, to ensure that alarms on the Cableless Measurement Device are recognized. In local attended monitoring mode, an alarm message text](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-51.png)
![3 IntelliVue CL NBP Pod52appears in the alarm status area at the top of the screen indicating the source of the alarm and an alarm tone is issued. See “Alarms” on page 28 for details.•When assigned to a telemetry device: Measurement values sent via the telemetry device to the IntelliVue Information Center can generate alarms at the Information Center when the values meet the criteria set there for alarms. The alarms will be announced in the same way as measurements from other sources. See the Instructions for Use of the Information Center for details.•When assigned to GuardianSoftware: Measurement values sent via transmitters or hotspots to IntelliVue GuardianSoftware will be visualized in GuardianSoftware. Since IntelliVue GuardianSoftware is a data management system, no alarms are announced. The IntelliVue Cableless Measurement Devices will also not generate physiological alarms when connected to IntelliVue GuardianSoftware. See the Instructions for Use of GuardianSoftware.Assigning an IntelliVue Cableless Measurement Device to a HostWhen an IntelliVue CL NBP Pod is used with a host system (patient monitor, telemetry device or GuardianSoftware), the Cableless Measurement Device must be assigned to that host system.The assignment can be done at the CL NBP Pod itself or at the host system (patient monitor or GuardianSoftware).WARNINGAlways make sure that the applied CL NBP Pod is assigned to the correct patient.WARNINGShort Range Radio connections are subject to interruption due to interference from other radio sources in the vicinity, including microwaves, bluetooth devices, WLAN devices (802.11b,g,n) and cordless phones. Depending on the strength and duration of the interference, the interruption may occur for an extended period. A loss of connection, due to moving out-of-range, interference, or for other reasons, is indicated with a No Host Monitoring INOP on the NBP Pod, or a cl NBP Disconnect INOP at the host monitor. Correct channel configuration is important, refer to the Configuration Guide for details.Assignment at the Measurement DeviceTo make an assignment, select:•the Add/Remove SmartKey , or• hold the ◄key pressed.This opens the Add To menu which lists the available patient monitors and telemetry devices within the SRR range. In order to save power, the list is only visible for a short time; the menu is automatically closed after 40 seconds.Telemetry device: A telemetry device must be put into assignment mode by pressing the key on the telemetry device before it can appear in the list. Pressing the key starts an SRR channel search to find the clearest channel available. During the search all 4 LEDs will blink once per](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-52.png)
![3 IntelliVue CL NBP Pod53second. The search will take approximately 20-25 seconds. Once a channel is identified, the first LED will light up and blink once per second to indicate that the telemetry device is ready for assignment.1Select a patient monitor or telemetry system using the ◄ and ► keys.If you select a patient monitor, the measurement selection key on that monitor will change to show the type of measurement device.2Activate the assignment by pressing the key twice on the measurement device.The Cableless Measurement Device is assigned to the selected patient monitor or telemetry device. A telemetry device plays the assignment tone when the assignment is successful. A patient monitor issues an assignment prompt message.If the internal measurement in the patient monitor is active (the measurement selection key has a yellow frame), you will need to confirm that it should be deactivated in favor of the Cableless Measurement Device you want to assign. To do this:1Select the measurement selection key on the monitor.A prompt message appears with the Confirm and Cancel keys.2Select Confirm to deactivate the internal measurement.When the Cableless Measurement Device is assigned, the symbol appears on its display indicating that alarming capability has been transferred to the host (to the monitor or, for the telemetry device, to the Information Center). No patient alarms will be announced on the Cableless Measurement Device.To unassign the measurement device from the monitor or telemetry system, select the Add/Remove SmartKey, then select Remove From. After confirmation the SRR connection is disconnected.Assignment at the Patient MonitorPrepare the Pod for assignment by activating the Add/Remove SmartKey.At the patient monitor,1Select the Measurement Selection key.2Select the Add cl Msmt pop-up key.This opens the Add Cableless window, which shows the available Cableless Measurement Devices:Add ToMon 1Mon 2Tele 33Tele 44](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-53.png)
![3 IntelliVue CL NBP Pod543Select the device which you want to assign to the patient in the monitor.4The monitor displays the assignment prompt message.If the internal measurement in the patient monitor is active, you will need to confirm that it should be deactivated in favor of the Cableless Measurement Device you want to assign.When the Cableless Measurement Device is assigned, the symbol appears on its display indicating that alarms from the device will be sent to the patient monitor.An assigned Cableless Measurement Device can be removed in the Measurement Selection window. For more details see the Instructions for Use for your patient monitor.Assignment with GuardianSoftwareTo assign a Cableless Measurement Device to a patient in GuardianSoftware:1Select the patient on the Chalkboard.2Take the Cableless Measurement Device from the charger.3On the Equipment List tab, select the Cableless Measurement Device on the Available Equipment list, highlighted in green on top of the list. The device on top of the list is always the one with the most recent user interaction (taken off the charger, put on the charger, or key pressed).4Click Use for Patient to assign the device to the patient.Controls Available with a Patient MonitorThe controls available when the Cableless Measurement Device is assigned to a patient monitor are described in the table below.* except when SRR connection to host is lostWARNINGIf a patient being monitored by Cableless Measurement Devices moves out of range of the patient monitor, the measurements are not transmitted to the patient monitor or the Information Center. The measurements are available on the Cableless Measurement Device only. If this occurs, the No Host Action At the Cableless Measurement DeviceAt the Patient MonitorAt the IICStart/Stop/Stat NBP Yes Yes YesChange NBP Mode Yes Yes NoChange NBP Repetition Time Yes Yes NoChange Alarm Limits Yes* Yes NoAssign NBP Pod Yes Yes NoRemove NBP Pod Yes Yes NoPlace Device in Standby No Yes YesAlarm Silence No Yes YesAlarm Off/Pause No Yes Yes](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-54.png)
![3 IntelliVue CL NBP Pod55Monitoring message is displayed on the measurement device. The measurement device will also sound the INOP tone.Controls Available with a Telemetry DeviceThe controls available when the Cableless Measurement Device is assigned to a TRx4841/TRx4851A Transceiver or MX40 wearable patient monitor with a short range radio adapter (SRRA) are described in the table below.NOTEWhen you unplug the ECG cable from the telemetry device and plug it into the monitor associated with the same patient, the ECG source will automatically be from the monitor. The NBP measurement devices assigned to the telemetry device will continue to source data to the telemetry device and the Information Center. You may need to change screens on the patient monitor to see the measurements.Controls Available with GuardianSoftwareThe controls available when the Cableless Measurement Device is assigned to GuardianSoftware are described in the table below.Action At the Cableless Measurement DeviceAt the IICStart/Stop/Stat NBP Yes NoChange NBP Mode Yes NoChange NBP Repetition Time Yes NoChange Alarm Limits No YesAssign NBP Pod Yes NoRemove NBP Pod Yes YesPlace Device in Standby No NoAlarm Silence No YesAlarm Off/Pause No YesAction At the Cableless Measurement DeviceAt GuardianSoftwareStart/Stop/Stat NBP Yes YesChange NBP Mode Yes YesChange NBP Repetition Time Yes YesAssign NBP Pod Yes YesRemove NBP Pod Yes YesPlace Device in Standby No NoAlarm Silence No YesAlarm Off/Pause No No](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-55.png)
![3 IntelliVue CL NBP Pod56TrendingThe IntelliVue Cableless Measurement Devices provide data for trending of parameters. The trended data are only available via a host system. For details on trends see the Instructions for Use of your host system.When the connection to the host is lost during measurement, the IntelliVue Cableless Measurement Devices are able to collect data in a local memory. These data can be uploaded to GuardianSoftware, but not to other host systems, when a connection is established at a later stage.Monitoring NBPThe IntelliVue CL NBP Pod uses the oscillometric method for measuring NBP. The blood pressure measurements determined with this device were clinically validated according to ANSI/AAMI SP10 and ISO 81060-2 in relation to mean error and standard deviation, when compared to auscultatory measurements (depending on the configuration) in a representative patient population. The fifth Korotkoff sound was used to determine the diastolic pressure for adult/adolescent subjects and the 4th for pediatric subjects.The accuracy of the mean arterial pressure (MAP) was validated using the approximation MAPref = (SYSref + 2*DIAref) / 3 with SYSref and DIAref being the blood pressure measured by the auscultatory method.The NBP measurement is suitable for use in the presence of electrosurgery and during the discharge of a cardiac defibrillator according to IEC 60601-2-30:1999/EN 60601-2-30:2000.Introducing the Oscillometric NBP MeasurementOscillometric devices measure the amplitude of pressure changes (oscillations) in the occluding cuff as the cuff deflates from above systolic pressure. The amplitude suddenly increases as the pulse breaks through the occlusion in the artery. As the cuff pressure decreases further, the pulsations increase in amplitude, reach a maximum (which approximates to the mean pressure), and then diminish.Studies show that, especially in critical cases (arrhythmia, vasoconstriction, hypertension, shock), oscillometric devices are more accurate and consistent than devices using other noninvasive measuring techniques.WARNINGPatient Category: Do not use the IntelliVue CL NBP Pod on neonatal patients. The initial inflation pressure and overpressure safety limits are too high for neonatal patients and could cause fractures and bruises.Intravenous infusion: Do not use the NBP cuff on a limb with an intravenous infusion or arterial catheter in place. This could cause tissue damage around the catheter when the infusion is slowed or blocked during cuff inflation.Skin Damage: Do not measure NBP in cases of sickle-cell disease or any condition where skin damage has occurred or is expected.Unattended measurement: Use clinical judgement to decide whether to perform frequent unattended blood pressure measurements in cases of severe blood clotting disorders because of the risk of hematoma in the limb fitted with the cuff.](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-56.png)
![3 IntelliVue CL NBP Pod57CAUTIONIf you spill liquid onto the equipment or accessories, particularly if there is a chance that it can get inside the tubing or the measurement device, contact your service personnel.Measurement LimitationsNBP readings can be affected by the position of the subject and his or her physiological condition. Thus a physician must determine the clinical significance of the NBP information.Measurements are impossible with heart rate extremes of less than 40 bpm or greater than 300 bpm, or if the patient is on a heart-lung machine.The measurement may be inaccurate or impossible:• with excessive and continuous patient movement such as shivering or convulsions• if a regular arterial pressure pulse is hard to detect with cardiac arrhythmias• with rapid blood pressure changes• with severe shock or hypothermia that reduces blood flow to the peripheries• with obesity, where a thick layer of fat surrounding a limb dampens the oscillations coming from the artery• on an edematous extremity.The effectiveness of this sphygmomanometer has not been established in pregnant, including pre-eclamptic patients.When the accelerated measurement is used the minimum number of oscillations per deflation step is 1, instead of the 2 in the standard measurement. This allows a faster measurement result but requires that the patient keeps the limb in question still. The accelerated measurement is recommended for use when very few or no artifacts are expected, for example with sedated patients.You can see whether the accelerated measurement is in use by looking in the Setup NBP menu. The Accelerated Msmt setting shows whether the accelerated measurement is Off, on for Manual measurements or on for All measurements. This setting is view-only in Measurement mode and can be changed in Configuration Mode. When the accelerated measurement is in use, no pulse rate is derived from NBP.Measurement ModesThere are four modes for measuring NBP:•Manual - measurement on demand.•Auto - continually repeated measurements (between one minute and 24 hours adjustable interval).•Sequence - up to four measurement cycles which will run consecutively, with number of measurements and interval between them configurable for each cycle.•STAT - rapid series of measurements over a five minute period, then the monitor returns to the previous mode. Use only on supervised patients.Reference MethodThe measurement reference method is always Auscultatory (manual cuff). For further information, see the Application Note supplied on the documentation DVD.](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-57.png)
![3 IntelliVue CL NBP Pod58Preparing to Measure NBP with Standard Cuffs1Apply the carrying pouch to the patient.2Apply the cuff to the patient's upper arm at the same level as the heart.If the cuff is not at heart level, you must use the measurement correction formula to correct the measurement.Make sure that you are using a Philips-approved correct sized cuff and that the bladder inside the cover is not folded or twisted.A wrong cuff size, and a folded or twisted bladder, can cause inaccurate measurements. The width of the cuff should be in the range from 37% to 47% of the limb circumference.Do not wrap the cuff too tightly around the limb. It may cause discoloration, and ischemia of the extremities.3Connect the extension air hose to the cuff.](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-58.png)
![3 IntelliVue CL NBP Pod594Connect the extension air hose to the cradle.Hold the flat part of the connector vertically when plugging it into the inlet, then twist it clockwise to lock into place. Avoid compression or restriction of pressure tubes. Air must pass unrestrictedly through the tubing.5Place the NBP Pod into the cradle.6Put the NBP Pod into the carrying pouch.Make sure to pinch the velcro enclosures firmly together around the extension hose exiting from the pouch.CAUTIONMake sure that the air vent, located next to the air tubing connector on the NBP Pod, is not covered during operation. If air cannot enter the air vent, the pump may be damaged.Inspect the application site of the cuff regularly to ensure skin quality and inspect the extremity of the cuffed limb for normal color, warmth and sensitivity. If the skin quality changes, or if the extremity circulation is being affected, move the cuff to another site or stop the blood pressure measurements immediately. Check more frequently when making automatic or stat measurements.](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-59.png)
![3 IntelliVue CL NBP Pod60Attaching the Pod Directly to a Mobile CL CuffAs an alternative to using a carrying pouch, you can attach the NBP Pod directly to the cuff. In this case you do not need the extension hose.1Attach the cradle to the NBP cuff.2Plug the air tubing into the cradle.3Apply the cuff to the patient's upper arm.Apply the cuff so that the cradle is located at the outside of the arm. The bladder of the cuff is then automatically over the artery.4Insert the NBP Pod into the cradle.Additional InformationThe following documents contain additional information, depending on which accessories you are using:• Mobile CL Reusable NBP Cuffs Instructions for Use• Mobile CL Single-Patient NBP Cuffs Instructions for Use• Mobile CL NBP Cradle Instructions for Use• Mobile CL Extension Air Hose Instructions for UseStarting and Stopping MeasurementsUse the setup menu or SmartKeys to start and stop measurements.Action to be Performed NBP Setup menu SmartKeysStart manual measurementStart Auto seriesStart measurement sequenceStart/StopStart/StopStart STAT measurement Start NBP StatStart NBP STATStop Manual measurements Start/StopStart/StopStop current Auto/sequence measurement Start/StopStart/StopStop current STAT measurement and end STAT modeStart/StopStart/Stop](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-60.png)
![3 IntelliVue CL NBP Pod61Depending on the configuration of the NBP Auto/Sequence series, measurements are automatically started within 3 seconds (Autostart set to Fast) or 3 minutes (Autostart set to Slow) after the NBP Pod has been inserted into the cradle. With Autostart set to Off, the Auto/Sequence series have to be started manually.If accelerated measurement mode is configured for manual or manual and Auto/Sequence measurements, make sure that the patient is not moving during the measurements.CAUTIONUse clinical judgment to decide whether to perform repeated series of STAT measurements because of the risk of purpura, ischemia and neuropathy in the limb with the cuff.Enabling Automatic Mode and Setting Repetition Time1In the NBP menu, select Mode and select Auto from the pop-up menu.2For an automatic measurement, select Repeat and set the time interval between two measurements.Enabling Sequence Mode and Setting Up The Sequence1In the NBP menu, select Mode and select Sequence from the pop-up menu.2Select Setup Sequence to open the Setup Sequence menu.Up to four measurement phases can be setup which will run consecutively. For each phase you can set the number of measurements and the interval between them. If you want to run less than four phases in a sequence, you can set the number of measurements for one or more phases to Off.3Select each phase in turn (A, B, C and D) and select the number of measurements and the time interval between the measurements.4To have measurements continue after the sequence, set the number of measurements for your last phase to Cont and this phase will run indefinitely.CAUTIONBe aware that, if none of the phases are set to Cont, NBP monitoring will end after the last measurement of the last phase.When the NBP measurement mode is set to Sequence, the repetition time for Auto mode cannot be changed.Announcement Tone:Depending on the configuration of the NBP Pod, a tone before each measurement announces the next measurement. Please inform the patient to stop moving, and especially stop moving the arm with the cuff, when the tone sounds and the cuff inflates in order to allow a fast and accurate measurement.Stop Auto, Manual or STAT measurement, end STAT mode AND Auto/Sequence seriesStop AllStop AllAction to be Performed NBP Setup menu SmartKeys](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-61.png)
![3 IntelliVue CL NBP Pod62Understanding the NBP Numerics and SymbolsNote: The Alarms Off symbols indicate that no physiological alarms are available from the Cableless Measurement Devices when not assigned to a host.Measurement modes with a series of measurements can be indicated with two different symbols:An S in front of the symbol indicates Sequence mode and an A, B, C or D indicates which phase of the sequence is currently running.During MeasurementsThe cuff pressure is displayed instead of the timestamp.Correcting the Measurement if Limb is not at Heart LevelTo correct the measurement if the limb is not at heart level, to the displayed valueSwitching Pulse from NBP On/OffIn the process of making the NBP measurement, a pulse value can be derived and displayed. The pulse value is displayed together with the time the measurement was made. After one hour the value becomes invalid.To switch the display of the pulse value on or off:•In the NBP menu select Pulse.1Systolic/Diastolic pressure2Mean pressure3Pulse rate4Pulse rate indicator5Measurement mode (see below)6Alarms Off symbol for Pulse7Timestamp8Alarms Off symbol for NBPindicates that a series is running and shows the relative time to the next measurement.indicates that auto or sequence mode is selected but the measurement series has not yet started.Add 0.75 mmHg (0.10 kPa) for each centimeter higher orDeduct 0.75 mmHg (0.10 kPa) for each centimeter lower orAdd 1.9 mmHg (0.25 kPa) for each inch higher. Deduct 1.9 mmHg (0.25 kPa) for each inch lower.](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-62.png)
![3 IntelliVue CL NBP Pod63Assisting Venous PunctureYou can use the NBP cuff to cause sub-diastolic pressure. The cuff deflates automatically after a set time (adult/pediatric 170 seconds) if you do not deflate it.1In the NBP menu select Veni Puncture, or select the Veni Puncture SmartKey.2Puncture vein and draw blood sample.3Reselect Veni Puncture to deflate the cuff.During measurement, the NBP display shows the inflation pressure of the cuff and the remaining time in venous puncture mode.Calibrating NBPNBP is not user-calibrated. NBP pressure transducers must be verified and calibrated, if necessary, at least once every two years by a qualified service professional. See the Service Guide for details.AlarmsThe IntelliVue Cableless Measurements have two different types of alarm: patient alarms and INOPs.Patient AlarmsPatient Alarms are high priority alarms (such as a potentially life threatening situation), also called red alarms, or medium priority alarms, also called yellow alarms.Technical Alarms (INOPs)Technical alarms, also known as INOPs, indicate that the measuring device cannot measure reliably. If an INOP interrupts monitoring, there will be a question mark in place of the measurement numeric. An INOP tone sounds at the Cableless Measurement Device only when there is no SRR connection to a host.Most INOPs are low priority, however there are a small number of INOPs which, due to their severity, are medium or high priority.Alarm DelaysThere is a delay between a physiological event at the measurement site and the corresponding alarm indication at the Cableless Measurement Device. This delay has two components:• The general measurement delay time is the time between the occurrence of the physiological event and when this event is represented by the displayed numerical values. This delay depends on the algorithmic processing.• The time between the displayed numerical values crossing an alarm limit and the alarm indication on the device is the system alarm delay. The system alarm delay is the processing time the system needs for any alarm on the Cableless Measurement Device to be indicated after the measurement has triggered the alarm. See the performance specifications in the Specifications chapter for the system alarm delay specification.The alarm delay configured for a specific measurement is normally a fixed time.Multiple AlarmsIf more than one alarm is active, the alarm messages are shown in the alarm status area in succession. An arrow symbol next to the alarm message informs you that more than one message is active.](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-63.png)
![3 IntelliVue CL NBP Pod64The Cableless Measurement Device sounds an audible indicator for the highest priority alarm. If more than one alarm condition is active in the same measurement, the Cableless Measurement Device announces the most severe.NOTEIf you want to use local attended monitoring, make sure to have all Cableless Measurement Devices upgraded to Rev. B.02.Visual Alarm IndicatorsWARNING• No patient alarms are available on the CL devices when assigned to a host monitor (unless they are selected for use in patient transport at the monitor they are assigned to) or GuardianSoftware.• Visual patient alarm indicators are disabled on the CL device when connected to a host monitor (unless they are selected for use in patient transport at the monitor they are assigned to) or GuardianSoftware.Alarm MessageAlarm messages are displayed in black on a light gray background in the alarm status area at the top of the screen indicating the source of the alarm and coded according to their severity. If more than one measurement is in an alarm condition, the message changes every few seconds, and has an arrow ( ) at the side. The asterisk symbols (*) beside the alarm message match the alarm priority: *** for red alarms, ** for yellow alarms. Standard INOPs do not have a symbol, red and yellow INOPs have exclamation marks beside the alarm message: !!! for red INOPs and !! for yellow INOPs.An alarm message that appears is automatically highlighted. Use the key to silence the message. A Silence message is displayed at the bottom of the screen and highlighted. Press again to confirm the acknowledgment of the alarm. After the confirmation, any ongoing alarm message is displayed in the icon tray of the screen.Alarm StatesDepending on the alarm state of your Cableless Measurement Device, the following icons may be displayed on the device:Icon DescriptionNo local alarming on Cableless Measurement Device. The device is connected to a host monitor or telemetry device and has no visual or audible patient alarm indicators. The device will only display INOP messages.Alarms are switched off.Alarm volume is set to 0.](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-64.png)
![3 IntelliVue CL NBP Pod65Audible Alarm IndicatorsAudible alarm indicator patterns are repeated until you acknowledge the alarm by switching it off or pausing it, or until the alarm condition ceases (if audible alarm indication is set to non-latching).Cableless Measurements Devices alone (without host, e.g. a patient monitor) are not suitable for unattended monitoring due to their limited alarm volume.WARNING• Do not rely exclusively on the audible alarm system for patient monitoring. Adjustment of alarm volume to a low level or off during patient monitoring may result in patient danger. Remember that the most reliable method of patient monitoring combines close personal surveillance with correct operation of monitoring equipment.• No patient alarms are available on the Cableless Measurement Device when connected to a host monitor (unless they are selected for use in patient transport at the monitor they are assigned to) or to GuardianSoftware.• When connected to a host monitor or GuardianSoftware, no alarm tones are available on the Cableless Measurement Device (unless they are selected for use in patient transport at the monitor they are assigned to).Acknowledging an AlarmTo silence an alarm, press the key.This will silence the alarm tone and clear the alarm message. If the condition which caused the alarm is still present, the alarm indicator will be displayed on the right hand side of the screen.When using a Cableless Measurement Pod with an IntelliVue Information Center iX Release A, make sure to remove the pod at the telemetry device and only when in SRR range of the telemetry device. Otherwise you will get a technical alarm (cl NBP Disconnect) that can not be silenced at the telemetry device. You will then have to reboot the telemetry device to remove the message.Displaying a List of Current AlarmsTo display a list of the currently active alarms,1Select the Alarms SmartKey or Main Setup SmartKey, followed by Alarms.2Select Alarm Messages.1Full length alarm message2Alarm indicator](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-65.png)
![3 IntelliVue CL NBP Pod66Setting the Volume of the Alarm ToneTo set the volume for the Alarm tone,1Select the Alarms SmartKey or Main Setup SmartKey, followed by Alarms.2Select AlarmVol and select a volume setting. The maximum is 10 and the minimum depends on your configuration.If the volume of the Alarm tone is set to zero, the following symbol is displayed on the right icon tray of the Cableless Measurement Device screen: Minimum Volume for No Host Monitoring INOPIf your device is connected to a host monitor, and the connection is interrupted, the INOP message No Host Monitoring will appear within 30 seconds, accompanied by an INOP tone. To help ensure that this INOP, and any other active alarm, is not overlooked, the INOP and alarm tones may be configured to have a minimum volume. In this case, INOP and alarm tones will sound even if the device alarm volume is set to zero.Alarm ReminderIf Reminder is configured on your device, you will get an audible reminder of alarm conditions that remain active after you have silenced the alarm. This reminder may take the form of a repetition of the alarm tone for a limited time, or an unlimited repetition of the alarm tone (this is the same as a new alarm). Alarm Reminder is not available for standard, light blue INOPs but for yellow and red INOPs.In Configuration Mode, you can set the interval between silencing the alarm and sounding the reminder tone to one, two, or three minutes.Pausing or Switching Off AlarmsIf you want to temporarily prevent alarms from sounding, for example while you are moving a patient, you can pause alarms. Depending on your device configuration, alarms are paused for one, two, or three minutes, or infinitely. Infinite alarm pause is equivalent to switching the alarms off.To view the alarm pause setting chosen for your unit,1In the SmartKeys Menu select Main Setup, Alarms, then OffDurat.2Check the setting.This setting can only be changed in Configuration Mode.To Pause or Switch Off AlarmsSelect the key in the SmartKeys Menu followed by Alarms On/Off. If your device is configured to infinite pause time, selecting this key switches alarms off.Press the hardkey to complete the change.](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-66.png)
![3 IntelliVue CL NBP Pod67Restarting Paused AlarmsTo manually switch on alarm indication again after a pause, select the key again.Alarm indication starts again automatically after the pause period expires. If the device is configured to stay paused infinitely, you must select again to restart alarm indication.Choosing the NBP Alarm SourceYou can monitor for alarm conditions in systolic, diastolic and mean pressure, either singly or in parallel. Only one alarm is given, with the priority of mean, systolic, diastolic.In the NBP menu, select Al. from and choose from:If Mean is not selected as alarm source (Sys., Dia., or Sys & Dia selected), but the monitor can only derive a mean value, mean alarms will nevertheless be announced using the most recent mean alarm limits. Check that the mean alarm limits are appropriate for the patient, even when not using mean as the alarm source. When no value can be derived an NBP Measure Failed INOP will be displayed.Alarm LimitsThe alarm limits you set determine the conditions that trigger limit alarms.WARNINGBe aware that the devices in your care area may each have different alarm settings, to suit different patients. Always check that the alarm settings are appropriate for your patient before you start monitoring.Adjusting the Alarm Limits1Select the Alarms SmartKey followed by Alarm Limits (or select Main Setup followed by NBP).2Depending on your alarm source:a. Select Sys.High, Dia.High and/or MeanHigh then choose the high alarm limit.b. Select Sys. Low, Mean Low, Dia. Low and/or Mean Low then choose the low alarm limit.Menu Option Displayed as Pressure value monitoredSys. Sys. systolicDia. Dia. diastolicMean Mean meanSys & Dia S & D systolic and diastolic in parallelDia & Mean D & M diastolic and mean in parallelSys & Mean S & M systolic and mean in parallelSys&Dia&Mean S&D&M all three pressures in parallel](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-67.png)
![3 IntelliVue CL NBP Pod68Latching AlarmsThe alarm latching setting for your device defines how the alarm indicators behave when you do not acknowledge them. When alarms are set to non-latching, their indicators end when the alarm condition ends. Switching alarm latching on means that visual and/or audible alarm indications are still displayed or announced by the device after the alarm condition ends. The indication lasts until you acknowledge the alarm.Viewing the Alarm Latching SettingsTo see the alarm latching setting for your device1In the Main Setup menu, select Alarms.2Here you can see the Visual Latching and Audible Latching settings.This setting can only be changed in Configuration Mode. You should be aware of the settings chosen for your unit. There are three possible choices each for visual and audible latching, red only, red and yellow, and off. These choices can be combined to give the following settings:Alarm Latching BehaviorAs NBP is an aperiodic parameter, "Alarm condition no longer present" means either that for a measurement in alarm the alarm limits are changed in such a way that the value is now within the limits, or that a new measurement is done with a value within the limits.All INOPs are non-latching. NBP specific INOPs generated by the CL Pod are latching.Visual Latching Audible LatchingRed&Yellow Red&YellowRed&Yellow Red OnlyRed&Yellow OffRed Only Red OnlyRed Only OffOff OffRed & Yellow Measurement AlarmsNon-latching alarms Visual and audible latching Visual latching, audible non-latchingAlarm has not been acknowledged.Alarm condition still present.Alarm tone on. Alarm message. Alarm tone on. Alarm message.Alarm tone on. Alarm message.Alarm condition no longer present.All audible and visual alarm indicators automatically stop.Alarm tone on.Alarm message. Alarm message.Audible alarm indicators automatically stop.Alarm has been acknowledged.Alarm condition still present.All audible and visual alarm indicators automatically stop.All audible and visual alarm indicators automatically stop.All audible and visual alarm indicators automatically stop.Alarm condition no longer present.Audible and visual alarm indicators automatically stop.Audible and visual alarm indicators automatically stop.Audible and visual alarm indicators automatically stop.](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-68.png)
![3 IntelliVue CL NBP Pod69Testing AlarmsWhen you switch the CL NBP Pod on, a selftest is started. You must check that the backlight switches on, and that you hear a single tone. This indicates that the alarm indicators are functioning correctly. For further testing of individual measurement alarms, perform the measurement on yourself or use a simulator. Adjust alarm limits and check that appropriate alarm behavior is observed.Alarm Behavior at Power OnIf the device is switched off (Device Off), all alarm settings are maintained. If the device is switched off completely (Power Off), or the battery is completely empty, resulting in complete power loss, all alarm settings will be lost unless they were actively saved by storing the active profile before the device was switched off. See “Switching the Device Off” on page 13 and “Using Profiles” on page 15 for details.When the device is switched back on from either state, it will start in Profile A and you may have to switch to the desired profile which contains your alarm settings.After any of these situations, you should check that the alarm settings are appropriate for your patient and monitoring situation, and if necessary, select the correct Profile and patient category.Reference List of Patient AlarmsReference List of all INOPsAlarm Message, Indication Source Condition** NBPs High** NBPd High** NBPm HighNBP The measured NBP value is above the high alarm limit.s, d, or m after the label indicates whether the systolic, diastolic or mean pressure has crossed the limit.** NBPs Low** NBPd Low** NBPm LowNBP The measured NBP value is below the low alarm limit.s, d, or m after the label indicates whether the systolic, diastolic or mean pressure has crossed the limit.INOP Message, Indication Source What to doBatt IncompatibleINOP toneBattery Battery cannot be used with this Cableless Measurement Device. Replace battery with one that has been approved for use with this Cableless Measurement Device. Contact your service personnel.Batt MalfunctionINOP toneBattery Malfunction of the battery system detected (charger circuit or battery). Contact your service personnel.Battery EmptyINOP toneBattery The remaining monitoring time is below 30 minutes. Charge battery.Battery LowINOP toneBattery The remaining monitoring time is below 2 hours.Check Batt TempINOP toneBattery The temperature of the battery is critically high. Check that Cableless Measurement Device is not covered and not exposed to a heat source. If INOP persists, remove Cableless Measurement Device from patient and contact your service personnel.](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-69.png)
![3 IntelliVue CL NBP Pod70Check BatteryINOP toneBattery The maximum number of charge/discharge cycles of the battery will be reached in less than 50 cycles. Contact your service personnel to replace the battery.Check Charger I/FINOP toneBattery Overvoltage or undervoltage detected at the charger interface. Clean contacts of charger interface at Cableless Measurement Device and charging station. If the INOP persists, contact your service personnel.cl NBP ChkSettingsINOP toneCableless Measurement DeviceIf this INOP appears and an INOP tone sounds, check the Cableless Measurement Device and patient settings before you resume making measurements. If the settings are unexpected, there may be a problem with the Cableless Measurement Device software. Contact your service personnel.If this INOP is acknowledged at the Cableless Measurement Device, it is cleared. If it is silenced remotely, only the tone is cleared.cl NBP Disconnectonly at the hostCableless Measurement DeviceThe NBP Pod has lost the SRR connection to the telemetry device or the patient monitor.Cuff Not DeflatedNumeric is replaced by -?-INOP toneDuring this INOP, alarms cannot be paused or switched off.NBP The NBP cuff pressure has exceeded 15 mmHg (2 kPa) for more than 3 minutes.Remove the cuff from the patient. Make sure that the tubing is not kinked or twisted and that the correct patient category is selected. Try repeating the measurement. You can acknowledge the INOP, but the INOP message remains visible until the next NBP measurement is started or the Stop All SmartKey is selected. NBP Cuff OverpressNumeric is replaced by -?-INOP toneDuring this INOP, alarms cannot be paused or switched off.NBP The NBP cuff pressure exceeds the overpressure safety limits. Remove the cuff from the patient. Make sure that the tubing is not kinked or twisted and that the correct patient category is selected. Try restarting the measurement. You can acknowledge this INOP, but the INOP message remains visible until the next measurement is started or the Stop All SmartKey is selected.NBP Equip MalfNumeric is replaced by -?-INOP toneNBP Remove the NBP Pod and cuff from the patient. The NBP hardware is faulty. Contact your service personnel. You can acknowledge this INOP, but the INOP message remains visible until the next measurement is started or the Stop All SmartKey is selected.INOP Message, Indication Source What to do](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-70.png)
![3 IntelliVue CL NBP Pod71NBP InterruptedNumeric is replaced by -?-INOP toneNBP Check the tubing and cuff for leakages or kinks. Check that you are using the correct cuff size and placement, and that the correct patient category is selected. Try restarting the measurement. If the INOP occurs repeatedly, contact your service personnel. You can silence this INOP, but the INOP message remains visible until the next measurement is started or the Stop All SmartKey is selected. This INOP arises when the measurement needed longer than the maximum time for inflation, deflation or the total measurement.NBP Measure FailedNumeric is replaced by -?-INOP toneNBP Check that you are using the correct cuff size and placement, and that the correct patient category is selected. Try restarting the measurement. You can silence this INOP, but the INOP message remains visible until the next measurement is started or the Stop All SmartKey is selected. Check the condition and suitability of the patient for NBP monitoring. Use another cuff to continue measuring.NBP Neo Patient?Numeric is replaced by -?-INOP toneNBP The patient monitor that the NBP pod is assigned to is in neonatal mode or a neonatal cuff has been detected. The monitor must be in adult or pediatric mode.No CradleNumeric is replaced by -?-INOP toneNBP The NBP Pod is not in the cradle. You can silence this INOP, but the INOP message remains visible until the NBP Pod is inserted into the cradle and the next measurement is started or the Stop All SmartKey is selected.If INOP appears with the NBP Pod inserted into the cradle, remove and replace the cradle.No Host MonitoringINOP toneCableless Measurement DeviceThere is a problem with the communication to the assigned patient monitor and monitoring is currently not possible (no patient alarms or information). Check the connection. Contact your service personnel.No System Cableless Measurement DeviceThere is a problem with the communication to the network and central monitoring is currently not possible. Check the connection.Remove From PatINOP toneCableless Measurement DeviceDisplayed on the Cableless Measurement Device. The temperature of the battery is too high. Remove the Cableless Measurement Device from the patient and contact service personnel.Service BatteryINOP toneBattery Maximum number of charge/discharge cycles for battery exceeded. Charging of the battery is inhibited. Contact your service personnel to replace battery.INOP Message, Indication Source What to do](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-71.png)
![3 IntelliVue CL NBP Pod72NBP Default SettingsThese are the most important default settings of your IntelliVue CL NBP Pod as they are delivered from the factory. For a comprehensive list and explanation of default settings, see the Configuration Guide supplied with your devices. The default settings can be permanently changed in Configuration Mode. When the Pod is assigned to a patient monitor, the settings defined at the patient monitor will overwrite the settings defined at the Pod.NBP SettingsAdult PediMode Auto AutoAl. from Sys. Sys.Sys.High 160 120Dia.High 90 70MeanHigh 110 90Sys. Low 90 70Dia. Low 50 40Mean Low 60 50Alarms On OnNBP On OnRepeat Time 10 min 10 minPulse On OnUnit mmHg mmHgDone Tone Off OffStart Time Synchronized SynchronizedVP Pressure 60 mmHg 40 mmHgReference Auscultatory AuscultatoryAging Time 10 min 10 minColor Red RedAnnouncementTone Off OffAutomatic Start Off OffAccelerated Msmt Off Off](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-72.png)
![3 IntelliVue CL NBP Pod73Integrated Battery HandlingBattery CareBattery care begins when you receive a new IntelliVue Cableless Measurement Device with built-in battery and continues throughout the life of the device. The table below lists battery care activities and when they should be performed.Handling PrecautionsLithium ion batteries store a large amount of energy in a small package. Use caution when handling the IntelliVue Cableless Measurement Devices with built-in battery; misuse or abuse could cause bodily injury and/or property damage.• Handle with care.• Do not expose the device to liquids.• Do not attempt to disassemble the device.• Do not put device in autoclave.• Damaged devices should not be used anymore.WARNING• Do not crush or puncture - mechanical abuse can lead to internal damage and internal short circuits which may not be visible externally.• Do not incinerate the devices or expose them to temperatures above 60°C (140°F).StorageIf unused IntelliVue Cableless Measurement Devices are stored for an extended period of time:• they should be powered off for storage• they should be stored in a cool place, ideally between 15°C and 25°C (60°F and 77°F)• the state of charge should be between 40 and 50%• they should be recharged every six monthsStoring in a cool place slows the aging process of the batteries. They should be fully charged prior to use. Do not store the device at a temperature outside the range of -20°C (-4°F) to 60°C(140°F).Do not store cableless devices in direct sunlight.Activity When to performPerform a visual inspection Before using the IntelliVue Cableless Measurement DeviceCharge the battery Upon receipt, after use, or if a low battery state is indicated. To optimize performance, a fully (or almost fully) discharged battery should be charged as soon as possible.Store the device in a state of charge in the range of 40-50% and power off the device completely.When not in use for an extended period of time, or when the device is shipped.](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-73.png)
![3 IntelliVue CL NBP Pod74NOTEStoring the devices at temperatures above 40°C (104°F) for extended periods of time could significantly reduce the battery's life expectancy.Battery Lifetime ManagementThe lifetime of a Lithium Ion battery depends on the frequency and duration of use. When properly cared for, the useful life is approximately 4 years or 400 complete charge-discharge cycles, whichever comes first. In addition, experience indicates that the incidence of failure may increase with battery service life due to the accumulated stresses of daily use. We therefore strongly recommend that lithium ion batteries be replaced after 4 years or 400 complete charge-discharge cycles.To see the date of manufacture and the number of charge-discharge cycles:1Select the Battery Smartkey or Main Setup followed by Battery.2Press the hardkey to view the battery details.The date of manufacture and the number of charge-discharge cycles are listed with other battery data on the screen. Use the ◄ hardkey to scroll through the list.The age of a lithium ion battery begins at the date of manufacture.AccessoriesYou can order parts and accessories from Philips supplies at www.medical.philips.com or consult your local Philips representative for details.WARNINGReuse: Never reuse single-patient sensors, accessories and so forth that are intended for single use, or single patient use only. Reuse may compromise device functionality and system performance and cause a potential hazard, in particular with regard to cross-contamination.Philips’ approval: Use only Philips-approved accessories. Using non-Philips-approved accessories may compromise device functionality and system performance and cause a potential hazard.IntelliVue CL NBP Pod AccessoriesMobile CL Cuffs:Order Number Description Limb Circumference RangeBladder Width Contents989803163171 Mobile CL Reusable Small Adult Cuff21 - 27 cm 10.5 cm 1 cuff989803163191 Mobile CL Reusable Adult Cuff 26.0 - 34.5 cm 13.0 cm 1 cuff989803163211 Mobile CL Reusable Large Adult Cuff33.5 - 45.0 cm 16.0 cm 1 cuff989803163181 Mobile CL Single-Patient Small Adult Cuff21 - 27 cm 10.5 cm 20 cuffs](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-74.png)
![3 IntelliVue CL NBP Pod75Comfort Reusable Cuffs:Easy Care Reusable Cuffs:989803163201 Mobile CL Single-Patient Adult Cuff26.0 - 34.5 cm 13.0 cm 20 cuffs989803163221 Mobile CL Single-Patient Large Adult Cuff33.5 - 45.0 cm 16.0 cm 20 cuffs989803163251 Mobile CL NBP Cradle Kit - - 20 cradles989803163131 Mobile CL Extension Air Hose, 1.0 m- - 1 extension air hose989803187431 Mobile CL Air Hose - Bayonet Connector- - 1 adapter air hose989803163261 Mobile CL NBP Battery Kit - - 1 Battery1 disassembly tool1 front housing989803137831 Telemetry Pouch with window - - 50 pouches989803140371 Telemetry Pouch with window - - 4 boxes of 50 pouches989803101971(9300-0768-050)White Telemetry Pouch with Snaps; box of 50- - 50 pouches989803101981(9300-0768-200)White Telemetry Pouch with Snaps; 4 boxes of 50--4boxes of 50 pouchesOrder Number Description Limb Circumference RangeBladder Width ContentsOrder Number Description Limb Circumference RangeM1571A Infant cuff 10.0 - 15.0 cmM1572A Pediatric cuff 14.0 - 21.5 cmM1573A Small adult cuff 20.5 - 28.0 cmM1574A Adult cuff 27.0 - 35.0 cmM1575A Large adult cuff 34.0 - 43.0 cmM1576A Thigh cuff 42.0 - 54.0 cmM1577A Kit of small cuffs (M1571A to M1574A)M1578A Kit of large cuffs (M1573A to M1576A)M1579A Kit of all cuffs (M1571A to M1576A)Order Number Description Limb Circumference RangeM4552B Infant cuff, limb circumference 10.0 - 15.0 cmM4552B5 Pack of 5 M4552B cuffsM4553B Pediatric cuff, limb circumference 14.0 - 21.5 cmM4553B5 Pack of 5 M4553B cuffs](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-75.png)
![3 IntelliVue CL NBP Pod76Multi Care Cuffs:Single Patient, Gentle Care Cuffs:M4554B Small adult cuff, limb circumference 20.5 - 28.5 cmM4554B5 Pack of 5 M4554B cuffsM4555B Adult cuff, limb circumference 27.5 - 36.0 cmM4555B5 Pack of 5 M4555B cuffsM4556B Adult cuff, X-Long, limb circumference 27.5 - 36.0 cmM4556B5 Pack of 5 M4556B cuffsM4557B Large adult cuff, limb circumference 35.0 - 45.0 cmM4557B5 Pack of 5 M4557B cuffsM4558B Large adult cuff, X-Long, limb circumference 35.0 - 45.0 cmM4558B5 Pack of 5 M4558B cuffsM4559B Thigh cuff, limb circumference 44.0 - 56.0 cmM4559B5 Pack of 5 M4559B cuffs864288 Assortment pack of one small adult, one adult, one large adult and one thigh cuff864289 Assortment pack of one infant, one pediatric, one small adult and one adult cuff864290 Assortment pack of one infant, one pediatric, one small adult, one adult, one large adult and one thigh cuff864291 Assortment pack of one small adult, one adult, one adult X-long, one large adult, one large adult X-long and one thigh cuffOrder Number Description Limb Circumference RangeOrder Number Description Limb Circumference Range989803183311 Infant cuff 10.0 - 15.0 cm989803183321 Pediatric cuff 14.0 - 21.5 cm989803183331 Small adult cuff 20.5 - 28.0 cm989803183341 Adult cuff 27.0 - 35.0 cm989803183351 Adult cuff, X-Long 27.0 - 35.0 cm989803183361 Large adult cuff 34.0 - 43.0 cm989803183371 Thigh cuff 42.0 - 54.0 cmOrder Number Description Limb Circumference RangeM4572B Infant cuff 10.0 - 15.0 cmM4573B Pediatric cuff 14.0 - 21.5 cmM4574B Small adult cuff 20.5 - 28.5 cmM4575B Adult cuff 27.5 - 36.0 cm](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-76.png)
![3 IntelliVue CL NBP Pod77Single Care Cuffs:M4576B Adult cuff, X-Long 27.5 - 36.0 cmM4577B Large adult cuff 35.0 - 45.0 cmM4578B Large adult cuff, X-Long 35.0 - 45.0 cmM4579B Thigh cuff 44.0 - 56.0 cmOrder Number Description Limb Circumference RangeOrder Number Description Limb Circumference Range989803182281 Pediatric cuff 14.0 - 21.5 cm989803182291 Small adult cuff 20.5 - 28.5 cm989803182301 Adult cuff 27.5 - 36.0 cm989803182311 Adult cuff, X-Long 27.5 - 36.0 cm989803182321 Large adult cuff 35.0 - 45.0 cm](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-77.png)
![3 IntelliVue CL NBP Pod78Maintenance and TroubleshootingWARNINGSchedule: Failure on the part of the responsible individual hospital or institution employing the use of this equipment to implement a satisfactory maintenance schedule may cause undue equipment failure and possible health hazards.Contact: If you discover a problem with any of the equipment, contact your service personnel, Philips, or your authorized supplier.Inspecting the Equipment and AccessoriesYou should perform a visual inspection before every use, and in accordance with your hospital's policy. With the device switched off:1Examine unit exteriors for cleanliness and general physical condition. Make sure that the housings are not cracked or broken, that everything is present, that there are no spilled liquids and that there are no signs of abuse.2Inspect all accessories (cables, sensors and so forth). If any show signs of damage, do not use them.WARNINGIf the IntelliVue Cableless Measurement Device is mechanically damaged, or if it is not working properly, do not use it for any monitoring procedure on a patient, contact your service personnel.Maintenance Task and Test ScheduleAll maintenance tasks and performance tests are documented in detail in the service documentation supplied on the IntelliVue Cableless Measurements documentation DVD. These tasks are for Philips-qualified service professionals only.Ensure that these tasks are carried out as indicated by the device's maintenance schedule, or as specified by local laws. Contact a Philips-qualified service provider if your device needs a safety or performance test. Clean and disinfect equipment to decontaminate it before testing or maintaining it.TroubleshootingIf a device will not switch on when you press a key, place it onto a charger slot on the charging station.If you suspect a problem with an individual measurement device, read the Instructions for Use and double check that you have set up the measurement correctly. Check also that the measurement has not been switched off at the patient monitor that the device is assigned to.If you suspect an intermittent, system-wide problem call your service personnel.](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-78.png)
![4794IntelliVue CL Respiration PodFor respiration measurement, attach the Respiration Pod to the patient's left costal arch using the Mobile CL Respiration Pod Attachment.As an option, the Respiration Pod also provides pulse measurement.The Respiration Pod also provides basic information about patient posture (supine, prone, upright,...) and activity (e.g. very high or very low activity).For details regarding the adhesive attachment (Mobile CL Respiration Pod Attachment), refer to “IntelliVue CL Respiration Pod Accessories” on page 91.General Operation of the Respiration PodThe IntelliVue CL Respiration Pod does not have a display and is generally operated via the host system (e.g. patient monitor). The Pod reports the measured values and status information to the host system via SRR.The IntelliVue CL Respiration Pod has a multi-color LED and a single operation key to display states and allow some basic operation locally.Putting the Pod into OperationThe first time a Respiration Pod is used, place it on the IntelliVue CL Charging Station. This will automatically switch the device on, and the device will become visible to the host (patient monitor or GuardianSoftware).](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-79.png)
![4 IntelliVue CL Respiration Pod80Checking the Battery StatusPress the key once to check the battery status:Recharging the PodTo recharge the pod, place it on the charging station. The device becomes inactive.During loading, the pod's LED shows the status:Power OffTo power off the IntelliVue CL Respiration Pod, take the device from the charging station, then press and hold the key on the pod for five seconds until the LED blinks red. Release the key and press it again to confirm power off. The LED will switch to solid red and fade out. To switch it back on, you must place the device on a charging station. Use this option when the device is not used for a longer time or prepared for storage or shipping.Connection with Host SystemsThe following sections describe how the IntelliVue Cableless Measurement Devices work together with host systems (Patient Monitors or GuardianSoftware).IntelliVue Cableless Measurements Use ModelsWith these patient-worn measurement devices you can measure and transmit a patient's vitals regularly or on an intermittent data collection basis. There are three typical use models:With a Patient MonitorThe IntelliVue Cableless Measurement Devices can be used together with an MP5/MP5SC/MP5T patient monitor (with an SRR interface). They can communicate their measurement values via short range radio to the monitor. The monitor may be assigned to a patient sector at the IntelliVue Information Center (IIC). When assigned to the Information Center, certain actions can be performed at both the patient monitor and the Information Center. See the table “Controls Available with a Patient Monitor” on page 82.In situations where patients are becoming more mobile (for example, in step-down/intermediate care units) the lightweight Cableless Measurement Devices allow increased mobility within the short range radio range, without giving up vital signs monitoring.Status LED Battery OK greenBattery low yellowBattery empty redBattery or system malfunction cyanStatus LED Battery full (≥90%) greenBattery loading yellowBattery malfunction cyan](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-80.png)
![4 IntelliVue CL Respiration Pod81A telemetry device can be assigned to a patient monitor equipped with short range radio at the same time as any Cableless Measurement Devices are also assigned to this monitor.If the connection between the monitor and the Cableless Measurement Device is lost, an INOP will be displayed at the monitor: cl Resp Disconnect.With IntelliVue GuardianSoftwareThe Cableless Measurement Devices can be used together with IntelliVue GuardianSoftware. GuardianSoftware collects non-continuous vital signs data that are transmitted via a Transmitter or Hotspot from the Cableless Measurement Devices. Using the collected data, it provides trending, review, reporting and notification. The Guardian Early Warning Scoring (Guardian EWS) application provides basic assessment guidance, helping you to recognize the early signs of deterioration in your patients. GuardianSoftware is not intended for monitoring in combination with Cableless Measurement Devices.Some of the measurement tasks can be performed remotely from GuardianSoftware. See the table “Controls Available with GuardianSoftware” on page 83. GuardianSoftware also manages the patient data.If the connection between GuardianSoftware and the Cableless Measurement Device is lost, the connection symbol will be displayed gray at GuardianSoftware.Device CompatibilityThe IntelliVue CL Respiration Pod requires the following software levels in the associated equipment:• Patient Monitor - Release J.2 or above• IntelliVue GuardianSoftware - Revision B.0 or aboveAvailability of Patient AlarmsWhen the IntelliVue CL Respiration Pod is assigned to a host and a short range radio connection exists, alarms will be announced at the host device.•When assigned to a patient monitor: Alarm messages will be displayed and audible alarm indicators sounded at the patient monitor in the same way and under the same conditions as for its own measurements. See the Instructions for Use of the patient monitor for details.•When assigned to GuardianSoftware: Measurement values sent via transmitters or hotspots to IntelliVue GuardianSoftware will be visualized in GuardianSoftware. Since IntelliVue GuardianSoftware is a data management system, no alarms are derived. The IntelliVue Cableless Measurement Devices will also not generate physiological alarms when connected to IntelliVue GuardianSoftware. See the Instructions for Use of GuardianSoftware.Assigning an IntelliVue Cableless Measurement Device to a HostWhen an IntelliVue CL Respiration Pod is used with a host system (patient monitor or GuardianSoftware), the Pod must be assigned to that host system.The assignment must be done at the host system.WARNINGAlways make sure that the applied CL Respiration Pod is assigned to the correct patient.](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-81.png)
![4 IntelliVue CL Respiration Pod82WARNINGShort Range Radio connections are subject to interruption due to interference from other radio sources in the vicinity, including microwaves, bluetooth devices, WLAN devices (802.11b,g,n) and cordless phones. Depending on the strength and duration of the interference, the interruption may occur for an extended period. A loss of connection, due to moving out-of-range, interference, or for other reasons, is indicated with a cl Resp Disconnect INOP at the host monitor. Correct channel configuration is important, refer to the Configuration Guide for details.Assignment at the Patient MonitorPrepare the Pod for assignment by pressing the hardkey once (LED shows battery and assignment status).At the patient monitor,1Open the Add Cableless window, e.g. by using the measurement selection key followed by the Add cl Msmt pop-up key.The available Cableless Measurement Devices are shown in the window.2Select the device which you want to assign to the patient on the monitor.3The monitor displays the assignment prompt message.When the Cableless Measurement Device is assigned, the LED changes from blinking to solid.An assigned Cableless Measurement Device can be removed in the Measurement Selection window. For more details see the Instructions for Use for your patient monitor.Assignment with GuardianSoftwareTo assign a Cableless Measurement Device to a patient in GuardianSoftware:1Select the patient on the Chalkboard.2Take the Cableless Measurement Device from the charger.3On the Equipment List tab, select the Cableless Measurement Device on the Available Equipment list, highlighted in green on top of the list. The device on top of the list is always the one with the most recent user interaction (taken off the charger, put on the charger, or key pressed).4Click Use for Patient to assign the device to the patient.Controls Available with a Patient MonitorThe controls available when the Cableless Measurement Device is assigned to a patient monitor are described in the table below.Action At the Cableless Measurement DeviceAt the Patient MonitorAt the IICStart Resp/Pulse Measurement Yes Yes NoChange Measurement Mode No Yes NoChange Repetition Time No Yes No](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-82.png)
![4 IntelliVue CL Respiration Pod83WARNINGIf a patient being monitored by Cableless Measurement Devices moves out of range of the patient monitor, the measurements are not transmitted to the patient monitor or the Information Center.Keep the patient monitor with the patient during transport.Controls Available with GuardianSoftwareThe controls available when the Cableless Measurement Device is assigned to GuardianSoftware are described in the table below.TrendingThe IntelliVue Cableless Measurement Devices provide data for trending of parameters. The trended data are only available via a host system. For details on trends see the Instructions for Use of your host system.Change Alarm Limits No Yes NoAssign Respiration Pod No Yes NoRemove Respiration Pod Yes Yes NoDynamic Repetition Mode On/Off No Yes NoPosture On/Off No Yes NoActivity On/Off No Yes NoAlarm Silence No Yes YesAlarm Off/Pause No Yes YesAction At the Cableless Measurement DeviceAt the Patient MonitorAt the IICAction At the Cableless Measurement DeviceAt GuardianSoftwareStart Resp/Pulse Measurement Yes YesChange Measurement Mode No YesChange Repetition Time No YesChange Alarm Limits No YesAssign Respiration Pod No YesRemove Respiration Pod Yes YesDynamic Repetition Mode On/Off No YesPosture On/Off No YesActivity On/Off No YesTechnical Alarm Silence No Yes](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-83.png)
![4 IntelliVue CL Respiration Pod84When the connection to the host is lost during measurement, the IntelliVue Cableless Measurement Devices are able to collect data in a local memory. These data can be uploaded to GuardianSoftware, but not to other host systems, when a connection is established at a later stage.Monitoring RespirationThe CL Respiration Pod derives the respiration and pulse signal from the chest and abdomen movements measured with a built-in acceleration sensor. The CL Respiration Pod gets attached with a Mobile CL Respiration Pod Attachment to the left costal arch on the patient's chest.When configured, the CL Respiration Pod provides information on the basic patient posture and patient activity. Eight different postures such as supine, upright and lying on left/right side are detected and updated after a posture change has occurred and posture is stable again. The activity is determined once per second, and an average activity level between 0 and 10 is reported once per minute to the connected host system. The activity status information provides only an approximate indication of the actual patient activity.WARNINGThe CL Respiration Pod is not an apnea monitor and does not provide apnea alarming.Excessive patient movement can interfere with the measured signal. This may result in inaccurate measurements.The CL Respiration Pod does not provide continuous measurement. When configured in frequent mode, the fastest update rate for pulse is 8 sec.If the patient has a condition where the respiration rate approaches the upper limit of the measurement range (60 rpm), use other means of respiration rate measurement.Do not use the CL Respiration Pod in an environment where continuous monitoring is needed, such as intensive care units or operating rooms, because life-critical events might be missed due to the intermittent mode of measurement.Do not use the CL Respiration Pod on patients with rapid, irregular heart rates greater than 110 bpm. Use under these conditions has not been clinically validated.Measurement ModesThere are three different modes available for performing respiration/pulse measurements: Manual Mode, Automatic Mode and Frequent Mode. The mode can only be set on the host system:•Manual Mode - a single respiration and pulse measurement is performed when a measurement is started at the host or when the key on the Respiration Pod is pressed (key must be pressed twice if the LED is off).•Automatic Mode - respiration and pulse measurements are performed with an interval between them. The interval is selected at the host. The first measurement starts immediately after entering the automatic measurement mode. If configured: When the respiration rate rises above or falls below the defined alarm limits, the measurement mode changes temporarily to frequent mode. The automatic mode will resume if the respiration rate readings are valid for at least 1 minute and no respiration rate reading within the last minute violates the respiration rate alarm.•Frequent Mode -Respiration and pulse measurement is active all the time. The respiration Rate is updated with every new detected breath. The shortest update interval for the pulse rate is 8 seconds.](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-84.png)
![4 IntelliVue CL Respiration Pod85Assigning the PodTake the Pod from the charging station. The multi-color LED blinks if the Pod is not assigned to a host system.When working with a patient monitor:Go to the patient monitor you want to use and select Add cl Msmt. The LED on the Pod changes from blinking to solid.When working with GuardianSoftware:In GuardianSoftware:1Select the patient on the Chalkboard.2On the Equipment List tab, select the Cableless Measurement Device on the Available Equipment list.The LED on the Respiration Pod blinks.3Click Use for Patient to assign the Pod to the patient.Attaching the Pod to the Patient1Put the Pod front side up onto the adhesive attachment according to the positioning markers.2Remove the protective cover from the strap with the adhesive patch.3Fold the straps over the front of the Pod, beginning with the strap that has no adhesive patch.](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-85.png)
![4 IntelliVue CL Respiration Pod864Fold the second strap over the Pod and make sure that the pod is securely and tightly enclosed by the straps.The arrow symbols on the upper strap must be in line with the end of the lower strap:5Remove the protective cover from the back of the adhesive attachment.6Place the Pod on the patient's skin in the region of the left costal arch, with the operation key facing upwards. Press down the adhesive attachment all around the Pod.CAUTIONThe patient's skin should be dry, clean and free of excessive hair.Make sure that the Pod is attached the right way round, with the operation key facing upwards. Otherwise, the posture detection will not provide correct readings.WARNINGDo not use an adhesive attachment on a patient with a history of skin irritation, allergies or hypersensitivity to adhesives. Do not use on patients with lesions, infections or skin inflammations.](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-86.png)
![4 IntelliVue CL Respiration Pod87To avoid skin irritations and lacerations, periodically inspect the sensor application site and change the application site regularly. After use, clean the patient's skin to remove residual adhesive.Always make sure that the attached pod is assigned to the correct patient. For this purpose, it may be helpful to put the equipment label on the pod (for example by using a stick-on label) and to write the patient name on the adhesive attachment.Do not reuse an adhesive attachment on another patient due to risk of cross-infection.Measuring RespirationIf the LED is on, press the key once to start a measurement. If the LED is off, press the key twice. Alternatively, start the measurement from the host system.If the measurement has been started directly at the Pod, the LED blinks white while the measurement is in progress.When the measurement has finished successfully: The LED changes to solid white.If a measurement fails: The LED blinks white quickly.Unassigning the Respiration PodTo unassign the Respiration Pod from a host:Put the Respiration Pod on the IntelliVue CL Charging Stationor:Keep the key pressed for 2 seconds, until the LED is blinking yellow. Press the key once more to confirm. LED changes to solid yellow and fades out (Respiration Pod unassigned).Basic Posture and Activity InformationThe IntelliVue CL Respiration Pod can also provide information on basic posture. The patient's position is determined and the corresponding information is displayed at the host:•Supine•Prone•Lying on left side•Lying on right side• Upright• Reclined•Forward•Upside DownAdditionally, the activity level is displayed at the host as a numerical value that ranges in normal operation between level 1 (very low activity) and level 10 (very high activity). Activity level 0 indicates that no physiological signal can be detected (for example when the device has fallen off and is lying on the ground).NOTEThe information on patient activity is not intended for monitoring or diagnostic purposes. The activity information is only for reference, showing clinical personnel the approximate activity status of the](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-87.png)
![4 IntelliVue CL Respiration Pod88patient. The activity level does not provide information on a specific activity pattern (e.g. if a patient is walking, or if a patient is rolling over in bed). The activity information is also not intended to recognize abnormal body movements caused by specific diseases, like Parkinson’s disease, or other neurological conditions.Technical Alarms (INOPs)Technical alarms, also known as INOPs, indicate that the measuring device cannot measure reliably. If an INOP interrupts monitoring, there will be a question mark in place of the measurement numeric on the host monitor.The IntelliVue CL Respiration Pod does not provide any INOP displays or sounds locally at the device itself. INOPs will be announced visually and audibly at the host monitor.Some INOPs have a severity indication: !! for a medium severity INOP and !!! for a high severity INOP.Reference List of all INOPsINOP Message, Indication Source What to doCan't Analyze cmRR Resp Unable to analyze respiration signalCan't AnalyzePulse Resp Unable to analyze pulse signalcl Resp Batt EmptyINOP toneBattery The remaining monitoring time is below 30 minutes. Charge battery.cl Resp Batt IncmpINOP toneBattery Battery cannot be used with this Cableless Measurement Device. Contact your service personnel.cl Resp Batt LowINOP toneBattery The remaining monitoring time is below 2 hours.cl Resp Batt MalfINOP toneBattery Malfunction of the battery system detected (charger circuit or battery). Contact your service personnel.cl Resp Batt TempINOP toneBattery The temperature of the battery is critically high. Remove Cableless Measurement Device from patient and contact your service personnel.cl Resp Check BattINOP toneBattery The maximum number of charge/discharge cycles of the battery will be reached in less than 50 cycles. Contact your service personnel.cl Resp Chk SettINOP toneResp If this INOP appears, check the Cableless Measurement Device and patient settings before you resume taking measurements. If the settings are unexpected, there may be a problem with the Cableless Measurement Device software. Contact your service personnel.cl Resp Disconnect Resp The Respiration Pod has lost the SRR connection to the host.cl Resp RemoveINOP toneResp The temperature of the battery is too high. Remove the Cableless Measurement Device from the patient and contact service personnel.](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-88.png)
![4 IntelliVue CL Respiration Pod89Respiration Default SettingsThese are the most important default settings of your IntelliVue CL Respiration Pod as they are delivered from the factory. For a comprehensive list and explanation of default settings, see the Configuration Guide supplied with your devices. The default settings can be permanently changed in the Support Tool Configuration Editor.Integrated Battery HandlingBattery CareThe IntelliVue CL Respiration Pod has a built-in battery that is not exchangeable. Battery care begins when you receive a new pod and continues throughout the life of the pod. The table below lists battery care activities and when they should be performed.cl Resp Serv BattINOP toneBattery Maximum number of charge/discharge cycles for battery exceeded. Charging of the battery is inhibited. Contact your service personnel.clResp License Req Resp Unlicensed exchange device. Contact your service personnel. cmResp NeoPatient?Numeric is replaced by -?-INOP toneResp The patient monitor the Respiration Pod is assigned to is in neonatal mode. The INOP will remain active until the monitor is changed to adult mode.cmResp No Signal Resp No active signal can be detected.cmRespCan'tAnalyze Resp Unable to analyze respiration and pulse signalcmRespPediPatient?Numeric is replaced by -?-INOP toneResp The patient monitor the Respiration Pod is assigned to is in pediatric mode. The INOP will remain active until the monitor is changed to adult mode.INOP Message, Indication Source What to doRespiration Settings Factory DefaultsMode AutoRepeat Time 15 mincmResp OnPulse OnDyn. Repetition EnabledPosture OffActivity OffAging Time 10 minColor YellowActivity When to performCharge the battery Upon receipt, after use, or if a low battery state is indicated. To optimize performance, a fully (or almost fully) discharged battery should be charged as soon as possible.](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-89.png)
![4 IntelliVue CL Respiration Pod90Handling PrecautionsLithium ion batteries store a large amount of energy in a small package. Use caution when handling the IntelliVue Cableless Measurement Devices with built-in battery; misuse or abuse could cause bodily injury and/or property damage.• Handle with care.• Do not expose the device to liquids.• Do not attempt to disassemble the device.• Do not put device in autoclave.• Damaged devices should not be used anymore.WARNING• Do not crush or puncture - mechanical abuse can lead to internal damage and internal short circuits which may not be visible externally.• Do not incinerate the devices or expose them to temperatures above 60°C (140°F).StorageIf unused IntelliVue Cableless Measurement Devices are stored for an extended period of time:• they should be powered off for storage• they should be stored in a cool place, ideally between 15°C and 25°C (60°F and 77°F)• the state of charge should be between 40-50%• they should be recharged every six monthsStoring in a cool place slows the aging process of the batteries. They should be fully charged prior to use. Do not store the device at a temperature outside the range of -20°C (-4°F) to 60°C(140°F).Do not store cableless devices in direct sunlight.NOTEStoring the devices at temperatures above 40°C (104°F) for extended periods of time could significantly reduce the battery's life expectancy.Battery Lifetime ManagementThe lifetime of a Lithium Ion battery depends on the frequency and duration of use. When properly cared for, the useful life is approximately 4 years or 400 complete charge-discharge cycles, whichever comes first. In addition, experience indicates that the incidence of failure may increase with battery service life due to the accumulated stresses of daily use. The batteries of the IntelliVue CL Respiration Pod cannot be exchanged, so the device itself must be replaced after 4 years or 400 complete charge-discharge cycles.Store the device in a state of charge in the range of 40-50% and power off the device completely.When not in use for an extended period of time. Activity When to perform](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-90.png)
![4 IntelliVue CL Respiration Pod91AccessoriesYou can order parts and accessories from Philips supplies at www.medical.philips.com or consult your local Philips representative for details.WARNINGReuse: Never reuse single-patient sensors, accessories and so forth that are intended for single use, or single patient use only. Reuse may compromise device functionality and system performance and cause a potential hazard, in particular with regard to cross-contamination.Philips’ approval: Use only Philips-approved accessories. Using non-Philips-approved accessories may compromise device functionality and system performance and cause a potential hazard.IntelliVue CL Respiration Pod AccessoriesMaintenance and TroubleshootingWARNINGSchedule: Failure on the part of the responsible individual hospital or institution employing the use of this equipment to implement a satisfactory maintenance schedule may cause undue equipment failure and possible health hazards.Contact: If you discover a problem with any of the equipment, contact your service personnel, Philips, or your authorized supplier.Inspecting the Equipment and AccessoriesYou should perform a visual inspection before every use, and in accordance with your hospital's policy:Examine unit exteriors for cleanliness and general physical condition. Make sure that the housings are not cracked or broken, that everything is present, that there are no spilled liquids and that there are no signs of abuse.WARNINGIf the IntelliVue Cableless Measurement Device is mechanically damaged, or if it is not working properly, do not use it for any monitoring procedure on a patient, contact your service personnel.Maintenance Task and Test ScheduleAll maintenance tasks and performance tests are documented in detail in the service documentation supplied on the IntelliVue Cableless Measurements documentation DVD. These tasks are for Philips-qualified service professionals only.Order Number Description Contents989803179541 Mobile CL Respiration Pod Attachment 50 attachments](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-91.png)
![4 IntelliVue CL Respiration Pod92Ensure that these tasks are carried out as indicated by the device's maintenance schedule, or as specified by local laws. Contact a Philips-qualified service provider if your device needs a safety or performance test. Clean and disinfect equipment to decontaminate it before testing or maintaining it.TroubleshootingIf the status LED does not light up when you press a key, place the device onto a charger slot on the charging station.If you suspect a problem with an individual measurement device, read the Instructions for Use and double check that you have set up the measurement correctly. Check also that the measurement has not been switched off at the patient monitor that the device is assigned to.If you suspect an intermittent, system-wide problem call your service personnel.](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-92.png)
![5935Cableless Measurement Auxiliary DevicesIntelliVue CL Transmitter and IntelliVue CL HotspotThe IntelliVue CL Transmitter and the IntelliVue CL Hotspot are auxiliary network devices that convert the SRR radio technology from the IntelliVue CL SpO2 Pod, the IntelliVue CL NBP Pod and the IntelliVue CL Respiration Pod into WLAN or LAN technology. This allows data from the measurement devices to be transmitted to a PC for use with IntelliVue GuardianSoftware.The IntelliVue CL Transmitter is a mobile device which can be worn by the patient or by an attending caregiver. It transmits vital signs data to IntelliVue GuardianSoftware while the patient is moving around. The display on the CL Transmitter shows only technical data that may be useful for troubleshooting system problems.The IntelliVue CL Hotspot serves as an access point in a fixed location, to provide communication to IntelliVue GuardianSoftware for any CL Pods currently in its transmission area. The CL Hotspots will normally be located in areas where mobile patients regularly pass by or spend time. When the patient IntelliVue CL Transmitter IntelliVue CL Hotspot](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-93.png)
![5 Cableless Measurement Auxiliary Devices94comes into the transmission area, any available measurement results will be automatically communicated to GuardianSoftware.The IntelliVue CL Transmitter is battery-powered while the IntelliVue CL Hotspot is powered by an external power supply or PoE (power over ethernet).WARNINGThe IntelliVue CL Hotspot may not be used in the patient vicinity.Screen LayoutThe CL Transmitter and CL Hotspots have the same hardkeys and display as the CL SpO2 and NBP Pods.However, there is no user interaction required during normal operation.This is the standard screen of a CL Transmitter or CL Hotspot:The network status symbols show one of the following states:Screen of a CL Transmitter / CL Hotspot:1Equipment label2Number of GuardianSoftware Servers connected3Network status symbols (LAN and WLAN)4Connection status5Number of Cableless Measurement Devices connected6Battery gaugeState LAN symbol WLAN symboloff - (no symbol displayed) - (no symbol displayed)not connectedno IP addressno Guardian server connectednormally connected](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-94.png)
![5 Cableless Measurement Auxiliary Devices95CL Transmitter Integrated Battery HandlingBattery CareBattery care begins when you receive a new IntelliVue Cableless Measurement Device with built-in battery and continues throughout the life of the device. The table below lists battery care activities and when they should be performed.Handling PrecautionsLithium ion batteries store a large amount of energy in a small package. Use caution when handling the IntelliVue Cableless Measurement Devices with built-in battery; misuse or abuse could cause bodily injury and/or property damage.• Handle with care.• Do not expose the device to liquids.• Do not attempt to disassemble the device.• Do not put device in autoclave.• Damaged devices should not be used anymore.WARNING• Do not crush or puncture - mechanical abuse can lead to internal damage and internal short circuits which may not be visible externally.• Do not incinerate the devices or expose them to temperatures above 60°C (140°F).StorageIf unused IntelliVue Cableless Measurement Devices are stored for an extended period of time:• they should be powered off for storage• they should be stored in a cool place, ideally between 15°C and 25°C (60°F and 77°F)• the state of charge should be between 40 and 50%• they should be recharged every six monthsStoring in a cool place slows the aging process of the batteries. They should be fully charged prior to use. Do not store the device at a temperature outside the range of -20°C (-4°F) to 60°C(140°F).Do not store cableless devices in direct sunlight.Activity When to performPerform a visual inspection Before using the IntelliVue Cableless Measurement DeviceCharge the battery Upon receipt, after use, or if a low battery state is indicated. To optimize performance, a fully (or almost fully) discharged battery should be charged as soon as possible.Store the device in a state of charge in the range of 40-50% and power off the device completely.When not in use for an extended period of time, or when the device is shipped.](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-95.png)
![5 Cableless Measurement Auxiliary Devices96NOTEStoring the devices at temperatures above 40°C (104°F) for extended periods of time could significantly reduce the battery's life expectancy.Battery Lifetime ManagementThe lifetime of a Lithium Ion battery depends on the frequency and duration of use. When properly cared for, the useful life is approximately 4 years or 400 complete charge-discharge cycles, whichever comes first. In addition, experience indicates that the incidence of failure may increase with battery service life due to the accumulated stresses of daily use. We therefore strongly recommend that lithium ion batteries be replaced after 4 years or 400 complete charge-discharge cycles.To see the date of manufacture and the number of charge-discharge cycles:1Select the Battery Smartkey or Main Setup followed by Battery.2Press the hardkey to view the battery details.The date of manufacture and the number of charge-discharge cycles are listed with other battery data on the screen. Use the ◄ hardkey to scroll through the list.The age of a lithium ion battery begins at the date of manufacture.AccessoriesYou can order parts and accessories from Philips supplies at www.medical.philips.com or consult your local Philips representative for details.WARNINGReuse: Never reuse single-patient sensors, accessories and so forth that are intended for single use, or single patient use only. Reuse may compromise device functionality and system performance and cause a potential hazard, in particular with regard to cross-contamination.Philips’ approval: Use only Philips-approved accessories. Using non-Philips-approved accessories may compromise device functionality and system performance and cause a potential hazard.IntelliVue CL Transmitter AccessoriesOrder Number Description Contents989803168881 Mobile CL 20 Transmitter Cradle Kit 20 Single-Patient cradles and straps989803168871 Mobile CL Transmitter Battery Kit 1 Battery1 disassembly tool1 front housing](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-96.png)
![5 Cableless Measurement Auxiliary Devices97IntelliVue CL Transmitter Base Station(shown here with the transmitter inserted)The IntelliVue CL Transmitter Base Station is used with the IntelliVue CL Transmitter. When the patient is in their room, the Transmitter can be inserted into the Base Station where it is powered and recharged and also remains connected to the WLAN to communicate vital signs data.WARNINGThe IntelliVue CL Transmitter Base Station may not be used in the patient vicinity.Ensure that the CL Transmitter Base Station does not come into close contact with implanted pacemakers, to avoid magnetic interference affecting the mode of the pacemaker.CAUTIONThe CL Transmitter Base Station generates a magnetic field. Do not store magnetic media (such as identity cards or credit cards with magnetic strips or magnetic tapes/disks) near to the Base Station, as the data may be damaged.IntelliVue CL Charging StationThis chapter contains some general information about charging IntelliVue Cableless Measurement Devices. For detailed information about the IntelliVue CL Charging Station, please see the separate IntelliVue CL Charging Station Instructions for Use.](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-97.png)
![5 Cableless Measurement Auxiliary Devices98Charging IntelliVue Cableless Measurement DevicesAll IntelliVue Cableless Measurement Devices and Auxiliary Devices except the CL Hotspot are battery powered and need to be recharged using the IntelliVue CL Charging Station. The batteries are built in and can only be exchanged by trained service personnel, with the exception of the IntelliVue CL Respiration Pod, where the whole unit needs to be exchanged.To charge a battery, place the device onto a charger slot on the charging station. The NBP Pod and Transmitter should always be placed on one of the slots in the upper row. The battery power indicators will supply information about the charge status.WARNING• Always use the supplied power cord with the grounded mains plug to connect the charging station to a grounded AC mains socket. Never adapt the mains plug from the charging station to fit an ungrounded AC mains socket.• Do not use AC mains extension cords or multiple portable socket outlets. If a multiple portable socket outlet without an approved isolation transformer is used, the interruption of its protective grounding may result in enclosure leakage currents equal to the sum of the individual ground leakage currents, so exceeding allowable limits.• Do not connect any devices that are not supported as part of a system.Battery Power IndicatorsThere are various indications which help you keep track of the battery power status:• LEDs on the charging station slots• battery status information on the charging station's display, the NBP/SpO2 Pod's display and the Respiration Pod's LED• INOP messages• battery symbol on the patient monitor's screen (when assigned to a patient monitor)• battery symbol in GuardianSoftware (when assigned to a patient in GuardianSoftware)The indicators always show the remaining capacity in relation to the battery's actual maximum capacity, which may lessen as the battery ages. You can see the actual capacity in the Battery menu.](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-98.png)
![599Maintenance and TroubleshootingWARNINGSchedule: Failure on the part of the responsible individual hospital or institution employing the use of this equipment to implement a satisfactory maintenance schedule may cause undue equipment failure and possible health hazards.Contact: If you discover a problem with any of the equipment, contact your service personnel, Philips, or your authorized supplier.Inspecting the Equipment and AccessoriesYou should perform a visual inspection before every use, and in accordance with your hospital's policy. With the device switched off:1Examine unit exteriors for cleanliness and general physical condition. Make sure that the housings are not cracked or broken, that everything is present, that there are no spilled liquids and that there are no signs of abuse.2Inspect all accessories (cables, sensors and so forth). If any show signs of damage, do not use them.WARNINGIf the IntelliVue Cableless Measurement Device is mechanically damaged, or if it is not working properly, do not use it for any monitoring procedure on a patient, contact your service personnel.Maintenance Task and Test ScheduleAll maintenance tasks and performance tests are documented in detail in the service documentation supplied on the IntelliVue Cableless Measurements documentation DVD. These tasks are for Philips-qualified service professionals only.Ensure that these tasks are carried out as indicated by the device's maintenance schedule, or as specified by local laws. Contact a Philips-qualified service provider if your device needs a safety or performance test. Clean and disinfect equipment to decontaminate it before testing or maintaining it.TroubleshootingIf a device will not switch on when you press a key, place it onto a charger slot on the charging station.](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-99.png)
![5 Cableless Measurement Auxiliary Devices100If you suspect a problem with an individual measurement device, read the Instructions for Use and double check that you have set up the measurement correctly. Check also that the measurement has not been switched off at the patient monitor that the device is assigned to.If you suspect an intermittent, system-wide problem call your service personnel.](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-100.png)
![61016Care and CleaningUse only the Philips-approved substances and methods listed in this chapter to clean or disinfect your equipment. Warranty does not cover damage caused by using unapproved substances or methods.Philips makes no claims regarding the efficacy of the listed chemicals or methods as a means for controlling infection. Consult your hospital’s Infection Control Officer or Epidemiologist. For comprehensive details on cleaning agents and their efficacy refer to “Guideline for Disinfection and Sterilization in Healthcare Facilities” issued by the U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control, Atlanta, Georgia, 2008. See also any local policies that apply within your hospital, and country.General PointsKeep your IntelliVue Cableless Measurement Devices and accessories free of dust and dirt. After cleaning and disinfection, check the equipment carefully. Do not use if you see signs of deterioration or damage. If you need to return any equipment to Philips, decontaminate it first.Observe the following general precautions:• Always dilute according to the manufacturer’s instructions or use lowest possible concentration.• Do not allow liquid to enter the case.• Do not immerse any part of the equipment or any accessories in liquid if it is not explicitly allowed and described in the respective accessory Instructions for Use.• Do not pour liquid onto the charging station.• Never use abrasive material (such as steel wool or silver polish).WARNINGIf you spill liquid on the charging station or accessories, or if any device or accessory is accidentally immersed in liquid, contact your service personnel or Philips service engineer. Do not operate the equipment before it has been tested and approved for further use.Do not use flammable agents for disinfecting cableless measurement devices in an oxygen-enriched environment, as this might lead to sudden ignition of vapors, resulting in injury to the patient or staff.](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-101.png)
![6 Care and Cleaning102Cleaning and Disinfecting the IntelliVue Cableless Measurement DevicesThe following instructions apply to the IntelliVue CL SpO2 Pod, the IntelliVue CL Respiration Pod, the IntelliVue CL NBP Pod, the corresponding single patient Mobile CL Cradles and the auxiliary devices: IntelliVue CL Charging Station, IntelliVue CL Transmitter, IntelliVue CL Transmitter Base Station and IntelliVue CL Hotspot.Clean with a lint-free cloth, moistened with warm water (40°C/104°F maximum) and soap, a diluted non-caustic detergent, tenside, ammonia- or alcohol-based cleaning agent. Do not use strong solvents such as acetone or trichloroethylene.CAUTIONSolutions: Do not mix disinfecting solutions (such as bleach and ammonia) as hazardous gases may result.Hospital policy: Disinfect the product as determined by your hospital’s policy only using the cleaning agents specified below, to avoid long term damage to the cableless device.Drying devices: Do not use heat sources, such as ovens or hairdryers, to dry the Pods. Do not put the Pods in a microwave.No sterilizing: Do not put the Pods in an autoclave, the devices are not sterilizable.Rinse the Pods in water, paying special attention to the contact area to remove all residues. Wipe them dry with a clean cloth and then leave them to dry completely.Do not allow any liquid to enter the charging station case and avoid pouring it on the charging station while cleaning.The wristbands used with the Mobile CL SpO2 Cradles are single-patient items and cannot be cleaned or disinfected.Refer to the accessory Instructions for Use for cleaning and disinfection information for SpO2 sensors.Recommended Disinfection AgentsWe recommend that you use one of the following disinfectants:Product Name Product Type IngredientsIsopropanol liquid Isopropanol 80%Bacillol® AF liquid, spray 100 g concentrate contains:Propan-1-ol 45.0 g; Propan-2-ol 25.0 g; Ethanol 4.7 gBacillol® 25 liquid Ethanol 100 mg/gPropan-2-ol (= 2-Propanol) 90 mg/g;Propan-1-ol (= 1-Propanol) 60 mg/gMeliseptol®spray 50% 1-PropanolAccel TB RTU liquid 0.5% accelerated hydrogen peroxideOxivir® Tb Cleaner Disinfectant spray 0.5% accelerated hydrogen peroxide](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-102.png)
![6 Care and Cleaning103Refer to the accessory Instructions for Use for cleaning and disinfection information for SpO2 sensors and NBP cuffs.Disposing of the IntelliVue Cableless Measurement DevicesWARNINGTo avoid contaminating or infecting personnel, the environment or other equipment, make sure you disinfect and decontaminate the IntelliVue Cableless Measurement Devices appropriately before disposing of them in accordance with your country's laws for equipment containing electrical and electronic parts. For disposal of parts and accessories, where not otherwise specified, follow local regulations regarding disposal of hospital waste.You will find detailed disposal information on the following webpage:www.healthcare.philips.com/in_en/about/Sustainability/Recycling/pm.wpdThe Recycling Passports located there contain information on the material content of the equipment, including potentially dangerous materials which must be removed before recycling (for example, batteries and parts containing mercury or magnesium).Do not dispose of waste electrical and electronic equipment as unsorted municipal waste. Collect it separately, so that it can be safely and properly reused, treated, recycled, or recovered.For information in disposal of accessories, refer to the accessory Instructions for Use.Oxivir® Tb Wipes wipes 0.5% accelerated hydrogen peroxideCarpe DiemTM/MC TbReady-to-Use General Virucide, Bactericide, Tuberculocide, Fungicide, Sanitizerspray 0.5% accelerated hydrogen peroxideCarpe DiemTM/MC Tb Wipes wipes 0.5% accelerated hydrogen peroxideSuper Sani-ClothGermicidal Disposable Wipeswipes isopropanol 55%quaternary ammonium chlorides 0.5%SANI-CLOTH® PLUSGermicidal Disposable Wipeswipes isopropanol 15%quaternary ammonium chlorides 0.25%SANI-CLOTH® HB GermicidalGermicidal Disposable Wipeswipes isopropanol < 0.15%quaternary ammonium chlorides 0.14%Product Name Product Type Ingredients](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-103.png)
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![71057SpecificationsThe specifications in this section apply to the:• IntelliVue CL SpO2 Pod• IntelliVue CL NBP Pod• IntelliVue CL Respiration Pod• IntelliVue CL Charging Station• IntelliVue CL Transmitter• IntelliVue CL Transmitter Base Station• IntelliVue CL HotspotThe IntelliVue Cableless Measurement Devices might not meet the performance specification listed in this chapter, if stored or operated outside the specified environmental conditions.WARNINGThe IntelliVue Cableless Measurement Devices are not intended for use in an MRI environment or in an oxygen-enriched environment (e.g. hyperbaric chambers). During MR imaging, remove all IntelliVue Cableless Measurement Devices and sensors from the patient. Induced currents could cause burns.Indications for UseIntelliVue CL SpO2 Pod:The IntelliVue CL SpO2 Pod is indicated for use by health care professionals whenever there is a need for acquisition or monitoring of physiological patient parameters SpO2 and pulse rate wirelessly.The intended use of the IntelliVue CL SpO2 Pod when used together with a patient monitor or with a telemetry system transceiver is for monitoring and recording of, and to generate alarms for, arterial oxygen saturation and pulse rate of adult and pediatric patients.The IntelliVue CL SpO2 Pod is also intended for local attended monitoring of, and to generate alarms for, arterial oxygen saturation and pulse rate of adult and pediatric patients. Local attended monitoring refers to situations where clinical staff is close to the patient such that acoustic alarming of the IntelliVue CL SpO2 Pod will be noticed. Example: In-hospital transport of a patient by hospital staff to a procedure room.](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-105.png)
![7 Specifications106The IntelliVue CL SpO2 Pod is also intended for acquisition of arterial oxygen saturation and pulse rate data of adult and pediatric patients for a clinical information management system.The IntelliVue CL SpO2 Pod is intended for use by health care professionals inside hospitals. It is not intended for home use. It is not a therapeutic device.IntelliVue CL NBP Pod:The IntelliVue CL NBP Pod is indicated for use by health care professionals whenever there is a need for acquisition or monitoring of physiological patient parameters non-invasive blood pressure and pulse rate wirelessly.The intended use of the IntelliVue CL NBP Pod when used together with a patient monitor or with a telemetry system transceiver is for monitoring and recording of, and to generate alarms for, systolic, diastolic, and mean pressure and pulse rate of adult and pediatric patients.The IntelliVue CL NBP Pod is also intended for local attended monitoring of, and to generate alarms for, systolic, diastolic, and mean pressure, and to measure pulse rate of adult and pediatric patients. Local attended monitoring refers to situations where clinical staff is close to the patient such that acoustic alarming of the IntelliVue CL NBP Pod will be noticed. Example: In-hospital transport of a patient by hospital staff to a procedure room.The IntelliVue CL NBP Pod is also intended for acquisition of systolic, diastolic, and mean pressure and pulse rate data of adult and pediatric patients for a clinical information management system.The IntelliVue CL NBP Pod is intended for use by health care professionals inside hospitals. It is not intended for home use. It is not a therapeutic device.IntelliVue CL Respiration Pod:The IntelliVue CL Respiration Pod is indicated for use by health care professionals whenever there is a need for intermittent or spot-check acquisition and monitoring of physiological patient parameters respiration rate and pulse rate wirelessly in specific hospital areas. The IntelliVue CL Respiration Pod is mainly indicated for use in general medical and surgery wards and in waiting areas of emergency rooms. It is not indicated for use in hospital areas in which continuous patient monitoring is needed, such as intensive care units or operating rooms.The intended use of the IntelliVue CL Respiration Pod when used together with a patient monitor is for intermittent or spot-check monitoring and recording of, and to generate alarms for, respiration rate and pulse rate of adult patients.The IntelliVue CL Respiration Pod is also intended for acquisition of respiration rate and pulse rate data of adult patients for a clinical information management system.The IntelliVue CL Respiration Pod is intended for use by health care professionals. It is not intended for home use. It is not a therapeutic device.The IntelliVue CL Respiration Pod is not intended for use on patients with extremely high values for respiration rate (above 60 rpm).The IntelliVue CL Respiration Pod is not intended for use on acutely ill cardiac patients with the potential to develop life threatening arrhythmias, e.g. very fast atrial fibrillation or ventricular tachycardia (rapid irregular pulse rate). For monitoring of these patients, a device for continuous ECG monitoring is necessary. The IntelliVue CL Respiration Pod is not a substitute for an ECG monitor.](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-106.png)
![7 Specifications107WARNINGDo not use the CL Respiration Pod on patients with rapid, irregular heart rates greater than 110 bpm. Use under these conditions has not been clinically validated.Rx only: US Federal Law restricts these devices to sale by or on the order of a physician.Compatible Medical Devices• IntelliVue Patient Monitors MP5/MP5SC/MP5T, MP2 or X21• IntelliVue Telemetry System Transceivers TRx4841A/TRx4851A and MX40 wearable patient monitors2• Clinical information management system: IntelliVue GuardianSoftware1 MP2 and X2 are not compatible with the CL Respiration Pod2 not compatible with the CL Respiration PodCompatible Medical Devices supporting local attended monitoring together with CL SpO2 and NBP Pods:• IntelliVue Patient Monitors MP5/MP5SC/MP5TManufacturer's InformationYou can write to Philips at this addressPhilips Medizin Systeme Boeblingen GmbHHewlett-Packard-Str. 271034 BoeblingenGermanyVisit our website at: www.healthcare.philips.com/us/.© Copyright 2013. Koninklijke Philips N.V. All Rights Reserved.](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-107.png)
![7 Specifications108SymbolsThese symbols can appear on the IntelliVue Cableless Measurement Devices and associated equipment and accessories.SymbolsCaution, consult accompanying documentsRefer to accompanying documentsProtective earthEquipotential grounding Alternating current Connector has special protection against electric shocks and is defibrillator proofError LED Built-in wireless network (WLAN)USB interfaceNon-ionizing radiation symbolNBP identifier SpO2 identifierAlways use separate collection for waste electrical and electronic equipment (WEEE)Identifies year and month of manufactureIndicates location of the date of manufacture and/or name and address of manufacturerIndicates location of serial numberIndicates location of catalog numberIndicates location of service numberFollowed by two alphanumeric characters, indicates ingress protection gradeLAN connection indicator for connection to a wired networkDo not reuseNot made with natural rubber latexResp identifier](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-108.png)
![7 Specifications109Safety SpecificationsIntelliVue CL SpO2 Pod, CL NBP Pod and CL Respiration Pod:IntelliVue CL Charging Station and CL Transmitter:The IntelliVue CL SpO2 Pod, CL NBP Pod, CL Respiration Pod, CL Charging Station, and CL Transmitter comply with the Medical Device Directive 93/42/EEC. In addition, the IntelliVue CL SpO2 Pod and CL NBP Pod comply with:IEC 60601-1:1988 + A1:1991 + A2:1995; EN 60601-1:1990 + A1:1993 + A2:1995; UL 60601-1:2003; CAN/CSA C22.2#601.1-M90+S1+A2; JIS T 0601-1:1999; IEC 60601-1-1:2000; EN 60601-1-1:2001;IEC 60601-1-2:2001 + A1 2004; EN 60601-1-2:2001 + A1 2006 and IEC 60601-1-2:2007; EN 60601-1-2:2007The possibility of hazards arising from software errors was minimized in compliance with EN ISO 14971:2000 + A1:2003; ISO 14971:2007; EN ISO 14971:2007, IEC 60601-1-4:1996 + A1:1999; EN 60601-1-4:1996 + A1:1999.The CL Respiration Pod complies with:IEC 60601-1:2005 + Cor1:2006 +Cor2:2007; EN 60601-1:2006 + Cor11:2010; ANSI/AAMI ES60601-1:2005 + C1:2009 + A2:2010; CAN/CSA-C22.2 No. 60601-1-08 + TC2:2011; IEC 60601-1-2:2007; EN 60601-1-2:2007 + AC:2010The possibility of hazards arising from software errors was minimized in compliance with EN ISO 14971:2000 + A1:2003; ISO 14971:2007; EN ISO 14971:2007Classification (according to IEC 60601-1):IntelliVue CL SpO2 Pod, CL NBP Pod, CL Respiration Pod: Internally powered equipment, Type CF, Continuous OperationIntelliVue CL Transmitter: Internally powered equipment, Continuous OperationIntelliVue CL Charging Station: Class I equipment, Continuous OperationIntelliVue CL Transmitter Base Station and CL Hotspot:The IntelliVue CL Transmitter Base Station and CL Hotspot comply with the Low Voltage Directive 2006/95/EC.In addition, these devices comply with:IEC 60950-1:2005; EN 60950-1:2006+A11:2009.](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-109.png)
![7 Specifications110EMC and Radio Regulatory ComplianceFCC and Industry Canada Radio ComplianceIntelliVue CL SpO2 Pod, CL NBP Pod, CL Respiration Pod, CL Charging Station, CL Transmitter:This ISM device complies with Canadian ICES-001. Cet appareil ISM est conforme à la norme NMB-001 du Canada.IntelliVue CL Transmitter Base Station:This Class B digital apparatus complies with Canadian ICES-003. Cet appareil numérique de la classe B est conforme à la norme NMB-003 du Canada.IntelliVue CL Hotspot:This Class A digital apparatus complies with Canadian ICES-003. Cet appareil numérique de la classe A est conforme à la norme NMB-003 du Canada.These devices comply with Part 15 of the FCC Rules and RSS-210 of Industry Canada. Operation is subject to the following two conditions: (1) these devices may not cause harmful interference, and (2) these devices must accept any interference received, including interference that may cause undesired operation. Any changes or modifications to this equipment not expressly approved by Philips Medical Systems may cause harmful radiofrequency interference and void your authority to operate this equipment. Usage of license-exempt local area network (LE-LAN) in Canada:IntelliVue CL Transmitter and CL HotspotThe maximum antenna gain permitted (for devices in the bands 5250-5350 MHz and 5470-5725 MHz) complies with the e.i.r.p. limits as stated in RSS-210.The maximum antenna gain permitted (for devices in the 5725-5825 MHz band) complies with the e.i.r.p. limits specified for point-to-point operation, as stated in RSS-210.The device for the band 5150-5250 MHz is only for indoor usage to reduce potential for harmful interference to co-channel mobile satellite systems.CAUTIONHigh power radars are allocated as primary users (meaning they have priority) of the bands 5250-5350 MHz and 5650-5850 MHz and these radars could cause interference and/or damage to LE-LAN devices.Japanese Radio Law and Japanese Telecommunications Business Law ComplianceIntelliVue CL Respiration Pod and CL Hotspot](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-110.png)
![7 Specifications111R&TTE Directive ComplianceIntelliVue CL SpO2 Pod, CL NBP Pod, CL Respiration Pod, and CL Charging StationIntelliVue CL Transmitter, and CL Hotspot Philips Medizin Systeme Boeblingen GmbH hereby declares that these products are in compliance with the essential requirements and other relevant provisions of Directive 1999/5/EC (Radio and Telecommunications Terminal Equipment Directive).The IntelliVue CL SpO2 Pod, CL NBP Pod, CL Respiration Pod, CL Charging Station, CL Transmitter, and CL Hotspot incorporate a SRR module, which is Class 1 radio equipment. The IntelliVue CL Transmitter and CL Hotspot incorporate additionally the IntelliVue 802.11 Adapter, which is Class 2 radio equipment. The products are intended to be connected to the Publicly Available Interfaces (PAI) and used throughout the EEA. Individual countries may apply restrictions on putting this device into service or placing on the market.To obtain a copy of the original Declaration of Conformity, please contact Philips at the address as stated in the “Manufacturer's Information” section of these Instructions for Use.WARNING• The IntelliVue CL Charging Station is Class A professional equipment. This equipment is not intended for use in domestic establishments or connection to the public mains network. In domestic establishments or when connected to the public mains network, this equipment may cause radio interference or may disrupt the operation of nearby equipment.• The IntelliVue CL Hotspot is a Class A product. In a domestic environment this product may cause radio interference, in which case the user may be required to take adequate measures.• This equipment generates, uses and radiates radiofrequency energy, and if it is not installed and used in accordance with its accompanying documentation, may cause interference to radio communications.• The device, equipped with a wireless network interface, intentionally receives RF electromagnetic energy for the purpose of its operation. Therefore, other equipment may cause interference, even if that other equipment complies with CISPR emission requirements.EMC Directive ComplianceIntelliVue CL Transmitter Base Station and CL Hotspot The IntelliVue CL Transmitter Base Station and CL Hotspot comply with the EMC Directive 89/336/EECIn addition these devices comply with:CISPR 22:2005 + A1:2005; EN 55022:2006 + A1:2007;CISPR 24:1997 + A1:2001 + A2:2002; EN 55024:1998 + A1:2001 + A2:2003](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-111.png)
![7 Specifications112Radiofrequency Radiation Exposure InformationIntelliVue CL TransmitterFor body worn operation, this device has been tested and meets FCC RF exposure guidelines when used in the standard configuration with the rear side towards the body, without a gap. Alternatively, it can be used with any accessory that positions the front side of the device a minimum of 10 mm from the body. The accessory itself must not contain any metal parts. Use of other accessories may not ensure compliance with FCC RF exposure guidelines.Nevertheless it is strongly recommended to operate the CL Transmitter with the rear side towards the body to achieve best possible radio performance.Safety and Performance TestsYou must observe any national regulations on the qualification of the testing personnel and suitable measuring and testing facilities. See the maintenance section for a list of required tests. Safety and performance tests, and what to do if the IntelliVue Cableless Measurements do not meet these specifications, are described in the IntelliVue Cableless Measurements Service Guide.Electromagnetic Compatibility (EMC)Take special precautions regarding electromagnetic compatibility (EMC) when using the IntelliVue Cableless Measurements. You must operate your IntelliVue Cableless Measurements according to the EMC information provided in this book and in the IntelliVue Cableless Measurements Service Guide. Portable and mobile radiofrequency (RF) communications equipment can affect the IntelliVue Cableless Measurements.WARNINGFor paced patients: The radiated SRR power of the IntelliVue SpO2, NBP and Respiration Cableless Measurement Devices, the CL transmitter, and other sources of radiofrequency energy, when used in very close proximity of a pacemaker, might be sufficient to interfere with pacemaker performance. Due to shielding effects of the body, internal pacemakers are somewhat less vulnerable than external pacemakers. However, caution should be exercised when monitoring paced patients.In order to minimize the possibility of interference, avoid positioning and wearing the Cableless Measurement Devices in very close proximity to a pacemaker. Consult the pacemaker manufacturer for information on the RF susceptibility of their products.WARNINGFor paced patients: The radiated WLAN power of the IntelliVue CL Transmitter, and other sources of radiofrequency energy, when used in the proximity of a pacemaker, can be sufficient to interfere with pacemaker performance. Due to shielding effects of the body, internal pacemakers are somewhat less vulnerable than external pacemakers. However, caution should be exercised when monitoring any paced patients.](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-112.png)
![7 Specifications113In order to minimize the possibility of interference, position the IntelliVue CL Transmitter, when body worn, as far away from the pacemaker as possible. Consult the pacemaker manufacturer for information on the RF susceptibility of their products.Accessories Compliant with EMC StandardsAll IntelliVue CL SpO2 Pod, CL NBP Pod and CL Respiration Pod accessories comply, in combination with the IntelliVue Cableless Measurement Devices, with the requirements of IEC 60601-1-2:2001 + A1 2004; EN 60601-1-2:2001 + A1 2006 and IEC 60601-1-2:2007; EN 60601-1-2:2007.WARNINGUsing accessories other than those specified may result in increased electromagnetic emission or decreased electromagnetic immunity of the IntelliVue Cableless Measurement Devices.Electrosurgery Interference/DefibrillationMeasurement accuracy may be temporarily decreased while performing electrosurgery or defibrillation. This does not affect patient or equipment safety. Do not expose the equipment to X-ray or strong magnetic fields (MRI).IntelliVue CL SpO2 Pod SpecificationsComplies with ISO 9919:2005 / EN ISO 9919:2009.Physical SpecificationsSize (W x H x D) 53.5 mm x 27 mm x 65 mm ±5% (2.1 in x 1.1 in x 2.6 in ±5%)(without cradle and sensor)Weight 80 g ±10% (2.8 oz ±10%)Robustness Provides essential performance during exposure to random vibration according to IEC TR 60721-4-7 Class 7M1Survives shock, random vibration and bump according to IEC TR 60721-4-7 Class 7M3 as well as a 1 m dropIngress Protection IP34 according to IEC 60529 (protection against ingress of water when water drips, falls or splashes from any direction)Environmental SpecificationsOperating Temperature Range 0 to 40°C (32 to 104°F)Operating Humidity Range ≤95% RH @ 40°C (104°F)Operating Altitude Range -500 to 3000 mStorage/Transportation Temperature Range-20 to 60°C (-4 to 140°F)](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-113.png)
![7 Specifications114Measurement Validation: The SpO2 accuracy has been validated in human studies against arterial blood sample reference measured with a CO-oximeter. Pulse oximeter measurements are statistically distributed, only about two-thirds of the measurements can be expected to fall within the specified accuracy compared to CO-oximeter measurements.Display Update Period: Typical: 2 seconds, Maximum: 30 seconds. Maximum with NBP INOP suppression on: 60 seconds.Storage/Transportation Humidity Range≤90% RH @ 60°C (140°F)no condensationStorage/Transportation Altitude Range -500 to 4600 mEnvironmental SpecificationsPerformance SpecificationsSpO2Measurement Range 0 to 100%AccuracyThe specified accuracy is the root-mean-square (RMS) difference between the measured values and the reference valuesMobile CL DSpO2-1A single patient sensor:3% (70 to 100%)Mobile CL RSpO2-1A reusable sensor (may not be available in all geographies):3% (70 to 100%)Resolution 1%Pulse Oximeter Calibration Range 70% to 100%PulseMeasurement Range 30 to 300 bpmAccuracy ±2% or 1 bpm, whichever is greaterResolution 1 bpmSensorsLED Power Dissipation Temperature rise at sensor skin interface in compliance with ISO 9919Optical Output Power ≤15 mWWavelength RangeInformation about the wavelength range can be especially useful to clinicians (for instance, when photodynamic therapy is performed)500 to 1000 nmFor further information on accessory specifications, refer to the accessory Instructions for Use.Display SpecificationsType monochrome (4 gray scales), passive LCD (STN), positive/transflectiveViewing Area 25.6 mm x 19.2 mmDot Size 0.2 mm x 0.2 mmResolution 128 x 96 pixelBacklight white LED](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-114.png)
![7 Specifications115IntelliVue CL NBP Pod SpecificationsComplies with IEC 60601-2-30:1999/EN 60601-2-30:2000.NOTEThe effectiveness of this sphygmomanometer has not been established in pregnant, including pre-eclamptic patients.Measurement Validation: The blood pressure measurements determined with this device were clinically validated according to ANSI/AAMI SP10 and ISO 81060-2 in relation to mean error and standard deviation, when compared to auscultatory measurements in representative patient population. For the auscultatory reference the 5th Korotkoff sound was used to determine the diastolic pressure for adult/adolescent subjects and the 4th for pediatric subjects.Sounds Hardkey operation toneAlarm tonePulse Tone with and without Tone ModulationBattery Integrated rechargeable Li-Ion battery with battery gauge and cycle counterRuntime (fully charged battery) Continuous measurement:Typically 24 hoursMinimum 12 hours in continuous modeIntermittent measurement:Typically 60 hours with repetition interval of 2 minutesTypically 3 days with repetition interval of 5 minutesCharging Time max 2.5 hoursShort Range Radio SpecificationsType built in interface with integrated antennaTechnology IEEE 802.15.4Frequency band 2.4 GHz ISM (2.400 - 2.483 GHz)MBAN (2.360 - 2.400 GHz, for US / FCC regulated countries only)Modulation DSSS (O-QPSK)Bandwidth 5 MHzEffective radiated power (ERP) max. 0 dBm (1 mW)Electronic Article Surveillance (EAS) EAS tag inside the housingReal Time Clock Accuracy better than 5 seconds per day (typically) as long as device is in power state "Device on" or "Device off". Automatically synchronized with assigned host system.Performance SpecificationsPhysical SpecificationsSize (W x H x D) 65 mm x 138 mm x 30.5 mm ±5% (2.6 in x 5.4 in x 1.2 in ±5%)(without cradle and cuff)Weight 220 g ±10% (7.8 oz ±10%)(without cradle and cuff)](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-115.png)
![7 Specifications116Robustness Provides essential performance during exposure to random vibration according to IEC TR 60721-4-7 Class 7M1Survives shock, random vibration and bump according to IEC TR 60721-4-7 Class 7M3 as well as a 1 m dropIngress Protection IP32 according to IEC 60529 (protected against ingress of water when the water is dripping vertically and the CL NBP Pod is tilted up to 15° and protected against contact with or ingress of objects larger than 2.5 mm)Environmental SpecificationsOperating Temperature Range 0 to 40°C (32 to 104°F)Operating Humidity Range ≤95% RH @ 40°C (104°F) (non-condensing)Operating Altitude Range -500 to 3000 mStorage/Transportation Temperature Range-20 to 60°C (-4 to 140°F)Storage/Transportation Humidity Range≤90% RH @ 60°C (140°F) (non-condensing)Storage/Transportation Altitude Range -500 to 4600 mIntelliVue CL NBP Pod Performance SpecificationsDisplay SpecificationsType monochrome (4 gray scales), passive LCD (STN), positive/transflectiveViewing Area 25.6 mm x 19.2 mmDot Size 0.2 mm x 0.2 mmResolution 128 x 96 pixelBacklight white LEDSounds Hardkey operation toneAssignment toneNBP Announcement toneNBP done toneAlarm toneBattery Integrated rechargeable Li-Ion battery with battery gauge and cycle counterRuntime (fully charged battery) Minimum 12 hours @ 4 measurements per hourTypical 4 days @ 2 measurements per hourTypical 5 days @ 1 measurement every 2 hoursCharging Time Maximum 2.5 hoursShort Range Radio SpecificationsType built in interface with integrated antennaTechnology IEEE 802.15.4Frequency band 2.4 GHz ISM (2.400 - 2.483 GHz)MBAN (2.360 - 2.400 GHz, for US / FCC regulated countries only)Physical Specifications](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-116.png)
![7 Specifications117Modulation DSSS (O-QPSK)Bandwidth 5 MHzEffective radiated power (ERP) max. 0 dBm (1 mW)Electronic Article Surveillance (EAS) EAS tag inside the housingReal Time Clock Accuracy better than 5 seconds per day (typically) as long as device is in power state "Device on" or "Device off". Automatically synchronized with assigned host system.Measurement Ranges Adult:Systolic: 30 to 270 mmHg (4.0 to 36.0 kPa)Mean: 20 to 255 mmHg (2.5 to 34.0 kPa)Diastolic: 10 to 245 mmHg (1.5 to 32.0 kPa)Pediatric:Systolic: 30 to 180 mmHg (4.0 to 24.0 kPa)Mean: 20 to 160 mmHg (2.5 to 21.0 kPa)Diastolic: 10 to 150 mmHg (1.5 to 20.0 kPa)Pressure Transducer Accuracy (0 to 300 mmHg)±3 mmHg @ 15 to 25°C±(3 mmHg or 2% whichever is greater) @ 10 to 40°CBlood Pressure Measurement Accuracy8 mmHg standard deviation±5 mmHg mean errorPulse Rate Measurement Range 40 to 300 bpmPulse Rate Measurement Accuracy 40 - 100 bpm: ±5 bpm101 - 200 bpm: ±5% of reading201 - 300 bpm: ±10% of reading(average over NBP measurement cycle)Measurement Time Auto/manual/sequence mode:Typical 40 seconds @ >60 bpm and normal adult cuffMaximum 180 secondsSTAT Mode:Typical 30 seconds @ >60 bpm and normal adult cuffMaximum 180 secondsSTAT Mode Cycle Time 5 minutesInitial Cuff Inflation Pressure Adult: 165 ±15 mmHgPediatric: 130 ±15 mmHgVenipuncture Pressure Range Adult: 20 to 120 mmHg in steps of 5 mmHgPediatric: 20 to 80 mmHg in steps of 5 mmHgVenipuncture Pressure Accuracy ±10 mmHgCuff size detection INOP, if neonatal cuff size is detectedIntelliVue CL NBP Pod Performance Specifications](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-117.png)
![7 Specifications118IntelliVue CL Respiration Pod SpecificationsPhysical SpecificationsSize (W X H X D) 43.5 mm x 13 mm x 64 mm ±5% (1.7 in x 0.5 in x 2.5 in ±5%)(without accessories)Weight 36.4 g ±10% (1.3 oz ±10%)Robustness Survives shock, random vibration and bump according to IEC TR 60721-4-7 Class 7M3 as well as a 1 m dropIngress Protection IP67 according to IEC 60529Environmental SpecificationsOperating Temperature Range 0 to 40°C (32 to 104°F)Operating Humidity Range ≤95% RH @ 40°C (104°F), no condensationOperating Altitude Range -500 to 3000 mStorage/Transportation Temperature Range-20 to 60°C (-4 to 140°F)Storage/Transportation Humidity Range≤90% RH @ 60°C (140°F), no condensationStorage/Transportation Altitude Range -500 to 4600 mStorage/Transportation Ambient Temperature (Altitude Range)1075 hPa to 570 hPa (-500 m to 4600 m / -1650 ft to 15000 ft)Performance SpecificationsBattery Integrated rechargeable Li-Ion battery with battery gauge and cycle counterRuntime (fully charged battery) Minimum 8 hours in frequent measurement modeTypically 18 hours in frequent measurement modeMinimum 1.5 days @ 4 measurements per hour*Typical 2 days @ 4 measurements per hour**If posture or activity is on, the runtime specification of the frequent measurement mode applies.Charging Time max 2.5 hoursShort Range Radio SpecificationsType built in interface with integrated antennaTechnology IEEE 802.15.4Frequency band 2.4 GHz ISM (2.400 - 2.483 GHz)MBAN (2.360 - 2.400 GHz, for US / FCC regulated countries only)Modulation DSSS (O-QPSK)Bandwidth 5 MHzEffective radiated power (ERP) max. 2 dBm (1.6 mW)](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-118.png)
![7 Specifications119Alarm SpecificationsWhen the CL Respiration Pod is used alone, without an assignment to a host, no physiological alarms will be generated.When the CL SpO2 Pod or CL NBP Pod are used for local attended monitoring, the following specifications apply:Real Time Clock Accuracy better than 5 seconds per day (typically) as long as device is in power state "Device on". Automatically synchronized with assigned host system.RespirationMeasurement Range 5 to 60 rpmAccuracy ±1 rpmResolution 1 rpmPulseMeasurement Range 30 to 220 bpmFor rapid, irregular heart rates: 30 to 110 bpmAccuracy ±3% or ±1 bpm (whichever is greater)Resolution 1 bpmPosture Information 8 patient postures (supine, prone, upright, reclined, forward, lying on left side, lying on right side, upside down)Activity Information 10 levels from 1 (very low activity) to 10 (very high activity);level 0: no signalPerformance SpecificationsAttachment SpecificationsSize (W X H) 196 mm x 64 mm (7.7 in x 2.5 in)Environmental SpecificationsOperating temperature range 0 to 40°C (32 to 104°F)Storage / Transportation temperature rangeStorage: 12 to 35°C (54 to 95°F)Transportation: -20 to 60°C (-4 to 140°F)Storage / Transportation humidity range Storage: 18% RH to 78% RHTransportation: ≤ 90% RH @ 60°C (140°F); no condensationStorage / Transportation altitude range 1075 hPa to 570 hPa (-500 m to 4600 m / -1650 ft to 15000 ft)Alarm SignalSystem Alarm DelayThe system alarm delay is the processing time the system needs for any alarm to be indicated on the device, after the measurement has triggered the alarm.less than 4 secondsDelay for alarm availability on the networkThis is the time needed after alarm indication on the device until the alarm signal is available on the network, to the monitor or to other systems.less than 5 seconds](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-119.png)
![7 Specifications120When the Cableless Measurement Devices are assigned to a monitor or telemetry device, alarms may be announced at the host monitor (for the telemetry device, at the Information Center). See the respective Instructions for Use for detailed alarm specifications.Alarm delay times are as specified in the Instructions for Use of your patient monitor or IntelliVue Information Center plus 4 seconds.NOTEIf the SRR connection between the Cableless Measurement Device and the patient monitor or telemetry device is interrupted, the patient monitor or telemetry device will issue an INOP within 5 seconds.Sound Pressure Range min. 0 dB(A)max. 30-65 dB(A)Alarm SignalSpO2 Alarm Specifications Range AdjustmentSpO2Adult: 50 to 100%Pedi: 30 to 100%1% stepsDesat Adult: 50 to Low alarm limitPedi: 30 to Low alarm limit1% stepsPulse 30 to 300 bpm Adult:1 bpm steps (30 to 40 bpm)5 bpm steps (40 to 300 bpm)Pedi:1 bpm steps (30 to 50 bpm)5 bpm steps (50 to 300 bpm)Tachycardia Difference to high limit 0 to 50 bpm 5 bpm stepsClamping at 150 to 300 bpm 5 bpm stepsBradycardia Difference to low limit 0 to 50 bpm 5 bpm stepsClamping at 30 to 100 bpm 5 bpm stepsSpO2 Alarm Specifications (cont.) Standard DelaySpO2 high and low limit alarms 0 to 30 seconds (adjustable in 1 second steps) + system alarm delayDesat 0 to 30 seconds (adjustable in 1 second steps) + system alarm delayPulse 10 seconds + system alarm delayTachycardia 10 seconds + system alarm delayBradycardia 10 seconds + system alarm delayNBP Alarm Specifications Range AdjustmentSystolic Adult: 30 to 270 mmHg (4 to 36 kPa) 10 to 30 mmHg: 2 mmHg (0.5 kPa)>30mmHg: 5mmHg (1kPa)Pedi: 30 to 180 mmHg (4 to 24 kPa)Diastolic Adult: 10 to 245 mmHg (1.5 to 32 kPa)Pedi: 10 to 150 mmHg (1.5 to 20 kPa)Mean Adult: 20 to 255 mmHg (2.5 to 34 kPa)Pedi: 20 to 160 mmHg (2.5 to 21 kPa)](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-120.png)
![7 Specifications121Telemetry Device Battery Runtime SpecificationsIntelliVue CL Transmitter SpecificationsOperating Mode Battery RuntimeECG Only Telemetry Device with CL SpO2/NBP Pod connectedTelemetry Device is host to CL SpO2/NBP Pod20 hoursECG/SpO2 (continuous) Telemetry Device with internal SpO2 running in continuous mode and CL SpO2/NBP Pod connectedTelemetry Device is host to CL SpO2/NBP Pod8 hoursPhysical SpecificationsSize (W x H x D) 55 mm x 26.5 mm x 122 mm ±5% (2.2 in x 1.0 in x 4.8 in ±5%)(without cradle)Weight 150 g ±10% (5.8 oz ±10%)(without cradle)Robustness Provides essential performance during exposure to random vibration according to IEC TR 60721-4-7 Class 7M1Survives shock, random vibration and bump according to IEC TR 60721-4-7 Class 7M3 as well as a 1 m dropIngress Protection IP32 according to IEC 60529 (protected against ingress of water when the water is dripping vertically and the CL Transmitter is tilted up to 15° and protected against contact with or ingress of objects larger than 2.5 mm)Environmental SpecificationsOperating Temperature Range 0 to 40°C (32 to 104°F)0 to 35°C (32 to 95°F) when charging the battery with an active WLAN connectionOperating Humidity Range ≤95% RH @ 40°C (104°F)no condensationOperating Altitude Range -500 to 3000 mStorage / Transportation Temperature Range-20 to 60°C (-4 to 140°F)Storage / Transportation Humidity Range≤90% RH @ 60°C (140°F)(non-condensing)Storage / Transportation Altitude Range -500 to 4600 mPerformance SpecificationsDisplay SpecificationsType monochrome (4 grey scales), passive LCD (STN), positive/transflectiveViewing Area 25.6 mm x 19.2 mm](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-121.png)
![7 Specifications122Dot Size 0.2 mm x 0.2 mmResolution 128 x 96 pixelBacklight white LEDKeys 3 keys with tactile feedback: ◄, , ►Battery Integrated rechargeable Li-Ion battery with battery gauge and cycle counterRuntime (fully charged battery) Typical 8 hoursCharging Time (WLAN and SRR not active)Maximum 2.5 hoursElectronic Article Surveillance (EAS) EAS tag inside the housingShort Range Radio SpecificationsType built in interface with integrated antennaTechnology IEEE 802.15.4Frequency Band 2.4 GHz ISM (2.400 - 2.483 GHz)MBAN (2.360 - 2.400 GHz, for US / FCC regulated countries only)Modulation DSSS (O-QPSK)Bandwidth 5 MHzEffective Radiated Power (ERP) max. 0 dBm (1 mW)WLAN SpecificationsType Internal wireless adapterTechnology IEEE 802.11a/b/gFrequency Band USA: 2.400 - 2.483 GHz, 5.15 - 5.35 GHz, 5.725 - 5.825 GHzEurope: 2.400 - 2.483GHz, 5.15 - 5.35 GHz, 5.47 - 5.825 GHzJapan: 2.400 - 2.483GHz, 4.90 - 5.091 GHz, 5.15 - 5.25 GHzChina: 2.400 - 2.483 GHz, 5.725 - 5.85 GHzModulation Technique 802.11b/gDSSS (DBPSK, DQPSK, CCK)OFDM (BPSK, QPSK, 16-QAM, 64-QAM)802.11aOFDM (BPSK, QPSK, 16-QAM, 64-QAM)Effective Radiated Power (ERP) 2.4 GHz Band - max. 22 dBm5GHz Band - max. 20.5dBmRealtime Clock Accuracy less than 5 seconds per day (typically) as long as device is in power state "Device on" or "Device off". Automatically synchronized with assigned patient monitor/telemetry device.Performance Specifications](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-122.png)
![7 Specifications123IntelliVue CL Transmitter Base Station SpecificationsPhysical SpecificationsSize (W x H x D) 75 mm x 45 mm x 173 mm ±5% (3.0 in x 1.8 in x 6.8 in ±5%)Weight 210 g ±10% (7.4 oz ±10%)Robustness Operating within specification during exposure to random vibration according to IEC TR 60721-4-7 Class 7M1Survives shock and 0.05 m free fall according to IEC TR 60721-4-7 Class 7M1Ingress Protection IP21 according to IEC 60529 (protection against ingress of water when the water is dripping vertically)Environmental SpecificationsOperating Temperature Range 0 to 40°C (32 to 104°F)Operating Humidity Range ≤95% RH @ 40°C (104°F)Operating Altitude Range -500 to 3000 m-500 to 2000 m when powered from external power supply 865222 #E90Storage/Transportation Temperature Range-20 to 60°C (-4 to 140°F)Storage/Transportation Humidity Range≤90% RH @ 60°C (140°F)no condensationStorage/Transportation Altitude Range -500 to 4600 mPerformance SpecificationsCharging Interface (output)Power output (PoE powered) 5 V ±10%Power output (USB powered) USB input voltage - 180 mV (@ 500 mA)Communication USB 2.0 full speedUSB InterfaceStandard USB 2.0 full speed Device PortPower Input 4.5 V - 5.5 V (8 W)power requirement for service and upgrade of connected Cableless Measurement Devices 2.5 WConnector USB series “Standard-B” receptacleNetworkStandards IEEE 802.3 10-Base-T, IEEE 802.3af (PoE Class 3)Connector RJ45 (8 pin)External AC/DC 5V requirements (connection to USB)](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-123.png)
![7 Specifications124IntelliVue CL Hotspot SpecificationsOutput voltage 5 V +/-5%Power output min. 8 WIsolation double according to IEC 60950-1 Class IIClassification Limited Power Source according to IEC 60950-1External AC/DC 48V requirements (connection to RJ45)Output Voltage 48 V +/-10%Power output min. 8 WCompliancy IEEE 802.3af (PoE Class 3)Isolation double according to IEC 60950-1 Class IIClassification Limited Power Source according to IEC 60950-1Connector RJ45 (Data-in), RJ45 (Data&Power Out)Performance SpecificationsPhysical SpecificationsSize (W x H x D) 75 mm x 53 mm x 177 mm ±5% (3.0 in x 2.1 in x 7.0 in ±5%)Weight 330 g ±10% (11.6 oz ±10%)Robustness Provides essential performance during exposure to random vibration according to IEC TR 60721-4-7 Class 7M1Survives shock and 0.05 m free fall according to IEC TR 60721-4-7 Class 7M1Environmental SpecificationsOperating Temperature Range 0 to 40°C (32 to 104°F)Operating Humidity Range ≤95%RH @ 40°C (104°F)no condensationOperating Altitude Range -500 to 3000 m-500 to 2000 m when powered from external power supply 865222 #E90Storage / Transportation Temperature Range-20 to 60°C (-4 to 140°F)Storage / Transportation Humidity Range≤90% RH @ 60°C (140°F)(non-condensing)Storage / Transportation Altitude Range -500 to 4600 mPerformance SpecificationsDisplay SpecificationsType monochrome (4 gray scales), passive LCD (STN), positive/transflectiveViewing Area 25.6 mm x 19.2 mmDot Size 0.2 mm x 0.2 mm](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-124.png)
![7 Specifications125Resolution 128 x 96 pixelBacklight white LEDShort Range Radio SpecificationsType built in interface with integrated antennaTechnology IEEE 802.15.4Frequency Band 2.4 GHz ISM (2.400 - 2.483 GHz)MBAN (2.360 - 2.400 GHz, for US / FCC regulated countries only)Modulation DSSS (O-QPSK)Bandwidth 5 MHzEffective Radiated Power (ERP) max. 0 dBm (1 mW)WLAN SpecificationsType Internal wireless adapterTechnology IEEE 802.11a/b/gFrequency Band USA: 2.400 - 2.483 GHz, 5.15 - 5.35 GHz, 5.725 - 5.825 GHzEurope: 2.400 - 2.483GHz, 5.15 - 5.35 GHz, 5.47 - 5.825 GHzJapan: 2.400 - 2.483GHz, 4.90 - 5.091 GHz, 5.15 - 5.25 GHzChina: 2.400 - 2.483 GHz, 5.725 - 5.85 GHzModulation Technique 802.11b/gDSSS (DBPSK, DQPSK, CCK)OFDM (BPSK, QPSK, 16-QAM, 64-QAM)802.11aOFDM (BPSK, QPSK, 16-QAM, 64-QAM)Effective Radiated Power (ERP) 2.4 GHz Band - max. 22 dBm5 GHz Band - max. 20.5 dBmRealtime Clock Accuracy less than 5 seconds per day (typically) as long as device is in power state "Device on" or "Device off". Automatically synchronized with assigned patient monitor/telemetry device.USB InterfaceStandard USB 2.0 full speed Device PortPower Input 4.5 V - 5.5 V (3 W)power requirement for service and upgrade of connected Cableless Measurement devices 2.5 WConnector USB series “Standard-B” receptacleLAN NetworkStandards IEEE 802.3 10-Base-T, IEEE 802.3af (PoE Class 3)Connector RJ45 (8 pin)External AC/DC 5V requirements (connection to USB)Output voltage 5 V +/-5%Performance Specifications](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-125.png)
![7 Specifications126Power output min. 3 WIsolation double according to IEC 60950-1 Class IIClassification Limited Power Source according to IEC 60950-1External AC/DC 48V requirements (connection to RJ45)Output Voltage 48 V +/-10%Power output min. 3 WCompliancy IEEE 802.3af (PoE Class 3)Isolation double according to IEC 60950-1 Class IIClassification Limited Power Source according to IEC 60950-1Connector RJ45 (Data-in), RJ45 (Data&Power Out)Performance Specifications](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-126.png)
![1271IndexAactivity 87alarm delay 28alarms off symbol 27, 62ambient light 25assignment 18at the measurement device 18at the patient monitor 19assignment mode 18automatic mode 61automatic mode SpO2 26averaging time 28changing 28Bbattery 39care 39lifetime management 40power indicators 98status menu 15status on the cableless device 15Ccare and cleaning 101caution, definition 5charging 98cleaning and disinfecting 102compatibility (NBP) 51compatibility (SpO2) 17configuration mode 14connection status symbol 18continuous mode SpO2 26Ddate and time 15default profile 15demonstration mode 14device compatibility (NBP) 51device compatibility (SpO2) 17disinfecting 102disinfecting agents 102disposing of the IntelliVue Cableless Measurement Device 103Eelectromagnetic compatibility (EMC) 112electrosurgery 56electrosurgery interference/defibrillation 113elevated ambient temperatures 24EMC 110directive compliance 111radio regulatory compliance 110FFCC and industry canada radio compliance 110free device 14, 87Hhardkeys 11Iinfection control 101ingress protection (NBP Pod) 115ingress protection (SpO2 Pod) 113injected dyes 25INOP 11, 45layout 11NBP 69Resp 88SpO2 35tone 31inspecting the equipment and accessories 42IntelliVue CL hotspot specifications 124IntelliVue CL NBP Pod 74accessories 74specifications 115IntelliVue CL Respiration Pod 79IntelliVue CL SpO2 Pod 41accessories 41specifications 113IntelliVue CL Transmitter 96accessories 96specifications 121IntelliVue CL transmitter and IntelliVue CL hotspot 93IntelliVue CL transmitter base station 97specifications 123intended use 105interference 18, 25intravenous infusion 56Lloose sensor 24low-activity screen 11Mmain setup menu 13, 47maintenance and troubleshooting 99maintenance and troubleshooting (Resp) 99maintenance task and test schedule 42manual mode SpO2 26manufacturer's information 107monitoring mode 14MR imaging 105NNBP 74accessories 74default settings 72numerics 62specifications 115new patient 15adding 15no host monitoring 18, 20, 52, 54Ooperating modes 14oscillometric NBP measurement 56oxygen saturation 22Ppatient category 14patient demographics 14patient menu 14patient movement 25perfusion indicator 22, 25perfusion numeric 28pleth waveform 22posture 87posture detection 87profiles 15pulsatile flow 25pulse oximetry 22pulse rate 22pulse rate numeric 27, 62](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-127.png)
![128RR&TTE directive compliance 111radiofrequency radiation exposure information 112removing a patient from the device 14removing the pod from the cradle 24repetition time 61respiration measurement 84Respiration sensor 84Ssafety and performance tests 112safety specifications 109screen layout 10sensor (Resp) 85applying 85sensor (SpO2) 24applying 24sequence mode 61service mode 14setup sequence 61short range radio 18short range radio (SRR) 6signal quality indicator 27skin damage 56, 85smartkeys 12SpO2 41accessories 41alarms 28default settings 38numerics 27sensors 22signal quality indicator 27specifications 113SpO2 accessories 41SpO2 Alarms 28SpO2 numerics 27SpO2 Sensors 23Connecting 23SpO2 specifications 113standby mode 14starting and stopping measurements (NBP) 60suspicious SpO2 reading 27symbols 108Ttechnical alarms (INOPs, NBP) 69technical alarms (INOPs, Resp) 88technical alarms (INOPs, SpO2)) 35telemetry device 16telemetry device battery runtime specifications 121test schedule 42timestamp 62timestamp SpO2 27transceiver 21transmitter base station specifications 123troubleshooting 42troubleshooting (Resp) 99Uuse models 16Vvenipuncture 63venous pulsation 24visual inspection 42Wwarning 5](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-128.png)
![Part Number 453564378711Published in Germany 09/2013*453564378711*](https://usermanual.wiki/Philips-Medical-Systems-North-America/WLANBV2.User-Manual-IntelliVue-CL/User-Guide-2137735-Page-130.png)