IntelliVue Information Center

IntelliVue Information Center Demo Application User Guide Part Number 4535 642 63741 Printed in the U.S.A. June 2011 First Edition *453564263741*

Notice Notice Proprietary Information Published by Philips Healthcare, a division of Philips Electronics North America Corporation. Philips Healthcare reserves the right to make changes to both this Guide and to the product it describes. Product specifications are subject to change without notice. Nothing contained within this Guide is intended as any offer, warranty, promise or contractual condition, and must not be taken as such. Koninklijke Philips Electronics N.V. 2011 All Rights are reserved. Reproduction in whole or in part in any form or by any means, electrical, mechanical or otherwise, is prohibited without the written consent of the copyright holder. Manufacturer Printing History Philips Healthcare 3000 Minuteman Road Andover, MA 01810-1085 USA Unauthorized copying of this publication is a copyright infringement and will reduce the ability of Philips Healthcare to provide accurate and up-to-date information to users. Non- Philips product names may be trademarks of their respective owners. Published in the United States of America New editions of this document will incorporate all material updated since the previous edition. Update packages may be issued between editions and contain replacement and additional pages to be merged by a revision date at the bottom of the page. Note that pages which are rearranged due to changes on a previous page are not considered revised. The documentation printing date and part number indicate its current edition. The printing date changes when a new edition is printed. (Minor corrections and updates which are incorporated at reprint do not cause the date to change.) The document part number changes when extensive technical changes are incorporated. All Editions and Updates of this manual and their publication dates are listed below. First Edition................................ June 2011 2

Overview Overview This Guide describes the procedure for installing the Demonstration Mode software of IntelliVue Information Center, Release N.0. The Demo Mode includes simulator patient data files and is intended for use in sales demonstrations and training users on IntelliVue Information Center Release N.0 software. The Demo Mode software CD can be installed on a laptop or PC that meets the documented requirements. This document describes installation on a Field Service laptop, however. If you want to install Demo Mode on a IIC, refer to Service IntelliVue Information Center System Installation and Service manual for details. Conversion from Demo Mode to the IntelliVue Information Center software on a PC requires a complete IIC software install. Hardware and System Specifications Requirements Windows XP SP3 Display is set for 120 DPI (required by application) Windows Firewall is OFF Create directory C:\Temp Note Laptops that do not support 1280 x 1024 resolution will display a partial view of the Demo Information Center screen. Recommended Features Resolution: 1280 x 1024 Memory: 512 MB True Color Removal of previously installed Microsoft SQL Server versions Software Specifications The Demo CD contains the following software: Microsoft Windows Installer 3.1 v2 Microsoft.Net Framework 2.0 Microsoft Loopback Adapter Microsoft SQL Server 2008 You cannot have an earlier version of SQL Server on the hardware that you are installing the Demo Mode software on. Demo Mode IIC Release N.0 software with bed simulation files 3

Installing and Configuring Demo Mode Software Setting the Display Properties Un-Installing SQL Server 2000 Step 1. Go to Start > Settings > Control Panel > Display. The Display Properties window opens. Step 2. Select the Settings tab in the Display Properties window and click Advanced. Step 3. From the General tab click the down arrow next to the DPI Setting and select Large size (120 DPI) from the list. Step 4. Click OK. Step 5. Close the Display Properties window. If your computer is running an earlier version of SQL server you must remove the application before you install the Demo software. Step 1. Go to Start > Settings > Control Panel > Add or Remove Programs. Step 2. Select Microsoft SQL Server 2005 Express (or any earlier version of SQL Server) from the Currently Installed Programs list. Step 3. Click the Change/Remove button. The Windows Installer popup displays. Step 4. Click Yes in the popup to remove the application. Step 5. If a confirmation dialog displays with the message, Remove shared file?, click Yes to All. Step 6. Restart the computer. Changing the Windows Firewall It is suggested that you disable the Windows Firewall before you install the Demo application. If this is not possible you can select necessary Demo application files as Exceptions by unblocking them. Note If the firewall is turned on, the bed simulator for LAN based and ITS bedsides will not display wave data. Any SDN bed sectors will display waveforms. 4

Disabling Windows Firewall If you want to disable the Windows Firewall: Step 1. Go to Start > Settings > Control Panel > Windows Firewall. The Windows Firewall screen opens. Step 2. Click the radio button next to Off (not recommended). Step 3. Click OK. 5

Selecting Windows Firewall Exceptions If the Windows Firewall is On while you are installing the Demo software, Security Alert dialogs may appear. If you want to keep the firewall on, you must be sure that the following files are Unblocked or included as Exceptions in order for Demo application waveforms to appear. BedSim DbServer DataServer Network Data Server Installing the Demo Software Warning When you install Demo software on hardware that has an existing IIC application, the Demo application will overwrite the existing application. Step 1. Insert the Release N Demo Software CD into the appropriate device drive. Step 2. Open Windows Explorer and go to the drive with the Demo software. Double-click DemoInstall.bat. A Windows Command window opens while the batch file executes, then the Philips Setup follows. 6

Step 3. The Welcome To Philips Setup screen opens. Be sure to exit all Windows programs before continuing the setup program. Step 4. Click Next > in the Welcome to Philips Setup screen. The Language screen opens. 7

Step 5. Select a language from the list and click Next >. The Choose Destination Location screen opens. Step 6. Click the Browse button in the Destination Folder section of the Choose Destination Location screen. The Choose Folder dialog opens. Step 7., Type C:\Stardate in the Path text box of the dialog and click OK. A message appears: The folder c:\stardate does not exist. Do you want the folder to be created? 8

Step 8. Click Yes in the message dialog to create the new folder, and click Next > in the Choose Destination Location screen to continue. The Installing Software screen opens. Step 9. Click Next > in the Installing Software screen to begin the Philips Software installation. Running Config Wizard The Config Wizard screens open. The first Config Wizard screen is Restore from Archive. 9

Restoring the Archive Setting/Selection Archive Path: Browse: Restore Patient ADT Settings? Start Restoring: Description Text box to enter the filename of the archive Permits browsing the device drives for the archive file Permits restoration of the names of patients who were admitted when the archive media was created If the check box is not checked no patient names or ADT data are restored. If the check box is checked the patient names are restored and will display on the Main Screen. Patient ADT settings will also be restored for each patient on the Network. Patient Name Medical Record Number Admit State Paced Status Patient Type Initiates the Restore process once you enter the correct archive file in Archive path Step 1. When the Config Wizard Archive Restore screen appears, click the Restore Patient ADT Settings checkbox. Step 2. Click Browse to open the Stardate directory. The archive files are located in D:\Stardate\BedSim\Archive or C:\Stardate\BedSim\Configs\Archive (if there is no D drive). Step 3. Select one of the archive files, Demo16Pt.arc or Demo8Pt.arc, and click Open. Step 4. Click Start Restoring in the Restore from Archive screen. 10

Step 5. If the message appears, Mismatched archive: Would you like to migrate the archive to match your device (local hostname)?, click Yes in the message dialog to continue restoring. Step 6. Click Yes in the dialog to confirm the Archive details. Archive Details Description of the Demo simulation files for SDN, ITS and IPM equipment, which include approximately 120 minutes of data, follows. Demo16 Patient Archive Sector Bed Label Equipment Name Simulation Data 1 Demo1 DemoSDN1 SDN Telemetry EASI Data 2 Demo2 DemoSDN2 SDN Telemetry EASI Data 3 Demo3 DemoITS1 ITS EASI data with yellow and red HR alarms 4 Demo4 DemoITS2 ITS data with NSR and SpO2 data Pleth is available as the secondary wave Device location history 5 Demo5 DemoITS3 ITS data with QT information if QT Analysis is selected (page -27) Device location history 6 Demo6 DemoITS4 ITS data with AFIB and red HR alarms and Device location history 7 Demo7 DemoITS5 ITS EASI Telemetry Data 8 Demo8 DemoITS6 ITS data with NSR and SpO2 data Pleth is available as the secondary wave Device location history 9 Demo9 DemoITS7 ITS Telemetry Device location history 10 Demo10 DemoITS8 ITS data with AFIB and red HR alarms and Device location history 11 Demo11 DemoIntellivue1 IPM data with various arrhythmia alarms Conventional 12-lead ECG captures 12 Demo12 DemoIntellivue2 IPM data with NSR, EASI, ST On, and ABP EASI 12-lead ECG captures 13 Demo13 DemoIntellivue3 IPM with trend data and Mason-Likar 12-lead ECG captures 14 Demo14 DemoIntellivue4 IPM data with various arrhythmia alarms 15 Demo15 DemoIntellivue5 IPM data with NSR, EASI, ST On, and ABP 16 Demo16 DemoIntellivue6 IPM data with trend data 11

Demo8 Patient Archive Sector Bed Label Equipment Name Simulation Data 1 Demo1 DemoSDN1 SDN Telemetry EASI data 2 Demo2 DemoITS1 ITS EASI data with yellow and red HR alarms 3 Demo3 DemoITS2 ITS data with NSR and SpO2 data Pleth is available as the secondary wave Device location history 4 Demo4 DemoITS3 ITS data with QT information if QT Analysis is selected (page -27) 5 Demo5 DemoITS4 ITS data with AFIB and red HR alarms and Device location history 6 Demo6 DemoIntellivue1 IPM data with various arrhythmia alarms Conventional 12-lead ECG captures 7 Demo7 DemoIntellivue2 IPM data with NSR, EASI, ST On, and ABP EASI 12-lead ECG captures 8 Demo8 DemoIntellivue3 IPM with trend data and Mason-Likar 12-Lead ECG captures Step 7. Click Next > in the Restore from Archive screen. The Software Versions and Security Updates screen displays. Software Version and Security Updates The Software Versions and Security Updates screen includes read-only information about the IIC software. It also lists the operating system security updates that have been installed. Click Next > in the Software Versions and Security Updates screen to continue. 12

Purchased Options and Support Information Purchased Options and Support Information includes information identifying hardware, software, and purchased options. Setting/Selection Server Host Name This Device Host Name Device Name Monitoring LAN IP Address *System Serial Number *Device Serial Number Software Release *Contact Description Displays read-only host name (its own computer name) Displays read-only device description - M3150 Information Center (Simulation) Displays read-only Host Name of the device (assigned at installation) Displays clinical name for the device (12 character limit) Device Name is the same as Host Name. If the computer has a Device Name exceeding 12 characters, an error message displays when you try to continue. You must change the computer name before doing a Demo software installation. Displays an IP Address for the LAN connection The Demo application sets this automatically. Displays computer serial number Permits entry of the serial number Displays read-only identifier of the installed software revision Permits entry of Service contact information for users (e.g. name and contact numbers of assigned support person or contractor, service contract number, etc.) Enter contact information in the text box (255 character limit). Purchased Options # of Displays Shows the number of displays For Demo, the setting is 1 and is read-only. 13

Setting/Selection Description Visible Display Width Shows the size of the display This setting is initialized to 306 mm (17 in). # of ICs Sets number of Information Centers that can be connected to the device The default setting is 1 and is read-only. # of Patients Displays number of patients whose data can be stored by the device Settings include 16 or 8. Wave Storage Shows hours of patient waves stored by the system The default setting is 24 and is read-only. Alarm Storage Sets number of 30 second alarm events stored by the Server The default setting is 50 and is read-only. EASI Wave Storage (E01) Enables/disables EASI Wave storage The default setting is Enable. Alert Data Integration (C67) Enables/disables ability to interface with the external paging system The default setting is Enable. 12-Lead Analysis/Export (C17) HL7 Export (C14) Holter Export (C23) Trend Display (TRD) Device Location (WLD) Research Data Export (C76) Master Server Enables/disables 12-lead export capability The default setting is Enable. Enables/disables HL7 export capability The default setting is Enable. Enables/disables data export of ECG waveforms to a Zymed Holter Scanner for Windows. The default setting is Enable. Enables/disables Trend Display capability Allows you to remotely locate IntelliVue Telemetry devices (TRx and TRx+) The default setting is Enable. Enables/disables export of waveform, parameter, and alarm data from the Information Center to one or more hospital-supplied research PCs. The default for Demo Mode is Enabled and is read-only. Displays Master Server name Click Next > in the Purchased Options and Support Information screen to continue. 14

Database General Configuration Settings Click Next > in the Database General Configuration Settings screen to continue. 15

Local General Configuration Settings Setting/Selection Patient Type All Arrhythmia Alarms Off (Tele Only) No Data From Bed INOP - alerting Arrhythmia Capability (For SDN Bedsides and ITS only) Screen Notes Alarm Sounds Alarm Text Description Permits selection of the monitored patient type default setting Adult Pediatric Neonate (not supported for telemetry patients) Patient Type can be changed for specific patients in the Admit screen. Permits enabling/disabling arrhythmia alarms from telemetry monitors in the Arrhythmia Alarms Setup menu Enabled - telemetry arrhythmia alarms can be turned off at the bed Disabled - telemetry arrhythmia alarms cannot be turned off at the bed Permits enabling/disabling of INOP alert tone when there is a NoDataFromBed INOP No Sound - disables alert tone Sound - enables alert tone Permits selection of arrhythmia monitoring mode Enhanced - 22 arrhythmia alarms Basic - 10 arrhythmia alarms Enables/disables Main Screen display of Screen Notes made in the patient Admit screen Yes - Screen Notes appear No - Screen Notes do not appear Permits selection of alarm sound type CareNet (default) IEC Sets compliance format of alarm text, softkeys, and icons CareNet (default) IEC 16

Setting/Selection Record Button Silence Bed at Central Standby Messages Laboratory Data Web Access Portal Data Export Settings Click Sector for Recording HL7 Export Configuration SRR Channel Configuration Admit Required Fields Description Permits selection of waveform Record/Store buttons that will appear on the Main Screen Record - displays button for recording waveforms Store - displays button for storing waveforms Both - displays buttons for recording and storing waveforms Enables/disables Patient Sector display of bedside monitor alarms silencing button Yes - silencing button appears in Patient Sectors No - silencing button does not appear in Patient Sectors and alarms can only be silenced at the bedside monitor Permits creation of up to 12 Standby Messages that can be selected in the Patient Window when monitoring is in Standby Each message that you type into a text box has a 15 character limit. Factory Defaults: Cathlab Hemodialysis Orthopedics Pulmonary X-Ray Other Permits selection of Lab Data entry at IIC Permits assignment of Web Address If enabled, a Browser button appears in the All Controls selections. (Requires connection to an Application Server) Export Standard Leads (default) Export EASI Leads - enabled if EASI storage is enabled in the domain. If you export data to Research Data Export you must select Export Standard Leads. If checked, activates the ability to generate a delayed recording when you left-click anywhere in the Patient Sector (other than over the Patient Window button). It is recommended that you deselect this feature on touch screen systems. Permits selection of HL7 output type Selection is active if HL7 Export option is enabled on Purchased Options and Support Information. Opens dialog that permits setting Short Range Radio (SRR) Channel preference Available Channels for SRR are Channel 11 through Channel 26. Available settings are: Off Low Medium High Permits selection of required ADT information for an admitted patient Last Name (default) - can only be clear if you check another selection Lifetime Id Encounter Id Date of Birth 17

Setting/Selection Admit Demographic Labels Use Alternative Id Description Permits selection of Label type Lifetime Id Label Possible settings are MRN (default), Record Id, Lifetime Id, Patient Id, Serial Number, SSN, Not Used. Encounter Id Label Possible settings are Encounter Id (default), Account Number, Charge Number, Visit Id, Case ID, Subject Number, Not Used. If you select the setting, Not Used, no output for the label is sent via HL7. Permits selection of alternative patient identification Click Next > in the Local General Configuration Settings screen to continue. 18

Network Configuration For the Demo application, a default Holter device This DevHolter and Alert Data Integration Client This DevADI are created in the Network Configuration screen. Also, several smart-hopping Access Points are included to support Device Location. Click Next > in the Network Configuration screen to continue. A message warns that the device is configured for use with a SCC or SDN recorder but no SDN card installed. You must click OK in the message dialog to continue. 19

Unit Paging Settings Demo permits assignment of paging devices. Paging controls are supported in Demo, output to actual paging devices is not supported. Click Next > in the Unit Paging Settings screen to continue. Display Setup Click Next > in the Display Setup screen to continue. 20

Equipment Setup Click Next > in the Equipment Setup screen to continue. 21

Bed Config Bed labels and equipment labels have the prefix, Demo. This is also true for unit name (DemoUnit), SCC name (DemoSCC), and switch name (DemoSwitch). On the Demo Bed Config screen the Fast Alarm Display selection is Red and Yellow alarms. The Setup Sector Layout section of the screen permits selection of Waves Per Sector If you have simulation data for... The Waves Per Sector selection can be... 16 patients 1 8 patients 2 Click Next > in the Bed Config screen to continue. 22

Report Settings Click Next > in the Report Settings screen to continue. Report and Recording Destination Click Next > in the Report and Recording Destination screen to continue. A message warns that without a default printer defined you will not be able to print, and that you can use Report/Recording Destination from Service mode to set a destination. Click OK in the message dialog to continue. 23

Security Access Security Access permits setting read/write access to patient data and control settings on Information Centers by other Information Centers and Clients on the network Click Next > in the Security Access screen to continue. The Date and Time Setup screen opens. Date and Time Setup Click Next > in the Date and Time Setup screen to continue. 24

Archive When the Archive screen appears click Finish. A warning informs you that the device is configured for use with an SCC or SDN recorder but no SDN card is installed. You must click OK in the dialog to continue. A CfgWizard message tells you to run System Validation. Step 8. Click OK in the dialog. The Setup Complete screen appears. Step 9. Click Finish in the Setup Complete screen. Windows shuts down and restarts the computer. Logging On Step 1. When the computer restarts the Welcome screen appears. Press the Ctrl-Alt-Delete keys simultaneously to open the Log on to Windows screen. Step 2. Enter your Username and Password. The Windows Desktop appears with a RunDemo shortcut. 25

Starting Demo To start the Demo application double-click the RunDemo shortcut on the computer desktop. When the application launches the DEMO Main Screen appears. Illustration of Demo8 Patient Archive Restarting Simulation Files Whenever you exit the Main Screen to Service mode, you must restart Demo Simulation files when you return to monitoring. Step 1. From the Main Screen, press ALT + F11 keys simultaneously to unlock the keyboard. The Desktop Access dialog appears. Step 2. Enter the Service password in the dialog text box and click OK. Step 3. Press the CTRL + ESC keys simultaneously to display the Windows task bar. then click the Bed Simulator application in the task bar. The Bed Simulator window opens. 26

Restart all <SDN> beds as follows. Step 1. To stop all <SDN> beds in the Bed Simulator window select all the SDN beds in the window, then click the Stop Selected Bed(s) button. The State of the selected beds changes from Running to Stopped. Step 2. While the beds are still selected click the Start Selected Bed(s) button. The State of the selected beds changes to Running. Restart all <IPM> beds as follows. Step 1. To stop all <IPM> beds in the Bed Simulator window, select all the IPM beds in the window, then click the Stop Selected Bed(s) button. The State of the selected beds changes from Running to Stopped. Step 2. While the beds are still selected click the Start Selected Bed(s) button. The State of the selected beds changes to Running. The Running simulation files populate the patient sectors. Turning On QT Monitoring Although you can access and use the QT screen on all ITS beds, you can only view QT monitoring on specific beds. Simulation File QT-Enabled Sector Bed Label 8 patient simulation file 4 Demo4 16 patient simulation file 5 Demo5 Step 1. Select one of the appropriate Sectors and click the Patient Window button within the sector. Do not use Unit Settings to turn on QT monitoring. Step 2. Go to All Controls > QT Setup. The QT screen opens. 27

Step 3. Click the QT Analysis On checkbox. QT Analysis begins, and QT data becomes available in the patient window within 5 minutes. Step 4. Click the Patient Window button. Things To Know About Demo Demo will not run while connected to the PGN. You must disconnect the PGN and make sure that the Microsoft Loopback Adapter is enabled prior to starting the Demo application. The loopback adapter must use the monitoring LAN IP assigned in the Config Wizard. The loopback adapter must be named 'Monitoring LAN'. Although you can access and use the QT screen on all ITS beds, you can only view QT monitoring on Demo4 in the 8 Patient simulated data file and Demo5 in the 16 Patient simulated data file. Bed labels, equipment labels, unit name, SCC name, and switch name have the prefix Demo to show you are running the demo application. The IPM simulated beds have limited capabilities from the aspect of the IIC user interface. If you silence an alarm when it occurs the simulation file assigned to that sector will stop and restart shortly. You can silence Demo1 - Demo5 (in the 8 Patient simulated data file) and Demo1 - Demo10 (in the 16 Patient simulated data file) without stopping the simulator files. Simulator files run continuously until the recorded duration ends (approximately 120 minutes), at which time the file restarts. During this time the waveform disappears for 20-30 seconds before the waveform restarts. Although the Trend Display option is not supported, Trend display Demo functionality is enabled. From Main Screen press the Alt-Backspace keys. To return to normal mode, press Alt-Backspace again. The demo program can run with or without a switch connection. Device location information is provided in some ITS sectors. The USB Recorder will not operate if connected to the laptop because required drivers are not available. An IntelliVue Telemetry System (ITS Telemetry) simulation file with SpO2 data allows you to select Pleth as the secondary wave. It also enables the SpO2 related controls in the Patient Window and Telemetry Setup application. Although ITS controls in Telemetry Setup (e.g. Pleth Wave, SpO2 Mode) are active, you cannot make changes to the ITS Telemetry behaviors of the Demo program. ITS Telemetry and IntelliVue simulated waveforms take about 30 seconds to appear after Demo start up. SDN bed waveforms appear immediately. STindx is configured as a parameter of the VITAL SIGNS trend group. Removal of the Demo Application and all its components is not possible using the MicroSoft Uninstall process. 28

If you access an IntelliVue Patient s Arrhyth Alarms in the Patient Window and try to change the HR Limits, the screen will blank and monitoring in the patient sector will stop temporarily. 29

Demo Mode does not support Data Export. If you open an admitted patient s Patient Window and go to ALL Controls > Data Export, the Data Export screen displays. If you click the Export Button, the system behaves as expected but an SDProcess error is generated. The Patient Window reappears but when you go to ALL Controls > Data Export again an SDProcess Error popup displays. You must click OK in the popup to close the error. Paging controls are supported in Demo; output to actual paging devices is not supported. Demo permits assignment of paging devices. Demo Mode Release N includes the following new features: Lab Data Entry is available. New fields are added on the Admit screen and required fields are identified by a red asterisk. Afib simulation files are added to the simulations files (Demo5 in the 8 Patient simulated data file, Demo6 and Demo10 in the 16 Patient simulated data file). 12 lead export has required fields for export to emphasize new export settings. If you discharge the IntelliVue bedside monitor beds that have 12 leads attached to them you will lose the 12 leads attached to each bed (Demo6-Demo8 in the 8 Patient simulated data file, and Demo11-Demo13 in the 16 Patient simulated data file). You can restore from archive again to get the captured 12 leads back in the simulation file. Disabling the Loopback Adapter The Demo application uses the Microsoft Virtual Loopback Adapter, which can possibly interfere with other network applications running on the computer. If necessary, you can disable the Loopback Adapter as follows. Step 1. From the desktop, right-click My Computer and select Properties from the drop-down list. Step 2. Select the Hardware tab and click Device Manager. Step 3. From the Device Manager window, double-click Network adapters to expand the selection. Step 4. Right-click Microsoft Loopback Adapter, and choose Disable from the drop-down list. The next time you run the Demo application, you must re-enable the Microsoft Loopback Adapter. 30