User Manual
Table Of Contents
- 08-0308 - Manual Cover.pdf
- 0070-10-0690-01 Panorama Operations Maual with Telepack 2.4 - CH16 REVISED2.pdf
- Foreword
- Warnings, Precautions and Notes
- Indications for Use
- Unpacking Information
- Symbols and Descriptions
- Technical Support
- 1.0 System Overview
- 1.1 Components of the Panorama System
- 1.2 Licensing Key
- 1.3 Supported Devices
- 1.3.1 Panorama Central Station
- 1.3.2 Panorama ViewStation and WorkStation
- 1.3.3 Panorama Telemetry Server
- 1.3.4 Panorama Wireless Transceiver
- 1.3.5 Panorama Gateway
- 1.3.6 Panorama Web Viewer
- 1.3.7 Passport 2® Bedside Monitor
- 1.3.8 Spectrum™ Bedside Monitor
- 1.3.9 Spectrum OR™ Bedside Monitor
- 1.3.10 Panorama Telepack
- 1.3.11 Network Printer
- 1.4 Troubleshooting
- 2.0 Getting Started
- 3.0 Alarm Behavior
- 4.0 Arrhythmia and ST Analysis
- 5.0 Patient Setup Functions
- 5.1 Demographics Tab
- 5.2 Transfer Tab
- 5.3 Discharge Tab
- 5.4 Display Tab
- 5.5 Standby Tab
- 5.6 Wave Gain Tab (Patient)
- 5.7 Print Setup Tab (Patient)
- 6.0 Patient Alarm Functions
- 7.0 Views
- 7.1 Bedside Tab
- 7.2 Trends Tab
- 7.3 Events Tab
- 7.4 Disclosure Tab
- 7.4.1 Accessing the Disclosure Tab
- 7.4.2 Disclosure Tab (Waveforms View)
- 7.4.2.1 Accessing the Waveforms View
- 7.4.2.2 Components of the Waveforms View
- 7.4.2.3 Navigating in the Waveforms View of the Disclosure Tab
- 7.4.2.4 ST Button
- 7.4.2.5 Comments Dialog Box (Optional)
- 7.4.2.6 Sidebar Buttons
- 7.4.2.7 Printing a Full Disclosure Zoom In Report from the Waveforms View
- 7.4.2.8 Troubleshooting
- 7.5 ST Tab
- 8.0 Report Functions
- 8.1 Patient Reports Tab
- 8.2 System Reports Tab
- 8.3 Print Status Tab
- 8.4 Additional Reports
- 9.0 System Setup Functions
- 9.1 Parameter Color Tab
- 9.2 Touch Screen Tab
- 9.3 Installation Setup Tab
- 9.4 Care Group Tab
- 9.5 Volume Tab
- 9.6 System Alarms Tab
- 9.7 Passwords Tab
- 9.8 Equipment Setup Tab
- 9.9 More Tab
- 9.10 Previous Tab
- 9.11 Date/Time Tab
- 9.12 Print Setup Tab (System)
- 9.13 Unit Priorities Tab
- 9.14 Unit Choices Tab
- 9.15 Wave Gain Tab (System)
- 9.16 Wireless Tab
- 10.0 Telepack (Optional)
- 11.0 User Maintenance
- 12.0 Parameter Specifications
- 12.1 Parameter Specifications
- 12.1.1 Heart Rate: HR
- 12.1.2 Respiration: Resp
- 12.1.3 NIBP
- 12.1.4 SpO2
- 12.1.5 Nonin SpO2
- 12.1.6 IBP: mmHg
- 12.1.7 CO2
- 12.1.8 O2
- 12.1.9 INSP/ET O2
- 12.1.10 N2O
- 12.1.11 Anesthetic Agents: Iso, Enf, Des, Sev, Hal, Agent
- 12.1.12 Premature Ventricular Contraction (PVC)
- 12.1.13 Temp: T1,T2, Delta T, and T Blood
- 12.1.14 ST
- 12.1.15 Cardiac Output
- 12.1.16 Cardiac Index
- 12.1.17 Pulmonary Artery Wedge Pressure (PAWP)
- 12.1.18 Battery Percentage
- 12.2 Invalid Data Display
- 12.1 Parameter Specifications
- 13.0 Alarms and Events
- 14.0 Network Tab (Optional)
- 14.1 Network Tab
- 14.1.1 Accessing the Network Tab
- 14.1.2 Sorting the Contents of the Network Tab List Box
- 14.1.3 Assigning Patient Tiles in the Network Tab
- 14.1.4 Removing a Patient Tile Assignment in the Network Tab
- 14.1.5 Removing All Patient Tile Assignments in the Network Tab
- 14.1.6 Refreshing the Network Tab List Box
- 14.1.7 Troubleshooting
- 14.1 Network Tab
- 15.0 Paging Tab (Optional)
- 15.1 Paging Password Tab
- 15.2 Paging Tab
- 15.2.1 Accessing the Paging Tab
- 15.2.2 Adding a Pager
- 15.2.3 Assigning a Patient Tile
- 15.2.4 Adding All Patient Tiles to a Pager
- 15.2.5 Removing a Patient Tile Assignment
- 15.2.6 Removing All Patient Tiles from a Pager
- 15.2.7 Editing a Pager
- 15.2.8 Removing a Pager
- 15.2.9 Resending a Failed Page
- 15.2.10 Generating a Paging Report
- 15.2.11 Troubleshooting
- 17.0 Glossary
Troubleshooting System Overview
1 - 16 0070-10-0690-01 Panorama™ Operating Instructions
1.4 Troubleshooting
This section lists some of the potential issues that may occur with the monitor.
MESSAGE/ISSUES * REASON SOLUTION
Wandering ECG Respiration artifact. Try a different base line lead
configuration.
Noisy ECG traces Loose or dry electrodes. Apply new electrodes.
Defective electrode wires. Replace wires as necessary.
Patient cable or leads are routed
too close to other electrical
devices.
Eliminate 60Hz interference. Use
ECG cable with built-in filter block.
Low Amplitude ECG Electrode could be positioned
over a bone or muscle mass.
Reposition electrodes. Select ECG
SIZE button.
Excessive Electrosurgical
Interference
Inadequate skin prep prior to
application of electrode.
Repeat skin prep and electrode
placement procedures.
Add additional gel to electrodes.
Intermittent Signal Connections not tight and
properly secured.
Ensure proper connection.
(Electrode to lead, lead to cable,
cable to monitor.)
Electrodes dry. Reprep skin and apply fresh moist
electrodes.
Cable or lead wires damaged. Check with continuity tester.
Excessive alarms: heart
rate, lead fault
Electrodes dry. Reprep skin and apply fresh, moist
electrodes.
Alarm limits set too close to
patient's normal heart rate.
Readjust.
Rwave wrong size. Must be twice the amplitude of
other part of wave form.
Excessive patient movement or
muscle tremor.
Reposition electrodes and secure
with tape if necessary.
Low Amplitude ECG
Signal
Gain set too low. (Set through
SIZE button.)
Readjust as required.
Skin improperly prepared. Abrade skin.
Possibly not patient's normal
complex.
Check with 12 lead
electrocardiogram.
Electrode could be positioned
over a bone or muscle mass.
Reposition electrodes.
Waveforms Not Moving FREEZE button may have been
pressed.
Select the FREEZE button to
unfreeze the trace.
Temperature Probes not
Working
Poor contact from probes to body. Check the body surface contact at
the probe tip. Reposition or apply
thermoconductive gel.
Display Appears to be
Off
Mains power switch may not be
on.
Check main power switch on side
panel.
Unit may not be plugged into an
AC outlet.
Check power cord (Is it plugged
in?).
If used as a portable, battery
pack may be drained.
If battery pack is drained, plug
into an AC outlet to recharge the
battery. A period of 16 hours is
required for a full charge.
* Messages are shown in all bold text.