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
Panorama™ Operating Instructions 0070-10-0690-01 4 - 7
Arrhythmia and ST Analysis Lead Placement Procedures
Modified Chest Lead (MCL) Monitoring
The recommended lead placement for MCL monitoring is as follows.
FIGURE 4-9 MCL Monitoring with a
3-wire Lead Set (AHA)
FIGURE 4-10 MCL Monitoring with a
3-wire Lead Set (IEC)
• Place RA (white) electrode under left clavicle,
mid-clavicular line within the rib cage frame.
• Place LA (black) electrode on the right sternal
border, fourth intercostal in the rib cage
frame.
• Place LL (red) electrode on the lower left
abdomen within the rib cage frame.
• Place R (red) electrode under left clavicle,
mid-clavicular line within the rib cage frame.
• Place L (yellow) electrode on the right sternal
border, fourth intercostal in the rib cage
frame.
• Place F (green) electrode on the lower left
abdomen within the rib cage frame.
Select ECG Lead I for MCL
1
monitoring.
Lead I is the direct electrical line between
the RA (white) electrode and the LA (black)
electrode.
Select ECG Lead II for MCL
6
monitoring.
Lead II is the direct electrical line between
the RA (white) electrode and the LL (red)
electrode.
Select ECG Lead I for MCL
1
monitoring.
Lead I is the direct electrical line between the
R (red) electrode and the L (yellow)
electrode.
Select ECG Lead II for MCL
6
monitoring.
Lead II is the direct electrical line between
the L (red) electrode and the F (green)
electrode.