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IntelliVue MX40 


Installation and Service 


PHILIPS 




Notice 


Proprietary Information 

This document contains proprietary information, which is protected by 
copyright. 

Copyright 

Copyright © 2011 Koninklijke Philips Electronics N.V. All rights reserved. 
Reproduction in whole or in part is prohibited without the prior written 
consent of the copyright holder. Philips Medical Systems Nederland B.V. 
reserves the right to make changes in specifications and/or to discontinue any 
products at any time without notice or obligation and will not be liable for any 
consequences resulting from the use of this publication. 

OxiCliq ® and OxiMax ® are registered trademarks of Nellcor Incorporated. 

Duracell ® is a registered trademark of Procter & Gamble Incorporated. 

STERRAD ® is a registered trademark of Advanced Sterilization Products. 

GORE-TEX ® is a registered trademark of W.L. Gore & Assoc. Incorporated 

Tone modulation is licensed under US patent 4,653,498 from Nellcor Puritan 
Bennett Incorporated. 

Manufacturer 

Philips Medical Systems 
3000 Minuteman Road 
Andover, MA 01810-1099 

(978) 687-1501 
Printed in USA 
Document number 
4535 642 81301 

Warranty 

The information contained in this document is subject to change without 
notice. Philips Medical Systems makes no warranty of any kind with regard to 
this material, including, but not limited to, the implied warranties or 
merchantability and fitness for a particular purpose. Philips Medical Systems 
shall not be liable for errors contained herein or for incidental or consequential 
damages in connection with the furnishing, performance, or use of this 
material. 



FCC 


This device complies with Part 15 and/or Part 95 of the FCC Rules. 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. 

Changes and modifications not expressly approved by Philips Medical 
Systems can void your authority to operate this equipment under Federal 
Communications Commission's rules 

Printing History 

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. 

First Edition June 2011 

Document Conventions 

In this guide: 

Warnings 

Warning 

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. 




Cautions 


Caution 

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. 


Notes 

A Note contains additional information on the product's usage. 




Contents 


1. Introduction 1-1 

2. Installation 2-1 

MX40 Compatibility.2-2 

Label Assignment for MX40.2-3 

Equipment Label Character Limitations.2-4 

Assigning an Equipment Label.2-5 

Frequency Management and Channel Selection.2-6 

1,4GHz Smart-hopping Channel Definition.2-8 

Short-Range Radio Channel Selection for 1.4GHz Smart-hopping 

Systems.2-10 

Channel Comparison - Short-Range Radio and 802.11 b,g Channels2-11 

SRR Channel Selection for 1,4GHz Installations.2-11 

Smart-hopping and SRR Channel Selection for 2.4GHz 

Smart-hopping Systems.2-12 

Channel Comparison - Short-Range Radio and 802.11b.2-13 

802.11 Channel 1,6,11 Deployment.2-14 

802.11 Channel 1,4,7,11 Deployment.2-15 

802.11 Channel 1,4,8,11 Deployment.2-15 

802.11 Channel 1,7,13 Deployment.2-16 

802.11 Channel 1,5,9,13 Deployment.2-17 

802.11 Channel 2,7,12 Deployment.2-18 

802.11 Channel 1,6,11,14 Deployment.2-19 

802.11 Channel 3,10,14 Deployment.2-19 

Short-Range Radio Density.2-20 

3. Test and Inspection 3-1 

MX40 Test & Inspection Matrix.3-2 

4. Operating Modes 4-1 

Monitoring Mode.4-2 

Controls, Indicators and Connectors.4-2 

Operating and Navigating.4-7 

Understanding Settings -.-4-10 

Battery Information.-4-12 

Inserting Batteries.-4-15 

Removing the Batteries -.-4-17 

Service Information Availabe in Monitoring Mode-.-4-20 

Configuration Mode.-4-22 

Clinical Configuration.-4-22 

Service Mode.-4-24 

Setup Network.-4-24 

Revisions.-4-24 


Contents -1 




































Demo Mode.- 4-25 

5. Maintenance 5-1 

Cleaning.- 5-2 

Cleaning Materials for the MX40-.- 5-2 

Disposing of the MX40 -.- 5-4 

Label Assignment for Replacement MX40-.- 5-5 

Re-assigning an Equipment Label.-5-5 

Charging Lithium-ion Rechargeable Batteries.-5-7 

Battery Power Indicators.-5-7 

Battery Lifetime Management.- 5-8 

Battery Disposal.- 5-9 

6. Part and Option Ordering Information 6-1 

MX40 Product Structure.- 6-2 

MX40 Support Parts.- 6-5 

7. MX40 Repair Strategy 7-1 

Tools Required-.7-2 

Software License Transfer.7-3 

8. Troubleshooting 8-1 

Technical Alarms (INOPs).- 8-2 

Possible User Interface Issues.8-10 

9. Safety Standards & Specifications 9-1 

Regulatory Information-.-9-2 

Software Hazard Prevention.- 9-2 

AC Power Source-.- 9-2 

Industrie Canada Compliance (Canada).- 9-2 

Safety Standards.- 9-2 

Intended Use Statement.- 9-3 

Indications for Use.- 9-3 

Intended Uses of MX40.- 9-4 

Authorized EU Representative.- 9-4 

Patient Population.- 9-4 

Rx.- 9-4 

Essential Performance.- 9-5 

Electromagnetic Compatibility-.- 9-6 

Reducing Electromagnetic Interference.- 9-7 

Restrictions for Use-.- 9-7 

Electromagnetic Compatibility (EMC) Specifications.- 9-7 

Electromagnetic Emissions.- 9-8 

Electromagnetic Immunity.- 9-9 

Recommended Separation Distance.-9-9 

Battery Specifications.- 9-12 

Lithium-ion Battery Charge Time.- 9-15 


Contents - 2 








































Physical Specifications.-9-16 

MX40 1.4 GHz Radio.-9-17 

MX40 2.4 GHz Radio.-9-18 

MX40 Short-Range Radio.-9-20 

Environmental Specifications -.-9-21 

Measurement Specifications.-9-22 

ECG 9 22 

ECG Performance Disclosure/Specifications.-9-23 

FAST Sp0 2 .-9-25 

Sp0 2 Sensor Accuracy-.-9-27 


Contents - 3 













Contents - 4 



1 


Introduction 


The MX40 is compatible with the Philips Smart-hopping wireless network 
which is designed for use in ambulatory care areas of hospitals, 
rehabilitation facilities, and cardiac care centers. 

The Smart-hopping wireless network provides ambulatory and bedside 
monitoring of ECG, SpCh and NBP. The network encompasses a number of 
individual units which connect to form a complete method of transporting 
patient data to a central repository for subsequent distribution to clinical 
staff. 

The Smart-hopping wireless network is comprised of the following devices 
and components: 




% co 

A \ wireless 

Patient-worn Bedside Monitors 

Transceivers 



Patient-worn 

Monitors 


Introduction 1-1 



















Introduction 



2. Installation 

This section provides compatibility and configuration information for 
reference during MX40 installation. 

MX40 Compatibility.2-2 

Label Assignment for MX40.2-3 

Equipment Label Character Limitations.2-4 

Assigning an Equipment Label.2-5 

Frequency Management and Channel Selection.2-6 

Short-Range Radio Channel Selection for 1.4GHz Smart-hopping 
Systems.2-10 


Installation 


2-1 









MX40 Compatibility 

The MX40 is compatible for use with IntelliVue Information Center Release 
N. Limited compatibility is offered when used with IntelliVue Information 
Center Release L or M. See the "Operating with Release L or M" chapter for 
more information. 

The MX40 is compatible for use with IntelliVue Patient Monitors Release G 
or later when wirelessly connected. 

The MX40 is compatible for use with IntelliVue Cableless Measurements 
Release A.l. 

The MX40 is compatible for use with Access Point Controller 862147, 
Release B.00.19 and Access Point Controller 865346, Release C.OO.XX. 

The MX40 Patient Cable is compatible for use with IntelliVue Patient 
Monitor platforms MP2/X2, MP5/MP5T/MP5SC, MP20/30 with MMS or X2, 
MP40/50 with MMS or X2, MP60/70 with MMS or X2, MP80/90 with MMS 
or X2, and MX800/700/600 with MMS or X2. 


2-2 


Installation 



Label Assignment for MX40 

When the MX40 is shipped from the factory, it is shipped with an 
Equipment Label of "NEWDEVICE" and an RF Access Code of "0". This 
allows connection to any Smart-hopping Access Point. 

After the MX40 has connected to the wireless network, the device gets the 
RF Access Code and Equipment Label configuration through the "Label 
Assignment" function at the Information Center. The Label Assignment 
function is password protected. The password is "tele". 


Installation 2-3 



Equipment Label Character Limitations 

Equipment labels are limited to a maximum of 10 bytes. If the equipment 
label exceeds the 10 byte maximum, the label assignment process will fail. 

• UTF-8 encoded characters may use 1-4 bytes depending on the 
language. (http://en.wikipedia.org/wiki/UTF-8) 

• The first 128 Unicode characters (which corresponds directly to the 
ASCII character set) take only 1 byte. 

- Example: Telel (English) is 5 bytes long. 

• If you use special characters, more bytes are required. 

Refer to the table below for character limit information: 


Language 

Bytes per 

Character 

Special Characters Tested 

Chinese(Simplified) 

3 


Chinese(Traditional) 

3 

I7I7II71 

Czech 

2 

t’uyzacd’eein 

Danish 

2 

aaeeo 

Dutch 

2 

eeioou 

English 

1 


Finnish 

2 

aao 

French 

2 

aaouuuya^eeeeiooe 

German 

2 

abiiH 

Greek 

2 

AaB3rvA6EEZ^Hr|00liKKMI\/l|iNvE^OonnPp2ot;TxYuCPtt)Xx l P4 , Ou) 

Hungarian 

2 

aeiooouu 

Italian 

2 

aeeoou 

Japanese 

3 

TA'-5 5 

Norwegian 

2 

aaeaeeeoodo 

Polish 

2 

^c^tnoszz 

Portuguese 

2 

uuaaaaqeeiooo 

Romania 

2 

aai$5tt 

Russian 

2 

e$mjepTbiynomoiivb3acA<t>rHMK/ib>K3XUB6HM 

Spanish 

2 

aeinouuj 

Swedish 

2 

aaeo 


Installation 




























Assigning an Equipment Label 


> To assign an equipment label to a device: 

1 Select All Controls -> Label Assignment. 

2 Enter password (tele) 

3 Insert battery power into the MX40 and if attached, disconnect the 
patient cable. 

4 Select Refresh. 


5 


Confirm the connection to the wireless network as follows: 



''System Wireless 
Connection" Icon 



Not connected 
(Icon grayed out) 



Connected 


6 Select the MAC address of the replacement device from the New 

Devices list. If the address does not appear, remove battery power and 
re-insert. Select Refresh. 


Note — The MAC address appears on the rear label of the MX40. 

7 Select the desired equipment label from the Equipment Label list. 

8 Select Assign Label to initiate programming of the equipment label 
and RF Access Code into the MX40. 


9 When prompted, press Confirm on the MX40 to accept the assignment. 
The confirmation must occur within 30 seconds of the prompt. 

10 On the MX40, wait for the New Device label to change to the selected 
equipment label. 

11 Confirm the label assignment by viewing the waveform in the Patient 
Sector at the Information Center. 


Installation 







Frequency Management and Channel Selection 

Management of the RF environment in a facility is important to the overall 
performance of any wireless system. Philips Medical Systems cannot 
control what wireless devices are used in a healthcare facility, but we will 
work with you to select the best frequencies to use in order to avoid 
interference with other wireless devices used within the hospital. 

Frequency Management 

Frequency management is the selection of frequencies for wireless devices 
within a facility to prevent interference between devices. 

Frequency Management Responsibility 

Frequency management is the responsibility of the hospital. Philips 
Medical Systems has no control over the RF environment in a hospital. If 
interference exists at the operating frequencies, system performance will be 
affected. Careful selection of frequencies for all wireless devices used 
within a facility is important to prevent interference between them. 

Channel Selection 

The MX40 has two radios - the Smart-hopping radio and the Short Range 
Radio (optional). Channel selection for the two radios is different for a 1.4 
GHz Smart-hopping system versus a 2.4 GHz Smart-hopping system. 
Therefore they will be discussed separately. 

Channel Selection for 1.4 GHz Smart-hopping Systems 

The 1.4 GHz MX40 operates in the FCC-allocated, protected Wireless 
Medical Telemetry Service (WMTS) in the 1395-1400 and 1427-1432 MHz 
bands. Operation of this equipment requires the prior coordination with a 
frequency coordinator designated by the FCC for the Wireless Medical 
Telemetry Service. 

The Smart-hopping channels that can be used will be determined by this 
coordination process. A minimum of three Smart-hopping channels is 
required for proper operation of the system, but using more channels will 
improve performance. Smart-hopping channels are configured in the 
Access Point Controller. 

Frequency Coordination (WMTS only) 

Operation of this equipment requires the prior coordination with a 
frequency coordinator designated by the FCC for the Wireless Medical 
Telemetry Service. 


2-6 


Installation 



Frequency coordination is a registration and coordination process for 
wireless medical telemetry devices used in the U.S.A. which operate in the 
FCC-allocated, protected Wireless Medical Telemetry Service (WMTS) 
bands (608-614 MHz, 1395-1400 MHz, 1427-1432 MHz). The MX40 
operates in the 1395-1400 and 1427-1432 MHz bands. 

Under U.S. Federal Communications Commission (FCC) rules, authorized 
healthcare providers must register their WMTS devices with an authorized 
Frequency Coordinator designated by the FCC. The American Society for 
Healthcare Engineering (ASHE) is the current designated Frequency 
Coordinator. 

Registration/Coordination is a two-step process. 

Step 1: Registration: The healthcare facility must register with ASHE. This 
is done on-line, from the ASHE website (www.ashe.org - search on 
keyword "WMTS"). Click on the link for Wireless Medical Telemetry 
Service and you will come to the registration page. Fill out the details, and 
pay the associated fee as per the instructions provided. You will receive 
confirmation of this registration. Confirmation must be received before 
proceeding to the next step. 

Step 2: Frequency Coordination: Along with confirmation of 
registration, you will receive access information necessary to perform the 
second step, frequency coordination. This step involves logging the 
equipment and frequencies used into the FCC's database, so as to identify 
any existing potential interference and to help prevent potential future 
interference. Like registration, coordination is accomplished via the 
ASHE website. Click on the links for Wireless Medical Telemetry Service 
and then Frequency Coordination. The way the coordination process is 
executed as of today, it will need to be repeated twice for the ITS4840A 
system; once for 1395-1400 MHz band, and then again for the 1427-1432 
MHz band, both of which are used concurrently by the Philips product. 
There is a separate fee for each coordination request. Coordination is 
executed by a company named Comsearch, on behalf of ASHE. 

To fill in the frequency coordination forms, you'll need to know the 
following: 

• The county. 

• Latitude and longitude that represents the center of the area where the 
transmitting devices will be deployed. Comsearch can help provide 
this information; www.comsearch.com provides contact information. 

• The name/s of the Clinical Unit/s using the devices (e.g. ICU4, 
CCU-West, ER1, Step-Down North, etc) 


Installation 2-7 



• The radius of deployment, expressed in meters. Imagine drawing a 
circle around the center of the clinical unit, that encloses/encompasses 
the unit. What is its radius? 

• The number of the highest floor on which a transmitting device will 
operate. 

• How many transmitting devices will be used, i.e. the total number of 
MX40 devices. Access Points, Core Access Points, and Remote Antennas 
combined. 

• The Effective Radiating Power: 6.3 mW. 

• The Equipment Manufacturer: Philips Medical Systems. 

• The Equipment Models: MX40, etc. 

• The Frequency Range to be used: Two separate coordinations are 
required: For the first one, click on the range of 1395.0 through 1400.0 
MHz. For the second one, click on all the frequency ranges listed in the 
range of 1427.0 through 1432.0 MHz. 

When both Registration and Frequency Coordination have been 

successfully completed, the MX40 can be activated. Note that this process 

is the responsibility of the customer, as the final "operator" of the 

transmitting equipment. 


1.4GHz Smart-hopping Channel Definition 


1.4GHz Smart-hopping Channel Definition - Standard 


Primary 

Low 

Center 

High 

Channel 1: 

1395.0977MHz 

1395.8977MHz 

1396.6977MHz 

Channel 2: 

1396.6970MHz 

1397.4970MHz 

1398.2970MHz 

Channel 3: 

1398.2963MHz 

1399.0963MHz 

1399.8963MHz 

Channel 4: 

1427.0979MHz 

1427.8979MHz 

1428.6979MHz 

Secondary 

Low 

Center 

High 

*Channel 5: 

1428.6972MHz 

1429.4972MHz 

1430.2972MHz 

*Channel 6: 

1430.2965MHz 

1431.0965MHz 

1431.8965MHz 


2-8 Installation 




1.4GHz Smart-hopping Channel Definition - Carved-out Areas 


Primary 

Low 

Center 

High 

Channel 1: 

1395.0977MHz 

1395.8977MHz 

1396.6977MHz 

Channel 2: 

1396.6970MHz 

1397.4970MHz 

1398.2970MHz 

Channel 3: 

1398.2963MHz 

1399.0963MHz 

1399.8963MHz 

Channel 4a: 

1429.4410MHz 

1430.2410MHz 

1431.0410MHz 

Secondary 

Low 

Center 

High 

*Channel 4: 

1427.0979MHz 

1427.8979MHz 

1428.6979MHz 


Installation 2-9 































Short-Range Radio Channel Selection for 1.4GHz 
Smart-hopping Systems 

When the MX40 is to be connected to an IntelliVue Cableless Measurement 
device, the Short-range radio channel assignment is handled at the MX40. 
When the MX40 is to be connected to an IntelliVue Patient Monitor, the 
Short-range radio channel assignment is handled at the patient monitor. 

The Short Range Radio operates in the 2.4 GHz band, and is therefore 
subject to interference from other devices that operate in this band like 
802.11b, g wireless LANs, microwave ovens, Bluetooth radios, etc.. The 
most likely interference will come from 802.11b, g wireless LANs. 

In order to avoid interference, the Short Range Radio channels should be 
chosen to operate at different frequencies as illustrated in the diagram 
below, and as captured in the table below. 

For example, if the hospital has an 802.11 deployment using 802.11 channels 
1, 6, and 11, Short Range Radio channels that operate at frequencies in 
between and above these channels would be SRR channel 15 (between 
802.11 channels 1 and 6), SRR channel 20 (between 802.11 channels 6 and 
11) and SRR channels 25 and 26 (above 802.11 channel 11). 

The table also lists some Short Range Radio channels that may be used if a 
frequency survey is performed and a power level check is done to ensure 
that the frequency is "clear" (has a power level < -80dBm). 


2-10 


Installation 



Channel Comparison - Short-Range Radio and 802.11 b,g 
Channels 


The diagram below is for use in 1.4GHz Smart-hopping installations when 
trying to select the best available Short-range radio channels. 

SRR: 11 12 13 14 IS IS 17 18 19 20 21 22 23 24 25 26 



Note — Channel overlap as shown in this diagram is not totally accurate. 
There is not sufficient resolution to pick channels solely by using this 
diagram. Use it in conjunction with the tables provided. 


SRR Channel Selection for 1.4GHz Installations 


802.11 Channel 
Deployment 

Short Range Radio Channel Recommendations 

Telemetry Use Model 
- Configure 2-4 channels as 
“High” in Config Wizard 

Bedside Use Model 
- Select best channel based on 
local interference levels 

1,6.11 

25,26,15, 20 

25,26,15,20 

1,4, 7,11 

25,26 

25,26 

11*. 20*, 21*. 24* 

11*. 20*. 21*. 24* 

1.4, 8,11 

25,26 

25,26 

11‘, 17*, 18*. 24* 

11*. 17*. 18*.24* 


^Requires RF Frequency Survey and RF Power Level Check for clear channels. Clear SRR channels have a power level < 80dBm. 


Installation 2-11 








































































































Smart-hopping and SRR Channel Selection for 2.4GHz 
Smart-hopping Systems 

For 2.4 GHz Smart-hopping systems, both the Smart-hopping radio and the 
Short-Range Radio operate in the 2.4 GHz band, and therefore are subject to 
interference from other devices that operate in this band like 802.11b, g 
wireless LANs, microwave ovens, Bluetooth radios, etc.. The most likely 
interference will come from 802.11b, g wireless LANs. In addition, if the 
Short Range Radio will be used, interference between the Smart-hopping 
radio and Short-Range Radio must be avoided by separating these channels 
by a minimum of 5 MHz. 

In order to avoid interference, the Smart-hopping and Short-Range Radio 
channels should be chosen to operate at different frequencies as captured in 
the tables that follow. 

A minimum of three Smart-hopping channels is required for operation of 
the system, but we strongly recommend selecting the maximum of six 
channels in order to improve performance. 

For example, if a 2.4GHz Smart-hopping system is being deployed without 
the Short Range Radio in a hospital with an 802.11 deployment of channels 
1, 6 and 11, the best channels to use would be the channels listed as 
"Primary" in the table, "802.11 Channel 1,611 Deployment", - 13, 14, 28, 42, 
43, 44, 45, 46, 47. The best six of these Smart-hopping channels across the 
whole coverage area should be selected. A clear Smart-hopping channel is 
defined as having a power level of < -90dBm. 

If a 2.4GHz Smart-hopping system is being deployed with the Short-Range 
Radio in a hospital with an 802.11 deployment of channels 1, 6 and 11, a 
number of different deployment options are given in the tables. The clearest 
frequencies should be assigned to the Short Range Radio, and then the 
Smart-hopping channels can be assigned. So if SRR channels 25 and 26 are 
selected, then the best Smart-hopping channels to use would be the 
channels listed as "Primary" in the table, "802.11 Channel 1,611 
Deployment", - 13,14, 28, (42, 43, 44, 45, 46, 47 should not be used because 
they will interfere with the Short Range Radio). In addition to these three 
Smart-hopping channels, best three channels of the "Secondary" (0, 29) and 
"Tertiary" (12,15, 27) channels listed should be selected. 


2-12 


Installation 



Channel Comparison - Short-Range Radio and 802.11b 


The diagram below is for use in 2.4GHz Smart-hopping installations when 
trying to select the best available Short-range radio channels. 


SRR: 


802 . 11 : 


Smart- 

Hopping: 


11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 



I f o •- N n « a K 




Frequency 


Note — Channel overlap as shown in this diagram is not totally accurate. 
There is not sufficient screen resolution to pick channels solely by using this 
diagram. Use it in conjunction with the tables provided. 


Installation 


2-13 










































































































































































802.11 Channel 1,6,11 Deployment 


802 11 Channel 
Deployment 

1. 6.11 

Available Radio Channels 

FCC, RSS-210 Rules 

ARIB Rules 

ETSI AUS/A2 Rules 

Canada China Hong Kong , 
Singapore Tanvan 

Japan 

A* other countries 

SRR 

None 

None 

None 

None 

Smart-Hopping - 
Primary 

13 14 28, 42 43 44 43 46 47 

13, 14 28 42. 43 44 45 46 47 

13 14 28 42. 43 44 45 46 

13. 14 28 42. 43 44 45 46 

SH Secondary' 

0 29 

0 29 

29 

29 

SH Teitiaiy' 

12, 15. 27. 41 

12. 15 27 41 

12. 15. 27 41 

12. 15, 27 41 

SRR 

25. 26 

25.26 

25 26 

25. 26 

Smart-Hoppmg - 
Pnmary 

13. 14 28 

13. 14 28 

13 14 28 

13. 14 28 

SH Secondary’ 

0. 29 

0 29 

29 

29 

SH Teitiaiy' 

12. 15. 27 

12. 15. 27 

12. 15. 27 

12. 15. 27 

SRR 

25. 26 24* 11* 

25. 26 24* 11* 

25 26. 24". 11* 

25. 26 24* 11* 

SH Pnmary 

13. 14 28 

13. 14 28 

13. 14 28 

13. 14 28 

SH Secondary* 

29 

29 

29 

29 

SH Tertiary" 

12. 15 27 

12. 15 27 

12. 15. 27 

12. 15 27 

SRR 

15.20 

15. 20 

15.20 

15. 20 

SH Primary 

42, 43 44. 45 46 47 

42. 43 44 45. 46 47 

42 43. 44 45, 46. 47 

42. 43 44 45, 46 

SH Secondary" 

0 

0 

None 

None 

SH Tertiary’ 

1. 41 

1. 41 

1.41 

1. 41 


♦Requires RF Frequency Survey and RF Power Level Check for clear channels. Clear SRR channels have a power level < 80dB. Clear Smart-hopping 
channels have a power level < 90dBm. 


2-14 


Installation 






























802.11 Channel 1,4,7,11 Deployment 


802 11 Channel 
Deployment 

1,4. 7. 11 

Available Radio Channels 

FCC, RSS-210 Rules 

ARIB Rules 

ETSI AU S/AZ Rules 

Canada China. Hong Kong . 
Singapore Taiwan 

Japan 

All other countries 

SRR 

None 

None 

None 

None 

Smart-Hopping - 
Primary 

0, 42, 43, 44 45 46 47 

0. 42. 43. 44 45 46 47 

42.43 44 45 46 47 

42, 43, 44 45 46 

SH Secondary* 

1.29, 30. 41 

1.29. 30. 41 

1.29. 30. 41 

1.29,30 41 

SH Tertiary* 

10. 11, 19,20 

10. 11. 19.20 

10.11. 19,20 

10,11, 19.20 

SRR 

20*. 21* 

20* 21* 

20*. 21* 

20*, 21* 

Smart-Hopping - 
Primary 

0. 42. 43. 44 45 46 47 

0. 42. 43. 44 45 46 47 

42.43 44 45 46 47 

42. 43 44 45 46 

SH Secondary* 

1 

1 

1 

1 

SH Tertiary* 

10, 11, 19 20 

10 11, 19, 20 

10.11, 19, 20 

10, 11, 19.20 

SRR 

11* 20* 21* 

11* 20*. 21* 

11*. 20* 21* 

11*. 20*. 21* 

Smart-Hopping - 
Primary 

42 43 44. 45. 46 47 

42 43 44, 45, 46 47 

42.43 44, 45 46 47 

42, 43, 44, 45 46 

SH Secondary* 

10. 11, 19.20 

10.11, 19,20 

10.11. 19.20 

10, 11, 19.20 


^Requires RF Frequency Survey and RF Power Level Check for clear channels. Clear SRR channels have a power level < 80dB. Clear Smart-hopping 
channels have a power level < 90dBm. 


802.11 Channel 1,4,8,11 Deployment 


802 11 Chvnd 


FCC RSS-210 Rules 

ARIBRiJw 

. 

ETSI AUS/AZ Rule* 

Deployment 

1 4 8 11 

Avertable Radio Channels 

Canada China Hong Kong 
Seigapore Taman 

Japan 

AD other countries 

SRR 

None 

None 

None 

None 

Smart-Hoppmg - 
Plenary 

0 42 43 44 45 46 47 

0 42 43 44 45 46 47 

42 43 44 45 46 47 

42 43 44 45 46 

SH Secondary* 

1 20, 21, 41 

1. 20 21 41 

1,20 21. 41 

1,20 21.41 

SH Tertiary" 

10 11 30 31 32 

10 11 30 31.32 

10 11 30, 31 32 

10 11 30 31 32 

SRR 

17* 18* 

17*. 18* 

1 7*. 18* 

17*. 18* 

Sowt-Hoppng - 
Pnmary 

0 42 43 44 45 46 47 

0 42 43 44 45 46 47 

42 43 44 45 46 47 

42 43 44 45 46 

SH Secondary* 

1 41 

1. 41 

1,41 

1.41 

SH Tertiary* 

10 11.30 31 32 

10, 11 30 31.32 

10 11 30,31 32 

10 11 30 31 32 

SRR 

11*. 17* 18’ 

11*, 17* 18* 

11*. 17* 18* 

11*. 17*, 18* 

Smart Hoppng - 
Plenary 

42 43 44 45 46 47 

42, 43 44 45 46 47 

42 43 44 45 46 47 

42 43 44 45 46 

SH Secondary’ 

41 

41 

41 

41 

SH Tertiary* 

10.11. 30 31, 32 

10, 11 30 31 32 

10 11 30,31,32 

10 11 30 31 32 


*Requires RF Frequency Survey and RF Power Level Check for clear channels. Clear SRR channels have a power level < 80dB. Clear Smart-hopping 
channels have a power level < 90dBm. 


Installation 2-15 














































802.11 Channel 1,7,13 Deployment 


802 11 Channel 
Deployment 
1.7,13 

Available Radio Channels 

FCC RSS-210 Rules 

ARIB Rules 

ETSI.AUS/AZ Rules 

Canada, Chna Hong Kong 
Singapore. Taiwan 

Japan 

All other countries 

SRR 

None 


None 

None 

Smart-Hopping 

Pnmary 

13.14 15 16 17.31 32.33. 
34 


13,14. 15. 16,17. 31, 32 
33.34 

13, 14, 15 16 17. 31. 32. 
33.34 

SH Secondary' 

0 30 


30 

30 

SH Tertiary' 

12. 18. 35 47 


12 18 35. 47 

12. 18. 35 

SRR 

15.16 


15.16 

15. 16 

SH Primary 

31.32, 33.34 


31.32. 33.34 

31,32. 33.34 

SH Secondary' 

0 30 


30 

30 

SH Tertiary* 

35.47 


35.47 

35 

SRR 

21.22 


21 22 

21,22 

SH Primary 

13,14, 15 16 17 


13 14 15, 16, 17 

13,14, 15 16 17 

SH Secondary* 

0 


None 

None 

SH Tertiary' 

12,18. 47 


12.18 47 

12. 18 


♦Requires RF Frequency Survey and RF Power Level Check for clear channels. Clear SRR channels have a power level < 80dB. Clear Smart-hopping 
channels have a power level < 90dBm. 


2-16 


Installation 


























802.11 Channel 1,5,9,13 Deployment 


802 11 Channel 
Deployment 

1.7 13 

Available Radio Channel 

FCC.RSS-210 Rules 

AR16 Rules 

ETSI, AUS/A2 Rules 

Canada. China Hong Kong 
Singapore Taiwan 

Japan 

All other countries 

SRR 

None 


None 

None 

SH Primary 

0 


None 

None 

SH Secondary' 

12.24.35.47 


12.24.35,47 

12.24. 35 

SH Ternary - 

1.11.13.23.25.34. 36 46 


1.11.13.23.25.34,36.46 

1.11.13.23.25. 34 .36.46 

SRR 

11* 26* 


11*. 26* 

IV.26* 

SH Primary 

None 


None 

None 

SH Secondary - 

12.24.3S 


12.24.35 

12.24,35 

SH Ternary - 

11,13 23.25,34.3# 


11 13,23,25 34,36 

11.13,23 25 34 36 

SRR 

11*. 14*. 15*. 26 - 


04 

urn 

IV. 14*. 15* 26* 

SH Pnmary 

None 


None 

None 

SH Secondary - 

24.35 


24.35 

24,35 

SH Ternary* 

23.25 34.36 


23 25.34 36 

23,25,34 36 

SRR 

11* 18* 19*. 26* 


11*. 18*. 19* 26* 

IV. 18*. 19* 26* 

SH Pnmary 

None 


None 

None 

SH Secondary - 

12.35 


12.35 

12.35 

SH Ten ary* 

11.13 34 36 


11 13,34,36 

11,13,34 36 

SRR 

ir. 22*. 23*. 26* 


IV.22*. 23* 26* 

IV. 22*. 23*. 26* 

SH Pnmary 

None 


None 

Moot 

SH Secondary - 

12.24 


12 24 

12.24 

SH Ternary* 

11.13 23.25 


11.13,23,25 

11.13,23 25 


*Requires RF Frequency Survey and RF Power Level Check for clear channels. Clear SRR channels have a power level < 80dB. Clear Smart-hopping 
channels have a power level < 90dBm. 


Installation 2-17 






















































802.11 Channel 2,7,12 Deployment 


802 11 Channel 
Deployment 

2, 7,12 

Available Radio Channels 

FCC RSS-210 Rules 

ARIB Rules 

ETSJ AUS/A2 Rules 

Canada China Hong Kong 
Singapore Taman 

Japan 

All other countries 

SRR 

None 


None 

None 

Smart-Hopping - 
Pnmary 

0 1 2, 16.17 30 31 45 46. 

47 


1.2.16, 17, 30,31,45 46 

47 

1,2, 16. 17 30 31 45 46 

SH Secondary' 





SH Tertiary • 





SRR 

11,21 


11,21 

11,21 

SH Primary 

16, 17, 45 46 47 


16.17, 45 46 47 

16 17 45 46 

SH Secondary" 

None 


None 

None 

SH Tertiary' 

15. 18. 44 


15,18 44 

15 18 44 

SRR 

11,12*. 20' 21.22* 


11,12*. 20' . 21.22* 

11 12* 20* 21 22* 

SH Primary 

16, 17, 45 46 47 


16,17, 45 46 47 

16 17 45 46 

SH Secondary' 

None 


None 

None 

SH Tertiary' 

15. 18, 44 


15, 18, 44 

15 18 44 


♦Requires RF Frequency Survey and RF Power Level Check for clear channels. Clear SRR channels have a power level < 80dB. Clear Smart-hopping 
channels have a power level < 90dBm. 


2-18 


Installation 





























802.11 Channel 1,6,11,14 Deployment 


802 11 Channel 
Deployment 

16 11 14 

Available Radio Channels 

FCC RSS-210 Rules 

ARIB Rules 

ETSI AUSIAZ Rules 

Canada. China. Hong 
Kong. Singapore 
Taiwan 

Japan 

AM other countnes 

SRR 

None 


None 


Smart-Hopping • 
Pnmary 

13.14,28 


13.14 28 


SH Secondary 

0 29 


29 


SH Tertiary 

12 15,27.41 42 


12. 15. 27.41 42 


SRR 

11* 20 


11*. 20 


SH Pnmary 

13 14 


13,14 


SH Secondary 

None 


None 


SH Tertiary 

12 15 41 42 


12, 15 41 42 


SRR 

11* 19*. 20 21* 


11*. 19* 20,21* 


SH Pnmary 

13 14 


13, 14 


SH secondary 

None 


None 


SH Tertiary 

12.15 41 42 


12.15.41.42 



^Requires RF Frequency Survey and RF Power Level Check for clear channels. Clear SRR channels have a power level < 80dB. Clear Smart-hopping 
channels have a power level < 90dBm. 


802.11 Channel 3,10,14 Deployment 


802 11 Channel 
Deployment 

3 10.14 

Available Radio Channels 

FCC. RSS-210 Rules 

ARIB Rules 

ETSI. AUS/AZ Rules 

Canada China Hong 
Kong Singapore 
Taiwan 

Japan 

am other countnes 

SRR 

None 


None 


Smart-Hopping - 
Pnmary 

0 1 2 3 4 5 19 20 21 22 

23 24 25 26 39 40 41 


1 2 3 4 5 19.20.21 22 
23.24 25 26 39.40.41 


SH Secondary 





SH Tertiary 





SRR 

17.18 19 


17.18 19 


SH Pnmary 

0,1.2.3. 4.5. 39.40.41 


1.2. 3.4. 5.39.40 41 


SH Secondary 





SH Tertiary 






^Requires RF Frequency Survey and RF Power Level Check for clear channels. Clear SRR channels have a power level < 80dB. Clear Smart-hopping 
channels have a power level < 90dBm. 


Installation 2-19 
























































Short-Range Radio Density 


Device Density per SRR 
Channel 

1.4GHz Smart-hopping 
Systems 

2.4GHz Smart-hopping 
Systems 

Maximum density of SRR 
Device Links in a single 
SRR cell 

4 Device Links 

3 Device Links 


• A Short Range Radio cell is defined as a radius of 20ft (6.1m). 


• A "Device Link" is defined by use model. 

MX40 is coordinating SRR communication with the Cableless 
Measurements: 


Continuous communication = 1 
Pleth waveform data 


Periodic communication = 0 
NBP measurement value 


CL Sp02 



MX40 



Patient Monitor is coordinating SRR communication with the 
MX40 and Cableless Measurements: 


Continuous communication = 1 
ECG waveform data 
Pleth waveform data 


Periodic communication = 0 
NBP measurement value 



"©- 

Monitor 

CL Sp02 

^ ^ i | 

* SRR - 

* 

<©- 

CL NBP 

©' 

X2. MP2 
or MP5 

01 

l:' 



Use Model Total =©+©+ @ = © 


2-20 Installation 







3. Test and Inspection 


This section covers Test and Inspection tasks to be performed to ensure the 
performance of the MX40 after all Installation procedures are completed. 


MX40 Test & Inspection Matrix.3-2 


Test and Inspection 3-1 




MX40 Test & Inspection Matrix 


Test Block 
Name 

Test or "Inspection" to Perform 

What to Record 
on Service 

Record 

Visual Test: 

Inspect the system (and packing material if applicable) 

V:P or 


for obvious signs of damage. Also check external leads 

V:F 


and accessories. 

where P=Pass 


Expected Test Results: The system does not have any 
obvious signs of damage = Pass 

F=Fail 

Power On: 

Remove leadset. Insert battery into the MX40. The MX40 

PO:P or 


will go through its self-test and pass. Make sure that an 

PO:F 


ECG wave appears on the screen and the battery gauge 

where P=Pass 


displays battery status. Check the INOP Area for any 
equipment malfunctions. 

The expected test result is pass: the MX40 boots up and 
displays an ECG wave and the battery gauge displays 
battery status. The wave will be a flat line if no simulator 
is attached. 

Expected Test Results: Expected answer is "yes". If so, 
Power On test is passed. 

F=Fail 

Performance: 

1. Insert battery into the MX40 for the channel being 

P:P or 


tested. 

P:F 

where P=Pass 


2. Attach an ECG leadset to the MX40 and an ECG 
simulator. 

3. At the Information Center assign the MX40 being 
tested to a Sector. Ensure that the Multi-Function 
Button is turned "on", and turn on the Sp0 2 
parameter if the MX40 being tested has the Sp0 2 
option. Set the mode to Continuous. 

4. An ECG waveform should be visible at the 

Information Center. 

5. If the MX40 has the Sp0 2 option, connect an Sp0 2 
sensor and apply the Sp0 2 sensor to yourself. 

Confirm that the MX40 completes a successful 
measurement. 

6 .Set the Sp0 2 mode to the customer's desired setting, 
Continuous or Spot Check. 

7. Place the device in Standby. At the Information 

Center, resume monitoring. 

F=Fail 


Test and Inspection 











Test Block 
Name 


Test or "Inspection" to Perform 


What to Record 
on Service 
Record 


8. Press the Multi-Function Button on the MX40. The 
button press should generate one of the following, 
depending on the configured setting: 

• Nurse Call & Record - Nurse Call alarm and a 
recording generated at the Information Center. 

• Nurse Call Only - Nurse Call alarm at the Information 
Center. 

• Record Only - A recording generated at the 
Information Center. 

• Disabled - No event at the Information Center. 


9. If the MX40 has the Short-Range Radio option, 
establish communication between the MX40 and either 
the patient monitor or a cableless measurement device, 
depending on the chosen use model.. If assigned to a 
patient monitor, an ECG waveform should be visible on 
the monitor. The display on the MX40 will be: 


HH 


10. If assigned to a cableless measurement device, 
initiate a measurement and view it at the Information 
Center. 


Revision 

Check: 


Expected Test Results: Expected answer to all is "yes". If 
so, Performance test is passed. 


Check the revision of the software/firmware in the Device 
Info, screen. Check the INOP Area for an "Sp0 2 Equip 
Malf" message which indicates an Sp0 2 upgrade 
failure.The revision reported should match the revision 
loaded. You may also check the Status Log at the 
Information Center. 


RC:P or 
RC:F 

where P=Pass 
F=Fail 


Expected Test Results: Expected answer is "yes". If so, 
Revision Check test is passed. 


Test and Inspection 


3-3 








Test and Inspection 



4 


Operating Modes 


This section provides operation information about the MX40 when the 
device is in Monitoring Mode, Service Mode, Configuration Mode and 
Demo Mode. 


Operating Modes 

- Monitoring Mode (no password) 

- Configuration Mode 

• Same password as IPIf| (71034) 

• Monitoring continues 

- Service Mode 

• Same password as IPM (1345) 

• No monitoring possible 

- Demo Mode 

• Same password as IPM (14432) 

• No monitoring possible 


Con fig l 
operation 



Monitoring Mode.4-2 

Configuration Mode.4-22 

Service Mode.4-24 

Demo Mode.4-25 


Operating Modes 


4-1 













Monitoring Mode 

Monitoring Mode is the normal operating mode of th MX40 and a 
password is not required. 

Controls, Indicators and Connectors 

This section describes the clinical controls of the IntelliVue MX40. These 
controls include buttons, display icons, visual and auditory indicators, 
ports, and safety labeling located on the front and back of the device. 


MX40 Controls and Indicators 




1. Patient Cable 

2. Patient Information Area 

3. Active Alarms Area 

4. INOP Area 

5. Measurement Area 1 

6. Measurement Area 2 

7. Waveform 1 

8. Waveform 2 

9. Radio/Network/Battery Status 
Area 

10. Leads Off Status Area 

11. Silence Alarms Button 

12. SmartKeys Button 

13. Main Screen Button 

14. Multi-Function Button 


4-2 


Operating Modes 





Silence Alarm Button 


Button 

Function 

^7 

• Initiates a local silence/acknowledgment of 
all active alarms when enabled. 

• Silences the "Find Device" sound. 

Note — Alarms at the MX40 can be silenced 
from the Information Center. 


SmartKeys Button 


Button 

Function 



Displays the SmartKey Menu on the touch 
screen. 


Main Screen Button 


Button 

Function 

E 

• Activates the Touch Display if touched for two 
seconds. 

• Cycles through the display screens if touched 
repeatedly. 

• Resumes from Standby. 


SmartKeys 

The following table lists the SmartKeys available on the display of the 
MX40. 

Note— gray text on a SmartKey signifies that the item is unavailable. 


Operating Modes 


4-3 






Xxx 36 Xxxxxxx.Xxxxxxxx 07:13 


Xxxxx Xxxx 


Xxxxx Xxxx x 

XxX 2 Xxxxx 









SmartKey 

Function 

Start Sp0 2 

Note — This 
SmartKey is 
unavailable 
when Sp0 2 
mode is 
continuous. 

1 

Starts a manual Sp0 2 measurement. 

Delay Record 

Starts a delayed recording at the 
Information Center. 

Alarms 

Review of up to 50 previous alarm 
conditions (entries are stored during 
power cycle). Pause Alarms for 
configured time period (if enabled at 
the Information Center). 

Mode: 

Telemetry / 

Mode: Monitor 

Toggles between modes. In 

Telemetry Mode, display and audio 
are off; in Monitor Mode, display and 
audio are always on. 

Standby 

Puts the device into standby locally 
and at the Information Center. 

Displays purchased/enabled product 
options. 

Add/Remove 

Displays available monitors and 
IntelliVue Cableless Measurements 
to assign to via the short-range radio. 

Print Reports 

Prints the pre-configured report as 
designated at the Information Center. 

Vitals Trends 
(Optional) 

View up to 24 hours of tabular trend 
data. 

Screen Setup 

Determines time period that the 
display remains active after user 
interaction. 

Lock/Unlock 

Locks/Unlocks the display. 

Op Mode 

Selects either Monitoring, Demo, 

Config or Service modes. 


riRI 


Operating Modes 








































Alarms Area 


A 

xxxxxxxxxxxxxx 

01:35 

y 

XXXmXXX 

10:42 


1 >i«36 

W Xnnu.X»nnn 0713 

A 

xmraxxmxx oi:3S 

J 

XXXmXXX 10:47 

XX 

170 

Ml 

SPO, 

68 is 98 

Ar 

Plottl 



• • 

O Sfc M nn> 


The Alarm Area of the MX40 displays 
physiological alarms and technical alarms. 

A multiple alarm indicator (down arrow) is 
displayed when multiple alarm conditions 
are present. 

A check mark in front of the alarm text 
signifies that the alarm has been 
acknowledged by touching the Silence 
Alarms button. 

Alarm Indicators display in the Patient 
Information Area in place of the time clock 
when alarm/INOP conditions are present 
but have not been acknowledged. 


• Touching the Alarms Area displays a list of 
all active alarms. 


• The alarms paused icon communicates 
whether the alarm system is on/off. 

• Local Alarm Audio is off when the alarm 
volume symbol lJ is present. 


Operating Modes 


4-5 















Patient Information Area 


Xxx 36 Xxxxxxx.Xxxxxxxx 07:13 


The Patient Information Area displays the following information: 

• Bed Label 

• Patient Name (up to 15 characters will display) 

• Time 

Touching the Patient Information Area displays the Patient Demogr. menu which lists 
the following: 

• Patient Name (Last, First, Middle) 

• Lifetime ID 

• Encounter ID 

• Patient Category 

• Paced Mode 

• Height 

• Weight 

• Date of Birth 

• Gender 

Note — If you use an alternative ID, it will display at the Information Center and on 
printed reports. It will not display at the MX40. 


Paced Status 


1. Pacing algorithm is on. 

2. Pacing algorithm is off. 


Display Lock 


The Lock symbol appears in the lower left of the display when 
the MX40 is in a locked state after five minutes of non-use. 
Locking the display provides additional protection against 
accidental patient access. The display is unlocked using the 
SmartKeys menu. 




4-6 


Operating Modes 








Status Area 



The status area of the MX40 displays short-range radio 
connection (optional) and system wireless connection 
status. You can also view battery strength for the type 
of battery used in the device, AA or rechargeable 
Li-on. 


Multi-Function Button 


Button 

Function 

y 


Depending on configuration at the Information 

Center: 

• generates a Nurse Call; 

• Initiates a Delayed Recording; 

• Both, or; 

• None 

Note — the Multi-Function Button does not operate 
when paired with an IntelliVue Patient Monitor via 
the short-range radio connection. 


Operating and Navigating 

The principle method of operating your MX40 is via the Touch Display. 
Almost every element on the display is interactive. Display elements 
include measurement numerics, information fields, alarm fields, 
waveforms, SmartKeys and menus. 

Power-On Self Test 

Once battery power is supplied, the MX40 performs a power-on self test to 
check operational status prior to start-up. Should a failure be detected, an 
INOP tone will sound and if possible, the appropriate INOP message for 
the failure will be communicated to the Information Center and displayed 
locally. 

A successful power-on self test will then transition the MX40 to the start-up 
screen. Selectable background colors can be configured and display on the 
screen for assistance with device identification. This can be helpful when 
devices are in a pooled use setting. 


Operating Modes 





If the MX40 enters a continuous "boot-up" cycle or the main display does 
not appear or update, ensure that you are using a freshly charged 
lithium-ion battery or new disposable batteries. If the batteries are fresh and 
the device reboots or does not update, remove the device from service. 

You must visually check that a waveform is present on the display. You can 
access further status information is by touching the status area on the 
display. 

Navigating 

Touching the Navigation Bar on the right of the display will scroll through 
additional display items. Solid downward arrows indicate there are 
additional elements that are not currently displayed. The arrows briefly 
illuminate when touched. Your selection from the menu also illuminates 
when touched. 

Selecting Display Elements 

Touch a display element to get to the actions linked to that element. For 
example, touch the Patient Information element to call up the Patient Info 
window, or touch the HR numeric to call up the Setup ECG menu. Touch 
the ECG waveform to call up the wave selection menu. 

Locking the Display 

To provide additional protection against accidental patient access to the 
MX40, the display can be locked using the Lock SmartKey. When Lock is 
selected, the SmartKey menu automatically changes to the Main Screen. 
When Unlock is selected, you must close the SmartKey menu to return to 

the Main Screen. 


The display automatically locks when there is no interaction for five 
minutes. 


Function 

Display 

Locked/Active 

Display 

Locked/Inactive 

Display 

Unlocked/Active 

Display 

Uniocked/lnactive 

Display Touch 

No 

No 

Yes 

No 

Main Screen 

Button 

No 

Yes 

Yes 

Yes 

SmartKeys Button 

Yes 

No 

Yes 

No 

Silence Button 

No 

No 

Yes 

No 


4-8 Operating Modes 




Measurement Area 

The measurement area of the MX40 display is optimized to show available 
parameter numerics, waveforms, and alarm limits. Each element is a touch 
object and when you select it, further controls and menus become available. 

Measurement Area Display Configurations 

The display of your MX40 is configured/can operate in one of four available 
orientations: 

• Portrait - One Waveform and four Numerics 

• Portrait - Two Waveforms and two Numerics (IIC Release N only) 

• Landscape - Two Waveforms and three Numerics (IIC Release N only) 

• Portrait - Viewable Chest Diagram and two Numerics 

Connecting/Disconnecting the Patient Cable 

The patient cable is connected to the MX40 as shown in the illustration 
below. 



When connecting to the MX40, there is a slight clicking sound that signifies 
that the cable is securely connected. 


Operating Modes 



Disconnect the patient cable as shown below. 



Caution 

Never disconnect the patient cable by pulling on the leadwires, as this may 
damage wires over time. 


Understanding Settings 

Each aspect of how the MX40 works and looks is defined by a setting. There 
are a number of different categories of settings, including: 

• Screen Settings - to define the selection and appearance of elements on 
each individual display screen. 

• Measurement Settings - to define setting unique to each measurement, 
e.g. high and low alarm limits. 

• Monitor Settings -including settings that affect more than one 
measurement or display screen, for example alarm volume and alarm 
pause time. 

You must be aware that, although many settings can be changed during 
use, permanent changes to settings can only be done in Configuration 
Mode. All settings are restored to their default setting when the patient is 
discharged or the MX40 is powered off. 

Changing Measurement Settings 

Each measurement has a setup menu in which you can adjust its settings. 
You enter the setup menu by selecting the measurement numeric. 


4-10 


Operating Modes 





ECG Settings at the MX40 


Setting 

Description 

Alarm Limits 

Heart Rate alarm limits can be viewed locally 
at the MX40. Limits set at the Information 
Center (Release N or later) are reflected at 
the MX40 when connected on the network. 

Primary 

(used for arrhythmia analysis only) 

1,11, III, aVR, aVL, aVF, VI-V9, MCL, V3R, 

V4R, V5R. Available waveforms are based 
on lead set type. Lead II is the default. 

Secondary 

(used for arrhythmia analysis only) 

1,11, III, aVR, aVL, aVF, V1-V9, MCL, V3R, 

V4R, V5R. Available waveforms are based 
on lead set type. Lead V is the default. 

Paced Mode 

Yes, No 

Adjust Size 

Set ECG gain to xl/2, xl, x2, x4 

Arrhythmia 

Initiate an Arrhythmia Relearn; View 
Arrhythmia Alarm Limits; Turn Arrhythmia 
Annotation On/Off. 

Lead Placement 

Set EASI, Standard 

ECG 

Set ECG On/Off 

New Lead Setup 

When IntelliVue Patient Monitor lead sets are 
in use, select 3-wire, or 5-wire. 

Va Lead 

Shows position of Va, or Cl, electrodes. 
Choices are VI-V9, v3R, V4R, V5R. 

Vb Lead 

Shows position of Vb,or C2, electrodes. 
Choices are VI-V9, v3R, V4R, V5R. 

Change Numeric 

Selects parameter numeric to display in 
place of current HR numeric. 


Operating Modes 


4-11 




Waveform Settings at the MX40 


Setting 

Description 

Wave 1 

Primary, Secondary, 1, II, III, aVR, aVL, aVF, 

VI-V9, MCL, V3R, V4R, V5R. Available 
waveforms are based on patient cable type. 
Lead II is the default. If Primary or Secondary 
are selected, then the waveform displayed is 
the waveform configured as primary or 
secondary for arrhythmia analysis. 

Wave 2 

Primary, Secondary, 1,11, III, aVR, aVL, aVF, 

VI-V9, MCL, V3R, V4R, V5R, Pleth (if Sp0 2 
is available). Available waveforms are based 
on patient cable type. Lead V is the default.If 
Primary or Secondary are selected, then the 
waveform displayed is the waveform 
configured as primary or secondary for 
arrhythmia analysis. 


Primary or secondary waveform configuration changes made at the 
Information Center change the MX40. 


Battery Information 

Battery Safety Information 

Warnings 

• The battery compartment door must be closed during defibrillation. 

• Use the Philips Rechargeable Lithium-ion Battery or 3 Duracell Alkaline 
batteries, size AA,MN 1500,1.5V, to ensure specified performance and 
correct battery gauge reporting. Outdated, mismatched, or poor-quality 
batteries can give unacceptable performance (e.g., insufficient 
Battery-Low warning time). If you are using disposable batteries, the 
use of fresh high-quality alkaline batteries is strongly recommended. 

• Certain failure conditions, such as short circuits, can cause a battery to 
overheat during use. High temperatures can cause burns to the patient 
and/or user. If the MX40 becomes hot to the touch, remove it from the 
patient and place it aside until it cools. Then remove the batteries and 
discard them. Have the MX40 checked by your service provider to 
identify the cause of overheating. 

• If you receive a TELE BATTERY LOW, TELE BATTERY EMPTY, 
REPLACE BATTERY T, or TELE BATTERY TEMP alarm, the batteries 
must be promptly replaced. If these conditions are not corrected, they 
will result in a device shutdown and cessation of monitoring. 


4-12 


Operating Modes 







• Disposable batteries should be removed from the MX40 at the end of 
the battery's useful life to prevent leakage. 

If battery leakage should occur, use caution in removing the battery. 
The leaked substance may cause eye or skin irritation. Avoid contact 
with skin. Clean the battery compartment according to the instructions 
in the Maintenance section. Wash hands. 

• To eliminate the risk of electrical shock or burn, do not carry loose 
batteries on your person, e.g. in clothing pockets. 


Caution 

Use of AA Lithium batteries or batteries with terminal voltage >1.6V may 
cause damage to the device. 


Lithium-ion Rechargeable Battery Care 

Care of the rechargeable battery begins when you receive a new battery for 
use and continues throughout the life of the battery. The table below lists 
battery care activities and when they should be performed. 


Activity 

When to Perform 

Perform a visual inspection. 

Before inserting a battery in the 

MX40. 

Charge 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. 

Clean the battery 

At each patient discharge, or in cases 
when the battery is exposed to 
contaminants. 

Charge stored batteries to at least 

40% of their capacity every six 
months. 

When not in use for an extended 
period of time. 

Decommission the battery 

When any of the following INOPs are 
displayed on the MX40: 

TELE SERVICE BATTERY 

TELE BATTERY TEMP 


Rechargeable batteries are charged using the IntelliVue CL Charging 
Station. For information on charging station use, see Charging Li-ion 
Rechargeable Batteries p. 5-7 . 


Operating Modes 4-13 












Note — The battery capacity of re-chargeable batteries degrades over time 
and number of recharge cycles. Toward the end of its useful life, the battery 
capacity may be reduced by 25-30%. If this reduced battery life is 
unacceptable based on your use model. Philips recommends replacing the 
rechargeable battery sooner. 

Lithium-ion Rechargeable Battery Storage 

When storing rechargeable batteries, make sure that the battery terminals 
do not come into contact with metallic objects or other conductive 
materials. 

If batteries are stored for an extended period of time, they should be stored 
in a cool, dry place, ideally at 15°C (60°F), with a state of charge of 20% to 
40%. Storing batteries in a cool place slows the aging process. 

The batteries should not be stored at a temperature outside the range of 
-20°C (-4°F) to 50°C (122°F). 

Stored batteries should be should be charged to at least 40% of their 
capacity every 6 months.". They should be charged to full capacity prior to 
use. 

Note — Storing batteries at temperatures above 38°C (100°F) for extended 
periods of time could significantly reduce the batteries' life expectancy. 

Lithium-ion Rechargeable Battery Handling Precautions 

Lithium-ion batteries store a large amount of energy in a small package. 

Use caution when handling the batteries; misuse or abuse could cause 
bodily injury and/or equipment damage. 

• Do not short circuit - take care that the terminals do not contact metal 
(e.g. coins) or other conductive materials during transport and storage. 

• Do not crush, drop or puncture - mechanical abuse can lead to internal 
damage and internal short circuits that may not be visible externally. 

• Do not apply reverse polarity. 

• Do not incinerate batteries or expose them to temperatures above 60°C 
(140°F). 

If a battery has been dropped or banged against a hard surface, whether 
damage is visible externally or not: 

• discontinue use. 

• dispose of the battery in accordance with the disposal instructions. 


4-14 


Operating Modes 



Inserting/Removing Batteries 

Warning 

Arrhythmia relearning is initiated whenever the MX40 is powered down 
for one minute or longer. Be sure to check your patient's arrhythmia 
annotation for accuracy whenever relearn has occurred. 


Caution 

Remove the batteries before storing the MX40 for an extended period of 
time. 


The battery compartment is located on the back of the MX40, accessible by 
opening the compartment door from the bottom. It accommodates three 
AA 1.5V Alkaline batteries or the Philips Rechargeable Lithium-ion battery. 
Only these batteries should be used. 

Note — Lithium-ion batteries should be fully charged prior to first use. 

Important — Do not use other rechargeable batteries. Use of this type of 
battery will adversely affect: 

• Battery gauge performance 

• Battery low warnings 

• Battery life performance 

Inserting Batteries 

> Insert the rechargeable lithium-ion battery using the 
following procedure: 

Open the battery compartment by lifting up on both bottom sides of the 
compartment door. 



1 Remove the AA battery tray if present. 


Operating Modes 4-15 






2 Insert the battery pack so that the raised tab is aligned with the cutout 
in the base of the battery compartment. Close the battery compartment 
door. 




3 Close the battery compartment door. 

4 Watch for the start-up screen on the front of the MX40 to illuminate 
briefly. 


> Insert AA batteries into the MX40 using the following 
procedure: 

1 Open the battery compartment by lifting up on both bottom sides of the 
compartment door. 

2 Insert the AA battery tray if not already present. 

3 Insert three AA 1.5V Alkaline batteries, matching the polarity with the 
+indications inside the compartment. 

Note —all batteries are inserted with the + polarity in the same direction. 


4-16 


Operating Modes 




4 Close the battery compartment door. 

5 Watch for the start-up screen on the front of the MX40 to illuminate 
briefly. 

Removing the Batteries 

Batteries should be removed when the MX40 is not in use or is being stored. 

To remove the batteries, open the battery compartment door and push from 
the opening at the bottom of the compartment to pop the batteries out. 
Device settings (patient cable type, SpCh mode, volume, etc.) are retained 
when the batteries are removed. 

If you remove good AA batteries to turn off the MX40, keep them together 
as a set for later re-use so that all batteries will have the same level of power 
remaining. 

Important — Do not "store" disposable AA batteries by leaving them in the 
incorrect polarity position in the MX40. 

Be careful not to short circuit the batteries. Batteries can get hot when 
shorted. Short circuits are caused when a piece of metal touches both the 
positive and negative terminals simultaneously. More than a momentary 
short circuit will generally reduce the battery life. In case of a short circuit, 
discard the batteries, or just the shorted one if the batteries are new. 


Operating Modes 4-17 



Disposal of Batteries 

When disposing of batteries, follow local laws for proper disposal. Dispose 
of batteries in approved containers. If local regulations require you to 
recycle batteries, recycle batteries in accordance with those regulations. 


Battery Charge Status 

The battery charge indicator displays in the Status Area and communicates 
the remaining battery charge time when using both AA batteries or the 
rechargeable lithium-ion battery. 

When the MX40 is initially powered-on, it takes approximately 25 seconds 
for the indicator to populate. During this time, the indicator displays a ? in 
the battery icon. 

In order to guarantee overall device performance, certain functionality is 
disabled when the battery charge reaches critical levels. See the tables 
below for additional information about battery status. 


AA Battery Charge Status 


Approximate 
Battery Life 
Remaining 

Approximate 

Time 

Remaining 
(ECG only) 

Approximate 

Time 

Remaining 
(ECG & Spo 2 
Continuous) 

Functionality 

Disabled 

Battery 
Indicator LCD 
Segments 

100% 

~ 24 hours 

~ 9 hours 

None 

5 Green 

75% 

< 18 hours 

< 7 hours 

None 

4 Green 

50% 

< 12 hours 

< 5 hours 

None 

3 Green 

25% 

< 6 hours 

< 2 hours 

None 

2 Green 

10% 

< 2 hours 

< 1 hours 

None 

1 Green 

Low battery 
level to 

replace/charge 
battery level 

< 30 minutes 

< 30 minutes 

Sp0 2 and 
short-range 
radio are 
disabled. 
Display is at 
half 

brightness. 

1 Red 

Red Battery 
Icon 

Audio 

Replace/charge 
battery level 

< 10 minutes 

< 10 minutes 

Device 

shutdown 

1 Red 

Red Battery 
Icon 


4-18 


Operating Modes 




Lithium-ion Rechargeable Battery Charge Status 


Approximate 
Battery Life 
Remaining 

Approximate 

Time 

Remaining 
(ECG only) 

Approximate 

Time 

Remaining 
(ECG & Spo 2 
Continuous) 

Functionality 

Disabled 

Battery 

Indicator 

LCD 

Segments 

100% 

~ 25 hours 

~ 14 hours 

None 

5 Green 

75% 

< 19 hours 

< 10.5 hours 

None 

4 Green 

50% 

< 13 hours 

< 7 hours 

None 

3 Green 

25% 

< 6 hours 

< 3.5 hours 

None 

2 Green 

10% 

< 3 hours 

< 1.5 hours 

None 

1 Green 

Low battery 
level to 

replace/charge 
battery level 

< 30 minutes 

< 30 minutes 

Sp0 2 and 
short-range 
radio are 
disabled. 
Display is at 
half 

brightness 

1 Red 

Red Battery 
Icon 

Audio 

Replace/charge 
battery level 

< 10 minutes 

< 10 minutes 

Device 

shutdown 

1 Red 

Red Battery 
Icon 


Operating Modes 


4-19 




Service Information Availabe in Monitoring Mode 


While the MX40is operating in Monitoring Mode, important Service 
information is available by touching the Status Area. You can view radio 
signal strength and device specific information, such as serial number and 
software and hardware revisions. 


Smart-Hopping 
Radio Link 
Information 



••(IN Sutton. EJtnOvth 071) 


HR 100 

rV 


I n» Device Status X | 

Equipment latxt 

: TeteOI 


Link Quality 


> 

Battery uie 

inn 57% 

3.82 v 


Device Into 

_ h 

■ 


Short Range Radio 
Link Information 



Device Information 


MX Wkmcium mm 

1 11 1 

- v 1 

1 tin 

, "100 

I Device In*. X ■ 

1 teMvoer 

*Ue*C£49‘ I 

I 


1 341S«-roe* »>i«0 

341 SH 

woejtts 

ASfli 3VT 


Mtlfee 

AM90 

ow«. 

3Q* »• OK 4*3 M 


4-20 Operating Modes 





























Device Info - Page 1 


Device Info - Page 2 





Hardware Service Number 
Hardware Serial Number 
Software Service Number 
Software Serial Number 

Application 
Software Revision 
and Options 



Detailed Revision 
Information 


Operating Modes 4-21 






















Configuration Mode 

This section describes settings that are configured using the user interface 
on the MX40. For information on configuration settings that are entered at 
the Information Center, see the IntelliVue Information Center Configuration 
Guide contained on the MX40 Documentation CD, p/n 453564255041. 

Configuration Mode is password protected. The password to enter is 
"71034”. 

Clinical Configuration 

The table below lists the settings that are configured using the 

Configuration menu: 


Setting 

Description 

MX40 with IIC N 

MX40 with IIC L/M 

Touch Tone 
Volume: 

Audio feedback for 
button touch events. 
Mute (0) or allow 
sound feedback 

0-10 

4 

0-10 

4 

Default Screen: 

Screen displayed after 
power on 

1 wave - P(ortrait) 

2 waves - P(ortrait) 

2 waves - 
L(andscape) 

Chest Diagram 

1 wave - P(ortrait) 

Chest Diagram 

Screen Color: 

The color of the 
Standby screen can 
be changed. This can 
be used to distinguish 
devices between 
different units, e.g. 

Blue for CCU, Green 
for ED 

Blue, Gray, Green, 
Pink, Purple, Yellow 

Note — Blue, Gray, 
and Green apply to 
both Startup and 
Standby screens. 
Pink, Purple and 
Yellow apply to 
Standby screen 
only. 

Blue, Gray, Green, 
Pink, Purple, Yellow 

ECG Cable 
Color: 

These are the colors 
that will be displayed 
on the chest diagram 
if a patient cable type 
cannot be determined. 

AAMI, IEC 

AAMI, IEC 

Alarm Sounds 

Sets MX40 alarm 
sound type to 
Traditional (Carenet) 
or ISO. 

Traditional, ISO 

Traditional, ISO 


4-22 


Operating Modes 




Setting 

Description 

MX40 with IIC N 

MX40 with IIC L/M 

Alarms On: 

Enable: All MX40/IIC 
Release N features 
available. 

Disable: MX40 
operates as if 
connected to IIC 
Release L/M. 

Disable, Enable 

Disable 

Unit Defaults: 





The table below lists the settings that are configured using the SmartKeys menu: 


Setting 

Description 

MX40 with IIC N 

MX40 with IIC L/M 

Alarm Volume 
for Off 

Network: 

Sets the default alarm 
volume when the 
device goes off 
network 

10 only 

10 only 

Inop Reminder: 

Inop reminders on or 
of 

Set at IIC 

On, Off 

Inop Severity: 

• ECG Leads 
Off 

• Replace 
Battery 

Sets the severity of 
the "ECG Leads Off" 
and/or "Replace 

Battery" INOP 
conditions 

Set at IIC 

Red, Yellow, Cyan 


The table below lists the settings that are configured using the individual parameter Setup menus 
for ECG and Sp0 2 : 


Setting 

Description 

MX40 with IIC N 

MX40 with IIC L/M 

Lead 

Placement: 

Sets the default lead 
placement to either 
Standard or EASI 

ECG. This impacts the 
leads that are 
selectable and the 
location of the 
electrodes displayed 
on the Chest Diagram. 

Standard, EASI 

Standard, EASI 

Sp0 2 Mode: 

Sets the default Sp0 2 
mode to either Manual 
or Continuous. 

Manual, Continuous 

Manual, Continuous 


Default Settings = Bold. 

Note — The IntelliVue Support Tool - Mark 2 can be used to copy the configuration of one MX40 
to another MX40. 


Operating Modes 4-23 






Service Mode 


This section describes the menus and settings accessed from the Service 

Operating Mode. Service Mode is password protected. The password to 

enter is "1345". 

Setup Network 

The Setup Network menu allows you to set the RF Access Code for the 

MX40. 

Revisions 

The Revisions menu displays the Device Info menu: 

• Service #: This is the Service Identification Number located on the back 
label and used to identify the device. 

• S/N: This is the Hardware Serial Number for the device located on the 
back label and used to identify the device. 

• SW Service #: This is the Service Identification Number for the software 
version on the device. It can be found on the Software License 
Certificate that shipped with the Device. 

• SW SN: This is the Software License Number. It can be found on the 
Software License Certificate that shipped with the device. 

Note — Customers should save the Software License Certificate for 
future reference. 

• Appl SW: This is the revision of the software installed and running on 
the MX40. 

• HW Rev: This is the Revision Number for the device hardware. 

• Options: List of enabled product options on the device. 


Enabled Product Option # 

Product Option 

SOI 

ECG only 

S02 

ECG and Sp0 2 

S03 

ECG and Sp0 2 Ready (for future upgrade) 

C01 

Enhanced Arrhythmia 

C03 

24 hours of Trends 

J46 

Short-Range Radio 


4-24 


Operating Modes 




Demo Mode 

The MX40 has a Demo Operating Mode available for assistance in sales and 
training situations. Demo Mode is password protected. The password to 
enter is "14432". 

In Demo Mode, all menus are accessible, and all buttons and SmartKeys are 
operational. There is a simulated ECG wave on the display, and the alarm 
system is functional. Data is transmitted to the Information Center and is 
labeled "Demo" in the patient sector and on the MX40 in the Leads Off 
Status Area. 


Operating Modes 4-25 



4-26 Operating Modes 



5 


Maintenance 


This section provides procedures for maintaining the MX40 after 
installation, including equipment label assignment, cleaning and battery 
care. 


Cleaning.5-2 

Disposing of the MX40.5-4 

Label Assignment for Replacement MX40.5-5 

Charging Lithium-ion Rechargeable Batteries.5-7 


Maintenance 


5-1 







Cleaning 

The procedure in this section keeps the MX40 and its accompanying patient 
cable clean and provides protection against infectious agents and 
bloodborne pathogens. Both the outside and the inside of the MX40 battery 
compartment and the patient cable must be kept free of dirt, dust, and 
debris. 

Important — After exposure, the MX40 and the patient cable must be 
cleaned as per the instructions contained herein. Sterilization of the MX40 
has been qualified using the STERRAD 100NX System. For more 
information and instruction on sterilizing the MX40, refer to the instuctions 
provided by the manufacturer. The alternative Steris V-pro process using 
hydrogen peroxide vapor is also acceptable. 

> Perform the following steps to clean the MX40 and the 
patient cable of visible surface contamination. 

Note — when cleaning, the use of protective gloves is encouraged. 

1 Remove the batteries and disconnect the patient cable. 

2 If using disposable AA batteries, remove the battery tray and clean 
separately. 

3 Wipe the MX40 and the patient cable clean by using a cloth dampened 
modestly with one of the approved cleaning agents listed in the table 
below. 

4 Follow the manufacturer's instructions with regard to application 
duration. 

5 Wipe the M40 and inside the patient cable housing with distilled water 
or alcohol to prevent residue build-up. 

6 Allow to air-dry, or dry with a non-lint producing cloth. 

Cleaning Materials for the MX40 

Caution 

• Use of abrasive cleaning materials, or disinfectants or cleaning agents 
not listed herein, on any part or component of the MX40 may damage 
the components. 

• The Gore-tex patch in the battery compartment of the MX40 can be 
damaged by the use of glutaraldehyde and anti-bacterial soap. 


5-2 


Maintenance 




Sharp or pointed instruments should not be used to remove soil from 
recessed areas on the MX40. 


Approved Cleaners 


Cleaner 

Active Ingredient 

Isopropyl Alcohol 
based 

Isopropyl Alcohol (>70%) 

Hydrogen Peroxide 

Hydrogen Peroxide (3%) 

Chlorine Bleach 

Sodium Hypochlorite (1:10 concentration, 
mixed < 24 hours) 

Metrex CaviWipes 

Isopropyl alcohol (15-18%) 

Sodium hydroxide (0.1%) 

2-butoxyethanol (1-5%) 

Viraguard 

Isopropanol (70%) 

Resert XL HLD 

Hydrogen peroxide (1.4-2-3%) 

2-Fumic Acid (<2.5%) 

Sporox II Sterilizing & 
Disinfection Solution 

Hydrogen peroxide (7.5%) 

Phosphoric acid (0.85%) 

Sanicloth Plus 
Germicidal Cloths 

Isopropyl alcohol (55%) 

Quaternary ammonium (0.5%) 

WipesPlus 

Disinfecting Wipes 

Phenylphenol (0.28%), 

Benzyl-p-chlorophenol (0.03%) 

TechSpray General 
Purpose Cleaner 

Isopropyl alcohol (70%) 

Oxivir Tb Cleaner 
Disinfectant 

Hydrogen peroxide (2.5-3.5%) 

Oxivir Tb Wipes 

Hydrogen peroxide (3%) 

Sanicloth HB 

Quaternary ammonium (1%) 

Sanicloth Plus 

Quaternary ammonium (0.25%) 

2-Butoxyethol (1-4%) 

Isopropyl alcohol (14.85%) 

Super Sanicloth 

Quaternary ammonium (<1%) 

Isopropyl alcohol (55%) 


Note —The cleaners listed above are also suitable for cleaning the patient 
cable and the lithium-ion battery. 


Maintenance 




















Disposing of the MX40 

Warning 

To avoid contaminating or infecting personnel, the environment or other 
equipment, make sure you disinfect and decontaminate the MX40 
appropriately before disposing of it 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 web page: 

http://www.healthcare.philips.eom/main/about/Sustainability/Recycling/p 

m.wpd 

The 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. 


5-4 


Maintenance 





Label Assignment for Replacement MX40 

During installation, an equipment label is assigned to each MX40 in a 
clinical unit so that the device can be identified during operation within the 
wireless system. If an MX40 is lost, the Assign Label function at the 
Information Center enables you to unassign the label from a lost device, 
and re-assign its label to a replacement device. Labels are limited to those 
available in an individual clinical unit. The Label Assignment function 
requires a password for access, and its controls are available in English 
only. 

Re-assigning an Equipment Label 

> To re-assign an equipment label to a replacement 
device: 

1 At the Information Center, clear the sector that the original equipment 
label was assigned to (Patient Window -> Sector Setup -> Clear 
Sector -> OK). 

Note — Before clearing the sector, ensure that the equipment label of 
the lost device is not actively assigned to a patient being monitored. 

2 Select All Controls -> Label Assignment. 

3 Enter password. 

Note — The remaining screens will be in English only. 

4 Insert battery power into the MX40 and if attached, disconnect the 
patient cable. 

5 Select Refresh. 

6 Select the MAC address of the replacement device from the New 
Devices list. If the address does not appear, remove battery power and 
re-insert. Select Refresh. 

Note — The MAC address appears on the rear label of the MX40. 

7 Select the equipment label that was assigned to the previous device 
from the Equipment Label list. 

8 Select Assign Label to initiate programming of the equipment label 
into the replacement MX40. 

9 When prompted, press Confirm on the MX40 to accept the assignment. 
The confirmation must occur within 30 seconds of the prompt. 


Maintenance 5-5 



10 Wait for the new device label to change to the selected equipment label. 

11 In Sector Setup, select the Bed Label and Equipment Label and then 
press OK. 


Maintenance 



Charging Lithium-ion Rechargeable Batteries 

The li-ion rechargeable battery is recharged using the IntelliVue CL 

Charging Station. 

To charge a battery, place it onto a charger slot on the charging station. 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 power supply to fit an ungrounded AC 
mains socket. 

• Do not use AC mains extension cords or multiple socket outlets. If a 
multiple portable socket outlet without an approved isolation 
transformer is used, the interruption of its protective grounding may 
result in 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 the system. 


Battery Power Indicators 

There are various indications which help you keep track of the battery 
power status. 

• LEDs on the charging station slots 

• battery status information on both the MX40 and the charging station's 
display 

• INOP messages 

The indicators always show the remaining capacity in relation to the 
battery's actual maximum capacity which may lessen as the battery ages. 

Charging Station LEDs 

The nine charger slot LEDs show the battery status of the device in their 
slot and are switched off if no battery is inserted. 

If a battery is put on a charging station slot, the corresponding LED will 
flash yellow until the battery's current state has been identified. Then a 
beep is issued and the LED reflects the battery status as described in the 
table below. 


Maintenance 





Status 

LED 

no battery on charger slot 

off 

battery put on charger slot 

flashing yellow 

battery not properly recognized, 
error 

cyan 

battery recognized, battery 
charging 

yellow 

battery recognized, battery full 
(>90%) 

green 


The AC Power / Error LED is 

• green when the charging station is connected to AC power 

• cyan during startup or to indicate a general charging station error 

Note — Wiping of battery contacts with an alcohol solution after cleaning is 
recommended. 


Battery Status on the Charging Station Display 


The IntelliVue CL Charging Station display provides a quick overview of 
all the connected devices and their battery status. The screen is arranged in 
the same layout as the charger slots. 


00! G 
III! 


Battery Lifetime Management 

The lifetime of a li-ion battery depends on the frequency and duration of 
use. When properly cared for, the useful life is approximately 4 years or 500 
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 li-ion batteries be replaced after 2 years or 500 
complete charge-discharge cycles. 

The age of a li-ion battery begins at the date of manufacture. The date of 
manufacture is listed on the side of the battery. 


5-8 


Maintenance 










Battery Disposal 


Discharge the battery and insulate the terminals with tape before disposal. 
Dispose of used batteries promptly and in accordance with local recycling 
regulations. 


Maintenance 5-9 




Part and Option Ordering 
Information 


This section provides specific part number, option number, support part 
number, and descriptive information associated with the MX40. 


MX40 Product Structure.6-2 

MX40 Support Parts.6-5 


Part and Option Ordering Information 





MX40 Product Structure 


The table below provides MX40 part and option information. 


V 

Standard 

MX40 

MX40 

• 

Optional 

865350 

865351 



WMTS 1.4 GHz Smart-hopping network 

V 



2.4 GHz Smart-hopping network 


V 


Rechargeable battery 

• 

• 


AA batteries 

V 

V 

Required additional purchases 1 

SOI 

ECG only 

• 

• 

S02 

ECG + Fast SpOi enabled 2 

• 

• 

S03 

Fast Sp0 2 ready 3 

• 

• 

Add-on options 

Clinical applications 

COI 

Enhanced Arrhythmia 4 

• 

• 

C03 

Vitals Trend 

• 

• 

Documentation 

DO 1 

Paper instructions for use 5 

• 

• 

Interfaces 

J46 

Short range radio 

• 

• 

865349 

Intellivue MX40 accessories 



Device accessories 

E24 

MX40 Lith-ion battery, pkg of 3 

• 

• 

E28 

AA battery, 8 pieces 6 

• 

• 

E29 

Carry pouch, pkg of 50 

• 

• 

Patient accessories 

K03 

ECG 3-lead grabber, AAMI MX40 

• 

• 


6-2 


Part and Option Ordering Information 










Standard 

MX40 

MX40 

• 

Optional 

865350 

865351 


K05 

ECG 5-lead grabber, AAMI MX40 

• 

• 

K06 

ECG 6-lead grabber, AAMI MX40 

• 

• 

K07 

ECG 3-lead grabber, AAMI + Sp0 2 MX40 

• 

• 

K08 

ECG 5-lead grabber, AAMI + Sp0 2 MX40 

• 

• 

K09 

ECG 6-lead grabber, AAMI + Sp0 2 MX40 

• 

• 

KI3 

ECG 3-lead grabber, IEC MX40 

• 

• 

KI5 

ECG 5-lead grabber, IEC MX40 

• 

• 

KI6 

ECG 6-lead grabber, IEC MX40 

• 

• 

KI7 

ECG 3-lead grabber, IEC + Sp0 2 MX40 

• 

• 

Kl 8 

ECG 5-lead grabber, IEC + Sp0 2 MX40 

• 

• 

KI9 

ECG 6-lead grabber, IEC + Sp0 2 MX40 

• 

• 

K23 

MX40 extender cable 

• 

• 

K24 

Adapter cable bedside/MX40 ECG + Sp0 2 

• 

• 

Additional accessories 

98980317222 

1 

ECG trunk cable AAMI/IEC 

• 

• 

98980317182 

1 

ECG 5-lead snap AAMI 

• 

• 

98980317184 

1 

ECG 5-lead snap AAMI+Sp0 2 

• 

• 

865220 

Battery charging station 7 

• 

• 


1 Only one of this category must be chosen. 

2 Requires purchase of pulse oximetry accessories. May require adapter cable. 

3 Requires purchase of 865348/S02 to enable feature. 

4 Not applicable for IntelliVue Information Center release L or M. 

5 Applicable for the United States only. 

6 Support for disposable batteries is standard. Must purchase AA batteries 
separately. 

7 Requires purchase of 865349/E24. 


Part and Option Ordering Information 


6-3 







V 

Standard 

MX40 

MX40 

• 

Optional 

865350 

865351 


865348 

IntelliVue MX40 upgrade options 



Base Functionality 

S02 

Enable Fast Sp02 to S03 device 

• 


Clinical applications 

COI 

Add Enhanced Arrhythmia 

• 

C03 

Add Vitals Trend 

• 


Interfaces 

J46 

Add short range radio 

• 


6-4 


Part and Option Ordering Information 






MX40 Support Parts 


Description 

Part Number 

86530 

86531 

TELE PWM, 1.4 GHz, 

ECG Only, Exchange 

453564262491 

SOI 

n/a 

TELE PWM, 1.4 GHz, 

ECG and Sp02, Exchange 

453564262511 

S02 or S03 

n/a 

TELE PWM, 2.4 GHz, 

ECG only, Exchange 

453564262531 

n/a 

SOI 

TELE PWM, 2.4 GHz, 

ECG &Sp02, Exchange 

453564262551 

n/a 

S02 or S03 

ASSY - AA Battery 

Adapter, Tele PWM 

453564132721 

All 

All 

PLAST - Battery Door 
w/Gasket 

453564205271 

All 

All 

MX40 Rechargeable 
Battery, Pkg 1 

989803176201 

All 

All 

MX40 Service Adapter + 
Cable (tool for service) 

453564270071 

All 

All 


Note — The software license transfer process expects the same hardware number as 
original device.For example: 


• A SW license for SOI can only be transferred to 453564262491 or 453564262531. 

• A SW license for S02 or S03 can only be transferred to 453564262511 or 
453564262551. 


Part and Option Ordering Information 


6-5 







































Service personnel can find the following information on the label on the 
back of the MX40: 


Hardware Service Number: 'Service#” 


[^Hardware Serial Number: 


SN 


MAC address: MAC 


IfJl 


ml 


FCC o xxxxxxxxx 
1C: YYYYYYYYVYYY 



ce 


R, 


Kv— 1 LU "• 

sorvtco*; 4535 64X XXXXX 


[~SN~1 usxxxxxxxx 


I REF I XXXXXX 
I MAC|AAAAAAAAAAAA 


6-6 


Part and Option Ordering Information 










MX40 Repair Strategy 


The MX40 Repair Strategy is Unit Exchange worldwide through Philips 
part centers. 


Tools Required.7-2 

Software License Transfer.7-3 


MX40 Repair Strategy 





Tools Required 

Repair of the MX40 requires the following tools: 

• MX40 Service Adapter Cable 

• PC running the IntelliVue Support Tool - Mark2 

• Internet Connection to the Philips Software License Server 


MX40 Repair Strategy 



Software License Transfer 


The MX40 uses Software Licensing functionality to track customer 
information, software revisions, and features enabled. Software Licensing 
allows service personnel to easily determine what products, features, and 
revisions are installed at a particular customer site. 


Exchange devices will arrive without a software license. 

Exchange Device Screen 


PHILIPS 



‘ Self-Test Passed" to indicate that the 
device is functioning as expected. 

“SW License Required" to indicate why 
the device is operating in this mode 

"See Service Manual”, for where to look 
for information on what to do next. 


The software license from the defective device needs to be transferred to the 
exchange device using the IntelliVue Support Tool - Mark2. For more 
information, see the Support Tool Instructions for Use, p/n 453564296161. 


Defective 

Device 



Exchange 

Device 



Direct Physical 
Connection to 
MX40 - Special 
Service Adapter 
required 


MX40 

Service 

Adapter 


USB 


PC running 
IntelliVue Support 
Tool - Mark2 



Required information 
from defective device: 

• SW Serial Number 

OR 

• HW Service Number 
and HW Serial Number 


Notes on the MX40 Service Adapter and cable: 

• The service adapter is for service and demo use only. 

• It is not to be used in the patient vicinity. 

• It is not to be used to power the device when it is connected to a patient! 

• The service adapter is installed in the battery compartment. 

• The MX40 connects to the PC via a USB port, and uses a USB cable - 
but the MX40 does not operate as a standard USB device. 

• Maximum cable length = 3ft (1m) 


MX40 Repair Strategy 7-3 



















Note — The MX40 connects to a PC via a USB port and uses a USB cable, 
but the MX40 does not operate as a standard USB device. The MX40 does 
not support the use of a cable longer than 3 ft. Longer cables may result in 
an unacceptable drop in voltage. 


7-4 


MX40 Repair Strategy 



8 


Troubleshooting 


This section provides information about the technical alarms generated by 
the MX40 and associated troubleshooting suggestions. Also provided are 
troubleshooting suggetions for user interface issues and information 
regarding the patient cables used with the MX40. 


Technical Alarms (INOPs).8-2 

Possible User Interface Issues.8-10 


Troubleshooting 8-1 





Technical Alarms (INOPs) 

Technical Alarms, or INOPs (inoperative conditions), are sourced at the 
MX40, the ST/AR algorithm running at the Information Center, or the 
IntelliVue Patient Monitor. They identify inoperative conditions (that is 
conditions where the system is not operating properly and therefore cannot 
measure or detect alarm conditions reliably). There are four levels of 
Technical Alarms: 

• Severe - Monitoring and alarm generation are disabled. Visual alarm 
indicator on the MX40. Audible tone at the Information Center. Must be 
acknowledged by a clinician. 

• Hard - Monitoring and alarm generation are disabled. Visual alarm 
indicator on the MX40. Audible tone at the Information Center. 

If the hard INOP is "latched", the sound will be silenced, but the 
message will remain on the display until resolution of the offending 
condition. 

• Soft - Monitoring and alarms remain active. Visual alarm indicator on 
the MX40 and at the Information Center. No audible tones are 
generated at the Information Center 

• Red/Yellow - Replace Battery and ECG Leads Off INOPs may be 
configured to display as either Red or Yellow Technical Alarms. 

Note - The ECG Leads Off INOP will initially display as a cyan 
technical alarm until a valid ECG signal is obtained. 

In the following table, technical alarms are listed alphabetically. 


Alarm Text 

Priority 

Condition 

What to do 

BATTERY LOW T 

Source - MX40 

Soft 

• There is less than 15 
minutes of monitoring 
time remaining (AA 
batteries). 

• Replace batteries 
promptly to avoid 
shutdown and cessation of 
monitoring. 



• Lithium-ion battery 
level is < 10% or has 
<30 minutes 
remaining time. 

• 

Insert a charged 
lithium-ion battery pack. 

CANNOT ANALYZE 

ECG 

Source - MX40 and 
Information Center 

Hard 

Arrhythmia algorithm 
cannot reliably analyze 
the ECG data on any 
monitored leads. 

Assess the lead selections, 
initiate relearn, and validate 
analyzed rhythm. Check 
other INOPs for possible 
source of problem. 


8-2 Troubleshooting 




Alarm Text 

Priority 

Condition 

What to do 

CHECK PAIRING 

Yellow 

• There is a problem 

• Check that the bedside 


Technic 
al Alarm 

with device pairing. 

monitor is correctly paired. 

Source - MX40 


• When the MX40 is 
wirelessly paired with 
an X2 patient monitor 
(no label) docked with 
a larger networked MP 
series monitor, and 
the network 
connection is lost. 

• Select the correct device 
to be paired. 

cl NBP Batt Low 

Source - Cableless 
Measurement Device 

Hard 

CL NBP Pod weak 
battery condition. 

Charge CL NBP Pod. 

cl NBP Batt Empty 

Severe 

CL NBP Pod empty 
battery condition. 

• Replace CL NBP Pod. 

Source - Cableless 
Measurement Device 


Monitoring is not 
possible. 

• Recharge depleted CL 

NBP Pod. 

cl NBP DISCONNECT 

Hard 

CL NBP Pod is not 
connected with the 

i\ n\/ a r\ 

• Resolve interference 
condition. 

Source - Cableless 
Measurement Device 


MX40. 

• Reduce range between 

CL NBP Pod and MX40. 

cl Sp0 2 Batt Low 

Source - Cableless 
Measurement Device 

Hard 

CL Sp0 2 Pod weak 
battery condition. 

Charge CL Sp0 2 Pod. 

cl Sp0 2 Batt Empty 

Severe 

CL Sp0 2 Pod empty 
battery condition. 

• Replace CL Sp0 2 Pod. 

Source - Cableless 
Measurement Device 


Monitoring is not 
possible. 

• Recharge depleted Sp0 2 
Pod. 

cl Sp0 2 DISCONNECT 

Hard 

CL Sp0 2 Pod is not 
connected with the 

IV /IN/ A A 

• Resolve interference 
condition. 

Source - Cableless 
Measurement Device 


MX40. 

• Reduce range between 

CL Sp0 2 Pod and MX40. 

!!!/!! CUFF NOT 

Severe 

Cuff pressure has 

Remove cuff and tubing and 

DEFLATED 

Source - Cableless 
Measurement Device 


exceeded the specified 
safety limit. 

expel air. 


Troubleshooting 




Alarm Text 

Priority 

Condition 

What to do 

!!!/!! CUFF OVERPRESS 

Source - Cableless 
Measurement Device 

Severe 

Cuff pressure has 
increased above 
overpressure safety 
limits. 

Remove cuff and tubing and 
expel air. 

ECG/ARRH ALARM 

OFF 

Soft 

ECG is turned off. 

Turn on ECG. 

Source - MX40 




ECG LEADS OFF 

Red or 

• Multiple leads are off. 

Re-attach ECG leads to 

Note This INOP may 
also be configured to 
display as a Red or 

Yellow Technical Alarm. 

Yellow 
or Hard 
Technic 
al Alarm 

patient.. 

Source - MX40 




<electrode> LEAD OFF 

Source - MX40 

Hard 

Single lead is off. 

If primary lead is MCL, 
lead will be identified as 
V/C in INOP text. 

Re-attach ECG leads to 
patient. 

LEADSET UNPLUGGED 

Hard 

• Patient cable has 
been unplugged from 

• Re-attach the patient 
cable. 

Source - MX40 


the MX40. 

• Incompatible leadset 
attached to patient 
cable. 

• Replace the leadset. 

LOCAL AUDIO OFF 

Source - MX40 

Note — This is normal 
operation in Telemetry 
Mode. 

Soft 

There is no alarm audio 
notification when 
operating in Telemetry 
Mode. 

Change to Monitor Mode. 

NBP INTERRUPTED 

Source - Cableless 
Measurement Device 

Hard 

The preset maximum 
time for the total 
measurement has been 
exceeded. 

Reduce patient movement 
and avoid interaction with the 
cuff and tubing. 

NBP MEASURE FAILED 

Source - Cableless 
Measurement Device 

Hard 

Measurement values 
cannot be derived. 

• Attach cuff to new location 
on patient. 

• Replace cuff. 


8-4 Troubleshooting 




Alarm Text 

Priority 

Condition 

What to do 

NBP EQUIP MALF 

Hard 

• Tubing may be 

• Check tubing. 

Source - Cableless 
Measurement Device 


obstructed or kinked. 

• Hardware malfunction. 

• If condition persists, 
contact Service. 

NO ALARM DISPLAY 

Soft 

When operating with 

Condition is not present when 



Information Center 

operating with Information 

Source - MX40 


Release L Or M, there is 

Center Release N or later 


no local alarming at the 

(unless specifically 



MX40, networked or 

configured to operate in this 



non-networked. 

way). 

NO CENTRAL 

MONITOR 

(appears at MX40 only) 

Hard 

• The MX40 is out of 
range of the network. 

• Return the MX40 to the 
coverage area. 



• Patient Sector at the 

• Select Resume at the 

Source - MX40 


Information Center is 
in Standby. 

Information Center. 

NO HOST 

Hard 

The paired 

• Reduce the distance 

MONITORING 


MX40/bedside monitor is 
out of short-range radio 

between the devices. 

Source - MX40 


range or there is 
excessive radio 

• Identify and remove 
interference source. 



interference. 


NO SIGNAL 

Hard, 

• The MX40 is outside 

• Make sure that the MX40 

(appears at the 

Latched 

the coverage area, or 

is within the coverage 

Information Center only) 


area and has good 
batteries. 

• No batteries in the 
MX40, or 

Source - Information 


• Replace the MX40 if 

Center 


• The MX40 has failed. 

Power On Self Test fails. 




• Put bed in Standby. 




• Contact Service 

REPLACE BATTERY T 

Red or 

• Dead battery. No 

Replace batteries. 


Yellow 

monitoring is 


Source - MX40 

or Hard 
Technic 

occurring. 


Note — This INOP may 

al 

• When operating 


also be configured to 

Alarm, 

wirelessly, the patient 


display as a Red or 

Latched 

monitor is no longer 


Yellow Technical 


providing power to the 


Alarm. 


MX40, and battery 
capacity is now 
depleted. 



Troubleshooting 




Alarm Text 

Priority 

Condition 

What to do 

Sp0 2 T EQUIP MALF 

Hard 

Malfunction in the Sp0 2 
equipment 

Contact Service. 

Source - MX40 




Sp0 2 T ERRATIC 

Source - MX40 

Hard 

Erratic Sp0 2 

measurements, often due 
to a faulty sensor or 
invalid Sp0 2 
measurements, or 
incorrect transducer 
position 

Repeat measurement, 
reposition sensor on patient, 
or finally, replace sensor. 

Sp0 2 T EXTD UPDATE 
Numeric is replaced by a 

Source - MX40 

Soft 

The update period of 
displayed values is 
extended due to an NBP 
measurement on the 
same limb or an 
excessively noisy signal. 

If NBP is not active, check 
the sensor placement. 
Reposition the sensor on 
patient, or replace sensor. 

Sp0 2 T LOW PERF 

Source - Monitor 

Soft 

Accuracy may be 
reduced due to low 
perfusion. Data displayed 
with ?. 

Increase perfusion. Change 
sensor site. Avoid site distal 
to BP cuff or intra-arterial 
line. Warm the site. 

Sp0 2 T INTERFERENCE 

Source - MX40 

Hard 

Level of ambient light or 
level of electrical 
interference are so high 
that the Sp0 2 sensor 
cannot measure Sp0 2 
and pulse rate. 

Reduce ambient light to 
sensor or electrical noise 

sources. 

Sp0 2 T NO SENSOR 

Note — Silencing this 
technical alarm turns off 
the Sp0 2 measurement 
on the MX40 only (not at 
the Information Center). 

Source - MX40 

Hard 

No sensor attached to 
Sp0 2 device. 

Attach Sp0 2 sensor. 

%Sp0 2 T NOISY SIGN 

Source - MX40 

Hard 

Excessive patient 
movements or electrical 
interference are causing 
irregular pulse patterns 

Reduce movement or 
electrical noise sources. 


8-6 Troubleshooting 




Alarm Text 

Priority 

Condition 

What to do 

Sp0 2 T NO PULSE 

Hard 

• Pulse is too weak or 
not detectable 

• Check connection to 
patient. 

Source - MX40 

Note — When paired 
directly with an IntelliVue 
MP5 Patient Monitor, the 
INOP will display as 

Sp0 2 T SENSOR OFF. 


• Sensor has fallen off 
at patient. 

• Change sensor site. Avoid 
site distal to BP cuff or 
intra-arterial line. 

Sp0 2 POOR SIGNAL 

Source - MX40 

Soft 

Although a measurement 
may be possible, its 
accuracy may be 
reduced due to poor 
signal quality. 

• Apply the sensor 
according to the 
manufacturer's 
instructions. 

• Relocate the sensor to a 
different site on the 
patient. 

Sp0 2 T SEARCHING 

Source - MX40 

Soft 

The patient signal is 
analyzed, but a valid 
numeric is not available 
yet. 

Wait for the measurement to 
complete. 

Sp0 2 T SENSOR OFF 

Note — The ability of 
the algorithm to detect 
this condition depends 
on the sensor type in 
use. 

Hard 

The algorithm has 
determined that a sensor 
is connected, but not 
properly applied to the 
patient. 

• Apply the sensor 
according to the 
manufacturer's 
instructions. 

• If the condition persists, 
relocate the sensor to a 
different site on the 
patient. 

Sp0 2 T SENSOR MALF 

Hard 

Malfunction of the Sp0 2 
sensor/adapter cable 

Replace sensor. 

Source - MX40 




Sp0 2 UNKN SENSOR 

Source - MX40 

Hard 

The connected Sp0 2 
sensor and/or adapter 
cable is not supported by 
the hardware version. 

Use specified sensor and/or 
adapter cable. 

Sp0 2 T UPGRADE 

Source - MX40 

Soft 

Sp0 2 hardware is in 
upgrade process. 
Monitoring is not 
possible. 

Wait for the upgrade process 
to complete. 

TELE BATTERY LOW 

Source - MX40 

Soft 

Lithium-ion battery level 
is < 20% or has <30 
remaining time. 

Insert a charged lithium-ion 
battery pack. 


Troubleshooting 8-7 




Alarm Text 

Priority 

Condition 

What to do 

TELE BATT EMPTY 

Note — This INOP may 
also be configured to 
display as a Red or 

Yellow Technical Alarm. 

Source - MX40 

Note — For Information 
Center Release L or M, 
this INOP will appear as 
"REPLACE BATTERY 

T". 

Hard, 

Latched 

Lithium-ion battery level 
is critically low. A 

10-minute countdown 
begins. The MX40 will 
shut down if the condition 
is not cleared. 

Insert a charged lithium-ion 
battery pack. 

TELE BATTERY TEMP 

Source - MX40 

Note — For Information 
Center Release L or M, 
this INOP will appear as 
"REPLACE BATTERY T" 

Hard 

The temperature of the 
lithium-ion battery is 
above 55° C or below -5° 
C. 

Replace the lithium-ion 
battery. 

TELE CHECK BATT 

Source - MX40 

Soft 

Lithium-ion battery has < 
25 charge cycles 
remaining before 
reaching the charge 
cycle maximum limit. 

Be aware that the Lithium-ion 
battery pack will soon need 
replacement. 

TELE MALFUNCTION 

Hard 

MX40 malfunction or 
self-test failure. 

Contact Service to replace 
the MX40. 

Source - MX40 




TRANSMITTER OFF 

Source - MX40 

Hard 

RF Auto Shutoff after 10 
minutes of all leads off 
and no Sp0 2 sensor 
connected. 

• Reattach ECG leads to 
patient. 

• Reattach Sp0 2 sensor. 

TELE REMOVE BATT 

Source - MX40 

Note — For Information 
Center Release L or M, 
this INOP will appear as 
"REPLACE BATTERY 

T". 

Hard, 

Latched 

The temperature of the 
lithium-ion battery is >60° 

C and the battery must 
be removed. 

• Replace the lithium-ion 
battery. 

• Dispose of old battery 
properly. 

TELE SERVICE BATT 

Source - MX40 

Hard 

The lithium-ion battery 
has exceeded the 
maximum charge cycle 
limit and reached the end 
of its useful life. 

• Replace the lithium-ion 
battery. 

• Dispose of old battery 
properly. 


8-8 Troubleshooting 




Alarm Text 

Priority 

Condition 

What to do 

TELE WEAK SIGNAL 

Soft 

• Patient is at outer 

• Return patient to the 



range of the radio 

coverage area. 

Source - MX40 


coverage area. 

• If patient is in close 



• The MX40 is receiving 

proximity to AP, replace 



a weak signal with 

the MX40. Contact 



high data loss from 

service. 



the AP. 

• The AP covering the 



• Condition exists for 

specific area is suspect. 



multiple devices in a 
specific area 

Contact Service 


Troubleshooting 


8-9 




Possible User Interface Issues 


• The MX40 display does not turn on. 

The AA Battery Tray may be inserted backwards. 

The user may not understand that they need to touch the blue Main 
Screen button for two seconds. 




Main 

Screen 

Button 



The screen is locked and needs to be unlocked using the Unlock 
SmartKey. 



8-10 Troubleshooting 























Fingertip 


The user is not using their finger to touch the screen. The MX40 does 
not react to touches by a fingernail, pen, etc. 



Fingertip through Finger nail Pen, etc. 

pouch and 2 pairs 
of gloves 
(this will work) 

The MX40 does not not recognize the patient cable type. 

The IntelliVue style leadset adapter cable is being used, therefore, 
detection of the cable type is not possible. Configure the MX40 for the 
desired settings: 

- ECG Cable Color, using the Configuration Menu in Configuration 
Mode. 

- Lead Placement, using the HR Menu in Configuration Mode. 

If using a 3-wire IntelliVue leadset, it must be selected using the Setup 
ECG menu and then selecting the New Lead Setup entry. This will 
remove the INOP message. 


Troubleshooting 8-11 



9 


Safety Standards & 
Specifications 


This section describes the regulatory standards that the IntelliVue MX40 
complies with, along with product and measurement specifications. 


Regulatory Information.9-2 

Electromagnetic Compatibility.9-6 

Battery Specifications.9-12 

Lithium-ion Battery Charge Time.9-15 

Physical Specifications.9-16 

MX40 1.4 GHz Radio.9-17 

MX40 2.4 GHz Radio.9-18 

MX40 Short-Range Radio.9-20 

Environmental Specifications.9-21 

Measurement Specifications.9-22 


Safety Standards & Specifications 


9-1 













Regulatory Information 

Software Hazard Prevention 

Potential hazards arising from errors in the software program have been 
identified. Mitigations applied to reduce the associated risk of such hazards 
are included as part of the Risk Management, Clinical Evaluation, and 
Verification and Validation phases of the product's development. 

AC Power Source 

The system is not intended for connection to the public mains as defined in 
CISPR-11. 

Industrie Canada Compliance (Canada) 

This Class B ISM device complies with Canadian ICES-001. 

Cet ISM de la classe B est conforme a la norme NMB-001 du Canada. 

Safety Standards 

The device complies with the following safety requirements for medical 
electrical equipment: 

• EN 60601-1:1990 + Al:1993 + A2:1995 +A1L1993 +A12:1993 + A13:1996 
General Requirements for Safety (with worldwide deviations, including 
U.S. deviations) 

• CSA C22.2 #601.1:1992 Medical Electrical Equipment - General Safety 

• UL 60601-1 Medical Electrical Equipment - General Safety 

• UL 2054 Standards for Household and Commercial Batteries 

• EN 60601-1-1:2006 System Requirements 

• EN 60601-1-4:2000 Safety Requirements for Programmable Electronic 
Medical Systems 

• EN 50371:2005 Low Power Electronic and Electronic Apparatus 
Electromagnetic Exposure 

• EN ISO 9919:2005 Requirements for Sp02 Pulse Oximeters 

• EN ISO 10993-1:2003 Biocompatibility 

• EN ISO 10993-1:2003 Biocompatibility (for leadwires and pouch) 


9-2 


Safety Standards & Specifications 




EN ISO 9919:2005 Pulse Oximeters 

IEC 60601-1-2:2001 Electromagnetic Compliance 

IEC 60601-1-4:1999 +A1 Requirements for Programmable Electrical 
Medical Systems 

IEC 60601-1-6:2006 General requirements for basic safety and essential 
performance - Collateral standard: Usability 


• IEC 60601-1-8:2006 General Requirements for Safety for Alarm Systems 

• IEC 60601-2-49:2001 Particular Requirements for Safety for Patient 
Monitoring Equipment 

• IEC 60601-2-27:2005 Particular Requirements for Safety for 
Electrocardiograph Monitoring Equipment 

• IEC 62133:2002 Safety Requirements for Portable Sealed Secondary Cells 
(alkaline, lithium-ion) 

• AAMI EC 13:2007 Performance Standard, Cardiac Monitors 

• AAMI EC 53:1995 (R) 2001 ECG Cables/Leadwires (excluding 4.2.1) 

Intended Use Statement 

Intended for monitoring and recording of and to generate alarms for, 
multiple physiological parameters of adults and pediatrics in a hospital 
environment and during patient transport inside hospitals. Not intended 
for home use. Intended for use by health care professionals. 


Indications for Use 

Indicated for use by health care professionals whenever there is a need for 
monitoring the physiological parameters of patients. Intended for 
monitoring and recording of, and to generate alarms for, multiple 
physiological parameters of adults and pediatrics in hospital environments 
and during transport inside hospitals. 


Safety Standards & Specifications 




Intended Uses of MX40 


The MX40 is to be used primarily as a traditional telemetry medical device. 
It connects to the IntelliVue Information Center by way of a wireless 
network. When the MX40 is connected the IntelliVue Information Center 
the IntelliVue Information Center provides the primary patient monitoring 
and alarming function. The MX40 does not automatically provide local 
monitoring or alarming when connected to the Information Center. 

The MX40 can provide time-limited local monitoring when it is not 
connected to the wireless network. 

Unlike a traditional bedside monitor which operates on AC power, the 
MX40 is powered by battery and cannot provide continuous monitoring. 


Authorized EU Representative 

Philips Medizin Systeme Deutschland 
Hewlett-Packard-Strasse 2 
D 71034, Boeblingen 
Germany 

Patient Population 

This device is not for use with infant or neonatal patients. 

Use of the device is restricted to one patient at a time. 

The components/accessories which come into contact with the patient's skin 
are in compliance with the relevant requirements of EN ISO 10993-1 for 
Biocompatibility. The device is not designed for direct contact with the 
patient's skin. The accompanying pouch is the appropriate means for 
holding the device. 


Rx 


Federal Law restricts this device to sale by or on the order of a physician. 


9-4 


Safety Standards & Specifications 



Essential Performance 


The IntelliVue MX40 provides Essential Performance (EP) under normal 
operating conditions (includes EMC exposure) only as a complete Medical 
Electrical System, consisting of the MX40, MPx companion monitor 
(Optional), IntelliVue CL Sp02 and NBP Cableless Measurement 
devices(Optional), IntelliVue Telemetry Network Infrastructure, and the 
M3290 Information Center Software. 

The System achieves its Essential Performance exclusively through alarm 
generation at the M3140-55 IntelliVue Information Center and locally at the 
MX40, based on configuration. 

The IntelliVue MX40 protects the patient from unacceptable immediate 
clinical risk by generating specific Physiological Alarms when appropriate. 
If the system cannot generate Physiological Alarms, then relevant Severe or 
Hard-Level Technical Alarms (Inops) are created. 


Safety Standards & Specifications 



Electromagnetic Compatibility 

Medical electrical equipment can either generate or receive electromagnetic 
interference. This product has been evaluated for electromagnetic 
compatibility (EMC) with the appropriate accessories according to IEC 
60601-1-2:2001, the international standard for EMC for medical electrical 
equipment. This IEC standard has been adopted in the European Union as 
the European Norm, EN 60601-1-2:2001. 

Radio frequency (RF) interference from nearby transmitting devices can 
degrade performance of the product. Electromagnetic compatibility with 
surrounding devices should be assessed prior to using the product. 

Fixed, portable, and mobile radio frequency communications equipment 
can also affect the performance of medical equipment. See your service 
provider for assistance with the minimum recommended separation 
distance between RF communications equipment and the product. 

The cables, sensors/transducers, and other accessories for which compliance 
is claimed are listed in the Service and User documentation accompanying 
the product. 

Warnings 

• The use of accessories, transducers and cables other than those specified 
in the product service and user documentation can result in increased 
electromagnetic emissions or decreased immunity of the product. 

• Short-range radio connections are subject to interruption due to 
interference from other radio sources in the vicinity, including 
microwaves, bluetooth devices, and DECT phones. Outside the 
frequency band and 5% above and below, i.e. the exclusion band 
according to IEC 60601-1-2, the short-range radio connection is immune 
up to 3V/m in the frequency range from 80MHz to 2.5 GHz. Depending 
on the strength and duration of the interference, the interruption may 
occur for an extended period. Any interruption of the signal due to 
interference, moving out of range, or for other reasons is indicated with 
a Tele Disconnected INOP message. 

• The product should not be used next to or stacked with other 
equipment. If you must stack the product, you must check that normal 
operation is possible in the necessary configuration before the product 
is used on patients. 


9-6 


Safety Standards & Specifications 





Reducing Electromagnetic Interference 


The MX40 and associated accessories can be susceptible to interference 
from other RF energy sources and continuous, repetitive, power line bursts. 
Examples of other sources of RF interference are other medical electrical 
devices, cellular products, information technology equipment, and 
radio/television transmission. If interference is encountered, as 
demonstrated by artifact on the ECG or dramatic variations in physiological 
parameter measurement values, attempt to locate the source. Assess the 
following: 

• Is the interference due to misplaced or poorly applied electrodes or 
sensors? If so, re-apply electrodes and sensors correctly according to 
directions in Chapter 6. 

• Is the interference intermittent or constant? 

• Does the interference occur only in certain locations? 

• Does the interference occur only when in close proximity to certain 
medical electrical equipment? 

Once the source is located, attempt to attenuate the interference by 
distancing the MX40 from the source as much as possible. If assistance is 
needed, contact your local service representative. 

Restrictions for Use 

Artifact on ECG and other physiological waveforms caused by 
electromagnetic interference should be evaluated by a physician or 
physician authorized personnel to determine if it will negatively impact 
patient diagnosis or treatment. 

Electromagnetic Compatibility (EMC) Specifications 

Take special precautions regarding electromagnetic compatibility (EMC) 
when using medical electrical equipment. You must operate your 
monitoring equipment according to the EMC information provided in this 
book. Portable and mobile radiofrequency (RF) communications equipment 
can affect medical electrical equipment. 

Accessories Compliant with EMC Standards 

All accessories listed in the accessories section comply, in combination with 
the MX40, with the requirements of IEC 60601-1-2:2001 + Al:2004. 


Safety Standards & Specifications 9-7 



Warning 

Using accessories other than those specified may result in increased 
electromagnetic emission or decreased electromagnetic immunity of the 
monitoring equipment. 


Electromagnetic Emissions 


Emissions Test 

Compliance 

Avoiding Electromagnetic 
Interference 

Radio Frequency 
(RF) emissions 

Group 1 

TheMX40 uses RF energy only for 
its internal function. Therefore, its RF 
emissions are very low and are not 
likely to cause any interference in 
nearby electronic equipment. 

RF emissions 

CISPR 11 

Class B 

The MX40 is suitable for use in all 
establishments. 

Harmonized 

emissions 

Not Applicable 

Device is battery powered only 

Voltage 

fluctuations/Flicker 

emissions 

IEC 61000-3-3 

Not Applicable 


9-8 


Safety Standards & Specifications 











Electromagnetic Immunity 


The MX40 is suitable for use in the specified electromagnetic environment. 
The user must ensure that it is used in the appropriate environment as 
described below. 


Immunity Test 

IEC 60601-1-2 Test 
Level 

Compliance Level 

Electromagnetic 

Environment Guidance 

Electrostatic 
discharge (ESD) 

IEC 61000-4-2 

±6 kV contact 

±8 kV air 

±6 kV contact 

±8 kV air 

Floors should be wood, 
concrete, or ceramic tile. If 
floors are covered with 
synthetic material, the relative 
humidity should be at least 

30%. 

Power frequency 
(50/60 Hz) magnetic 
field 

IEC 61000-4-8 

3 A/m 

3 A/m 

Power frequency magnetic 
fields should be a t levels 
characteristic of a typical 
location in a typical 
commercial and/or hospital 
environment 


Recommended Separation Distance 

Warning 

The MX40, 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. 


In the following table, P is the maximum output power rating of the 
transmitter in watts (W) according to the transmitter manufacturer and d is 
the recommended separation distance in meters (m). 

Portable and mobile RF communications equipment should be used no 
closer to any part of the MX40, including cables, than the recommended 
separation distance calculated from the equation appropriate for the 
frequency of the transmitter. 


Safety Standards & Specifications 


9-9 










Field strengths from fixed RF transmitters, as determined by an 
electromagnetic site survey, should be less than the compliance level in 
each frequency range. 


Interference may occur in the vicinity of equipment marked with this 
symbol:^ 


Immunity Test 

IEC 60601-1-2 Test 
Level 

Compliance Level 

Electromagnetic 

Environment Guidance 

Conducted RF 

IEC 61000-4-6 

3 Vrms 

150 kHz to 80 MHz 

3 VRMS 

Recommended separation 
distance: 

d = 1.2VP 

Radiated RF IEC 
61000-4-3 

3 V/m 

80 MHz to 2.5 GHz 

3 V/m 

Recommended separation 
distance: 

80 MHz to 800 MHz 

d = 1.2-VP 

800 MHz to 2.5 GHz 
d = 2.3 a/P 


Field strengths from fixed transmitters, such as base stations for radio 
(cellular, cordless) telephones and land mobile radios, amateur radio, AM 
and FM radio broadcast and TV broadcast cannot be predicted theoretically 
with accuracy. To assess the electromagnetic environment due to fixed RF 
transmitters, an electromagnetic site survey should be considered. If the 
measured field strength in the location in which the monitor is used 
exceeds the applicable RF compliance level above, the MX40 should be 
observed to verify normal operation. If abnormal performance is observed, 
additional measures may be necessary, such as reorienting or relocating the 
monitor. 

These guidelines may not apply in all situations. Electromagnetic 
propagation is affected by absorption and reflection from structures, 
objects, and people. 

The MX40 is intended for use in an electromagnetic environment in which 
radiated RF disturbances are controlled. The customer or user of the 
monitor can help prevent electromagnetic interference by maintaining a 
minimum distance between portable and mobile RF communications 
equipment and the monitor as recommended below, according to the 
maximum output power of the communications equipment. 


9-10 


Safety Standards & Specifications 

















In the following table, P is the maximum output power rating of the 
transmitter in watts (W) according to the transmitter manufacturer and d is 
the recommended separation distance in meters (m). 


Frequency of 
Transmitter 

150 kHz to 80 MHz 

80 MHz to 800 MHz 

800 MHz to 2.5 GHz 

Equation 

d = 1 .2 a/P 

d = 1 .2 a/P 

d = 2.3 a/P 

Rated max. output 
power of transmitter 

Separation distance 

Separation distance 

Separation distance 

0.01 W 

0.1 m 

0.1 m 

0.2 m 

0.1 W 

0.4 m 

0.4 m 

0.7 m 

1 W 

1.2 m 

1.3 m 

2.3 m 

10W 

3.8 m 

3.8 m 

7.3 m 

100 W 

12.0 m 

12.0 m 

23.0 m 


Electrosurgery Interference/Defibrillation/Electrostatic 
Discharge 

The equipment returns to the previous operating mode within 10 seconds 
without loss of any stored data. Measurement accuracy may be temporarily 
decreased while performing defibrillation. This does not affect patient or 
equipment safety. Do not expose the equipment to x-ray or strong magnetic 
fields (MRI). The MX40 is not for use during electrosurgery. 

Restart Time 

After power interruption, an ECG wave will be shown on the display after 
30 seconds maximum. 


Safety Standards & Specifications 9-11 




Battery Specifications 

Battery Life 

The battery life specifications listed below are based on the use of three 
Duracell MN 1500 batteries. Battery life for other brands may differ. 


Telemetry Mode 
Networked 

Battery Life 
(1.4GHz) 

Battery Life 
(2.4GHz) 

ECG Only (only one 
radio active) 

24.9 hours 

24.7 hours 

ECG/Sp0 2 Continuous 
(using legacy Sp0 2 
cable/sensors. Only one 
radio active.) 

11.2 hours 

8.9 hours 

ECG/Sp0 2 Manual 

In this mode battery life is dependent 
on the usage rate and will range 
between the ECG Only battery life and 
the ECG/Sp0 2 Continuous battery life. 


Monitor Mode 

Networked 

Battery Life 
(1.4GHz) 

Battery Life 
(2.4GHz) 

ECG Only (only one 
radio active) 

11 hours 

7.7 hours 

ECG/Sp0 2 Continuous 
(using legacy Sp0 2 
cable/sensors. Only one 
radio active.) 

5.3 hours 

2.9 hours 

ECG/Sp0 2 Manual 

In this mode battery life is dependent 
on the usage rate and will range 
between the ECG Only battery life and 
the ECG/Sp0 2 Continuous battery life. 


Monitor Mode 
Non-networked 

Battery Life 
(1.4GHz) 

Battery Life 
(2.4GHz) 

ECG Only (only one 
radio active) 

6.8 hours 

7.3 hours 

ECG/Sp0 2 Continuous 
(using legacy Sp0 2 
cable/sensors. Only one 
radio active.) 

4.7 hours 

4.6 hours 


9-12 


Safety Standards & Specifications 






Monitor Mode 
Non-networked 

Battery Life 
(1.4GHz) 

Battery Life 
(2.4GHz) 

ECG/Sp0 2 Manual 

In this mode battery life is dependent 
on the usage rate and will range 
between the ECG Only battery life and 
the ECG/Sp0 2 Continuous battery life. 


The battery life specifications listed below are based on the use of the 
Philips Rechargeable Lithium-ion battery. 


Telemetry Mode 
Networked 

Battery Life 
(1.4GHz) 

Battery Life 
(2.4GHz) 

ECG Only (only one 
radio active) 

26.1 hours 

25.1 

ECG/Sp0 2 Continuous 
(using legacy Sp0 2 
cable/sensors. Only one 
radio active.) 

15.6 hours 

14.1 

ECG/Sp0 2 Manual 

In this mode battery life is dependent 
on the usage rate and will range 
between the ECG Only battery life and 
the ECG/Sp0 2 Continuous battery life. 


Monitor Mode 

Networked 

Battery Life 
(1.4GHz) 

Battery Life 
(2.4GHz) 

ECG Only (only one 
radio active) 

13 hours 

10.4 hours 

ECG/Sp0 2 Continuous 
(using legacy Sp0 2 
cable/sensors. Only one 
radio active.) 

8.8 hours 

7.8 hours 

ECG/Sp0 2 Manual 

In this mode battery life is dependent 
on the usage rate and will range 
between the ECG Only battery life and 
the ECG/Sp0 2 Continuous battery life. 


Monitor Mode 
Non-networked 

Battery Life 
(1.4GHz) 

Battery Life 
(2.4GHz) 

ECG Only (only one 
radio active) 

10.8 hours 

8.6 hours 

ECG/Sp0 2 Continuous 
(using legacy Sp0 2 
cable/sensors. Only one 
radio active.) 

8.6 hours 

7.0 hours 


Safety Standards & Specifications 9-13 







Monitor Mode 
Non-networked 

Battery Life 
(1.4GHz) 

Battery Life 
(2.4GHz) 

ECG/Sp0 2 Manual 

In this mode battery life is dependent on 
the usage rate and will range between 
the ECG Only battery life and the 
ECG/Sp0 2 Continuous battery life. 


Note — Use of the Short-range radio can reduce battery life by 25%. 

Note — The battery capacity of re-chargeable batteries degrades over time 
and number of recharge cycles. Toward the end of its useful life, the battery 
capacity may be reduced by 25-30%. If this reduced battery life is 
unacceptable based on your use model. Philips recommends replacing the 
rechargeable battery sooner. 

Nominal Current 


Operating Mode 

Nominal Current 

ECG Only (Display 
inactive) 

67 mA@ 3.6V 

ECG/Sp0 2 Continuous 
(Display inactive) 

136 mA@ 3.6V 


9-14 


Safety Standards & Specifications 





Lithium-ion Battery Charge Time 


Definition 

Charging Method 

Charge Time 

Battery pack 
charge time from 
90% depletion 
state 

The Lithium-ion Battery Pack is 
charged on a separate external 
charging station. It must be removed 
from the MX40 to charge. 

6.5 hours 


Safety Standards & Specifications 


9-15 




Physical Specifications 


Parameter 

Specification 

Height 

126.8 mm (4.99 in) 

Width 

69.9 mm (2.75 in) 

Depth 

31.5 mm (1.24 in) 

Weight 


• Without batteries, includes 
Sp0 2 and Short-range 
radio 

• 1.4 GHz-240 g (8.5 oz) 

• 2.4 GHz-215 g (7.6 oz) 

• With 3 AA batteries, 
includes Sp0 2 and 
Short-range radio 

• 1.4 GHz - 324 g (10.5 oz) 

• 2.4 GHz - 298 g (11.4 oz) 

• With lithium-ion battery, 
includes Sp0 2 and Short 
-range radio 

• 1.4 GHz - 289 g (10.3 oz) 

• 2.4 GHz - 314g (11.1 oz) 

Display 


• Type 

• 2.8" QVGA Color LCD 

• View Area 

• 43.2mm x 57.6 mm (1.70" x 2.26") 

• Resolution 

• 240 x 320 

• Backlight 

• White LED 

• ECG Display Sector Size 
(height) 

• 13.5mm (portrait), 9.9mm 
(landscape) 

• ECG Display Sweep Speed 

• 10mm/s with 4.32 sec of viewable 
ecg data (portrait), lOmm/s with 

5.76 sec of viewable ecg data 
(landscape) 


9-16 


Safety Standards & Specifications 





MX40 1.4 GHz Radio 


Parameter 

Specification 

Frequency Ranges 

Bands: 1395-1400 MHz and 1427-1432 

MHz 

Channel Spacing: 1.6 MHz 

RF Output Power 
(existing systems) 

8 dBm +2/-1.5 dB (4.5 mW to 10 mW), into 
antenna load 

Radio Frequency 
Accuracy during normal 
operation 

<+60/-100 KHz relative to channel 
frequency, includes temperature 
compensation and aging effects 

Antenna Gain 

-3 dBi 

Modulation Type 

GFSK (1 M40Q7D) 

Out of Band Spurious 
Emission Levels: 

<= 1394 MHz, >= 1401 
MHz 

<= 1428 MHz, >= 1433 
MHz 

<-41 dBm in 1 MHz bandwidth for FCC 
limit 

Occupied bandwidth as 
defined by power in 99% 
BW 

< +/- 800 KHz 


1.4GHz WMTS (US only) 

This device complies with Part 15 of the FCC Rules. Operation is subject to 
the condition that this device does not cause harmful interference. 
Operation of this equipment requires the prior coordination with a 
frequency coordinator designated by the FCC for the Wireless Medical 
Telemetry Service. 


Safety Standards & Specifications 9-17 




MX40 2.4 GHz Radio 


Parameter 

Specification 

Frequency Range 

ISM Band: 2400 - 2483.5 MHz 

Channel Assignment 

48 radio channels assigned from 2401.056 
MHz - 2482.272 MHz 

Channel Spacing: 1.728 MHz 

RF Output Power 

FCC: Channels 0-46 -17 dBm +/-1 dB (40 
mW to 63 mW, nominal 50 mW), into 
antenna load. Channel 47 only -14.5 dBm 
+/-1 dB. 

ETSI: 12 dBm +/-1 dB (13 mW to 20 mW, 
nominal 16 mW), into antenna load 

ARIB: 13.5 dBm +/- 1 dB (18 mW to 28 
mW, nominal 22 mW), into antenna load 

Radio Frequency 
Accuracy during normal 
operation 

<+ 60 /- 100 KHz relative to channel 
frequency, includes temperature 
compensation and aging effects 

Modulation Type 

GFSK, Gaussian Frequency Shift keying 
(1M40Q7D) 

Modulation Bandwidth 

Typically 1.4 MHz (20 dB Bandwidth) 
Typically 980 KHz (6 dB Bandwidth) 

Out of Band Spurious 
Emission Levels 

Meets ETSI, RS210, FCC, ARIB standards 


2.4 GHz ISM 

FCC and Industry Canada Radio Compliance: This device complies with 
Part 15 of the FCC Rules and RSS-210 of Industry Canada. Operation is 
subject to the following two conditions: (1) this device may not cause 
harmful interference, and (2) this device 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 radio frequency interference 
and void your authority to operate this equipment. 


9-18 


Safety Standards & Specifications 




The radio device used in this product is in compliance with the essential 
requirements and other relevant provisions of Directive 1999/5/EC (Radio 
Equipment and Telecommunications Terminal Equipment Directive). Class 
2 radio equipment. Member states may apply restrictions on putting this 
device into service or placing it on the market. This product is intended to 
be connected to the Publicly Available Interfaces (PAI) and used 
throughout the EEA. 

This ISM device complies with Canadian ICES-001. Cet appareil ISM est 
conforme a la norme NMB-001 du Canada. 


Safety Standards & Specifications 9-19 



MX40 Short-Range Radio 


Parameter 

Specification 

Frequency Ranges 

ISM Band: 2400-2483.5MHz 

Radio Channel 
assignment 

16 Radio Channel assigned, Fc= 2405 
+5*(k-11)MHz, k=11,12.26 

Frequency Control 

Configured via the bedside monitor or the 
Information Center depending on use model. 

RF Output Power 

1.5 to '4.5 dBm +2/-3dB (0.7 mW to 0.3 mW), 
into Antenna load. 

MX40 Frequency 
Accuracy during normal 
operation 

<+/-40ppm, includes temperature 
compensation & aging effects 

Modulation Type 

Direct Sequence Spread Spectrum (DSSS), 
O-QPSK with half sine pulse shaping 
modulation (1M40Q7D) 

Modulation Bandwidth 

>500KHz, typically +/-950KHz (6dB Bandwidth), 
typically +/-1.4MHz (20dB Bandwidth) 


9-20 


Safety Standards & Specifications 




Environmental Specifications 


Parameter 

Specification 

Temperature 

Operating 

Storage 

Oto 37° C (32 to 99° F) 

-30° C to 50° C (-22° F to 122° F) without batteries 

Humidity 

Operating 

Storage 

< 95% RH at 37° C (98.6° F) non-condensing 

< 90% RH at 50° C (122°F) without batteries 

Altitude 

Operating & 
Non-operating 

Barometric 

Pressure 

3,000 m (9,842 ft) 

72kPa (537 mmHg) 

Alarm Signal 
Sound 

Pressure 

40dB(A) - 70dB(A) 


Safety Standards & Specifications 


9-21 




Measurement Specifications 

ECG 


Parameter 

Specification 

ECG channel 
transmitted Leads 


3 electrodes 

Channel #1 = 1, II, or III 

5 electrodes 

Channel #1 = II 

Channel #2 = III 

Channel #3 = MCL 

5 electrodes, EASI 

Channel #1 = Va-i 

Channel #2 = Va-s 

Channel #3 = Ve-s 

6 electrodes 

Channel #1= II 

Channel #2 = III 

Channel #3 = MCLa 

Channel #4 = MCLb 

Resolution 

5 pV 

ECG Input 

Differential, defibrillator protected against 360 
joules discharge into a 100 ohm load 

Input Impedance 

> 5 megohms (@ 10 Hz 

Input Dynamic Range 

+/- 9 mV 

DC Offset Range 

+/- 320 mV 

CMRR 

> 90 dB @ 50, 60 Hz 

Bandwidth +/- 3 dB 

0.05 to 40 Hz 

Gain Accuracy 

+/- 5% at 25 °C (77 °F) 

Noise Referred to ECG 
Input (Peak-to-Peak) 

AAMI: 30 pV (as per AAMI EC 13) 

Lead Wires 

3, 5 or 6-wire patient cable compatible with 
IntelliVue Patient Monitor, AAMI/IEC color 
codes 

Time to baseline 
recovery from 
Defibrillator 

AAMI: 5 s max (until ECG wave is on display 
but not yet centered, monitoring bandwidth) 


9-22 


Safety Standards & Specifications 




Parameter 

Specification 

Pacer Rejection 
Performance 

(Pace pulses with no 
tails). 

Positive pacers 1 

Amplitude Width 

+2 to+700 mV 0.1, 0.2, 0.5 and 1.0 ms 

+2 to +500 mV 1.5 ms 

+2 to +400 mV 2 ms 

Negative pacers 1 

Amplitude Width 

-2 to-700 mV 0.1,0.2, 0.5 and 1.0 

ms 

-2 to-500 mV 1.5 ms 

-2 to -400 mV 2 ms 


1 Philips does not claim, verify, or validate 
support for all available pacemakers. 

EMC Performance 
Limits, radiated 
immunity 

Meets Essential Performance. 

ECG Patient Cable 
Disconnection Safety 

All ECG connections are patient safe within 

750 msec of patient cable removal, with 
patient leakage current <10 pA. Exception: 
Leadset detection pins are protected 
mechanically to prevent patient contact. 


ECG Performance Disclosure/Specifications 


Characteristic 

Performance Disclosure/Specification (in italics) 

Heart Rate Averaging Method 

Two different methods are used: 

• Normally, heart rate is computed by averaging the 12 
most recent RR intervals. 

• If each of 3 consecutive RR intervals are greater 
than 1200 milliseconds (i.e. rate less than 50 b/min) 
for adult and pediatric patients, then the 4 most 
recent RR intervals are averaged to compute the HR. 

Heart Rate Meter Accuracy and 
Response to Irregular Rhythm 

Provides correct heart rates (80, 60, 120, 90 b/min) 
using test waveforms as indicated in ANSI/AAMI EC13 

Sec. 3. 1. 2. 1 (5). 


Safety Standards & Specifications 9-23 





Characteristic 

Performance Disclosure/Specification (in italics) 

Response Time of Heart Rate Meter to 
Change in Heart Rate 

For a rate increase, the average time to reach the 
specified heart rate using test waveforms as indicated in 
ANSI/AAMI EC13 Sec. 3. 1.2. 1 (6) is 8.6 seconds. For 
a rate drop, the average time is 8.2 seconds. 

Time to Alarm for Tachycardia 

The ranges of time to alarm using test waveforms as 
indicated in ANSI/AAMI EC13 Sec. 3. 1.2. 1 (7) are 6.4 
to 9.3 seconds. 

Pacemaker Pulse Rejection Capability 

Rejects pace pulses using test waveforms as indicated 
in ANSI/AAMI EC13 Sec. 3. 1.4 (with amplitude from 
+/- 2 to +/- 700 mV, width from 0.1 to 2.0 ms). 

Range and Accuracy of Heart Rate 
Meter 

Meets the ANSI/AAMI EC13 Section 3.2.7 
recommended minimum range and accuracy. 

Heart rate range is 15 - 300 b/min with accuracy of + 

1% of the range for Adult and Pediatric patients. (Note: 
for rates equal to or less than 15, the displayed heart 
rate is 0). 

Alarm Limit Range 

Meets the ANSI/AAMI EC13 Section 3.2.8.1 standard. 
Lower alarm limit is 15 -295. Upper alarm limit is 20 - 
300. 

Resolution of Alarm Limit Settings 

Meets the ANSI/AAMI EC13 Section 3.2.8.2 standard. 
The resolution is + 5 b/min. 

Alarm Limit Accuracy 

Meets the ANSI/AAMI EC13 Section 3.2.8.3 standard. 

Error less than ± 10% or ± 5b/min 

Time to Alarm for Cardiac Standstill 

Meets the ANSI/AAMI EC13 Section 3.2.8.4 standard: 
maximum alarm time <10 seconds, using the test 
waveforms as indicated. 

Time to Alarm for Low Heart Rate 

Meets the ANSI/AAMI EC13 Section 3.2.8.5 standard: 
maximum alarm time <10 seconds, using the test 
waveforms as indicated. 

Time to Alarm for High Heart Rate 

Meets the ANSI/AAMI EC13 Section 3.2.8.6 standard: 
maximum alarm time <10 seconds, using the test 
waveforms as indicated. 

Alarm Silencing 

The time required for reactivation of a latched, silenced 
alarm is 3 minutes 

ECG Waveform Display Time Base 
Accuracy 

0.8%. Meets the ANSI/AAMI EC13 Section 3.2.9.6 
standard: maximum error = +/-10%. 

Channel Width 

40 mm. Meets the ANSI/AAMI EC13 Section 3.2.9.7(a) 
standard: minimum = 30mm. 

Trace Width 

0.3 mm. Meets the ANSI/AAMI EC13 Section 3.2.9.7(b) 
standard: maximum = 1.0mm. 


9-24 Safety Standards & Specifications 




Characteristic 

Performance Disclosure/Specification (in italics) 

Aspect Ratio 

0.4s/mV. Meets the ANSI/AAMIEC13 Section 3.2.9.7(f) 
standard: 0.4s/mV. 

Input Signal Reproduction Accuracy: 

Overall Error 

-2.9%. Meets the ANSI/AAMI EC13 Section 3.2.9.8(a) 
standard: maximum = +/- 20%. 

Frequency Response: Sinusoidal 

0.67 to 40 Hz (3 db down). Meets the ANSI/AAMI EC13 
Section 3.2.9.8(b) standard: 0.67 to 40 Hz 

(3 db down). 

Frequency Response: Triangular 

0 to 25% reduction. Meets the ANSI/AAMI EC13 

Section 3.2.9.8(b) standard: 0 to 25% reduction. 

Impulse Response: 

(for waves marked with ST bandwidth) 

Displacement = 0.08 mV, slope = 0.11 mV/s. Meets the 
ANSI/AAMI EC13 Section 3.2.9.8(c) standard: 
displacement maximum = 0.1 m V; slope 

maximum = 0.30 mV/s. 

Pacemaker Pulse Display Capability 

Minimum = 0.2 mV RTI. Meets the ANSI/AAMI EC13 
Section 3.2.9. 12 standard: minimum = 0.2 mV RTI. 

Tall T-Wave Rejection Capability 

Meets AAMI standard: 

0.5-40BW: HR of 80bpm at all T-wave 

amplitudes 

0.05-40 BW: HR of 80bpm at all T-wave 
amplitudes 


FAST Sp0 2 


Parameter 

Specification 

Sp0 2 Measurement 
Range (Calibration 
and Display) 

0 to 100% 

Sp0 2 Accuracy 

See table following. 

Sp0 2 Resolution 

1% 


Safety Standards & Specifications 


9-25 





Parameter 

Specification 

Sp0 2 Numerics - 
Averaging 

5 - 20 seconds (default = 10 seconds) 

Note —The update rate for the Sp0 2 pulse 
oximetry value and pulse rate is typically 1 
second. This can be extended to a max. 60 s 
when NBP is measured on the same limb, 
with a corresponding INOP message after a 
max. of 30 s, indicating that the displayed 
values are not current values. 

The effect of Sp0 2 pulse oximetry on data 
averaging is internally controllable by the 
patient worn monitorMX40, with no user 
controls. 

Sp0 2 & Pulse 

Numerics - Update 

Rate 

Transmitted once per second. 

Note —The update rate for the Sp0 2 pulse 
oximetry value and pulse rate is typically 1 
second. This can be extended to a max. 60 s 
when NBP is measured on the same limb, 
with a corresponding INOP message after a 
max. of 30 s, indicating that the displayed 
values are not current values. 

Pleth Wave- Sampling 
Rate 

125 sps 

Technical Alarms 
(INOPs) 

Triggered if the sensor is disconnected, if a 
pulse is not detected, if the signal is noisy, if 
light interference is detected, if the sensor is 
defective, if the measurement is erratic, or if 
the module is malfunctioning 

Wavelength Range 

500 to 1000 nm 

Note —Information about wavelength range 
can be especially useful to clinicians (e.g., 
clinicians performing photodynamic therapy). 

Pulse Rate 
Measurement 

(available only with 
Continuous Sp0 2 ) 

Range: 30 to 300 bpm 

Accuracy: +/- 2% 

Resolution: 1 bpm 

Display of Sp0 2 
numerics 

Sp0 2 values are displayed as xxx % Sp0 2 to 
meet ISO 9919. 

Emitted Light Energy 

< 15 mW 


9-26 


Safety Standards & Specifications 




Sp0 2 Sensor Accuracy 


Type 

Description 

Model Number 

Accuracy % 
A rms 
(70-100% 
Range) 

Reusable Sensors 


Adult Finger, 2m cable 

Ml 191B 

2.0 


Adult Finger, 3m cable 

Ml 191BL 

2.0 


Adult Finger, 0.45m cable 

M1191T 

3.0 


Pediatric, Small Adult Finger, 1.5m 
cable 

M1192A 

2.0 


Pediatric, Small Adult Finger, 0.45m 
cable 

M1192T 

3.0 


Adult &Pediatric Ear Clip, 1.5m cable 

Ml 194 A 

3.0 


Adult Finger Clip, 3m cable 

M1196A 

3.0 


Adult Finger Clip, 2m cable 

M1196S 

3.0 


Adult Finger Clip, 0.9m cable 

M1196T 

3.0 


LNCS Adult Reusable Sensor 

Masimo LNCS 

DC-1 

2.0 


LNCS Pediatric Reusable Sensor 

Masimo LNCS 

DC-IP 

2.0 


LNCS Tip-Clip Ear Reusable Sensor 

Masimo LNCS TC-I 

3.5 


LNOP Adult Reusable Sensor 

Masimo 

LNOP-DC-I 

2.0 


LNOP Pediatric Reusable Sensor 

Masimo LNOP 

DC-IP 

2.0 


LNOP Tip-Clip Reusable Sensor 

Masimo LNOP 

TC-I 

3.5 


Safety Standards & Specifications 9-27 




Type 

Description 

Model Number 

Accuracy % 
A rms (70-100% 
Range) 

Single Patient Use Sensors 


Adult Finger, > 40kg 

Ml 901B 

3.0 

Pediatric 3-20kg 

M1902B 

3.0 

Pediatric Finger, 10-50kg 

M1903B 

3.0 

Adult Finger, >30kg 

M1904B 

3.0 

Adult, Pediatric > 20kg 

Ml 131A 

3.0 

Adult Finger, > 30kg 

Nellcor OxiMax 
Max-A 

3.0 

Adult Finger, > 30kg 

Nellcor OxiMax 
Max-AL 

3.0 

Adult Finger > 40kg 

Nellcor OxiMax 
Max-N 

3.0 

Pediatric 

Nellcor OxiMax 
Max-P 

3.0 

Pediatric 

Nellcor OxiMax 
Max-1 

3.0 

Adult Finger > 30kg 

Nellcor Oxisensor 

II D-25 

3.0 

Adult Finger > 40kg 

Nellcor Oxisensor 

II N-25 

3.0 

Pediatric Finger 10-50kg 

Nellcor Oxisensor 

II D-20 

3.0 

Adult Finger 

Nellcor OxiCliq A 

3.0 

Pediatric Finger 

Nellcor OxiCliq P 

3.0 

Pediatric 

Nellcor OxiCliq 1 

3.0 

Adult Finger > 40kg 

Nellcor OxiCliq N 

3.0 

Pediatric Adhesive 

Masimo LNOP 

PDT 

2.0 

Pediatric Adhesive 

Masimo LNOP 
PDTx 

2.0 

Adult Adhesive 

Masimo LNOP 

ADT 

2.0 


9-28 Safety Standards & Specifications 





































































Type 

Description 

Model Number 

Accuracy % 
A rms (70-100% 
Range) 


Adult Adhesive 

Masimo LNOP 
ADTx 

2.0 


Adult Adhesive 

Masimo LNCS 
ADTx 

2.0 


Pediatric Adhesive 

Masimo LNCS 
PDTx 

2.0 


Adult Adhesive 

Masimo LNCS 
Neo-3 

2.0 


Safety Standards & Specifications 


9-29 




Part Number 4535 642 81301 
Printed in USA June 2011 
First Edition