Philips MX 550
Philips MX 550
The Philips IntelliVue MX550 patient monitor offers • Screen layouts are easily adjustable, allowing
a flexible and modular monitoring solution, designed flexible display of measurement information.
to suit a broad spectrum of needs. The monitors can • Previous/Next Screen function provides access to
be connected to the Philips Multi-Measurement the most recently used screens including the last
Module (MMS) family with its extensions, plug-in three modified screens.
measurement modules and the IntelliVue gas • Temperature, height, and weight can be configured
analyzers to extend its functionality with either in metric or imperial units. Pressure
plug-and-play convenience. Dedicated configurations measurements can be displayed in kPa or mmHg.
are available for the anesthesia, intensive, cardiac, Gases can be displayed in kPa or mmHg.
neonatal and general care environments. • Patient data management with tabular and graphic
trends, and high resolution trends to track changes
Features with beat-to-beat resolution.
• Intuitive user interface. • Drug, ventilation, hemodynamic, and oxygenation
• Simple menu hierarchy gives fast access to all basic calculations.
monitoring tasks. • User or case-specific profiles enable rapid case
turnover.
• Patented automatic alarm limits help clinicians provide care more The transcutaneous gas measurement (tcGas) is restricted to neonatal
efficiently. patients only.
• Event Surveillance including Neonatal Event Review for automatic The IntelliVue NMT Module is intended to be used as an objective
detection of patient status deterioration. neuromuscular transmission monitor, using accelerometry for
• Bed-to-bed overview provides clinicians with an overview of all the measuring the muscle contraction following an electrical stimulation of
patient beds in their care. a peripheral nerve. The NMT Module is intended to be used with adult
• Choice of input devices: Touchscreen, remote control, trackball, and pediatric patients.
mouse, keyboard or barcode reader.
• Capable of functioning in a wireless infrastructure. Modularity
• Graphical measurement window shows which measurements are The monitor’s functionality can be extended by connecting Philips
being measured by which device, making it easier to resolve plug-in modules, the multi-measurement module (MMS) family with
measurement label conflicts. extensions, and gas analyzers with plug-and-play convenience.
• Timers application allows you to set timers to notify you when a The monitors are available as standalone or networked solutions.
specific time period has expired. The monitors’ modular design allows new capabilities to be added in
• The monitor can be configured to automatically adapt the screen the future as monitoring requirements change. This upgradability gives
brightness to the ambient light conditions. The range within which the security of knowing that the monitor can be enhanced and updated
this adaption is made is determined by the setting made with the as practices and technologies advance, protecting long-term
brightness SmartKey. investments.
• Integrated carrying handle.
Main Components
Indicated Use
The monitor is indicated for use by health care professionals whenever Display
there is a need for monitoring the physiological parameters of patients. The monitors have a color 15” LCD TFT display with a wide viewing
The monitor is intended to be used for monitoring and recording of, angle, providing high resolution waveform and data presentation.
and to generate alarms for, multiple physiological parameters of adults, The MX550 integrates the display and the processing unit into one
pediatrics, and neonates. The monitor is intended for use by trained device. One external display1 - providing an adaptive duplicate-image of
healthcare professionals in a hospital environment. the primary display - can be connected to a built-in DVI-I port.
The monitor is additionally intended for use in transport situations
within hospital environments. User Interface
The monitor is only for use on one patient at a time. It is not intended The color Graphical User Interface is designed for fast and intuitive
for home use. Not a therapeutic device. The monitor is for operation, and ensures that clinicians quickly feel at ease using the
prescription use only. monitor.
Rx only: U.S. Federal Law restricts this device to sale by or on the SmartKeys with intuitive icons allow monitoring tasks to be performed
order of a physician. quickly and easily, directly on the monitor screen.
Waves and numerics are color-coded.
The ECG measurement is intended to be used for diagnostic recording The MX550 displays up to six waves simultaneously. For 12-lead ECG
of rhythm and detailed morphology of complex cardiac complexes monitoring it can display 12 real-time ECG waves, with a rhythm strip
(according to AAMI EC 11). and all ST values.
ST segment monitoring is intended for use with adult patients only and Flexible screen layout allows optimal use of the available display space,
is not clinically validated for use with neonatal and pediatric patients. for example, waves can be overlapped or wave size can adjust
The SSC Sepsis Protocol, in the ProtocolWatch clinical decision dynamically depending on the number of waves configured for the
support tool, is intended for use with adult patients only. space.
The Integrated Pulmonary Index (IPI) is intended for use with adult and The Basic Help provides on-screen operating help, explaining INOP
pediatric (1 to 12 years) patients only. The IPI is an adjunct to and not and alarm messages.
intended to replace vital sign monitoring.
The derived measurement Pulse Pressure Variation (PPV) is intended
for use with sedated patients receiving controlled mechanical
ventilation and mainly free from cardiac arrhythmia. The PPV
measurement has been validated only for adult patients. 1
Requires Option J15 - Adaptive Secondary Display.
2
Touchscreen Operation the MMS. Eight hours of patient trends can be transferred to the
The MX550 monitor is supplied as standard with a touchscreen display monitor.
with a resistive surface. The MMS provides measurement data for Electrocardiogram (ECG)/
Arrhythmia, Respiration, Oxygen Saturation of Arterial Blood (SpO2),
Remote Control Non-invasive Blood Pressure (NBP), and Invasive Pressure or
The IntelliVue Remote Control 865244 provides Temperature. It features 12-lead ECG capability, multi-lead arrhythmia,
direct access to five hardkeys, a navigation knob and 12-lead ST analysis.
and a numeric keypad which can also be used for
alphanumeric entry. The hardkeys include X2 Multi-Measurement Module
“Silence”, “Alarms Off / Pause Alarms”, “Back The M3002A X2
Key”, “MainScreen”, and a “SmartKeys” key that Multi-Measurement
displays a block of configurable smart keys. The Module can be
remote control is connected to the MX550 connected without
monitor via USB interface or SRR interface cables to the rear of
(wireless) and used for remote operation of the the MX550. The X2
monitor. can also be connected
to the monitor with
Input Devices cables in order to
Supported input devices include USB-compatible place it in patient
off-the-shelf computer accessories such as mouse, vicinity. It sends
IntelliVue X2 Multi-Measurement Module
keyboard, trackball or barcode reader. All input devices can be used measurement waves
individually or in combination. and numerics to the
monitor screen and
Mouse generates alarms and INOPs. Up to 24 hours of patient trends are
Any specified USB mouse or trackball may be used for data entry. stored in the X2, as well as patient demographic details. Eight hours of
patient trends can be transferred to the host monitor.
Computer Keyboard The X2 provides measurement data for Electrocardiogram (ECG)/
A computer keyboard can be connected to the monitor via a USB Arrhythmia, Respiration, Oxygen Saturation of Arterial Blood (SpO2),
connection and used for data entry. CO2, Non-Invasive Blood Pressure (NBP), and Invasive Pressure or
Temperature. It features diagnostic 12-lead ECG capability, multi-lead
Keyboard arrhythmia, and 12-lead ST analysis. The X2 can also be used as a
If alpha or numeric data entry is required, for example to enter patient stand-alone monitor.
demographics, a pop-up keyboard will automatically appear on the
screen. If desired a USB-compatible off-the-shelf keyboard can be used MMS Extensions
instead. An MMS Extension can be slotted onto an X2 or Multi-Measurement
Module to add:
Multi-Measurement Module • an additional Invasive Pressure and Temperature Measurement, a
The M3001A third Invasive Pressure, or Temperature Measurement (one at a time)
Multi-Measurement and optionally a Cardiac Output/Continuous Cardiac Output
Module (MMS) can be measurement (M3012A), or
connected without • an additional Invasive Pressure Measurement, a third Invasive Pressure
cables to the rear of the or Temperature Measurement (one at a time), an integrated
MX550. The MMS can mainstream or sidestream CO2 measurement and optionally a
also be connected to Cardiac Output/Continuous Cardiac Output measurement
the monitor with cables (M3014A), or
in order to place it in • an additional Invasive Pressure or Temperature measurement (one at
patient vicinity. It sends a time) and a Microstream CO21 measurement (M3015A), or
measurement waves and numerics to the monitor screen and
generates alarms and INOPs. Patient demographic details are stored in 1
Microstream is a registered trademark of Oridion Systems Ltd.
3
• a dual Invasive Pressure and Temperature measurement and a • The IntelliBridge EC10 Module provides external device interface
Microstream CO2 measurement (M3015B). capability to external devices at the bedside which have a serial
RS-232 and/or LAN output.
Integrated Module Slots • The EEG module determines coma prognosis and extent of cerebral
The monitors have three integrated module slots for use with the insult. CSA information can be either permanently displayed on
plug-in modules. specially designed screens or viewed in a separate window.
• Screens provide flexible viewing of patient information during
Plug-In Modules different procedures or phases of an anesthesia case.
Individual plug-in measurement modules are available to measure: • Respiratory Loops. The IntelliVue Patient Monitor can generate
– M1006B Invasive Blood Pressure three types of respiratory loops and display one real-time loop and up
– M1011A Intravascular Oxygen Saturation Module (SO2) to six stored loops simultaneously. This assists in early detection of
– M1012A Cardiac Output/Continuous Cardiac Output patient airway problems (for example, atelectasis, bronchospasm) and
– M1014A Spirometry ventilator problems (for example, leaks and kinked tubes).
– M1020B SpO2 • The Spirometry Module provides airway pressure, volume and flow
– M1027A Electroencephalograph (EEG) measurements to monitor changes in respiratory status.
– M1029A Temperature • The NMT Module together with the NMT Patient Cable offers
– 865383 NeuroMuscular Transmission (NMT) automatic measurements of muscle response to electrical stimuli
Additional plug-in modules available are: delivered via electrodes placed over a peripheral nerve, this enables
– M1116B/C Thermal Array Recorder the evaluation of muscle relaxation of patients under Neuromuscular
– 865115 EC10 IntelliBridge Block. The strength of the muscle response is measured with an
Supported Device Interfaces are: acceleration sensor.
– IntelliBridge (Module or I/O Board)
– RS-232 Data Export Critical and Cardiac Care Features
– G1/G5 device • The monitor performs multi-lead arrhythmia detection analysis on
the patient’s ECG waveform at the bedside. It analyzes for ventricular
IntelliVue Gas Analyzers arrhythmias, calculates heart rate, and generates alarms, including
Versatile IntelliVue G1 andG5 gas analyzers measure the five most asystole, bradycardia, and ventricular fibrillation.
commonly used anesthetic gases, as well as N2O and CO2. They all • Up to 12 leads of ST segment analysis can be performed on adult
provide inspiration and expiration values for display on Philips IntelliVue patients at the bedside, measuring ST segment elevation and
patient monitors and the values required for MAC calculation in the depression and generating alarms and events. The user can trend ST
IntelliVue Patient Monitors. The IntelliVue G1 gas analyzer measures changes, set high and low alarm limits, and set both ST and isoelectric
the single agent chosen by the clinician. The IntelliVue G5 features measurement points. ST points can be set either relative to the
automatic agent identification and mixed-agent measurement capability. J-point or directly by selecting a numeric value.
Advanced O2 technology based on paramagnetic measurements is • QT/QTc interval monitoring provides the measured QT interval,
optional with the G1 and included as standard with the G5. The the calculated heart-rate corrected QTc value and a ΔQTc value,
TcG101 measures the transcutaneous O2 and CO2 partial which tracks variation in the QT interval in relation to a baseline
pressure in neonates, pediatrics and adults. value.
• SO2 and ScvO2 measurements provide guidance for the treatment of
Mounting sepsis treatment protocols.
The standard mounting options enable flexible, space saving placement • The Parameter Histogram View of the Vital Signs Trend allows the
of the monitors for an ergonomic work space. clinician to see, at a glance, the stability of the patient's condition for a
selected time period.
Applications for Specific Care Settings • ST Map application shows ST changes over time in two multi-axis
spider diagrams.
Anesthesia Features • 12-lead ECG data can be measured in diagnostic quality, using either
• The IntelliVue G1 and G5 measure the five most commonly used the EASI placement method with five standard electrodes or
anesthetic gases, as well as N2O and CO2. conventional electrode placement with 10 electrodes.2
12 real-time ECG waveforms can be displayed simultaneously on all
1
May not be available in all countries IntelliVue models.
4
• High performance pulse oximetry technologies perform accurately four times a second is stored, to help you keep a record of rapidly-
even in cases with low perfusion. changing condition of neonatal patients. Combi-events correlate
• Choice of Microstream, sidestream and mainstream CO2 monitoring apnea events with bradycardia and/or desaturations.
for high quality measurements with intubated and non-intubated
patients. IntelliVue Applications
• Continuous cardiac output and advanced hemodynamic assessment
are provided using the PiCCOTM method without a pulmonary Advanced Clinical Solutions
catheter.1 Clinicians are continuously drawing mental images from their
• Clinical calculations enable stored and manually entered data to be observations of patients’ vital signs. The IntelliVue’s clinical decision
used to perform hemodynamic, ventilation and oxygenation support applications offer this dynamic “minds eye view” directly on
calculations. Calculated data is displayed in both indexed and the monitoring screen display.
non-indexed format.
• Spirometry measurements help to manage ventilator settings and ProtocolWatch
weaning. ProtocolWatch allows clinicians to run clinical protocols that can
monitor developments in the patient’s condition. The SSC Sepsis
Neonatal Monitoring Features Protocol runs on the ProtocolWatch application and is used in
• Transcutaneous gas (TcGas) monitoring helps to optimize screening for severe sepsis and monitoring its treatment.
respiratory therapy in neonates.
• Dual-Pulse Oximetry capability allows the clinician to measure pre ST Map
and post-ductal saturations. ST Map provides a graphical display that can help clinicians to recognize
• The Oxygen CardioRespiroGram (oxyCRG) screens provide a ST changes and their location in the heart more easily. ST Map collects
simultaneous presentation of up to three High-Resolution Trends: ST values created from the frontal (limb leads) and horizontal (chest
– beat-to-beat heart rate (btbHR) leads) plane into an integrated display. The maps are multi-axis
– an oxygenation measurement trend (SpO2 or tcpO2) portraits of the patient’s ST segments as measured with the ST/AR
– compressed respiration rate. arrhythmia algorithm.
• This customized display gives clinicians a convenient overview of the
neonatal patient’s most important vital signs, helping them to identify Advanced Event Surveillance
significant events. Events are electronic records of episodes in the patient’s condition.
• Continuous oxyCRG recordings can be made at the bedside on the They can be used to drive alert notification to assist compliance to any
integrated recorder,and reports can be printed on locally or protocol that is being used by the clinician.
centrallyconnected printers.
• Dual SpO2 measurement provides clinical support through Horizon Display
comparison and trending of the pulse oximetry values from two Horizon trends provide clinicians with a graphical visualization tool that
distinct patient sites. allows the end user to detect at a glance the patients’ current clinical
• Trended values can also be viewed in the form of a histogram. The status. By combining parameters together on the display, the clinician is
SpO2 histograms can be trend histograms or real-time histograms assisted in their cognitive process of pattern recognition.
with 1-second samples.
• Car Seat Assessment Record (CAR). This is a special period of event Loops
surveillance for neonates during a car seat test. During the CAR Up to six loops of each type can be stored and compared to detect
period, a real-time SpO2 histogram is also generated with 1-second respiratory changes more easily.
samples.
• Neonatal Event Review (NER), for automatic detection of patient Screen Display Flexibility
status deterioration. NER is optimized for monitoring neonatal Up to 20 different screens can be created per monitor, which means
patients. For each event, an episode of four minutes of data sampled that the clinician has the ability to have a screen created to match a
specific clinical scenario on which the data that matters is displayed.
2 This streamlines the information that needs to be processed and
EASI-derived 12-lead ECGs and their measurements are approximations to
conventional 12-lead ECGs. As the 12-lead ECG derived with EASI is not exactly interpreted to make the right decision at the right time.
identical to the 12-lead conventional ECG obtained from an electrocardiograph, it
should not be used for diagnostic purposes.
1
PiCCOTM is a trademark of Pulsion Medical Systems AG.
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Trends The Basic Event Surveillance package includes one Event Group plus
• A choice of four standard trend database configurations is provided, the OxyCRG Group. Up to 50 event episodes can be stored over a
designed to suit specific application areas. Patient data from up to 24 hour-period.
32 measurement numerics can be sampled every 12 seconds, one The Advanced Event Surveillance package offers increased storage
minute, or five minutes, and stored for a period ranging from four to capability, enabling the monitor to store data from up to 100 events
48 hours. over a 48-hour period. Up to six user-defined Event Groups can be
• Tabular Trends (Vital Signs) show data for up to 32 measurement configured, each made up of up to four measurements. All six groups
numerics in tabular form. Tabular Trends can either be viewed in a can be active at the same time. Advanced user-configurable trigger
separate window or permanently displayed on specially designed mechanisms allow the clinician to define event triggers combining
screens. information from up to four measurements. Either alarm limits or
– Each NBP measurement generates a column in the Vital Signs trend user-defined thresholds or deviations can be configured as event
table. The values for the other measurements are added to provide triggers. The user can set event notifications in order to be notified
a complete vital signs set for the NBP measurement time. when an event is detected.
• With Graphic Trends, up to three rows of measurement trends can
be displayed in graphic form, each combining up to three Transport Features
measurements. Graphical Trends can either be viewed in a separate • The monitors’ portable design means they can be used for in-hospital
window or permanently displayed on specially designed screens. transport.
• Screen Trends permanently display trend data for periodic and • The monitors can operate using battery2 power for 2 to 2.5 hours,
aperiodic parameters in graphical format on special screens. The depending on the monitor configuration, to let you safely and easily
displayed time period can be set to 30 min, 1 h, 2 h or 4 h. monitor patients during procedures or in-hospital transfer.
• High Resolution Trends allow the user to track fast-changing • The transition from bedside monitoring to transport is smooth and
measurement trends with beat-to-beat resolution (four samples/ easy, with no need to disconnect patient cables or adjust any
second). The number of High Resolution Trends available for display measurement or monitor settings.
depends on the wave option purchased. • The monitor’s network capability means that it is ready for use as an
• Horizon Trends show the deviation from a stored baseline. integrated part of the hospital system.
• Trended values can be viewed in the form of a histogram. The SpO2 • Specially-designed mounting solutions let you quickly disconnect the
histograms can be Trend Histograms with 1-second samples. monitor for transport and reconnect to the mount after transport.
• Navigation arrows provide easy access to the stored trends. Trend
data can be documented on a locally or remotely connected printer. Patient Transfers
• With Event Surveillance, changes in patients’ condition are • The Universal Admit, Discharge, and Transfer (ADT) feature means
automatically detected and an electronic record of data called an that all ADT information is shared between the networked monitor
Episode is stored. The Episode can store: and the Philips IntelliVue Information Center (PIIC/PIIC iX).
– 15 seconds of high-resolution wave trace, Information need only be entered once.
– four minutes of data sampled four times a second, or • Patients can be transferred by disconnecting the MMS or X2 from a
– 20 minutes of data sampled every 12 seconds. monitor, and then reconnecting it at a new monitor. Patient
Event triggers can use the preset alarm limits or they can be demographics are stored in the MMS and the X2, so they do not have
user-defined. With user-defined triggers, event episodes are stored to be re-entered at the new monitor.
even when alarms are paused. A Manual Event SmartKey enables
manual episode storage. Patient Data Documentation
Event Annotation allows immediate or retrospective annotation of • An extensive range of Patient Reports can be printed:
events using a user-defined list of event markers such as “ventilated”. – Event Review and Episode Reports
Events can be stored in a database for retrospective review, and – 12-lead ECG Reports
episode data including graphic event reviews can be documented on a – Vital Signs
local or central printer. In addition, episode data without graphic – Graphic Trends
elements can be documented on the integrated recorder1. Events are – Cardiac Output Reports
also marked on the Event Line of an Information Center. – Wedge Procedure Reports
– Calculations Reports
1 2
Integrated recorder is optional, see: “Hardware Options”. Battery required, see; “Hardware Options”.
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– EEG Report – Yellow Alarms* indicate arrhythmia alarms.
– Histogram Reports – Technical Alarms (INOPS) are triggered by signal quality
– Loops Report problems, equipment malfunction or equipment disconnect.
– ST Map Reports • The Audio off/Pause Alarms function (equivalent to Silence/Suspend
– QT Reports with previous monitor generations) allows the user to switch off
– Alarm Limit Reports alarm tones with one touch or click while retaining visual alarm
– Drug Calculator Reports messages.
– Real-time Wave Reports All alarms can be paused indefinitely or for a period of one, two, three,
– Oxy CRG Reports five, or 10 minutes depending on their configuration.
Report templates can be defined in advance, enabling print-outs Alarm strip recordings are available on the M1116B/C Recorder
tailored to each hospital’s specific requirements to be started quickly. Module or on a centrally-connected recorder.
Reports can be printed on locally or centrally-connected printers, and Patented automatic alarm limits automatically adapt the alarm limits to
they can be initiated manually or automatically at user-defined intervals. the patient’s currently measured vital signs within a safe margin defined
individually for each patient.
Recordings Visual and/or audible latching and non-latching alarm handling is
The M1116B/C plug-in recorder records numerics for all active available.
measurements and up to three wave forms. It can be used for local
recording in the Integrated Module slots. Profiles
Profiles are predefined configuration settings for Screens, measurement
Alarms settings, and monitor properties. Each Profile can be designed for a
The alarm system can be configured to present either the traditional specific application area and patient category, for example OR adult, or
HP/Agilent/Philips alarm sounds or sounds compliant with the IEC ICU neo-natal. Profiles enable a quick reaction to patient and care
60601-1-8 Standard. location changes: activating a Profile with a particular patient category
Alarm limits are permanently visible on the main screen. When an (Adult, Pediatric or Neonatal) automatically applies suitable alarm and
alarm limit is exceeded, it is signalled by the monitor in the following safety limits and saves time usually spent carrying out a complete set-up
ways: procedure.
• an alarm tone sounds, graded according to severity. Profiles can be created directly on the monitor or remotely on a
• an alarm message is shown on the screen, color-coded according to personal computer and transferred to the monitor using the Support
severity. Tool. A selection of Profiles for common monitoring situations is
• the numeric of the alarming measurement flashes on the screen. provided with the monitor.
• alarm lamps flash for red and yellow alarms and are illuminated for
technical INOPs. Networking Capabilities
The alarm limit review page offers an overview of alarm limit settings The monitor can operate as part of a networked system (wired/
and the possibility to modify these settings for all parameters. wireless) using the Philips IntelliVue Clinical Network interface.
A “SmartAlarm Delay” feature helps to reduce the number of pulse This includes:
oximetry nuisance alarms.1 • DHCP protocol support (as an alternative to BootP in certain
If the monitor is connected via a network to a central monitoring network designs)
station, alarming is simultaneous at the monitor and at the Information • QoS Tagging
Center. • 802.11 WLAN or Smart Hopping Interface (1.4 or 2.4 GHz)
The nurse call relay has active open and closed contacts and a
user-definable delay time. Other Bed Overview Capability
• Alarms are graded and prioritized according to severity: The alarm status of beds in the same Care Group on the hospital
– Red Alarms*** identify a potentially life threatening situation for a network can be permanently displayed on the screen of each monitor
patient. in the Care Group. The user can also view measurement data from all
– Yellow Alarms** indicate conditions violating preset vital signs other monitors connected to the hospital network. Other Bed
limits. information can either be viewed in a separate window or permanently
displayed on specially designed screens.
1
Not available in the U.S.A. and territories relying on FDA Market clearance.
The Smart Alarm Delay functionality is currently not available in China or in clinical
environments under SFDA control.
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Clinical Calculation Set Service Features
The clinical calculation set consists of: Hemodynamic, Oxygenation, • The Support Tool helps technical personnel to:
and Ventilation calculations. – carry out configuration, upgrades and troubleshooting via the
Hemodynamic Calculations: network, or on an individual monitor.
• Cardiac Index (C.I.) – share configuration settings between monitors.
• Stroke Volume (SV) – back up the monitor settings.
• Stroke Index (SI) – document configuration settings.
• Systemic Vascular Resistance (SVR) • A password-protected Service Mode ensures that only trained staff
• Systemic Vascular Resistance Index (SVRI) can access service tests and tasks.
• Pulmonary Vascular Resistance (PVR) • The Configuration Mode is password-protected and allows trained
• Pulmonary Vascular Resistance Index (PVRI) users to customize the monitor configuration.
• Left Cardiac Work (LCW)
• Left Cardiac Work Index (LCWI) Device Connections
• Left Ventricular Stroke Work (LVSW) The monitor can be connected to:
• Left Ventricular Stroke Work Index (LVSWI) • External devices via IntelliBridge EC10 Module/EC10 IF Board.
• Right Cardiac Work (RCW) • Gas Analyzers.
• Right Cardiac Work Index (RCWI) • Information Center (for example, M3150B).
• Right Ventricular Stroke Work (RVSW)
• Right Ventricular Stroke Work Index (RVSWI) Standard Interface Connections
• Extra Vascular Lung Water Index (EVLWI)
• Intrathoracic Blood Volume Index (ITBVI) Adaptive Secondary Display
• Global End Diastolic Volume Index (GEDVI) The Adaptive Secondary Display, (Option J15), activates the DVI video
Oxygenation Calculations: interface. The output of this interface mirrors the content of the
• Arterial Oxygen Content (CaO2) monitor display. The output supports VESA display timings, allowing
• Venous Oxygen Content (CvO2) off-the-shelf displays to be used with the DVI output.
• Arteriovenous Oxygen Content (CavO2)
• Oxygen Availability (DO2) Network Interface
• Oxygen Availability Index (DO2I) The network interface provides the system with networking capability
• Oxygen Consumption (VO2) via a wired network connection.
• Oxygen Consumption Index (VO2I)
• Oxygen Extraction Ratio (O2ER) Device Interface (USB Interface)
• Alveolar-Arterial Oxygen Difference (AaDO2) This interface allows connection of USB devices (Mouse, Keyboard,
• Percent Arteriovenous Shunt (Qs/Qt) Barcode Scanner, PCL5-supported Printer) to the monitor.
Ventilation Calculations:
• Minute Volume (MINVOL) Further Optional Connection Interfaces
• Compliance (COMP)
• Dead Space (Vd) Wireless Infrastructure
• Dead Space/Tidal Volume Ratio (Vd/TV) • Option J35 enables the monitor to function within a WLAN. The
• Alveolar Ventilation (ALVENT) WLAN infrastructure is an IEEE 802.11 a/b/g network in the 2.4 GHz
or 5 GHz bands.
Drug Calculator • Smart Hopping Interface options, J45 (1.4 GHz [USA only]) and J47
The drug calculator allows you to calculate the fourth value when three (2.4 GHz) enable communication with a Philips IntelliVue Information
of the following values are entered: dose, amount, volume, rate of Center (PIIC) or a Philips IntelliVue Information Center iX (PIIC iX),
infusion. using the Philips Cellular Telemetry System (CTS), cellular
A titration table and drip table can be displayed and printed. infrastructure.
Measurement units can be converted (for example, lbs to kg). • The Short-Range Radio option (J46) provides wireless connectivity to
The drug calculator can also be configured to include a list of the IntelliVue Remote Control.
commonly used drugs using the support tool.
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Additional components are required to complete the system. Please Safety Specifications
refer to the IntelliVue Clinical Network documentation for further The monitors, together with the Multi-Measurement Module
information. (M3001A), the X2 Multi-Measurement Module (M3002A) and all
modules and MMS extensions, comply with the Medical Device
Advanced System Interface Directive 93/42/EEC (CE0366) and with IEC 60601-1:1988 + A1:1991 +
The Advanced System Interface, option J40, supports an isolated RS- A2:1995; EN60601-1:1990 + A1:1993 + A2:1995; UL 60601-1:2003;
232/5 V interface, a basic Nurse Call connector and two additional CAN/CSA C22.2#601.1-M90 + Suppl. No 1-94 + Am.2; IEC
USB Connectors. 60601-1-1:2000; EN 60601-1-1:2001; IEC 60601-1-2:2001 +A1:2004;
EN 60601-1-2:2001 +A1:2006.
Device Interface (USB Interface) All applied parts are Type CF unless otherwise specified. They are
Option J25 adds a USB port on the right-hand-side of the monitor. protected against damage from defibrillation and electrosurgery.
The possibility of hazards arising from software errors was minimized
Flexible Nurse Call Interface in compliance with ISO/EN 14971 and IEC/EN60601-1-4.
Option J30, the Flexible Nurse Call Interface provides a means for This ISM device complies with Canadian ICES-001. Cet appareil ISM est
alarms generated on the monitor to be signaled on an external device conforme à la norme NMB-001 du Canada.
such as a nurse call system, a beeper or a light. It provides three
general alarm relays and one power fail alarm. The external device is Physical Specifications
connected to the alarm relay and alarms are triggered by criteria
defined by the user. It has active open and closed contacts and a Max
user-definable delay time. Product W x H x Db
Weighta
MX550 Monitor 7.0 kg <404 x308 x 184 mm
MIB/RS-232 (2 port) Interface Board (15.4 lb) (15.9 x 12.1 x 7.2 in)
Additional dual MIB/RS-232 I/O boards (Option J13) can be installed.
The MIB ports can be independently configured to be used for:
– input for connection to a touchscreen. M3001A <650 g 188 x 96.5 x 51.5 mm
– numeric, wave, and alarm data export using a computer interface, Multi-Measurement Module (<1.4 lb) (7.4 x 3.8 x 2 in)
to an automated anesthesia record keeper or a personal computer (MMS)
(not available in all countries). M3002A <1.25 kg 188 x 99 x 86 mm
– connection to a gas analyzer. Multi-Measurement Module (<2.8 lb) (7.4 x 3.9 x 3.4 in)
– Data Out can be configured up to two times for each monitor. (MMS)
Note that only the first MIB/RS-232 port configured to Data Out M3012A <550 g <190 x 98 x 40 mm
(that is, the first one to receive a request) provides wave export. A Hemodynamic MMS (1.2 lb) (<7.5 x 4 x 1.6 in)
second MIB/RS-232 port configured to Data Out only exports Extension
numerics. M3014A <500 g <190 x 98 x 40 mm
Capnography MMS (<1.1 lb) (<7.5 x 4 x 1.6 in)
IntelliBridge EC10 IF Board Extension
Option J32, the IntelliBridge external device connection implements M3015A <550 g <190 x 98 x 40 mm
the physical layer of the ISO/ IEEE 11073-30200 standard. Microstream CO2 MMS (<1.21 lb) (<7.5 x 4 x 1.6 in)
Driver software is available to support connectivity with a wide range Extension
of external medical devices. M1006B 190 g 36 x 103.5 x 110 mm
In case the IntelliBridge EC5 ID Module is used to provide device Invasive Press Module (6.7 oz) (1.4 x 4.1 x 4.3 in)
identification, it also acts as a hardware adapter to the device-specific Option
connector. #C01:
220 g
Monitor Specifications (7.9 oz)
See the individual Data Sheets for measurement module, X2, MMS M1029A 215 g 36 x 103.5 x 110 mm
extension, and plug-in module specifications. Temperature Module (7.6 oz) (1.4 x 4.1 x 4.3 in)
9
Max MX550Monitors
Product W x H x Db
Weighta Item Condition Range
M1012A 225 g 36 x 103.5 x 110 mm Humidity Operating 15% to 95% Relative
Cardiac Output Module (7.9 oz) (1.4 x 4.1 x 4.3 in) Range Humidity (RH) (non
M1014A 250 g 36 x 103.5 x 110 mm condensing)
Spirometry Module (8.8 oz) (1.4 x 4.1 x 4.3 in) Storage 5% – 95% Relative
M1020B 200 g 36 x 103.5 x 110 mm Humidity (RH)
SpO2 Module (<8.8 oz) (1.4 x 4.1 x 4.3 in) Altitude Operating -500 – 3000 m
36 x 103.5 x 110 mm Range (10000 ft)
M1011A 190 g
(1.4 x 4.1 x 4.3 in) Storage -500 – 4600 m
SO2 Module (7.1 oz)
(15000 ft)
50 x 30 x 120 mm Ingress IP21
- Optical Module <200 g
(2.0 x 1.2 x 4.7 in) Protection
(7.1 oz)
including
2.9 m
Remote Control 865244
cable
Item Condition Range
M1027A 210 g 36 x 103.5 x 110 mm Temperature Operating 0 – 40°C (32 – 100°F)
Electroencephalograph (7.4 oz) (1.4 x 4.1 x 4.3 in) Range Storage -20 – 60°C (-4 – 140°F)
Module Humidity Operating 15% – 95% Relative
865115 190 g 36 x 103.5 x 110 mm Range Humidity (RH) (non
IntelliBridge EC10 Module (7.0 oz) (1.4 x 4.1 x 4.3 in) condensing)
865114 35 g 35 x 17 x 57 mm Storage 5% – 95% Relative
IntelliBridge EC5 ID-Module (1.2 oz) (1.4 x 0.7 x 2. in) Humidity (RH)
M1116B/C 500 g 72.5 x 103.5 x Altitude Operating -500 – 3000 m
Thermal Array Recorder (1.1 lbs) 115.5 mm Range (10000 ft)
Module (2.85 x 4.1 x 4.5 in) Storage -500 – 4600 m
865244 <250 g 53 x 172 x 24 mm (15000 ft)
Remote Control (8.8 oz) (2.1 x 6.7 x 0.9 in)
Performance Specifications
865383 210 g 36 x 103.5 x 110 mm
NMT Module (7.4 oz) (1.4 x 4.1 x 4.3 in)
a ± 5% MX550Performance Specifications
b ± 5% Power Power <70 W average
Specifications Consumption
Environmental Specifications
Line Voltage 100 – 240 V
Current 1.2 – 0.5 A
MX550Monitors Frequency 50/60 Hz
Item Condition Range
Temperature Operating 0 – 40°C (32 – 100°F). WXGA (15:9) 390 mm active matrix color LCD (TFT)
Range When charging battery, Display 15 inch Resolution 1280 x 768
or M3002A is mounted Refresh rate 59.9 Hz
on back, or with Smart Useful screen 334.1 x200.5 mm
Hopping Interface Pixel pitch 0.261 x 0.261
0 – 35°C (32 – 95°F)
Storage -20 – 60°C
(-4 – 140°F)
10
MX550Performance Specifications MX550Performance Specifications
Indicators Alarms Off red (crossed out alarms Events Information trigger condition and
symbol) LED time, event classification
Alarms red/yellow/light blue and associated detailed
(cyan) LED view of episode data.
On/Standby/Error green/red LED integrated Episode data configurable, either:
in power switch 4 minutes of high
External Power green LED resolution trend or
Battery red-green-yellow LED 20 minutes of numerics
Sounds trend @
• Audible feedback for user input
12 sec resolution or
• Prompt tone
15 seconds of 4 waves @
• QRS tone, or SpO2 modulation tone
125 samples/sec
• 4 different alarm sounds
(Snapshot) including all
• Remote tone for alarms on other beds in
current numerics, alarms
network
and inops.
• Tone for Timer expired
Capacity (max) 25 or 50 events for
Trends Resolution 16, 24 or 32 numerics @
either 8 or 24 hours.
12 seconds, 1 minute,
Alarm Signal System delay less than 3 seconds.
5 minute resolution.
Pause duration 1,2,3 minutes or infinite,
Information Multiple choices of
depending on
number of numerics,
configuration.
resolution and duration
Extended alarm 5 or 10 minutes
depending on trend
pause
option and application
Review Information all alarms / inops, main
area.
Alarms alarms on /off, alarm
For example:
silence and time of
Neonatal: 24 numerics,
occurrence.
9 hours @ 12 seconds.
Capacity 300 items.
Intensive care:
Real Time Range from: January 1, 1997,
32 numerics, 48 hours @
Clock 00:00 to: December 31,
5 minutes.
2080, 23:59.
Anesthesia: 32 numerics,
Accuracy better than 4 seconds
5 hours @ 12 seconds.
per day
High Res Measurements HR, SpO2, Resp, tcpO2,
Hold Time infinite if powered by AC;
Trend Waves available Pulse, Perf, tcpO2, CO2,
otherwise at least
ABP, PAP, CVP, ICP, CPP,
48 hours
CCO, AWP, Anesthetic
(typical: >72 hours).
Agents, Delta SpO2,
Buffered Hold Time If powered by AC:
inO2.
Memory infinite.
Resolution Measurement samples
Without power: at least
are taken at a resolution
48 hours.
of four samples per
Contents Active settings, trends,
second.
patient data, realtime
Update speed waves are drawn at a
reports, events, review
speed of 3 cm/minute.
alarms.
11
865244 Remote Control Performance Specifications MX550 Interface Specifications
Power (when not connected to Two AA primary cells Flexible Nurse Connector 20 pin MDR (Mini
the USB interface of the monitor) Call Interfaceb D-Ribbon), active open
and closed contacts.
Interface Specifications Contact <= 100 mA, <= 24 V
DC
MX550 Interface Specifications Isolation basic insulation
Network Standard 10BASE-T and (reference voltage:
100Base-TX (IEEE 250 V;
802.3), test voltage: 1500 V)
auto-negotiation, full Delay < (Configured Latency
and half-duplex +0.5 sec)
Connector RJ45 (8 pin)
Isolation basic insulation IntelliBridge Connector Modular Jack 8P8C
(reference voltage: EC10 IF Board Power 5 V 5% @ 0 – 100 mAc
250 V; Isolation double insulation
test voltage: 1500 V) (reference voltage:
USB Interface Standard USB 2.0 high-speed 250 V; test voltage:
Connector USB series “Standard 4000 V
A” receptacle Connectivity RS-232/LAN
Power Low power port 4.4 V
min., max. load for all Smart Type Internal WMTS
ports together 500 mA Hopping IF Adapter
Isolation none 1.4 GHz (USA Technology compatible with Philips
only) Cellular Telemetry
Video Connector DVI-I (digital and System (CTS), cellular
Interfacea analog, single link). infrastructure.
Digital video signals single link TMDS Frequency Band WMTS,
Analog video signals 0.7 Vpp@75Ω 1395 – 1400 MHz and
HSYNC/VSYNC TTL 1427 – 1432 MHz
signals
Smart Type Internal ISM Adapter
Dual MIB/ Standard IEEE 11073 30200 Hopping IF Technology compatible with Philips
RS-232 Connector RJ45 (eight pin) 2.4 GHz Cellular Telemetry
Interfaceb Mode BCC (RxD/TxD cross System (CTS), cellular
over) or infrastructure.
DCC (RxD/TxD
straight through). Frequency Band 2.4 GHz ISM
Power 5 V ±5%, 100 mA
(max.)
Isolation basic insulation
(reference voltage:
250 V,
test voltage: 1500 V)
12
MX550 Interface Specifications MX550 Interface Specifications
802.11 Type Internal Wireless
Wireless IF Adapter Digital Pulse Output low voltage <0.4 V @ I= -1 mA
(Wireless Technology IEEE 802.11a/b/g Output (ring) level
Network Frequency Band 2.4 GHz and 5 GHz (Ring/Channel 2 Output high voltage >2.4 V @ I= 1 mA
Adapter) Band is configurable level
Modulation DSSS (CCK, DQPSK, to either Analog Pulse Width 100 ms ±10 ms
technique DBPSK), OFDM (BPSK, ECG Output or (active high)
QPSK, 16-QAM, Digital Pulse Pulse Rise Time <1 ms
64-QAM) Output) Signal delay <25 ms
Signal delay with < 35 ms
Effective radiated max. 16 dBm older versions of
power (40 mW) the M3001A MMSd
Short-Range Type Internal SRR interface
Radio Technology IEEE 802.15.4 Advanced System Interfacee
Interface Frequency band 2.4 GHz ISM Standard IEEE 11073 30200
RS-232/5 V
(2.400 – 2.483 GHz) Connector RJ45 (eight pin)
Modulation DSSS (O -QPSK) Mode BCC (RxD/TxD cross
technique over)
Effective radiated max. 0 dBm (1 mW) Power 5 V ±5%, 100 mA
power (max.)
Measurement Connectors MSL out (Proprietary) Isolation basic insulation
Server Link Voltage 48 V ±10 % (reference voltage:
(MSL) Power 12 W 250 V; test voltage:
Power Sync. 5 V CMOS Level, 1500 V)
78.125 kHz (typical) USB Interface (2 Standard USB 2.0 full-speed
LAN signals IEEE 802.3 10-Base-T ports) (Embedded host)
compliant Connector USB series “Standard
Serial signals RS-422 compliant A” receptacle
Power Low power port 4.4 V
min., max. load for all
ECG Sync Output/Analog ECG Output
ports together 500 mA
General Connector (1/4 in stereo phone
Isolation none
jack with tip, ring,
sleeve)
Basic Nurse Call Connector Modular Jack 6P6C,
Isolation none
Relay active open and closed
Short circuit <13 mA
contact.
current
Contact <=100 mA, <=24 V DC
Gain error <15%
Analog ECG Isolation basic insulation
Output (ring, tip) Baseline offset <150 mV
(reference voltage:
(Ring/Channel 2 Error
250 V, test voltage:
is configurable to Bandwidth 1 – 100 Hz
1500 V)
either Analog Output voltage ±4 V (min.)
ECG Output or Delay <Configured Latency
swing
Digital Pulse +0.5 sec
Signal delay <20 ms
Output) a Hardware Standard, option J15 enables video output.
Signal delay with <30 ms b Optional: See Hardware Options.
c used to supply the IntelliBridge EC5
older versions of d (identifiable with the serial number prefix DE227 or DE441 and option string #A01)
e Optional: See Hardware Options.
the M3001A MMSd
13
Battery Specifications Ordering Information
Philips high-power battery M4605A, 10.8 V 6000 mAh Lithium-Ion. Ordering information for the 866066 (MX550) is given here. See the
• Weight: 490 g per battery individual Data Sheets for detailed ordering information for the
• Status LEDs indicate charge status of batteries multi-measurement module family, MMS extensions and plug-in
• Safety: complies with UL1642 (UL recognised) modules
• Electromagnetic compatibility: complies with the requirements for
FCC Type B computing Device, and EN 61000-4-2 and EN 61000-3 Monitor Capability Options1
• Communication Standard: complies with the SMBus specification v1.1
Basic Functionality 866066
Battery Operating Time General Care Software (Default)a H01
(New and fully loaded battery): Intensive Care Software H11
– With basic monitoring configuration: 2.5 hours (brightness set to Neonatal Care Software H21
optimum, MMS connected, NBP measurement every 15 minutes) Anesthesia Software H31
– With extended monitoring configuration: 2 hours (brightness set Cardiac Care Software H41
a Check availability in your region.
to optimum, MMS and MMS extension connected, NBP every
15 minutes, Recorder, Pressure, Temperature modules connected)
Waveform Capability 866066
4 Real-time Wave Segments (Default) A04
Battery Charge Time:
6 Real-time Wave Segmentsa A06
– When monitor is switched off: 3 hours
a Check availability in your region.
– When monitor is in use: up to 5 hours, depending on monitor
configuration.
Application Options2
ProtocolWatch
1
One Hxx option and one Axx option must be chosen.
2
availability may depend on choice of Hxx option
14
Hardware Options Measurements Option
Microstream CO2 Extension (with M3015B C08
Hardware Add-Ons 866066
dual Invasive Pressure and
Remote Control E00
Temperature measurements)
Bed Hanger Mount E21
Hemodynamic Extension M3012A
Quick Release Mount E22
(with Press, Temp, Press/Temp)
One Li-ion battery E24
Add C.O. C05
Add C.O./CCO C10b
Interface Options
Capnography Extension M3014A
Add Press, Press/Temp and C.O. C05
Wired Interfacesa 866066
Add Press and Press/Temp C07
MIB/RS-232 (2 ports) Interfaceb J13
Add Press, Press/Temp and C.O./ C10b
Adaptive Secondary Display J15
CCO
USB Interface J25
Measurement Modules
Flexible Nurse Call IF J30
See the individual module Data Sheets for details.
IntelliBridge EC10 IF Board J32
Invasive Blood Pressure M1006Bc
Advanced System Interface J40
SO2 M1011A
a Check availability in your region.
b Hardware supports multiple boards of this type. Cardiac Output with CCO M1012A
Spirometry M1014A
Measurement Options SpO2 (FAST SpO2) M1020B A01
SpO2 (Nellcor Compatible) M1020B A02
Wireless Interfacesa 866066 SpO2 (Masimo SET) M1020B A03
802.11 Wireless IF J35 EEG M1027A
Smart Hopping IF 1.4 GHz J45 Temperature M1029A
Short-Range Radio J46 Thermal Array Recorder M1116B
Smart Hopping IF 2.4 GHz J47 Thermal Array Recorder M1116C
a Check availability in your region.
IntelliBridge EC10 865115
NMT 865383b
Measurements Option
Gas Analyzers
Measurement Modules
IntelliVue G1 M1013A
Multi-Measurement Module, for M3001A A01, or IntelliVue G5 M1019A
Resp, ECG (inc. EASI), NBP, SpO2 A03a or IntelliVue TcG10d 865298
(FAST SpO2 (#A01), Masimo SET A04 a May not be available in all countries.
(#A03),Nellcor OxiMax Technology b Not available in the U.S.A., Canada or territories relying on FDA Market clearance.
c Option #C01 provides an analog output signal.
(#A04)), and Pressure/Temperature, d May not be available in all countries
See the MMS Data Sheet for details.
Add Press/Temp C06 Related Products
Add Press/Temp and Conventional C18
12 lead ECG
Related Products Model Number
X2 Multi-Measurement Module, for M3002A A01, or
Input Devices M8024A
Resp, ECG (inc. EASI), NBP, SpO2 A03a or
Slimline keyboard with protective cover M8024A #A01
(FAST SpO2 (#A01), Masimo SET A04
Mouse; wired M8024A #B01
(#A03), Nellcor OxiMax
Trackball; wired M8024A #C01
Technology (#A04)), and Pressure/
Trackball; wireless M8024A #C02
Temperature.
Tabletop wired Trackball M8024A #C03
See the X2 Data Sheet for details.
Remote Control 865244
MMS Extensions
Microstream CO2 Extension M3015A
Add Press/Temp C06
15
Related Products Model Number products/patient_monitoring/products/mounting_solutions/
Support Tool M3086A DVD mounting_solutions_homepage.wpd.
– Orderable via InCenter: http://
www3.medical.philips.com/resources/ Documentation
hsg/docs/en-us/custom/ All documentation is available in .pdf format on documentation DVD
intellivue_order.asp and is shipped with the product. Additionally, a printed copy of the
Accessory Instructions for Use ships with each monitor.
External Battery Charger 865432 • Instructions for Use (printed)
Philips IntelliVue Battery Extension 865297 • Documentation DVD including:
(provides additional power to a combination – Installation and Service Guide
of MMS Extension and M3002A IntelliVue – Configuration Guide
X2 Multi-Measurement Module for – Quick Guides
situations when no mains power is available, – Application Notes
for example, during transport). – Training Guide
– Compatibility Matrix
Cables
Upgrade Options
Length Description Product/Option
MSL Cable Description Option #
0.75 m Monitor to MMS M8022A #SC1 Waves
2m Monitor to MMS M8022A #SC2 Upgrade from 4 to 6 wavesa A06
4m Monitor to MMS M8022A #SC4 Interfaces
10 m Monitor to MMS M8022A #SC6 MIB/RS-232 Interface (2 ports) J13
MIB/RS-232 Cables Adaptive Secondary Displaya J15
1.5 m Serial cable M8022A #SR2 USB Interface J25
3.0 m Serial cable M8022A #SR3 Flexible Nurse call Interface J30
10.0 m Serial cable M8022A #SR6 IntelliBridge EC10 IF Boarda J32
15.0 m Serial cable M8022A #SR7 802.11 Wireless IF J35
25.0 m Serial cable M8022A #SR9 Advanced System Interface J40
Touch Cables Smart Hopping IF 1.4 GHza J45
1.5 m Touch cable M8022A #TC2 Smart Hopping IF 2.4 GHza J47
3.0 m Touch cable M8022A #TC3 Short-Range Radioa J46
10.0 m Touch cable M8022A #TC6 Clinical Applications
15.0 m Touch cable M8022A #TC7 Drug Calculator C05
25.0 m Touch cable M8022A # TC9 Basic event Surveillance C06
Nurse Call Relay Cable Advanced Event Surveillance C07
3.0 m standard (backward M8022A #NS3 Parameter Histograms C09
compatible) nurse paging relay Hardware Add-On
cablea Independent Display Interface E42
10.0 m cable M8022A #NS6 Protocol Watch
ECG Out Cable Severe Sepsis Screening P01
3.0 m standard ECG out cableb M8022A #SY3 SSC Sepsis Protocol P02
25 m ECG Sync Extension cable M8022A #SY9 Measurement Capability Options
a One end terminated with 6P6C connector; other end w/o connector. Support one additional IBP M20
b Both ends terminated with 1/4 in phone plug.
a Check availability in your region.
Mounting Information
For mounting hardware, contact your local Philips sales representative.
For more information, see http://www.medical.philips.com/main/
16
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Philips Healthcare is part of
0366
Royal Philips
866066 complies with the requirements of
How to reach us the Council Directive 93/42/EEC of 14 June
www.philips.com/healthcare 1993 (Medical Device Directive).
healthcare@philips.com
fax: +31 40 27 64 887
Asia
+852 2821 5888
Latin America
+55 11 2125 0744
North America
+1 425 487 7000
800 285 5585 (toll free, US only)
Philips Healthcare reserves the right to make changes in specifications and/or to discontinue any product at any time without notice or
obligation and will not be liable for any consequences resulting from the use of this publication.