Panorama Web Viewer Operating Instructions Rev 7.0 March 2016

Mindray® is a U.S. registered trademark of Mindray DS USA, Inc. Panorama® is a U.S. registered trademark of Mindray DS USA, Inc. Microsoft® is a U.S. registered trademark of the Microsoft Corporation

Copyright © Mindray DS USA, Inc., 2007-2016. All rights reserved. Contents of this publication may not be reproduced in any form without permission of Mindray DS USA, Inc.

Panorama® Web Viewer Operating Instructions

Company Contact Manufacturer:

Shenzhen Mindray Bio-Medical Electronics Co., Ltd.

Address:

Mindray Building,Keji 12th Road South, High-tech industrial park, Nanshan, Shenzhen 518057, P.R.China

Website:

www.mindray.com

E-mail Address:

[email protected]

Tel:

+86 755 81888998

Fax:

+86 755 26582680

Technical Support:

Mindray DS USA, Inc.

Address:

800 MacArthur Boulevard, Mahwah, NJ 07430, USA

Website:

www.mindray.com

Tel:

800.288.2.121(US) 201.995.8000 (International)

Fax:

+1.201.995.8680

Panorama® Web Viewer Operating Instructions

Table of Contents

Foreword ... iii Warnings, Precautions and Notes... iii Warnings ... iv Precautions ... iv Indications For Use... v Symbols and Descriptions ... vi Technical Support ... vi

Getting Started ... 1 - 1 Introduction ... 1 - 1 Panorama Web Viewer Workstation Requirements ... 1 - 1 Panorama Web Viewer Server ... 1 - 2 Understanding Login ID’s ... 1 - 2 Accessing the Panorama Web Viewer Application... 1 - 3 Tab View ... 1 - 4 PREFERENCES Tab ... 1 - 4 Display Calibration View... 1 - 4 Password Maintenance ... 1 - 6 Selecting a Patient ... 1 - 7 Navigating in the Panorama Web Viewer Application ... 1 - 8 Exiting the Panorama Web Viewer Application ... 1 - 8 Troubleshooting ... 1 - 9

Views ... 2 - 1 Viewing Near Real-Time Data ... 2 - 1 Accessing the Waveforms View... 2 - 2 Configuring the Waveform/Parameter View ... 2 - 3 Viewing Historical Data ... 2 - 5 TRENDS Tab ... 2 - 5 EVENTS Tab ... 2 - 12 Troubleshooting ... 2 - 15

Common Waveforms and Parameters... 3 - 1 Waveform and Parameter Tile Options... 3 - 1 Waveform Display Labels ... 3 - 2 Parameter Sources ... 3 - 2 Waveform/Parameter Colors ... 3 - 3 Pacer Enhancement Settings... 3 - 3 Graphic Trend Parameter Tile Options... 3 - 4 Invalid Data Display... 3 - 5

Panorama® Web Viewer Operating Instructions

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Panorama® Web Viewer Operating Instructions

Foreword

Introduction

Foreword The Panorama Web Viewer Operating Instructions are intended to provide the information required to configure and operate the Panorama Web Viewer client. For additional information and technical assistance, contact a Mindray Representative. A general understanding of the features and functions of the Panorama Web Viewer, as well as the Panorama Patient Monitoring Network and its components, is a prerequisite for the proper use of this equipment. Therefore, do not operate this equipment before reading these instructions thoroughly, including all appropriate warnings and cautions. CAUTION:

US Federal law restricts the sale of this device to, by or on the order of a physician.

NOTE:

Figures in this manual are provided for reference purposes only. Screens will likely differ based on the tab configuration settings, parameters selected, and patient configuration of the Panorama Patient Monitoring Network.

Warnings, Precautions and Notes Read and adhere to all of the warnings and precautions listed throughout this manual. A WARNING is provided to alert the user to potentially serious outcomes (death, injury or serious adverse events) to the patient or the user. A CAUTION is provided to alert the user that special care should be taken for the safe and effective use of the device. They will include actions to be taken to avoid effects on patients or users that will not be potentially life threatening or result in serious injury, but about which the user should be aware. A NOTE is provided when additional general information is available.

Panorama® Web Viewer Operating Instructions

iii

Introduction

Warnings

Warnings WARNING: Clinical judgement should be used when the Panorama Web Viewer is utilized in connection with management of patient care.

Precautions

iv

CAUTION:

For a proper understanding of the Panorama Web Viewer application, knowledge of the Panorama Central Station is required. For additional information regarding the Panorama Central Station and/or the Panorama Patient Monitoring Network, refer to the Panorama Central Station Operating Instructions. Refer to “Technical Support” on page vi for part numbers (P/Ns).

CAUTION:

Display calibration is required for the waveforms to be of diagnostic quality.

CAUTION:

The waveforms displayed at the Panorama Web Viewer may have less than a five (5) second latency in comparison to the corresponding patient monitor

CAUTION:

When using Panorama Web Viewer, the operator should always verify that the correct patient is selected.

CAUTION:

The Panorama Web Viewer should never be used as a primary monitoring device. It could be a secondary monitoring device when the patient device is an ambulatory Telepack device (Panorama Central Station would be primary source in this case). The Panorama Web Viewer could be tertiary if the patient device is a bedside monitor (primary is bedside monitor with the central station being secondary). The Panorama Web Viewer could be an adjunct to clinical decision making.

CAUTION:

Due to variations in printers and print drivers some text and/or graphics may not print. If you choose to print from the CD, ensure the printed document matches the displayed document.

Panorama® Web Viewer Operating Instructions

Indications For Use

Introduction

Indications For Use Panorama Web Viewer The indications for use for the Panorama Web Viewer include: A. Viewing near real-time patient clinical data B. Viewing historical graphical and numeric trended clinical data C. Viewing clinical and technical event data D. Printing of displayed web pages via the web browser print function NOTE:

The Panorama Web Viewer does not enunciate any physiological alarms or technical alerts.

The clinical data displayed by the Panorama Web Viewer is obtained from one or more Panorama Central Stations and includes: ECG waveforms, Heart Rate, Blood Oxygenation (SpO2), Invasive and Non-Invasive Blood Pressure, CO2 (inspired and end tidal), Respiration Rate, Temperature, Cardiac Output (CO), Hemodymamics, Bispectral Index (BIS), ST Segment Analysis, QT Analysis (QT, QTc, QT-HR). Refer to the Common Waveforms and Parameters chapter for a complete list of supported parameters. The Panorama Web Viewer is intended for use in a health care environment to provide clinicians and physicians with remote access to patient physiological data using Microsoft® Internet Explorer.

Panorama® Web Viewer Operating Instructions

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Introduction

Symbols and Descriptions

Symbols and Descriptions Attention, Consult Accompanying Documents / Refer to Manual

Technical Support For technical assistance, contact your area or regional Mindray Representative. Additional information relating to the installation, servicing and repair of the Panorama Patient Monitoring Network is provided in the following documents: Panorama Operating Instructions: • P/N 0070-00-0669-XX for Panorama 8.4.X software • P/N 0070-00-0679-XX for Panorama 8.5.X software • P/N 0070-00-0680-XX for Panorama 8.6.X software • P/N 0070-00-0690-XX for Panorama 8.7.X software • P/N 0070-00-0707-XX for Panorama 8.8.X software • P/N 0070-00-0728-XX for Panorama 8.9.X to 13.X.X software Refer to the Panorama Web Viewer Installation Manual included on the installation CD (P/N 0996-CD-0178-XXX) for more in depth installation directions.

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Panorama® Web Viewer Operating Instructions

1.0

Getting Started

1.1

Introduction The Panorama Web Viewer application offers remote viewing for the Panorama Patient Monitoring Network. The application is web-enabled and provides access to the patient data using Microsoft® Internet Explorer. The application supports up to eight (8) concurrent users and can access any central station on the network. When Panorama Web Viewer application is launched, patient events, trends, and near real-time waveforms can be viewed.

1.2

Panorama Web Viewer Workstation Requirements To access the Panorama Web Viewer application, the following is needed: • Access to the hospital intranet or access to the hospital intranet via a Virtual Private Network (VPN) • Microsoft® Windows XP and 7. • Microsoft® Internet Explorer 8, 9, 10 or 11. • Pre-installation of Microsoft® .NET 3.5 Framework on client workstation • Application Uniform Resource Locator (URL) or web address to web server • User ID and password (assigned by system administrator) Additionally, Microsoft® Internet Explorer shall be configured to accept cookies, run active content, automatically download plug-in controls, and enable .NET components. Add the Web Viewer web page address to the “Trusted Sites” list. For example, add “http:// 10.6.6.225” to the “Trusted Sites” list, where 10.6.6.225 is the IP Address of the Web Viewer Server. When using IE 10, also add the Web Viewer Server to the “Compatibility View Sites” list. NOTE:

Microsoft®.NET Framework 3.5 must be installed.

Panorama® Web Viewer Operating Instructions

1-1

Panorama Web Viewer Server

Getting Started

If Microsoft®.NET Framework 4.5.x is also installed, the following steps must be performed. 1. Select Run and enter rgedit. 2. Select the subnet. • For a 32-bit machine, select the subnet HKEY_LOCAL_MACHINE/Software/ Microsoft/.NETFramework. • For a 64-bit machine, select subnet HKEY_LOCAL_MACHINE/SOFTWARE/ Wow6432Node/Microsoft/.NETFramework. 3. Add DWORD and name it as EnableIEHosting. 4. Set the value of EnableIEHosting to 1. 5. Exit regedit. 6. Restart the machine.

1.3

Panorama Web Viewer Server A web server must be set up to support the client Web Viewer application. For information regarding the hardware requirements and installation of the Web Viewer server, refer to the Web Viewer Installation Guide (P/N 0070-00-0688). NOTE:

1.4

Before installing Panorama Web Viewer, users are advised to install their own anti-virus software.

Understanding Login ID’s It is important to understand the difference between a Microsoft® Windows account (or login) and the Panorama Web Viewer application account. Microsoft® Windows accounts will generally be setup by the facility IT department. Microsoft® Windows accounts are necessary to access and use the workstation software applications. The Panorama Web Viewer accounts are in addition to the standard Microsoft® Windows accounts and are needed to access the Panorama Web Viewer web server. Panorama Web Viewer accounts are setup by the system administrator using the Web Viewer Administration application, which is also accessed using Microsoft® Internet Explorer. Both account types are required to access the Panorama Web Viewer application. Different Panorama Web Viewer accounts that use one Microsoft® Windows login share the same configuration settings. When the Panorama Web Viewer is first accessed, the default system configuration settings established by the system administrator is used. If one of the users sharing a Microsoft® Windows ID changes the default configuration settings, a local configuration is established. These settings are saved to the local browser by creating digital tokens, or browser cookies. Local configuration settings are shared by all users accessing the workstation with the same Microsoft® Windows ID. Once local configuration settings are established, they are used instead of the system configuration settings. NOTE:

When browser cookies are deleted from a workstation, the local Windows ID configuration settings will be reestablished.

Understanding the differences between the different types of accounts becomes particularly important when configuring views. Configuring views is detailed in the “Views” chapter.

1-2

Panorama® Web Viewer Operating Instructions

Getting Started

1.5

Accessing the Panorama Web Viewer Application

Accessing the Panorama Web Viewer Application To access the application: 1. Open Microsoft® Internet Explorer. 2. Navigate (using the Internet browser favorites list) or enter the application URL in the web browser address line. The Authentication Page (shown in FIGURE 1-1) displays. NOTE:

Contact the facility IT department if the application URL is unknown.

NOTE:

When the Internet Explorer version is too low, the Authentication Page displays the following message: Your IE version is X (X for the actual version). The Web Viewer only supports IE 8/9/10/11. Please upgrade your IE.

FIGURE 1-1 Authentication Page 3. (Optional) Click the Add to favorites text, then click the OK button to add this URL to the Internet browser favorites list. 4. Enter a valid User Name (text box is case sensitive). 5. Enter a valid Password (text box is case sensitive). NOTE:

For security purposes, the letters typed are encrypted and not shown.

NOTE:

The User Name and Password are established by the facility IT department.

6. Click the Enter button. The Web Viewer application opens and the Tab view displays.

Panorama® Web Viewer Operating Instructions

1-3

Tab View

1.6

Getting Started

Tab View The Tab view is the portal for the Panorama Web Viewer application because it provides access to all of the application features. Once logged in, the Tab view will be displayed with either the PREFERENCES tab (shown in FIGURE 1-2 on page 1-5) or PATIENT SELECTION tab (shown in FIGURE 1-4 on page 1-7) opened. If a previous calibration setting has not been established for the workstation ID, the PREFERENCES tab Calibration view displays. If an existing calibration setting exists, the application displays the PATIENT SELECTION tab. The PREFERENCES tab and the PATIENT SELECTION tab are discussed in the following sections.

1.6.1

PREFERENCES Tab Access the PREFERENCES tab to configure the display and password.

1.6.2

Display Calibration View Access the Display Calibration view (shown in FIGURE 1-2 on page 1-5) to change waveform calibration settings. Horizontal and vertical calibration is needed to ensure that the waveforms are displayed at the 25mm/sec waveform speed and show proper wave gains. Calibration is required when a previous calibration setting does not exist. CAUTION:

Display calibration is required for the waveforms to be of diagnostic quality.

NOTE:

When browser cookies are deleted from a workstation, the local Windows ID configuration settings will be reestablished.

The objective of a successful calibration is to ensure that each 1 cm division on the screen ruler matches the 1 cm measurement of the hand-held ruler.

1-4

NOTE:

A hand-held, flexible ruler is needed to properly perform display calibration.

NOTE:

If the display’s resolution or the display is changed, recalibration is required.

Panorama® Web Viewer Operating Instructions

Getting Started

Tab View

FIGURE 1-2 PREFERENCES Tab - Display Calibration View To calibrate the application display for the first time: 1. From the Calibration view, line up the hand-held ruler to the display vertical ruler. 2. Using the up and down arrow buttons beside the display ruler, increase or decrease the vertical pixels per cm to match the vertical spacing on the hand-held ruler. 3. Click the Horizontal radio button. 4. Line up the hand-held ruler to the display horizontal ruler. 5. Using the up and down arrow buttons beside the display ruler, increase or decrease the horizontal pixels per 1 cm to match the horizontal spacing on the hand-held ruler. 6. Click the DONE button to accept the settings or the CANCEL button to discard the settings. NOTE:

The CANCEL button will only be enabled if a prior calibration setting exists.

To calibrate the application display when a calibration setting exists: 1. Click the PREFERENCES tab from any application view. 2. Click the CALIBRATE button. The Calibration view displays. The Vertical radio button is selected by default. 3. Follow steps 1 through 6 from the “To calibrate the display for the first time” section.

Panorama® Web Viewer Operating Instructions

1-5

Tab View

1.6.3

Getting Started

Password Maintenance Access the Change Password view (shown in FIGURE 1-3) to change an existing password (the old password is required). NOTE:

Passwords can be alphanumeric and are case sensitive.

FIGURE 1-3 PREFERENCES Tab - Change Password View NOTE:

For security purposes, the letters typed are encrypted and not shown.

To access the Change Password view: 1. Click the PREFERENCES tab. 2. If necessary, click the CHANGE PASSWORD button. 3. Enter the existing password in the Old Password text box. 4. Enter the new password in the New Password text box. 5. Re-type the new password in the Confirm Password text box. 6. Click the DONE button to accept the settings or the CANCEL button to discard the settings.

1-6

Panorama® Web Viewer Operating Instructions

Getting Started

1.7

Selecting a Patient

Selecting a Patient To view patient data, it is recommended that the Panorama Central Station monitoring the patient be known. A patient can be found without knowing which central station a patient is assigned to, but the process may take longer. NOTE:

Display calibration is required before patient selection can occur. For additional information, refer to the section ‘‘Display Calibration View’’ on page 1-4.

Selecting a patient with an established Display Calibration: 1. Click the PATIENT SELECTION tab. 2. If the central station needed is not shown in the drop-down box, click the central station drop-down list (shown in FIGURE 1-4) to view all the currently active central stations in the network. NOTE:

Active network central stations are listed in alphabetical order.

System Message Area

Central Station Drop-Down List REFRESH Button

FIGURE 1-4 PATIENT SELECTION Tab 3. Click the central station needed. If the selected central station has active patient tiles assigned, the patient list is populated. NOTE:

By default, no patient is selected in the PATIENT SELECTION list when the list is first entered.

NOTE:

The patient list is initially sorted in ascending alphabetical order by patient last name.

4. (Optional) Re-sort the list by Bed, Last Name, First Name, ID, Doctor, or Tile by clicking the column heading. Re-sort any column in the opposite order by clicking the column heading again.

Panorama® Web Viewer Operating Instructions

1-7

Navigating in the Panorama Web Viewer Application

Getting Started

5. (Optional) If the central station or patient is not found, click the REFRESH button to ensure that the central station drop-down and patient list contains the most current data. 6. Select the appropriate radio button beside the patient. The row highlights. NOTE:

Only one patient may be selected.

7. Select the VIEW WAVEFORMS, TRENDS, or EVENTS tab to view the patients realtime and historical views. NOTE:

Verify that the correct patient was selected by locating the patient name in the view (shown in FIGURE 1-4 on page 1-7).

For additional information about navigating in the VIEW WAVEFORMS, TRENDS, or EVENTS tabs, refer to the “Views” chapter.

1.8

Navigating in the Panorama Web Viewer Application The web browser navigation buttons and web browser menus should NOT be used to navigate in the Web Viewer application. If they are used, the data retrieved may not be accurate because it is not current. To view previously viewed tabs, click the application tabs (for example, EVENTS, TRENDS, etc.).

1.9

Exiting the Panorama Web Viewer Application • Click the LOG OUT tab to close the Panorama Web Viewer application and return to the Authentication Page. NOTE:

1-8

Do not select Close from the browser File menu or use the Internet Explorer Close button to exit the Web Viewer application. If the session is not properly closed by logging out, the user session license may not be released, which may reduce the number of permissible concurrent users. If this happens, the system administrator needs to release the license(s) from the web server.

Panorama® Web Viewer Operating Instructions

Getting Started

1.10

Troubleshooting

Troubleshooting This section lists some of the potential messages and issues that may occur while trying to select a central station or select a patient in the PATIENT SELECTION tab. MESSAGE/ISSUE *

REASON

SOLUTION

Your login attempt exceeds the number of allowed logins for this version. Please contact your system administrator.

The Web Viewer application supports eight (8) concurrent user licenses.

Wait for a license to become available.

Seven licenses are in use, and a eighth license is available but another user is still not able to login.

The application was closed using the browser file menu or the Internet Explorer Close button was used to exit the application instead of selecting the LOG OUT tab.

Contact the system administrator to assist in releasing the license. Refer to the Web Viewer Installation Guide for additional information.

Your login attempt was not successful. Please try again.

The user name and/or password entered is incorrect.

Try again. If login unsuccessful again, contact the system administrator.

No Central Stations Found

There are no central stations currently on the Panorama network.

Wait until the central stations are installed or are networked to the web server.

Password should be 4-10 characters.

Password is not a valid length.

Enter a password that is between 4 and 10 characters in length.

No Patients Found

The system did not find patients or active tiles for the selected central station.

Click the REFRESH button. If the list still is not populated, contact the system administrator for assistance or select another central station from the drop-down list.

Standby

The patient is in a Standby state at the central station.

Release patient from Standby state at the central station or wait until patient is active again.

Discharged

The patient state changed since the web page was loaded and now the patient tile is in a discharge state at the central station.

Click the REFRESH button to update the patient list.

Communications Lost

There was a loss of communication between the central station and the monitoring device.

Investigate the loss of communication or contact the system administrator for assistance.

Waiting for Patient

Central station patient tile is in a Waiting for Patient state.

Remove the patient from the Waiting for Patient state at the central station.

Central Communications Lost

Central station monitoring the patient tile is in a communications lost state.

Investigate why central station is in a communications lost state or contact the system administrator for assistance.

*

Messages are shown in all bold text.

Panorama® Web Viewer Operating Instructions

1-9

Troubleshooting

Getting Started

MESSAGE/ISSUE *

REASON

SOLUTION

Selected patient is no longer available. Please refresh.

The patient state changed since the web page was loaded and now the patient selection data is no longer valid.

Click the REFRESH button to update the patient list, then select a new patient.

Your password update was successful.

The password has been successfully changed.

No solution required.

Enter all the values and click DONE.

The DONE button was selected before one of the three password text boxes was populated.

Enter the correct information in all three password text boxes, and then select the DONE button.

Incorrect password. Please try again.

The Confirm Password entered does not match the New Password entered.

Reenter the passwords again.

The Old Password entered was not correct.

Reenter the correct Old Password again.

Please calibrate horizontal pixels/cm.

The DONE button was selected before the horizontal calibration was completed.

Renter the CALIBRATE screen and complete the horizontal calibration.

Please calibrate vertical pixels/cm.

The DONE button was selected before the vertical calibration was completed.

Renter the CALIBRATE screen and complete the vertical calibration.

Calibration of this display is required in order to provide diagnostic quality waveform viewing. Please ensure the on-screen rulers are adjusted to match 1 cm increments exactly.

Complete calibration settings have not been established.

Complete the calibration process.

Your IE version is X. The Web Viewer only supports IE 8/9/10/11. Please upgrade your IE.

The Internet Explorer version is not supported by the Panorama Web Viewer.

Install the Internet Explorer with version of 8.x, 9.x, 10.x, or 11.x.

All tabs in the Tab view are disabled except for PREFERENCES and LOG OUT.

An existing calibration setting does not exist.

Enter the Calibrate view to complete the calibration process.

All tabs in the Tab view are disabled except for PATIENT SELECTION, PREFERENCES and LOG OUT.

An existing calibration setting does exist but a patient has not yet been selected.

Select a patient.

CALIBRATION tab displayed after authentication.

Calibration settings have not been established.

Establish calibration settings.

Patient name is not displayed in the PREFERENCES and LOG OUT views.

The application does not display patient name in the PREFERENCES and LOG OUT views.

No solution required.

Desired central station is not in the central station drop-down list.

Central station is not currently active.

Click the REFRESH button. If unsuccessful again, contact the system administrator.

*

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Messages are shown in all bold text.

Panorama® Web Viewer Operating Instructions

Getting Started

Troubleshooting

MESSAGE/ISSUE *

REASON

SOLUTION

The PATIENT SELECTION tab does not clear the currently selected patient after selecting another central in the central station drop-down list

System does not recognize the new selection until the list is refreshed.

Click the REFRESH button.

When a tab is selected, a icon is displayed in the upper left corner of the view.

Patient data is loading.

Wait until the data is loaded.

*

Messages are shown in all bold text.

Panorama® Web Viewer Operating Instructions

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