ventview_ventilation_ventilation_monitoring_-_sw_2-.pdf
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VentView
PC Software for Additional
Ventilation Monitoring - SW 2.n
Instructions for Use
Emergency Care · OR/Anesthesia · Critical Care · Perinatal Care · Home Care
Because you care
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Contents
Contents
For Your Safety and That of Your Patients . . . . . . . . . . . . . . 3
Configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Selecting different parameters . . . . . . . . . . . . . . . . . . . . . . . . 27
Intended Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Information about Safe Use . . . . . . . . . . . . . . . . . . . . . . . . . . 4
To protect the patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Selecting different time scales . . . . . . . . . . . . . . . . . . . . . . . . 28
Changing parameter scales . . . . . . . . . . . . . . . . . . . . . . . . . . 29
Settings for communication . . . . . . . . . . . . . . . . . . . . . . . . . . 30
Selecting language . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
System Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Saving settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
Selecting default settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
Display Concept . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Time/date . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
Screen structure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Toolbar symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Printing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
Waveform display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Setting up printer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
Loop display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Starting printing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
Trend display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Table display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Changing Patient Name . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
Changing Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
Waveform review . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Saving . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
Saving trend data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
Installing VentView . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Connecting the ventilator to the PC . . . . . . . . . . . . . . . . . . . 13
Starting VentView . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Saving real-time data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
Export . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41
Exporting a trend table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41
Exporting real-time data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44
Acknowledging alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Changing screen displays . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Configured Parameters for VentView as of
Waveforms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Software Version 2.n . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46
Loop . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Trend . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Default Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47
Transmission Format . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47
Selecting summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
Waveform review . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
Order List . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
Quitting VentView . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
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For Your Safety and That of Your Patients
Intended Use
For Your Safety and That of
Your Patients
Observe the Instructions for Use
Any use of the VentView PC program assumes accurate
knowledge and strict observation of these Instructions for Use.
The program is only intended for the use described.
Liability for performance and damage
Liability for performance shall always pass to the owner or
user if an action is performed which does not conform to the
intended use.
Dräger cannot be held liable for any damage which occurs as
a result of these instructions not being observed.
The warranty and liability provisions contained in Dräger's
terms of sale and delivery are not extended by the above
recommendations.
Intended Use
VentView – PC program for graphic and numerical display of
ventilation parameters, status messages and alarms for Dräger
ventilators Savina, Evita 2 dura, Evita 4, EvitaXL and
Babylog 8000 plus.
— Waveform display for up to three ventilation parameters at
a time.
— Loop display of two ventilation parameters, e. g. V-Paw
Loop.
— Trend display of nine ventilation parameters, three at a time,
in three separate screen pages.
— Table display of 10 ventilation parameters in chronological
order.
— Summary of all measured values and settings.
— Review of the saved waveforms and export of real-time data
to external programs.
Dräger Medical AG & Co. KGaA
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Information about Safe Use
System Requirements
Information about Safe Use
All data displayed is for information purposes only and
must not be used on its own to take decisions concerning
therapy.
Do not use the PC as an alarm monitor!
The alarm messages displayed are no substitute for
monitoring the alarms on the ventilator.
The PC system does not provide any audible alarm and
must not be used for remote monitoring of beds, e.g. in
side rooms.
In order to guarantee safe data transfer during recording
and export of real-time data it is recommended that you
close any other application programs before starting
these functions.
To ensure electrical safety, only the MEDIBUS cable
supplied (83 06 488) may be used.
To ensure electrical safety, a sufficiently large distance
must be maintained between the patient and the PC so
that the PC remains outside the patient environment.
To protect the patient
The PC or notebook computer used must meet the EMC
requirements pursuant to EN 60601-1-2 and must be operated
with a power pack which meets the requirements of
EN 60601-1 (IEC 60601-1) with regard to electrical safety.
Observe the relevant assembly and operating instructions!
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System Requirements
PC or notebook computer:
— IBM compatible computer with at least 133 MHz clock rate
and 64 MB RAM.
— Hard disk with at least 100 MB free storage space.
— VentView can run on the operating systems Windows 2000
and Windows XP.
— One unused RS 232 serial interface available for connection to the ventilator.
Ventilator:
— MEDIBUS cable 83 06 488 for connecting to a RS 232
serial interface on the ventilator.
Communication settings, see page 30.
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System Requirements
Evita 2 dura / Evita 4 / EvitaXL
COM 2 COM 3
001
COM 1
Savina
I
0
000
COM 1
002
Babylog 8000 plus
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Display Concept
Screen structure
Display Concept
Screen structure
2 Menu bar
for configuring displays.
3 Screen field
for application-specific displays:
— Waveforms
— Loops
— Trends
— Table
— Summary
— Waveform review
4 Parameter field
for displaying six ventilation
parameters.
5 Toolbar
with symbols for selecting displays
and executing functions.
6
➀
➁
➃
➂
➄
100
Example: waveforms
1 Title bar for
— Patient name
— Patient file
— Ventilator used
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Display Concept
Toolbar symbols
Toolbar symbols
Symbols for selecting displays and functions:
Waveforms
Loops
Trends
Tables
Summary
Waveform review
Symbol for printing the current display on the
printer selected
Symbol for zooming displays, trends, tables,
waveform review
Symbols for evaluating displays:
Stop waveform
Stop loop
Set waveform as reference
Set loop as reference
Move the trend display and the "Waveform review"
display backwards in time
Move the trend display and the "Waveform review"
display forwards in time
Move the table display backwards in time
Move the table display forwards in time
Marks the current table line as the reference line
Reduces the time intervals in the trend curve or
table displays
Increases the time intervals in the trend curve or
table displays
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Display Concept
Waveform display
Loop display
Waveform display
For displaying the real-time waveform of three ventilation
parameters.
Example: Paw (t), Flow (t), Vol (t)
— The waveforms can be frozen and evaluated.
— The waveforms can be set as references and compared
with new waveforms.
— Different combinations of waveforms can be selected.
— Parameter scales and time scales can be configured.
— The waveforms can be printed.
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Description of use: page 15.
Loop display
To display a ventilation cycle as a loop two ventilation waveforms are plotted on a graph.
Two loops are displayed on two screen pages, one on each.
Example: Vol-Paw
— The loop can be frozen.
— The loop can be set as a reference and compared with new
loops.
— Other parameter combinations can be selected.
— The parameter scales can be configured.
— The loop can be printed.
— Loops cannot be displayed while recording real-time data.
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Description of use: page 17.
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Display Concept
Trend display
Table display
Trend display
Trend displays show the course of therapy to date.
Set values, measured values and alarms can be traced back to
the start of data recording.
Trends are displayed over three screen pages, each containing three trend parameters.
Example: Ppeak (t), Pmean (t), PEEP (t)
— The values of the trend curve can be evaluated at a certain
point in time.
— Trend time slots can be changed.
— It is possible to jump to any given point in time on the trend
curves.
— Parameter scales and time scales can be configured.
— The trend curves can be printed.
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Description of use: page 18.
Table display
For displaying 10 ventilation parameters numerically in chronological order.
The table display shows the course of therapy to date.
Set values, measured values and alarms can be traced back to
the start of data recording.
— A table line can be set as a reference and compared with a
new line and the percentage deviations can be displayed as
a horizon diagram.
— Alarms can be traced back in the table.
— Table time slots can be changed.
— It is possible to jump to any given point in time in the table.
— Different parameters can be configured.
— The time intervals between parameter lines can be
configured.
— The table can be printed.
— The table can be exported.
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Description of use: page 21.
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Display Concept
Summary
Waveform review
Summary
Display of all measured values and set values which are relevant for ventilation.
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— The summary can be printed.
Waveform review
For viewing ventilation waveforms previously saved. The three
parameters selected in the waveform display can be traced
back for the period of time defined prior to recording.
—
—
—
—
—
Ventilation waveforms can be evaluated later.
Time slots can be changed.
Time slots can be enlarged/reduced.
Waveforms displayed in the window can be printed out.
Waveforms displayed in the window can be exported to
external application programs.
— Saved waveforms can only be viewed while real-time data is
not being recorded.
105
Description of use: page 24.
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Display Concept
Alarms
Alarms
Shown as alarm windows in order of priority.
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— Alarm messages are displayed in red.
— Other advisory messages are displayed in black.
— The alarm window is closed when the alarm has been
acknowledged.
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Installing VentView
Installing VentView
To install VentView you require the operating system
Windows 2000 or Windows XP.
● Insert the VentView CD-ROM in the CD-ROM drive of the
PC.
● Click on the CD-ROM drive in Windows Explorer.
● Open the install folder.
● Double-click on the file setup.exe.
Alternatively, proceed as follows:
● In the task bar click on the Start button and then on Run...
The Run window opens.
● Depending on the designation of your CD-ROM drive enter:
D:\install\setup or E:\install\setup
● Click on OK.
● Select the setup language.
● Click on OK.
● Click on Next.
The Choose Destination Location window opens.
107
● Click on Next.
The Select Program Folder window opens.
● Click on Next.
● Confirm that you wish to start the copying procedure by
pressing Next.
Installation is carried out.
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When installation has been completed, a window opens confirming that installation has been completed successfully.
● Click on Finish.
The installation program automatically generates a link to
VentView.
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Use
Connecting the ventilator to the PC
Starting VentView
Use
Connecting the ventilator to the PC
Connect the serial ports on the ventilator and your computer
using the MEDIBUS cable supplied with the unit.
Starting VentView
In order to ensure reliable data transfer, all other application
programs should be closed before starting VentView.
This particularly applies when recording and exporting realtime data.
● In the task bar click on the Start button.
● Select the Programs menu.
● Select the VentView program.
● Double-click on the VentView symbol.
The dialog box opens.
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To append new data (ON-line mode) to the existing file:
● Click on Yes.
To append new data to a different file:
● Click on No.
● Open different file.
To view or edit old trend data (OFF-line mode) previously
recorded with VentView:
● Click on No.
See also "Changing Mode" on page 36.
The waveform display opens.
symbol is highlighted in colour.
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In the toolbar the
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Use
Acknowledging alarms
Changing screen displays
Acknowledging alarms
In the event of an alarm an alarm window opens. All the current
alarms are displayed.
Acknowledging alarms:
● Click on OK.
The alarm window closes.
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The visual and audible alarms continue on the
Dräger ventilator!
Changing screen displays
● In the toolbar click on the symbol for the display mode
required.
Waveform display
Loop display 1, 2
Trend display 1, 2, 3
Table display
Summary
Waveform review
The display mode selected opens.
The name of the screen display appears in the status line
above the toolbar.
The corresponding symbol in the toolbar is highlighted in
colour.
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Use
Waveforms
Waveforms
Selecting waveform mode
● Click on the
symbol in the toolbar.
The waveform display opens.
The
symbol is highlighted in colour.
To select different parameters, see page 27.
Freezing waveforms
● Click on the
symbol in the toolbar.
The waveforms are recorded and then frozen.
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To release waveforms again
● Click on the
symbol again.
Reference waveform
The waveforms displayed are set as a reference in the background – for comparison with subsequent waveforms.
Setting a reference waveform
● Click on the
symbol in the toolbar until the waveforms are fully recorded.
The reference waveforms are highlighted in the background in
different colours.
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Deleting reference waveforms
● Click on the
symbol again.
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Use
Waveforms
➀
Measuring waveforms
First freeze the waveform:
● Click on the
symbol in the toolbar until the waveforms are fully recorded.
Further procedures can only be controlled with the
keyboard!
● Move the cursor into the display with the ™ arrow key.
● Position the cursor on the selected point of the waveform
using arrow keys ™ and ‰.
1 The measured value at the selected point on the waveform
is displayed on the right below the parameter name.
Example:
Paw = 26 mbar
Flow = 47.2 L/min
Vol
= 147.0 mL
To release the waveforms again:
symbol in the toolbar again.
● Click on the
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114
Press and release repeatedly to move in single steps.
Hold down to move quickly.
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Use
Loop
Loop
Selecting loop display
● Click on the
symbol in the toolbar.
The loop display mode opens.
The
symbol is highlighted in colour.
To select different parameters, see page 27.
Loops cannot be displayed while recording real-time data.
Switching between loops
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● Click on the
symbol in the toolbar again.
The display switches over: Loop 1 ↔ Loop 2
Stop loop
● Click on the
symbol in the toolbar.
The loop is recorded and then frozen.
To release loop again
● Click on the
symbol in the toolbar again.
Reference loop
The loop is set as a reference in the background – for comparison with subsequent loops.
● Click on the
symbol in the toolbar until the loop is
fully recorded.
The reference loop is displayed in the background in a different colour.
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Deleting a reference loop
● Click on the
symbol in the toolbar again.
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Use
Trend
Trend
Selecting trend display
● Click on the
symbol in the toolbar.
The trend display opens.
To select different parameters, see page 27.
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Switching over between trends
● Click on the
symbol in the toolbar again.
The trend display switches over to the next trend page:
Trend 1 → Trend 2 → Trend 3 → Trend 1 ...
➀
Evaluating trends
In the trend display
Further procedures can only be controlled with the
keyboard!
● Move the cursor into the display with the ™ arrow key.
● Position the cursor on the trend point of time to be evaluated using arrow keys ™ or ‰.
1 The measured value at the selected point on the waveform
is displayed on the right below the parameter name.
Example:
Ppeak = 25 mbar
Pmean= 14 mbar
PEEP = 6 mbar
For some parameters the minimum and maximum values are
displayed.
When the cursor is moved beyond view, the time slot displayed
is moved automatically:
to the right – more recent time slot,
to the left – earlier time slot.
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Press and release repeatedly to move in single steps.
Hold down to move quickly.
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Use
Trend
Changing the time slot
In the trend display
If the
symbol is highlighted in dark green:
● Click on
until it is no longer highlighted in dark
green.
Selecting an earlier time slot
● Click on the
symbol in the toolbar.
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Selecting a more recent time slot
● Click on the
symbol in the toolbar.
Go to
Selectable in trend displays
To go to a certain point in time within the recording period
when volumes of data are large:
● Click on Edit in the toolbar and then click on Go to...
The Go to window opens.
Jumping to the start of data recording
● Click on Start of data.
● Click on OK.
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Jumping to the end of data recording
● Click on End of data.
● Click on OK.
Jumping to a certain point in time within the data recording
Under Trendtimes:
● Click on the : symbol.
A selection of times appears.
● Click on the time desired.
● Click on OK.
Retaining the existing point in time
● Click on Cancel.
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Use
Trend
Zooming trend curves
Reducing and enlarging time intervals in trend displays
progressively.
If the
symbol is not highlighted in dark green:
● Click on
until it is highlighted in dark green.
Reducing time intervals progressively
● Click on the
symbol in the toolbar.
Click again to reduce by a further step.
When quitting the trend display or when clicking on the
symbol the time scale is reset to the value configured.
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Enlarging time intervals progressively
● Click on the
symbol in the toolbar.
Click again to increase by a further step.
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Use
Table
Table
Selecting table display
● Click on the
symbol in the toolbar.
The table display opens.
The
symbol is highlighted in colour.
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To select different parameters, see page 27.
Comparing values in tables/horizon diagrams
This evaluation can only be controlled with the keyboard!
A table line can be set as a reference and compared with a different line and the percentage deviation can be displayed as a
horizon diagram.
If the
symbol in the toolbar is not highlighted in dark
green in the background:
● Click on
until it is highlighted in dark green.
Selecting a reference line
● Position the frame cursor using the P or p arrow key and
● click on the
symbol in the toolbar.
➁
1 The reference line and the base line of the horizon diagram
are displayed in the field under the table.
Example: 20.04.2004 11:42 ..............................
➀
123
Comparing values in the reference line with a different line:
2 Position the frame cursor on the table line to be compared
using the P or p arrow key.
In the horizon diagram, any bars pointing upwards indicate
positive deviations and any bars pointing downwards indicate
negative deviations for the relevant parameters in the table line
compared.
Deviations of more than 20 % are indicated by
or
.
If the frame cursor is moved beyond the limit of the table, the
time slot displayed is automatically moved.
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Use
Table
Retracing alarms in the table
This evaluation can only be controlled with the keyboard!
1 In the extreme right-hand column, alarms and advisory messages are highlighted by the (!) symbol in the relevant line of
the table.
➀
Calling up a previous alarm message
● Position the frame cursor on the relevant line using the P
or p arrow key.
Example: Line 11:47:00 on 20.04.2004
2 The alarm message is displayed.
Example:
PAW LOW
124
➁
Changing the time slot in the table
If the
symbol is highlighted in dark green:
● Click on
until it is no longer highlighted in dark
green.
Selecting an earlier time slot
● Click on the
symbol in the toolbar.
125
Selecting a more recent time slot
● Click on the
symbol in the toolbar.
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Use
Table
Go to
To display data for certain points in time in the table
display
.
To go to a certain point in time within the recording period
when volumes of data are large:
● Click on Edit in the toolbar and then click on Go to...
The Go to window opens.
Jumping to the start of data recording
● Click on Start of data.
● Click on OK.
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Jumping to the end of data recording
● Click on End of data.
● Click on OK.
Jumping to a certain point in time within the data recording
Under Trendtimes:
● Click on the : symbol.
A selection of times appears.
● Click on the time desired.
● Click on OK.
Retaining the existing point in time:
● Click on Cancel.
Zooming the table display
In the table display
.
If the
symbol is not highlighted in dark green:
● Click on
until it is highlighted in dark green.
Reducing time intervals progressively
● Click on the
symbol in the toolbar.
Enlarging time intervals progressively
● Click on the
symbol in the toolbar.
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When quitting the table display or when clicking on the
symbol the time scale is reset to the value configured.
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Use
Selecting summary
Waveform review
Selecting summary
● Click on the
symbol in the toolbar.
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The summary of measured values and settings opens.
The
symbol is highlighted in colour.
Waveform review
Waveforms previously recorded can be viewed in the
"Waveform review" display.
● Click on the
symbol in the toolbar.
The "Waveform review" display opens.
Only the three parameters displayed in the waveform display
while saving the real-time data are saved so only these can be
displayed in the "Waveform review".
The real-time data last recorded is displayed.
To view real-time data which was recorded earlier:
● In the menu File and Open patient file... select the file
required in the [*.rtd] format.
Before you can select "Waveform review" the recording of realtime data must have been completed.
Further procedures can only be controlled with the
keyboard!
● Position the cursor on the waveform section to be evaluated
using arrow keys ™ or ‰.
Press and release repeatedly to move in single steps.
Hold down to move quickly.
The measured value at the selected point on the waveform is
displayed on the right below the parameter name.
● When the cursor is moved beyond view, the time slot displayed is moved automatically:
to the right – more recent time slot,
to the left – earlier time slot.
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127
Evaluating real-time data
Page 25
Use
Waveform review
Real-time waveforms – changing the time slot
Selecting an earlier time slot
● Click on the
symbol in the toolbar.
Selecting a more recent time slot
● Click on the
symbol in the toolbar.
Real-time waveforms – Go to
This function can be selected in the Waveform review
display
.
To go to a certain point in time within the recording period
when volumes of data are large:
● Click on Edit in the toolbar and then click on Go to...
The Go to window opens.
Jumping to the start of data recording
● Click on Start of data.
● Click on OK.
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Jumping to the end of data recording
● Click on End of data.
● Click on OK.
Jumping to a certain point in time within the data recording
Under Real time data:
● Click on the : symbol.
A selection of times appears.
● Click on the time desired.
● Click on OK.
Retaining the existing point in time:
● Click on Cancel.
Changing time intervals
● Click on the
symbol in the toolbar.
● Click on the time scale required and then on OK, see also
129
page 28.
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