Xhibit Central Station and Telemetry System Operations Manual Rev J Jan 2022

Xhibit® Central Station (96102) and Xhibit XC4 (96501) with Telemetry

©2022 Spacelabs Healthcare

All rights reserved. Contents of this publication may not be reproduced in any form without the written permission of Spacelabs Healthcare. Products of Spacelabs Healthcare are covered by U.S. and foreign patents and/or pending patents. Printed in U.S.A. Specifications and price change privileges are reserved. Spacelabs Healthcare considers itself responsible for the effects on safety, reliability and performance of the equipment only if: • assembly operations, re-adjustments, modifications or repairs are carried out by persons authorized by Spacelabs Healthcare, and • the electrical installation of the relevant room complies with the requirements of the standard in force, and • the equipment is used in accordance with the operations manual. In the event of a serious incident, notify Spacelabs and the competent authority of the EU Member State. Spacelabs Healthcare will make available, on request, such circuit diagrams, component part lists, descriptions, calibration instructions or other information which will assist appropriately qualified technical personnel to repair those parts of the equipment which are classified by Spacelabs Healthcare as field repairable. Spacelabs Healthcare is committed to providing comprehensive customer support beginning with your initial inquiry through purchase, training, and service for the life of your Spacelabs Healthcare equipment. CORPORATE OFFICES

Corporate Headquarters Spacelabs Healthcare, Inc. 35301 SE Center Street Snoqualmie, WA 98065 U.S.A. Telephone: (1) 800 287 7108 Telephone: (1) 425 396 3300 Authorized EC Representative MediMark® Europe. 11 rue E. Zola 38100 Grenoble. France Please refer to https://www.spacelabshealthcare.com/about-us/patents-trademarks for a full listing of Spacelabs Healthcare trademarks. Other brands and product names used herein are trademarks of their respective owners. • Rx Only U.S. Federal law restricts the devices documented herein to sale by or on the order of a physician. • Before use, carefully read the instructions, including all warnings and cautions.

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Table of Contents 1

About This Manual

Overview ... 1-1 Conventions used in this manual ... 1-1

2

Introduction

Overview of Xhibit Central Station (96102) ... 2-1 Real-time Patient Data ... 2-2 Multiple-Patient Display... 2-2 Patient View ... 2-2 Equipment Components... 2-2 Functionality ... 2-2 Intended Use... 2-3 Overview of Xhibit XC4 (96501)... 2-3 Warnings and cautions for Xhibit XC4... 2-4 Xhibit XC4-front bezel controls ... 2-4 Xhibit XC4-Input/Output ports ... 2-5 Warnings and Cautions... 2-6 General Warnings ... 2-6 Telemetry Warnings ... 2-13 Arrhythmia Warnings... 2-15 ECG Warnings And Cautions ... 2-15 Respiration Warnings... 2-16 NIBP Warnings And Cautions ... 2-17 SpO2 Warnings And Cautions ... 2-17 SvO2/ScvO2 Warnings And Cautions ... 2-19 Invasive Blood Pressure Warnings ... 2-19 Cardiac Output Warnings ... 2-19 Capnography (EtCO2) Warnings And Cautions... 2-19 Electrical Warnings ... 2-21 Cleaning, Disinfecting, and Sterilization Warnings and Cautions ... 2-21 Operator Position ... 2-22

3

Basic Operations

Overview ... 3-1 Home Screen ... 3-1 Typical Home Screen ... 3-2 Home Screen Formats ... 3-3 Nondedicated Display ... 3-4 Dedicated Display ... 3-5 Common Elements... 3-5 To Select Onscreen Elements... 3-5 Navigation ... 3-5 How To Control Information ... 3-6 Temporary View ... 3-6 Patient View ... 3-7 To Open the Bedside, Trends, and Hemo or Oxy Calcs Views ... 3-8 To open the Bedside View ... 3-8 To open the Trends View... 3-8 To open the Hemo or Oxy Calcs views... 3-8 www.spacelabshealthcare.com

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To Use The Drug Calculator... 3-8 To use the Drug Calculator ... 3-8 Patient Info View ... 3-9 Patient Title Bar ... 3-10 Taskbar ... 3-10 Waveform Zone... 3-11 Parameter Buttons ... 3-12 Numeric Zone... 3-12 Action Bar... 3-13 Parameter Settings for a Bedside Patient ... 3-15 Bedside Parameter Settings-Alarms ... 3-16 Bedside Parameter Settings-Settings ... 3-16 Bedside Parameter Settings-Display ... 3-16 To view a parameter in the Patient Zone ... 3-18 To view a parameter in Bedside View... 3-18 To change the order of parameters in the Patient Zone ... 3-18 Monitor states... 3-19 Standby... 3-19 Cardiac Bypass Active ... 3-19 Busy... 3-19 Print... 3-19

4

Alarms

Overview ... 4-1 Set Alarms... 4-2 To show the Parameter Settings window for any parameter ... 4-2 To open the default Alarms view for any parameter ... 4-2 Alarms View ... 4-2 Alarm Symbols ... 4-3 Alarms Visual and Audible Characteristics ... 4-4 Latched Alarms ... 4-5 Home Screen and Bedside View ... 4-5 Alarm History Bar ... 4-5 To view 60 minutes of alarms for a device... 4-6 To sort the alarm history events... 4-6 Audio Pause... 4-6 Alarm Acknowledge ... 4-7 To acknowledge an alarm on Xhibit... 4-8 Alarm Reminders ... 4-9 Turn Alarm Audio Off or On ... 4-9 To turn alarm audio off... 4-9 To turn alarm audio on... 4-10 Alarm Functional Characteristics ... 4-10 ECG Alarm Delays ... 4-10 Respiration Alarm Delays... 4-10 NIBP Alarm Delays ... 4-11 SpO2 Alarm Delays ... 4-11 Temperature Alarm Delays ... 4-12 IBP Alarm Delays ... 4-12 SvO2/ScvO2 Alarm Delays... 4-12 www.spacelabshealthcare.com

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Capnography (EtCO2) Alarm Delays... 4-13 Identification of Alarm Levels ... 4-13 Auditory Alarms... 4-14 Intelligent Alarms ... 4-14 Tiered Alarms... 4-14 Bedside Monitor Tiered Alarms... 4-14 Telemetry Tiered Alarms... 4-15 Telemetry Alarm Escalation ... 4-15

5

Views

Patient View ... 5-1 Closing Views or Windows ... 5-1 Access to the Patient View... 5-1 Patient View Menu ... 5-2 Bedside View ... 5-3 Print ... 5-4 To open the Report Parameters Selection Window... 5-4 Freeze... 5-5 Clinical Access ... 5-5 To open Clinical Access for a patient... 5-5 Clinical Access Issues ... 5-6 Sticky Notes ... 5-6 Predetermined titles ... 5-6 User-defined titles ... 5-6 To create a Sticky Note... 5-7 To create multiple notes... 5-7 To see the notes ... 5-7 To add a comment ... 5-7

6

To Admit or Discharge a Patient

Overview ... 6-1 Patient Admit... 6-1 To use the onscreen keyboard ... 6-1 To admit a patient ... 6-1 To discharge a patient ... 6-2 To edit patient data ... 6-3 To print patient data in the Patient Info view... 6-3 To transfer a patient to a different bed... 6-3 Bed Assignment ... 6-3 To restore an empty bed... 6-3 To minimize empty beds ... 6-3 To assign a bed to the zone... 6-4 To unassign or remove a bed from the monitored zones ... 6-5 To view the data for another patient from the Patient View ... 6-5 Select Patient... 6-6 To select a patient... 6-6 To locate patients in the Select Patient list ... 6-6 To view patient data from the Select Patient list ... 6-7 To assign a patient to a patient zone from the Select Patient list ... 6-8

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Table of Contents

ECG-Bedside

Overview ... 7-1 ECG Waveform Zone... 7-2 ECG Numeric Zone... 7-3 ECG Waveform ... 7-3 Heart Beat Icon ... 7-3 Heart Rate... 7-3 ECG Size Reference... 7-4 Parameter Information Area... 7-4 ECG ST Analysis Overview ... 7-4 ECG Leads View... 7-5 Alarm Messages and Alarm Indicators... 7-5 ECG Parameter Settings... 7-6 ECG Parameter Settings-Alarms ... 7-7 ECG Alarms-Rate ... 7-7 ECG Alarms-Arrhythmia ... 7-9 Bedside ECG Alarms-ST Alarms ... 7-10 ECG Parameter Settings-Settings ... 7-11 ECG Settings-View ... 7-11 ECG Settings-Configuration ... 7-12 ECG Parameter Settings-Display... 7-13 ECG Waveform Zone Messages ... 7-13

8

Respiration

Overview ... 8-1 Respiration Waveform Zone ... 8-1 Respiration Numeric Zone ... 8-2 Respiration Parameter Settings ... 8-2 Respiration Parameter Settings-Alarms ... 8-2 Respiration Alarms... 8-3 To set Resp Rate alarms ... 8-3 Apnea Alarms ... 8-4 To set the Apnea alarm... 8-4 Respiration Parameter Settings-Settings ... 8-4 Respiration Parameter Settings-Display ... 8-5 Respiration Waveform Zone Messages ... 8-6

9

Noninvasive Blood Pressure

Overview ... 9-1 NIBP Waveform Zone ... 9-2 NIBP Numeric Zone ... 9-2 Display Formats for NIBP Readings... 9-2 NIBP Parameter Settings ... 9-4 NIBP Parameter Settings-Alarms... 9-4 NIBP All Alarms (On or Off) ... 9-5 NIBP All Alarms ... 9-5 To set alarms for NIBP... 9-5 NIBP Display Alarm Limits ... 9-5 Patient Types ... 9-5 Last Measurement Preview ... 9-6 NIBP Parameter Settings-Settings... 9-6 www.spacelabshealthcare.com

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NIBP Parameter Settings-Display ... 9-6 NIBP Waveform Zone Messages... 9-6

10 SpO 2 -Bedside Overview ... 10-1 SpO2 Waveform Zone... 10-4 SpO2 Numeric Zone... 10-5 SpO2 Parameter Settings... 10-5 SpO2 Parameter Settings-Alarms ... 10-5 SpO2 Parameter Settings-Settings ... 10-7 SpO2 Parameter Settings-More ... 10-8 SpO2 Parameter Settings-Display... 10-8 SpO2 Waveform Zone Messages ... 10-8 Nellcor Pulse Oximetry... 10-9 Pulse Rate Display... 10-9 Motion Indicator ... 10-9 SatSeconds Indicator... 10-10 Nellcor Parameter Settings-Alarms... 10-10 Nellcor Parameter Settings-Settings ... 10-10 Nellcor Parameter Settings-More... 10-11 Masimo Pulse Oximetry ... 10-11 Masimo Parameter Settings-Alarms ... 10-11 Masimo Parameter Settings-Settings... 10-13 Masimo Parameter Settings-More ... 10-14

11 Temperature Overview ... 11-1 Temperature Waveform Zone ... 11-1 Temperature Numeric Zone ... 11-1 Multiple Temperature Values ... 11-2 Delta Temperature ... 11-2 Temporary View ... 11-2 Temperature Parameter Settings... 11-3 Temperature Parameter Settings-Alarms... 11-3 Temperature All Alarms (On or Off) ... 11-3 High Alarm Limit... 11-4 Low Alarm Limit ... 11-4 To set the temperature alarms... 11-4 T1, T2, ΔT1-T2 ... 11-4 Temperature Settings-Settings ... 11-4 Temperature Settings-Display ... 11-4 Temperature Value Labels ... 11-4 Temperature Waveform Zone Messages ... 11-5

12 Invasive Pressure Overview ... 12-1 IBP Waveform Zone... 12-1 IBP Numeric Zone... 12-1 IBP Parameter Button Label... 12-2 IBP Waveform ... 12-2 www.spacelabshealthcare.com

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IBP Labels... 12-2 IBP Parameter Settings... 12-3 IBP Parameter Info Area ... 12-3 IBP Units of Measure ... 12-3 IBP Parameter Settings-Alarms ... 12-4 ART... 12-4 ICP ... 12-5 IBP Alarms and Alarm Messages ... 12-6 IBP Parameter Settings-Settings ... 12-7 IBP Parameter Settings-Display ... 12-7

13 Cardiac Output Overview ... 13-1 CO Waveform Zone ... 13-1 CO Numeric Zone ... 13-1 Cardiac Index (CI) ... 13-2 CO Parameter Settings ... 13-2 CO Parameter Settings-Settings... 13-2 CO Parameter Settings-Display ... 13-2

14 EtCO 2 Overview ... 14-1 EtCO2 Waveform Zone ... 14-2 EtCO2 Numeric Zone ... 14-3 EtCO2 Parameter Settings ... 14-3 EtCO2 Parameter Settings-Alarms... 14-3 Apnea Alarms ... 14-5 To set the Apnea alarm... 14-5 EtCO2 Parameter Settings-Settings... 14-5 Suspend and Resume CO2 Monitoring... 14-6 EtCO2 Parameter Settings-Display ... 14-6 EtCO2 Waveform Zone Messages... 14-6

15 SvO 2 /ScvO 2 Overview ... 15-1 SvO2/ScvO2 Warnings and Cautions... 15-1 SvO2/ScvO2 Waveform Zone... 15-2 SvO2/ScvO2 Numeric Zone... 15-3 SvO2/ScvO2 Parameter Settings ... 15-3 SvO2/ScvO2 Parameter Settings-Alarms ... 15-4 SvO2/ScvO2 Settings-Settings ... 15-5 SvO2/ScvO2 Parameter Settings-Display... 15-5 SvO2/ScvO2 Waveform Zone Messages ... 15-5

16 Flexport System Interface and Xhibit Overview ... 16-1 Supported Flexports... 16-1 Ventilator Flexports ... 16-1 Cardiac Output Flexports ... 16-1 www.spacelabshealthcare.com

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Flexport Waveform Zone... 16-1 Supported Flexport Parameters ... 16-3 Flexport Parameter Settings-Alarms ... 16-4 To view ventilator Flexport alarms status... 16-4 To view Flexport Vigilance II alarms status... 16-4 Flexport Servo I Parameter Settings-Settings ... 16-5 To choose which Flexport Servo I parameters show on the Central Station display... 16-5 Flexport Servo I Waveform Zone Messages... 16-6 PB840 Parameter Settings-Settings ... 16-6 To choose which Flexport PB840 parameters show on the Central Station display... 16-6 Flexport PB840 Waveform Zone Messages ... 16-7 Vigilance II Parameter Settings-Settings... 16-7 To choose which Flexport Vigilance II parameters to show on the Central Station display... 16-7 Flexport Vigilance II Waveform Zone Messages... 16-8 Flexport Parameter Settings-Display ... 16-8

17 Trends and Calculations Trends Views ... 17-1 To open the Trends Window... 17-1 To open the Trend Setup Window ... 17-2 Graphic Trends Setup ... 17-3 To rename a graph ... 17-3 To add parameters to a graph ... 17-3 To delete parameters from a graph ... 17-3 To set the scale for a parameter ... 17-3 Calculations View... 17-4 Types of Calculations... 17-4 To open the Calculations View ... 17-4 To refresh calculations data... 17-5 To print the shown calculations... 17-5 Hemodynamic Calculations... 17-5 Input Values for Hemodynamic Calculations ... 17-5 Output Values for Hemodynamic Calculations ... 17-6 Oxygenation Calculations ... 17-7 Input Values for Oxygenation Calculations... 17-7 Output Values for Oxygenation Calculations ... 17-8 Drug Calculator ... 17-9 Rate and Dose Values ... 17-10 To access the Drug Calculator... 17-10 To enter values for drug calculation... 17-10

18 Xhibit Telemetry System Electrical Warnings ... 18-1 Monitoring Telemetry Patients ... 18-4 Intended Use... 18-4 General Telemetry Setup ... 18-5 General Telemetry ... 18-5 Transmitter and Bed Assignments ... 18-6 To assign a transmitter to an empty bed in a patient zone ... 18-7 www.spacelabshealthcare.com

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To assign a transmitter and bed to an unassigned patient zone ... 18-7 To tune a permanent telemetry transmitter... 18-8 To change the transmitter assignment to permanent or temporary ... 18-8 Admit, Transfer, and Discharge patients, or Change a Transmitter... 18-9 To admit a telemetry patient ... 18-9 To change the telemetry transmitter ... 18-10 To transfer a patient with a temporary telemetry assignment ... 18-10 To move a patient to a new bed that is not yet assigned to a Patient Zone ... 18-11 To discharge a telemetry patient... 18-11 To edit telemetry patient data ... 18-11 Telemetry Identifiers in the Title Bar ... 18-12 Telemetry-Patient Views... 18-12 Telemetry Bedside View ... 18-12 Telemetry Trends View ... 18-13 Telemetry Remote View on a bedside monitor ... 18-13 Actions done at the bedside monitor ... 18-14 Limitations and restrictions ... 18-14 Actions done at the Xhibit Central Station ... 18-14 Limitations and restrictions ... 18-14 Print Menu for Telemetry... 18-14 To print selected leads... 18-14 To print all leads... 18-15 Telemetry Alarm Characteristics ... 18-15 Telemetry Alarm Delays ... 18-15 Telemetry Alarm Default Settings... 18-16 Alarm Violations With Telemetry ... 18-16 Latched Alarms ... 18-17 Tiered Alarms... 18-17 Telemetry ECG Technical Alarm and General Messages ... 18-17 Telemetry Standby ... 18-19 To place a telemetry channel in Standby... 18-20 In Standby... 18-21 Standby in Alarm History ... 18-21 Standby and alarms escalation ... 18-21 Patient Info view during Standby ... 18-22 Exiting Standby ... 18-23 Patient transfers while in Standby... 18-23 Discontinue Patient Monitoring with Xhibit Telemetry... 18-23 To safely discontinue patient monitoring... 18-23

19 Telemetry ECG Telemetry ECG ... 19-1 Warnings and Cautions ... 19-1 Multiple ECG Waveforms ... 19-2 Leads ... 19-2 Patient Preparation and Electrode Application ... 19-2 To Set Up ECG Monitoring ... 19-3 To prepare the patient... 19-3 To apply ECG electrodes... 19-3 Adult Electrode Placement... 19-4 www.spacelabshealthcare.com

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ECG Problem Solving ... 19-4 Telemetry ECG Waveform and Numeric Zones ... 19-5 ECG Alarms Menu ... 19-5 Telemetry ECG Alarms-Rate ... 19-6 Telemetry ECG-Print Alarm Events ... 19-7 Telemetry ECG Alarms-Arrhythmia... 19-8 Alarms Behavior and Presentation ... 19-9 Telemetry ECG-Settings... 19-9 Telemetry ECG Settings-View ... 19-9 Telemetry ECG Settings-Configuration ... 19-11 Telemetry ECG-Display ... 19-12 Parameter Settings-ST Segments ... 19-13 ECG ST-Alarms ... 19-13 To Set the ST Change Single Lead alarms ... 19-15 To set the ST Index User 1 alarms ... 19-15 ECG ST-Print Alarms ... 19-15 Telemetry ECG Technical Messages... 19-15 ECG Disclosure Information... 19-15

20 Telemetry-Arrhythmia Analysis Arrhythmia Warnings... 20-1 How Arrhythmia Analysis Works ... 20-1 Arrhythmia Technical and Alarm Messages ... 20-2 Arrhythmia Alarm Settings ... 20-2

21 Telemetry SpO 2 SpO2-General ... 21-1 SpO2 Button in Numeric Zone ... 21-1 Parameter Settings-SpO2 Telemetry ... 21-2 To set up the SpO2 function for the telemetry patient ... 21-2 SpO2 Alarms ... 21-2 SpO2 Alarm Events Print... 21-3 SpO2 Parameter Settings-Settings ... 21-3 SpO2 Parameter Settings-Display... 21-4 Telemetry SpO2 Technical and Alarm Messages ... 21-4

22 Cleaning, Disinfecting, and Sterilization-Xhibit Central Station (96102) Cleaning Products Not Recommended for Use ... 22-1 Touchscreen Cleaning ... 22-2

23 Cleaning, Disinfecting, and Sterilization-Xhibit XC4 (96501) Xhibit XC4 and Cables ... 23-1 To clean the Xhibit XC4 and cables... 23-2

24 Initial Setup Overview ... 24-1 Xhibit Central Station Wizard Setup... 24-2 To begin display configuration ... 24-2 Touchscreen USB Controller Setup ... 24-3 To set up the touchscreen USB Controllers... 24-4 www.spacelabshealthcare.com

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Central Station Setup ... 24-5 Privileged Access Setup ... 24-5 To change the default passwords ... 24-6 Network Setup ... 24-6 To set up the UVSL network interface ... 24-7 To set up the LAN2 network interface... 24-8 ICS Setup... 24-9 To set up ICS ... 24-9 Licenses Setup ... 24-10 To verify the software licenses... 24-10 Organization Setup ... 24-11 Organization Setup with ICS Synchronization ... 24-12 To set up the organization with ICS synchronization ... 24-12 Manual Organization Setup ... 24-12 To set up the organization manually ... 24-12 Devices and Beds Setup ... 24-13 To add a bedside monitor manually... 24-13 To add a telemetry transmitter manually... 24-14 To assign devices to beds ... 24-14 Units of Measure Setup... 24-15 To configure the units of measure ... 24-15 Time and Date Setup ... 24-16 To manually set up the time and date... 24-16 To set up the time and date with NTP synchronization... 24-17 Telemetry Demo... 24-19 To run a telemetry demo... 24-19

25 Spacelabs Menu Overview ... 25-1 Print All Patients Command ... 25-2 To execute the Print All Patients command ... 25-2 Print Requests Window... 25-2 To open the print queue (spooler)... 25-2 To cancel print requests... 25-2 Display Settings Window... 25-3 Display Settings-Configuration... 25-4 To configure patient zone layouts and dedicated display ... 25-5 Display Settings-Bed Assignments ... 25-6 To assign a bed to a patient zone... 25-6 To unassign a bed from a patient zone... 25-7 Central Station Setup Window ... 25-7 Privileged Access Menu ... 25-7 To log in for privileged access ... 25-8 To change a password... 25-8 Clinical Menus... 25-9 Clinical-Parameters ... 25-9 To configure parameters... 25-10 Clinical-Audio Settings... 25-12 To configure alarm audio ... 25-12 Clinical-Waveform Reports... 25-13 www.spacelabshealthcare.com

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To configure scheduled waveform reports... 25-14 Clinical-Units of Measure... 25-14 To configure the units of measure ... 25-15 Clinical-Telemetry ... 25-15 To configure default telemetry ECG rate alarm settings ... 25-17 To configure default telemetry ECG arrhythmia alarm settings ... 25-20 To configure default telemetry ECG paced alarm settings ... 25-22 To configure default telemetry ECG alarms configuration settings... 25-24 To configure default telemetry ST alarm settings ... 25-25 To configure default telemetry SpO2 alarm settings ... 25-27 To configure telemetry alarm acknowledge ... 25-29 Biomed Menus ... 25-30 Biomed-Network Setup... 25-30 To configure the UVSL network interface ... 25-31 To configure the LAN2 network interface... 25-33 Biomed-ICS Setup ... 25-35 To configure ICS Clinical Access... 25-36 Biomed-Organization ... 25-36 To configure the organization ... 25-37 Biomed-Devices and Beds ... 25-38 To configure device-to-bed assignments ... 25-39 Biomed-Alarms ... 25-41 To configure Central Station alarm acknowledge ... 25-41 To configure Telemetry Standby... 25-42 Biomed-Configurable ID ... 25-43 To configure the patient zone ID... 25-43 Biomed-Report Setup ... 25-44 To configure waveform report print settings... 25-44 Biomed-Time/Date... 25-45 To manually configure the time and date... 25-46 To configure the time and date with NTP synchronization... 25-47 Biomed-System Info ... 25-47 To show Central Station system information ... 25-48 Biomed-System ... 25-48 To restart or shutdown the Central Station software or system ... 25-49 Restart the software or system (without a password)... 25-49 To allow a system or software restart without a biomed password... 25-49 To restart the Central Station software or system... 25-50 To configure the Xhibit displays ... 25-50 To calibrate or configure the touchscreen response... 25-51 To upload/update the facility logo for waveform reports ... 25-51 To update log services... 25-52 To update ThingWorx Agent ... 25-53 Service Menus ... 25-53 Service-Logs... 25-53 To show the service log ... 25-54 Service-Licenses ... 25-55 To show software licenses... 25-56

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A

Table of Contents

Appendix A - Product Specifications, Xhibit Central Station (96102)

Features ...A-1 Product Specifications...A-1 Requirements...A-2 Physical Dimensions (Typical) ...A-2 Compatibility...A-3 Accessories...A-3 Licensing ...A-3 Classifications ...A-3 Documentation ...A-3 Regulatory Approvals...A-4

B

Appendix B - Product Specifications, Xhibit XC4 (96501)

Features ...B-1 Product Specifications...B-1 Environmental Requirements...B-1 Physical Characteristics ...B-2 Classification ...B-2 Licensing ...B-2 Compatibility...B-2 Documentation ...B-2 Regulatory Approvals...B-3

C Appendix C - Product Specifications, Xhibit Telemetry Receiver (96280) Features ...C-1 Physical Dimensions ...C-1 Electrical specifications ...C-2 Environmental Requirements...C-2 Compatibility...C-2 Classifications ...C-2 Documentation ...C-3 Regulatory Approvals...C-3

D

Appendix D - Xhibit Telemetry Default Settings

Overview ...D-1 Telemetry-ECG-Rate ...D-1 Telemetry-ECG-Arrhythmia ...D-4 Telemetry-ECG-Paced ...D-5 Telemetry-ECG-Settings ...D-6 Telemetry-ECG-ST...D-7 Telemetry-SpO2 ...D-8 Telemetry-Settings-Alarms ...D-10

E Appendix E-Electromagnetic Compatibility-Xhibit Central Station (96102), Xhibit XC4 (96501) Electromagnetic emissions ...E-1 Electromagnetic immunity ...E-1 Separation distances...E-2 General information to all users ...E-4

F

Appendix F-Electromagnetic Compatibility-Xhibit Telemetry

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Receiver (96280) Electromagnetic Emissions ... F-1 Electromagnetic Immunity... F-1 Separation Distances ... F-2

G

Appendix G - Symbols

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About This Manual Overview This manual provides instructions on how to use specific features of the Xhibit® Central Station.

Read this manual before use and pay attention to all warnings and cautions.

Conventions used in this manual Certain conventions are used throughout this manual for consistency and to aid in the search for information about the Xhibit Central Station. Certain conventions are used throughout this manual for consistency and to aid in the search for information about the Xhibit Central Station. • Non-blue italicized typeface are references to information outside this manual. They indicate references to other manuals or information which is available in another form, as identified by a title or a part number. • Bold typeface indicates text labels, phrases, or titles that show on an LCD or display which are part of a Spacelabs Healthcare software application. • A non-bold term with Leading Capital Letters identifies the formal name of an icon, control, or view. These items do not include text as part of their identification, such as Home Screen, Patient View, or Setup Window. • Numbered steps are presented to accomplish a task. Some steps conclude in a step result- unnumbered indented text. For an example of task steps, refer to To view a parameter in the Patient Zone on page 3-18. • Warnings and cautions are included before pertinent content to alert you to important information on the use of the Central Station. Notes are placed after pertinent content. An example of each follows.

Warnings indicate potentially harmful conditions that can lead to injury or death.

Cautions indicate conditions that can lead to damage to or malfunction of the device.

Note:

Notes alert the user to relevant facts and conditions.

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Introduction Overview of Xhibit Central Station (96102) The Xhibit® Central Station offers remote views of real-time vital signs for adult, pediatric, and neonatal patients connected to a Spacelabs Healthcare bedside monitor or telemetry device. The Xhibit Central Station provides data communication using the TCP/IP network protocol used in the Spacelabs Healthcare Ultraview® Care Network. The Xhibit Central Station directly views patient data collected from bedside monitors or telemetry transmitters.

Note:

Not all products are available in all locations. Check with your local Spacelabs Healthcare representative.

Figure 2-1: Xhibit Central Station touchscreen displays

You can monitor up to 48 patients using multiple displays. You can customize how patient data shows on the display. Customization includes patient demographics, waveforms, numerics, and alarms settings. You can change alarms settings on the bedside monitor by changing them at the Central Station. You can also configure alarms settings for telemetry devices at the Central Station. You can open Intesys® Clinical Suite (ICS) Clinical Access on a dedicated display directly from a Patient Zone on the Xhibit Central Station.

Note:

Instructions or illustrations in this manual related to the use of Intesys Clinical Suite (ICS) Clinical Access do not apply to Xhibit XC4 (96501). To use ICS requires a dedicated display to function at a central station, which is not an option for the Xhibit XC4.

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Introduction

Real-time Patient Data Multiple-Patient Display The 96102 Xhibit Central Station shows data for up to 48 patients. To simplify the display of patient data, the 96102 Xhibit Central Station limits the number of patients per display to 16. You can connect up to three displays to show a total of 48 patients. Each display can also show a patient-centric view-the Patient View-that provides more detail than the multi-patient view. When a dedicated display is connected to the system, the 96102 Xhibit Central Station can connect to four displays. Three displays are for remote patient monitoring and one is the dedicated display for the Patient View.

Patient View The Patient View allows you to see detailed data for a specific patient and still maintain the data for multiple patients on the same display. The Patient View shows on the lower half of a multipatient display. To allow for a more detailed view of data for a specific patient, the Patient View takes up the full screen on a dedicated display. When this view is enabled on a multiple-patient display, the upper half of the display shows a compressed presentation of the multipatient display.

Equipment Components Standard components of the Xhibit Central Station include: • central processing unit (CPU) • keyboard • mouse • 54.6 cm (21.5 inches) diagonal touchscreen display (P/N 011-0241-02) More components of the Xhibit Central Station include: • mounting options

Note:

An English keyboard ships with this product or you can use the onscreen keyboard. Intesys Clinical Suite (ICS) Clinical Access features require a physical keyboard.

Functionality The Xhibit Central Station is compatible with networked Spacelabs Healthcare Ultraview®, Ultraview SL®, Xprezzon®, Qube®, and Qube Mini bedside monitors. Refer to the customer documentation for your specific bedside monitor or other device for more information. The Xhibit Central Station, when combined with the 96280 Xhibit Telemetry Receiver, is compatible with the 96281-A, -B, -C AriaTele® transmitters, and the Ultraview SL® 90341, 90347, 90343, 91341, 91343, and 91347 telemetry transmitters. Only the 96281-C, 90343, and 91343 telemetry transmitters include SpO2. For more information on network setup for telemetry, refer to Biomed-Network Setup on page 25-30. Xhibit also allows Flexport channels to show on the display as unique parameters. If a supported Flexport is connected to the bedside monitor, Xhibit shows the Flexport data. For more information on Flexports with Xhibit, refer to Flexport System Interface and Xhibit on page 16-1. www.spacelabshealthcare.com

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Xhibit® Central Station (96102) and Xhibit XC4 (96501) with Telemetry

Introduction

The Xhibit Central Station functionality allows you to: • monitor up to 48 patients on three displays; 16 patients per display • to search patient data • create and print manual, scheduled or device reports • print PDF format reports • use Intesys Clinical Suite (ICS) Clinical Access • view real-time patient data • customize Patient Zones • review alarms and make changes to alarm settings • save settings automatically • access trended vital signs data

Intended Use The Spacelabs Healthcare Xhibit Central Station (Xhibit Central Station, Model 96102 and Xhibit XC4, Model 96501) intended use is to provide clinicians with central monitoring of adult, pediatric and neonatal patient data of patients connected to networked Spacelabs Healthcare patient monitors and telemetry transmitters. Data includes physiological waveforms and calculations, cardiac arrhythmia and ST data, and patient demographic information to monitor adequacy of treatment or to exclude causes of symptoms. The Spacelabs Healthcare Xhibit (Xhibit Central Station, Model 96102 and Xhibit XC4, Model 96501) is a prescription device intended for use under the direct supervision of a licensed healthcare professional. The Spacelabs Healthcare 96280 Telemetry Receiver is intended to provide the Spacelabs Healthcare monitoring system with adult, pediatric and neonatal patient data of patients connected to Spacelabs Healthcare telemetry transmitters. Data includes physiological waveforms and calculations, cardiac arrhythmia and ST data, and patient demographic information to monitor adequacy of treatment or to exclude causes of symptoms.

Overview of Xhibit XC4 (96501) The Spacelabs Healthcare Xhibit XC4 provides central monitoring of patient data in the patient vicinity on a medical grade all-in-one computer with display. You can monitor from one to four patients at any location with connectivity to the Spacelabs Healthcare patient monitor network. This four-bed central station at the point-of-care provides clinicians with the ability to monitor other beds, including telemetry patients. The Xhibit XC4 provides full interactive capability to admit, discharge, and modify patient information and to update parameter settings. The 96102 Xhibit Central Station software is installed on the 96501 Xhibit XC4. The Xhibit XC4 display has a capacitive anti-glare touchscreen. Keyboard and mouse are optional. The main difference between the Xhibit Central Station and the Xhibit XC4-besides hardware-is that one accommodates up to 48 patients and the other up to four patients. Both systems provide real-time alarms for monitored patients. Due to the touchscreen size differential, monitoring patients could present limitations due to the size of the Xhibit XC4 display. Unlike the 96102 Xhibit Central Station, it is not possible to connect additional displays to the Xhibit XC4 unit.

Note:

The use of the name Xhibit Central Station refers to both the 96102 and the 96501 central stations. They share the same software and functionality unless otherwise specified in this manual.

For more information, refer to Appendix B - Product Specifications, Xhibit XC4 (96501) on page B-1 appendix.

www.spacelabshealthcare.com

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Xhibit® Central Station (96102) and Xhibit XC4 (96501) with Telemetry

Note:

Introduction

Not all products are available in all locales. Check with your local Spacelabs Healthcare representative.

Warnings and cautions for Xhibit XC4 Printers are office equipment and not for use in the patient vicinity.

• Live voltages may be present on data connector contacts on the Xhibit XC4 (96501). • Do not allow the patient to touch data connector contacts on the Xhibit XC4 central station. • Do not touch the patient while touching any data connector contacts on the Xhibit XC4 central station.

Use only flash drives authorized by Spacelabs Healthcare with the Xhibit XC4.

Only use the designated external medical-grade power supply 119 - 0596 - 00 (Xhibit XC4, 96501).

Cleaning recommendations for the Xhibit XC4 are different than those for the Xhibit Central Station. Refer to Cleaning, Disinfecting, and Sterilization-Xhibit XC4 (96501) on page 23-1.

Xhibit XC4-front bezel controls • Live voltages may be present on data connector contacts on the Xhibit XC4 (96501). • Do not allow the patient to touch data connector contacts on the Xhibit XC4 central station. • Do not touch the patient while touching any data connector contacts on the Xhibit XC4 central station.

www.spacelabshealthcare.com

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