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Panorama: Operating Instructions

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0% found this document useful (0 votes)
103 views43 pages

Panorama: Operating Instructions

Uploaded by

eric45lost
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Operating Instructions

Panorama® C E N T R A L S TAT I O N
Web Viewer

0070-02-0681-01_revC_b-w.indd 1 3/30/11 4:09 PM


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., 2007-2014. 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


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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 i


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ii 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
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.

iv 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, Respiration Rate, and Temperature. 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 v


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 11.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.

vi 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 four (4) 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 or 10.
• 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: Before installing Panorama Web Viewer, users are advised


to install their own anti-virus software.

1.4 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 Accessing the Panorama Web Viewer Application

1.5 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. 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 Getting Started

1.6 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.

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.

1-4 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 Getting Started

1.6.3 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 Selecting a Patient

1.7 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 real-
time 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: 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.

1-8 Panorama® Web Viewer Operating Instructions


Getting Started Troubleshooting

1.10 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 The Web Viewer application Wait for a license to become
exceeds the number of supports four (4) concurrent available.
allowed logins for this user licenses.
version. Please contact
your system
administrator.
Three licenses are in use, and The application was closed Contact the system
a fourth license is available but using the browser file menu or administrator to assist in
another user is still not able to the Internet Explorer Close releasing the license. Refer to
login. button was used to exit the Web Viewer Installation
the application instead of Guide for additional
selecting the LOG OUT tab. information.
Your login attempt was The user name and/or Try again. If login unsuccessful
not successful. Please try password entered is incorrect. again, contact the system
again. administrator.
No Central Stations There are no central stations Wait until the central stations
Found currently on the Panorama are installed or are networked
network. to the web server.
Password should be 4-10 Password is not a valid length. Enter a password that is
characters. between 4 and 10 characters
in length.
No Patients Found The system did not find patients Click the REFRESH button. If
or active tiles for the selected the list still is not populated,
central station. contact the system
administrator for assistance or
select another central station
from the drop-down list.
Standby The patient is in a Standby Release patient from Standby
state at the central station. state at the central station or
wait until patient is active
again.
Discharged The patient state changed since Click the REFRESH button to
the web page was loaded and update the patient list.
now the patient tile is in a
discharge state at the central
station.
Communications Lost There was a loss of Investigate the loss of
communication between the communication or contact the
central station and the system administrator for
monitoring device. assistance.
Waiting for Patient Central station patient tile is in Remove the patient from the
a Waiting for Patient state. Waiting for Patient state at the
central station.
Central Communications Central station monitoring the Investigate why central station
Lost patient tile is in a is in a communications lost
communications lost state. 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 The patient state changed since Click the REFRESH button to
longer available. Please the web page was loaded and update the patient list, then
refresh. now the patient selection data select a new patient.
is no longer valid.
Your password update The password has been No solution required.
was successful. successfully changed.
Enter all the values and The DONE button was Enter the correct information in
click DONE. selected before one of the three all three password text boxes,
password text boxes was and then select the DONE
populated. button.

Incorrect password. The Confirm Password entered Reenter the passwords again.
Please try again. does not match the New
Password entered.
The Old Password entered was Reenter the correct Old
not correct. Password again.
Please calibrate The DONE button was Renter the CALIBRATE screen
horizontal pixels/cm. selected before the horizontal and complete the horizontal
calibration was completed. calibration.
Please calibrate vertical The DONE button was Renter the CALIBRATE screen
pixels/cm. selected before the vertical and complete the vertical
calibration was completed. calibration.
Calibration of this display Complete calibration settings Complete the calibration
is required in order to have not been established. process.
provide diagnostic
quality waveform
viewing. Please ensure
the on-screen rulers are
adjusted to match 1 cm
increments exactly.
Your IE version is X. The The Internet Explorer version is Install the Internet Explorer with
Web Viewer only not supported by the version of 8.x, 9.x or 10.x.
supports IE 8/9/10. Panorama Web Viewer.
Please upgrade your IE.
All tabs in the Tab view are An existing calibration setting Enter the Calibrate view to
disabled except for does not exist. complete the calibration
PREFERENCES and LOG OUT. process.
All tabs in the Tab view are An existing calibration setting Select a patient.
disabled except for PATIENT does exist but a patient has not
SELECTION, PREFERENCES yet been selected.
and LOG OUT.
CALIBRATION tab displayed Calibration settings have not Establish calibration settings.
after authentication. been established.
Patient name is not displayed The application does not No solution required.
in the PREFERENCES and LOG display patient name in the
OUT views. PREFERENCES and LOG OUT
views.
Desired central station is not in Central station is not currently Click the REFRESH button. If
the central station drop-down active. unsuccessful again, contact the
list. system administrator.
* Messages are shown in all bold text.

1 - 10 Panorama® Web Viewer Operating Instructions


Getting Started Troubleshooting

MESSAGE/ISSUE * REASON SOLUTION


The PATIENT SELECTION tab System does not recognize the Click the REFRESH button.
does not clear the currently new selection until the list is
selected patient after selecting refreshed.
another central in the central
station drop-down list
When a tab is selected, a Patient data is loading. Wait until the data is loaded.
icon is displayed in the upper
left corner of the view.
* Messages are shown in all bold text.

Panorama® Web Viewer Operating Instructions 1 - 11


Troubleshooting Getting Started

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1 - 12 Panorama® Web Viewer Operating Instructions


2.0 Views

2.1 Viewing Near Real-Time Data


Near real-time data for a selected patient can be viewed by accessing the VIEW
WAVEFORMS tab (shown in FIGURE 2-1 on page 2-2). This view contains a Waveform Tile
Area and a Parameter Tile Area. The number of waveforms, the waveform type, the wave
gain, and the displayed digital tile parameters may be customized.

This view, and the configuration of this view, is described in the following sections.

CAUTION: The VIEW WAVEFORMS tab will not indicate when a


parameter is in an alarm state.

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: 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: 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.

Panorama® Web Viewer Operating Instructions 2-1


Viewing Near Real-Time Data Views

Patient Name

Waveform Tile
Area

Parameter Tile
Area

FIGURE 2-1 VIEW WAVEFORMS Tab - Waveforms View

2.1.1 Accessing the Waveforms View


• Once a patient is selected, click the VIEW WAVEFORMS tab.
The following section describes the areas of the View Waveforms view.

Waveform Tile Area


The Waveform Tile Area (shown in FIGURE 2-1 on page 2-2) displays the configured
waveforms for the selected patient. This area has the following characteristics:

• Area is located above the parameter tiles


• Can be configured to display three to eight waveform tiles
• Always displays an ECG waveform tile and a heart rate parameter tile in the top most
waveform position
• Displays the PVC/min numeric value in the heart rate parameter tile when Arrhythmia is
active at the central station
• Displays the Pause/min numeric value in the heart rate parameter tile when viewing a
patient connected to a V Series or a Telepack monitor and Arrhythmia is active at the
Central Station
• Allows the same waveform to display in more than one waveform tile
• Displays the waveform data from the bedside monitor sensors, when available
• For ECG waveforms, displays the ECG filter set at the bedside monitor
• Provides an Off choice for waveform positions two (2) through eight (8)
• Displays a waveform scale bar with the corresponding scale size beside it
• Displays the waveform speed at 25 mm/sec (if the display was properly calibrated)
• Displays the units of measure from the bedside, or the units of measure from the central
station for the Telepack, and a wave gain setting, when applicable
• Uses the waveform labels from the Panorama Central Station (for example, SpO2, Resp)

2-2 Panorama® Web Viewer Operating Instructions


Views Viewing Near Real-Time Data

• Displays the configured pacer enhancement setting from the central station with certain
limitations

NOTE: For additional information regarding Pacer Enhancement


settings, refer to ‘‘Pacer Enhancement Settings’’ on page
3 - 3.

• Displays the active lead in the top most waveform position, regardless of the
configuration setting, when a 3-lead cable is in use
• Displays the waveform in the system configured parameter color, which is configured by
the system administrator.
• Displays a yellow pacer spike if Pacer Enhancement for the selected patient is enabled at
the Panorama Central Station, a paced beat has been detected, and the ECG waveform
color is not set to yellow
• Displays a green pacer spike if Pacer Enhancement for the selected patient is enabled at
the Panorama Central Station, a paced beat has been detected, and the ECG waveform
color is not set to green
• The ECG waveform will use a 60 ms Pacer Filter setting

NOTE: For information regarding Pacer Enhancement, refer to the


Panorama Central Station Operating Instructions.

Parameter Tile Area


The Parameter Tile Area displays the configured digital parameters for the selected patient.
This area has the following characteristics:

• Tiles are located directly below the Waveform Tile Area


• Displays a maximum of three parameter tiles side-by-side per the configuration
• Allows the same digital data to display in more than one parameter tile
• Uses the parameter labels from the Panorama Central Station (for example, PAWP, CO/
CI)
• Displays parameter tile even when the tile is set to Off in the configuration view
• Displays the parameter data from the bedside monitor sensors, when available
• Displays digital data if the parameter is being monitored at the bedside monitor
• Displays the parameter in the system configured parameter color, which is configured by
the system administrator.

For information regarding parameter formats and labels, refer to the Panorama Central
Station Operating Instructions.

2.1.2 Configuring the Waveform/Parameter View


The number of waveforms and digital parameters displayed in the Waveform/Parameter
view can be configured by accessing the Waveform/Parameter Configuration view.

NOTE: Local configuration settings are stored as browser cookies.


If the cookies are deleted from the system, the local
Windows ID configuration settings will be reset. For
additional information, refer to ‘‘Understanding Login ID’s’’
on page 1 - 2.

Panorama® Web Viewer Operating Instructions 2-3


Viewing Near Real-Time Data Views

To access the Waveform/Parameter Configuration view:

• Click the CONFIGURE button from the VIEW WAVEFORMS tab.

FIGURE 2-2 VIEW WAVEFORMS Tab - Waveform/Parameter Configuration View

To change the current configuration settings:

1. Click any of the drop-down lists to change the selected parameter. For the waveform
parameters, also select a wave gain.

NOTE: The waveform drop-down lists are independent of the


sensors in use at the bedside monitor. If a waveform is
selected that is currently not in use at the bedside monitor,
the waveform can be selected, but no data will be displayed
at the Web Viewer.

2. (Optional) To display fewer waveforms in the Waveforms view, select Off in any of the
waveform drop-down lists.

NOTE: The first ECG waveform position cannot be turned off.

NOTE: The Waveform Tile Area displays waveforms until a


waveform tile is set to “Off” in the configuration view.

3. (Optional) To turn off any of the three parameter tiles (positions 9, 10, and 11), select
Off from the drop-down list.

NOTE: If the parameter is set to Off, the tile displays but does not
contain any digital data.

4. Click the DONE button to accept the settings or the CANCEL button to discard the
settings.

2-4 Panorama® Web Viewer Operating Instructions


Views Viewing Historical Data

Refer to the “Common Waveforms and Parameters” chapter to see a complete list of the
drop-down list choices.

2.2 Viewing Historical Data


Access the TRENDS tab or EVENTS tab to view a selected patient’s historical data (for
example, event and trend data). Historical tabs indicate when an alarm or a specific event
type has occurred by displaying the alarm with its corresponding alarm priority color or
event in blue.

• Red indicates that the trend or event was stored during a Priority 1 physiological alarm
condition
• Yellow indicates that the trend or event was stored during a Priority 2 or 3
physiological alarm condition
• Blue indicates that the trend was stored when a user marked event occurred at either
the Panorama Central Station or the bedside monitor. It could also indicate that the
Nurse Call button was pressed on the Panorama Telepack.
Once a historical tab is selected, the data will not be updated again until the REFRESH
button is selected. Selecting the REFRESH button ensures that the data displayed at the Web
Viewer is the most current data available from the selected Panorama Central Station.

2.2.1 TRENDS Tab


The TRENDS tab provides access to a patient’s trended digital data from the central station.
The monitoring device, utilized parameters, and configured settings determines the data that
displays in the TRENDS tab. All previously collected parameter data displays, even if the
parameter is not currently being monitored.

Trends can be viewed in two formats, either as a list (List Trend view), or graphically
(Graphic Trend view). Both views, and the configuration of these views, are described in the
following sections.

2.2.1.1 Accessing the List Trend View


The List Trend view is displayed first when the TRENDS tab is selected. The List Trend view
displays all the patient’s trended data in a list format. The List Trend view displays the most
recent trend record in the first column of the grid when it is first accessed.

Refer to the “Common Waveforms and Parameters” chapter to review a list of the parameters
that may be displayed in the List Trend view.

To access the List Trend view:

• Once a patient has been selected, click the TRENDS tab. The List Trend view displays
(shown in FIGURE 2-3 on page 2-6).

Panorama® Web Viewer Operating Instructions 2-5


Viewing Historical Data Views

FIGURE 2-3 TRENDS Tab - List Trend View - (15 minute trend interval)

The List Trend view has the following characteristics:

• Displays the most current trend record in the first column


• Does not support trend row and column selection
• Displays the date and time horizontally below the patient name
• Uses the configured trend interval when displaying the time
• Displays the parameter name and units of measure from the bedside, or the units of
measure from the central station for the Telepack, vertically on the far left side
• Displays vertical and horizontal scroll bars only when needed
• Displays a parameter background color when a trend is associated with an alarm

NOTE: For additional details regarding alarm priority colors, refer


to ‘‘Viewing Historical Data’’ on page 2 - 5. Refer to the
Panorama Operating Instructions for additional information
regarding alarm priorities.

2.2.1.2 Accessing the List Trend Configuration View


The configured trend display settings determine at what interval the trend data displays.
Trend data is automatically stored at the central station every minute but, by default, is
displayed in 15 minute intervals (shown in FIGURE 2-3 on page 2-6) unless an alternate
Trend Display interval is selected.

NOTE: Local configuration settings are stored as browser cookies.


If the cookies are deleted from the system, the local
Windows ID configuration settings are reset. For additional
information, refer to ‘‘Understanding Login ID’s’’ on page 1
- 2.

2-6 Panorama® Web Viewer Operating Instructions


Views Viewing Historical Data

To change the trend interval:

1. Click the CONFIGURE button from the List Trend view.


2. Click the Trend Interval (minutes) drop-down box, then select an interval period.
Interval periods include 1, 5, 10, 15, 30, 60, and 120.
3. Click the DONE button to accept the settings or the CANCEL button to discard the
settings.

2.2.1.3 Accessing the Graphic Trend View


The Graphic Trend view (shown in FIGURE 2-4 on page 2-7) provides a graphical
representation of all the selected patient’s trended digital data. This view is divided into three
sections. A zoomed-in or uncompresed area, a trend parameter area, and a zoomed-out or
compressed area. What is displayed in the compressed area (lower portion of view) and
parameter portion, (middle of view) is dependent on where the Trend Scroller is positioned in
the uncompresed area (top portion of view).The Graphic Trend view displays the most recent
graphic trend record when it is first accessed.

To access the Graphic Trend view:


• Click the GRAPHIC TREND button from the List Trend view. The Graphic Trend view
displays (shown in FIGURE 2-4 on page 2-7).

Event Marker
Line
Trend Graph

Zoomed-In
Graph Area

Trend
Parameter
Area

Zoomed-Out
Graph Area

Trend Scroller

FIGURE 2-4 TRENDS Tab - Graphic Trend View

Panorama® Web Viewer Operating Instructions 2-7


Viewing Historical Data Views

Zoomed-In Graph Area


The Zoomed-In Graph area displays the following:
• Two or three Trend Graphs per the configuration
• Trend data in the time range specified by the Trend Scroller
• Trend record as a colored plotted point, which is defined by the Web Viewer system
administrator
• Dashed vertical grid lines at configured trend intervals
• Trend time cursor
• Date-time showing the value of the trend time cursor
• Trend tile parameter labels
• Scale bars for each graphed trend parameter
• Colored vertical event marker lines for each physiological event

NOTE: For additional details regarding alarm priority colors, refer


to ‘‘Viewing Historical Data’’ on page 2 - 5.

• Dashed vertical grid lines represent the Trend Scroller time range. (Refer to the
Table 2-1 on page 2-10 on page for specific intervals.)
• Gaps in data may be attributed to clock changes, placing the patient in Standby or when
communication was lost
• An orange dashed vertical grid line indicating that the clock of the central station
collecting the selected patient's data was adjusted backwards.

NOTE: The Zoomed-In Trend Graph Area will not plot graphic trend
data between the orange clock adjusted dashed vertical
grid line and the next dashed vertical grid line.

Refer to the Panorama Operating Instructions for additional information regarding alarm
priorities.

Event Markers
The Graphic Trend view displays colored vertical event markers indicating that a
physiological event, user marked event, or a nurse call event occurred at that time. The event
marker color is related to alarm priority or the specific event type.

• Red indicates that the event was stored during a Priority 1 physiological alarm
condition
• Yellow indicates that the event was stored during a Priority 2 or 3 physiological alarm
condition
• Blue indicates that the event was stored when a user marked event occurred at either
the Panorama Central Station or the bedside monitor. It could also indicate that the
Nurse Call button was pressed on the Panorama Telepack.

NOTE: For additional details regarding alarm priority colors, refer


to ‘‘Viewing Historical Data’’ on page 2 - 5.

2-8 Panorama® Web Viewer Operating Instructions


Views Viewing Historical Data

To view the associated event waveforms:

1. Navigate to an event marker line (shown in FIGURE 2-5 on page 2-9).


2. Left click the event marker line to display the event message, the event time, and a “Click
for details.” message (shown in FIGURE 2-5 on page 2-9).

NOTE: When a deleted event is selected (which may happen if the


event was deleted at the central station and the Web
Viewer page was not refreshed), the system will
automatically open the Event List view.

Event Marker
Line

FIGURE 2-5 TRENDS Tab - Graphic Trend View - Selected Event Marker

3. (Optional) Left click outside the “...Click for details” message to hide the message or left
click the event message to navigate to the Event Detail view.

NOTE: Closing the Event Detail view for the selected event marker
will return you to the Event List, not to the Graphic Trend
view.

Trend Parameter Tile Area


The Trend Parameter Tile Area will display six (6) parameter tiles. The parameters that are
displayed may be customized in the Graphic Trend Configuration view.

Panorama® Web Viewer Operating Instructions 2-9


Viewing Historical Data Views

Zoomed-Out Graph Area


The Zoomed-Out Graph area displays the following:

• Trend Date-Time below the Parameter Area


• Dashed vertical grid lines at one-hour increments
• Event Markers (indicated by colored squares) for physiological events
• Trend Scroller which controls the time interval displayed in the Zoomed-In Graph area
• A 12-hour time period in the visible scrolling region

Refer to the Panorama Operating Instructions for additional information regarding alarm
priorities.

Navigating in the Zoomed-Out Graph Area


Navigating in the Zoomed-Out Graph area can be done by using the Trend Scroller (shown
in FIGURE 2-4 on page 2-7) or the PREVIOUS EVENT and/or NEXT EVENT buttons. Refer
to Table 2-1 for a list of trend scroller time intervals.

Using the Trend Scroller:

• Scroll the trend time back by pressing and holding the left mouse button on the bottom
handle of the Trend Scroller and sliding it to the to the left. The Trend Scroller will stop
moving when it has reached the beginning of the trend data.
• Scroll the trend time forward by pressing and holding the left mouse button on the bottom
handle of the Trend Scroller and sliding it to the to the right. The Trend Scroller will stop
moving when it has reached the end of the trend data.
• Expand the trend time period by stretching (using the vertical handles on either side of the
scroller) the Trend Scroller on either side
• Compress the trend time period by contracting (using the vertical handles on either side
of the scroller) the Trend Scroller on either side

TABLE 2-1 Trend Scroller Time Intervals

INTERVAL TIME PERIOD SHOWN IN ZOOMED-IN VIEW


10-minute 1 hour (default)
15-minute 2 hours
30-minute 4 hours
45-minute 6 hours
1-hour 8 hours

Using the PREVIOUS EVENT and NEXT EVENT buttons:

• Click the PREVIOUS EVENT button to skip to the previous event in the List Trend view
(from the time of the cursor)
• Click the NEXT EVENT button to skip to the next event in the List Trend view (from the
time of the cursor)

2 - 10 Panorama® Web Viewer Operating Instructions


Views Viewing Historical Data

2.2.1.4 Configuring the Graphic Trend View


The trend graphs and digital parameters displayed in the Graphic Trend view can be
configured by accessing the Graphic Trend Configuration view.

NOTE: Local configuration settings are stored as browser cookies.


If the cookies are deleted from the system, the local
Windows ID configuration settings are reset. For additional
information, refer to ‘‘Understanding Login ID’s’’ on page 1
- 2.

To access the Graphic Trend Configuration view:

• Click the CONFIGURE button from the Graphic Trend view.

FIGURE 2-6 TRENDS Tab - Graphic Trend Configuration View

To change the configuration settings:

1. Click any of the drop-down lists to change the parameter.


2. (Optional) To display fewer graphs in the Graphic Trend view, select Off in the third
waveform drop-down lists.

NOTE: Trend Graph position one (1) and two (2) cannot be turned
Off.

3. (Optional) To turn off any of the six (6) parameter tiles (position 4 through 9), select Off
from the drop-down list.

NOTE: If the parameter is set to Off, the tile displays but does not
contain any digital data.

4. Click the DONE button to accept the settings or the CANCEL button to discard the
settings.
For a complete list of all the options available in the parameter drop-down list, refer to the
“Common Waveforms and Parameters” chapter.

Panorama® Web Viewer Operating Instructions 2 - 11


Viewing Historical Data Views

2.2.2 EVENTS Tab


The EVENTS tab provides access to a patients event data. The monitoring device at the time
of the event, utilized parameters, and configured settings determines the data that is
displayed in the EVENTS tab. The displayed data is based on what was monitored at the
time that the event was saved.

Events can be viewed in two formats, either as a list (Event List view), or in a more detailed
view (Event Detail view). Both views are described in the following sections.

2.2.2.1 Accessing the Event List View


The Event List view displays first when the EVENTS tab is selected. The list is sorted in
descending order displaying the most recent event time at the top. The Event List view
includes both physiological and non-physiological (or an event with no waveform data)
events.
The following displays once a physiological event is selected:

• ECG waveform for the active lead with a corresponding heart rate tile
• Two columns of parameter tiles related to the event
• Event description in the System Message Area

When a non-physiological event is selected, no waveform, parameters or event description


displays.

To access the Event List view:

• Once a patient is selected, click the EVENTS tab. The EVENTS tab List view displays
(shown in FIGURE 2-7 on page 2-13).
• Click the REFRESH button periodically to update the view.

NOTE: No event is selected when the Event List view is first


accessed.

2 - 12 Panorama® Web Viewer Operating Instructions


Views Viewing Historical Data

Heart Rate Tile


Event
Description

ECG
Waveform
Area
Event
Parameters

Event List

FIGURE 2-7 EVENTS Tab - Event List View

2.2.2.2 Accessing the Event Detail View


The Event Detail view displays 20 seconds of the selected physiological event or marked
event in the Event List view. The waveforms and parameters displayed in the Event Detail
view can be customized.

To access the Event Detail view:

• Click the DETAIL VIEW button after selecting a physiological event in the Event List view.

Panorama® Web Viewer Operating Instructions 2 - 13


Viewing Historical Data Views

Event Description

Event Time

Parameter
Cursor

Parameter Tile
Area

FIGURE 2-8 EVENTS Tab - Event Detail View (Eight row configuration)

The Event Detail view has the following characteristics:

• Same screen layout as the Waveforms view


• Contains a Parameter Cursor
• Displays a horizontal scroll bar to move the Parameter Cursor in the twenty-second
waveform region
• Movement of the Parameter Cursor controls the digital values shown in the Parameter Tile
Area
• Displays a parameter background color when a parameter is associated with an alarm

NOTE: For additional details regarding alarm priority colors, refer


to ‘‘Viewing Historical Data’’ on page 2 - 5.

• Corresponds the parameter values to the position of the Parameter Cursor


• Displays the event time from the position of the Parameter Cursor
• Displays the event description in the System Message Area

2.2.2.3 Configuring the Event Detail View


The number of waveforms and digital parameters displayed in the Event Detail view can be
configured by accessing the Event Detail Configuration view.

NOTE: Local configuration settings are stored as browser cookies.


If the cookies are deleted from the system, the local
Windows ID configuration settings are reset. For additional
information, refer to ‘‘Understanding Login ID’s’’ on page 1
- 2.

2 - 14 Panorama® Web Viewer Operating Instructions


Views Troubleshooting

To access the Event Detail Configuration view:

• Click the CONFIGURE button from the Event Detail view

The Event Detail Configuration view functions identically to the Waveform/Parameter


Configuration view. For specific instructions, refer to ‘‘Configuring the Waveform/Parameter
View’’ on page 2 - 3.

For a list of all the Panorama Central Station event descriptions, refer to “Alarms and Events”
chapter of the Panorama Central Station Operating Instructions.

2.3 Troubleshooting
This section lists some of the potential messages and issues that may occur while using the
TRENDS and EVENTS tab.

MESSAGE/ISSUE * REASON SOLUTION


No Parameters Available No event is selected or a non- Select a physiological event.
is displayed in the Event physiological event is selected.
Parameter Area
The parameter is not currently Change the configuration
being monitored at the bedside settings to remove the
monitor. parameter from the view.
No Waveforms Available No event is selected or a non- Select a physiological event.
is displayed in the Event physiological event is selected.
Waveform Area
The waveform is not currently Change the configuration
being monitored at the bedside settings to remove the
monitor. waveform from the view.
* Messages are shown in all bold text.

Panorama® Web Viewer Operating Instructions 2 - 15


Troubleshooting Views

This page intentionally left blank.

2 - 16 Panorama® Web Viewer Operating Instructions


3.0 Common Waveforms and Parameters

3.1 Waveform and Parameter Tile Options


The waveforms and parameters that are displayed in the Waveform/Parameter view and
Event Detail view may be customized using the same configuration view. The configuration
view contains drop-down list boxes with various waveform and parameter choices. The drop-
down list box choices are included in table Table 3-1 and Table 3-2. The waveforms, wave
gains, and parameters are listed in the table in the order they will be displayed in the drop-
down list. The waveform and parameter drop-down lists are independent of the sensors at the
bedside monitor.

NOTE: Agent, O2, and N2O are not available in the parameter
display options drop-down list box.

TABLE 3-1 Waveform Parameter Choices

WAVEFORMS WAVE GAINS


ECG I 2.5 mm/mV
ECG II 5.0 mm/mV
ECG III 10.0 mm/mV
ECG aVR 20.0 mm/mV
ECG aVL 30.0 mm/mV
ECG aVF
ECG V/VI
ECG V2
ECG V3
ECG V4
ECG V5
ECG V6
Resp 1
2
3
4
5
SpO2 --- (no wave gain settings available)

Panorama® Web Viewer Operating Instructions 3-1


Waveform and Parameter Tile Options Common Waveforms and Parameters

TABLE 3-1 Waveform Parameter Choices (Continued)

WAVEFORMS WAVE GAINS


IBPx (1-8) 0-20 mmHg
0-40 mmHg
0-80 mmHg
60-140 mmHg
0-160 mmHg
0-225 mmHg
0-320 mmHg
(-10)-10 mmHg
CO2 (unit options mmHg, %, kPa) 40 mmHg
60 mmHg
100 mmHg
5.0 %
7.5 %
10.0 %
5.0 kPa
7.5 kPa
10.0 kPa
Off -- (no wave gain settings available)

TABLE 3-2 Parameter Choices

AVAILABLE PARAMETERS
SpO2 ST-I
NIBP ST-II
Resp ST-III
IBPx (1-8) ST-aVR
CO2 ST-aVL
Temp ST-aVF
CO/CI ST-V/VI
CCO/CCI ST-V2
CCO STAT/CCI STAT ST-V3
SVR ST-V4
SvO2 ST-V5
ScVO2 ST-V6
PAWP Off

3.1.1 Waveform Display Labels


The Panorama Web Viewer waveform labels mimic the Panorama Central Station waveform
labels. For a complete list of parameters labels, refer to the Panorama Central Station
Operating Instructions.

3.1.2 Parameter Sources


The parameter source originates from the bedside monitor. For example, the Heart Rate
parameter tile displays ECG as the source when the bedside monitor uses ECG as the
source.

3-2 Panorama® Web Viewer Operating Instructions


Common Waveforms and Parameters Waveform and Parameter Tile Options

3.1.3 Waveform/Parameter Colors


The Panorama Web Viewer waveform parameter colors are configured by the Panorama
Web Viewer Administrator.

3.1.4 Pacer Enhancement Settings


The ECG waveform tile displays the Pacer Enhancement setting from the Panorama Central
Station at the time the patient is selected at a single workstation. If a patient with configured
pacer enhancement settings is being viewed at multiple workstations, the pacer displayed
enhancement settings mimic those displayed at the single workstation, even if they were
changed at the central station. The updated settings will not be displayed at the Web Viewer
workstation until one of the following conditions occurs:

• The patient is reselected from the patient list


• The patient tile at the central station transitions from Communications Lost to Active
• The patient transitions from Standby to Active
• The patient transitions from Discharge to Active
• The patient is admitted to a Panorama ViewStation

Panorama® Web Viewer Operating Instructions 3-3


Graphic Trend Parameter Tile Options Common Waveforms and Parameters

3.2 Graphic Trend Parameter Tile Options


The Graphic Trend view may be configured to use selected parameters. The choices
available for all the parameter drop-down list boxes contained in the Graphic Trend
Configuration view (for positions 1-8 in the configuration view), are included in Table 3-3:
TABLE 3-3

AVAILABLE PARAMETERS
HR ST-I
PVC/min ST-II
Pause/min ST-III
SpO2 ST-aVR
NIBP ST-aVL
Resp ST-aVF
IBPx (1-8) ST-V/VI
CO2 ST-V2
T1 ST-V3
T2 ST-V4
T3 ST-V5
TBlood ST-V6
CO/CI* Off**
CCO/CCI
CCO STAT/CCI STAT
SVR
SvO2
ScVO2
PAWP
* CO/CI is only available in position 4-9.
** The Off option will not be available in the first and second trend configura-
tion position.

3-4 Panorama® Web Viewer Operating Instructions


Common Waveforms and Parameters Invalid Data Display

3.3 Invalid Data Display


The Panorama Web Viewer uses dashes (---), Xs (XX) or a straight line (waveform) to show
invalid data.

Dashes (---) Digital Data


Digital data is replaced with dashes (---) for the following reasons:

• Data is above the maximum value


• Data is below the minimum value
• Parameter is not available
• Lead or a sensor is off
• Sensor is not zeroed
• Parameter is zeroing
• Measurement has not been taken
• Measurement is being taken
• Measurement has timed out
• Measurement is being retried
• Parameter is turned off
• View 12™ card is relearning
• PVC/min counter reset
• Gas module or the source agent is occluded
• Gas module or the source agent is purging
• Gas module is turned off
• ST license is not available
• Learning ST Values

Xs (XX) Digital Data


Digital data is replaced with Xs (XX) for the following reasons:

• IBP parameter is not zeroed


• NIBP parameter failed to obtain a reading

Panorama® Web Viewer Operating Instructions 3-5


0070-00-0681-01 Revision 6.0 February 09, 2015

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