Panorama: Operating Instructions
Panorama: Operating Instructions
Panorama® C E N T R A L S TAT I O N
Web Viewer
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.
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.
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.
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).
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.
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:
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.
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.
• 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.
If Microsoft®.NET Framework 4.5.x is also installed, the following steps must be performed.
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.
Understanding the differences between the different types of accounts becomes particularly
important when configuring views. Configuring views is detailed in the “Views” chapter.
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.
The objective of a successful calibration is to ensure that each 1 cm division on the screen
ruler matches the 1 cm measurement of the hand-held ruler.
1. 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: For security purposes, the letters typed are encrypted and
not shown.
Central Station
Drop-Down List
REFRESH
Button
3. Click the central station needed. If the selected central station has active patient tiles
assigned, the patient list is populated.
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.
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.
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).
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.
1.10 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.
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.
This view, and the configuration of this view, is described in the following sections.
Patient Name
Waveform Tile
Area
Parameter Tile
Area
• Displays the configured pacer enhancement setting from the central station with certain
limitations
• 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
For information regarding parameter formats and labels, refer to the Panorama Central
Station Operating Instructions.
1. Click any of the drop-down lists to change the selected parameter. For the waveform
parameters, also select a wave gain.
2. (Optional) To display fewer waveforms in the Waveforms view, select Off in any of the
waveform drop-down lists.
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.
Refer to the “Common Waveforms and Parameters” chapter to see a complete list of the
drop-down list choices.
• 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.
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.
Refer to the “Common Waveforms and Parameters” chapter to review a list of the parameters
that may be displayed in 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).
FIGURE 2-3 TRENDS Tab - List Trend View - (15 minute trend interval)
Event Marker
Line
Trend Graph
Zoomed-In
Graph Area
Trend
Parameter
Area
Zoomed-Out
Graph Area
Trend Scroller
• 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.
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.
Refer to the Panorama Operating Instructions for additional information regarding alarm
priorities.
• 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
• 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)
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.
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.
• 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
• 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.
ECG
Waveform
Area
Event
Parameters
Event List
• Click the DETAIL VIEW button after selecting a physiological event in the Event List view.
Event Description
Event Time
Parameter
Cursor
Parameter Tile
Area
FIGURE 2-8 EVENTS Tab - Event Detail View (Eight row configuration)
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.
NOTE: Agent, O2, and N2O are not available in the parameter
display options drop-down list box.
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
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.