Efficia CMS200: Central Monitoring System

Instructions
Instructionsfor for
UseUse
Efficia CMS200
Central Monitoring System
Release 2.3
English
Efficia CMS200
Central Monitoring System
INSTRUCTIONS FOR USE
Release 2.3
English
Notice
Copyright
Copyright © 2021 Koninklijke Philips N.V.
All Rights Reserved
Document Number
453564982231 Rev A
Proprietary Information
This document contains proprietary information, which is protected
by copyright.
Trademark Acknowledgments
Microsoft and Windows are U.S. registered trademarks of Microsoft
Corporation. Other product names may be trademarks of their
respective owners.
Manufacturer
Philips Medizin Systeme Böblingen GmbH
Hewlett-Packard Strasse 2
71034 Böblingen
Germany
Warranty Disclaimer
The information contained in this document is subject to change
without notice. Philips Medizin Systeme Böblingen GmbH makes no
warranty of any kind with regard to this material, including, but not
limited to, the implied warranties or merchantability and fitness for
a particular purpose. Philips Medizin Systeme Böblingen GmbH
shall not be liable for errors contained herein or for incidental or
consequential damages in connection with the furnishing,
performance, or use of this material.
ii Efficia CMS200 Instructions for Use

Printing History
New editions of this document incorporate all material updated
since the previous edition. Update packages may be issued
between editions and contain replacement and additional pages to
be merged by a revision date at the bottom of the page. Pages that
are rearranged due to changes on a previous page are not
considered revised.
The documentation printing date and part number indicate its
current edition. The printing date changes when a new edition is
printed. (Minor corrections and updates that are incorporated at
reprint do not cause the date to change.) The document part
number changes when extensive technical changes are
incorporated.
First Printing ....................................................................... 2021-09
Efficia CMS200 Instructions for Use iii

Conventions
This section describes the conventions used in this guide.
Text Formatting
The following typographical conventions are used in this guide.
Typeface Usage Example
Bold System keys Press the Main Screen key.

Special User interface text Open the System Menu.
bold
Italic Variables, document • <product name>-<hardware

titles configuration>-<software version>.cfg
• Efficia CMS200 Central Monitoring System
Instructions for Use
Decimal Points
Because the Efficia CMS200 central monitoring system uses a
period (.) to indicate a decimal point in decimal numbers (for
example, 10.0), all decimal numbers in this guide use a period as a
decimal point. Commas are not used as decimal points.
Notes, Cautions, and Warnings
This guide uses the following conventions for Notes, Cautions, and
Warnings.
Note — A Note calls attention to an important point in the text.
Caution A Caution calls attention to a condition or possible situation that

could damage or destroy the product or the user’s work.
Warning A Warning calls attention to a condition or possible situation that

could cause injury to the user and/or patient.
iv Efficia CMS200 Instructions for Use

Explanation of Symbols
The following symbols appear on the Efficia CMS200 central

monitoring system, the license key, and the packaging.
Symbol Description Symbol Description

CE mark CE mark
Prescription Use Only Lot Number

Rx only (US Federal Law)
Catalogue number Caution
Manufacturer Country and date of

manufacture.
YYYY-MM-DD
Fragile, handle with care 40°C

max
Temperature limit
-20°C
min
Keep dry This way up
1013 hPA
max Atmospheric pressure 90% Humidity limitation
limitation
701 hPA 15%

min
Efficia CMS200 Instructions for Use v

Symbol Description Symbol Description
eIFU Refer to instruction
manual/booklet
www.Philips.com/IFU
Compliance with WEEE USB port

directive
EUFP Power On
(Environmentally friendly
use period - China)
Power Off Do not touch (Red and
black symbol)
Serial number Unique Device Identifier
Medical Device Symbol Importer
Quantity
vi Efficia CMS200 Instructions for Use

Regulatory and Safety Specifications
Note — Efficia central monitoring system components are not
suitable for installation in the Patient Care Vicinity (Patient
Environment).
Declaration
The Efficia CMS200 Central Monitoring System (model number
S863352), release 2.3, complies with applicable portions of ANSI/
AAMI EC-13 (clauses 5.2.9.6, 5.2.9.7, and 5.2.9.12)/60601-2-27
(clauses 201.12.1.101.7, 201.12.1.101.16 and 201.12.1.101.12) and
complies with the requirements of the European Union Medical
Device Regulation 2017/745 and carries the CE-marking
accordingly.
The Efficia software, inclusive of the license key, installed on the
supplied PC workstation, with its other supplied accessories and
connected to the approved patient monitors complies with the
requirements of the Council Directive 2014/35/EU ITE and 2014/30/
EU for PC and peripherals relating to electromagnetic compatibility.
The Efficia CMS200 Central Monitoring System Complies with the
RoHS Council Directives 2011/65/EU and 2015/863.
Warnings • The EU REACH Regulation 1907/2006 requires Philips to

provide chemical content information for Substances of Very
High Concern (SVHC), if they are present in the relevant article
above a concentration of 0.1% weight by weight. The following
substances are found in articles in the Efficia CMS200: Lead,
nickel and nickel alloys.
• Information on substances, contained in the Philips products,
can be found on the Philips REACH website: www.philips.com/
REACH.
• DO NOT REPAIR/SERVICE THE PRODUCT YOURSELF. ALWAYS
GET SERVICE/REPAIR VIA A TRAINED SERVICE TECHNICIAN
TO AVOID UNINTENDED EXPOSURE TO CHEMICALS.
• WASH HANDS AFTER USE, WEAR GLOVES, WHERE POSSIBLE,
AND AVOID FOOD INTAKE WHILE HANDLING THE PRODUCT.
Efficia CMS200 Instructions for Use vii

Declaration
The PC workstation, display and mouse comply with IEC 60950-1,
CISPR 22 Class A, CISPR 24 and EN 61000. They carry the
manufacturer’s CE-marking to the European Low Voltage and EMC
Directives. This marking is valid for non-telecommunications
products and for EU harmonized telecommunications products,
such as Bluetooth®.
Australia Sponsor
Philips Healthcare
65 Epping Road, North Ryde
NSW, Australia 2113
Rx Only
Caution United States Federal Law restricts this device to sale by or on the
order of a physician.
Safety Standards
IEC 60601-1:2005/A1:2012
IEC 60601-1-2:2014
IEC 60601-1-6/A1:2013
IEC 60601-1-8:2006/A1:2012
IEC 60601-2-27:2011
IEC 60601-2-34:2011
IEC 62304:2006 + A1:2015
IEC 62366-1:2015
IEC 82304-1:2016
ISO 80601-2-30:2018
ISO 80601-2-55:2018
ISO 80601-2-61:2017
viii Efficia CMS200 Instructions for Use

Efficia CMS200 Instructions for Use ix
x Efficia CMS200 Instructions for Use
Contents
1. Overview
Intended Purpose . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2
Intended Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2
Indications for Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2
Use Environment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-3
Essential Performance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-3
Supported Patient Monitors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-3
Efficia CMS200 Central Monitoring System Documentation. . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-4
Using the Online Help. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-5
Using the Philips InCenter Site . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-6
About Adobe® Acrobat® Versions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-6
2. Basic Operation
Using the Mouse and Keyboard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-3
Pages. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-4
Sectors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-6
Sector Menu Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-8
Message Pane . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-9
Page Buttons . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-9
Toolbar. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-10
Date/Time Pane . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-11
Fixed Windows . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-11
Viewing and Changing System Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-12
Viewing System Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-12
Changing System Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-13
Fixed and Flexible Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-15
Changing the Page Layout . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-16
Changing the Number of Sectors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-17
Reassigning a Bed/Monitor to a Different Sector . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-18
Merging or Splitting Adjacent Sectors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-19
Renaming a Bed/Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-20
Expanding a Sector . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-22
Changing the Sector Layout . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-24
Configuring the Waveform Layout in a Sector . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-26
Configuring the Numeric Layout in a Sector . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-27
Viewing Monitor Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-28
Waveform Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-30
Changing the Waveforms Displayed in a Sector . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-30
Changing the Waveform Speed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-31
Freezing Waveforms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-32
Contents-1
Efficia CMS200 Instructions for Use
ECG Waveform Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-33
Changing the Displayed Waveform . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-34
Changing the ECG Waveform Speed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-34
Selecting an ECG Lead . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-34
Changing the ECG Waveform Size . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-35
Enabling Pace Pulse Detection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-36
C.O. and C.C.O. (via PiCCO method) Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-38
SpO2 Waveform Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-38
Changing the SpO2 Waveform Speed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-39
RESP Waveform Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-39
Changing the RESP Waveform Speed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-40
Changing the RESP Waveform Size . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-40
Selecting RESP Lead. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-41
RRa Waveform Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-42
Changing the RRa Waveform Speed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-42
IBP Waveform Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-42
Changing the IBP Waveform Speed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-43
Changing the IBP Waveform Size . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-44
CO2 Waveform Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-45
Changing the CO2 Waveform Speed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-46
Enabling or Disabling CO2 Standby Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-46
EEGx(BIS) Waveform Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-47
Changing the EEGx(BIS) Waveform Speed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-48
Changing the EEGx(BIS) Waveform Size . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-48
CO2(Gas) Waveform Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-49
Changing the CO2(Gas) Waveform Speed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-50
Changing the CO2(Gas) Waveform Size. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-51
O2(Gas) Waveform Settings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-52
Changing the O2(Gas) Waveform Speed. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-52
Changing the O2(Gas) Waveform Size . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-53
N2O(Gas) Waveform Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-54
Changing the N2O(Gas) Waveform Speed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-54
Changing the N2O(Gas) Waveform Size . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-55
AGT1(Gas) Waveform Settings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-56
Contents-2
Changing the AGT1(Gas) Waveform Speed. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-56
Changing the AGT1(Gas) Waveform Size . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-57
AGT2(Gas) Waveform Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-58
Changing the AGT2(Gas) Waveform Speed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-58
Changing the AGT2(Gas) Waveform Size . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-59
Displaying the NBP List. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-60
Starting Bedside NBP Measurements from the Efficia CMS200 . . . . . . . . . . . . . . . . . . . . . . .2-60
About NBP VeniPuncture. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-62
Starting NBP Interval Measurements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-62
Starting NBP STAT Measurements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-64
Starting One NBP Measurement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-64
About the License Key . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-65
Safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-68
3. Managing Patient Information
Patient ID Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-1
Patient ID Fields . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-1
The Patient List . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-3
Admitting a Patient. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-3
Entering a New Patient ID in the Admit Patient Window . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-6
Selecting an Existing Patient ID in the Admit Patient Window . . . . . . . . . . . . . . . . . . . . . . 3-8
Discharging a Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-9
Transferring a Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-10
Pre-Admitting Patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-12
Considerations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-12
Editing Existing Patient Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-14
Considerations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-14
Using the Manage Patient List Window . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-15
Using the Edit Patient Option . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-16
Removing a Patient from the Patient List . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-17
Viewing the Patient’s Backup Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-18
4. Reviewing Trend Data
Trend Data Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-1
The View Trend Data Window . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-3
Viewing Trend Data for a Different Patient. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-3
Searching for Trend Data by Date and Time . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-4
Viewing Tabular Trend Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-5
Changing the Display Interval. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-6
Changing the Displayed Parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-7
Viewing NBP Trend Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-8
Changing the Displayed Parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-9
Contents-3
Viewing Graphical Trend Data. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-10
Changing the Displayed Parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-12
Changing the Resolution of the Graphical Trend Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-13
Viewing EWS Trend Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-14
Viewing Alarms and Events . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-15
Changing the Displayed Alarms and Filtering the Priority List . . . . . . . . . . . . . . . . . . . . . 4-16
Viewing ECG Waveforms for an Alarm Event . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-18
Viewing ECG Waveforms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-19
Viewing Uncompressed ECG Segments. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-19
Using the On-Screen Calipers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-20
Viewing Full Disclosure Waveforms and Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-21
Changing the Displayed Parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-22
Viewing ABPM Analysis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-24
Selecting BP Source . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-25
Changing the ABPM Analysis Date/Time Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-26
Changing the ABPM Analysis Daytime Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-27
Changing the ABPM Analysis Limit Settings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-28
Viewing HRV Analysis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-29
Changing the HRV Analysis Date/Time Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-29
Changing the HRV Analysis Daytime Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-30
Changing the HRV Analysis Limit Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-31
5. Alarms
Visual Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-2
Alarm Priority Colors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-3
Viewing and Silencing Alarms in a Sector . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-3
Alarm Silence Icons . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-6
No Data From Bed Alarm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-8
Audible Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-9
Alarm Tones. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-9
Audio Alarm Range . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-10
Changing the Alarm Volume . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-10
Testing the Speaker. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-10
Responding to Alarms on a Multi-Page System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-11
Page Buttons . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-11
Viewing All Active Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-11
Changing Alarm Limits. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-13
Viewing Current Alarm Limit Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-14
Technical Alarms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-17
Central Monitoring System Technical Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-18
Silencing Central Monitoring System Technical Alarm . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-20
Bedside Monitor Technical Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-20
Contents-4
6. Printing
Printing Sector Contents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-2
Printing an Expanded Sector . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-3
Printing Tabular Trend Data. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-4
Printing Graphical Trend Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-6
Printing NBP Trend Data. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-8
Printing an ECG Waveform for One Alarm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-10
Printing Alarms and Events for a Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-12
Printing ECG Waveforms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-13
Printing Full Disclosure Waveforms and Data. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-16
Printing 7/12 Lead ECG on One Page . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-18
Printing ABPM Analysis Data. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-21
Printing HRV Analysis Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-24
Checking Print Status. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-26
7. Bedside Monitoring
Efficia CMS200 Central Monitoring System Network Overview . . . . . . . . . . . . . . . . . . . . . . . . .7-1
Naming the Monitor. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-2
Verifying the Efficia CMS200 Network Connection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-2
Admitting a Patient at the Bedside Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-4
Discharging a Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-8
Synchronizing the Date and Time . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-9
Waveforms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-10
Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-10
Silencing Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-10
Changing Alarm Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-11
Technical Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-12
Print on Alarm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-12
SpotCheck Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-13
Starting NBP Measurements at the Central Monitoring System . . . . . . . . . . . . . . . . . . . . . . . 7-13
8. Care and Cleaning
Cleaning the System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-1
9. Specifications
Hardware Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-2
System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-2
Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-3
License Key . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-4
Software Specifications. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-5
Environmental Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-9
10. Electromagnetic Compatibility
Emissions and Immunity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-1
Guidance and Manufacturer’s Declaration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-2
Contents-5
Contents-6
1
Overview
The Efficia CMS200 central monitoring system provides continuous

remote monitoring of up to 64 beds. It displays waveforms, numeric
data, and alarms from all connected monitors.
The license key determines the maximum number of beds that can
be connected to the Efficia CMS200 central monitoring system. The
options are:
• 8 beds
• 16 beds
• 32 beds
• 64 beds
For more information about the license key, see “About the License
Key” on page 2-65.
Overview
Efficia CMS200 Instructions for Use 1-1
Intended Purpose
For information on the Efficia CMS200 central monitoring system

components, see Chapter 9, “Specifications.”
Note — This document includes information on functions and

features that are not available on all Efficia CMS200 systems or
may only be available in selected regions. For information specific
to your region, please contact your local Philips representative.
Intended Purpose
The device is intended to be used for monitoring and recording of
and to generate alarms for, multiple physiological parameters of
adults, pediatrics, and neonates.
Intended Use
The intended use of the device is to receive, aggregate, process,
display and distribute physiologic waves, parameters, alarms and
events for multiple patients.
Indications for Use

• It provides secondary operator notification of alarms from
other networked medical devices.
• It provides for the retrospective review of alarm conditions,
physiologic waves and parameters from multiple patients.
• The use of the printer, when present, is to provide hardcopy
text, graphics, and wave data.
• The device may provide for connection and information
exchange to external systems.
• Provides review and trend application data, designed to
contribute to the screening of patient condition. All
information or visual indications provided are intended to
support the judgment of a medical professional and are not
Overview
1-2 Efficia CMS200 Instructions for Use
Use Environment
intended to be the sole source of information for decision

making, thus these applications are not intended for diagnoses
or active patient monitoring where immediate action is
required.
Use Environment
The device is intended for use in a professional healthcare facility
environment.
Essential Performance
Essential performance for the Efficia CMS200 central monitoring
system is the ability of the system, under normal operating
conditions, to display the physiological parameters defined in the
Efficia CMS200 Central Monitoring System Instructions for Use; to
provide secondary notification of life-threatening physiological
alarm conditions in the form of audible and visual alarm signals;
and to indicate when the described functionality is inoperative.
Specifics for the alarms shall be indicated in the Efficia CMS200
Central Monitoring System Instructions for Use. Normal Operating
Conditions include electromagnetic interference, which is deemed a
typical characteristic of the clinical environment.
Supported Patient Monitors

The Efficia CMS200 can communicate with the following patient
monitors:
Patient Monitor Required Software Version
Efficia CM10 A.01 or later
SureSigns VM4 A.03.93 or later
Overview
Efficia CMS200 Central Monitoring System Documentation
Patient Monitor Required Software Version

G30E A.01 or later
G40E A.01 or later
GS20 A.01 or later
Note — To ensure safe use of the Efficia CMS200 with connected

bedside monitors, follow all instructions, cautions, and warnings in
the appropriate Instructions for Use for the bedside monitors.
Efficia CMS200 Central Monitoring System Documentation

Note — To ensure proper clinical operation of the Efficia CMS200
central monitoring system, all users should be familiar with the
contents of the Efficia CMS200 Central Monitoring System
Instructions for Use and the Efficia CMS200 Central Monitoring
System Quick Card and heed all cautions and warnings. Additional
user training may be provided at the discretion of the authorized
dealer.
The Efficia CMS200 central monitoring system documentation
includes:
• Efficia CMS200 Central Monitoring System Instructions for
Use: Provides information for day-to-day operation of the
Efficia CMS200 central monitoring system. Also includes
safety information and specifications. In addition to the
printed copy provided with your Efficia CMS200, you can view
a PDF version of the Efficia CMS200 Central Monitoring
System Instructions for Use by clicking the Help button in the
toolbar at the bottom of the Efficia CMS200 display. See
“Using the Online Help” on page 1-5
Note — For information about purchasing additional copies of
the printed Efficia CMS200 Central Monitoring System
Instructions for Use, contact the Philips Customer Care
Overview
Using the Online Help
Solutions Center.
The Efficia CMS200 Central Monitoring System Documentation CD
contains PDF versions of the following documents:
• Efficia CMS200 Central Monitoring System Quick Card:
Provides brief descriptions of commonly used functions.
• Efficia CMS200 Central Monitoring System Installation and
Configuration Guide: Provides instructions for unpacking,
installing, and connecting all hardware components and for
setting up the Efficia CMS200 network. Includes configuration
procedures.
• Efficia CMS200 Central Monitoring System Service Guide:
Provides information for repairing and testing the Efficia
CMS200 central monitoring system. Includes a spare parts list
and troubleshooting information.
• Efficia CMS200 Central Monitoring System Security Guide:
Describes information security requirements for the Efficia
CMS200 central monitoring system. Includes a description of
the Efficia CMS200 security features to protect private
information and provides recommendations for the
implementation of a secure network.
These documents contain general descriptions of the Philips-
supplied components of the Efficia CMS200. For more detailed
information about a particular component, see the manufacturer
documentation.
Using the Online Help

To view a PDF version of the Efficia CMS200 Central Monitoring
System Instructions for Use, click the Help button in the toolbar at
the bottom of the Efficia CMS200 display. The PDF file opens in the
lower half of the primary display. You can click the Maximize button
in the upper right of the Help window to expand it to full screen.
Note — If the online help does not appear, contact your system
administrator.
Overview
Using the Philips InCenter Site

The Philips InCenter site provides frequent updates to Efficia
CMS200 central monitoring system documentation and product
software. You cannot access Philips InCenter from the Efficia
CMS200 central monitoring system; you must use a different PC.
The Philips InCenter site requires an active registration and

password. To register, go to the InCenter site at https://
incenter.medical.philips.com and click the Need help? link on the
main page (located under the Email address and Password fields).
On the page that opens, under Software Updates (upper left corner of
the page), click the Click here for Efficia CM patient monitor
account registration link. The Efficia InCenter Registration Form
page appears. Complete all of the information fields on the page to
receive a temporary password for logging on to the InCenter site.
Registration for the InCenter site requires the Efficia CMS200

central monitoring system serial number. The serial number is found
on the product identification label on top of the PC.
About Adobe® Acrobat® Versions

Note — This section pertains only to the PC you use to access
Philips InCenter. It does not pertain to the Efficia CMS200 central
monitoring system.
Adobe Acrobat Reader® version 9.0 or above must be installed on

the PC that is used to access the Philips InCenter site. Previous
versions of Acrobat Reader are not compatible with the Philips
InCenter site, and attempting to access InCenter with a previous
version of Acrobat Reader will result in error messages when
opening documents. Uninstall all previous versions of Acrobat
Reader, and then proceed for a free install of Acrobat Reader 9.0 at:
www.adobe.com.
Any version of Adobe Acrobat Professional or Acrobat Elements is

also not compatible with the Philips InCenter site, and error
messages will appear when opening documents with these
Overview
applications. Acrobat Reader 9.0 or above must be installed in

addition to Acrobat Professional or Acrobat Elements.
Follow this procedure when accessing documents on the Philips

InCenter site.
To access documents on the Philips InCenter site:
1. Exit Acrobat Professional or Acrobat Elements (if open).

2. Start Acrobat Reader.
3. Open Internet Explorer, and go to the Philips InCenter site.
Keep Acrobat Reader open the entire time while accessing the
InCenter site.
Overview
Overview
2
Basic Operation
This chapter describes the basic functions of the Efficia CMS200

central monitoring system.
For information about using a bedside monitor that is connected to

the Efficia CMS200 central monitoring system, see
Chapter 7, “Bedside Monitoring.”
Warnings If connection between the Efficia CMS200 central monitoring

system and the bedside monitors is lost for any reason, check your
patients and follow your facility’s policies and procedures for
equipment failures.
Do not rely exclusively on the audible alarms from the Efficia
CMS200 for patient monitoring. The most reliable method of
patient monitoring requires correct operation of all monitoring
equipment and close observation of the patient.
If high and low alarm limit settings are enabled on the Efficia
CMS200, all alarm settings are synchronized between the Efficia
CMS200 and the bedside monitor. If power is lost at the bedside
monitors and at the Efficia CMS200, the bedside monitors resort to
battery power and all alarm settings are preserved at the bedside
monitor. When the power is restored, the alarm settings that were
saved at the bedside monitor are sent to the Efficia CMS200.
If a power loss occurs, verify all system settings at the Efficia
CMS200 when the power is restored.
If the Efficia CMS200 hardware fails, patient trend data may be
lost. Print patient records at regular intervals, as required by your
facility.
Do not modify the Efficia CMS200 central monitoring system
equipment.
Any serious incident that has occurred in relation to this device
should be reported to Philips and the competent authority of the
Member State in which the user and/or patient is established.
If the display becomes distorted or data appears to be missing at
the edges, contact your system administrator or authorized service
provider to recalibrate the display.
Basic Operation
Cautions To ensure continued safe use of the Efficia CMS200 central
monitoring system, check all physical connections, including the
mouse, keyboard, power cord, display cable, and license key on a
regular basis. Also, regularly check the power LED on the display
to verify that it is receiving power.
If a display cable is loose or disconnected, the “Check video
cable” message appears on the display screen. After 1 minute, the
display LED turns yellow and the display goes into sleep mode.
Verify that the display cables are securely connected at the
display and the PC or contact your system administrator.
At installation, the display is configured for optimal viewing. Do
not change the display settings. If you unintentionally change the
display settings, contact your system administrator to readjust the
display.
Basic Operation
Using the Mouse and Keyboard
Using the Mouse and Keyboard

Cautions If the mouse or keyboard stop working, Efficia CMS200
operations are limited. Verify that the mouse and keyboard cables
are securely connected. If the problem is not corrected after you
confirm that the cables are connected, immediately contact your
authorized service provider for repair.
If your system is configured for multi-page monitoring, and the
mouse or keyboard stops working, follow your facility’s policies
and procedures for loss of central monitoring. Check all patients,
especially those patients on the pages that are not visible.
Keep the mouse clean. Remove dirt and dust from the mouse to
ensure proper operation.
Do not use a wireless mouse or keyboard with the Efficia CMS200.
Use the mouse to navigate between screens and the keyboard to

enter information in screens.
The following keys and keyboard shortcuts are disabled in the
Efficia CMS200 software:
• Escape key
• Backspace key
• Tab key
• Shift + Tab
• Alt + Tab
• Ctrl + Alt + Delete
• Alt + F4
• Ctrl + Shift + Escape
• Alt + Left Shift + Num Lock
• Alt + Left Shift + Print Scrn
• Alt + Space
• Ctrl + Esc
• Shift + Ctrl + Esc
• Ctrl + Tab
• Ctrl + F4
• The Windows key and all Windows key combinations
Basic Operation
Pages
Pages
Your system administrator configures the number of pages on the
Efficia CMS200. Each page can display waveforms, numeric data,
and alarms for up to 16 bedside monitors. If you purchased a dual
display, you can display two pages at one time, for a total of 32
bedside monitors.
If your system administrator has configured the system to use the

multi-page monitoring feature, your Efficia CMS200 may contain up
to 8 pages and can monitor up to 64 bedside monitors. The
maximum number of supported bedside monitors is determined by
the license you purchased.
Basic Operation
Pages
The following illustration is an example of a page that has been

configured to display eight sectors. Your page layout may look
different, depending on your system configuration.
BED1 Adult - 1234 Smith, Robert Pulse Low BED2 Adult - 5678 Jones, Susan
ECG II Auto HR bpm SpO2% Pulse bpm ECG II Auto HR bpm SpO2% Pulse bpm
85 98 79 98
PVC 0 PVC 0
40 40
SpO2 SpO 2
1 mV 1 mV
SpO2 NBP mmHg
02:22 122/85 (98) SpO2 NBP mmHg
02:22 122/85 (98)
RESP T1 ºC RESP T1 ºC
rpm
27 36.2 rpm
23 34.3
BED3 Adult - 3333 Anderson, Elizabeth BED4 Adult - 4444 Sanford, Kathleen
82 98 91 96
PVC 0 PVC 0
74 40
SpO 2 SpO 2
1 mV 1 mV
SpO2 NBP mmHg
02:22 121/86 (95) SpO2 NBP mmHg
02:22 122/85 (98)
rpm
18 37.9 rpm
20 37.3
Sectors
BED5 Adult - 5555 Woods, Anthony BED6 Adult - 7777 Josephs, Deanna
85 97 85 98
PVC 0 PVC 0
40 40
SpO2 SpO2
1 mV 1 mV
SpO2 NBP mmHg
02:22 122/85 (98) SpO2 NBP mmHg
02:22 122/85 (98)
rpm
20 35.2 rpm
22 38.1
BED7 Adult - 8888 Maguire, Barbara BED8 Adult - 9999 Weber, Richard
90 98 85 99
PVC 0 PVC 0
40 40
SpO2 SpO 2
1 mV
122/85 (98) 122/85 (98)
1 mV
SpO2 NBP mmHg SpO2 NBP mmHg
02:22 02:22
rpm
30 33.9 rpm
21 37.3
Date/Time Adjusted 04/15/2021
1 2 3 02:50:37 PM
Message pane Page buttons Toolbar Date/Time

Pane
The following sections describe the Efficia CMS200 display

components.
Basic Operation
Pages
Sectors
Each sector on a page corresponds to one bedside monitor. The
maximum allowable number of sectors on one page is 16 sectors, or
2 columns of 8 rows.
The number of waveforms and the amount of information displayed

in a sector depends on the system configuration, the size of the
sector, and the current settings in the Sector Setup window.
Waveforms at a sweep speed of 25 mm/s are 3 seconds in length
on a dual-column page and 6 seconds on a single-column page.
Alarm Silence Icon Display

Waveform Frozen Icon Format
Alarms List Button
Night Mode Icon Print Button
Title Bar
BED5 Adult - 1234 Smith, Robert Pulse Low
ECG II Auto HR bpm SpO2% Pulse bpm
85 98
PVC 0
40
SpO2
122/85 (98)
1 mV
SpO2 NBP mmHg
02:22
RESP T1 ºC
rpm
20 37.3
A sector contains the following components:
• Title bar — The title bar displays the monitor/bed name and
the patient type. The title bar also displays the primary ID and
patient’s name, if entered when the patient was admitted, or
ID Unknown.
If you position the mouse pointer in the patient ID section of
the title bar, all available patient information appears.
Night
Mode • Night Mode icon — The Night Mode icon appears in the sector
icon when you place the Efficia CM monitor in night mode. For
Basic Operation
Pages
more information about night mode, see the Efficia CM Series

Patient Monitors Instructions for Use.
• Waveform Frozen icon — The Waveform Frozen icon appears
Waveform
in the sector when you double-click a waveform within the
Frozen icon
sector to freeze all waveforms. For more information about
freezing waveforms, see “Freezing Waveforms” on page 2-32.
• Alarm Silence icon — The Alarm Silence icon indicates
whether audible alarms have been disabled, paused, or
silenced indefinitely from the Efficia CMS200 central
Alarm
Silence
monitoring system or the bedside monitor. For more
icon information about alarm indicators, see “Silencing Alarms” on
page 5-4.
• Alarms list — Contains a drop-down list of all active alarms in
the sector and the Silence Alarms option. The highest priority
alarm for the sector appears at the top of the list.
• Print button — The Print button appears when the mouse
pointer is positioned within a sector. Click the Print button to
Print
button
print the current information in the sector. The printout may
contain waveforms and numeric data or only numeric data,
based on the current display format. For more information
about printing, see Chapter 6, “Printing.”
• Display Format button — The Display Format button appears
Display when the mouse pointer is positioned within a sector. Click the
Format Display Format button to toggle between Waveform Display Mode
button and Big Number Display Mode.
• Waveforms — A sector can contain up to 12 waveforms. The
number and type of waveforms displayed in a sector are
configured in the Sector Setup window.
• Numerics — A sector can contain up to 8 numerics. The
number and type of numerics displayed in a sector are
configured in the Sector Setup window.
Note — If a sector contains ST numerics or Masimo rainbow

SET® numerics, and there is not enough space to display all ST
or Masimo rainbow® values in their respective panes, the
values rotate every 3 seconds within the panes.
Basic Operation
Pages
Sector Menu Options

Within each sector, you can also select menu options to perform the
actions listed in the following table.
When you select a sector to perform any of the actions listed below,
a white box appears around the sector to indicate that the sector is
selected.
To Do This
For More Information, See
Admit a patient Click the patient ID and “Admitting a Patient” on

select Admit Patient. page 3-3
Discharge a patient Click the patient ID and “Discharging a Patient” on
select Discharge Patient. page 3-9
Edit patient information Click the patient ID and “Editing Existing Patient
select Edit Patient. Information” on page 3-14
Display the patient’s Click the patient ID and “Expanding a Sector” on
information in a larger, select Patient Window. page 2-22
secondary window
View trend data, including Click the patient ID and Chapter 4, “Reviewing
alarm history, for the select View Trend Data. Trend Data”
patient
Rename the bed/monitor Click the bed/monitor “Renaming a Bed/Monitor”
name and select Rename on page 2-20
Bed/Monitor.
Customize the sector Click the bed/monitor “Changing the Sector
layout name and select Sector Layout” on page 2-24
Setup.
Change alarm limits or Click the numeric or “Changing Alarm Limits” on
modify waveform settings waveform you want to page 5-13 or “Waveform
change. Overview” on page 2-30
Note — The system does not prevent you from displaying a

waveform or numeric even if you are not actively monitoring the
selected measurement or the measurement is not supported at the
bedside monitor. For waveforms, the message Waveform not available
appears in the waveform pane.
Basic Operation
Pages
Message Pane
The message pane at the bottom of the screen displays the Efficia
CMS200 technical alarms.
Note — Technical alarms that occur at the bedside monitor appear

in the sector alarms list.
For more information about technical alarms and responding to

alarms at the Efficia CMS200 central monitoring system, see
Chapter 5, “Alarms.”
Page Buttons
Your system administrator configures the number of pages on your
system, up to a maximum of eight pages.
Use the page buttons at the bottom of the screen to move between
pages. The page button for the current page is enclosed in a white
box.
1 2 3 4
Current Page
You can view one page at a time on a single display system or two
pages at one time on a dual display system.
When an alarm event occurs, the corresponding page button

flashes and changes color to match the highest alarm level (red,
yellow or blue) on that page.
Audible alarms sound for all alarms on all pages, regardless of

whether or not the page is currently displayed.
For more information about responding to alarms, see

Chapter 5, “Alarms.”
Basic Operation
Pages
Toolbar
The following table describes the buttons that appear in the toolbar
at the bottom of the page.
When you position the mouse pointer on a button in the toolbar, a
description of the button appears.
Button Button Name Description

View All Active Alarms Click the View All Active Alarms button to
view all active alarms for all pages.
Manage Patient List Click the Manage Patient List button to add
or delete patient IDs.
Bed/Monitor List Click the Bed/Monitor List button to see a list

of all monitors connected to the Efficia
CMS200 central monitoring system.
Page Layout Click the Page Layout button to change the

number of sectors on a page, assign a bed/
monitor to a different sector, or merge
sectors.
Note — If your system administrator has
locked the layout, all options in the Page
Layout window are unavailable.
Help Click the Help button to open a PDF version

of the Efficia CMS200 Central Monitoring
System Instructions for Use. For more
information, see “Using the Online Help”
on page 1-5.
System Setup Click the System Setup button to open the
System Setup window. All tabs in the System
Setup window, except the System tab, are
password-protected and can only be
accessed by authorized personnel.
Basic Operation
Pages
Date/Time Pane
The Date/Time pane displays the current date and time. The date
and time on all bedside monitors are synchronized with the date
and time at the Efficia CMS200 central monitoring system. Only
authorized personnel can change the Efficia CMS200 date and time
in the password-protected section of the System Setup window.
Caution Time zone settings on the Efficia CMS200 central monitoring

system and the bedside monitors are configured independently.
To avoid inaccurate date/time reporting, ensure that the Efficia
CMS200 and your bedside monitors are set to the same time
zone.
If the Efficia CMS200 date and time are incorrect, contact your
system administrator.
For information about manually synchronizing the date and time at

the bedside monitor, see “Synchronizing the Date and Time” on
page 7-9.
Fixed Windows
When a fixed window, such as the System Setup window or Patient
Window, is open in the bottom half of the screen, all of the patient
sectors are still visible in the top half of the screen, but are
Maximize
compressed.
icon
You can maximize and minimize all fixed windows, as follows:
Minimize • Click the maximize icon to display a fixed window in full-

icon screen mode.
• Click the minimize icon to return the fixed window to half-
screen size.
Warning Maximizing a fixed window obscures all other sectors on the page.
To return the fixed window to half-screen size, click the minimize
icon.
Basic Operation
Viewing and Changing System Settings

The System tab in the System Setup window contains a read-only
section that provides information about the Efficia CMS200 central
monitoring system, several system configuration settings, and the
Audio Test button. For information on the Audio test, see “Testing
the Speaker” on page 5-10.
Note — The System Setup window contains several tabs, including

the System tab. Only the System tab is user-accessible. All other
tabs are password-protected.
Viewing System Settings

To view current system settings:
1 Click the System Setup button in the toolbar.
2 In the System Setup window, select the System tab.
The System tab opens.
The read-only information in the System tab includes:

• Configuration — The license key code and the maximum
number of beds and number of displays authorized by the
license key.
• License Key — The license key serial number and the remaining
charge on the license key battery.
• Software Version — The current Efficia CMS200 software
version and operating system version.
• Language — The language currently configured on the Efficia
CMS200.
Basic Operation
• LAN MAC Address — The unique LAN MAC address assigned to

the Efficia CMS200. The MAC address is configured in the
factory.
• LAN IP Address — The LAN IP address currently assigned to the
Efficia CMS200.
• Free Disk Space — The amount of free disk space on the system
hard drive and the estimated number of days remaining until
the disk is full.
• Central Station Name — The name given to the Efficia CMS200
central monitoring system by your system administrator. The
name also appears in the Central Name field of the System Menu
at the bedside monitor.
• Screen Size — The screen size of one or both displays
connected to the Efficia CMS200 central monitoring system.
• Screen Resolution — The current resolution of one or both
displays connected to the Efficia CMS200 central monitoring
system.
• Pixel Size — The current pixel size of one or both displays
connected to the Efficia CMS200 central monitoring system.
Changing System Settings

To change system settings:
Step
Basic Operation
3 In the System tab, change any of the following settings:
Warning
Set the alarm volume based on the environment and ambient noise
levels. Alarm volume should be tested and verified during installation.
The alarm volume should be loud enough to be heard in the intended
environment.
• Alarm Tone Volume — Use this setting to increase or decrease the

alarm volume. (You cannot adjust the alarm volume on the display.)
Note — Your system administrator can set a minimum alarm volume,
which prevents you from setting the volume below the specified level.
• NBP Pressure Units — Use this setting to change the NBP units of
measurement. The options are mmHg and kPa.
• Temperature Units — Use this setting to change the temperature units
of measurement. The options are °C and °F.
• CO2 Pressure Units — Use this setting to change the etCO2 and imCO2
units of measurement. The options are mmHg, kPa, and cmH2O.
• IBP Pressure Units — Use this setting to change the IBP units of
measurement. The options are mmHg, kPa, and cmH2O. The selected
setting applies to all IBP channels.
• SpHb Units — If your monitor is equipped with Masimo rainbow SET,
use this setting to change the SpHb units of measurement. The
options are g/dl and mmol/l.
• Height Units — Use this setting to change the Height units of
measurement. The options are cm and inch.
• Weight Units — Use this setting to change the Weight units of
measurement. The options are kg and lb.
• AGT/N2O Units — Use this setting to change the AGT/N2O units of
measurement. The options are % and MAC.
• CO2 Pressure Units (Gas) — Use this setting to change the CO2 pressure
units of measurement. The options are mmHg, % and KPa.
• CVP Pressure Units — Use this setting to change the CVP pressure
units of measurement. The options are mmHg, cmH2O and KPa.
Basic Operation
Fixed and Flexible Monitoring
Note — Units of measurement set on the Efficia CMS200 central

monitoring system do not affect those on the bedside monitors.
Therefore, the Efficia CMS200 and the bedside monitors can be using
different units of measure at the same time.
• Printer Status — Select the Printer Status button to open, pause, or
cancel print jobs. The Printer Status button displays the default printer
name.
• Patient ID Input— Use the Patient ID Input setting to choose how to
input patient ID. The options are Manual, Standard Barcode, and
Programmed Barcode.
ECG Grid — Select the ECG Grid check box to display the ECG waveform
grid in all sectors. Clear the check box to hide the ECG waveform grid in
all sectors.Audio Test — See “Testing the Speaker” on page 5-10.
Fixed and Flexible Monitoring

Your system administrator configures the page layout based on the
use model for your unit.
• In a unit that uses a fixed monitoring use model, monitors

remain in a fixed physical location and are assigned to a fixed
sector on a page. Your system administrator can lock the
layout, which prevents you from changing sector assignments.
• A unit might use flexible monitoring if monitors are moved
from one physical location to another. To accommodate the
flexible monitoring use model, your system administrator can
configure the system in one of two ways:
– Your system administrator locks the layout so that you
cannot reassign the monitor to a different sector. In this
configuration, the monitor always appears in the same
sector, regardless of its physical location. You might want
to rename the bed/monitor to reflect each physical
location change in order to track the location of the
Basic Operation
Changing the Page Layout
connected patient. See “Renaming a Bed/Monitor” on

page 2-20.
– Your system administrator does not lock the layout. In this
configuration, you can reassign the monitor to a different
sector and/or rename the monitor to reflect a location
change or other change in usage. Follow your unit’s
procedures for renaming and reassigning sectors. See
“Reassigning a Bed/Monitor to a Different Sector” on
page 2-18 and “Renaming a Bed/Monitor” on page 2-20.
Note — A monitor might be disconnected from the network either

intentionally or due to power loss. When reconnected, the monitor
appears again in the sector to which it was last assigned.

Use the Page Layout window to:
• Change the number of sectors on a page

• Reassign a monitor to a different sector
• Merge adjacent sectors
Note — If your system administrator has locked the Page Layout

feature, you cannot change the number of sectors, reassign
monitors to sectors or merge sectors. These options are
unavailable.
When you open the Page Layout window, all of the patient sectors
are still visible in the top half of the screen and central monitoring
continues while you make changes to the page layout.
Changes made in the Page Layout window apply to the current page
only.
Basic Operation
Changing the Number of Sectors

The maximum allowable number of sectors on one page is 16
sectors, or 2 columns of 8 rows. Changes made to the sector layout
on one page do not change the sector layout on other pages.
Note — If you reduce the number of sectors on a page, you will

need an equivalent number of blank sectors on a different page to
assign all beds/monitors to a sector. You cannot close the Page
Layout window until all beds/monitors are assigned to a sector.
Your license key limits the number of monitors you can connect to
the Efficia CMS200 (up to 64), however, you can create more than
64 sectors (up to 128) to allow for merging sectors on a page. For
more information, see “Merging or Splitting Adjacent Sectors” on
page 2-19.
To change the number of sectors on a page:
Step
1 Click the Page Layout button in the toolbar.
2 In the Page Layout window, select the page tab for the page you want to
reconfigure.
3 Click the Unassign All button to unassign all beds on the selected page.
All beds on the page appear in the Bed Not Assigned pane.
4 Click the Column list and select one of the following options: 1 or 2.
5 Click the Row list and select one of the following options: 1, 2, 4 or 8.
The page layout grid is redrawn with the selected number of columns
and rows.
Basic Operation
6 Reassign each bed to a sector by dragging it from the Bed Not Assigned
pane to a blank sector.
If you have more beds than blank sectors, assign the remaining beds to a
blank sector on a different page.
Note — You cannot exit the Page Layout window until all monitors are
assigned to a sector.
7 Click Apply.
The Page Layout window closes and the new layout and bed assignments
are saved.
Reassigning a Bed/Monitor to a Different Sector

You can reassign a bed/monitor to a blank sector or you can swap a
bed/monitor in one sector with a bed/monitor in another sector.
To reassign a bed/monitor to a different sector:
Step
2 In the Page Layout window, select the page tab for the page you want to
reconfigure.
3 Do one of the following:

• To reassign a bed/monitor on the same page, drag the bed to a blank
sector or drag the bed to an assigned sector to swap one with the
other.
• To reassign a bed/monitor to a sector on a different page, drag the
bed to the Bed Not Assigned pane. Select a different page, and then
drag the bed to a sector on the new page.
4 Click Apply. The Page Layout window closes and the new bed assignments
are saved.
Basic Operation
Merging or Splitting Adjacent Sectors

If a page contains blank sectors, you can merge two horizontally
adjacent sectors to display longer waveforms or two vertically
adjacent sectors to display additional waveforms and numeric
values.
To merge sectors:
Step
2 In the Page Layout window, select the page tab for the
page you want to reconfigure.
3 Ensure that both sectors are blank.

If the sector has an assigned bed, drag the bed to the
Bed Not Assigned pane.
4 In the page layout grid, select the first sector to merge.
5 Select the Merge button.
6 Select the adjacent blank sector.
The page layout grid is redrawn with the merged

sector.
7 If you unassigned a bed in step 3, drag the bed from

the Bed Not Assigned pane to the sector.
8 Click Apply.
The Page Layout window closes and the two sectors

merge into one sector.
Basic Operation
Renaming a Bed/Monitor
To split a merged sector:
Step
1 Select the merged sector.
The selected sector changes from black to yellow.
2 Click the Split button.
The page layout grid is redrawn with the split sector.
3 Click Apply.
The Page Layout window closes and the merged sector

splits into two sectors.
Each monitor is identified at the Efficia CMS200 central monitoring
system by the monitor name. At installation, your system
administrator assigns a name to each monitor and then assigns
each monitor to a sector at the Efficia CMS200.
The bed/monitor name can be a room number or some other

unique identifier that tells the Efficia CMS200 which monitor is
sending patient data. If you change the bed/monitor name, make
sure the new name is unique and that it clearly identifies the
monitor or the bed location.
Changes to the bed/monitor name are synchronized between the

Efficia CMS200 central monitoring system and the bedside monitor.
You can also rename a bed or monitor in the Bed/Monitor List

window. For more information, see “Viewing Monitor Information”
on page 2-28.
Basic Operation
Notes
• Your system administrator can disable the Rename Bed/
Monitor setting, which prevents you from changing the
bed/monitor name at the Efficia CMS200; however, you
can still change the bed/monitor name at the bedside
monitor.
• If the Rename Bed/Monitor setting is enabled on your
system, use caution when renaming a bed/monitor at
the Efficia CMS200 central monitoring system. The
safest way to rename the monitor is at the monitor itself
to ensure that the monitor name correctly identifies the
monitor to the Efficia CMS200. For information on
changing the monitor name at the monitor, see “Naming
the Monitor” on page 7-2.
• The Rename Bed/Monitor option is unavailable if the
monitor is off-line.
• If you enter a name that is already being used by
another monitor, a message appears indicating that the
monitor name is already in use.
To rename an Efficia CM or SureSigns VM bed monitor from the

Efficia CMS200 central monitoring system:
Step
1 Click the bed/monitor name in the sector title bar, and

then click Rename Bed/Monitor in the menu that
appears.
The Rename Bed/Monitor window opens and displays
the current bed/monitor name.
2 Enter a new name in the Monitor Name input field.

The bed or monitor name must be from 2 to 10
characters long.
3 Click Close.
The new name appears in the sector and is updated at

the bedside monitor.
Basic Operation
Expanding a Sector
Expanding a Sector
The Patient Window provides an expanded view of the selected
sector in the bottom half of the page. All patient sectors are still
visible in the top half of the screen, but are compressed. The Patient
Window displays all numeric measurements, up to six waveforms,
and the following additional information, if sent from the bedside
monitor:
• The SpO2 perfusion index

• The NBP interval setting
• The alarm disable icon appears next to each numeric
measurement for which alarms have been disabled
Warning If you select the Full Screen button in the Patient Window, the
window expands and displays up to 12 waveforms. In Full Screen
mode, all remaining patient sectors on the page are no longer
visible.
Notes
• If a parameter you choose to display on the Efficia
CMS200 central monitoring system is not supported on
the bedside monitor, that parameter displays no value
on the Efficia CMS200.
• Changes made to the sector layout in the Sector Setup
window are not replicated in the Patient Window. The
placement of waveforms and numerics in the sector may
be different from the layout in the Patient Window.
Most of the functions that you can access from a sector are also
available in the Patient Window, including:
• Admitting a patient. See “Admitting a Patient” on page 3-3.
• Discharging a patient. See “Discharging a Patient” on
page 3-9.
Basic Operation
Expanding a Sector
• Editing a patient ID. See “Editing Existing Patient Information”

on page 3-14.
• Viewing trend data. See Chapter 4, “Reviewing Trend Data.”
• Renaming the bed/monitor. See “Renaming a Bed/Monitor”
on page 2-20.
• Silencing alarms. See Chapter 5, “Alarms.”
To open the Patient Window:
Step
1 Click in the patient ID section of the sector title bar,

and then click Patient Window in the menu that appears.
The Patient Window opens at the bottom of the page.
The window displays patient data from the selected
sector.
2 To open the Patient Window for a different bed or

monitor, click the bed/monitor name in the Patient
Window title bar, and then click Select Bed/Monitor in the
menu that appears.
Select a bed or monitor from the list, and then click the
Close button.
3 Click the X in the upper right corner of the Patient

Window to close it.
In the Patient Window, you can have a mini graphical trend displayed
on the left side of the window. When the mini graphic trend is
turned on, it displays 3 - 4 minutes of graphical trend for the 6
numeric measurements on a half screen or 12 measurements on a
full screen.
Display Use the Display Format button in the Patient Window to turn on or off a
Format mini graphical trend. To change the displayed trends, select a mini
button trend pane, and then select a different parameter from the list that
appears.
Basic Operation
Changing the Sector Layout

The Display Format button appears in the upper right of a sector
Display when the mouse pointer is positioned within that sector. Click the
Format Display Format button to toggle between the following two modes:
button
• Waveform Display Mode. The sector displays waveforms and
numeric data.
BED2 Adult - MRN123456 Smith, J

ECG I Auto HR bpm SpO2 % Pulse bpm
PVC 0
80 98 SpO2
84
NBP mmHg
120/80 (93)
14:00
1 mV
SpO2
RESP T1 ºC
rpm
20 37.3
• Big Number Display Mode. The sector displays numeric data, the
NBP interval icon, and the corresponding alarm limits for each
parameter.
BED2 Adult - MRN123456 Smith, J

120 NBP mmHg Sys
120 PVC 10 SpO2 % 10 Pulse bpm
120/80 (93)
98
HR bpm 50 14:00 160
84
0
0
SpO2
80
50 90
90
RESP 30 4
20
50 imCO2
37.3
30
20 42 1
rpm
8 awRR etCO2 mmHg T1 ºC 39.0
rpm 8 mmHg 30 36.0
Use the Sector Setup window to change the placement and number
of waveforms and numerics displayed in a sector in both Waveform
Display Mode and Big Number Display Mode.
Caution In order to monitor the patient’s condition, configure the sector

properly to display as many monitored parameters as the layout
allows.
Basic Operation
Notes
• The sector layout remains in effect until you explicitly
change it. When admitting a patient, verify that the
sector layout is configured appropriately for the patient.
Position the most important numerics and waveforms at
the top of the sector.
• Your system administrator can configure a default sector
layout in the password-protected System Admin window.
To restore the default sector layout, click Default and then
Apply in the Sector Setup window.
• The Sector Setup option is unavailable if the monitor is

off-line.
You can use the Apply All Sectors button in the Sector Setup window
to apply layout changes to all sectors on all pages, but only if all
sectors are the same size.
The choices available in the Sector Setup window are based on the
sector size. For example, on a page that contains 16 sectors, the
sectors are proportionately smaller than the sectors on a page that
contains only 4 sectors. Therefore, the number of waveforms you
can display in the smaller sector is limited by the size of the sector.
Caution When selecting the waveforms to display in a sector, be sure to

configure the sector so that the waveform’s corresponding
numeric values also appear in the sector.
The Sector Setup window is divided into two sections. Use the
Waveform Display Mode section to change the waveform layout and
use the Big Number Display Mode section to change the numeric
layout.
If you reassign a bed/monitor to a different sector, after making

changes in the Sector Setup window, the system retains the changes
only if the new sector is the same size. If you reassign a bed/
monitor to a different size sector, the settings return to the default
settings.
Basic Operation
Configuring the Waveform Layout in a Sector

To change the waveform layout in a sector:
Step

then click Sector Setup in the menu that appears.
The Sector Setup window opens and displays the
current layout for the selected sector. The waveform
settings appear below the Waveform Display Mode grid.
2 In the Number of Waveforms list, select the number of

waveforms to display in the sector.
Note — The available choices in the Number of
Waveforms list is limited by the size of the sector.
Possible choices are: 1, 2, 4, 6, 8, and 12.
3 In the Number of Measurements list, select the number of

measurement rows to display in the sector.
Measurements list is limited by the size of the sector.
Possible choices are: 1, 2, 3, 4, 5, 6, 7, and 8.
4 To display a different waveform or numeric, click the

current waveform or numeric in the grid and choose a
different one from the list.
Note — C.O., CCO/CCI, NBP, IBP and QTc numerics must
be positioned in the wider boxes on the grid. If you
select a small box in the grid, the C.O., CCO/CCI, NBP,
IBP and QTc choices will be unavailable in the Select
Measurement list.
Basic Operation
5 When you are done making changes to the waveform

layout, do one of the following:
• Proceed to the next section, “Configuring the
Numeric Layout in a Sector” on page 2-27, to
change the numeric layout.
• Click Apply to apply the new waveform layout to
the current sector and close the Sector Setup
window.
• Click Apply All Sectors to apply the new waveform
layout to all sectors (if all sectors on all pages are
the same size) and to close the Sector Setup
window.
Configuring the Numeric Layout in a Sector

To change the numeric layout in a sector:
Step

then click Sector Setup in the menu that appears.
The Sector Setup window opens and displays the
current layout for the selected sector. The numeric
setting appears below the Big Number Display Mode
grid.
2 In the Number of Measurements list, select the number of

measurement rows to display in the sector.
Measurements list is limited by the size of the sector.
Possible choices are: 1, 2, 3, and 4.
Basic Operation
Viewing Monitor Information
3 To change the numeric placement, click a numeric in

the grid and choose a different one from the Select
Measurement list.
Note — C.O., CCO/CCI, NBP, IBP and QTc numerics must

be positioned in the wider boxes on the grid. If you
select a small box in the grid, the C.O., CCO/CCI, NBP,
IBP and QTc choices will be unavailable in the Select
Measurement list.
4 When you are done making changes to the numeric

layout, do one of the following:
• See “Configuring the Waveform Layout in a Sector”
on page 2-26 to change the waveform layout.
• Click Apply to apply the new numeric layout to the
current sector and close the Sector Setup window.
• Click Apply All Sectors to apply the new numeric
layout to all sectors (if all sectors on all pages are
the same size) and to close the Sector Setup
window.

The Bed/Monitor List window contains a list of all monitors in the
Efficia CMS200 network.
To open the Bed/Monitor List:

• Click the Bed/Monitor List button in the toolbar.
Bed/
Monitor List The following information appears for each bed/monitor:
button
• Page – The page on which the bed/monitor appears.
• Bed/Monitor Name – The name assigned to the bed/monitor.
Corresponds to the bed/monitor name that appears in the
sector title bar.
Basic Operation
• Patient – The patient type and primary ID of the patient

currently admitted to the bed/monitor (or ID Unknown). The
Patient field is blank if the monitor is off-line.
• Hardware – The monitor model.
– For Efficia CM monitors: CM10, CM12, CM100, CM120, CM150
– For SureSigns VM monitors: VM4, VM6, VM8
– For G series monitors: G30E, G40E, GS20
• Software – The current software version on the bedside
monitor.
• Serial Number – The monitor serial number.
• LAN IP Address – The current LAN IP address of the bedside
monitor.WLAN IP Address – The current WLAN IP address of the
bedside monitor (Efficia CM series only, with wireless
networking).
• LAN MAC Address – The current LAN MAC address of the
bedside monitor.
• WLAN MAC Address – The current WLAN MAC address of the
bedside monitor (Efficia CM series only, with wireless
networking).
• Status – The status is On-Line if the monitor is turned on. The
status is Off-Line if the monitor is placed in Standby mode or it
is disconnected from the Efficia CMS200 network.
Note — If a VM4 monitor is placed in SpotCheck mode, the

Status appears as On-Line, but the monitor does not send
SpotCheck data to the Efficia CMS200 central monitoring
system. The No Data From Bed message appears in the sector.
By default, the Bed/Monitor List is sorted by bed/monitor name. To

change the sorting order, click the column title for the column you
want to sort.
To change a column width, drag a column divider in the column title

bar.
You cannot change the placement of the columns.
Basic Operation
Waveform Overview
Waveform Overview
This section describes the waveform configuration settings that are
common across all waveforms. For information about configuration
settings that are unique to each waveform, see the appropriate
waveform section later in this chapter.
For the Efficia CM monitors running C.00 or above software, when

the waveform display colors are changed on the bedside monitor,
those on Efficia CMS200 change synchronously. The waveform
display color can only be configured on the monitor, see the Efficia
CM Series Patient Monitors Instructions for Use.
Changing the Waveforms Displayed in a Sector

The Select Waveform option — which appears in each waveform’s
pop-up menu — contains a list of all available waveforms. When
you select a waveform from the list, the current waveform is
replaced by the selected waveform. Changes to the currently
selected waveform in a sector do not change the waveforms
displayed at the bedside monitor.
You can select a waveform from the list even if you are not actively
monitoring the selected measurement or the measurement is not
supported at the bedside monitor. The message Waveform not
available appears in the waveform pane.
Note — When changing the waveforms displayed in a sector, keep

in mind that only the waveform at the top of the sector is visible if
the page is configured to display 8 or 16 sectors. Choose your
waveform display settings accordingly.
Basic Operation
Waveform Overview
To change the displayed waveform:
Step
1 Click the waveform that you want to change.
The selected waveform menu appears.
2 In the Select Waveform list, select the waveform you

want to display.
3 Click Close.
The waveform menu closes and the selected

waveform replaces the current waveform in the sector.
Changing the Waveform Speed

The Sweep Speed setting—which appears in each waveform’s pop-
up menu— determines the speed at which the wave is drawn across
the screen. Decreasing the wave speed compresses the wave,
allowing you to view a longer time period. Increasing the wave
speed expands the waveform, giving you a more detailed view, but
a shorter time period.
Changes to the Sweep Speed setting are not synchronized between

the Efficia CMS200 central monitoring system and the bedside
monitor. You may have to change the Sweep Speed setting when
admitting a new patient; discharging a patient does not return the
Sweep Speed settings to default values.
On the CMS200, each waveform within a sector can have a

different sweep speed. As a result, the erase bars in a sector are not
synchronized if the waveforms have different sweep speed settings.
In addition, sweep speeds can differ among sectors. Setting the
sweep speed in one sector does not affect other sectors.
Basic Operation
Waveform Overview
To change the waveform speed:
Step
1 Click the waveform that you want to change.
The configuration menu for the selected waveform

appears.
2 Click the Sweep Speed list and select a sweep speed.
3 Click Close.
The waveform menu closes and the sweep speed

changes.
Freezing Waveforms
To freeze all waveforms in a sector:
• Double-click on any waveform currently displayed in the
Waveform
Frozen
sector.
icon The Waveform Frozen icon appears in the sector title bar and
all waveforms are frozen.
To unfreeze all waveforms in the sector:
• Double-click any waveform currently displayed in the sector.
Notes
• Freezing waveforms does not interrupt monitoring or
alarming.
• Waveforms frozen at the Efficia CMS200 central
monitoring system are not frozen at the bedside monitor
and vice versa.
To print the frozen waveforms:

Print • Click the Print button in the sector.
button
The printout contains the values that occurred 7 seconds
before and 13 seconds after the waveform was frozen.
Basic Operation
ECG Waveform Settings

The bedside monitors use the Philips ST/AR arrhythmia algorithm,
which detects changes in the ECG rhythm, and provides continuous
patient surveillance and alarm generation. All arrhythmia alarms are
generated at the bedside and repeated at the Efficia CMS200
central monitoring system. For more information about arrhythmia
analysis, see the Instructions for Use for your bedside monitor.
The bedside monitor sends all available ECG waveforms to the

Efficia CMS200 based on the ECG lead type configured at the
monitor:
• 3-electrode lead set
ECG status messages are sent from the monitor and appear in the
top ECG waveform. The messages that appear depend on the level
of arrhythmia analysis available on your monitor. For more
information about ECG status messages, see the Instructions for
Use for your bedside monitor.
Note — The filtering status message displayed in the ECG

waveform differs depending on the connected monitor. For Efficia
CM monitors, the message is Filtered; for SureSigns VM monitors, it
is Filter On.
Use the Waveform Menu to:

• Change the waveform display
• Change the speed of the ECG waveform
• Select an ECG lead
• Change the size of the ECG waveform
• Enable or disable pace detection
Caution To perform ECG measurements, use the printed ECG waveform or

the calipers on the uncompressed ECG waveform in the ECG trend
window.
Basic Operation
Changing the Displayed Waveform

To replace the ECG waveform with a different waveform, see
“Changing the Waveforms Displayed in a Sector” on page 2-30.
Changing the ECG Waveform Speed

The Sweep Speed setting in the Waveform Menu determines the speed
at which the waveform is drawn across the screen. For information
on changing this setting, see “Changing the Waveform Speed” on
page 2-31. The ECG Sweep Speed options are:
• 6.25 mm/s
• 12.5 mm/s
• 25.0 mm/s
• 50.0 mm/s
Selecting an ECG Lead

In each sector, you can display as many leads as are available on
the monitor. The choices in the Select Waveform list are based on the
ECG lead type configured on the monitor.
Caution It is possible to select a lead more than once.
The Select Waveform setting is not synchronized between the Efficia

CMS200 central monitoring system and the bedside monitor.
To select an ECG lead:
Step
1 Click on a waveform. The Waveform Menu opens.

2 Click the Select Waveform list and select a lead. Available lead
choices are based on the lead type configured on the bedside
monitor:
• 3 lead: I, II, or III
• 5 lead: I, II, III, avR, avL, avF, V, or MCL
• 10 lead: I, II, III, avR, avL, avF, V1, V2, V3, V4, V5, V6, or MCL
Basic Operation
3 Click Close.
The Waveform Menu closes and the selected ECG lead changes
at the Efficia CMS200.
Changing the ECG Waveform Size

If the displayed ECG waveform is too small or it is clipped, use the
Scale option to adjust the size of the waveform. When you change
the scale setting, the 1 mV calibration bar in the ECG waveform
changes proportionately. The current Scale setting appears in the
ECG waveform pane.
Changes to the Scale setting are not synchronized between the

Note — You may have to change the Scale setting when admitting a
new patient. Discharging a patient does not return the Scale setting
to the default value.
To change the display size of the ECG waveform:
Step
1 Click on the waveform.

The Waveform Menu opens.
2 Click the Scale list and select one of the following options:
• X 1/4
• X 1/2
• X1
• X2
• X4
• Auto
3 Click Close.
The Waveform Menu closes and the ECG waveform size changes.
Basic Operation
Enabling Pace Pulse Detection
Caution Always verify that your patient’s pace detection setting at the
Efficia CMS200 central monitoring system accurately reflects the
patient’s status.
Warning For pacemaker patients, rate meters may continue to count the
pacemaker rate during occurrences of cardiac arrest or some
arrhythmias. Do not rely entirely upon heart rate meter alarm
signals. Keep pacemaker patients under close surveillance. See the
Instructions for Use for your bedside monitor for disclosure of the
pacemaker pulse rejection capability of this instrument.
The pace pulse detection setting is synchronized between the

The default Pace Detection setting is On.
You must enable pace pulse detection at the bedside monitor or
the Efficia CMS200 when monitoring patients with pacemakers. You
must disable pace pulse detection if your patient does not have an
implanted pacemaker. The pace pulse detection feature detects
and filters pacemaker-generated signals, so that they are not
counted as regular QRS complexes.
The pace pulse detection option is available in all ECG waveform

menus. In addition, the pace pulse indicators, which appear as
vertical white lines above the ECG waveform, appear on all ECG
waveforms.
Note — If the sector is too small to display more than one

waveform, ensure that an ECG waveform appears in the first
waveform slot in the sector.
Pacer detection status is shown in the top ECG waveform displayed

in each sector.
Basic Operation
Warning It is very important that pace pulse detection is set correctly for the
patient you are monitoring. An incorrect pace pulse detection
setting will impact the effectiveness of the arrhythmia algorithm:
• If pace pulse detection is turned off for a patient with an
implanted pacemaker, the algorithm will not look for pace
pulses. As such, all the paced beats will not get classified
correctly because the pace pulses are not detected and used in
beat classification. While atrial paced beats may be classified
as Normal, Ventricular and AV paced beats may get classified
as PVCs and generate false PVC alarms. More important, if the
patient’s implanted pacemaker fails to capture, the arrhythmia
algorithm could mistake the pacer spikes as beats and
continue generating a heart rate and not alarm for pacer not
capture or asystole.
• If pace pulse detection is turned on for a patient without an
implanted pacemaker, the algorithm’s effectiveness in
detecting ventricular beats may be reduced because the
algorithm cannot use the compensatory pause information
following the PVCs for non-paced ECG in classification. This
may result in not receiving some PVC alarms.
Note — If an ECG Leads Off alarm occurs at the bedside monitor,

pace detection is disabled until the ECG Leads Off condition is
corrected.
To enable or disable pace pulse detection:
Step
1 Click on any ECG waveform. The Waveform Menu opens.

2 Click the Pace Detection list and select one of the
following options:
• On
• Off
3 Click Close.
The Waveform Menu closes and the setting changes at

the Efficia CMS200 central monitoring system and the
bedside monitor.
Basic Operation
SpO2 Waveform Settings
C.O. and C.C.O. (via PiCCO method) Settings

The Cardiac Output (C.O.) modules are optional external modules
intended to be connected to the Efficia Rack to provide cardiac
output measurements to an Efficia CM Series monitor.
There are two different module configurations:

1. C.O. via Right-Heart Thermodilution method only (this is the same
as the monitors’ internal C.O. measurement). *
2. C.O. via Right-Heart Thermodilution method and Continuous
Cardiac Output (CCO) via the PiCCO method (Transpulmonary
thermodilution method + Pulse Contour Analysis).**
If your monitor is equipped with the CCO module, the additional
CCO and PiCCO status, as well as Right-Heart Thermodilution
status, will be sent to the Central station.
*Feature details are described the Efficia CM Series Instructions for Use, Monitoring
Cardiac Output chapter.
**Feature details are described in the Efficia CMS Series, Rack and Module
Instructions for Use, Monitoring Cardiac Output via the PiCCO method chapter.
The Central Station will display Tblood alarm limits as well as an

audible alarm for both Right-Heart and Transpulmonary
thermodilution.
If the desktop/monitor has “Absolute” selected as a display
parameter, the Central menu will provide an option to display a CCI
(Indexed) value.
SpO2 Waveform Settings

Use the SpO2 Waveform Menu to:

• Change the speed of the SpO2 waveform
If your monitor is equipped with Masimo rainbow SET, the Masimo
SpO2 status messages are sent from the monitor and appear in the
SpO2 waveform. For more information about SpO2 status messages
and changing the Masimo rainbow settings, see the Efficia CM
Series with Masimo Instructions for Use.
Basic Operation
RESP Waveform Settings

To replace the SpO2 waveform with a different waveform, see
Changing the SpO2 Waveform Speed

The Sweep Speed setting in the SpO2 Waveform Menu determines the
speed at which the waveform is drawn across the screen. For
information on changing this setting, see “Changing the Waveform
Speed” on page 2-31. The SpO2 Sweep Speed options are:
• 6.25 mm/s
• 12.5 mm/s
• 25.0 mm/s
• 50.0 mm/s

The bedside monitor sends one impedance respiration waveform to
the Efficia CMS200 central monitoring system. The RA-LL lead label
appears in the RESP waveform pane. The lead is always RA-LL at
both the monitor and the Efficia CMS200.
Use the RESP Waveform Menu to:

• Change the speed of the Respiration waveform
• Change the size of the Respiration waveform
• Select the RESP lead (for G30E, G40E and GS20 patient
monitors)

To replace the Respiration waveform with a different waveform, see
Basic Operation
Changing the RESP Waveform Speed

The Sweep Speed setting in the RESP Waveform Menu determines the
Speed” on page 2-31. The Respiration Sweep Speed options are:
• 6.25 mm/s
• 12.5 mm/s
• 25.0 mm/s
• 50.0 mm/s
Changing the RESP Waveform Size

If the displayed RESP waveform is too small or it is clipped, use the
Scale option to adjust the size of the waveform. The current Scale
setting appears in the RESP waveform pane.

To change the display size of the RESP waveform:
Step
1 Click on the RESP waveform.

The RESP Waveform Menu opens.
2 Click the Scale list and select one of the following

options:
• X 1/2
• X1
• X2
• X4
3 Click Close. The RESP Waveform Menu closes and the

Respiration waveform size changes.
Basic Operation
Selecting RESP Lead

The RESP lead is shown in the RESP waveform pane.
Note — For the Efficia CM series and SureSigns VM series bedside

monitors, the Select Waveform list on the RESP Waveform Menu is
always set to RA-LL and cannot be changed.
For the G30E, G40E and GS20 patient monitors, you can select the
RESP lead.
To select the RESP lead:
Step
1 Click on the RESP waveform.

The RESP Waveform Menu opens.
2 Click the RESP Lead list and select one of the following
options:
• 3 leads: RA-LA, RA-LL
• 5 leads: RA-LA, RA-LL, LA-RL, LL-RL
3 Click Close.
The RESP Waveform Menu closes and the Respiration

lead changes.
Basic Operation
RRa Waveform Settings
RRa Waveform Settings

If your bedside monitor is configured for the Masimo Acoustic
Respiration Rate (RRa™) measurement, it sends one RRa waveform
to the Efficia CMS200 central monitoring system.
Use the RRa Waveform Menu to:

• Change the waveform display.
• Change the speed of the Respiration waveform.
RRa status messages are sent from the monitor and appear in the
RRa waveform. For more information about RRa status messages,
see the Efficia CM Series with Masimo Instructions for Use.

To replace the RRa waveform with a different waveform, see
Changing the RRa Waveform Speed

The Sweep Speed setting in the RRa Waveform Menu determines the
Speed” on page 2-31. The RRa Sweep Speed options are:
• 12.5 mm/s
• 25.0 mm/s
• 50.0 mm/s
IBP Waveform Settings

The bedside monitor sends IBP waveforms and the associated IBP
pressure label to the Efficia CMS200 central monitoring system. The
currently selected pressure label appears in parentheses after the
IBP label in the IBP waveform pane.
Basic Operation
Note — See the Instructions for Use for your bedside monitor to
determine the number of IBP waveforms your monitor can display
and which IBP pressure labels are available on your monitor.
You cannot change the IBP label at the Efficia CMS200 central
monitoring system.
If a user is zeroing the IBP transducer at the bedside monitor, the

IBP zeroing messages appear in the corresponding IBP waveform.
For more information about IBP status messages, see the
Instructions for Use for your bedside monitor.
Use the IBP Waveform Menu to:

• Change the speed of the IBP waveform
• Change the size of the IBP waveform

To replace the IBP waveform with a different waveform, see
Changing the IBP Waveform Speed

The Sweep Speed setting in the IBP Waveform Menu determines the
Speed” on page 2-31. The IBP Sweep Speed options are:
• 3.125 mm/s
• 6.25 mm/s
• 12.5 mm/s
• 25.0 mm/s
• 50.0 mm/s
Basic Operation
Changing the IBP Waveform Size

If the displayed IBP waveform is too small or it is clipped, use the
Scale option to adjust the size of the waveform. The current Scale
setting appears in the IBP waveform pane.

Notes
• You may have to change the Scale setting when
admitting a new patient. Discharging a patient does not
return the Scale setting to the default value.
• If you select Auto from the Scale list, the scale adjusts as
the patient’s pressure changes. The scale adjustment
occurs at the end of the current wave.
To change the display size of the IBP waveform:
Step
1 Click on the IBP1 waveform.

The IBP1 Waveform Menu opens.
2 Click the Scale list and select a scale option. See

Table 2-1 for a list of options based on the currently
selected label.
3 Click Close.
The IBP1 Waveform Menu closes and the IBP waveform

size changes.
Basic Operation
CO2 Waveform Settings
Table 2-1. Scale Options for IBP Using Different Units of Measure
IBP
Waveform mmHg kPa cmH2O
Selection
ABP Auto Auto Auto
Ao –10–20 –1.3–2.7 –14–27
ART 0–50 0.0–6.7 0–68
P 0–100 0.0–13.3 0–136
UAP 0–150 0.0–20.0 0–204
0–200 0.0–26.7 0–272
0–250 0.0–33.3 0–340
FA (for G30E 0–300 0.0–40.0 0–408
and G40E) 0-200 0.0-26.7 0-272
RA (for G30E 0-250 0.0-33.3 0-340
and G40E) 0-300 0.0-40.0 0-408
CVP Auto Auto Auto
ICP –20–0 –2.7–0.0 –27–0
LAP –10–0 –1.3–0.0 –14–0
PAP –5–0 –0.7–0.0 –7–0
RAP 0–10 0.0–1.3 0–14
UVP 0–20 0.0–2.7 0–27
0–30 0.0–4.0 0–41
0–40 0.0–5.3 0–54
0–50 0.0–6.7 0–68

The bedside monitor sends one CO2 waveform to the Efficia
Use the CO2 Waveform Menu to:

• Change the speed of the CO2 waveform
Basic Operation
• Enable or disable CO2 Standby mode

The CO2 status messages and zeroing messages are sent from the
monitor and appear in the CO2 waveform. For more information
about CO2 status messages, see the Instructions for Use for your
bedside monitor.

To replace the CO2 waveform with a different waveform,
see“Changing the Waveforms Displayed in a Sector” on page 2-30.
Changing the CO2 Waveform Speed

The Sweep Speed setting in the CO2 Waveform Menu determines the
Speed” on page 2-31. The CO2 Sweep Speed options are:
• 3.125 mm/s
• 6.25 mm/s
• 12.5 mm/s
• 25.0 mm/s
Enabling or Disabling CO2 Standby Mode

The CO2 Hardware option allows you to turn off the CO2 module at
the bedside monitor when you are not monitoring a patient’s CO2.
Turning off the module extends the life of the module.
The CO2 Hardware setting is synchronized between the Efficia

CMS200 central monitoring system and the bedside monitor.
Note — If the current CO2 Hardware setting is Standby, the CO2

waveform pane is blank.
Basic Operation
EEGx(BIS) Waveform Settings
To turn the CO2 module on or place it in Standby mode:
Step
1 Click on the CO2 waveform. The CO2 Waveform Menu

opens.
2 Click the CO2 Hardware list and select one of the

following options:
• On
• Standby
If you select Standby, the text CO2 Standby appears in
the CO2 waveform pane.
3 Click Close.
The CO2 Waveform Menu closes and the setting changes

at the Efficia CMS200 central monitoring system and
the bedside monitor.

The Efficia CM series bedside monitor with BIS plug-in module
sends EEG(BIS) waveforms to the Efficia CMS200 central
monitoring system.
determine the number of EEG(BIS) waveforms your monitor can
display.
Use the EEGx(BIS) Waveform Menu to:

• Change the speed of the EEG(BIS) waveform
• Change the size of the EEG(BIS) waveform
Note — Changes to the speed and size of the EEG(BIS) waveforms

on CMS200 do not affect those shown on the bedside monitor.
Basic Operation

To replace the EEGx(BIS) waveform with a different waveform, see
Changing the EEGx(BIS) Waveform Speed

The Sweep Speed setting in the EEGx(BIS) Waveform Menu determines
the speed at which the waveform is drawn across the screen. For
Speed” on page 2-31. The EEGx(BIS) Sweep Speed options are:
• 6.25 mm/s
• 12.5 mm/s
• 25.0 mm/s
• 50.0 mm/s
Changing the EEGx(BIS) Waveform Size

If the displayed EEG(BIS) waveform is too small or it is clipped, use
the Scale option to adjust the size of the waveform. The current
Scale setting appears in the EEG(BIS) waveform pane.

Basic Operation
CO2(Gas) Waveform Settings
To change the display size of the EEGx(BIS) waveform:
Step
1 Click on the EEGx(BIS) waveform. The EEGx(BIS) Waveform Menu
opens.
2 Click the Scale list and select one of the following options:
• +50 μV
• +75 μV
• +100 μV
• +200 μV
• +500 μV
• +750 μV
• +1000 μV
3 Click Close. The EEG(BIS) Waveform Menu closes and the EEG(BIS)
waveform size changes.

The Efficia CM series bedside monitor with Gas plug-in module
sends CO2(Gas) waveforms to the Efficia CMS200 central
monitoring system.
determine the number of CO2(Gas) waveforms your monitor can
display.
Use the CO2(Gas) Waveform Menu to:

• Change the speed of the CO2(Gas) waveform
• Change the size of the CO2(Gas) waveform
Note — Changes to the speed and size of the CO2(Gas) waveforms

Basic Operation

To replace the CO2(Gas) waveform with a different waveform, see
Changing the CO2(Gas) Waveform Speed

The Sweep Speed setting in the CO2(Gas) Waveform Menu determines
Speed” on page 2-31. The CO2(Gas) Sweep Speed options are:
• 3.125 mm/s
• 6.25 mm/s
• 12.5 mm/s
• 25.0 mm/s
Basic Operation
Changing the CO2(Gas) Waveform Size

If the displayed CO2(Gas) waveform is too small or it is clipped, use
Scale setting appears in the CO2(Gas) waveform pane.

To change the display size of the CO2(Gas) waveform:
Step
1 Click on the CO2(Gas) waveform.

The CO2(Gas) Waveform Menu opens.

options:
• 0.0-50.0 mmHg
• 0.0-75.0 mmHg
• 0.0-100.0 mmHg
3 Click Close.
The CO2(Gas) Waveform Menu closes and the CO2(Gas)

Basic Operation
O2(Gas) Waveform Settings

sends O2(Gas) waveforms to the Efficia CMS200 central monitoring
system.
determine the number of O2(Gas) waveforms your monitor can
display.
Use the O2(Gas) Waveform Menu to:

• Change the speed of the O2(Gas) waveform
• Change the size of the O2(Gas) waveform
Note — Changes to the speed and size of the O2(Gas) waveforms


To replace the O2(Gas) waveform with a different waveform, see
Changing the O2(Gas) Waveform Speed

The Sweep Speed setting in the O2(Gas) Waveform Menu determines
Speed” on page 2-31. The O2(Gas) Sweep Speed options are:
• 3.125 mm/s
• 6.25 mm/s
• 12.5 mm/s
• 25.0 mm/s
Basic Operation
Changing the O2(Gas) Waveform Size

If the displayed O2(Gas) waveform is too small or it is clipped, use
Scale setting appears in the O2(Gas) waveform pane.

To change the display size of the O2(Gas) waveform:
Step
1 Click on the O2(Gas) waveform.

The O2(Gas) Waveform Menu opens.

options:
• 0-25%
• 0-50%
• 0-100%
3 Click Close.
The O2(Gas) Waveform Menu closes and the O2(Gas)

Basic Operation
N2O(Gas) Waveform Settings

sends N2O(Gas) waveforms to the Efficia CMS200 central
monitoring system.
determine the number of N2O(Gas) waveforms your monitor can
display.
Use the N2O(Gas) Waveform Menu to:

• Change the speed of the N2O(Gas) waveform
• Change the size of the N2O(Gas) waveform
Note — Changes to the speed and size of the N2O(Gas) waveforms


To replace the N2O(Gas) waveform with a different waveform, see
Changing the N2O(Gas) Waveform Speed

The Sweep Speed setting in the N2O(Gas) Waveform Menu determines
Speed” on page 2-31. The N2O(Gas) Sweep Speed options are:
• 3.125 mm/s
• 6.25 mm/s
• 12.5 mm/s
• 25.0 mm/s
Basic Operation
Changing the N2O(Gas) Waveform Size

If the displayed N2O(Gas) waveform is too small or it is clipped, use
Scale setting appears in the N2O(Gas) waveform pane.

To change the display size of the N2O(Gas) waveform:
Step
1 Click on the N2O(Gas) waveform.

The N2O(Gas) Waveform Menu opens.

options:
• 0-25%
• 0-50%
• 0-100%
3 Click Close.
The N2O(Gas) Waveform Menu closes and the N2O(Gas)

Basic Operation
AGT1(Gas) Waveform Settings

sends AGT1(Gas) waveforms to the Efficia CMS200 central
monitoring system.
determine the number of AGT1(Gas) waveforms your monitor can
display.
Use the AGT1(Gas) Waveform Menu to:

• Change the speed of the AGT1(Gas) waveform
• Change the size of the AGT1(Gas) waveform
Note — Changes to the speed and size of the AGT1(Gas) waveforms


To replace the AGT1(Gas) waveform with a different waveform, see
Changing the AGT1(Gas) Waveform Speed

The Sweep Speed setting in the AGT1(Gas) Waveform Menu determines
Speed” on page 2-31. The AGT1(Gas) Sweep Speed options are:
• 3.125 mm/s
• 6.25 mm/s
• 12.5 mm/s
• 25.0 mm/s
Basic Operation
Changing the AGT1(Gas) Waveform Size

If the displayed AGT1(Gas) waveform is too small or it is clipped, use
Scale setting appears in the AGT1(Gas) waveform pane.

To change the display size of the AGT1(Gas) waveform:
Step
1 Click on the AGT1(Gas) waveform.

The AGT1(Gas) Waveform Menu opens.

options:
• 0-2%
• 0-5%
• 0-10%
• 0-20%
3 Click Close.
The AGT1(Gas) Waveform Menu closes and the

AGT1(Gas) waveform size changes.
Basic Operation

sends AGT2(Gas) waveforms to the Efficia CMS200 central
monitoring system.
determine the number of AGT2(Gas) waveforms your monitor can
display.
Use the AGT2(Gas) Waveform Menu to:

• Change the speed of the AGT2(Gas) waveform
• Change the size of the AGT2(Gas) waveform
Note — Changes to the speed and size of the AGT2(Gas)

waveforms on CMS200 do not affect those shown on the bedside
monitor.

To replace the AGT2(Gas) waveform with a different waveform, see
Changing the AGT2(Gas) Waveform Speed

The Sweep Speed setting in the AGT2(Gas) Waveform Menu determines
Speed” on page 2-31. The AGT2(Gas) Sweep Speed options are:
• 3.125 mm/s
• 6.25 mm/s
• 12.5 mm/s
• 25.0 mm/s
Basic Operation
Changing the AGT2(Gas) Waveform Size

If the displayed AGT2(Gas) waveform is too small or it is clipped,
use the Scale option to adjust the size of the waveform. The current
Scale setting appears in the AGT2(Gas) waveform pane.

To change the display size of the AGT2(Gas) waveform:
Step
1 Click on the AGT2(Gas) waveform.

The AGT2(Gas) Waveform Menu opens.

options:
• 0-2%
• 0-5%
• 0-10%
• 0-20%
3 Click Close.
The AGT2(Gas) Waveform Menu closes and the

AGT2(Gas) waveform size changes.
Basic Operation
Displaying the NBP List
Displaying the NBP List

In Waveform Display Mode, a sector displays waveforms on the left
side of the sector and numeric measurements on the right. You can
also choose to display an NBP List in the waveform section of the
sector.
The NBP List displays the Systolic, Diastolic, MAP, and Pulse values
in a tabular format. The most recent NBP measurement appears at
the top of the NBP List.
To display the NBP List in a sector, see “Changing the Waveforms

Displayed in a Sector” on page 2-30. In the Select Waveform list,
select NBP List.
Starting Bedside NBP Measurements from the Efficia

CMS200
Note — If your system administrator has locked the Bedside NBP
option, you cannot initiate bedside NBP measurements from the
Efficia CMS200 central monitoring system.
Use the Bedside Auto Interval option, the Start/Stop NBP button, or
the Start STAT option in the NBP Menu to initiate NBP measurements
at the bedside monitor. You can start NBP interval measurements,
NBP STAT measurements, or just one NBP measurement from the
NBP Efficia CMS200 central monitoring system.
Interval
icon NBP interval settings, including the default NBP interval settings at
the bedside monitor, are synchronized between the bedside
monitor and the Efficia CMS200 central monitoring system. To view
the Interval icon and current interval setting, open the Patient
Window or place the sector in Big Number Display Mode.
If a user initiates an NBP interval at the bedside monitor, but does

not press the NBP key to start interval measurements, the interval
icon flashes in the NBP numeric pane until the NBP key is pressed
at the bedside or the Start/Stop NBP button is selected at the
Basic Operation
Starting Bedside NBP Measurements from the Efficia CMS200
Before initiating a bedside NBP measurement from the Efficia

CMS200 central monitoring system, follow all instructions for
selecting an NBP cuff and placing the cuff on the patient. Also,
verify that the Initial Inflation Pressure setting is appropriate for your
patient. This information is provided in the Instructions for Use for
your bedside monitor.
Warnings Continual NBP measurements can cause injury to the patient.

Weigh the advantages of frequent measurement and/or use of
STAT mode against the risk of injury. Use clinical judgement to
decide whether to perform frequent, unattended blood pressure
measurements on patients with severe blood clotting disorders
because of the risk of hematoma in the limb fitted with the cuff.
In some cases, rapid, prolonged cycling of an NBP cuff has been
associated with any or all of the following: ischemia, purpura, or
neuropathy. Check the patient regularly. Apply the cuff according
to the directions and check the cuff site and cuffed extremity
regularly.
Check the patient’s limb to assure that circulation is not
constricted. Constriction of circulation is indicated by discoloration
of the extremity. Check the limb at regular intervals based on the
circumstances of the specific situation.
Check the connection tubing for kinking to avoid harmful injury to
the patient caused by continuous cuff pressure.
Do not measure NBP on patients with arms with intravenous
infusions, wounds, sicklecell disease, sensitive skin, blood clotting
disorders, frequent measurements, obesity, shivering, arrhythmias
or any condition where skin damage has occurred or is expected to
occur. Measurements taken under such conditions may cause
inaccurate or no measurements.
Do not place the cuff on any extremity where circulation is
compromised or has the potential to be compromised, including an
arm on the side of a mastectomy or lymph node clearance,
extremities being used for intravenous infusion, or when an
arterio-venous (A-V) shunt is present.
In some cases, rapid, prolonged cycling of an NBP cuff has been
associated with any or all of the following: ischemia, purpura, or
neuropathy. Check the patient regularly. Apply the cuff according
to the directions and check the cuff site and cuffed extremity
regularly when blood pressure is measured at frequent intervals or
over extended periods of time.
A cuff that is too loose or too tight can cause inaccurate
measurements. In addition, if the cuff is too loose, it may not
deflate properly.
Basic Operation
Do not apply the blood pressure cuff to the same extremity as the
one to which an SpO2 sensor is attached.
About NBP VeniPuncture

If your Efficia CM bedside monitor is equipped with the NBP
VeniPuncture option and the monitor is placed in VeniPuncture
mode, the VP message appears in the NBP number pane on the
Efficia CMS200. The current cuff inflation pressure appears in
parentheses and a timer displays the amount of time remaining
until VeniPuncture mode ends.
When a bedside monitor is in VeniPuncture mode, you cannot start

or stop NBP VeniPuncture from the Efficia CMS200 central
monitoring system.
Starting NBP Interval Measurements
Caution Before initiating a bedside NBP measurement from the Efficia

CMS200 central monitoring system, follow all instructions for
selecting an NBP cuff and placing the cuff on the patient. See the
Instructions for Use for your bedside monitor.
To start NBP interval measurements from the Efficia CMS200

central monitoring system:
Step
1 Click on the NBP numeric.
The NBP Menu opens.
Basic Operation
2 Click the Bedside Auto Interval list and select one of the
following options:
• Off
• 1 minute (Efficia CM and SureSigns VM monitors)
• 2 minutes (Efficia CM and SureSigns VM monitors)
• 3 minutes
• 5 minutes
• 10 minutes
• 15 minutes
• 30 minutes
• 60 minutes
• 90 minutes
• 120 minutes
• 240 minutes (G30E, G40E and GS20 monitors)
• 480 minutes (G30E, G40E and GS20 monitors)
3 Click the Start/Stop NBP button.
Interval measurements begin at the bedside monitor.

The Interval icon and current interval setting appear in
the Patient Window.
4 To stop the current interval measurement, open the

NBP Menu and click the Start/Stop NBP button.
The current interval measurement stops, but the next

scheduled NBP interval measurement will occur.
5 To turn off interval measurements, open the NBP Menu

and select Off in the Bedside Auto Interval list.
Interval measurements are canceled.
6 Click Close.
The NBP Menu closes.
Basic Operation
Starting NBP STAT Measurements

To start NBP STAT measurements from the Efficia CMS200 central
monitoring system:
Step
The NBP Menu opens.
2 Click the Start STAT button.
The Start STAT button changes to Stop STAT.
The monitor takes as many NBP measurements as

possible within a 5-minute period.
3 To end STAT measurements, click the Stop STAT

button.
Starting One NBP Measurement

To start one NBP measurement from the Efficia CMS200 central
monitoring system:
The NBP Menu opens.
2 Click the Start/Stop NBP button.
One NBP measurement begins at the bedside monitor.
3 To stop the NBP measurement before it completes,

open the NBP Menu and click the Start/Stop NBP button.
4 Click Close.
The NBP Menu closes.
Basic Operation
About the License Key
Warning If the license key is intentionally or accidentally disconnected from

the PC, the license key indicator light flashes red and sounds an
alarm. The License Key Not Detected technical alarm sounds and
displays as a red alarm in the message pane.
Immediately plug in the license key or contact your system
administrator. If the license key remains unplugged for more than
10 minutes, the Efficia CMS200 shuts down and all central
monitoring ceases.
The license key authorizes the use of the Efficia CMS200 software
and performs the following functions:
• Enables the following configuration options:

– The maximum number of beds, up to 64, that can be
connected to the Efficia CMS200
– Single or dual display
• Detects system failures that may cause the Efficia CMS200 to
stop responding or shut down. When this occurs, the license
key issues an audible alarm and the LED flashes red to alert
you to the problem. If the system shuts down, a No Central
Monitoring message appears at all bedside monitors.
When the license key is turned on and securely connected to the

Efficia CMS200, the license key LED is green to indicate that the
system is operating normally.
Replacing the License Key Batteries

The license key LED flashes yellow and the License Key Battery Low
message displays in the message pane when the license key
battery charge is low.
Follow your facility’s policy for equipment failures. Contact your

system administrator or replace the batteries, as described below.
The license key uses two AA alkaline batteries. Replace both
batteries.
Basic Operation
Warning Dispose of used batteries in an environmentally responsible

manner. Do not dispose of the batteries in normal waste
containers. Consult your system administrator about battery
disposal.
To replace the license key batteries:
1 Locate the replacement batteries before you begin.
Warning
If you do not replace the batteries within 10 minutes of
removing the old batteries, the Efficia CMS200 shuts down
and all central monitoring ceases.
2 Use the power switch on the side of the license key to turn it
off.
3 Open the license key battery cover by sliding the cover as

shown.
Basic Operation
4 Insert the new batteries, following the + and – terminal

indicators.
5 Slide the cover back into place.
6 Turn the license key on.

If the batteries are installed correctly, the license key LED
turns green. If the batteries are installed incorrectly, the
license key sounds an alarm and the LED flashes yellow.
Warning
If you do not turn the license key on after replacing the
batteries, the Efficia CMS200 shuts down and all central
monitoring ceases.
Basic Operation
Safety
Safety
Accessory equipment connected to the Efficia CMS200’s data
interface must be certified according to IEC Standard 60950 for
data-processing equipment or IEC Standard 60601-1 for
electromedical equipment. All combinations of equipment must be
in compliance with IEC Standard 60601-1 system requirements.
Anyone who connects additional equipment to the signal input port

or signal output port configures a medical system and is therefore
responsible to ensure that the system complies with IEC Standard
60601-1 system requirements. If in doubt, contact the Philips
Customer Care Solutions Center.
Warnings • Do not dispose of this product (or any parts of it) in industrial
or domestic waste. The system may contain hazardous
substances that can cause serious environmental pollution.
The system also contains privacy sensitive information. Philips
recommends that you contact your authorized service provider
before disposing of this product.
• To avoid contaminating or infecting personnel, the

environment or other equipment, disinfect and decontaminate
the system before disposing of it in accordance with your
country’s laws. For more information, see the resources listed
below.
• Philips Medizin Systeme Böblingen GmbH gives support for:

• Recovery of reusable parts
• The recycling of useful materials by competent disposal
companies
• Safe and effective disposal of equipment
• For advice and information, contact your authorized service

provider and see https://www.philips.com/a-w/about/
environmental-social-governance/environmental/circular-
economy/recycle.html for more information.
• Before disposing of the Efficia CMS200, delete all patient

information. For instructions on deleting patient data, see the
Efficia CMS200 Central Monitoring System Service Guide.
Basic Operation
Safety
• If you spill liquid on the equipment, contact your authorized

service provider to verify the performance and safety of the
system.
• To ensure proper operation, periodically remove dirt and dust

from the PC vents, keyboard, and mouse.
• The use of accessories and cables other than those specified in

the product documentation can result in increased emissions
or decreased immunity of the product.
• The product should not be used next to or stacked with other

equipment. If you must stack the product, you must check that
normal operation is possible before the product is used.
• Failure to implement a satisfactory maintenance schedule may

cause undue equipment failure and possible health hazards.
• Patient data sent from the monitor to the Efficia CMS200

central monitoring system is not encrypted. The Efficia
CMS200 network is implemented as an isolated, dedicated
network. To protect electronic protected health information
(ePHI), precautions should be in place to restrict access to the
isolated, dedicated Efficia CMS200 network.
• Do not connect the Efficia CMS200 to a multiple socket outlet.
Basic Operation
Safety
Basic Operation
3
Managing Patient Information
You can admit a patient at either the Efficia CMS200 central

monitoring system or the bedside monitor.
This chapter describes how to admit and discharge patients at the

Efficia CMS200 central monitoring system. It also describes how to
transfer patients, pre-admit patients, edit patient information and
view backed up patient information.
For information about admitting and discharging patients at the

bedside monitor, see Chapter 7, “Bedside Monitoring.”
Patient ID Overview
This section describes the patient ID input fields and the patient list,
which appear in both the Admit Patient window and the Manage
Patient List window.
Patient ID Fields
Your system administrator configures the Efficia CMS200 central
monitoring system to display any or all of the following patient ID
fields in the Admit Patient window and the Manage Patient List
window:
• Patient Type
• MRN
• Transaction ID
• First Name
• Middle Name
• Last Name

Patient ID Overview
• Age
• Date of Birth
• Gender
• Location ID
• Operator ID
• Admit Time
• Weight
• Height
• Department
Notes
• For information on the patient ID fields available on your
monitor, see the Instructions for Use for your bedside
monitor.
• The Admit Patient Menu and the Manage Patient List window
will contain either an Age input field or Date of Birth input
field, but not both.
Your system administrator configures a primary ID, which can be the

MRN or Transaction ID. The primary ID is enclosed in brackets.
The primary ID appears in the sector title bar.
Your system administrator also specifies whether an ID field is

required. An asterisk (*) appears next to all required patient ID
fields. You cannot admit the patient or save the ID to the patient list
until all required fields are complete.
The settings for displayed patient ID fields, primary ID, and required
fields are synchronized between the bedside monitor and the
Efficia CMS200 central monitoring system. The patient ID settings
at the Efficia CMS200 central monitoring system override the
settings at the bedside monitor.

Admitting a Patient
The Patient List

Efficia CMS200 central monitoring system holds 20,000 patients at
maximum. The total number is shown in the Manage Patient List
window.
The patient list in the Admit Patient window and the Manage Patient
List window displays all current and previously admitted patients. A
green row indicates that the patient is currently admitted and
assigned to a sector at the Efficia CMS200 central monitoring
system. The Bed/Monitor column displays the current bed/monitor
assignment. A white row indicates that the patient was previously
admitted, but is not currently assigned to a sector.
Note — Unless a patient ID has been explicitly deleted in the Manage

Patient List window, the patient ID remains in the patient list for a
minimum of 10 days after a patient has been discharged. Trend
data and patient ID settings are configured by your system
administrator in the password-protected System Admin tab.
By default, the patient list is sorted by primary ID. To change the

sorting order, click the column title for the column you want to sort.
To change the column width, drag the column divider in the column
title bar.
When the number of the patient reaches the maximum, the system
deletes the oldest non-active patient.
Admitting a Patient
You can admit a patient at either the Efficia CMS200 central
monitoring system or the bedside monitor. When you admit a
patient at the Efficia CMS200, that patient is also admitted at the
bedside monitor.
When admitting a patient, ensure that alarms are set to the

intended levels at the bedside and at the Efficia CMS200 central
monitoring system.

Admitting a Patient
Use one of the following methods to admit a patient in the Admit

Patient window:
• Enter new patient information in the patient ID fields.

• Select an existing patient ID from the patient list or use the
Search option to find the patient ID in the list.
When you start a new patient or discharge the previous patient, the
patient ID is displayed as ID Unknown at the monitor and at the
Efficia CMS200 central monitoring system until you admit the
patient.
The monitor does not require that you admit the patient before you
begin monitoring, so it is possible to collect and temporarily store
patient data for a patient with an ID of ID Unknown. During the admit
process, a message asks if you want to transfer the existing data to
the new patient ID. If you started monitoring the patient before
admitting the patient, select Yes to merge the data. If you did not
start monitoring the patient before admitting the patient, select No.
Caution Perform a discharge before admitting a new patient. This ensures

that data from a previous patient is not mixed with data from the
new patient. It also ensures that alarm limits, the patient type, and
the pace detection setting return to default settings.
Considerations
Before entering information in the patient ID input fields in the Admit
Patient window, note the following:
• If you do not enter a primary ID, the patient is admitted as ID

Unknown. Information entered in the remaining ID fields is not
saved.
• If you enter a primary ID that already exists in the patient list,
but you enter a different patient type, a message informs you
that you cannot edit an existing patient ID. For information
about editing existing patient IDs, see “Editing Existing Patient
Information” on page 3-14.

Admitting a Patient
• You must enter information in all required fields. An asterisk

appears next to all required fields.
• Patient ID fields are not case-sensitive and can contain all
alphanumeric characters, including special characters.
You can use one of the following ways to enter patient ID in the
Patient ID fields:
• by using a keyboard.
• by using a standard barcode scanner to scan one patient ID at
a time.
• by using a programmed barcode scanner to transfer the
scanned information to the corresponding patient ID field.
Prior to using the barcode scanner, make sure you are familiar with
the barcodes used by the device.
If a standard barcode scanner is used, you can only scan one

barcode at a time. Make sure you are scanning the barcode that
corresponds to the patient ID field of the Efficia CMS200. If a
programmed barcode scanner is used, the scanned information will
be transferred to the corresponding patient ID field on Efficia
CMS200.
In order to scan the barcode properly:
• hold the scanner close to the object when scanning a small

barcode and keep some distance for a large barcode.
• keep the patient wrist strip flat with the barcode visible.
• make sure the barcode is intact.
• allow at least a second interval between two scans.

Admitting a Patient
Entering a New Patient ID in the Admit Patient Window

To enter new patient information in the Admit Patient window:
1 In the sector in which you are going to admit the patient, verify that the
bed/monitor name is accurate.
Do one of the following:
• If the bed/monitor name is correct, go to step 2.
• To change the bed/monitor name, see “Renaming a Bed/Monitor” on
page 2-20. After changing the bed/monitor name, proceed to step 2.
2 Click in the patient ID section of the sector title bar, and then click Admit
Patient in the menu that appears.
The Admit Patient window opens. A list of saved patient IDs appears on
the left and the patient ID input fields appear on the right of the window.
3
Warning
Before you begin monitoring, make sure that the correct patient type is
selected. The default alarm limits and initial NBP inflation pressure are
based on the selected patient type.
Verify that the patient type is correct. Do one of the following:
• If the patient type is correct, go to step 4.

• To change the patient type, click the Patient Type list and select one of
the following options:
– Adult
– Pediatric
– Neonatal
Changes made to the patient type settings at the Efficia CMS200 central
monitoring system are sent to the bedside monitor.
4 Enter information in the patient ID fields with the keyboard or a barcode

scanner. See “Considerations” on page 3-4.
If you make a mistake and want to start over, click the Clear Entry button.

Admitting a Patient
5 Click the Admit button. The following occurs:

• A message asks if you want to merge the stored data with the patient
you just admitted. Do one of the following:
– If this patient was being monitored at the bedside before being
admitted at the Efficia CMS200 central monitoring system, click
Yes to merge the stored data.
– If this patient was not being monitored at the bedside before

being admitted at the Efficia CMS200 central monitoring
system, click No.
• If the previous patient ID was ID Unknown and the previous patient
type does not match the patient type entered in step 3, the stored
trend data is cleared from both the bedside monitor and the Efficia
• If a patient with the same patient ID is already being monitored at a
different bed, a message appears to inform you of this.
• If the Admit Time input field is enabled, but the field is blank, the
system populates the field with the current date and time.
The Admit Patient window closes. The patient is admitted to the selected
sector and the new patient ID is saved to the patient list. The new patient
ID is sent to the bedside monitor.
6 Verify that:
The patient’s NBP interval settings are correct. For more information
about NBP interval settings, see “Starting Bedside NBP Measurements
from the Efficia CMS200” on page 2-60.
• The patient’s paced setting is correct. The default Pace Detection
setting is On. For information about changing the Pace Detection
setting, see “Enabling Pace Pulse Detection” on page 2-36
• The alarm settings are appropriate for the patient.

Admitting a Patient
Selecting an Existing Patient ID in the Admit Patient Window

The following procedure describes how to admit a patient that was
pre-admitted at the Efficia CMS200 central monitoring system. For
more information, see “Pre-Admitting Patients” on page 3-12.
For information on transferring a patient from one bed/monitor to

another bed/monitor, see “Transferring a Patient” on page 3-10.
To admit a patient by selecting an existing patient ID from the

patient list:
1 In the sector in which you are going to admit the patient, verify that the
A green patient ID in the patient list indicates that the patient is already
admitted to another sector at the Efficia CMS200 central monitoring
system.
3 Use one of the following methods to select the patient to admit:

• Highlight the desired patient ID in the patient list.
• Click the Search button to open the Patient Search window. Enter
information in any field to filter your search results, and then click OK.
Highlight the patient ID in the filtered patient list.

Discharging a Patient
4 Click the Admit button.

A message asks if you want to merge the stored data with the patient you
just admitted. Do one of the following:
• If this patient was being monitored at the bedside before being
admitted at the Efficia CMS200 central monitoring system, click Yes
to merge the stored data.
• If this patient was not being monitored at the bedside before being
admitted at the Efficia CMS200 central monitoring system, click No.
The Admit Patient window closes and the patient is admitted to the
selected sector. The new patient ID is sent to the bedside monitor.
5 Verify that:
• The patient’s NBP interval settings are correct. For more information
about NBP interval settings, see “Starting Bedside NBP
Measurements from the Efficia CMS200” on page 2-60.
• The patient’s paced setting is correct. The default Pace Detection
setting is On. For information about changing the Pace Detection
setting, see “Enabling Pace Pulse Detection” on page 2-36
• The alarm settings are appropriate for the patient.
When you discharge a patient from the Efficia CMS200 central
monitoring system, the patient is discharged from the sector and
from the bedside monitor. The monitor stops collecting data for the
discharged patient and the patient ID changes to ID Unknown at the
Efficia CMS200 central monitoring system and at the bedside
monitor.
Following a discharge, the patient ID and associated trend data are

saved in the patient database for 10, 20, or 30 days. When the trend
data is deleted, the patient ID may remain in the patient list or it is
deleted at the same time the trend data is deleted. The trend data
storage settings are configured by your system administrator in the
password-protected System Admin tab.

Transferring a Patient
To discharge a patient:
1 Click the patient ID section of the sector for the patient you want to
discharge.
2 In the menu that appears, click Discharge Patient.
A message asks if you are sure you want to discharge the patient.
3 Click OK.
The patient is discharged from the Efficia CMS200 central monitoring

system and the bedside monitor.
To transfer a patient from one bed or monitor to a different bed or
monitor, you must discharge the patient from the current bed or
monitor and readmit the patient to a different bed or monitor.
When you discharge a patient, the patient ID and trend data are not
immediately deleted from the Efficia CMS200 database. The
patient ID and trend data for the discharged patient remains in the
Efficia CMS200 database for a minimum of 10 days, allowing you to
readmit or transfer the patient and the patient’s trend data to a
different bed or monitor.
To transfer a patient:
1 Click the patient ID section of the sector for the patient you want to
transfer.
2 In the menu that appears, click Discharge Patient.
3 Click OK.
The patient is discharged from the sector and the bedside monitor. The
patient ID and trend data remain in the Efficia CMS200 database.

4 In the sector in which you are going to readmit the patient, verify that the
6 Use one of the following methods to select the patient to admit:

• Highlight the patient ID in the patient list.
• Click the Search button to open the Patient Search window. Enter
information in any field to filter your search results, and then click
OK.
7 Click the Admit button.
The Admit Patient window closes and the patient ID and trend data are
transferred to the selected sector. The new patient ID is sent to the
bedside monitor.
A dashed blue line appears in the Tabular, Graphical, and ECG trend
review tabs to indicate a gap in monitoring.
8 Verify that the patient’s NBP interval settings and pace detection settings
are correct.

Pre-Admitting Patients
Use the Manage Patient List window to pre-admit one or more
patients before you begin monitoring. The information you enter is
saved to the patient list so that you can admit the patient to a
sector at a later time.
The patient list database can store up to 1,000 patient IDs. If you try
to save more than 1,000 patient IDs, the system deletes the oldest
patient ID for a patient that is not currently admitted at the Efficia
CMS200 central monitoring system. The total number of patients
currently in the patient database appears in the upper right corner
of the Manage Patient List window.
The patient ID fields that appear in the Manage Patient List window
depend on how your system is configured. For more information,
see “Patient ID Overview” on page 3-1.
Considerations
Before entering information in the patient ID input fields in the
Manage Patient List window, note the following:
• If you do not enter a primary ID, a message appears prompting

you to enter a primary ID.
• If you enter a primary ID that already exists in the patient list, a
message informs you that the patient primary ID already exists
and asks if you want to edit the associated patient information
for the primary ID. See “Editing Existing Patient Information”
on page 3-14.
• If the Admit Time input field is enabled, but the field is blank,
the system populates the field with the current date and time
after you click the Save to List button.

To pre-admit one or more patients at the Efficia CMS200:
1 Click the Manage Patient List button in the toolbar.
The Manage Patient List window opens. Patient ID input fields

appear on the left and a list of saved patient IDs appears on the
right side of the window.
2
Warning
If the patient type is correct, go to step 3.

To change the patient type, click the Patient Type list and select one of the
following options:
• Adult
• Pediatric
• Neonatal
3 Enter information in the patient ID fields with the keyboard or a barcode

scanner. See “Considerations” on page 3-12.
If you make a mistake and want to start over, click the Clear Entry button.
4 Click the Save to List button.
The new patient ID is saved to the patient list.
5 Click the Close button to close the Manage Patient List window.

Editing Existing Patient Information

After you admit or pre-admit a patient at the Efficia CMS200
central monitoring system, you can edit the patient’s information.
Any changes made at the Efficia CMS200 are sent to the bedside
monitor.
To edit patient information, open the Manage Patient List window or

select the Edit Patient option from the patient sector.
You cannot edit patient IDs in the Admit Patient window or at the
bedside monitor.
Considerations
Before editing an existing patient ID, note the following:
• If you modify the primary ID, the current primary ID and

associated patient information remains in the patient list and
the system creates a new entry in the patient list with the new
primary ID.
• If the patient is currently assigned to a sector, and you try to
change the patient type, a message informs you that you
cannot change the patient type while the patient is being
monitored.
• If a patient ID is ID Unknown, you must use the Admit Patient
option to change the ID. After you change the ID from ID
Unknown to a specific ID, a message asks whether you want to
transfer the existing data to the new patient.

Using the Manage Patient List Window

To edit existing patient information in the Manage Patient List
window:
The Manage Patient List window opens. Patient ID

input fields appear on the left and the patient list appears
on the right side of the window.
2 Use one of the following methods to select the patient:

• Highlight the patient ID in the patient list.
• Click the Search button to open the Patient Search
window. Enter information in any field to filter your
search results, and then click OK.
3 Edit the patient information in the corresponding patient

ID input fields on the left.

5 If a message appears, click OK to update the patient
information.
Changes are saved to the patient list, and, if the patient is

currently admitted, the patient ID is updated in the
assigned sector and at the bedside monitor.
6 Click Close to close the Manage Patient List window.

Using the Edit Patient Option

To edit existing patient information using the Edit Patient option:
Note — The Edit Patient option is unavailable in the sector menu if

the current patient ID is ID Unknown.
1 Click in the patient ID section of the sector title bar, and

then click Edit Patient in the menu that appears.
The Manage Patient List window opens. The information for

the selected patient appears in the patient ID input fields
on the left side of the window.
2 Edit the patient information in the patient ID input fields.

4 If a message appears, click OK to update the patient
information.
Changes are saved to the patient list, and, if the patient is

currently admitted, the patient ID is updated in the
assigned sector and at the bedside monitor.

Removing a Patient from the Patient List
Removing a Patient from the Patient List
Caution Removing a patient from the patient list also deletes the patient’s
trend data.
Note — You cannot remove patients that are currently being

monitored on the Efficia CMS200 central monitoring system.
To remove a patient from the patient list:

input fields appear on the left and a list of saved patient
IDs appears on the right side of the window.
2 Highlight the patient you want to remove/delete from the

patient list. Use the Shift or Ctrl key to highlight multiple
patients in the list.
3 Click the Remove from List button.

4 When prompted, click OK to remove the patient.
The patient is deleted from the patient list.

Viewing the Patient’s Backup Data
Viewing the Patient’s Backup Data

When the trend database is full of patient’s data, and Delete Online
Patient Data (this setting is password-protected) is set to Never, the
system backs up the patient data automatically. If you want to
change the Delete Online Patient Data setting, contact your system
administrator.
To view the patient’s backup data:

input fields appear on the left and a list of saved patient
IDs appears on the right side of the window.
2 Click the View Backup Patient button.

The Backup Patient List window opens. In this window all
the backup patients are listed.
3 Perform one of the following actions to select a patient:

• Highlight the desired patient ID in the patient list.
• Click the Search button to open the Search window.
Enter the keyword in a field and then click OK to filter
the patients. Highlight the desired patient ID in the
filtered patient list.
4 Click View Trend Data button to view the patient’s backup

date in the View Trend Data window.

4
Reviewing Trend Data
The View Trend Data window provides several different views of a

patient’s physiological parameters and alarm events that have been
collected from a bedside monitor and stored in the Efficia CMS200
database. The Efficia CMS200 central monitoring system provides
the following trend data views:
• Tabular Trend
• NBP Trend
• Graphical Trend
• Alarm/Event (event review available only when using Efficia
CM monitors)
• ECG
• Full Disclosure
• ABPM Analysis
• HRV Analysis
• EWS (Early Warning Score)
For information about printing trend data, see Chapter 6, “Printing.”
Trend Data Overview

The trend database can store up to 240 hours (10 days) of the
following trend data for each patient:
• Numeric values
• ECG waveforms
• NBP records
• Physiological alarm events
• Full disclosure waveform data
• Manual events (for Efficia CM monitors only)

Trend Data Overview
After 240 hours, the oldest data is deleted to make room for newer
data.
Note — Waveforms saved to the trend database are compressed.
A question mark (-?-) indicates an invalid measurement and a dash

(-) indicates that the parameter was not measured.
After a patient is discharged, the patient ID and associated trend

data are saved in the patient database for 10, 20, or 30 days. When
the trend data is deleted, the patient ID may remain in the patient
list or it is deleted at the same time the trend data is deleted. The
trend data storage settings are configured by your system
administrator in the password-protected System Admin tab.
When the trend database is full of patient’s data, and Delete Online
Patient Data (this setting is password-protected) is set to Never, the
system backs up the patient data automatically. If you want to view
the patient’s backup data, see “Viewing the Patient’s Backup Data”
on page 3-18.
If a patient is being monitored as ID Unknown, the trend data is

temporarily saved at the Efficia CMS200. After you assign a patient
ID, you are prompted to either merge the temporary data with the
new patient ID you entered or discard the temporary data.
However, if you turn off the bedside monitor, disconnect the
monitor from the Efficia CMS200 central monitoring system, or
discharge a patient with ID Unknown, the trend data for that patient
is deleted.
In addition, you must admit a patient with a primary patient ID to

export the patient’s trend data to the Electronic Health Record
(EHR).
To protect the patient’s privacy, the patient’s first name, middle

name and last name are shown as asterisks (*) to de-identify the
personal data when exporting data to the EHR.

Trend Data Overview
The View Trend Data Window

To open the View Trend Data window, you click the patient name in
a sector and click the View Trend Data button.
The first time you open the View Trend Data window, the Tabular
Trend tab appears by default. If you select a different tab, the
system remembers the tab you selected and displays the selected
tab the next time you open the View Trend Data window.
Each tab in the View Trend Data window has a Refresh button. Click
the Refresh button to update the trend data in the displayed tab.
The following information appears above the tabs in the View Trend
Data window for the currently selected bed/monitor:
• The bed/monitor name.

• The patient ID.
To view all patient ID information, position the mouse pointer
over the patient ID.
• The current Display Interval or Time Scale setting (for Tabular
and Graphical trends, respectively).
• The date and time monitoring started to the current date and
time or the date and time monitoring stopped.
• The total number of hours of trend data stored in the trend
database for the selected patient.
Viewing Trend Data for a Different Patient

After opening the View Trend Data window from a sector, you can
click the Select Patient button in any of the trend tabs to view trend
data for a different patient.
In the Select Patient window, a green row indicates that the patient,
including those patients identified as ID Unknown, is currently
admitted and assigned to a sector at the Efficia CMS200 central
monitoring system. A white row indicates that the patient was
previously admitted, but is not currently assigned to a sector.

Trend Data Overview
By default, the patient list in the Select Patient window is sorted by

primary ID. To change the sorting order, click the column title for the
column you want to sort.
Note — You cannot edit existing patient information or enter new

patient information in the Select Patient window.
To view trend data for a different patient:
Step
1 In the View Trend Data window, click the Select Patient button.
The Select Patient window opens.
2 Select a patient from the list.
3 Click the Select button.
The trend data for the selected patient appears.
Searching for Trend Data by Date and Time

You can select the Go To button in any of the trend displays (expect
the ABPM Analysis and HRV Analysis tabs) to locate trend date by
date and time.
Step
1 In the desired patient sector, click the patient ID, and then click View
Trend Data in the menu that appears.
The View Trend Data window opens. The bed/monitor name and the
patient ID appear in the upper left corner of the window.
2 Click the desired trend tab.

Viewing Tabular Trend Data
3 Click the Go To button.

The Enter Date/Time window opens. The time range and the total number
of hours of available trend data appear in the window.
4 Select the entry field.
5 In the window that appears, select a date and time within the available
range and select OK.
6 Select OK to close the Enter Date/Time window.

The Tabular Trend tab displays patient data in a tabular format of
columns and rows. The most recent data appears in the top row of
the Tabular Trend display. Each row begins with the time the
measurements were taken, followed by the measurement values.
Note — Parameters not supported by the bedside monitor display

as blank values in the trend table.
When an Efficia CM series or a SureSigns VM series monitor is

connected, a question mark (-?-) in a row indicates an invalid
measurement and a dash (-) indicates that the parameter was not
measured. When a G30E or a G40E monitor is connected, a dash
(-?-) indicates an invalid measurement or the parameter was not
measured. Any measurement that exceeds alarm limits is enclosed
in a box.
A horizontal, dashed blue line between rows indicates a gap in

monitoring. A horizontal, solid blue line indicates that a date/time
adjustment of more than 60 seconds occurred.
title bar.
To view trend data for a different patient, see “Viewing Trend Data
for a Different Patient” on page 4-3.

Changing the Display Interval

The Efficia CMS200 stores all continuous measurements in the
trend database at 1-second intervals and all aperiodic
measurements (for example, NBP) at the time the measurement is
started. You can configure the Tabular trend display to show all
stored measurements or you can select a different interval value, as
described below.
The Display Interval setting remains in effect until you explicitly

change it.
To change the display interval in the Tabular Trend tab:
Step
2 Click the Tabular Trend tab.
The Tabular Trend tab opens.
3 To update the displayed data, click the Refresh button.
4 Click the Interval button.
The Interval Menu opens.
5 Click the Display Interval list and select one of the following options: All, 15
seconds, 30 seconds, 1 minute, 3 minutes, 5 minutes, 10 minutes, 15 minutes, 30
minutes, 1 hour, 1.5 hours, and 2 hours.
6 Click the Close button.
The Interval Menu closes and the new Display Interval is saved.

Changing the Displayed Parameters

The Tabular Trend tab can display all available parameters.
The Settings Menu may contain parameters that are not available on
your monitor. If you select a parameter that is not available on your
monitor, the column header appears in the Tabular Trend display, but
the column is blank.
If a parameter is selected in the Settings Menu, but that parameter is

not currently being measured, the column header appears in the
Tabular Trend tab, but the column displays a dash. If a parameter is
not selected in the Settings Menu, the column for the parameter is
removed from the Tabular Trend tab.
Note — You cannot change the order in which the parameters are
displayed.
All parameters in the Settings Menu are selected by default.

To change the displayed parameters:
Step
2 Click the Tabular Trend tab.
The Tabular Trend tab opens.

Viewing NBP Trend Data
4 Click the Settings button.
The Settings Menu opens. Nine parameters are selected by default. To

change the parameters to be trended, select or clear the associated
check boxes. To select all check boxes, click the Select All button. To clear
all check boxes, click the Clear All button.
5 Select or clear the check boxes next to each parameter.
6 Click the Close button to save the settings and close the Settings Menu.

The NBP Trend tab displays all NBP measurement values for the
selected patient in a tabular format of columns and rows. The most
recent data appears in the top row of the NBP Trend tab. Each row
contains the date and time of the NBP measurement and all other
measurements recorded at the time the NBP measurement
occurred.
When an Efficia CM series or a SureSigns VM series monitor is

connected, a question mark (-?-) in a row indicates an invalid
measurement and a dash (-) indicates that the parameter was not
measured. Any measurement that exceeds alarm limits is enclosed
in a box.
When a G30E or a G40E monitor is connected, a dash (-?-)

indicates an invalid measurement or the parameter was not
measured.
A horizontal, solid blue line between rows indicates that a date/

time adjustment of more than 60 seconds occurred.
title bar.


The NBP Trend tab can display all available parameters.
monitor, the column header appears in the NBP Trend display, but
the column is blank.

not currently being measured, the column header appears in the
NBP Trend tab, but the column displays a dash. If a parameter is not
selected in the Settings Menu, the column for the parameter is
removed from the NBP Trend tab.
displayed.

Step
1 In the desired patient sector, click the patient ID, and then click View Trend
Data in the menu that appears.
2 Click the NBP Trend tab. The NBP Trend tab opens.
4 Click the Settings button.
The Settings Menu opens. Nine parameters are selected by default. To

change the parameters to be trended, select or clear the appropriate
check boxes. To select all check boxes, click the Select All button. To clear
all check boxes, click the Clear All button.

Viewing Graphical Trend Data

The Graphical Trend tab displays patient data in a line graph format.
Parameter values are plotted vertically along the y-axis of the
graphical display and a time range appears along the horizontal x-
axis. The most recent measurements appear on the right side of the
graph and the data scrolls to the left, so the oldest data appears on
the far left side of the graph.
Current Time Monitoring start Current time Total

Scale setting time monitoring
time
Time Scale:1 hour 08/05/2021 11:00:05 AM - 08/05/2021 04:07:10 PM Total 5h:7m
Bed 3 Adult - MRN 012345 08/10/2021 03:56:05 PM

Smith, John R Time Scale:1 hour 08/10/2021 06:21:46 PM Total 2h:26m
Pulse(bpm)
Pulse: 230
81:
180
130
80
30
NBP(mmHg)
250
Sys:
120
Dia: 200
80
150
MAP:
93
100
50
08/05/2021 03:07:10 PM 08/05/2021 04:07:10 PM
Color-coded dot 1-hour range, based Scroll to the Scroll up/

indicates alarm on Time Scale setting left to view down to view
older data all
measurements

Notes
• Depending on the amount of data and the Time Scale
setting, the screen may take a few seconds to refresh
when using the scroll bar to view graphical trend data.
• The timestamps for both trend data and aperiodic
measurements are from the bedside monitor.
• Parameters not supported by the bedside monitor
display with blank values in the graph.
Parameter labels appear on the left side of the graph. Use the
vertical scroll bar to scroll through the parameter graphs. Use the
horizontal scroll bar to move the graphical display forward or
backward in time. The timestamps on the bottom of the graphical
display indicate the time range of the currently displayed trend
data. The displayed time range is based on the current Time Scale
setting.
If a physiological alarm occurs, a small dot appears along the

bottom of the graph. The color of the dot indicates the alarm
priority: red for high priority, yellow for medium priority, and blue
for a low priority alarm.
NBP and predictive temperature measurements, which are

aperiodic measurements, appear as data points, or dots, in the
Graphical Trend display. The NBP Systolic value is a pink dot,
Diastolic is a yellow dot, MAP is a green dot, and predictive
temperature is a green dot.
For ABP, ART, Ao, P, PAP and UAP values, the Systolic value is a
pink dot, Diastolic is a yellow dot, and Mean is a green dot. For CVP,
ICP, LAP, RAP and UVP values, a numeric value appears.
A vertical, dashed blue line between rows indicates a gap in

monitoring. A vertical, solid blue line indicates that a date/time


The Graphical Trend tab can display graphs for all parameters.
monitor, the parameter label and graph appear in the Graphical
Trend display, but the column is blank.

not currently being measured, the parameter label and graph
appear in the Graphical Trend tab, but the graph is blank. If a
parameter is not selected in the Settings Menu, the parameter label
and graph are removed from the Graphical Trend tab.
displayed.

Step
2 Click the Graphical Trend tab. The Graphical Trend tab opens.
4 Click the Settings button. The Settings Menu opens. Nine parameters are
selected by default.
5 Select or clear the check boxes next to each parameter.

To select all check boxes, click the Select All button. To clear all check
boxes, click the Clear All button.

Changing the Resolution of the Graphical Trend Data

Changing the Time Scale setting in the Graphical Trend tab increases
or decreases the resolution of the data in the graphical display.
To change the time scale:
Step
2 Click the Graphical Trend tab.
The Graphical Trend tab opens.
4 Click the Time Scale button.
The Time Scale Menu opens.
5 Click the Time Scale list and select one of the following options: 15
minutes, 30 minutes, 1 hour, 2 hours, 4 hours, 8 hours, 12 hours, or 24 hours.
6 Click the Close button.
The Time Scale Menu closes and the new Time Scale setting is saved. The
current setting appears in the top of the Graphical Trend tab.

Viewing EWS Trend Data
Viewing EWS Trend Data

The EWS tab displays the total Early Warning Score assessment
retrieved from the desktop/monitor. The most recent data appears
in the top row. Each row contains the date and time of the EWS
assessment and any other measurements recorded at the time the
EWS assessment occurred.
The first column in the EWS tab contains the date and time. The
second column shows which Protocol was used by the bedside/
monitor. The third column indicates the total EWS score. The
remaining columns (if available) display criteria subscores. They are
configured by the bedside/monitor and will display as empty if the
subscore column is not configured by the protocol.
The total EWS score is displayed inside a colored circle. The criteria
subscore (if available) is displayed next to a colored circle. In the
following example, an EWS score of 10 was returned along with a
subscore for Age. The subscore for SpO2 and HR was only
displayed when available.
Date/Time Protocol EWS Age SpO2 HR Select Patient

2021-09-01 15:42:56 COVID-19 10 3 7
Refresh
2021-09-01 15:41:15 COVID-19 10 3 7
2021-09-01 15:41:10 MEWS 10 4 6 GoTo
The parameters and scoring for EWS is defined in the bedside/

monitor by your biomedical engineer. The color of the circle
depends on the ranges defined for risk bands.
To update the displayed data, click the Refresh button.

To search for trend data by date and time, see “Searching for Trend
Data by Date and Time” on page 4-4.

Viewing Alarms and Events

The Alarm/Event tab displays all physiological and technical alarms
for the selected patient. The most recent alarm appears at the top
of the alarm list on the left side of the window.
Each alarm entry contains the following information:
• The date and time the alarm occurred.

• The alarm message and associated numeric value for
physiological alarms.
• The alarm priority. The priority is color-coded: red for high
priority, yellow for medium priority, and blue for a low priority
alarm.
To change the column width in the alarms list, drag the column
divider in the column title bar.
A vertical, solid blue line between rows indicates that a date/time

When you highlight an alarm in the alarms list, a vertical white line
appears in the waveform pane at the point in time at which the
highlighted alarm occurred. The corresponding time appears below
the waveform pane. In addition, a list of all measurement values at
the time that the alarm occurred appears to the right of the
waveform pane.

Changing the Displayed Alarms and Filtering the Priority List

The alarms list can display alarms for up to 11 parameters. Use the
Settings Menu to filter the parameters and the alarm priority level for
alarms that appear in the alarms list.
Warning If you clear all Priorities check boxes in the Settings Menu, the Alarm/
Event tab will not display any alarms.
All measurements and alarm priorities in the Settings Menu are

selected by default. Changes to the measurement and alarm
priority settings revert to default settings when the Alarm/Event
window is closed, another tab is selected, or a different patient is
selected.
To change the alarms displayed and filter the alarm priority in the
alarms list:
Step
2 Click the Alarm/Event tab. The Alarm/Event tab opens.

4 Click the Settings button. The Settings Menu opens. It has two tabs—Alarm
and Wave.
5 On the Alarm tab, select or clear check boxes to specify the following:
• The parameter types you want displayed for each alarm
• The priorities you want applied to each alarm
For example, to display only high- and medium-priority alarms in the
alarms list, clear the Low check box and leave the High and Medium
check boxes selected.
To select all check boxes on the Alarm tab (both parameters and
priorities) click the Select All button. To clear all check boxes, click the
Clear All button.

6 On the Alarm tab, click the Arrhythmia Alarm button to open the
Arrhythmia Alarm Settings Menu.
Select or clear check boxes to specify the arrhythmia alarms you want
displayed in Alarm/Event list.
7 On the Wave tab, select or clear check boxes to specify the waveform
types you want displayed for each alarm.

Viewing ECG Waveforms for an Alarm Event

The Alarm/Event tab also displays an ECG waveform if ECG was
being monitored at the time the alarm occurred. If ECG was not
being monitored at the time the alarm occurred, the waveform pane
displays a flat waveform.
To view the ECG waveform associated with an alarm
Step
2 Click the Alarm/Event tab.
The Alarm/Event tab opens.
4 Select an alarm in the alarms list.
The ECG waveforms display the values that occurred 7 seconds before
and 13 seconds after the alarm occurred. A vertical white line on the
waveform marks the time that the alarm occurred.
5 Use the Waveform Scale button to adjust the size of waveforms. When you
change the scale setting, the 1 mV calibration bar in the waveform
waveform pane.
Note — Changing the scale of the uncompressed waveform does not

change the scale of the ECG wave in the sector.

Viewing ECG Waveforms

The ECG tab displays a compressed ECG waveform for the selected
patient. Each row displays a one-minute segment of the ECG wave
and the corresponding time for the segment. The most recent
segment appears at the bottom of the ECG waveform pane. To view
older segments, use the vertical scroll bar next to the compressed
wave.
A vertical, dashed blue line between rows indicates a gap in
monitoring. A vertical, solid blue line indicates that a date/time
To view an ECG waveform for a different patient, see “Viewing
Trend Data for a Different Patient” on page 4-3.
Viewing Uncompressed ECG Segments
You can select a segment of the compressed ECG waveform to
display an uncompressed, 18-second segment of the ECG wave at
the bottom of the ECG tab. The uncompressed waveform displays
the 1 mV calibration marker, the current scale setting, and the
current ECG lead, as configured in the sector. The waveform speed
is fixed at 25 mm/s.
To view an uncompressed segment of the ECG waveform:
Step
2 Click the ECG tab. The tab opens and displays the waveform selected in
the ECG list button, which is located above the Waveform Scale button.
4 To view a different waveform, click the ECG list button and select the
waveform you want to view.
Note — The waveform button displays the name of the currently selected
waveform.

5 Click the section of the compressed waveform you want to view.

A white box is drawn around the selected area. The waveform in the box
is 18 seconds long.
The uncompressed view of the 18-second segment appears below the
compressed waveform.
6 Use the Waveform Scale option to adjust the size of the uncompressed
waveform. When you change the scale setting, the 1 mV calibration bar in
the ECG waveform changes proportionately. The current Scale setting
appears in the uncompressed ECG waveform pane.

change the scale of the ECG wave in the sector.
Using the On-Screen Calipers

To use the on-screen calipers to measure intervals in the
uncompressed ECG waveform:
Step
1 Open the ECG tab in the View Trend Data window.
2 Click the section of the compressed waveform you want to measure.
The uncompressed view of the selected segment appears at the bottom

of the screen.
3 In the uncompressed ECG waveform, click to fix the first point of the
caliper. A vertical white line marks the first point.
4 Click to fix the second point of the caliper. A vertical white line marks the
second point and the measured interval time appears.
Note — The on-screen calipers do not appear on printed ECG

waves.

Viewing Full Disclosure Waveforms and Data

The Full Disclosure tab enables you to view all available waveforms
and numeric data for the selected patient. Three waveforms—ECG
II, RESP, and SpO2—are displayed by default, but you can select
additional waveforms to display. All numeric data is always
displayed. Use the vertical scroll bars to view the full complement
of displayed waveforms and numerics. Use the horizontal scroll bar
to scroll through time in the waveforms.
Waveforms displayed are in fixed order:
• ECG I - III,
• ECG aVR,
• ECG aVL,
• ECG aVF,
• ECG V,
• ECG MCL,
• ECG V1 - V6,
• SpO2
• ART
• CVP
• P
• PAP
• Ao
• ABP
• ICP
• UAP
• LAP
• RAP
• UVP

• CO2
• RESP RA-LL
• RRa
• CO2 (Gas)
• O2 (Gas)
• N2O (Gas)
• HAL (Gas)
• ENF (Gas)
• ISO (Gas)
• SEV (Gas)
• DES (Gas)
• EEG (BIS)
• EEG2 (BIS)
• EEG3 (BIS)
• EEG4 (BIS)
To view full disclosure waveforms and data for a different patient,
see “Viewing Trend Data for a Different Patient” on page 4-3.

The Full Disclosure tab can display all waveforms.
The Settings Menu may contain waveforms that are not available on
your bedside monitor. If you select a parameter on the Settings Menu
that is not available on your monitor, the parameter label and graph
appear in the Full Disclosure display, but no waveform appears.
You cannot change the display of numerics; all numerics are always
displayed. However, if a numeric parameter is not available on your
bedside monitor, only its label is displayed; its value is blank.
To modify the displayed parameters:

Step
2 Click the Full Disclosure tab.
The Full Disclosure tab opens and displays three monitored waveforms at
left and all numeric data at right.
4 To view additional waveforms, click the Settings button.

The Settings Menu opens.
5 Select or clear the check boxes next to each waveform name.

7 Use the Waveform Scale button to adjust the size of waveforms. When you
change the scale setting, the 1 mV calibration bar in the waveform
waveform pane.

change the scale of the waveform in the sector.

Viewing ABPM Analysis

Efficia CMS200 provides analysis on the blood pressure data of the
selected patient within a period of time (maximum 24 hours), and
presents the statistics result in the graphical or tabular form.
ABPM analysis provides:
• Pie chart - presents the percentage of the patient’s blood

pressure and pulse rate when they fall in a certain range.
• Histogram - presents the statistics of the patient’s blood
pressure falling out of the preset normal range.
In the ABPM Analysis tab, some other statistics results of the
patient’s blood pressure and pulse rate are also shown, including
average pressure, highest pressure, lowest pressure and
abnormality distribution. If you want to change the normal pressure
limit, see “Changing the ABPM Analysis Limit Settings” on
page 4-28.

Selecting BP Source
In the ABPM Analysis tab, you can select the BP Source for analysis.
If a parameter is selected as BP source but it is not being measured,

no analysis result will be presented in the ABPM Analysis tab.
To select the BP source:
Step
2 Click the ABPM Analysis tab. The ABPM Analysis tab opens.
4 Click the BP Source button.

You can select a BP source from NBP, ART, CVP, P, PAP, Ao, ABP, ICP, UAP,
LAP, RAP, UVP, RA and FA.

Changing the ABPM Analysis Date/Time Settings

You can set the date and time for ABPM analysis. The time range
and total hour are shown above the analysis result.
To select the ABPM analysis date/time settings:
Step
2 Click the ABPM Analysis tab. The ABPM Analysis tab opens.
3 Click the Date/Time Settings button. The Date/Time Settings Menu opens.
4 Click the time next to Start Date/Time and select a date and time to start
the analysis.
5 Click the time next to End Date/Time and select a date and time to end the
analysis.
6 Click OK to close the menu.

Changing the ABPM Analysis Daytime Settings

The Daytime Start at and Daytime End at define the time range of the
daytime for ABPM analysis. Efficia CMS200 analyses the data
according to the daytime range you set.
To change the ABPM analysis daytime settings:
Step
2 Click the ABPM Analysis tab.
The ABPM Analysis tab opens.
3 Click the Daytime Settings button.

The Daytime Settings Menu opens.
4 Select time settings next to Daytime Start at and Daytime End at.
5 Click Close to close the menu.

Changing the ABPM Analysis Limit Settings

To present the analysis with histogram, you should preset the blood
pressure limits. Efficia CMS200 analyzes the patient’s blood
pressure measurement falling out of the normal range.
To change the ABPM analysis limit settings:
Step
2 Click the ABPM Analysis tab.
The ABPM Analysis tab opens.
3 Click the Limit Settings button.

The NBP Limit Settings Menu opens.
4 Select limit settings next to

• Normal Sys Upper Limit
• Normal Sys Lower Limit
• Normal Dia Upper Limit
• Normal Dia Lower Limit
• Normal MAP Upper Limit
• Normal MAP Lower Limit

Viewing HRV Analysis

Efficia CMS200 provides analysis on the heart rate (HR) data of the
selected patient within a period of time (maximum 24 hours),
including average HR of the period, average daytime HR, average
nighttime HR, highest HR, lowest HR and percentage of HR out of
the preset normal range. If you want to change the normal HR limit,
see “Changing the HRV Analysis Limit Settings” on page 4-31.
Changing the HRV Analysis Date/Time Settings

You can set the date and time for HRV analysis. The time range and
total hour are shown above the analysis result.
To select the HRV date/time settings:
Step
2 Click the HRV Analysis tab. The HRV Analysis tab opens.
3 Click the Date/Time Settings button.

The Date/Time Settings Menu opens.
4 Click the time next to Start Date/Time and select a date and time to start
the analysis.
5 Click the time next to End Date/Time and select a date and time to end the
analysis.
6 Click OK to close the menu.

Changing the HRV Analysis Daytime Settings

The Daytime Start and Daytime End define the time range of the
daytime for HRV analysis. Efficia CMS200 analyses the data
according to the daytime range you set.
To change the HRV analysis daytime settings:
Step
3 Click the Daytime Settings button. The Daytime Settings Menu opens.
4 Select time settings next to Daytime Start at and Daytime End at.

Changing the HRV Analysis Limit Settings

To present the analysis with histogram, you should preset the heart
rate limits. Efficia CMS200 analyzes the patient’s heart rate
measurement falling out of the normal range.
To change the HRV analysis limit settings:
Step
3 Click the Limit Settings button. The HR Limit Settings Menu opens.
4 Select limit settings next to

• Normal HR Upper Limit
• Normal HR Lower Limit


5
Alarms
The Efficia CMS200 central monitoring system provides secondary

alarming of physiological and technical alarms from connected
patient monitors. It provides visual and audible alarms for all alarms
detected at the bedside monitors. When admitting a patient, ensure
that alarms are set to the intended levels at the bedside and at the
Efficia CMS200.
For details about physiological, technical, or other alarm conditions

at the bedside, refer to the Instructions for Use for your bedside
monitors.
Alarms on the Efficia CMS200 are divided into three severity levels:
• High — Indicates a potentially life-threatening situation. A

high-priority alarm requires an immediate response from the
clinician.
• Medium — Indicates a physiological condition that requires
prompt attention. Medium alarms are most often triggered by
an alarm limit violation.
• Low — Most low-priority alarms indicate a problem with the
Efficia CMS200 central monitoring system or the bedside
monitor that needs to be corrected.
When an alarm event occurs, the Efficia CMS200 central monitoring
system issues both a visual and audible alarm.
The Efficia CMS200 saves up to 10 days of trend data, including

alarm events, for all admitted patients. Alarm events are saved in
the Alarm/Event tab in the View Trend Data window.
After a patient is discharged, the trend data is saved for 10, 20, or
30 days, depending on the settings configured by your system
administrator. If a patient is ID Unknown, trend data and alarm events
Alarms
Efficia CMS200 5-1
Visual Alarms
are deleted when the patient is discharged or the bedside monitor

is turned off.
Warning Do not rely exclusively on the audible alarms from the Efficia
CMS200 central monitoring system for patient monitoring. The
most reliable method of patient monitoring requires correct
operation of all monitoring equipment and close observation of
the patient.
Respond immediately to all alarms, including technical alarms and
audible alarms from the license key. Some technical alarms
indicate that the patient is not currently being monitored.
Visual Alarms
The Efficia CMS200 central monitoring system provides the
following visual alarm indicators:
• In a sector that is alarming, the sector background color

changes from black to blue. The sector background remains
blue until the alarm condition is resolved.
• If a physiological alarm occurs, the numeric value that is
alarming flashes in the sector (if the numeric is currently
displayed in the sector).
• All physiological and technical alarms from the bedside
monitor appear in a drop-down list in the sector title bar. For
more information, see “Viewing and Silencing Alarms in a
Sector” on page 5-3.
• Alarm silence icons appear in the sector title bar if alarms are
paused or silenced. For more information, see “Silencing
Alarms” on page 5-4.
• Page buttons flash and change color to match the highest
alarm level if any sector on a page is alarming. For more
information, see “Page Buttons” on page 5-11.
Alarms
5-2 Efficia CMS200
Visual Alarms
Alarm Priority Colors

Alarm messages and page buttons change color based on the alarm
priority. The alarm priority colors are:
Alarm Priority Color
High Red
Medium Yellow
Low Blue
Viewing and Silencing Alarms in a Sector

This section describes how to view and silence all active alarms for
an individual bed or monitor.
You can also view all alarms for all connected beds or monitors
from the View All Active Alarms window. For more information, see
“Viewing All Active Alarms” on page 5-11.
Viewing Alarms
The alarm list displays all active physiological and technical alarms
in the sector. The down arrow that appears at the top of the alarm
list flashes when a new alarm occurs. Each alarm in the list is color-
coded to match the highest alarm level in the sector. The alarm with
the highest priority appears at the top of the list. If there are
multiple high-priority alarms at one time, the alarm messages rotate
every 1.5 seconds.
The alarm list also contains the Silence Alarms option. When you
silence physiological alarms from the Efficia CMS200 central
monitoring system, the alarm messages continue to display in the
alarm list until the alarm condition is resolved. When you silence
bedside technical alarm messages from the Efficia CMS200 central
monitoring system, the alarm messages continue to display in the
alarm list until the alarm is acknowledged or corrected at the
bedside monitor.
Alarms
Efficia CMS200 5-3
Visual Alarms
The physiological alarms that have been acknowledged from the

Efficia CMS200 central monitoring system are marked with a check
mark on the right. When you silence physiological alarms from the
Efficia CM monitors running C.00 or above software, the
acknowledgment is also transferred to the Efficia CMS200 central
monitoring system.
To view all alarms in a sector:
1 Locate the alarming sector.
2 Click the list or the flashing down arrow.
The list expands to display all active alarms in the

selected sector. Each alarm has a timestamp to
indicate the time at which the alarm occurred.
Silencing Alarms
When you silence physiological and technical alarms from the

Efficia CMS200 central monitoring system, the audible alarm is
silenced for 60 seconds at the Efficia CMS200 central monitoring
system and at the bedside monitor. If a new alarm occurs before the
60-second alarm silence interval expires, the alarm silence is
canceled and the audible alarm sounds again.
For the Efficia CM monitors running C.00 or above software, the re-
annunciation duration can be configured at the bedside monitor
using the Reminder Time setting.
Silencing an alarm at the Efficia CMS200 central monitoring system

does not clear the visual alarm message or the flashing numeric
value. The alarm messages remain in the alarm list and the numerics
continue to flash until the alarm condition is resolved.
Silencing alarms in a sector only silences the alarms for the selected
sector. Other alarming sectors must be silenced individually.
After all sectors on a page are silenced, the corresponding page

button stops flashing, however the button remains red, yellow, or
blue until all alarm conditions on the page are resolved.
Alarms
5-4 Efficia CMS200
Visual Alarms
To silence alarms for one bed or monitor at the Efficia CMS200

central monitoring system:
Step
1 Locate the alarming sector.
2 Click the alarm list or the flashing down arrow to

expand the list.
3 Click the Silence Alarms option at the bottom of the list.

The black and white alarm paused icon
appears in the sector.
All audible alarms for the sector are silenced for 60

seconds at the Efficia CMS200 central monitoring
system and at the bedside monitor. Visual alarm
messages continue to display at the Efficia CMS200
central monitoring system and at the bedside until the
alarm condition is resolved.
Alarms
Efficia CMS200 5-5
Visual Alarms
Alarm Silence Icons

When alarms are silenced at the Efficia CMS200 central monitoring
system or the bedside monitor, an alarm silence icon appears at the
top of the sector. The following table describes the different alarm
icons.
When you position the mouse pointer on the alarm icon, a

description of the icon pops up.
Alarm
Icon Colors Description
Icon
White dashed Alarm Silence: All alarm sounds are

lines and black silenced in the selected sector and
background corresponding bedside monitor for
60 seconds.
Red dashed Audio Pause: All alarm sounds are

lines and white paused temporarily at the bedside
background monitor and corresponding sector
at the Efficia CMS200 central
monitoring system.
Audio Pause is controlled at the
bedside monitor only.
White solid lines Audio Off: All alarm sounds are

and red silenced indefinitely at the bedside
background monitor and corresponding sector.
Audio Off is controlled at the
bedside only.
Alarms
5-6 Efficia CMS200
Visual Alarms
Alarm
Icon Colors Description
Icon
Red solid lines Alarm Disable: Alarm sounds for one

and yellow or more measurements have been
alarm bell disabled indefinitely. Alarm Disable
can be controlled at the bedside
monitor or the Efficia CMS200
central monitoring system.
To determine which alarms have
been disabled, open the Patient
Window.
Note — The Audio Pause and Audio Off selections are not available
at the Efficia CMS200 central monitoring system. If the bedside
monitor is in Audio Pause or Audio Off mode, selecting the Silence
Alarms option at the Efficia CMS200 central monitoring system
does not change the alarm silence status at the monitor.
Alarms
Efficia CMS200 5-7
Visual Alarms
No Data From Bed Alarm

The No Data From Bed alarm indicates that the Efficia CMS200
central monitoring system is not receiving data from the specified
bed/monitor. Possible causes for this alarm include:
• Network problems or the monitor was physically disconnected

from the network.
• The monitor was placed in Standby mode.
• The VM4 monitor was placed in SpotCheck mode.
The behavior of the No Data From Bed alarm is similar to other
technical alarms: the No Data From Bed message appears in the
alarm list, the sector background changes from black to blue, and
the corresponding page button flashes.
The differences in behavior between the No Data From Bed alarm and
other technical alarms include:
• The No Data from Bed message does not appear in the message
pane.
• When you select the Silence Alarms option in the alarm list, the
sector background does not remain blue. The background
changes from blue to black if there are no other active alarms
in the sector.
• When you select the Silence Alarms option in the alarm list, the
page button stops flashing and changes back to a black color
if there are no other active alarms on the page.
Alarms
5-8 Efficia CMS200
Audible Alarms
Audible Alarms
The alarm sound and interval depend on the alarm priority. High
priority alarms beep at a faster rate than the medium and low
priority alarms and also sound different. The Efficia CMS200 central
monitoring system issues an audible alarm based on the highest
priority alarm of all connected monitors.
Warning Never silence an audible alarm or decrease the alarm volume if this
could compromise patient safety.
Set the alarm volume based on the environment and ambient noise
levels. Alarm volume should be tested and verified during
installation. The alarm volume should be loud enough to be heard
in the intended environment.
Periodically perform the audio test. See “Testing the Speaker” on
page 5-10.
Do not place objects that would obstruct alarm sounds on or near
the speaker/display.
Ensure the speaker is always operational and at a volume level that
is appropriate for the care area where the central will be used.
Periodically check the speaker LED to ensure that the speaker is
receiving power.
If you suspect that the speaker is not working, make sure the
speaker cables are securely connected and the speaker LED is lit. If
the problem is not corrected after you confirm that the cables are
connected, immediately contact your system administrator or
authorized service provider for repair.
The Philips medical display shipped with the Efficia CMS200 has
been tested and validated with the system. Speakers not supplied
by Philips Medizin Systeme Böblingen GmbH should meet the
minimum requirements listed in the Installation and Configuration
Guide in order to be used with the Efficia CMS200.
Alarm Tones
The Efficia CMS200 central monitoring system offers two sets of
alarm tones: Philips and IEC. Only authorized personnel can change
the alarm tone in the password-protected System Admin tab.
Alarms
Efficia CMS200 5-9
Audible Alarms
Audio Alarm Range

Only authorized personnel can change the alarm range in the
password-protected System Admin tab.
Changing the Alarm Volume

The alarm volume setting on the Philips medical display speaker is
disabled, however, you can adjust the alarm volume in the System
tab in the System Setup window. For information about adjusting the
alarm volume, see “Viewing and Changing System Settings” on
page 2-12.
Testing the Speaker

Philips recommends that you periodically test the speaker.
To verify that the speaker is working:
Step
3 Click the Audio Test button.
The speaker issues an alarm tone for each volume setting from 1 to 10.
4 If you do not hear the alarm tones, immediately contact your system
administrator or authorized service provider.
Alarms
5-10 Efficia CMS200
Responding to Alarms on a Multi-Page System

If your system is configured for multi-page monitoring, use one of
the following methods to quickly determine which sector is
alarming:
• Flashing page buttons

• View All Active Alarms Window
Page Buttons
When an alarm occurs, the page button for the page that is alarming
flashes and changes color (red, yellow, or blue) to match the
highest alarm level on that page.
Click the flashing page button to display the page that contains one
or more alarming sectors.
When all alarms on the page have been silenced, the corresponding
page button stops flashing, however the color of the button does
not change until all alarm conditions on the page have been
resolved.
Audible alarms sound for all alarms, regardless of whether or not

the page is currently displayed.
Viewing All Active Alarms

The View All Active Alarms window displays a list of all active
physiological and technical alarms for all beds/monitors currently
connected to the Efficia CMS200 central monitoring system. An
View All alarm is active if it is either unsilenced or the condition that caused
Active the alarm has not been resolved.
Alarms
button Each alarm contains the following information:
• The date and time that the alarm occurred

• The bed/monitor where the alarm occurred
Alarms
Efficia CMS200 5-11
• The patient type

• The patient’s primary ID and name, if entered
• The alarm message, including numeric values
• The alarm priority
By default, the most recent alarm appears at the top of the list. You
can sort the alarm list by clicking on the column you want to sort.
A flashing alarm indicates that the alarm condition has not been
resolved, nor has it been silenced at the Efficia CMS200 central
monitoring system or the bedside monitor. An alarm that is not
flashing also indicates that the alarm condition has not been
resolved, but the audible alarm has been silenced at the Efficia
CMS200 central monitoring system or at the bedside monitor.
To view all active alarms:
Step
1 Click the View All Active Alarms button in the toolbar.

The View All Active Alarms window opens at the bottom of the
page.
2 To display the highest priority alarms at the top of the list, click the
Priority column.
The list is sorted from highest to lowest priority level.
3 Optionally, click any active alarm to highlight the active alarm, plus all
other active alarms in the sector, and then perform any of the following
actions:
• To open the page for an alarming sector, click the View Page button.
• To open the Patient Window for an alarming sector, click the Patient
Window button.
• To silence all alarms in the sector, click the Silence button.
4 Click the X in the upper right corner of the window to close it.
Alarms
5-12 Efficia CMS200
Changing Alarm Limits

Your system administrator configures the alarm limits and alarm
disable settings on the Efficia CMS200 as follows:
• If Efficia CMS200 alarm limits are enabled by your system

administrator, you can change the high and low alarm limits
and the alarm disable settings at the Efficia CMS200 central
monitoring system or the bedside monitor. Changes to these
settings are synchronized between the Efficia CMS200 central
monitoring system and the bedside monitor.
• If Efficia CMS200 alarm limits are disabled by your system
administrator, you cannot change the high and low alarm limits
or the alarm disable settings at the Efficia CMS200 central
monitoring system. These settings are unavailable on the
Efficia CMS200 and can only be changed at the bedside
monitor. The changes made at the bedside monitor are sent to
the Efficia CMS200 central monitoring system.
Note — Automatic alarm limits are not available on the Efficia

CMS200. Automatic alarm limits can only be enabled at the
bedside monitor. See the Instructions for Use for your bedside
monitor.
For information on alarm limit ranges and default alarm settings for
the monitor, see the Instructions for Use for your bedside monitor.
The alarm limit settings displayed at the Efficia CMS200 central
monitoring system are based on the alarm limit settings available
on the beside monitor.
Alarms
Efficia CMS200 5-13
Viewing Current Alarm Limit Settings

To view the current alarm limit settings in a sector:
Display
Format • Click the Display Format button to place the sector in Big Number
button Display Mode.
The sector displays the patient’s numeric data and the corresponding
alarm limits for each parameter.
The NBP and IBP parameters can only display one set of alarm
limits at one time.
To choose the NBP or IBP alarm limits to display:
Step
1 Click the NBP or IBP numeric.
The NBP Menu or IBP Menu opens.
2 Click the Limit Display list and select one of the following options:
• Sys
• Dia
• MAP
3 Click Close.
The NBP Menu or IBP Menu closes and the selected alarm limits appear
next to the NBP or IBP numeric.
Alarms
5-14 Efficia CMS200
To choose QTc alarm limits to display:
Step
1 Click the QTc numeric. The QTc Menu opens.

2 Select the check box next to the following options if you would like them
added to the numeric pane:
• QT Analysis:
If QT Analysis is unchecked, all other options, except for the Close button will be
unavailable.
• QTc High Alarm:
If the QTc High Alarm is unchecked, the QTCc High Alarm limit field will be
unavailable.
• QTc High Alarm:
If the QTc High Alarm is unchecked, the QTCc High Alarm limit field will be
unavailable.
3 Click the Lead Mode list and select one of the following options:
• All Leads
• Primary Lead
• ECG1
• ECGII
• ECGIII
• ECG V1
• ECG V2
• ECG V3
• ECG V4
• ECG V5
• ECG V6
4 Select the QTc High Alarm limit
5 Select the QTc High Alarm limit

6 Click Close.
The QTc Menu closes and the selected alarm limits appear next to the QTc
numeric.
See the Efficia CM Series, Instructions for Use to view all QTc Alarms.
Alarms
Efficia CMS200 5-15
Warning When changing alarm limits, do not use extreme alarm limit values,
which can cause the alarm system to be ineffective.
Be aware that the monitors in each care area may have different
alarm settings to suit different patients.
Always check that the alarm settings are appropriate for your
patient before you start monitoring. Reassess alarm limits
frequently and as the patient’s condition changes.
Notes
• If alarm limit changes are allowed at the Efficia CMS200
central monitoring system, but the alarm disable setting
at the bedside monitor does not allow users to disable
alarms, the alarm enable/disable icon is unavailable in
all numeric menus.
• Alarm settings in the Respiration Menu and awRR Menu are
monitor dependent:
• On the Efficia CM Series monitors, the Respiration
Menu and awRR Menu alarm settings can be changed
independently.
• On the Efficia CM Series monitors with Masimo
rainbow SET, the RRa Menu alarm settings can be
changed independently from RESP and awRR.
•On the SureSigns VM Series monitors, the Respiration
Menu and awRR Menu share alarm settings; changes
made in one menu impact alarm settings in both.
• For SureSigns VM monitors, the etCO2 Menu and the
imCO2 Menu share alarm disable settings; changing the
alarm disable setting in one menu impacts the setting in
both.
• For SureSigns VM4 monitors, predictive temperature
measurements do not have high and low alarm limits at
the bedside monitor. Therefore, the high and low alarm
limits are unavailable in the Temperature Menu at the
Efficia CMS200 for predictive temperature
measurements.
Alarms
5-16 Efficia CMS200
Technical Alarms
To change alarm limits or alarm disable settings on the Efficia

CMS200 central monitoring system:
Step
1 For the alarm limit you want to change, click the numeric measurement.
The corresponding numeric measurement menu opens. Current alarm

settings are displayed.
2 Click the high or low alarm limit you want to change.
3 Click the up or down arrow to increase or decrease the alarm limit value.
4 To enable or disable the audible alarm for the selected measurement,

click the alarm icon.
To view disabled alarms, open the Patient Window.

Note — The alarm disable setting applies to high and low
Alarm Disabled alarm limits only. If you disable audible alarms and a
Icon
measurement exceeds the selected high or low alarm
limits, the Efficia CMS200 displays a visual alarm, but no audible alarm
sounds. All other alarms will still produce an audible and visual alarm.
5 Click Close.
The numeric measurement menu closes and the alarm limits and alarm
disable settings change.
Technical Alarms
The Efficia CMS200 central monitoring system displays technical
alarms that occur at the Efficia CMS200 and at the bedside monitor.
Bedside technical and latched alarms must be resolved at the
bedside. For details about technical alarms at the bedside, refer to
the Instructions for Use for your bedside monitor.
Alarms
Efficia CMS200 5-17
Technical Alarms
Central Monitoring System Technical Alarms

The Efficia CMS200 central monitoring system technical alarms
appear in the message pane at the bottom of the page. The
technical alarm color is based on the alarm priority (red, yellow, or
blue). If there is more than one technical alarm, the messages rotate
every 1.5 seconds.
The No Data From Bed alarm is similar to other technical alarms,

however it does not appear in the message pane and has some
other differences in behavior. For more information, see “No Data
From Bed Alarm” on page 5-8.
Alarms, including Loss of Monitoring alarms, are saved in a log file.

Contact your system administrator if you need to view alarm
history.
The following table contains an alphabetical listing of the Efficia

CMS200 technical alarms.
Alarm Message Priority Cause

Cannot Accept New Monitors Low May be caused by one of the following:
• The maximum number of monitors, as
authorized by the license key, are
already connected to the Efficia
CMS200.
To add a new monitor, your system
administrator must remove an existing
monitor in the password-protected
System Admin tab.
• There are no available sectors.
Contact your system administrator or
add more sectors, as described in
“Changing the Number of Sectors” on
page 2-17.
Alarms
5-18 Efficia CMS200
Technical Alarms

Data Export Error Low The Efficia CMS200 is not sending data to
the Electronic Health Record (EHR) server
or HL7 interface server.
Contact your system administrator.
Date/Time Adjusted Low Indicates that a time change greater than
30 seconds occurred at the Efficia
CMS200. This alarm can occur if your
Efficia CMS200 is synchronized with an
Internet time server or the system is
configured to automatically adjust for
daylight saving time.
The Date/Time Adjusted alarm is a visual
alarm only; no audible alarm sounds.
Disk Storage Low Low The system hard drive is running low on
free disk space.
When this message appears, the system
will continue to operate normally for a
period of time.
Contact your system administrator. If the
problem is not addressed, eventually, a
Warning will notify you that disk space is
extremely low. The system will shut down
and trend data is lost.
License Key Battery Low Low The remaining battery power in the license
key is less than 80 percent.
Contact your system administrator or
replace the batteries, as described in
“Replacing the License Key Batteries” on
page 2-65.
Alarms
Efficia CMS200 5-19
Technical Alarms

License Key Not Detected High The license key is disconnected from the
PC.
Immediately plug in the license key to
silence the alarm or contact your system
administrator.
Prepare to implement alternative
monitoring procedures. If the license key
remains unplugged for more than 10
minutes, the Efficia CMS200 shuts down.
Loss of Monitoring Low A system failure occurred and the Efficia
CMS200 shut itself down and restarted.
The Loss of Monitoring message indicates
that patient data may have been lost while
the system was shut down.
Network Error Low The network connection is down.
Also, the No Data from Bed message
displays in all sectors and the No Central
Monitoring message displays at all bedside
monitors.
Contact your system administrator.
Speaker Error Low The speaker has stopped working.
Contact your system administrator
immediately.
Silencing Central Monitoring System Technical Alarm

To silence a central monitoring system technical alarm and clear the
alarm message, click on the message pane.
Bedside Monitor Technical Alarms

Technical alarms that occur at the bedside monitor appear in the
sector alarms list. For information on the bedside monitor technical
alarms, see the Instructions for Use for your bedside monitor.
Alarms
5-20 Efficia CMS200
6
Printing
This chapter describes how to send patient data to a printer that is

connected to the Efficia CMS200 network.
You can print the following patient data:
• The numeric or waveform data that is currently displayed in a

sector, or expanded in the Patient Window
• Tabular trend data
• Graphical trend data
• NBP trend data
• Alarms and events for a selected patient
• Waveforms that display activity before and after a specific
alarm event
• ECG waveforms
• Full disclosure waveforms and numeric data
• ABPM analysis data
• HRV analysis data
All reports include the following header information:
• Patient name, ID
• Report title
• Printing time/date of the report
• Time span of the report
You may want to use printed hard copy as a backup archival
mechanism.
Printing
Printing Sector Contents
Warning Printed patient records contain patient IDs and patient data.
Ensure that the printed data is handled according to your facility’s
electronic protected health information (ePHI) guidelines. Only
authorized personnel should be allowed to view, handle, store, or
transmit patient data.
If the Efficia CMS200 hardware fails, patient trend data may be
lost. Print patient records at regular intervals, as required by your
facility.
Caution Qualified personnel should check the printer periodically and

perform routine maintenance.
Notes
• This chapter does not describe how to install or change
settings on the printer. For information about operating
the printer or printer errors, see your system
administrator or refer to the documentation that shipped
with the printer.
• Before you begin printing, make sure that the printer is
turned on and is supplied with paper and toner.
• Before you begin printing trend data, make sure that the
latest data is displayed. If necessary, select the Refresh
button.

You can create a printout of the patient data that is currently
displayed in a sector. The printout may contain waveforms,
numerics, or both waveforms and numerics, depending on the
current display format. For information about sector display
formats, see “Changing the Sector Layout” on page 2-24.
Printing
To create a printout of the current sector contents:
Step
1 Locate the sector containing the patient data that you want to print.
2 Position the mouse pointer within the sector. The Print button
appears in the title bar.
3 Click the Print button in the sector.
4 Click the Print button in the window that opens.
A printout of the current sector information is sent to the printer.

The Print button flashes red and remains in the sector until the printout
completes, even if you move the mouse pointer outside of the sector.
Printing an Expanded Sector

You can print an expanded view of a selected sector. For
information about viewing the Patient Window, see “Expanding a
Sector” on page 2-22.
To print an expanded view of the sector contents:
Step
1 Open the Patient Window, as described in “Expanding a Sector” on

page 2-22.
2 In the Patient Window, click the Print button .
3 Click the Print button in the window that opens.
A printout of the current screen is sent to the printer.
Printing
Printing Tabular Trend Data

The Tabular Trend tab in the View Trend Data window shows all records for the selected
patient in rows and columns. You can send the patient’s trend data to the printer. The
printout displays the parameter data selected in the Print Settings Menu.
Note — The sequence of the data in the report cannot be modified.
To print tabular trend data for a patient:
Step
1 Locate the sector that contains the patient data that you want to
print, click the patient ID, and select View Trend Data.
2 In the View Trend Data window, select the Tabular Trend tab.
3 In the Tabular Trend tab, select the Print Settings button.

The Print Settings Menu appears.
Note — The Print Settings Menu may contain parameters that are
not available on your monitor.
4 Select up to nine parameters to include in the printout.

The options are Auto, 1 page, 2 pages, 3 pages, 4 pages, and 5 pages.
Note — The available options for the number of pages to print
depend on the amount of data that is stored for the selected
patient. For example, if the patient’s data can print of three
pages, then the 4 pages and 5 pages options are not available.
If you select Auto, the printout contains only the trend data that
currently appears in the Tabular Trend tab.
5 Click Close.
6 Click Print. A print dialog box opens.
7 Click Print. The report is printed.
Printing
The following illustration shows a sample Tabular Trend printout.
Tabular Trend
Patient Information
Patient Type: Adult
MRN: MR012345
Transaction ID: TR123456
First Name: John
Middle name: R
Last Name: Smith
Bed/Monitor: CN00000001
HR PVC SpO2 Pulse NBP ABP RESP T1
Date/Time
(bpm) (/min) (%) (bpm) (mmHg) (mmHg) (rpm) (°C)
01/14/21 05:10:00 AM 80 0 99 80 (SpO2) 120/80(93) 120/80(93) ABP 20 37.2
01/14/21 05:05:00 AM 80 0 99 83 (SpO2) -/-(-) 120/80(93) ABP 20 37.2
01/14/21 05:00:00 AM - 0 98 100 (NBP) 120/80(93) 120/80(93) ABP 20 37.2
01/14/21 04:55:00 AM 80 0 99 89 (SpO2) -/-(-) 120/80(93) ABP 20 37.2
01/14/21 04:50:00 AM 80 0 99 87 (SpO2) 120/80(93) 120/80(93) ABP 20 37.2
01/14/21 04:45:00 AM 80 0 99 80 (SpO2) -/-(-) 120/80(93) ABP 20 37.2
01/14/21 04:40:00 AM 80 0 99 87 (SpO2) 120/80(93) 120/80(93) ABP 20 37.2
01/14/21 04:35:00 AM 80 0 99 87 (SpO2) -/-(-) 120/80(93) ABP 20 37.2
01/14/21 04:30:00 AM 80 0 99 83 (SpO2) 120/80(93) 120/80(93) ABP 20 37.2
01/14/21 04:25:00 AM - 0 99 - -/-(-) 120/80(93) ABP 20 37.2
01/14/21 04:20:00 AM 80 0 99 80 (SpO2) 120/80(93) 120/80(93) ABP 20 37.2
01/14/21 04:15:00 AM 80 0 99 83 (SpO2) -/-(-) 120/80(93) ABP 20 37.2
01/14/21 04:10:00 AM - 0 98 100 (NBP) 120/80(93) 120/80(93) ABP 20 37.2
01/14/21 04:05:00 AM 80 0 99 89 (SpO2) -/-(-) 120/80(93) ABP 20 37.2
01/14/21 04:00:00 AM 80 0 99 87 (SpO2) 120/80(93) 120/80(93) ABP 20 37.2
Printing
Printing Graphical Trend Data

The Graphical Trend tab in the View Trend Data window shows all
graphical trends for the selected patient. You can send the patient’s
graphical trend data to the printer. The printout displays the trend
data selected in the Settings Menu.
To print graphical trend data for a patient:
Step
2 In the View Trend Data window, select the Graphical Trend tab.
3 In the Graphical Trend tab, select the Settings button.

The Settings Menu appears.
Note — The Settings Menu may contain parameters that are not
available on your monitor.
4 Select the parameters to include in the printout.
5 Click Close.
The following illustration shows a sample Graphical Trend printout.
Printing
Graphical Trend
Patient Information
Patient Type: Adult Admit Time: 04/18/2015 12:27:00 AM
MRN: MR012345 Bed/Monitor: CN00000001
First Name: John
Middle name: R
Last Name: Smith
Age (years): 48
Gender: Male
345
HR 290
(bpm) 235
180
125
70
RESP 15
(rpm) 04/18/2015 12:27:57 AM 04/18/2015 12:42:59 AM
150
125
100
75
50
25
0
04/18/2015 12:27:57 AM 04/18/2015 12:42:59 AM
Time Scale: 15 minutes
Printing
Printing NBP Trend Data

The NBP Trend tab in the View Trend Data window shows all records
that contain NBP measurements for the selected patient in rows
and columns. You can send the patient’s NBP trend data to the
printer. The printout displays the parameter data selected in the
Print Settings Menu.
To print records that contain NBP measurements for the selected

patient:
Step
1 Locate the sector that contains the patient data that you want to print,
click the patient ID, and select View Trend Data.
2 In the View Trend Data window, select the NBP Trend tab.
3 In the NBP Trend tab, select the Print Settings button.

The Print Settings Menu appears.
Note — The Print Settings Menu may contain parameters that are not
available on your monitor.
4 Select up to nine parameters to include in the printout.

The options are Auto, 1 page, 2 pages, 3 pages, 4 pages, and 5 pages.
Note — The available options for the number of pages to print depend
on the amount of data that is stored for the selected patient. For
example, if the patient’s data can print of three pages, then the 4 pages
and 5 pages options are not available.
If you select Auto, the printout only contains the trend data that currently
appears in the NBP Trend tab.
5 Click Close.
Printing
6 Click Print.
A print dialog box opens.
7 Click Print.
The report is printed.
The following illustration shows a sample NBP Trend printout.
NBP Trend
Patient Information
Patient Type: Adult
MRN: MR012345
First Name: John
Middle name: R
Last Name: Smith
NBP HR PVC SpO2 Pulse ABP RESP T1
Date/Time (mmHg) (bpm) (/min) (%) (bpm) (mmHg) (rpm) (°C)
01/14/21 05:10:00 AM 120/80(93) 80 0 99 80 (SpO2) 120/80(93) ABP 20 37.2

01/14/21 05:05:00 AM -/-(-) 80 0 99 83 (SpO2) 120/80(93) ABP 20 37.2
01/14/21 05:00:00 AM 120/80(93) - 0 98 100 (NBP) 120/80(93) ABP 20 37.2
01/14/21 04:55:00 AM -/-(-) 80 0 99 89 (SpO2) 120/80(93) ABP 20 37.2
01/14/21 04:50:00 AM 120/80(93) 80 0 99 87 (SpO2) 120/80(93) ABP 20 37.2
01/14/21 04:45:00 AM -/-(-) 80 0 99 80 (SpO2) 120/80(93) ABP 20 37.2
01/14/21 04:40:00 AM 120/80(93) 80 0 99 87 (SpO2) 120/80(93) ABP 20 37.2
01/14/21 04:35:00 AM -/-(-) 80 0 99 87 (SpO2) 120/80(93) ABP 20 37.2
01/14/21 04:30:00 AM 120/80(93) 80 0 99 83 (SpO2) 120/80(93) ABP 20 37.2
01/14/21 04:25:00 AM -/-(-) - 0 99 - 120/80(93) ABP 20 37.2
01/14/21 04:20:00 AM 120/80(93) 80 0 99 80 (SpO2) 120/80(93) ABP 20 37.2
01/14/21 04:15:00 AM -/-(-) 80 0 99 83 (SpO2) 120/80(93) ABP 20 37.2
01/14/21 04:10:00 AM 120/80(93) - 0 98 100 (NBP) 120/80(93) ABP 20 37.2
01/14/21 04:05:00 AM -/-(-) 80 0 99 89 (SpO2) 120/80(93) ABP 20 37.2
01/14/21 04:00:00 AM 120/80(93) 80 0 99 87 (SpO2) 120/80(93) ABP 20 37.2
Printing
Printing an ECG Waveform for One Alarm

The Alarm/Event tab in the View Trend Data window shows all
physiological and technical alarm events. If you are monitoring ECG
on the selected patient, you can print a waveform showing the
activity before and after a selected alarm event occurred. Each
waveform shows activity seven seconds before the alarm event
occurred and 13 seconds after the alarm event occurred. The
printout contains one page for each waveform. For information
about selecting the alarm and alarm priority to display, see “Viewing
EWS Trend Data” on page 4-14.
To print waveforms for one alarm event:
Step
2 In the View Trend Data window, select the Alarm/Event tab.
3 Select an alarm.
4 Select the Print button. The Alarm/Event Print Menu appears.
5 Select Single Record.
6 Click Close.
The following illustration shows a sample ECG waveform for an HR

Low alarm event.
Printing
Alarm/Event
Patient Information Measurements
Patient Type: Adult HR: 34 bpm
MRN: MR012345 PVC: 0
Transaction ID: TR123456 SpO2: 98%
First Name: John Pulse: 80 bpm SpO2
Middle name: R NBP: 100/98 (80) mmHg
Last Name: Smith RESP: 22 rpm
Bed/Monitor: CN00000001 T1: 36.7 °C
Alarm event
Alarm: 01/14/2013 11:08:24 AM HR Low, HR=34 Medium
01/14/2013 11:08:17 AM - 01/14/2013 11:08:27 AM Lead:I Scale:1 cm/mV
Waveform starts
7 seconds
before alarm
event
1
01/14/2013 11:08:27 AM - 01/14/2013 11:08:37 AM Lead:I Scale:1 cm/mV
Waveform ends
13 seconds after
alarm event
1
25.0 mm/s 01/14/2013 11:08:17 AM - 01/14/2013 11:08:37 AM Total 20 sec
Printing
Printing Alarms and Events for a Patient
Printing Alarms and Events for a Patient

The Alarm/Event tab in the View Trend Data window shows a list of
physiological and technical alarms that have occurred for the
selected patient. You can send a list of the alarms to the printer.
For a description of alarms, Chapter 5, “Alarms.”
To print alarm records for the selected patient:
Step
2 In the View Trend Data window, select the Alarm/Event tab.
3 In the Alarm/Event tab, select the Print button.

The Alarm/Event Print Menu appears.
4 Select the maximum number of pages to include in the printout.

The options are: Auto, 1 page, 2 pages, 3 pages, and 4 pages.
Note — The available options for the number of pages to print depend
on the amount of data that is stored for the selected patient. For
example, if the patient’s data can print on three pages, then the 4 pages
option will not be available.
If you select Auto, the printout only contains the list of alarm events that
currently appears in the Alarm/Event tab. The printout does not include
waveforms.
5 Click Close.
Printing
Printing ECG Waveforms
The following illustration shows a list of alarms for one patient.
Alarm/Event
Patient Information
Patient Type: Adult

MRN: MR012345
First Name: John
Middle name: R
Last Name: Smith
Date/Time Alarm Description Priority

01/14/21 12:19:00 PM HR Low, HR=45 Medium
01/14/21 12:18:00 PM SpO2 Low, SpO2=78% Medium
01/14/21 12:16:00 PM NBP(D) Low, NBP=129/56(89) Medium
01/14/21 12:15:00 PM PR High, PR=98 Medium
01/14/21 12:12:00 PM NBP(S) High, NBP=129/57(89) Medium

The ECG tab in the View Trend Data window shows compressed
beat-to-beat ECG waveforms. You can create a printout of an
uncompressed waveform for a selected patient. The printout
contains up to 30 seconds of waveform data on each page. For
information about viewing and scaling the waveform display, see
Chapter 4, “Reviewing Trend Data.”
To print an ECG waveform:
Step
2 In the View Trend Data window, select the ECG tab.
Printing
3 From the ECG list button (located above the Waveform Scale button at
lower right), select the waveform you want to print.
4 On the ECG tab, select the Print Menu button.

Additional print options appear to the right of the waveforms.
5 Click the Wave Length list and select a printed waveform length. The
options are: 10 seconds, 30 seconds, 1 minute, and 3 minutes.
6 Click on the compressed waveform at the point where you want the
printout to begin.
A segment containing 18 seconds of data is enclosed in a rectangular
box.
7 Click the Select Segment button.

A waveform segment of the selected length is shaded gray. The
uncompressed waveform of the selected segment appears at the bottom
of the ECG tab.
8 If you selected a 10-second Wave Length, you can click the Select Segment
button to include up to six waveform segments in one printout.
If you selected a wave length of 30 seconds, 1 minute, or 3 minutes, you can
only select one segment.
9 To clear your waveform selection and start over, click the Clear Selection
button.
10 Click the Print Report button.

11 Click Print.
A printout of the uncompressed waveform is sent to the printer. The
waveform segments are printed in the order you select them. The printer
speed is 25 mm/s.
Printing
The following illustration shows three 10-second waveform

segments.
ECG
Patient Information
Patient Type: Adult
MRN: MR012345
First Name: John
Middle name: R
Last Name: Smith
01/14/2021 02:53:17 PM - 01/14/2021 02:53:27 AM Lead:I Scale:1 cm/mV
1
01/14/2021 02:55:19 PM - 01/14/2021 02:55:29 PM Lead:I Scale:1 cm/mV
1
01/14/2021 02:54:31 PM - 01/14/2021 02:54:41 PM Lead:I Scale:1 cm/mV
Warning If the printer resolution is not sufficient to correctly print hardcopy

ECG waveforms for measurement, discard the printouts and take
the waveforms on CMS or the bedside monitor as criterion. Contact
your system administrator or authorized service provider to
replace the printer with required resolution.
Printing
Printing Full Disclosure Waveforms and Data

The Full Disclosure tab in the View Trend Data window shows
waveforms and numeric data. You can create a printout of an
uncompressed waveform for a selected patient. The printout
contains up to 30 seconds of waveform data on each page. For
information about viewing and scaling the waveform display, see
Chapter 4, “Reviewing Trend Data.”
To print full disclosure data for a patient:
Step
1 Locate the sector that contains the patient data that

you want to print, click the patient ID, and select View
Trend Data.
2 In the View Trend Data window, select the Full Disclosure

tab.
3 In the Full Disclosure tab, select the Settings button.

The Settings Menu appears.
Note — The Settings Menu may contain waveforms that
are not available on your monitor.
4 Select the waveforms to include in the printout.

Click Close.
The following illustration shows a sample Full Disclosure Trend

printout.
Printing
All monitored numerics display values in the Measurements list.

Full Disclosure
Measurements
HR : 80 bpm ABP : 120/80(93) mmHgST III : - mm
Patient Information
PVC : 0 /min ICP : - mmHg ST aVR-: mm
Patient Type: Adult SpO2 : 98 % UAP : -/-(-) mmHg ST aVL -: mm
MRN: MR012345 SpCO : - % LAP : - mmHg ST aVF -: mm
Transaction TR123456 SpOC : - ml/dl RAP : - mmHg ST V : - mm
ID: John SpHb : - g/dl UVP : - mmHg ST MCL- :mm
First Name: R RRa : - rpm awRR : - rpm ST V1 : - mm
Middle name: Smith NBP : -/-(-) mmHg etCO2 : - mmHg ST V1 : - mm
Last Name: CN000000 Pulse : 88 (SpO2) bpm imCO2 : 88 (SpO2) mmHg ST V1 : - mm
Bed/Monitor: 01 RESP : 20 rpm T1 : 37.2 °C ST V1 : - mm
ART : -/-(-) mmHg T2 : - °C ST V1 : - mm
CVP : - mmHg Tblood : - °C ST V1 : - mm
P: -/-(-) mmHg C.O. : - l/min FA : -/-(-) mmHg
PAP : -/-(-) mmHg ST I : - mm RA : -/-(-) mmHg
Ao: -/-(-) mmHg ST II : - mm
ECG I 07/08/2021 02:53:17 PM - 07/08/2021 02:53:27 AM Lead:I Scale:1/2 cm/mV
1
NOTE: All other monitored waveforms are printed; full printed report can be several pages in length.
Printing
Printing 7/12 Lead ECG on One Page

In the Full Disclosure tab, you can create a full disposure print out
with 7/12 lead ECG waveforms on one page. If V lead number data
is larger than 1, the system prints 12-lead report, otherwise 7-lead
report. The ECG waveform printout is in the format of 3 X 4 1R for
12-lead and 2X3 1R for 7-lead. For 3-lead ECG, the system prints a
single lead waveform that is selected on the monitor using the 2X3
1R layout.
To print full disclosure data with 7/12 lead ECG waveforms on one
page:
Step
2 In the View Trend Data window, select the Full Disclosure tab.
3 In the Full Disclosure tab, select the Print 7/12 Lead button.
Note — If ECG is obtained by a 3-electrode lead set on the monitor,

only the primary waveform will be transferred to CMS and be
printed.
Printing

printout with 12 lead ECG waveforms on one page..
12 ECG
Patient Information Measurements
Patient Type: Adult HR : 80 bpm ABP : 120/80(93) mmHg ST III : - mm
MRN: MR012345 PVC : 0 /min ICP : - mmHg ST aVR :- mm
Transaction TR123456 SpO2 : 98 % UAP : -/-(-) mmHg ST aVL : - mm
ID: John SpCO : -% LAP : - mmHg ST aVF : - mm
First Name: R SpOC : - ml/dl RAP : - mmHg ST V : - mm
Middle name: Smith SpHb : - g/dl UVP : - mmHg ST MCL -: mm
Last Name: CN000000 RRa : - rpm awRR: - rpm ST V1 : - mm
Bed/Monitor: 01 NBP : -/-(-) mmHg etCO2: - mmHg ST V1 : - mm
Pulse : 88 (SpO2) bpm imCO2: 88 (SpO2) mmHg ST V1 : - mm
RESP : 20 rpm T1 : 37.2 °C ST V1 : - mm
ART : -/-(-) mmHg T2 : - °C ST V1 : - mm
CVP : - mmHg Tblood: - °C ST V1 : - mm
1mV I aVR V1 V4
aVL V2 V5
1mV II
1mV III aVF V3 V6
1mV
25.0 mm/s Start Time: 04/09/2021 10:01:01 PM Note: This is a non-diagnostic report.
1/1 04/09/2021 10:01:01 PM
Printing

printout with 7 lead ECG waveforms on one page.
7 ECG
Measurements
HR : 80 bpm ABP : 120/80(93) mmHg ST III : - mm
Patient Information PVC : 0 /min ICP : - mmHg ST aVR :- mm
SpO2 : 98 % UAP : -/-(-) mmHg ST aVL : - mm
Patient Type: Adult
MRN: MR012345 SpCO : - % LAP : - mmHg ST aVF : - mm
Transaction TR123456 SpOC : - ml/dl RAP : - mmHg ST V : - mm
ID: John SpHb : - g/dl UVP : - mmHg ST MCL -: mm
First Name: R RRa : - rpm awRR : - rpm ST V1 : - mm
Middle name: Smith NBP : -/-(-) mmHg etCO2 : - mmHg ST V1 : - mm
Last Name: CN000000 Pulse : 88 (SpO2) bpm imCO2 : 88 (SpO2) mmHg ST V1 : - mm
Bed/Monitor: 01 RESP : 20 rpm T1 : 37.2 °C ST V1 : - mm
ART : -/-(-) mmHg T2 : - °C ST V1 : - mm
CVP : - mmHg Tblood : - °C ST V1 : - mm
1mV I aVL
1mV III aVF
1mV aVR V
1mV II
25.0 mm/s Start Time: 04/09/2021 10:05:01 PM Note: This is a non-diagnostic report.
1/1 04/09/2021 10:21:01 PM
Printing
Printing ABPM Analysis Data

The ABPM Analysis tab in the View Trend Data window shows the
ABPM analysis data. You can create a printout of an ABPM analysis
for a selected patient.
To print ABPM analysis data for a patient:
Step
2 In the View Trend Data window, select the ABPM Analysis tab.
3 Perform ABPM analysis for the patient, see “Viewing ABPM Analysis” on
page 4-24.
Printing
The following illustrations show a sample ABPM analysis printout.
ABPM Analysis
Patient Information
Patient Type: Adult Admit Time:
Transaction TR123456
ID: John
First Name: R
Middle name: Smith
Last Name: 42
Age (years): Male
Gender:
Date/Time: 04/08/2021 09:00AM - 04/09/2021 09:00AM Total: 24h BP Source: NBP
Normal Sys Lower Limit: 133 Normal Dia Lower Limit: 57 Normal MAP Lower Limit: 70
Normal Sys Upper Limit: 134 Normal Dia Upper Limit: 86 Normal MAP Upper Limit: 110
1 30-70 1 10-50 1 20-80 1 25-50
2 70-90 2 50-60 2 80-100 2 50-120
3 3 90-140 3 3 60-90 2 3 100-150 3 120-140
4 140-160 4 90-100 4 150-170 4 140-160
5 160-180 5 100-110 5 170-190 5 160-180
6 180-270 6 110-245 6 190-255 6 180-300
Sys(mmHg) Time Percent(%) Dia(mmHg) Time Percent(%) MAP(mmHg) Time Percent(%) Pulse(bpm) Time Percent(%)
30-70 - 10-50 - 20-80 - 25-50 -
70-90 - 50-60 - 80-100 - 50-120 -
90-140 100.00 60-90 100.00 100-150 100.00 120-140 100.00
140-160 - 90-100 - 150-170 - 140-160 -
160-180 - 100-110 - 170-190 - 160-180 -
180-270 - 110-245 - 190-255 - 180-300 -
1/2 04/09/2021 10:01:01 PM
Printing
ABPM Analysis
Patient Information
Patient Type: Adult Admit Time:
First Name: John
Middle name: R
Last Name: Smith
Age (years): 42
Gender: Male
Date/Time: 04/08/2021 09:00AM - 04/09/2021 09:00AM Total: 24h BP Source: NBP
Average Pressure (mmHg) Sys/Dia/MAP

24h Average Pressure 120.0/80.0/93.0
Average daytime pressure 120.0/80.0/93.0
Average nighttime pressure -/-/- Abnormal Data(%)
Highest blood pressure 120/80/93
Lowest blood pressure 120/80/93
% out of normal range
Blood Pressure Distribution Sys/Dia/MAP
% above normal
% out of normal range 100.00/-/-
% above normal -/-/-
% below normal 100.00/-/- % below normal
Pulse (bpm)
Total measurements: 2
Average Pulse -
Average daytime pulse -
Average nighttime pulse -
Sys Dia MAP
Highest blood pulse -
Lowest pulse -
2/2 04/09/2021 10:01:01 PM
Printing
Printing HRV Analysis Data

The HRV Analysis tab in the View Trend Data window shows the HRV
analysis data. You can create a printout of an HRV analysis for a
selected patient.
To print HRV analysis data for a patient:
Step
1 Locate the sector that contains the patient data that

you want to print, click the patient ID, and select View
Trend Data.
2 In the View Trend Data window, select the HRV Analysis

tab.
3 Perform HRV analysis for the patient, see “Viewing HRV

Analysis” on page 4-29.
4 Click Print.
5 Click Print.
Printing
The following illustrations show a sample HRV analysis printout.
HRV Analysis
Patient Information
Patient Type: Adult
MRN: MR012345
Admit Time:
First Name: John
Middle name: R
Last Name: Smith
Age (years): 42
Gender: Male
Date/Time: 04/08/2021 09:00AM - 04/09/2021 09:00AM Total: 24h

Normal HR Lower Limit: 76
Normal HR Upper Limit: 120
HR Statistics (bpm) 1 Normal

24h Average HR 60.0
Average daytime HR 0.0 2 % above normal
Average nighttime HR - 3
Highest Heart Rate 60
Lowest Heart Rate 60 3 % below normal
HR out of limit
% out of normal range 100.00
% above normal -
% below normal 100.00
1/1 04/09/2021 10:01:01 PM
Printing
Checking Print Status
Checking Print Status

You can view the status of print jobs on the printer from the System
tab. Select the Printer Status button to open, pause, or cancel print
jobs.
To check the status of a print job:
Step
1 Click the System Setup button in the tool bar.
3 Select the Printer Status button. The Printer Status

button displays the printer name.
4 In the window that appears, select an option to

cancel, pause, or resume the print job.
5 Click Close.
Printing
7
Bedside Monitoring
This chapter describes how to use a bedside monitor that is

connected to the Efficia CMS200 central monitoring system. For
technical information on working directly with patients connected
to bedside monitors, refer to the Instructions for Use for your
bedside monitors.
Bedside monitor users should read this chapter to understand the
differences between a standalone monitor and a monitor that is
connected to the Efficia CMS200.
Efficia CMS200 Central Monitoring System Network

Overview
This section provides an overview of the Efficia CMS200 network.
Before using a monitor that is connected to a Efficia CMS200
central monitoring system, you should have a basic understanding
of the Efficia CMS200 network.
Up to 64 monitors
Efficia CMS200 Monitoring Network
EHR Efficia CMS200 PC
Hospital LAN
Bedside Monitoring
Efficia CMS200 Central Monitoring System Network Overview
Naming the Monitor

Each bedside monitor is identified at the Efficia CMS200 central
monitoring system by the monitor name. At installation, your
system administrator assigns a name to each monitor and then
assigns each monitor to a sector at the Efficia CMS200. The monitor
name is typically a room number or some other unique identifier
that tells the Efficia CMS200 which monitor is sending patient data.
Depending on the use model in your facility, you may have to

change the Monitor Name (in the System Menu) if you move the
monitor from one location to another. The new name is saved at the
monitor and sent to the corresponding sector on the Efficia
Note — If you enter a duplicate monitor name, the name changes

back to the default monitor name (the LAN MAC address).
The Monitor Name must be from 2 to 10 characters long.
Verifying the Efficia CMS200 Network Connection

The connectivity icon, which appears in the upper left corner of the
main screen, indicates the status of the Efficia CMS200 network
connection.
Icon Connection Status
The monitor is connected to the Efficia CMS200

central monitoring system and has been assigned
to a sector.
Bedside Monitoring
Efficia CMS200 Central Monitoring System Network Overview
Icon Connection Status
The red X indicates that the monitor successfully

connected to the Efficia CMS200 central
monitoring system, but the network connection is
down. The No Central Monitoring message appears
in the message area.
Check the connection on the back of the monitor. If
the message persists, contact your system
administrator.
No icon If the pane is empty, the monitor was explicitly

removed from the Efficia CMS200 network or was
never added to the network.
Bedside Monitoring
Admitting a Patient at the Bedside Monitor
Caution Perform a discharge before admitting a new patient. This ensures

that data from a previous patient is not mixed with data from the
new patient. It also ensures that alarm limits, the patient type, and
the pace detection setting return to default settings.
Note — The Efficia CMS200 begins collecting data from the

monitor as soon as the monitor is turned on, even if a patient is not
currently being monitored. Consider turning the monitor off if it is
not being used to monitor a patient.
You can admit a patient at either the bedside monitor or the Efficia
CMS200 central monitoring system. When you admit a patient at
the bedside monitor that is connected to the Efficia CMS200 central
monitoring system, that patient is also admitted at the Efficia
CMS200.
When you start a new patient or discharge the previous patient, the
patient ID is displayed as ID Unknown at the monitor and at the
Efficia CMS200 central monitoring system until you admit the
patient.
The monitor does not require that you admit the patient before you
begin monitoring, so it is possible to collect and temporarily store
patient data for a patient with an ID of ID Unknown. During the admit
process, a message ask if you want to transfer the existing data to
the new patient ID. If you started monitoring the patient before
admitting the patient, select Yes to merge the data. If you did not
start monitoring the patient before admitting the patient, select No.
Bedside Monitoring
Considerations
You can enter patient IDs at the bedside monitor using either the
on-screen keyboard or a barcode scanner.
If the patient was previously admitted at the Efficia CMS200 central

monitoring system and you enter the patient’s primary ID at the
bedside monitor, all remaining patient ID fields are populated in the
Admit Patient Menu at the Efficia CM Series or the New Patient Menu at
the SureSigns VM Series bedside monitor.
Before you enter patient information at the bedside monitor, note

the following:
• If you do not enter a primary ID, the patient is admitted as ID

Unknown. Information entered in the remaining ID fields is not
saved.
• If you enter a new primary ID (one that does not exist in the
patient list at the Efficia CMS200 central monitoring system),
the patient is admitted at the bedside using the new primary
ID and the new primary ID is sent to the Efficia CMS200. The
primary ID appears in the corresponding sector at the Efficia
CMS200 and is saved to the patient list.
• If you enter a primary ID that was previously saved to the
patient list at the Efficia CMS200 central monitoring system,
and you try to edit the associated patient information, a
message informs you that you cannot edit an existing patient
ID. You can only edit patient IDs at the Efficia CMS200 central
monitoring system.
Bedside Monitoring
To admit a patient at the bedside monitor:
Step
1 Verify that the monitor name is accurate.
For more information about renaming the monitor, see “Naming the
Monitor” on page 7-2 and the Instructions for Use for your bedside
monitor.
2 Do one of the following:
• At the Efficia CM Series bedside monitor, select the patient
pane at the bottom of the screen or select the New Patient
New Patient
button
button.
• At the SureSigns VM Series bedside monitor, rotate the wheel
until the New Patient button is highlighted, and then press the
wheel, to open the New Patient Menu.
3 Select the Admit Patient option to open the Admit Patient Menu.
4 Using the on-screen keyboard or a barcode scanner, enter the patient’s
primary ID and all other patient ID fields, if required. See “Considerations”
on page 7-5.
Note — If you enter a primary ID that is saved in the patient list at the
Efficia CMS200, all remaining patient ID fields are populated with the
patient’s information.
5
Warning
Verify that the patient type is correct.

• If the patient type is correct, go to step 6.
• If the patient type is incorrect, do one of the following:
– If you are entering a new patient ID (one that does not exist in the
patient list at the Efficia CMS200), rotate the wheel to select a
different patient type. Choices are: Adult, Pediatric, and Neonatal.
– If you are entering a primary ID that was previously saved to the
patient list at the Efficia CMS200, you must change the patient
type at the Efficia CMS200.
Press the wheel again to save the selected patient type.
Bedside Monitoring
6 Select the OK button. The following occurs:

• If you change the patient ID from ID Unknown to a valid patient ID, a
message asks if you want to merge the stored data with the patient
you just admitted. Do one of the following:
– If this patient was being monitored before you entered a patient
ID, click Yes to merge the stored data.
– If this patient was not being monitored before being admitted,
click No.
• If the previous patient ID was ID Unknown and the previous patient
type does not match the patient type entered in step 5, the stored
trend data is cleared from both the bedside monitor and the Efficia
CMS200.
• If a patient with the same primary ID is already being monitored at a
different bed, a message appears to inform you of this. Verify the
primary ID and try again.
• If the Admit Time input field is enabled, but the field is blank, the
system populates the field with the current date and time.
The New Patient Menu or Admit Patient Menu closes. The patient is admitted
at the bedside monitor and at the Efficia CMS200 central monitoring
system. If you entered a new patient ID, the new patient ID is saved to the
patient list at the Efficia CMS200.
Bedside Monitoring
When you discharge a patient from the bedside monitor, the patient
is discharged from the monitor and from the Efficia CMS200 central
monitoring system. The monitor stops collecting data for the patient
and the patient ID changes to ID Unknown at the bedside monitor
and the Efficia CMS200 central monitoring system.
Following a discharge, the patient ID and associated trend data are

saved in the Efficia CMS200 patient database for 10, 20, or 30 days.
When the trend data is deleted at the Efficia CMS200, the patient
ID may remain in the patient list or it is deleted at the same time the
trend data is deleted. The trend data storage settings are configured
by your system administrator in the password-protected System
Admin tab at the Efficia CMS200.
Trend data is deleted from the bedside monitor after a discharge.
To discharge a patient at the monitor:
Step
1 Select the patient ID in the patient pane at the top of the main screen.
2 Press the wheel.

The Discharge Patient Menu appears.
3 Highlight Discharge Patient and press the wheel.

4 Select Yes to discharge the patient.

The Discharge Patient Menu closes and the patient ID changes to ID
Unknown. Trend data is cleared from the bedside monitor, but saved at
the Efficia CMS200 for a minimum of 10 days.
Bedside Monitoring
Synchronizing the Date and Time
Synchronizing the Date and Time

When a monitor connects to the Efficia CMS200 central monitoring
system, all options, except the Synchronize button, are unavailable
in the monitor’s Date/Time Menu. The date and time on the monitor
are automatically synchronized with the date and time on the
Efficia CMS200 when you admit a new patient. You can also use
the Synchronize button to manually synchronize the time from the
bedside monitor.
If the clock is adjusted, a blue line appears in the graphical and

tabular trend displays on the monitor.
If the clock is adjusted by more than 30 seconds, the monitor also

displays a Date/Time Adjusted alarm message; if the monitor is in NBP
interval mode, the monitor starts a new NBP measurement.
To manually synchronize the time:
Step
1 Rotate the navigation wheel to highlight the date and time pane. The
date and time pane is in the lower right corner of the main screen.
2 Press the wheel.

The Date/Time Menu appears. All options, except the Synchronize button,
are unavailable.
3 Rotate the wheel to highlight the Synchronize button and press the wheel.
The date and time on the monitor is synchronized with the date and time
on the Efficia CMS200 and the Date/Time Menu closes.
Bedside Monitoring
Waveforms
Waveforms
All waveforms measured at the bedside monitor are sent to the
Efficia CMS200 central monitoring system. The Efficia CMS200
displays the waveforms as follows:
• Each patient sector can display from one to eight waveforms,

depending on the sector size.
• The Patient Window can display up to six waveforms in half-
screen layout and up to eight waveforms in full-screen layout.
The waveform position at the bedside monitor is not synchronized
with the waveform position at the Efficia CMS200 central
monitoring system.
Alarms
If your monitor is connected to the Efficia CMS200 central
monitoring system, all physiological and technical alarms that occur
at the bedside monitor are sent to the Efficia CMS200.
Silencing Alarms
Caution When Audio Pause or Audio Off mode is enabled on the bedside
monitor, audible alarms do not sound at the bedside monitor or at
the Efficia CMS200 central monitoring system.
Physiological and technical alarms can be silenced at the bedside

monitor or at the Efficia CMS200 central monitoring system.
When an alarm is silenced at the Efficia CMS200 central monitoring

system, the audible alarm is silenced for 60 seconds at the Efficia
CMS200 and at the bedside monitor. Visual alarm messages
continue to display at the Efficia CMS200 central monitoring
system and at the bedside until the alarm condition is resolved. If a
new alarm occurs before the 60-second alarm silence interval
expires, the alarm silence is canceled and the audible alarm sounds
again.
Bedside Monitoring
Alarms
Alarm silence icons appear at both the Efficia CMS200 central

monitoring system and the bedside monitor, regardless of where
the alarm is silenced.
The Audio Pause and Audio Off selections are not available at the
Changing Alarm Settings

Efficia CMS200 alarm limit and alarm disable settings are
configured by the system administrator:
• If alarm limit and alarm disable settings are enabled at the

Efficia CMS200 by your system administrator, changes to the
high and low alarm limits and the alarm disable settings at the
Efficia CMS200 are synchronized between the Efficia CMS200
and the bedside monitor.
• If alarm limit and alarm disable settings are disabled at the
Efficia CMS200 by your system administrator, the high and
low alarm limits and the alarm disable settings can only be
changed at the bedside monitor. The changes made at the
bedside monitor are displayed at the Efficia CMS200 central
monitoring system.
For information on alarm limit ranges and default alarm settings for
the monitor, see the Instructions for Use for your bedside monitor.
Bedside Monitoring
Alarms
Technical Alarms
The following table lists the technical alarms that are sent from the
Efficia CMS200 central monitoring system to the bedside monitor:

Date/Time Adjusted Low Indicates that a time change greater than
30 seconds occurred at the bedside
monitor. The bedside monitor date and
time changes when:
• The Efficia CMS200 date and time
changes.
• The monitor date and time is
automatically or manually
synchronized with the Efficia CMS200.
The Date/Time Adjusted alarm is a visual
alarm only; no audible alarm sounds.
No Central Low The monitor has lost its connection to the

Monitoring Efficia CMS200.
If the monitor is placed in Standby mode or SpotCheck mode, or it

is disconnected from the network, the No Data from Bed message
appears in the associated sector at the Efficia CMS200 central
monitoring system.
Print on Alarm
If your bedside monitor is connected to the Efficia CMS200, and
you enable Print on Alarm, the printout is initiated at the bedside
monitor, not at the Efficia CMS200 central monitoring system.
Bedside Monitoring
SpotCheck Mode
SpotCheck Mode
If your SureSigns VM4 monitor is connected to the Efficia CMS200,
and you place it in SpotCheck mode, measurements taken in
SpotCheck mode are not sent to the Efficia CMS200. The message
No Data from Bed displays at the Efficia CMS200 central monitoring
system.
Starting NBP Measurements at the Central Monitoring

System
If the Efficia CMS200 is configured to allow remote NBP
measurements, you can initiate a single NBP measurement, NBP
interval measurements, or STAT measurements from the Efficia
NBP Interval and STAT settings are synchronized between the

bedside monitor and the Efficia CMS200 central monitoring system.
For information on stopping NBP measurements or NBP intervals,
see the Instructions for Use for your bedside monitor.
Bedside Monitoring
Starting NBP Measurements at the Central Monitoring System
Bedside Monitoring
8
Care and Cleaning
To clean your Efficia CMS200 central monitoring system

components, use only the approved cleaning techniques described
in this chapter.
For components or accessories that are not manufacturered by
Philips, follow the cleaning instructions included with the
component. Otherwise, use the guidelines for Cleaning the System
below.
Cleaning the System

Keep the PC vents, keyboard, mouse, cables, and accessories free
of dust and dirt.
Cautions Avoid bringing food or drinks into the vicinity of the Efficia
CMS200 central monitoring system. Avoid liquid spills. If you spill
liquid on any part of the Efficia CMS200, contact your system
administrator or authorized service provider.
Do not use abrasive material, bleach, or strong solvents on any

part of the Efficia CMS200.
Do not spray cleaning fluids directly on any part of the system.
Do not steam sterilize or ultrasonically clean any part of the

Efficia CMS200.
Contact your authorized service provider to replace any

components that show signs of damage or deterioration.
Care and Cleaning

Cleaning the System
Use the following procedure to clean the Efficia CMS200

components:
• Exterior parts of the PC

• Mouse
• Monitor display and case
• Keyboard exterior and tops of the keys
• Cables
• License key
To clean the system components:
Step
1 Remove any dirt or dust from the PC, keyboard, and mouse by using a
soft, clean, antistatic cloth.
2 Dust the display screen and case with a soft, clean antistatic cloth.
Caution
Do not spray liquids or aerosols directly on the screen. Do not use
solvents or flammable liquids to clean the screen.
3 For dirt or stains that are difficult to remove, contact your system
administrator.
Care and Cleaning

9
Specifications
The Efficia CMS200 software (model number 863352) is designed

to operate on qualified hardware components that are either
provided by Philips or customer-supplied. The following table lists
the components and their source. The following abbreviations are
used in the table:
• PS = Philips-supplied only
• PS/CS = Philips-supplied or customer-supplied
• CS = Customer-supplied only
For a list of specifications for customer-supplied components, see
the Efficia CMS200 Central Monitoring System Installation and
Configuration Guide.
Component 863352
PC PS
PC power cord PS
Keyboard CS
Mouse PS
External speaker CS
Display PS/CS
Display Port Cable for second display PS/CS
2nd NIC card PS
Printer CS
Uninterruptible power supply (optional) CS
Network Switch CS
Specifications
Hardware Specifications
Warning The Efficia CMS200 central monitoring system components are not
suitable for installation in the Patient Environment (Patient Care
Vicinity), which is defined as any area within 1.5 m (4.9 ft)
horizontally and 2.5 m (8.2 ft) vertically above the floor from any
patient care location in which medical diagnosis, monitoring, or
treatment of the patient is carried out.
System
Parameter Description
System input power 100 – 240 VAC, 50/60 Hz
Display Port Cable (for primary display) Meets local applicable standards
Note — Only direct connections of the
signal cable are supported. Do not use
a signal cable converter.
Network Switch Meets local applicable standards
System response time (from bedside Numeric data delay — 3 seconds
monitor to Efficia CMS200 central Waveform delay — 3 seconds
monitoring system) Visual alarm delay — 3 seconds
Remote NBP start delay — 3 seconds
System startup time (includes time to start  2 minutes
the PC, operating system, and Efficia
CMS200 software)
LCD resolution Fixed at 1920 x 1080 @60 Hz
Viewing angle The side-to-side viewing angle of the
display is approximately ± 15 degrees.
Audio alarm range 45dB–85dB (+/–3dB)
Ensure that the speaker is always
operational and at a volume level that
is appropriate for the care area where
the Central will be used.
Specifications
Display
Viewable size 23-inch diagonal or above
Aspect Ratio 16:9
Resolution 1920 x 1080 @60 Hz
Contrast ratio >=1000:1
External connections VGA, DVI-D and Display Port with HDCP
Input Power 100-240 VAC, 50/60 Hz
Localized Keyboard
Recommended keyboard Should be recognized and supported by the
Manufacturer desktop PC platform. Philips recommended
keyboard is: PN HP SK-2120
Keyboard layout 104, 105, 106, 107, or 109 (depending upon the
country)
Keyboard switch life 20 million keystrokes or above
Keyboard support Windows 7, Windows 10 or above
Keyboard interface USB
Wireless keyboard is not supported
The localized keyboard should be purchased in the locations where the CMS200 will
be shipped to and checked by qualified service personnel.
Printer
Print method Laser
Connectivity USB 2.0, Ethernet 10/100/1000 Megabit
Paper sizes supported at least A4 and 8.5” x 11”
Specifications
Resolution 600 dpi x 600 dpi or above
Print speed 35 PPM or above
Duplex printing Automated
Maximum duty cycle 750-3000 pages/month
Driver Compatible with Microsoft Windows 10 or above
The printer should be purchased in the locations where the CMS200 will be shipped.
License Key
Input power (USB 2.0) 5.0V
License key backup power 2 AA alkaline batteries
Low alarm @ < 80% charge
License key remains operational for 10 minutes
after switching over to battery power.
Speaker resonant frequency 460 Hz ± 20%
Alarm notification LED: red, yellow, green alarm states
Specifications
Software Specifications
Parameter Specification
Operating System Microsoft Windows Embedded Standard 7 or
Microsoft Windows 10 Enterprise 2016 LTSB
Third Party Software and Tools • Apache log4net 2.0.3
• Adobe Reader 11.0.23
• Zlib 1.2.8
• SharpZipLib 0.86.0
• Microsoft SQL Server 2008 R2 Express
• NSIS 2.46
Data Encryption • SHA256
• AES256
• TripleDES
Beds per system Options (dependent on license key):
• 64
• 32
• 16
• 8
Pages per system 8 maximum
Sectors per page 16 maximum
Display formats • Columns — 1, 2
• Rows per column — 1, 2, 4, 8
Specifications
Measurements displayed HR, PVC, SpO2, SpCO, SpOC, SpHb, RRa, NBP,
(if supported at bedside) Pulse, RESP, ART, CVP, P, PAP, Ao, ABP, ICP, ITBV,
ITBI, UAP, LAP, RAP, UVP, RR/RESP or awRR,
etCO2, imCO2, Temperature, Tblood, CCI, CCO,
C.O., CPO, CPI, CFI, C.I., PPV, PVPI, ST I, ST II, ST III,
ST aVR, ST aVL, ST aVF, ST V, ST MCL, ST V1, ST
V2, ST V3, ST V4, ST V5, ST V6, SV, SVI, SVR, SVRI,
SVV, FA (only for G30E/G40E), RA (only for G30E/
G40E), PAWP, cmH2O, BIS, BIS SQI, BIS SR, BIS
SEF, BIS EMG, BIS TP, BIS BC, BIS L, BIS SQI L, BIS
SR L, BIS SEF L, BIS EMG L, BIS TP L, BIS BC L, BIS
R, BIS SQI R, BIS SR R, BIS SEF R, BIS EMG R, BIS
TP R, BIS BC R, EVLW, ELWI, Gas etCO2, Gas
imCO2, Gas awRR, Gas inN2O, Gas etN2O, Gas
inO2, Gas etO2, Gas inHAL, Gas etHAL, Gas inENF,
Gas etENF, Gas inISO, Gas etISO, Gas inSEV, Gas
etSEV, Gas inDES, Gas etDES, GEDV, GEDI, GEF,
QT, QTc, QTc, QT-HR. EWS Total Score
Available waveforms ECG I – III, ECG aVR, ECG aVL, ECG aVF, ECG V,
ECG MCL, ECG V1 – V6, SpO2, ART, CVP, P, PAP,
Ao, ABP, ICP, UAP, LAP, RAP, UVP, FA (only for
G30E/G40E), RA (only for G30E/G40E), CO2, RESP
RA-LL, RESP RA-LA(only for G30E/G40E), RESP
LA-RL(only for G30E/G40E), RESP LL-RL(only for
G30E/G40E), RRa, CO2(Gas), O2(Gas), N2O(Gas),
HAL(Gas), ENF(Gas), ISO(Gas), SEV(Gas), DES(Gas),
EEG(BIS), EEG2(BIS), EEG3(BIS), EEG4(BIS)
Waveforms per bed Based on sector size: 1, 2, 4, 6, 8, or 12
Waveform Length • Single column: 6 seconds @ 25 mm/sec, 12
seconds @ 12.5mm/sec
• Dual column: 3 seconds @ 25 mm/sec,
6 seconds @ 12.5mm/sec
Specifications
Trend data • Tabular trend review
• NBP trend review
• Graphical trend review
• Alarm/Event review
• ECG waveform review
• Full disclosure review
• ABPM analysis review
• HRV analysis review
• EWS trend review
Graphical Trend view • User-selectable graph display, time intervals
from15 minutes to 24 hours
• 1 second resolution
• Graphs all parameters
• Multiple values for given parameter are color-
coded
• Alarm indicators
Tabular Trend view • Displays all parameters
• User-selectable time intervals from
15 seconds to 2 hours
• Alarm indicators
Specifications
Stored patient data For every patient currently being monitored by the
Efficia CMS200, the last 10 days (240 hours) of the
following data can be stored:
• All numeric data
• All compressed ECG waveforms
• NBP records
• Physiological and technical alarms and events
• Beat-to-beat waveform data for all waveforms
• Manual events
Data older than 10 days is automatically purged.
Alarm/Event • Alarm message
• Alarm date/time
• Alarm priority
• 10 days of alarm data
• Waveforms
Printing formats • U.S. letter: 8.5 in. x 11.0 in. (215.9 mm x
279.4 mm)
• A4: 210 mm × 297 mm (8.3 in. x 11.7 in.)
Specifications
Environmental Specifications
Temperature
Operating 15o C to 32.5 oC (59o F to 90.5o F) with printer
10o C to 35 oC (50o F to 95o F) without printer
Storage –20o C to 40o C (–4o F to 104o F) with printer
–20o C to 50o C (–4o F to 122o F) without
printer
Humidity
Operating 15% to 85% RH, non-condensing
Storage 15% to 90% RH, non-condensing
Altitude
Operating 0–3000 meters (9842 feet, 1013–701 mbar,
1013 hPa–701 hPa, 101–70 kPa) above sea
level, composite
Storage 0–9144 meters (0–30000 ft, 1013–301 mBar,

1013 hPa–301 hPa, 101–30 kPa) above sea
level, composite 0 kPa)
Specifications
Specifications
10
Electromagnetic Compatibility
The Efficia CMS200 is not an intentional radiator. This product has

been evaluated for electromagnetic compatibility (EMC) with the
appropriate accessories according to IEC 60601-1-2:2014, the
international standard for EMC for medical electrical equipment.
This IEC standard has been adopted in the European Union as the
European Norm, EN 60601-1-2:2015.
Warnings Radio frequency (RF) interference from nearby transmitting

devices can degrade performance of the product.
The use of any accessory other than those specified in the product
documentation can result in increased emissions or decreased
immunity of the product.
Emissions and Immunity

The Efficia CMS200 central monitoring system is designed and
evaluated to comply with the emissions and immunity requirements
of international and national EMC standards. For detailed
information regarding declaration and guidance, see Table 10-1
through Table 10-5.
Immunity is defined in the standard as the ability of a system to

perform without degradation in the presence of an electromagnetic
disturbance. Degradation in system performance is a qualitative
assessment which can be subjective.
Caution should, therefore, be taken in comparing immunity levels of

different devices. The criteria used for degradation is not specified
by the standard and can vary with the manufacturer.
Guidance and Manufacturer’s Declaration
The Efficia CMS200 central monitoring system is intended for use in the
electromagnetic environment specified in the following tables. The customer or the
user of the product should verify that it is used in such an environment.
Table 10-1. Electromagnetic Emissions
Emissions Test Compliance Electromagnetic Environment Guidance
RF emissions Group 1, Class A The Efficia CMS200 central monitoring

CISPR 11 system is suitable for use in professional
healthcare facility environment.
Harmonic emissions Class A
IEC 61000-3-2
Voltage fluctuations/ Complies

flicker emissions
IEC 61000-3-3
Table 10-2. Enclosure Port

Immunity Compliance Electromagnetic
Immunity Test
Test Level Level Environment - Guidance
Electrostatic ±8 kV contact ±8 kV contact Mains power quality

discharge (ESD) ±2, ±4, ±8, ±15 kV air ±2, ±4, ±8, ±15 kV should be that of a typical
IEC 61000-4-2 air hospital environment.
Radiated RF 3 V/m 3 V/m

Electromagnetic 80 MHz - 2.7 GHz 80 MHz - 2.7 GHz
Field
IEC 61000-4-3
Proximity fields Refer to Table 10-3 Refer to

from RF wireless Table 10-3
communications
equipment
IEC 61000-4-3
Power frequency 30 A/m 30 A/m

magnetic field 50 Hz or 60 Hz 50 Hz or 60 Hz
IEC 61000-4-8
Table 10-3. Proximity Fields from RF Wireless Communications Equipment
Test IMMUNITY TEST
Maximum Distance
Frequency Banda) (MHz) Servicea) Modulationb) LEVEL
Power (W) (m)
(MHz) (V/m)
385 380 – 390 TETRA 400 Pulse 1.8 0.3 27
modulationb)
18 Hz
450 430 – 470 GMRS 460, FMc) 2 0.3 28

FRS 460 ± 5 kHz
deviation
1 kHz sine
710 704 – 787 LTE Band 13, 17 Pulse 0.2 0.3 9
745 modulationb)
780 217 Hz
810 800 – 960 GSM 800/900, Pulse 2 0.3 28
870 TETRA 800, modulationb)
930 iDEN 820, 18 Hz
CDMA 850,
LTE Band 5
1720 1 700 – GSM 1800; Pulse 2 0.3 28
1845 1 990 CDMA 1900; modulationb)
1970 GSM 1900; 217 Hz
DECT;
LTE Band 1, 3,
4, 25; UMTS
2450 2 400 – Bluetooth, Pulse 2 0.3 28
2 570 WLAN, modulationb)
802.11 b/g/n, 217 Hz
RFID 2450,
LTE Band 7
5240 5 100 – WLAN 802.11 Pulse 0.2 0.3 9
5500 5 800 a/n modulationb)
5785 217 Hz
Note If necessary to achieve the Immunity Test Level, the distance between the transmitting
antenna and the Efficia CMS200 may be reduced to 1 m. The 1 m test distance is permitted by
IEC61000-4-3.
a) For some services, only the uplink frequencies are included.
b) The carrier shall be modulated using a 50% duty cycle square wave signal.
c) As an alternative to FM modulation, 50% pulse modulation at 18 Hz may be used because while
it does not represent actual modulation, it would be worst case.
Table 10-4. Input a.c. Power Port
Electromagnetic
Immunity Test Immunity Test Level Compliance Level Environment -
Guidance
Electrical fast ± 2 kV ± 2 kV The Efficia CMS200
transient/burst central monitoring
IEC 61000-4-4 system is suitable for
use in professional
Surge ± 0.5 kV, ±1 kV ± 0.5 kV, ±1 kV healthcare facility
Line to line environment.
IEC 61000-4-5
Surge ± 0.5 kV, ±1 kV, ±2 kV ± 0.5 kV, ±1 kV, ±2 kV
Line to ground
IEC 61000-4-5
Conducted 3V 3V
disturbances 0.15 MHz – 80 MHz 0.15 MHz – 80 MHz
induced by RF 6 V in ISM and amateur 6 V in ISM and amateur
fields radio bands between radio bands between
IEC 61000-4-6 0.15 MHz and 80 MHz 0.15 MHz and 80 MHz
Voltage dips, short 0% UT; 0,5 cycle 0% UT; 0,5 cycle
interruptions and At 0°, 45°, 90°, 135°, At 0°, 45°, 90°, 135°,
voltage variations 180°, 225°, 270° and 315° 180°, 225°, 270° and 315°
on power supply
0% UT; 1 cycle and 70% 0% UT; 1 cycle and 70%
input lines
UT; 25/30 cycles Single UT; 25/30 cycles Single
IEC 61000-4-11 phase: at 0° phase: at 0°
Voltage 0 % UT; 250/300 cycle 0 % UT; 250/300 cycle
interruptions
IEC 61000-4-11
Table 10-5. Signal Input/Output Port
Electromagnetic
Immunity Test Immunity Test Level Compliance Level Environment -
Guidance
Electrostatic ±8 kV contact ±8 kV contact The Efficia CMS200
discharge (ESD) ±2, ±4, ±8, ±15 kV air ±2, ±4, ±8, ±15 kV air central monitoring
system is suitable for
IEC 61000-4-2 use in professional
Electrical fast ± 1 kV ± 1 kV healthcare facility
transient/burst environment.
IEC 61000-4-4
Surge ±1 kV ±1 kV
Line(s) to Ground:
IEC 61000-4-5
Conducted 3V 3V
disturbances 0.15 MHz – 80 MHz 0.15 MHz – 80 MHz
induced by RF 6 V in ISM and amateur 6 V in ISM and amateur
fields radio bands between radio bands between
IEC 61000-4-6 0.15 MHz and 80 MHz 0.15 MHz and 80 MHz
Part Number 453564982231
Printed in China 2021-09
Revision A
*453564982231*
*A*
Efficia CMS200 Central Monitoring System Release 2.3 INSTRUCTIONS FOR USE

Efficia CMS200: Central Monitoring System

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Efficia CMS200: Central Monitoring System

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Instructions

INSTRUCTIONS FOR USE

ii Efficia CMS200 Instructions for Use

Efficia CMS200 Instructions for Use iii

Typeface Usage Example

Bold System keys Press the Main Screen key.

Italic Variables, document • <product name>-<hardware

Caution A Caution calls attention to a condition or possible situation that

Warning A Warning calls attention to a condition or possible situation that

iv Efficia CMS200 Instructions for Use

The following symbols appear on the Efficia CMS200 central

Symbol Description Symbol Description

Prescription Use Only Lot Number

Catalogue number Caution

Manufacturer Country and date of

Fragile, handle with care 40°C

Keep dry This way up

701 hPA 15%

Efficia CMS200 Instructions for Use v

Compliance with WEEE USB port

Serial number Unique Device Identifier

Medical Device Symbol Importer

vi Efficia CMS200 Instructions for Use

Warnings • The EU REACH Regulation 1907/2006 requires Philips to

Efficia CMS200 Instructions for Use vii

viii Efficia CMS200 Instructions for Use

The Efficia CMS200 central monitoring system provides continuous

For information on the Efficia CMS200 central monitoring system

Note — This document includes information on functions and

Indications for Use

intended to be the sole source of information for decision

Supported Patient Monitors

Patient Monitor Required Software Version

Note — To ensure safe use of the Efficia CMS200 with connected

Efficia CMS200 Central Monitoring System Documentation

Using the Online Help

Using the Philips InCenter Site

The Philips InCenter site requires an active registration and

Registration for the InCenter site requires the Efficia CMS200

About Adobe® Acrobat® Versions

Adobe Acrobat Reader® version 9.0 or above must be installed on

Any version of Adobe Acrobat Professional or Acrobat Elements is

applications. Acrobat Reader 9.0 or above must be installed in

Follow this procedure when accessing documents on the Philips

To access documents on the Philips InCenter site:

1. Exit Acrobat Professional or Acrobat Elements (if open).

This chapter describes the basic functions of the Efficia CMS200

For information about using a bedside monitor that is connected to

Warnings If connection between the Efficia CMS200 central monitoring

Using the Mouse and Keyboard

Use the mouse to navigate between screens and the keyboard to

If your system administrator has configured the system to use the

The following illustration is an example of a page that has been

Message pane Page buttons Toolbar Date/Time

The following sections describe the Efficia CMS200 display

The number of waveforms and the amount of information displayed

Alarm Silence Icon Display

BED5 Adult - 1234 Smith, Robert Pulse Low

ECG II Auto HR bpm SpO2% Pulse bpm

more information about night mode, see the Efficia CM Series

Note — If a sector contains ST numerics or Masimo rainbow

Sector Menu Options

Admit a patient Click the patient ID and “Admitting a Patient” on