How can electrical interference be eliminated?

In general the PiCCO devices are protected against interference with diathermy devices for electrical surgical procedures and coagulation. Interference may occur when the PiCCO is configured to send the arterial pressure signal to the patient monitor via the pressure transfer cable connected to the AUX port of the PiCCO, which means that there is a direct cable connection between the PiCCO and the bedside monitor. 

When interference is reported the following remedies may help.

  • Ensure that the green/yellow potential-equalization cable (earthing cable) is connected between the PiCCO device and the related socket in the operating room
    and
  • Connect the power cables from the PiCCO device and the patient monitor to different power circuits.
  • If these electrical connection solution do not solve the problem, the connection between the PiCCO device and the patient monitor needs to be disconnected. The arterial pressure will need to be measured independently with a second pressure transducer which transfers the signal direct to the patient monitor.

How can the PiCCO measurement results be documented by printout or data download?

Printing:

Depending on which PiCCO device is used, there are different print options available. The PiCCO plus has an inbuilt thermal transfer printer which is initiated by pushing the printer button on the front of the device. Special thermal transfer printer paper is required.

With the PiCCO2 the printout is accessed by pushing the printer button on the front of the device. The layout of the printout depends on the screen content displayed when the print button is pushed. 

  • Spider or Profile screen: all measurement values and the pressure curve(s)
  • Trend screen: all measurement values, the pressure curve(s) and graphical trend
  • Thermodilution measurement screen: all measurement values, the pressure curve(s) and the last six thermodilution measurement curves with result table

Before the printout is initiated it is necessary to connect either a standard printer (HP LaserJet 1200 series compatible driver) or a USB data storage device to one of the USB ports on the back of the device. A PDF file and a screenshot in JPG format is downloaded which can be printed later from any computer with a connected printer.
When connecting a USB device a message appears on the screen giving further information on the device status. Printouts can only be started after the USB device is detected. The USB device should only be disconnected when the device confirms completion of the printout.

When the PiCCO2 is connected to a local area network (LAN) and configured correctly, sending the printout to a printer integrated into the LAN is another option.

PulsioFlex offers the printout by pushing the printer button in the main menu of the software. In the following screen the print target (Network, USB stick or Local) and the time span of data to be printed can be adjusted.
Before the printout is started it is necessary to connect to one of the USB ports on the back of the device, either a standard printer (HP Universal Printing PCL5 driver compatible) for direct printout (Local) or a USB data storage device (USB stick) for download of the printout (PDF file) for printing later at any computer with a printer connected.
When a USB device is connected, a message appears on the screen giving further information on the device status. Printouts can only be started after the USB device is detected. The USB device should only be disconnected when the device confirms completion of the printout.
When the PulsioFlex is connected to a local area network (LAN) and configured correctly, sending the printout to a printer integrated into the LAN is another option.

Data download:

  • PiCCO2 (from software version 3.1 in Europe and 9.1 in the USA) allows patient monitoring data to be captured (Data Acquisition Function). Continuous data is recorded every 12 seconds and thermodilution data is recorded every time a thermodilution is performed. Data is stored in a CSV (coma separated value) format and can be downloaded onto a USB stick for further analysis. Please contact your local Sales Representative to discuss how to turn the Data Acquisition function on.
  • PulsioFlex offers the data acquisition option in the main menu. Continuous data is recorded every 12 seconds and thermodilution data is recorded every time a thermodilution is performed. Data is stored in a CSV (coma separated value) format and can be downloaded onto a USB stick for further analysis.

Can I link the PiCCO device into a Patient Data Management System (PDMS)?

All PULSION devices continuously send all data to the serial RS232 port (PiCCOplus and PiCCO2 directly, PulsioFlex via a USB-to-RS232 adapter). The data is provided in a proprietary but defined and documented format. With this information, data can be easily integrated into any kind of PDMS and the necessary drivers are already available for a broad range of PDMS and patient monitors including Agfa, Capsule, Copra, Draeger, Fresenius, GE, iMDsoft, Imeso, Medisite, Nihon Kohden, Philips, Picis and Spacelabs. Please speak to your local Sales Representative for more information.