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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 sending the arterial pressure signal to a patient monitor via the pressure transfer cable connected to the AUX port of the PiCCO, meaning when a direct cable connection between the PiCCO device and the bedside monitor is established.

In cases where interference is reported, the following remedies may help.

  1. Ensure that the green/yellow potential-equalisation cable (earthing cable) is connected between the PiCCO device and the related socket in the operating room.
    and
  2. Connect the power cables from the PiCCO device and the patient monitor to different power circuits.
  3. If these electrical connection solutions do not solve the problem, the connection between the PiCCO device and the patient monitor needs to be terminated. So the arterial pressure signal needs to be measured independently with a second pressure transducer which transfers the signal directly to the patient monitor.

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

Printing:

Depending on the PiCCO device being used different print options are available.

PiCCOplus has an inbuilt thermal transfer printer. The printout is started by pushing the printer button on the front of the device. A special roll of thermal transfer printer paper is required.

PiCCO2 offers a printout by pushing the printer button on the front of the device .The design of the printout depends on the screen content at the moment 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 started it is necessary to connect a standard printer (HP LaserJet 1200 series driver compatible) to one of the USB ports on the back of the device for direct printout. Alternatively a download of the printout (PDF file plus a screenshot in JPG format) can be downloaded to a USB storage device for printing later at any computer with a printer connected.

When connecting a USB device a message will appear on 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 once 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 also another option.

PulsioFlex offers the printout function by pushing the printer button in the main menu of the software. The screen will offer the print target (Network, USB stick or Local). The time span of data to be printed can also be adjusted.

Before the printout is started it is necessary to connect either a standard printer (HP Universal Printing PCL5 driver compatible) to one of the USB ports on the back of the device for direct printout (local). Alternatively a USB data storage device (USB stick) can be used for download of the printout (PDF file) and later printing at any computer with a printer connected.

When connecting a USB device a message will appear 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 once 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 also another option.

Data download:

PiCCO2 (from software version 3.1 in Europe and 9.1 in the USA) allows patient monitoring data capture (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. Additionally certain events (e.g. intubation, volume challenge, drug infusion) can be named and will be listed then with the corresponding time. 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 easily be integrated into any kind of PDMS. 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.