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Skyline
Operating Manual
EXEMPTIONS
L&T's liability under this warranty does not include any
transportation or other charges or liability for direct, indirect or
consequential damages or delay resulting from improper use or
application of the product or the substitution upon it of parts or
accessories not approved by L&T.
COPYRIGHT
CAUTION
1. Do not run any other applications on the computer when
Skyline is in operation.
2. Do not switch OFF the system without closing the Skyline
application.
3. Please switch the system OFF and ON once in 41 days of
continuous operation as a precaution against a bug in Windows
95.
General Description
Page No.
2. Installation 7
- Pre-installation
- PC configuration
- Skyline system connections
- Skyline compatible monitors -Installation
3. General information 15
- Operating instructions
- Controls common to all modes
- Alarms
4. Multibed mode 21
5. Multiparameter mode 37
6. Arrhythmia / ST mode 43
7. Trend mode 49
- Graphical trend
- Tabular trend
8. ECG Recall 57
9. Print formats 61
12. Interconnections 79
Warranty certificate
- Customer copy
- Engineer copy
- MED service center copy
NOTE
NOTE
Follow the instructions for PC installation.
Refer page no. 12
NOTE
Kontron version 8/16 Bed Skyline. User Access Verification in the
form of password & will be required to exit Skyline and switch OFF the
Skyline system.
Refer page no. 18
NOTE
Visual indications of all alarms will continue.
Refer page no. 28
NOTE
Parameter selection facility in multibed view is possible for 8 bed
version only.
This facility is provided for STAR, STAR SNT, LUNAR, LUNAR SN,
PLANET & GALAXY bedside monitors.
Refer page no. 29
NOTE
Passwords are case sensitive.
Refer page no. 30
NOTE
Equipment selection feature is disabled for USB compatible system
(for both 8 and 16 beds versions).
Refer page no. 31
NOTE
Only printer models for which the necessary driver softwares are
loaded while configuring the personal computer during the
installation will appear in this list.
Refer page no. 32
Refer page no. 34
NOTE
Alarm indication and Alarm Mute features are not applicable for
Micromon-N.
Refer page no. 35
NOTE
If the bedside equipment is not powered ON or not connected then
the message MONITOR NOT CONNECTED or LINK FAILURE will
be displayed in place of ECG waveform.
If Stellar-P is connected, then the message STELLAR-P
CONNECTED will be displayed in place of ECG waveform.
ECG waveform may overlap the name, in case of higher amplitude.
If the bed number entered by the user is different from the one
received by Skyline from bedside monitor then error message will be
displayed.
Refer page no. 36
NOTE
In multiparameter mode print function will print the selected bed.
ECG waveforms and HR of other 7 beds will not be printed.
Refer page no. 41
NOTE
Visual alarms for a parameter will be indicated by a change in the
background colour of parameter label in multiparameter mode.
(Yellow / Red)
Refer page no. 41
NOTE
Arrhythmia / ST mode is not applicable for Micromon and Stellar - P.
Refer page no. 46
NOTE
ST mode is applicable only for Galaxy and Star bed side monitor.
Refer page no. 46
NOTE
Arrhythmia trend will be available for 24 working hours or from the
time of patient admitted.
The arrhythmia default display will be for 13 hours.
The ECG strip will be shown with the scale for arrhythmia
occurrences with the resolution of 2 minutes.
The background is black for waveform display in all screens but for
arrhythmia screen it is on graph paper.
Refer page no. 47
NOTE
Tabular trend can be accessed through graphical trend screen only.
Refer page no. 51
NOTE
Trend data will be available for 24 hours, prior to the time of entry
into graphical trend mode.
Trend data will be displayed in the form of a bar graph, with a scale.
The default resolution for trend is 6 minutes.
Horizontal scroll bar to scroll through the trend graph is provided at
the bottom. Clicking the left/right arrow button of the scroll bar using
mouse, shifts the graph by 6 minutes.
Records corresponding to the alarms have following colour codes:
Red : In case of patient related alarms
Yellow : In case of machine related alarms.
NOTE
Interface cable colours subject to change without notice (colours
depend upon availability and the type of cable in market.
Refer page no. 80
NOTE
T-Transmit and R-Receive are junction points for data transmission.
S is a common point (Drain) which needs to be connected to the
common ground point at Skyline end.
Maximum length of RS 485 cable is 200 metres.
R and T are extra pair of cable for future use.
Drain cable should be shorted with the monitor ground at the
bedside end to have better signal transmission.
Please ensure correct connections of R and T throughout the
installation.
CAUTION
In case of power failure, Skyline will retain the trend data but recall
of last 16 alarms will be lost.
Refer page no. 8
CAUTION
Before making any connections, make sure that the PC is fully
functional & is in power OFF mode. (Interacting Skyline hardware
while the PC is ON can damage the system.)
Ensure that Skyline network cables and power cable and Skyline
cable.
Ensure proper distance between power cable and Skyline cable.
Refer page no. 12
CAUTION
Discharging a patient will erase all the stored data of the patient
(trend, arrhythmia strip storage records etc.), pertaining to that
patient.
Refer page no. 26
CAUTION
Do not use chemicals or abrasive solutions.
Refer page no. 70
WARNING
WARNING
1. Dont move the PC in power ON condition.
It may cause loss of stored data (HDD damage) and damage to
electrical connections.
Skyline being an ICCU equipment, it is not intended to operate in
MRI environment.
2. Performance of Skyline when operating in MRI environment is
not known to the best of our knowledge.
Follow MRI manufacturers advice while using equipment near
MRI.
Refer page no. 13
Pre-installation
For site planning of Skyline two key points are listed below:-
a. Site selection and preparation.
b. Selection of power conditioning equipment.
a. Site selection and preparation
Proposed Skyline site should be selected keeping in mind various
external factors that will affect normal operation of the system in
future. It is advisable to avoid areas of strong Electro magnetic
fields near the proposed site of installation e.g., Transmitting towers,
HT transformer, HT and LT power transmission lines etc.
Electrical connections and bedside monitors to Skyline wiring
should be made with proper care to minimise the interference. 5-
amp sockets with proper grounding (G-N voltage < 2 volts) should
be provided at the site of installation (3 sockets for Skyline and
individual sockets for bed side monitors).
b. Selection of power conditioning equipment
Depending on the voltage supply at your site, you must choose the
appropriate voltage stabilizer. The Skyline requires regulated
stabilized voltage for operation and hence it is required that you
install any one of the following:
Servo voltage stabilizer with high/low trip facility.
CVT (Constant Voltage Transformer)
UPS (Uninterrupted Power Supply)
UPS is recommended for Skyline to avoid loss of data in case of power
failure.
The voltage and power specification for the voltage stabilizing
equipment must be :
Input voltage range : 180V to 260V AC single phase
Output regulated voltage : 230V AC +/- 2% single phase
Power ratings : 2 kVA (This rating is suggested for ICU
layout with 16 monitors and Skyline
The unit should be properly ventilated as mentioned in safety section of
this manual.
CAUTION
In case of power failure, Skyline will retain the trend data but recall
of last 16 alarms will be lost.
NOTE
Follow the instructions for PC installation.
CAUTION
Before making any connections, make sure that the PC is fully
functional & is in power OFF mode. (Interfacing Skyline hardware
while the PC is ON can damage the system.)
Ensure that Skyline network cables and power cables are not
entangled.
Ensure proper distance between power cable and Skyline cable.
8 Bed Version
16 Bed Version
6. Menu Bar will change depending on the operating mode and will
be displayed on the top of the screen.
For 16 bed version multiparameter and graphical trend screen will
have status bar as shown earlier with additional information as
shown below
Multiparameter Mode
alarm enabled.
alarm disabled.
will shut down the Skyline application and operation of the PC.
NOTE
Kontron version 8/16 Bed Skyline, User Access Verification in the
form of password & will be required to exit Skyline and switch OFF
the Skyline system.
To discharge patie nt :
Click Yes
Enter password : Skyline (Lowercase)
[User can set his / her own password. Refer SETUP menu description.]
Click
Click to escape.
CAUTION
Discharging a patient will erase all the stored data of the patient
(trend, arrhythmia strip storage records etc.) pertaining to that
patient.
Transfer patient
To shift the patient from one bed to another click Transfer Patient. The
following screen appears :
Enter correct date & time and click to store the settings
Now click
NOTE
Visual indications of all alarms will continue.
c] Parameter settings window is provided to allow selection of 3
parameters which can be viewed next to HR in multibed mode.
(numerical values only)
NOTE
Parameter selection facility in multibed view is possible for 8 bed
version only.
NOTE
This facility is provided for STAR, STAR SNT, LUNAR, LUNAR SN,
PLANET & GALAXY bedside monitors.
d] Change bed number will allow you to change the bed number.
: Click here to
escape.
Enter password
return.
Click to escape.
NOTE
Passwords are case sensitive
f] Select equipment allows the user to select the bedside monitor
model.
NOTE
Equipment selection feature is disabled for USB compatible system
(for both 8 and 16 beds versions).
g) Select Printer
Allows the user to select a printer model.
Click Select Printer to view a drop down list of available printer
models.
Select the printer model currently in use.
Printer model once selected should not be changed, unless printer
connected to Skyline is changed.
NOTE
Only printer models for which necessary driver softwares are loaded
while configuring the personal computer during the installation will
appear in this list.
16 BED VERSION
a) Date & Time : Refer page no. 28
b) Alarm duration : Refer page no. 28
c) Bed management :
Allows the user to change the bed number and program a group of beds
to form the user group.
Click on Bed Management to view sub menu with the following
options:
Change Bed Number
Bed Select
Enter old password, new password and re-enter new password for
verification.
2. Alarm indication.
Flashing red background indicates patient related alarms.
Flashing yellow background indicates accessory/equipment related
alarms.
Grey background indicates no alarm.
NOTE
Alarm indication and Alarm Mute feature is not applicable for
Micromon-N/L
NOTE
If the bedside equipment is not powered ON or not connected then
the message MONITOR NOT CONNECTED or LINK FAILURE will
be displayed in place of ECG waveform.
If Stellar-P is connected, then the message STELLAR-P
CONNECTED will be displayed in place of ECG waveform.
ECG waveform may overlap the name, in case of higher amplitude.
In the bed number entered by the user is different from the one
received by Skyline from bedside monitor then error message will be
displayed.
Multiparameter mode will display :
1. Maximum of 4 waveforms (if Galaxy/Star/Lunar is connected as the
bedside monitor).
3. Alarm status, Bed number and Name of the patient is seen on the
top of the screen for selected bed.
NOTE
In multi parameter mode freeze function will only freeze the
waveform for the selected bed and not the ECG waveforms for other
freeze.
NOTE
In multi parameter print function will print the selected bed. ECG
waveforms and HR of other 7 beds will be printed.
NOTE
Visual alarms for a parameter will be indicated by a change in the
background colour of parameter label in multiparameter mode.
(Yellow / Red)
NOTE
Arrhythmia/ST mode is not applicable for Micromon and Stellar P.
NOTE
ST mode is applicable only for Galaxy and Star bed side monitor.
Arrhythmia trend mode screen will have the following sub menus in the
MENU bar.
NOTE
Arrhythmia trend will be available for 24 working hours or from the
time of patient admitted.
The arrhythmia default display will be of 13 hours.
The ECG strip will be shown with the scale for arrhythmia
occurrences with the resolution of 2 minutes.
The background is black for waveform display in all screens but for
arrhythmia screen it is a graph paper.
NOTE
Tabular trend can be accessed through graphical trend screen only.
Graphical mode screen will have following controls in the MENU bar.
Click to escape.
5. Either HR, SpO2, RESP, EtCO2, FiCO2, T1, T2 along with NIBP and
ST or HR, SpO2, RESP, EtCO2, FiCO2, T1, T2 along with IBP1 and
IBP2 will be displayed.
Tabular trend mode screen will have following sub menus in the MENU
bar.
NOTE
For alarm condition the text colour will be:
Red : For values upper than the set limit.
Pink : For values lower than the set limit.
Horizontal scroll bar is provided to scroll through the parameters. On
clicking right arrow key IBP1 and IBP2 can be viewed. (By default
NIBP and ST are shown)
Vertical scroll bar is given to scroll through the numerical values in
the tabular trend.
ECG full disclosure screen:
a. Main menu bar with alarm status, patient bed number and
patients name.
b. 24 hours graphical HR trend (for reference of heart rate).
c. ECG waveforms at any instant (from 24 hr trend) can be
displayed. (Either clicking on time selection table or by actually
entering the time in the time selection box for which ECG
waveform is required to be seen).
d. One hour information of ECG is displayed in the disclosure
screen. 60 boxes are displayed just below the ECG waveform
window. Each box corresponds to 1 minute. Just by clicking on
any box, the corresponding ECG waveforms (for the respective
minute) can be displayed. {dark blue box indicates presence of
data, grey box indicates absence of data and light blue box
indicate the current data (current minute which is displayed)}
Scroll buttons are provided to the right and left of these boxes to
scroll and get the ECG of different minutes.
e. One minute information (selected box) is further divided into 6
ECG strips of 10 seconds each. Every strip has lead/gain, time
and HR indication.
f. Any ECG complex can be zoomed (click on the complex) and
seen in the window above the time selection table.
a. Print All : Click Print All to print all 6 ECG strips in the window.
b. Print Strip : Click Print Strip to print selected strip.
Following menu appears
Click Multibed to return to multibed mode
screen.
Bed No. : 9
MULTI-BED PATIENTS REPORT
MULTI-PARAMETERS PATIENT REPORT
ARRHYTHMIA REPORT
Arrhythmia Conditions:
TACHY
IRREG
SKIP BEAT
PATIENT REPORT
Skyline, an advanced central station has been designed to provide
continuous operation with minimum maintenance.
This section details the routine maintenance procedures to be
carried out by the operator to ensure high level of performance and
safety.
Connections :
Ensure that the mains power cable, monitor cable, keyboard cable
and Skyline to PC USB cables are inspected regularly for signs of
damage. Replace if necessary.
Cleaning :
Clean the PC and the monitor with a soft cloth lightly moistened in
warm, soapy water with a mild detergent. Vacuum cleaners can
also be used. Carefully dry off any excess moisture with a soft dry
cloth.
CAUTION
Do not use chemicals or abrasive solutions.
FAULT DIAGNOSIS :
SR PROBLEM ACTION TO BE
PROBLEM CAUSE
NO. OBSERVED TAKEN
PC monitor related
1. No display on Check for LED Switch ON the
monitor monitor ON monitor.
indication.
Check for 230V Relocate the
AC supply to supply point OR
monitor. else Replace the
monitor.
2. No signal The signal cable Reconnect the signal
message appears from CPU to monitor cable firmly to the
on screen is disconnected or monitor socket,
or loose. located on the rear
No display on panel of CPU.
monitor screen with
LED glowing.
3. Display on the Screen settings of Refer operating
monitor is not PC monitor are not manual of PC
proper. (Stretched, proper. monitor for setting or
compressed, any else Press Menu key
one or multiple (If provided) located
edges of screen on the front panel of
goes out of screen PC monitor for
range) detailed settings.
Central processing unit (CPU) related
4. CPU hangs Sudden switch OFF Switch OFF the CPU
intermittently of CPU (Improper through EXIT button
shutting down) located on top right
elated corner of Skyline
menu screens.
5. CPU hangs Sudden switch Switch OFF the
showing junk OFF of CPU CPU through EXIT
message on screen (Improper shutting button located on
during or after down). top right corner of
booting CPU is infected each screen of
with VIRUS. Skyline
Contact L&T
service personnel
or authorized
Personal Computer
(PC) technician.
6. CPU does checking Sudden switch OFF Switch OFF the CPU
for errors every of CPU (Improper through EXIT button
time during booting shut down). located on top right
sequence corner of each
screen of Skyline or
else Contact
authorised Personal
Computer (PC)
technician.
7. No sound from PC CPU does not Contact L&T
speakers support audio service personnel
applications. or authorised
Audio cable from Personal Computer
speakers to CPU is (PC) technician.
disconnected. Reconnect the
audio cables firmly
to the audio output
jack located on the
rear panel of CPU
or else Check
speakers for its
functionality.
8. Waveform tracing Improper function- Reboot the system
speed too slow ing of CPU. and let the system
CPU is infected check for Hard disk
with VIRUS. drive errors.
Contact L&T
service personnel
or authorised
Personal Computer
(PC) technician.
9. Only left mouse N.A. Only left mouse but-
button operates, no ton operation
other mouse allowed. Double click
buttons gets of mouse button is
acknowledged not allowed.
Skyline operation related
10. No audio alarms or Audio alarms susp- Click on SETUP
Continuous audio ended. menu in multibed
alarm on alarm Audio alarm durat- mode and select
event ion selected is alarm duration
continuous. submenu to select
the audio alarm
duration as OFF, 4
seconds or
continuous.
Select alarm dura-
tion as 4 seconds.
11. Printer starts Print on alarm option Click on SETUP
printing on every selected (indicated menu in multibed
alarm event by 9) mode and check 9
print on alarm
status. Click 9 print
on alarm to deselect
it.
12. Parameters Improper equipment Click on SETUP
selected do not selection menu in multibed
appear in multibed mode and select
screen appropriate equip-
ment in select
equipment submenu
13. No marked records Area of graphical Use MARKoption
to print appears on trend is not to select start and
screen when clicked selected for end point of print
on print printing. area.
or No graphical trend Keep the system
No data for data exist for ON along with
printing message printing. PMS monitor
appears in graphical connected to allow
trend mode the system to
collect and store
the online data for
some time.
14. Printer prints whole No data selection Highlight the data to
tabular data when be printed with the
print command help of mouse and
given in Tabular then click print.
trend mode
15. Digital read out field Check for Skyline This option is availa-
area for other version. 8 or 16 ble in 8 bed version.
selected 3 bed. Disconnect one of
parameters missing the USB port, screen
or or will automatically
Other 3 selected shift to 8 bed version
Multiparameter
parameters not showing other 3
monitor not
appearing on parameters.
connected.
multibed screen
16. ECG waveforms of Users application In multiparameter
other beds do not error mode waveforms of
freeze in multi- that particular bed
parameter screen only will freeze. This
is a safety feature to
view online live ECG
trace without any
delay or loosing any
immediate trace
information
17. Printer does not Users application Click on the para-
print single wave- error. meter ICON whose
form, Print all option Application error. print is to be taken
prints all parameter and click print
waveforms All beds ECG print
or on single attempt is
Print all does not not allowed. Click
print ECG wave on the particular
form of other beds bed no. icon and
click print to take
print of ECG trace
of that bed only.
18. Different trace N.A. (Refer specification
speed on screen as sheet) The trace
that of PMS monitor speed for all wave-
connected forms in all modes
fixed at 25 mm/
second. Do not
correlate speed with
PMS monitor.
19. Patient does not get Check the bed stat- Confirm that the
admitted on clicking us. The same bed is previous patient is
admit / discharge already assigned to discharged or moved
button some other patient. to some other bed.
Discharge the
previous patient to
allow new patient to
get admitted
20. In trend data _ _ No data from PMS Select the time zone
appears in place of from graphical trend
readings where data is
present.
Connectivity related
21. Multibed screen PMS monitor not Connect at least one
appears with no connected to Skyline .PMS monitor to any
tracing for any of of the bed.
the bed
22. Monitor not Disconnection betw- Confirm the connec-
connected een PMS monitor tion of PMS junction
or and Skyline. box cable at both the
ends i.e. from rear
Link failure panel of PMS to Jun-
appears on screen ction box located at
showing flat trace. the bedside. Confirm
or the connection at the
terminal block
No ECG waveform
(connector) located
appearing on
on Skyline interface
screen for
(I/F) module. Confirm
particular bed
the connection for
USB I/F cable from
Skyline I/F module to
the CPU rear panel.
or else contact L&T
authorised service
personnel.
PMS monitor related
23. The gain of the Improper gain setting Select higher gain.
waveform is too at PMS monitor end You can see the
small (Gain selection GAIN and LEAD
possible only at PMS selected at the
end) extreme left of the
waveform in Multibed
screen.
24. Monitor not Check the status of Switch ON the
connected the monitor. It is OFF monitor
or
Link failure
appears on screen
showing flat trace
though the PMS
monitor is
connected and
link is proper
25. No ECG waveform PMS monitor not Contact L&T service
appearing on functioning properly. personnel.
screen for
particular bed (only
flat trace appears)
Connect the ECG
26. The ECG trace is Check the ECG
leads properly. (Do
not proper leads for its
not allow any ECG
connectivity to
lead to hang freely)
patient.
or
Refer trouble
shooting chart of
PMS monitor
connected for prob-
lems during ECG
monitoring
Printer related
Contact L&T
Printer not loaded service personnel.
in the system.
NOTE
z T-Transmit and R-Receive are junction points for data
transmission.
z S is a common point (Drain) which needs to be connected to the
common ground point at Skyline end.
z Maximum length of RS 485 cable is 200 metres.
z R and T are extra pair of cable for future use.
z Drain cable should be shorted with the monitor ground at the
bedside end to have better signal transmission.
z Please ensure correct connections of R and T throughout the
installation.
USB COMMUNICATION FOR Skyline
Introduction :
USB (Universal Serial Bus ) communication facility is a new feature
introduced for L&T Skyline. Due to easy availability of USB port on
Computer, Skyline compatibility with USB became very much a
necessity. L&T provides USB compatible hardware (box - shown in a
picture) along with the 8/16 bed software version.
USB interface facility is applicable for both 8 and 16 bed versions.
Skyline software and hardware both are modified and made compatible
with USB interface for PC.
Installation
Basic hardware is designed for 8 bed, which can be further upgraded to
16 bed. To make a 16 - bed upgradation, user needs to order one more
8 - bed hardware, which can fit in the same Skyline box. PC
requirement is of minimum 2 USB slots for 8 beds or 3 slots for 16 beds
(one USB port can be used for USB mouse connection)
Skyline (Skyline hardware Box) directly interfaces with the USB slot of
PC. 230V AC mains connection is on the rear side of the Skyline box.
Connections:
The previous picture shows TOP VIEW of the Skyline box. Both the
hardware cards are identical. For 16 - bed upgradation, both the
hardware cards are necessary. There are 16 connectors shown at the
rear side of the Skyline box (8 connectors per hardware). Each bed can
be interfaced to the Skyline through these connectors.
General
DATE :
Nearest landmark
Sr.
Description Cat no. Machine sr. no.
no.
The above equipment has been installed and handed over to the
customer in satisfactory condition. The warranty period begins on
__________ and ends on _________. The warranty terms and warranty
service terms are as printed on the reverse of the Warranty Certificate
CUSTOMER COPY
WARRANTY AND WARRANTY-SERVICE
L&T shall not be liable for any special or consequential damages of any
kind or nature. L&T will not be liable in any manner for use of or failure
in the performance of other equipment to which the product is attached /
connected.
INSTALLATION /
LARSEN & TOUBRO LIMITED COMMISSIONING
REPORT
DATE :
Nearest landmark
Sr.
Description Cat no. Machine sr. no.
no.
The above equipment has been installed and handed over to the
customer in satisfactory condition. The warranty period begins on
__________ and ends on _________. The warranty terms and warranty
service terms are as printed on the reverse of the Warranty Certificate
ENGINEER COPY
INSTALLATION /
LARSEN & TOUBRO LIMITED COMMISSIONING
REPORT
DATE :
Nearest landmark
Sr.
Description Cat no. Machine sr. no.
no.
The above equipment has been installed and handed over to the
customer in satisfactory condition. The warranty period begins on
__________ and ends on _________. The warranty terms and warranty
service terms are as printed on the reverse of the Warranty Certificate