6.6 monitoring with a multiparameter monitor

To view the sensor-acquired waveform on your monitor, you will need a brain4care BcAc-DG-1000 receiver adapted for invasive pressure inputs on patient monitors. There are two ways to pair the sensor with the receiver: manual pairing or in app guided pairing.

6.6.1 manual pairing

Step 1. Connect the receiver to the invasive pressure input on the patient monitor.

Step 2. Turn on the sensor and position it on the patient as explained in section 6.2 and section 6.3.

Step 3. To start the pairing process, press the interface button on the BcAc-DG-1000, and make sure that the receiver LED will flash blue. Then press the sensor interface button and verify that the LED also is flashing blue.

Step 4. Shortly thereafter, both devices will enter pairing intelligence mode, with visual LED confirmation. Both the sensor and receiver will flash with a random and matching generated color and frequency pattern, meaning that both have identified each other and are able to match.

Step 5. This pairing is completed by pressing the button on one of the devices, which will flash green three times, informing the successful pairing. If you do not want to complete pairing, just wait a few seconds for both devices to go into standby mode.

Step 6. With pairing complete, the sensor waveform should appear on the multiparameter monitor. For best viewing, set the patient monitor to automatic scaling. If the signal is not found on the multiparameter monitor, turn off the sensor, unplug the receiver, and return to step 1.

6.6.2 in app guided pairing

In this pairing method, the brain4care mobile application will make the connection between the receiver and the sensor. A major benefit of this method is the ability to view the sensor waveform at the same time on both the patient monitor and mobile application, as well as generate a monitoring session report.

Step 1. Connect the receiver to the invasive pressure input of the patient monitor

Step 2. Turn the sensor on and position it on the patient as explained in section 6.2 and section 6.3

Step 3. Follow steps 1 through 4 of section 6.4

Step 4. After pairing the sensor, in the application, click “Pair Receiver.” A list of available receivers will appear.

Check the receiver’s UDI on the label opposite to the button… (see item 1 in figure 6.6-2)

…and then select it from the list( item 1 in figure 6.6-3). Some receivers may not be available to be clicked, represented in gray, as they are not active, locked, do not belong to the organization (corporate account), or are awaiting activation (if your sensor is grayed out, check with your clinical engineering team).

Step 5. After selecting the receiver, the pairing intelligence mode between sensor and receiver will start, with a visual LED confirmation on both devices. First, you must visually confirm the pairing with the physical receiver (Figure 6.6-4), with the receiver image in the application. Both should be flashing a light signal with the same color pattern and frequency. Click “Confirm” to continue pairing (item 1 in figure 6.6-4). If the pattern is not identified or you want to change the receiver, simply click on “Reselect”.

Once the connection with the receiver is confirmed, you will be directed to the screen on Figure 6.5-5, where the sensor, receiver and application are paired. The same pairing intelligence method is done with the sensor, receiver, and mobile application screen by flashing in the same randomly generated color and frequency pattern.

Step 6. Verify that all three devices have the same flashing pattern and click “Confirm” (item 1 Figure 6.6-5). If the pattern is not identified or you want to change any of the devices, just click “Reselect”. (Figure 6.6-5)

The sensor and receiver status LEDs will flash green three times as soon as pairing is confirmed, and a success window will appear in the application.

Remark: If in addition to viewing on the monitor you also want to view the waveform signal and generate the report in the mobile application, click on “Start monitoring” and proceed with steps 4 onwards in section 6.5. If you just want to monitor on the multiparameter monitor, click “Cancel”.

Step 7. At this point, the multiparameter monitor should start receiving the signal from the waveform. For best viewing, set the patient monitor to automatic scaling. If the signal is not found on the multiparameter monitor, turn off the sensor, unplug the receiver, and return to step 1.