Monidor IV Screen User Manual - Remote Infusion Monitoring Software

1. Introduction

This document is the user manual for IV Screen infusion remote monitoring, a software designed by Monidor Oy. It is recommended that you read this user manual carefully before use. This software can only be used with Monidrop® W Infusion monitor delivered by Monidor Oy. The use of the software with any other monitoring device is forbidden.

1.1 Intended Use

IV Screen is a cloud-based software service. Monidrop® W infusion meters connect to the IV Screen service and send infusion and device information to the IV Screen service and receive infusion-related reference values. The IV Screen application shows infusion data of the connected infusion monitors on a mobile device or a PC screen. Multiple Monidrop W infusion monitors can be connected to IV Screen simultaneously. The intended purpose of the IV Screen is to remotely show current IV infusion status of above-mentioned IV infusion monitors, including:

Infusion flow rate
Infusion volume
Infusion time
Notification status
Battery status

The IV Screen application provides visual notifications and shows the identification information of each infusion monitor connected to the IV Screen cloud. Remote monitoring of all infusions from one screen helps nurses to evaluate and follow IV infusions.

1.2 Intended Conditions of Use

The application is intended to be used in the following conditions:

In hospitals, hospital wards, hospital theatres, surgeries, health centres, doctor's offices, clinics
Indoor use
In the home
Outdoor environment use is possible, but not recommended.

1.3 Operating Principle

IV Screen receives and stores remote monitoring data from the remote devices and displays this data and notifications to the users. The IV Screen service runs on a secure cloud server or a locally hosted server and is used with the IV Screen application for Windows or Android, or with a Web browser. The Monidor remote monitoring service consists of three parts:

Monidrop infusion meters, which measure the status of IV infusion therapy and send data, such as current infusion rate and infused total volume, to IV Screen.
A cloud or server software service that receives and stores the remote monitoring data from the Monidrop devices.
A user interface to display the remote monitoring data to the users. This interface may include audible/visual notifications and allow pre-setting of monitoring-related parameters, such as notification thresholds or device control parameters.

Figure 1: IV Screen Data flow. A diagram illustrating the Monidor remote monitoring service. It shows a Monidrop infusion meter sending data to an "IV Screen Service" (cloud/server), which then transmits the data to an "IV Screen application" on a PC or mobile device. Arrows indicate the flow of data between these components.

1.4 Medical Device Classification

IV Screen software service is classified as Class Im (according to Directive 93/42/EEC).

1.5 Supported Browsers

Chrome version 78
Microsoft Edge version 97.0.1072.55
Firefox version 70

Other browsers may also be supported.

2. Safety Instructions

Monidor is not responsible for the safety of the user's remote display devices (e.g., PC or mobile phone).
A stable internet connection is required to use the remote monitoring software.
The device has also been approved for home care in accordance with standard 60601-1-11.
The user must always evaluate the correctness of the information displayed before making any treatment decisions.
Regardless of recommended limits, the values selected for treatment must be medically correct.
The user must ensure that patient information is correct and that the selected target concentrations and measured dosage rates comply with the regulations of the country in question.
Connection is permitted only to devices that Monidor Oy has approved.
Regardless of the use of IV Screen, care personnel need to regularly observe patients according to local practices and policy.

WARNING: Monidrop® W infusion monitor DOES NOT ADJUST the infusion rate. ALWAYS use gravity IV administration set to adjust the infusion rate.

WARNING: Modifying this device is prohibited.

2.1 Safety Standards

93/42/EEC Medical Devices Directive (MDD)
IV Screen satisfies all safety standards for medical device software in compliance with EN 60601-1.

3. Basic Use

3.1 Main View

Users can monitor multiple infusion therapies on the same screen. Each Monidrop device appears as a separate card on the screen. The device cards show the measured infusion data and possible notifications. Some notifications are based on parameters defined by the user (see chapter 4). If there is an active notification, it is emphasized with yellow colour, and the reason for the notification is written in text at the bottom of the card. The notification is automatically cleared from the screen after the cause has been corrected.

Figure 2: IV Screen monitoring view. A screenshot of the IV Screen application displaying multiple "device cards". Each card represents a Monidrop infusion monitor and shows details like room number, percentage of infusion completed, total volume infused, current infusion rate, target infusion rate, and remaining treatment time. Some cards highlight notifications, such as "Infusion rate not in target".

3.2 Assigning the Monidrop Location

Device cards in IV Screen can be identified by the ID number in the top-left corner of the device card. This ID number matches the number in the top-left corner of the Monidrop infusion meter's screen.

Figure 4: Device number. A close-up view of a device card highlighting the device number "2" in the top-left corner, indicating it corresponds to the Monidrop infusion meter's screen.

Users can assign the device location by clicking the device card that matches the Monidrop device in the remote monitoring screen. The room and location can be chosen from pre-defined options:

Open device options by clicking the device card.
Tap the location field (indicated by [location icon]).
Select the room and location where the Monidrop infusion meter is being used (indicated by [room/bed icons]).
Save the selected values by clicking "Save" [save icon].

Figure 5: Assign device to room and bed location. A series of screenshots demonstrating the process of assigning a Monidrop device to a specific room and location within the IV Screen application. It shows selecting a device card, tapping the location field, choosing a room (e.g., "Room 1", "Room 2"), and saving the selection.

Card View Elements:

Device number
Battery charge status [battery icon]
Optional text field
Room and patient location
Amount of fluid administered and the remaining/target fluid amount (ml)
Infusion rate and target infusion rate (ml/h)
Duration of the treatment and the remaining time of the target duration (h, min)
Reason for the notification in text

Figure 3: Device card elements. An annotated diagram of a single device card from the IV Screen, labeling key elements such as device number, battery status, fluid amount, infusion rate, duration, and notification reason.

4. Notifications

IV Screen provides notifications for both treatment-related and software-related parameters. These messages are also displayed on the Monidrop W display and LED lights.

Notification	Visual notification	Phone notification	Always enabled notification	Acknowledgment
Infusion rate under 6 ml/h	X	X	X	Automatic once the reason for the notification has been removed
Infusion rate over 1200 ml/h	X	X	X
Infusion rate not in target	X
Total volume nearly reached	X	X
Total volume reached	X	X		Automatic once the reason for the notification has been removed
Duration nearly reached	X			Automatic once the reason for the notification has been removed
Duration reached	X			Automatic once the reason for the notification has been removed
Battery charge under 20%	X	X	X	Automatic once the reason for the notification has been removed
Battery charge under 5%	X	X	X	Automatic once the reason for the notification has been removed
Last connection was 5 min ago	X	X		Automatic once the reason for the notification has been removed

4.1 Infusion Rate Notifications

Infusion rate notifications are shown using yellow colour, and the reason for the notification is shown also in text. The messages will automatically disappear once the cause has been corrected.

Figure 6: Infusion rate notification. A device card displaying an "Infusion rate not in target" notification. The card shows the total volume, current infusion rate, target infusion rate, and total time. The notification is highlighted in yellow, and the reason is stated at the bottom.

4.2 Total Volume

When the total volume is completed, notifications will appear in the card in yellow colour, and the reason for the notification is shown as text on the bottom of the card. The notification is removed when the volume target is cleared in the device settings window, or a new target is set (e.g., when starting a new infusion bag).

Figure 7: Total volume notification. A device card showing a "Total volume reached" notification. It displays the total volume, infusion rate, and total time. The notification is highlighted in yellow.

4.3 Treatment Duration

When the treatment duration is reached, the notification is shown in yellow, and the reason for the notification is shown as text on the bottom of the card. The notification is removed when the duration target is cleared in the device settings window, or a new target is set (e.g., when starting a new infusion bag).

Figure 8: Duration reached notification. A device card showing a "Duration reached" notification. It displays the total volume, infusion rate, and total time. The notification is highlighted in yellow.

4.4 Battery Notifications

The Monidrop W Infusion Monitor battery status notification is shown as a yellow battery indicator icon [battery icon]. The reason for the notification is shown as text on the bottom of the card. The first notification is shown when 20% of the charge status is left, and the second notification when the charge status is 5%. The message disappears when the device is charged.

Figure 9: Low battery charge notification. A device card displaying a "Battery charge under 5%" notification. It shows the total volume, infusion rate, and total time, with a low battery indicator.

4.5 Mobile Phone Notifications

Users can activate mobile phone notifications by clicking the slider button [toggle switch] in the device settings dialog. When activating mobile phone notifications on a specific smartphone, they are not activated automatically on other phones.

Device Settings Dialog for Mobile Notifications. A screenshot of the device settings dialog within the IV Screen application. It shows fields for information, location, target values, and a toggle switch labeled "Mobile notifications".

4.6 Notifications Displayed on the Monidrop W Infusion Monitor

When target values are set via IV Screen, these values are transmitted over the wireless network to the Monidrop W Infusion Monitor screen. For example, if the infusion rate is less than 6 ml/h or if it deviates from the set notification limits, a flashing triangle [alert triangle] will appear next to the infusion rate icon.

Figure 12: Monidrop W Notification Example. A depiction of the Monidrop W Infusion Monitor screen showing infusion therapy details. It includes icons for battery, Wi-Fi, and a flashing triangle alert next to the infusion rate, indicating a deviation from set limits.

5. Other Functions

5.1 Infusion Additional Information, such as Type of IV Fluid

If you want the liquid type used for treatment to be displayed on IV Screen, you can name it at the patient Room and patient place setting. Steps:

Open the device settings window by clicking the device card.
Enter the type of the used IV fluid into the "Additional information" field. Optionally, some other additional information may also be entered in this field.
Confirm the added information by clicking "Save" [save icon].

Figure 13: Additional Information Entry. A screenshot of the device settings dialog where users can enter additional information for a patient or room. The "Additional information" field is shown, with "NaCl" entered as an example of IV fluid type.

The additional information is shown next to the location fields.

Setting Notification Thresholds

5.2 Setting Notification Threshold for the Amount of IV Fluid

Users can set the amount of infusion fluid they will be using. Steps:

Open the device settings dialog by tapping the device card.
Tap the volume target field, which opens a drop-down menu.
Choose one of the pre-set options or type in a custom value.
Confirm your choice by clicking "Save" [save icon].

Figure 14: Volume Target Setting. A screenshot of the "Target values" dialog for setting the amount of IV fluid. It presents pre-set volume options (e.g., 100 ml, 250 ml, 500 ml) and a field for custom input.

The set amount of liquid is shown next to the IV bag icon. The first number shows how much fluid is left (ml), and the second number shows the original target value (ml).

5.3 Setting Notification Threshold for Treatment Duration

Users can set the target duration of the treatment in hours and minutes, and the program will notify them when the time is about to be reached and when it is reached. Steps:

Open the device settings dialog by tapping the device card.
Tap the duration target field, which opens a drop-down menu.
Choose one of the pre-set options or type in a custom value as days, hours, and minutes.
Confirm your choice by clicking "Save" [save icon].

Figure 15: Duration Target Setting. A screenshot of the "Target values" dialog for setting the treatment duration. It offers pre-set time options (e.g., 30 min, 1 h, 2 h) and fields for custom input in days, hours, and minutes.

The set time will appear on the right side next to the total elapsed time. The reading shows how much time is left from the target value.

5.4 Simultaneous Setting of Liquid Volume and Duration of Treatment

If both liquid volume and duration of treatment are set, IV Screen calculates the target infusion rate automatically. If the speed deviates from the set value by more than +/- 30%, IV Screen will show a notification.

Figure 16: Simultaneous Setting. A screenshot of the "Target values" dialog where both liquid volume (e.g., 500 ml) and duration (e.g., 4 h 0 min) are set. The system automatically calculates the desired infusion rate (e.g., 125 ml/h).

The target infusion speed is shown below the current infusion speed.

5.5 Daily Monitoring

The total amount of infused fluid and the duration can be reset to zero, for example, once a day. After resetting the values, the previous values are shown in the dialog until the next reset or until the Monidrop device is restarted. Resetting the values does not affect the target or remaining amount of IV fluid or time. Steps:

Open the device settings dialog by tapping the device card.
Show the daily monitoring section by clicking the "show" button [show button].
Click "Clear" [clear button].

Figure 17: Daily Monitoring Reset. Screenshots of the "Daily monitoring" section within the device settings. It shows options to reset current values for infused fluid and duration.

5.6 Settings Displayed on the Monidrop W Infusion Monitor

When infusion therapy settings are made through the IV Screen application, the settings appear on the screen of the Monidrop W infusion monitor.

Figure 18: Monidrop W Display Elements. A diagram of the Monidrop W Infusion Monitor screen, with labels pointing to different displayed information: set treatment duration, automatically calculated target speed, and set liquid level.

IV Screen™ User Manual