SureSigns VS4 Monitor Network Configuration Guide Release A.06

Network Configuration Guide
SureSigns VS4
Vital Signs Monitor
Release A.06
English
SureSigns VS4
Vital Signs Monitor
N E T W O R K C O N F I G U R AT I O N G U I D E
Release A.06
English
Notice
Proprietary Information
This document contains proprietary information, which is protected by copyright.
Copyright
Copyright © 2015 Koninklijke Philips N.V.
All Rights Reserved
Trademark Acknowledgments
SureSigns is a registered trademark of Koninklijke Philips N.V. Other product names may be
trademarks of their respective owners.
This software is based in part on the work of the Independent JPEG Group.
Manufacturer
Philips Medical Systems
3000 Minuteman Road
Andover, MA 01810
(978) 687-1501
Document Number
4535 645 72721
Warranty Disclaimer
The information contained in this document is subject to change without notice. Philips Medical
Systems makes no warranty of any kind with regard to this material, including, but not limited to,
the implied warranties or merchantability and fitness for a particular purpose. Philips Medical
Systems shall not be liable for errors contained herein or for incidental or consequential damages
in connection with the furnishing, performance, or use of this material.
Printing History
New editions of this document incorporate all material updated since the previous edition. Update
packages may be issued between editions and contain replacement and additional pages to be
merged by a revision date at the bottom of the page. Pages that are rearranged due to changes on
a previous page are not considered revised.
The documentation printing date and part number indicate its current edition. The printing date
changes when a new edition is printed. (Minor corrections and updates that are incorporated at
reprint do not cause the date to change.) The document part number changes when extensive
technical changes are incorporated.
First Edition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .October 2015
ii SureSigns VS4 Network Configuration Guide

Conventions
This section describes the conventions used in this guide.
Text Formatting
The following typographical conventions are used in this guide:
Typeface Usage Example
Bold System keys Press the Main Screen key.
Special bold User interface text Open the System Menu.
Italic Variables, document • <product name>-<hardware

titles configuration>-<software version>.cfg
• SureSigns VM Series Instructions for Use
Decimal Points
Because the SureSigns monitor uses a period (.) to indicate a decimal point in decimal numbers (for
example, 10.0), all decimal numbers in this guide use a period as a decimal point. Commas are not
used as decimal points.
Notes, Cautions, and Warnings

This guide uses the following conventions for Notes, Cautions, and Warnings.
Note — A Note calls attention to an important point in the text.
Caution A Caution calls attention to a condition or possible situation that could damage or destroy the
product or the user’s work.
Warning A Warning calls attention to a condition or possible situation that could cause injury to the user
and/or patient.
SureSigns VS4 Network Configuration Guide iii

Explanation of Symbols
The following symbols appear on the SureSigns VS4 monitor and the monitor packaging.
Symbol Description Symbol Description

Alarm Silence key NBP key
NBP Interval key Main Screen key
Print key On/Standby key
CE marking Serial number
Prescription Use Only Batch code

Rx only (US Federal Law)
Catalog number Electrostatic sensitive

device handling
Fragile, handle with 40°C Temperature limitation

care
-20°C
Keep dry Keep upright
1014 hPA
Atmospheric 90%
Humidity limitation
pressure limitation
708 hPA 15%
SpO2 connector ICES-001 Canadian ISM

requirement
Caution, consult Temperature

accompanying connector
documents
Battery charging LED AC Power LED
NBP connector USB port
Nurse call connector Option number
iv SureSigns VS4 Network Configuration Guide

Input power and fuse Ethernet port
100-240V ~ 50/60Hz 120VA
rating
T1.6A 250V
EUFP Equipotential
(Environmentally grounding post
friendly use period -
China)
Defibrillator Proof CSA mark
Type CF applied part
Ingress protection to Compliance with

vertically falling WEEE standard
water drops, except
with tympanic and
temporal
thermometers
FCC label for radio Industry Canada label
FCC ID IC ID for radio
CE marking for radio RF Interference
Date of manufacture Use by

Date of first
calibration
Eject key Probe cover installed
Scan key °C/°F key
Probe cover not Single Use

installed
Timer key No Latex
Choking Hazard DEHP-free
Consult instructions Keep out of sun

for use
Non-Sterile Manufacturer’s Name

and Address
SureSigns VS4 Network Configuration Guide v

Sterile Authorized EU
EC REP Representative
Dangerous voltage Follow instructions for

(yellow safety use (blue safety
symbol) symbol)
CO2 output CO2 input connector

connector
Masimo rainbow Intellivue

SET® (red and black GuardianSoftware
symbol) (IGS) (multi-colored
symbol)
Regulatory and Safety Specifications
Declaration
The SureSigns VS4 vital signs monitor is a Class IIb medical device and complies with the
requirements of the Council Directive 93/42/EEC of 14 June 1993 concerning medical devices and
0123
carries CE-marking accordingly.
The radio device used in the SureSigns VS4 vital signs monitor is in compliance with the essential
requirements and other relevant provisions of Directive 1999/5/EC (Radio Equipment and
Telecommunications Terminal Equipment Directive).
Authorized EU Representative
Philips Medizin Systeme Böblingen GmbH
EC REP Hewlett-Packard Str. 2
71034 Böblingen
Germany
Australia Sponsor
Philips Healthcare
65 Epping Road, North Ryde
NSW, Australia 2113
Rx Only
Caution United States Federal Law restricts this device to sale by or on the order of a physician.
vi SureSigns VS4 Network Configuration Guide

Contents
1. SureSigns VS4
Vital Signs Monitor. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-1
1. Overview
Intended Audience . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-1
Network Security on the VS4 Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2
Trusted Environment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2
Access Control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2
Software Security . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2
Network Security . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2
SureSigns VS4 Documentation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-3
2. Configuring LAN Network Settings

LAN Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-1
LAN System Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-1
LAN Configuration Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-2
Obtain LAN Network Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-2
Importing Certificates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-3
Configuring the Server IP Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-6
Configuring the Monitor’s IP Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-9
Connecting to the LAN Network . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-10
Verifying the Network Connection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-10
3. Configuring WLAN Network Settings

WLAN Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-1
802.11 Wireless Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-2
802.11d Support . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-2
Security and Encryption Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-4
Site Planning. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-5
RF Assessment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-5
Spectrum Management . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-5
Location . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-6
WLAN System Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-7
WLAN Configuration Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-7
Obtain Wireless Network Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-8
EAP Authentication . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-9
Importing Certificates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-9
Configuring the Server IP Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-12
Configuring the Monitor’s IP Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-14
Connecting to the Wireless Network. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-16
Verifying the Network Connection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-19
Wireless Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-20
Contents-1
SureSigns VS4 Network Configuration Guide
4. Configuring Serial Network Settings
Serial Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-1
Serial System Requirements. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-1
Serial Configuration Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-2
Verifying the RS-232 Serial Port Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-2
Enabling Serial Data Export . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-2
Connecting the Serial Interface Adapter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-5
5. Time Synchronization
Enabling Time Synchronization. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-1
Data Export . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-1
SNTP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-2
6. Troubleshooting
Accessing the Network Test Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-1
Sending a Ping . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-5
Releasing and Renewing the Monitor IP Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-6
Enabling and Disabling the Radio. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-7
Viewing Wireless Status. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-7
Troubleshooting. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-9
Radio Problems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-10
Wireless Connectivity Problems. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-10
Data Export Problems. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-12
Certificate Import Problems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-12
Creating a Wireless Log . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-13
7. Regulatory and Safety Information

Safety Standards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-1
Safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-1
Radio Regulatory Compliance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-2
USA — Federal Communication Commission. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-2
Industry Canada . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-3
European Union . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-3
Contents-2
1
Overview
The SureSigns VS4 monitor can be configured to export patient data from the monitor to a
receiving system in your network, using a wired Local Area Network (LAN) connection, a wireless
Local Area Network (WLAN) connection, or an RS-232 serial adapter.
This guide describes how to configure your VS4 monitor to send HL7 data to a receiving system
in your network.
Note — Each SureSigns VS4 monitor can export data to one destination server. The monitor
cannot be configured to export data to multiple destinations.
The SureSigns VS4 Data Export Guide provides detailed information about the structure and
syntax of the HL7 messages that are exported from the monitor. For information about HL7
integration options, contact the Philips Customer Care Center.
Warning It is the responsibility of the hospital to verify that the network is functioning correctly and
that the data is sent to the receiving system. After configuring the monitor and network
settings, test the system to verify that the patient data has been successfully sent to the
appropriate EHR system in the correct format.
Do not configure the network or system settings on the monitor while actively monitoring
patients. Monitoring is suspended during the configuration process.
Intended Audience
This guide is for the individuals responsible for configuring the network settings on the monitors
and the network.
The individuals configuring the network should understand basic routing and switching. If
connecting to a wireless network, network engineers should fully understand 802.11 wireless
networking, wireless security concepts, and wireless site surveys.
The network must be designed using only best practices for network resilliency, redundancy,
capacity, and security.
Overview
SureSigns VS4 Network Configuration Guide 1-1
Network Security on the VS4 Monitor
Network Security on the VS4 Monitor

This section describes the privacy and network security features for the SureSigns VS4 monitor.
Trusted Environment
The hospital implements its own security and privacy provisions to ensure that it is a trusted
environment.
Access Control
The QuickCheck feature provides the appropriate level of patient ID validation and operator
authentication at the bedside. The operator ID and password can be configured on the monitor or
authenticated at the Intellibridge Enterprise (IBE) server. The IBE server also provides patient ID
validation, which requires that patient records are validated at the IBE server before they are
exported to the EHR.
Access Control includes the following:
• Active Directory user authentication and authorization for Web Services

• User credential authentication through an encrypted password
• Certificate authentication to enable only approved network connections
• Encryption of data exported via LAN or WLAN through SSL
Software Security
The VS4 monitor software uses the Windows CE 5.0 operating system. Security patch releases for
the Windows CE 5.0 operating system are incorporated in the monitor software, if needed.
Monitor software updates can only be performed using a USB flash drive. External code cannot be
run or downloaded directly to the monitor.
Network Security
The VS4 monitor supports enterprise-grade authentication and encryption mechanisms.
Security measures include the following:
• 802.11 a/b/g WiFi Certifications

• Security modes: Shared, WPA-PSK, WPA2-PSK, WPA-ENT, and WPA2-ENT
• Encryption methods: WEP, TKIP and AES
• EAP authentication methods: EAP-TLS, PEAP MSCHAPv2, and pre-shared key
Overview
1-2 SureSigns VS4 Network Configuration Guide
SureSigns VS4 Documentation

SureSigns VS4 documentation includes:
• SureSigns VS4 Installation and Configuration Guide: Provides instructions for unpacking,
installing, and connecting all hardware. Includes initial testing and configuration procedures.
Also includes instructions for returning the monitor.
• SureSigns VS4 Instructions for Use: Provides information for day to day operation of the
SureSigns VS4 monitor. Also includes safety information, monitor specifications, and a list of
compatible accessories.
Note — For information about purchasing additional copies of the SureSigns VS4
Instructions for Use, contact the Philips Customer Care Center.
• SureSigns VS4 Quick Card: Provides brief descriptions of commonly used VS4 functions.
• SureSigns VS4 Service Guide: Provides information for repairing and testing the monitor.
Includes assembly diagrams, spare parts lists, and troubleshooting information.
• SureSigns VS4 Data Export Guide: Provides detailed information about the syntax and
structure of the HL7 messages that are exported from the VS4 monitor.
• SureSigns VS4 QuickCapture Configuration Guide: Provides instructions for configuring the
QuickCapture feature on the SureSigns VS4 monitor. Includes information about defining the
set of observations and assessments, creating a file to import that information into the
monitor, and mapping the exported data to an EHR.
• SureSigns VS4 QuickAlerts Configuration Guide: Provides instructions for configuring the
QuickAlerts feature on the SureSigns VS4 monitor. Includes information about defining the
set of alert messages, creating a file to import that information into the monitor, and mapping
the exported data to an EHR.
• SureSigns VS4 Network Configuration Guide: Provides instructions for configuring your VS4
monitor to connect to a network using a wired LAN connection, a wireless LAN connection, or
an RS-232 serial adapter.
• SureSigns VS4 with Masimo®Instructions for Use: Provides information for operation of the
Masimo SET® and Masimo rainbow® SET options on the VS4 monitor. Includes safety
information, alarm messages, specifications, and a list of compatible accessories.
Overview
Overview
2
Configuring LAN Network Settings
This chapter describes how to configure your SureSigns VS4 vital signs monitor to create a
network connection between the monitors and the receiving application in your wired Local
Area Network (LAN).
LAN Overview
When the monitor is connected to the wired LAN and the Data Export function is enabled, each
patient record is exported as soon as it is closed. The monitor exports NBP interval
measurements as soon as they are created.
After the server sends a positive acknowledgment (ACK) message to the monitor, the exported
records in the Patient Records table change from white to green.
If QuickCheck is enabled, the record may need to be reviewed before it can be exported. If the
record is purple, it requires a review. If the record is rejected, it will turn blue. Once the record is
corrected it will turn back to purple and will need to be reviewed again before it can be
exported.
Only records with a primary ID are exported. If a patient record does not contain a primary ID
(ID Unknown appears in the Patient Records table), the record is not exported.
If the network is unavailable the monitor tries to resend the record every 60 seconds. Patient
records are saved to the Patient Records database, but the records are not exported. When the
network connection is established, the monitor exports all white records in the database.
If the server finds an error in the exported record, it returns a negative ACK message to the
monitor. The rejected record in the Patient Records table is blue. If programmed at the server,
the negative ACK message may contain an error message that indicates the reason the record
was rejected. To resend the record, the user may be required to review and correct it on the
monitor using the Edit Patient Menu. After it is corrected, the record changes from blue back to
purple.
LAN System Requirements

Your monitor and LAN must meet the following minimum requirements:
• VS4 software release A.04 and later.

• Local Area Network using Ethernet TCP/IP IEEE 802.3.
• Network cables must be Cat 5, RJ-45, unshielded twisted pair (no crossover cables).
Warning To ensure patient electrical isolation, connect only to other equipment that provides patient
electrical isolation. Do not use shielded LAN cables.
• The network must be properly routed so that the destination server is reachable from the
monitor. To check connectivity from the monitor, see “Sending a Ping” on page 6-5.

LAN Configuration Overview

To configure the network settings on the monitor, follow these steps:
Step See
1 Obtain information about your current “Obtain LAN Network Information” on
or planned network. page 2-2.
2 If using SSL/TLS to make a secure “Importing Certificates” on page 2-3
connection, import a CA certificate.
3 Configure the IP address of the “Configuring the Server IP Settings” on
destination server. page 2-6.
4 Configure the IP settings for the “Configuring the Monitor’s IP Address” on
monitor. page 2-9.
5 Connect to the LAN network. “Connecting to the LAN Network” on
page 2-10.
For detailed information about configuration settings that are not described in this document, see
the SureSigns VS4 Installation and Configuration Guide.
Obtain LAN Network Information

Obtain the following information from your network administrator. The information you need to
configure the monitor depends on your network configuration.
Destination Server
IP Address or Host Name: _________________________________________________
Destination Server Port: _________________________________________________
Encryption Key: _________________________________________________
IP Address Type: Static DHCP

If Static IP Addresses:
Range of IP Addresses: ____________________________________________
Subnet Mask: ____________________________________________
Gateway: ____________________________________________
DNS Server: ____________________________________________

Importing Certificates
If your monitor uses the secured socket layer (SSL/TLS) to make secured connections to the server
and to encrypt data, you must first import a root CA certificate that can verify the server certificate.
Certificate Requirements
Requirements for the CA certificate are:
• It must be saved in X.509 format (either Base-64 encoded or DER encoded binary).
• It must be saved with the file name SureSigns_CA_Cert.cer.
• The certificate file must be saved in a \Cert folder on the USB flash drive.
You can install more than one CA certificate if they are issued by different CA authorities. If a CA
certificate from the same authority is already installed on the monitor, the new certificate replaces
the current one.
Before importing certificates, verify that the monitor date is correct. If the monitor date is outside
the time range configured in the certificate, the certificate will not be accepted as a valid
certificate..
To import certificates to the monitor:
Step
1 Insert the USB flash drive that contains the certificate into the USB port on the rear
of the monitor.
2 Select the System button.

The System Menu appears.
3 Select the System Admin button.
4 In the window that appears, enter the Administrator password.

Note — The default Administrator password is 215, but your system administrator
may have changed the default password.

5 Select the OK button.

The System Admin Menu appears.
System Admin Menu
Language: English Diagnostics
LAN
Default NBP Interval: Off Wireless
Default Save Measurements to Record: On Data Export
Upgrade Software
Auto Suspend: 2 minutes Export Settings
Default Initial NBP Inflation Pressure: Import Settings

Adult: 160 Pediatric: 140 Neonate: 100 Patient ID Settings
QuickCapture
Auto Save Patient Record: 1 minute QuickAlerts
QuickCheck
Date/Time Settings
Patient Query Delay (seconds): Security
3
QuickAlerts Popup Timeout: Off Default Alarm Settings
Default Display Mode: Display Record Dashboard
Demo Mode Large Battery Icon
QuickNBP Return
NBP Program Protection
Caution
The System Admin Menu remains unlocked for 1 minute after you close it. This
allows you to open the menu again without having to re-enter the password. Do
not leave the monitor unattended during the unlock time.

6 Select the Security button.

The Security Menu appears.
Security Menu
Client Certificate: No certificate
Password:
Import Remove
CA Certificate:
No certificate
Import Remove
Change Password Return
7 Note — If a CA certificate is already installed on the monitor, and you try to import
another CA certificate from the same CA authority, a window appears to indicate
that the currently installed CA certificate will be removed and replaced by the new
CA certificate. Select OK to close the window.
Select the Import button below the CA Certificate field.

The certificate is imported. The certificate-friendly name appears in the CA
Certificate field.
Note — The entire certificate name may not fit into the display field.
8 To view additional information about an imported certificate, select the certificate

name. The following information appears:
Issued to:
Issued by:
Valid from:
10 Select the Return button to return to the System Admin Menu. Proceed to the next
section, “Configuring the Server IP Settings.”

Configuring the Server IP Settings

Use the Data Export Menu to configure the following server settings and data export settings:
• Network/server settings:
– Data Export: Used to enable HL7 Data Export and select a network type.
– Server Address: Enter the IP address or host name of the destination server.
• The following settings are optional:
– Server Port: If necessary, change the default port number (4000) to the port number
used by the destination server.
– Export to cfg File: Select this check box if you use the Import Settings and Export
Settings features to import configuration settings on multiple monitors and all monitors
export data to the same server port number. The server port number is saved to the .cfg
file. For more information about exporting and importing configuration settings, see the
SureSigns VS4 Installation and Configuration Guide.
Note — You can select either the SSL or Encryption check box, but not both.
– Encryption: The SureSigns VS4 monitor supports the RC4 stream algorithm for
encryption. RC4 is a data encryption algorithm based on the RC4 symmetric stream
cipher. The shared encryption key must be entered on the monitor and the server.
– SSL: The VS4 monitor can use the secured socket (SSL/TLS) to make secured
connections to the server and to encrypt data. To use SSL/TLS, a root CA certificate that
can verify the server certificate must be imported before connection. See “Importing
Certificates” on page 2-3.
– Blood Pressure Units, Temperature Units, CO2 Pressure Units, and SpHb Units: Specify
that the unit of measurement for NBP, Temperature, CO2 and SpHb in the exported data
match the corresponding unit of measurement on the receiving system, regardless of the
setting on the monitor.
Note — For information on the Hide Exported Patient Records and Save Patient Records options,
see the SureSigns VS4 Installation and Configuration Guide.
To configure network settings for the destination server:
Step



Step

System Admin Menu
LAN
Upgrade Software

QuickCapture
QuickCheck
Date/Time Settings
3
QuickNBP Return
Caution

Step
5 Select the Data Export button.

The Data Export Menu appears.
Data Export Menu
Data Export: LAN

Server Address: 0.0.0.0
Server Port: 4000 Export to cfg File
Encryption Encryption Key: 0123456789

SSL
Blood Pressure Units: mmHg
Temperature Units: o
C
CO2 Pressure Units: mmHg
SpHb Units: g/dl
Hide Exported Patient Records Disable
Apply Cancel
Apply Cancel
The available options in the Data Export list vary. If your monitor is wireless, the list
contains a LAN/WLAN option; if your monitor is not wireless, the list contains a LAN
option.
6 Select LAN or LAN/WLAN from the Data Export list.

The Server Address, Server Port, Export to cfg File, Encryption and SSL fields
become available.
7 Select the Server Address field.

A keyboard appears.
8 Enter the IP address or the hostname (up to 50 characters) of the destination server,
and then select OK.
9 If necessary, change the optional settings, as described in “Configuring the Server IP

Settings” on page 2-6.
10 Select Apply to save your changes and return to the System Admin Menu.
11 Proceed to the next section, “Configuring the Monitor’s IP Address” on page 2-9.

Configuring the Monitor’s IP Address
Note — The monitor’s DNS hostname is a combination of the model name and the Monitor Name.
For example, if the Monitor Name on your VS4 monitor is Room321, the monitor’s DNS
hostname is VS4p-Room321. You can change the Monitor Name in the System Menu. If the
DNS hostname is invalid, the hostname does not register in the network, but the monitor
name does change.
To configure IP address settings for the monitor:
Step
1 In the System Admin Menu, select the LAN button.

The LAN IP Address Menu appears.
LAN IP Address Menu
Obtain an IP Address Automatically (DHCP)
Use the following IP address:
IP Address: 192 168 1 100
Subnet Mask: 255 255 255 0
Default Gateway: 0 0 0 0
DNS Server: 0 0 0 0
Apply
Apply Cancel
Cancel
2 Select the appropriate IP settings for your network:

• If your network uses a DHCP server, select the Obtain an IP Address
Automatically (DHCP) check box.
• If your network uses static IP addresses, select the Use the following IP address
check box and enter an IP address and Subnet Mask for the monitor. If required
by your network, enter the Default Gateway and DNS Server.
3 Select the Apply button.

If you made changes to any of the IP settings, you must restart the monitor. Select
OK to restart the monitor.
If you did not make changes to the IP settings, the System Admin Menu reappears.
Select the Return button and Main Screen button to return to the main screen.

Connecting to the LAN Network

To connect the monitor to your LAN, plug one end of an RJ-45 Ethernet cable into the Ethernet
port on the back of the monitor and the other end into a port on your hospital network.
After you configure the TCP/IP address of the designated server and enable the Data Export
function (as described in the previous sections), the monitor attempts to establish a connection to
the server.
When a connection is established, a Connection icon appears in the top left of the patient record
table. The connection remains in effect indefinitely. If the network goes down or the monitor is shut
down, the monitor will attempt to reestablish the connection when the next export interval is due
to occur.
Verifying the Network Connection

The LAN connection icon appears in the top left of the patient record table when the monitor is
connected to a LAN.
LAN If the pane is empty, the monitor is not connected to a wired or wireless network.
Connection
icon The IP address currently assigned to the monitor appears in the LAN IP Address field in the System
Menu. If the LAN IP Address field is 0.0.0.0, the monitor is not connected to a wired network.
If the monitor detects a LAN IP address and a WLAN IP address, the monitor first selects LAN for
network communication.
For information about resolving connectivity issues, see Chapter 6, “Troubleshooting.”

3
Configuring WLAN Network Settings
This chapter describes how to configure your SureSigns VS4 wireless monitors to create a
wireless network connection between the monitors and the receiving application in your
enterprise network.
WLAN Overview
The following figure shows a typical wireless setup.
When the monitor is connected to the wireless network and the Data Export function is enabled,
each patient record is exported as soon as it is closed. The monitor exports NBP interval
measurements as soon as they are created.
After the server sends a positive acknowledgment (ACK) message to the monitor, the exported
records in the Patient Records table change from white to green.
If the QuickCheck feature is enabled, the record may need to be reviewed before it can be
exported. If the record is purple, it requires a review. If the record is rejected, it will turn blue.
Once the record is corrected it turns back to purple and will need to be reviewed again before it
can be exported.
Only records with a primary ID are exported. If a patient record does not contain a primary ID
(that is, ID Unknown appears in the Patient Records table), the record is not exported.
If the network is unavailable and the Data Export function is enabled, the monitor retries
indefinitely, every 60 seconds. Patient records are saved to the Patient Records database, but
the records are not exported. When the network connection is established, the monitor exports
all white records in the database.

802.11 Wireless Overview
If the server finds an error in the exported record, it returns a negative ACK message to the monitor.
The rejected record in the Patient Records table changes from white to blue. If programmed at the
server, the negative ACK message may contain an error message that indicates the reason the
record was rejected. To resend the record, the user must correct it on the monitor using the Edit
Patient Menu.

The radio operates in unlicensed portions of the 2.4 GHz and 5 GHz radio frequency spectrum. The
device is compliant with IEEE 802.11a, 802.11b and 802.11g standards using Direct Sequence Spread
Spectrum (DSSS) and Orthogonal Frequency Division Multiplexing (OFDM). The device supports all
802.11a, 802.11b and 802.11g data rates and automatically adjusts data rates and operational modes
based on various environmental factors.
The radio also complies with 802.11h, which is the 802.11 standard amendment that addresses
interference issues, and 802.11d, which is described in the following section.
802.11d Support
Note — If your infrastructure does not support 802.11d, the Worldwide regulatory domain setting
should provide acceptable wireless performance. If you experience performance issues,
contact the Philips Customer Care Center for assistance.
The radio supports 802.11d, which is the IEEE standard for the operation of a WLAN radio in
multiple regulatory domains. If the access points (APs) in your WLAN also support 802.11d, the AP
can send a country information element to the radio during the initial association process. After
receiving the country information element, the radio configures its channel set and maximum
transmit power for that country. The radio uses 802.11d when it tries to associate on an SSID for the
first time or after a disconnect. The radio assumes that all APs with the same SSID have the same
802.11d country code; as a result, the radio ignores the country code when roaming from one AP to
another.
If your infrastructure supports 802.11d, make sure that every AP on your WLAN:
• Supports 802.11d
• Specifies the correct country information element
• Broadcasts its SSID
In addition, each monitor must be configured for the Worldwide regulatory domain, which is the
default setting. If the regulatory domain is not set to Worldwide, the radio ignores the AP’s country
information elements.
Worldwide Regulatory Domain
If your infrastructure does not support 802.11d, the radio’s transmit power and the channels used
for active scans are restricted to those that are common to the following regulatory domains:
• Federal Communications Commission (FCC) — The regulatory agency and standards body for
the Americas and parts of Asia.
• European Telecommunications Standards Institute (ETSI) — The standards body applicable
to most of Europe, Africa, the Middle East, and parts of Asia.
• Ministry of Internal Affairs and Communications (MIC) — The standards body for Japan
(formerly TELEC).
• Korea Communications Commission (KCC) — The standards body for Korea.
• Industry Canada (IC) — The regulatory agency and standards body for Canada.
For information about the channels available in each regulatory domain and in Worldwide mode,
see the next section, “Supported Channels” on page 3-3.
Supported Channels
The following table lists the available channels in each regulatory domain and in Worldwide mode:
• A channel marked as Active indicates that the radio actively scans for that channel.
• A channel marked as Passive indicates that the radio passively scans DFS channels to detect
whether or not beacons from the AP can be heard on that particular channel. A channel
marked as Passive* indicates that Dynamic Frequency Selection (DFS) is required. The
default DFS setting on the radio is On.
• A shaded cell indicates that the channel is not supported within that regulatory domain.
Infrastructure Supports 802.11d No 802.11d
MIC
Frequency
Channel FCC ETSI (formerly KCC Worldwide
(MHz)
TELEC)
2412 1 Active Active Active Active Active
2467 12 Active Active Active
2472 13 Active Active Active
2484 14
5260 52 Passive* Passive* Passive* Passive* Passive*

Infrastructure Supports 802.11d No 802.11d
MIC
Frequency
Channel FCC ETSI (formerly KCC Worldwide
(MHz)
TELEC)
5500 100 Passive* Passive*
5600 120
5620 124
5640 128
5745 149 Active Active Passive
5765 153 Active Active Passive
5785 157 Active Active
5805 161 Active Active
Security and Encryption Options

The radio supports the following security, encryption and authentication methods, including
802.11x EAP authentication:
Security Setting Encryption Methods Authentication Method
Open Disabled (no Authentication choices if WEP is enabled:

encryption) • No authentication
WEP • EAP TLS
• PEAP MSCHAPv2
Shared WEP No authentication.
WPA-PSK TKIP Pre-shared key.
WPA2-PSK AES Pre-shared key.
WPA-ENT TKIP Authentication choices:

• EAP TLS
• PEAP MSCHAPv2
WPA2-ENT AES Authentication choices:

• EAP TLS
• PEAP MSCHAPv2

Site Planning
If your infrastructure uses a RADIUS server for EAP authentication, you must install the required
certificates on your monitor, as described in “EAP Authentication” on page 3-9 before configuring
other wireless network settings on the monitor.
Site Planning
Spectrum management and RF assessment are the responsibility of the hospital. Philips Healthcare
has no control over the RF environment in the hospital. If interference exists at the operating
frequencies or there is insufficient signal strength in desired coverage areas, the wireless system
could be negatively affected.
RF Assessment
Before installing SureSigns VS4 wireless monitors in your facility, assess the intended installation
site for RF interference or other factors that could degrade wireless performance. The reliability and
quality of the wireless signal transmission within the hospital are governed by a number of
variables that can be difficult to control.
The effect of low signal strength and interference can range from a momentary loss of connectivity
to a lengthy period of lost connectivity. The SureSigns VS4 monitor can store up to 800 patient
records. If the network is temporarily unavailable, the stored records are sent to the receiving
system after the wireless network connection is re-established.
Spectrum Management
Spectrum management is the selection of the frequencies of operation for wireless devices within a
facility to prevent interference between devices.
Site planning requires an assessment of existing 802.11 devices in the desired coverage area and
other devices that may cause interference in the 2.4 GHz and 5 GHz frequency bands. A spectrum
analyzer can determine the existence of interference.
The SureSigns VS4 monitor can be operated in both the 2.4 GHz and 5 GHz bands, however Philips
recommends that you deploy your SureSigns VS4 monitor in the 5 GHz band for the following
reasons:
• The 5 GHz band supports more channels than the 2.4 GHz band.
• The number of other devices that operate in the 5 GHz band is less than the number of other
devices that operate in the 2.4 GHz band.
Caution To achieve an acceptable performance level, RF activity must be managed. In some sites, the
use model and floor plan ensure that overloading will not occur. In other sites, active device
management may be necessary (that is, restricting the number of wireless monitors in an area
or floor).
If your network has interference issues, consider the following general recommendations:
Access points should be positioned a minimum of 6 m (20 ft) from microwave ovens. Do not place
a microwave oven between the access points and the wireless monitors.
Other devices that can radiate in these ranges and create interference are:
• Other wireless networks
• Some wireless telephone headsets

Site Planning
• Devices using BlueTooth technology
• Cordless telephones
• Some programming devices for pacemakers
• Personal Digital Assistants (PDAs)
• Wireless mice
• Devices using ZigBee technology, for example wireless headphones
Some local regulations require the hospital to track and license all wireless devices used within the
facility. To manage spectrum, record the interference levels and devices used at the time of
installation. This record can then be used as a baseline for future assessment if interference
problems arise after installation.
Location
Warning The wireless monitor must be operated at least 20 cm (8 in.) from any person. This is necessary
to ensure that the product is operated in accordance with the Radio Frequency (RF) Guidelines
for Human Exposure.
To prevent unauthorized access, wired active network components should be located in places
inaccessible to patients and clinicians, but convenient to service and support personnel. Typically
this is a locked wiring closet or room specifically designed for network equipment.

WLAN System Requirements
WLAN System Requirements

Your monitor and WLAN must meet the following minimum requirements:
• Your SureSigns VS4 monitors must have a wireless module and antenna installed.
If you purchased SureSigns VS4 monitors without the wireless option, you can upgrade your
non-wireless monitors. For more information about upgrading your monitors, contact the
Philips Customer Care Center or your local Philips representative.
• SureSigns VS4 software release A.04 and later.
• Your current or planned wireless network must be compatible with the 802.11 network
standards, security, and encryption options described in “802.11 Wireless Overview” on
page 3-2.
• The wired portion of the network must be properly routed so that the destination server is
reachable from the monitor. To check connectivity from the monitor, see “Sending a Ping” on
page 6-5.
For optimal operation:
• The signal strength from your AP or router must be -71 dBm or greater in all desired areas of
coverage.
• Check the Session Timeout and Client Exclusion options on your WLAN. If these options are
enabled on your WLAN, you could experience connectivity issues.
WLAN Configuration Overview

To configure the wireless settings on the monitor, follow these steps:
Step See
1 Obtain information about your current “Obtain Wireless Network Information” on
or planned wireless network settings. page 3-8.
2 If using EAP authentication, copy the “Importing Certificates” on page 3-9.
required certificates to a USB flash drive
and install the certificates on each
monitor.
3 Configure the IP address of the “Configuring the Server IP Settings” on
destination server. page 3-12.
4 Configure the IP settings for the “Configuring the Monitor’s IP Address” on
monitor. page 3-14.
5 Connect to a wireless network. “Connecting to the Wireless Network” on
page 3-16.
For detailed information about configuration settings that are not described in this document, see
the SureSigns VS4 Installation and Configuration Guide.

Obtain Wireless Network Information

Obtain the following information from your wireless network administrator. The information you
need to configure the monitor depends on your network configuration.
Destination Server
IP Address or Hostname: _________________________________________________

Destination Server Port: _________________________________________________
IP Address Type: Static DHCP

If Static IP Addresses:
Range of IP Addresses: ____________________________________________
Subnet Mask: ____________________________________________
Gateway: ____________________________________________
DNS Server: ____________________________________________
Broadcast SSID: Enabled Disabled

Network Name (SSID): __________________________________________________
Security Mode: Open

Shared Key______________ Key Index________
WPA-PSK Key______________
WPA2-PSK Key______________
WPA-ENT User Name_________Password_________Domain________
WPA2-ENT User Name_________Password_________Domain________
EAP Type: EAP TLS Certificate Password________
PEAP MSCHAPv2
Validate Server

EAP Authentication
If your network uses a RADIUS server for authentication, you must provision a root CA certificate
and install the certificate on the monitor. For EAP TLS authentication, you must also generate a
client certificate and install it on each monitor.
Certificate Requirements
Certificates must adhere to the following formatting and file naming requirements. If a certificate is
in the wrong format or has an incorrect file name, it will not import successfully.
Requirements for the client certificate are:
• It must be saved in the PKCS #12 format.

• It must be saved with the file name SureSigns_Client_Cert.pfx.
Requirements for the CA certificate are:
• It must be saved in X.509 format (either Base-64 encoded or DER encoded binary).
• It must be saved with the file name SureSigns_CA_Cert.cer.
You can install more than one CA certificate if they are issued by different CA authorities. If a CA
certificate from the same authority is already installed on the monitor, the new certificate replaces
the current one.
EAP Credentials
After loading the required certificates, you must also enter the following credentials in the Security
Settings Menu:
• EAP TLS: User Name and Domain

• PEAP MSCHAPVS: User Name, Password, and Domain
Importing Certificates
Before importing certificates, verify that the monitor date is correct. If the monitor date is outside
the time range configured in the certificate, the certificate will not be accepted as a valid certificate.
Ensure that the certificate meets the requirements in “Certificate Requirements” on page 3-9.
To import certificates to the monitor:
Step
1 Insert the USB flash drive that contains one or both certificates into the USB port on
the rear of the monitor.

4 In the window that appears, enter the Administrator password, 215.


SystemAdmin
System AdminMenu
Menu
LAN
Upgrade Software

QuickCapture
QuickCheck
Date/Time Settings
3
QuickNBP Return
Caution

6 Select the Security button.

The Security Menu appears.
Security Menu
Client Certificate: No certificate

Password:
Import Remove
CA Certificate:
No certificate
Import Remove
Change Password Return
7 Do one of the following:

• To import a client certificate, enter the password for the client certificate, and
then proceed to Step 8.
• If not importing a client certificate, skip to Step 9.
8 Select the Import button below the Password field.

The certificate is imported and the password is erased. The certificate-friendly name
appears in the Client Certificate field.
9 Note — If a CA certificate is already installed on the monitor, and you try to import
another CA certificate from the same CA authority, a window appears to indicate
that the currently installed CA certificate will be removed and replaced by the new
CA certificate. Select OK to close the window.
To import the CA certificate, select the Import button below the CA Certificate field.
The certificate is imported. The certificate-friendly name appears in the CA
Certificate field.
Note — The entire certificate name may not fit into the display field.
10 To view additional information about an imported certificate, select the certificate

name. The following information appears:
Issued to:
Issued by:
Valid from:
12 Select the Return button to return to the System Admin Menu. Proceed to the next
section, “Configuring the Server IP Settings.”

Configuring the Server IP Settings

Use the Data Export Menu to configure the following settings:
• Network/server settings:
– Data Export: Used to enable HL7 Data Export and select a network type.
– Server Address: Enter the IP address or host name of the destination server.
• The following settings are optional:
– Server Port: If necessary, change the default port number (4000) to the port number
used by the destination server.
– Export to cfg File: Select this check box if you use the Import Settings and Export
Settings features to import configuration settings on multiple monitors and if all monitors
export data to the same server port number. The server port number is saved to the .cfg
file. For more information about exporting and importing configuration settings, see the
SureSigns VS4 Installation and Configuration Guide.
Note — You can select either the SSL or Encryption check box, but not both.
– Encryption: The SureSigns VS4 monitor supports the RC4 stream algorithm for
encryption. RC4 is a data encryption algorithm based on the RC4 symmetric stream
cipher. The shared encryption key must be entered on the monitor and the server. Select
either SSL or Encryption, but not both.
– SSL: The SureSigns VS4 monitor can use the secured socket (SSL/TLS) to make secured
connections to the server and to encrypt data. To use SSL/TLS, a root CA certificate that
can verify the server certificate must be installed before connection..
– Blood Pressure Units, Temperature Units, CO2 Pressure Units, and SpHb Units: Specify
that the unit of measurement for NBP, Temperature, CO2 and SpHb in the exported data
match the corresponding unit of measurement on the receiving system, regardless of the
setting on the monitor.
Note — For information on the Hide Exported Patient Records and Save Patient Records options,
see the SureSigns VS4 Installation and Configuration Guide.

To configure network settings for the destination server:
Step
1 In the System Admin Menu, select the Data Export button.

Data Export Menu
Data Export: LAN

Server Address: 0.0.0.0
Server Port: 4000 Export to cfg File
Encryption Encryption Key: 0123456789

SSL
Temperature Units: o
C
SpHb Units: g/dl
Apply Cancel
Apply Cancel
The available options in the Data Export list vary. If your monitor is wireless, the list
contains a LAN/WLAN option; if your monitor is not wireless, the list contains a LAN
option.
2 Select LAN/WLAN from the Data Export list.

The Server Address, Server Port, Export to cfg File, Encryption, and SSL fields
become available.
3 Select the Server Address field.

A keyboard opens.
4 Enter the IP address or the hostname (up to 50 characters) of the destination server,
and then select OK.
5 If necessary, change the optional settings, as described in “Configuring the Server IP

Settings” on page 3-12.
7 Proceed to the next section, “Configuring the Monitor’s IP Address” on page 3-14.

Configuring the Monitor’s IP Address
Note — The monitor’s DNS hostname is a combination of the model name and the Monitor Name.
For example, if the Monitor Name on your SureSigns VS4 monitor is Room321, the monitor’s
DNS hostname is VS4p-Room321. You can change the Monitor Name in the System Menu.
If the DNS hostname is invalid, the hostname does not register in the network, but the
monitor name does change.
To configure IP address settings for the monitor:
Step
1 In the System Admin menu, select the Wireless button.

The Available Wireless Networks menu appears.
Wireless Configuration Menu

Available Wireless Networks:
Network Name GHz Signal Security Encryption Status
MY_Hospital 5 100% WPA2-PSK AES

SureSigns 2.4 98% WPA-ENT
Others...
IP Address:
Return
Subnet Mask:
Default Gateway:
Refresh IP Address Return
Return
DNS Server:

2 Select the IP Address button.

The Wireless IP Address Menu appears.
Wireless Configuration Menu

Available Wireless Networks:
Network Name GHz Signal Security Encryption Status
MY_Hospital 5 100% WPA2-PSK AES

SureSigns 2.4 98% WPA-ENT
Others...
IP Address:
Subnet Mask:
Default Gateway:
DNS Server:
3 Select the appropriate IP settings for your network:

• If your network uses a DHCP server, select the Obtain an IP Address
Automatically (DHCP) check box.
• If your network uses static IP addresses, select the Use the following IP address
check box and enter an IP Address, Subnet Mask, and Default Gateway for the
monitor. If required by your network, enter the DNS Server.
4 Select the Apply button.

If you made changes to any of the IP settings, you must restart the monitor. Select
OK to restart the monitor.
If you did not make changes to the IP address, the Available Wireless Networks Menu
reappears.
5 Proceed to the next section, “Connecting to the Wireless Network” on page 3-16.

Connecting to the Wireless Network

The Available Wireless Networks list includes the following information for each network:
• The Network Name (or SSID).

• The operating frequency band (in GHz).
• The quality of the wireless signal from the AP or router.
• The security and encryption methods used on the network.
• The connection status. (The status is either Connected or it is blank, if not connected.)
The area below the Available Wireless Networks list displays the real-time connection status as the
monitor attempts to connect to the network.
The following messages appear if the connection is successful:
• Associating with <Network Name> — The device is negotiating a connection with an AP.
• Associated to <Network Name> — The device has established a connection to an AP and is
attempting to authenticate.
• Connected to <Network Name> — The device has been authenticated and assigned an IP
address.
Note — If you try to connect to a different network before disconnecting from the currently
connected network, you will see a Not Connected message for up to one minute while the
monitor disconnects from the first network and attempts to establish a connection with
the new network.
If your AP or router broadcasts its SSID, use the following procedure to connect to your wireless
network. If your AP or router does not broadcast its SSID, use the procedure in “SSID Broadcast
Disabled” on page 3-18 to connect to your wireless network.
SSID Broadcast Enabled
To connect to a wireless network that broadcasts its SSID:
Step
1 In the System Admin Menu, select the Wireless button.

2 If you do not see your network name in the list, select the Refresh button to update
the list.

Step
3 Scroll through the list and select your network name.

The Security Settings Menu appears.
Security Settings Menu
Network Name (SSID): My_Hospital
Security: WPA-ENT
Encryption: TKIP
EAP Type: PEAP MSCHAPV2
Key:
Key Index:
User Name:
Password:
Domain:
User Certificate: No certificate
Validate Server
Connect Cancel
The options in the Security Settings Menu vary, depending on the security type,
encryption, and authentication methods used by the selected network. In the
illustration above, the network uses WPA-ENT security, TKIP encryption, and PEAP
MSCHAPV2 for EAP authentication. You must enter a User Name, Password, and
optionally, a Domain name to connect to the network.
For more information about security settings, see “Security and Encryption Options”
on page 3-4.
4 Enter the information required by your network and select the Connect button.
The monitor attempts to associate with the network and then displays the
Connected message when it successfully connects to the network.
If the credentials you enter in the Security Settings Menu do not match those in the authentication
database, the radio will try to connect indefinitely. If this occurs, you can do one of the following:
• Return to the Security Settings Menu and enter the correct credentials.
• Return to the Available Wireless Networks menu, select the SSID you are trying to connect to,
and then select the Quit button.

SSID Broadcast Disabled
To connect to a wireless network that does not broadcast its SSID:
Step
1 In the System Admin Menu, select the Wireless button.

2 In the Available Wireless Networks list, select Others....

The Security Settings Menu appears. The Network Name (SSID) field is blank.
Security Settings Menu
Network Name (SSID):
Security: Open
Encryption: Disable
EAP Type: PEAP MSCHAPV2
Key:
Key Index:
User Name:
Password:
Domain:
User Certificate: No certificate
Validate Server
Connect Cancel
3 Select the Network Name (SSID) field.

A keyboard appears.
4 Enter the name of the network you want to connect to, and then select the OK
button.
Note — The network name is case-sensitive.
5 Select the Security setting.

Step
6 Select the security type for your network.

The options are: Open, Shared, WPA-PSK, WPA2-PSK, WPA-ENT and WPA2-ENT.
The encryption and authentication options that appear are based on the selected
Security setting. For more information, see “Security and Encryption Options” on
page 3-4.
7 Enter the information required by your network and select the Connect button.
The monitor attempts to associate with the network and then displays the
Connected message when it successfully connects to the network.
If the credentials you enter in the Security Settings Menu do not match those in the authentication
database, the radio will try to connect indefinitely. If this occurs, you can do one of the following:
• Return to the Security Settings Menu and enter the correct credentials.
• If you do not have the correct credentials, try connecting to an open network (one with no
password) and then select the Disconnect button in the Security Settings Menu.
Verifying the Network Connection

The wireless connection icon appears in the top left of the patient record table when the monitor is
connected to a wireless network. The number of bars displayed indicates the signal strength. Four
bars indicates the strongest signal and zero bars indicates a very weak signal. For optimal
Wireless performance, the icon should display at least two bars.
Connection
icon If the pane is empty, the monitor is not connected to a wired or wireless network.
The IP address currently assigned to the monitor appears in the WLAN IP Address field in the
System Menu. If the IP address in the WLAN IP Address field is 0.0.0.0, the monitor is not
connected to a wireless network.
If the monitor detects a LAN IP address and a WLAN IP address, the monitor first selects LAN for
network communication.
For information about resolving connectivity issues, see Chapter 6, “Troubleshooting.”

Wireless Specifications
Parameter Value
Bit Rate Signal Strength
Typical Receiver Sensitivity 802.11a:

Note — All values nominal, 6 Mbps –85 dBm
+/- 3 dBM. 9 Mbps –83 dBm
12 Mbps –83 dBm
18 Mbps –81 dBm
24 Mbps –75 dBm
36 Mbps –73 dBm
48 Mbps –68 dBm
54 Mbps –67 dBm (PER <= 10%)
802.11b:
1 Mbps –95 dBm
2 Mbps –94 dBm
5.5 Mbps –93 dBm
11 Mbps –89 dBm (PER <= 10%)
802.11g:
6 Mbps –93 dBm
12 Mbps –88 dBm
18 Mbps –85 dBm
24 Mbps –83 dBm
36 Mbps –77 dBm
48 Mbps –74 dBm
54 Mbps –72 dBm (PER<= 10%)

Parameter Value
Wi-Fi Transmit Power 802.11a:

Settings 15 dBm (30 mW)
Note — Maximum transmit 13 dBm (20 mW)
power varies according to 10 dBm (10 mW)
individual country
regulations. All values 802.11b:
nominal, +/- 2dBm. 18 dBm (63 mW)
17 dBm (50 mW)
15 dBm (30 mW)
13 dBm (20 mW)
10 dBm (120 mW)
7 dBm (5 mW)
0 dBm (1mW)
802.11g:
18 dBm (63 mW)
17 dBm (50 mW)
15 dbm (30 mW)
13 dBm (20 mW)
10 dBm (10 mW)
7 dBm (5 mW)
0 dBm (1 mW)
Antenna Form Factor: Whip

Type: Dipole
Maximum 2.4 GHz Gain: 2.15 dBi
Maximum 5.0 GHz Gain: 3.90 dBi
Compliance ETSI Regulatory Domain

EN 300 328
EN 301 489
EN 301 893
EN 60950-1
EU 2002/95/EC (RoHS)
FCC Regulatory Domain
Part 15.247 Subpart C
Part 15.407 Subpart E
Industry Canada
RSS-210/RSS-Gen Issue 2
MIC Regulatory Domain
Article 2 Item 19, Category WW (2.4GHz Channels 1–13)
Article 2 Item 19–2, Category GZ (2.4GHz Channel 14)
Article 2 Item 19–3 Category XW (5150-5250 W52 &
5250-5350 W53)
Certifications Wi-Fi Alliance

802.11a, 802.11b, 802.11g
WPA Enterprise
WPA2 Enterprise


4
Configuring Serial Network Settings
This chapter describes how to configure your SureSigns VS4 monitor to send data to a receiving
application using the serial interface adapter.
Serial Overview
You can use the Serial Data Export function to export:
• All parameters that are currently displayed in the monitor’s numeric panes
• The most recent closed patient record in the patient record database
The HL7 Query (QRY) message that the receiving system sends to the monitor determines the
type of patient data that the monitor sends:
• If the QRY message contains a Results (RES) filter, the monitor exports all parameters that
are currently displayed in the numeric panes on the monitor. When the monitor receives
the QRY message, it exports all patient identifiers (or ID Unknown), valid and invalid
measurements, and blank results. The monitor also exports measurements that exceed
high and low alarm limits. The measurements displayed in the numeric panes are cleared
when the monitor receives a positive acknowledgment message from the receiving
application.
• If the QRY message contains a Status (STA) filter, the monitor sends the most recent closed
patient record. The monitor sends only the latest saved patient record (including records
with ID Unknown). It does not send previously saved patient records. If the patient record
is successfully exported, the record changes from white to green. If the patient record is
not successfully exported, the record changes from white to blue.
For detailed information about the structure and syntax of the HL7 messages that are exported
from the monitor, see the SureSigns VS4 Data Export Guide.
Serial System Requirements

The monitor and receiving system must meet the following minimum requirements:
• VS4 software release A.04 and later.

• Serial interface adapter.
• The serial port settings of the receiving system must match the serial port settings of the
SureSigns VS4 vital signs monitor. See “Verifying the RS-232 Serial Port Settings” on
page 4-2.
• Serial cables must have a DB9 female connector at both ends and can be up to 2.44 m (8
ft) in length.

Serial Configuration Overview

To configure serial data export, follow these steps:
Step See
1 Verify the serial port settings. “Verifying the RS-232 Serial Port Settings” on
page 4-2.
2 Enable serial data export. “Enabling Serial Data Export” on page 4-2.
3 Connect the serial adapter. “Connecting the Serial Interface Adapter” on
page 4-5.
Verifying the RS-232 Serial Port Settings

The RS-232 serial port settings on the receiving device must match the settings on the monitor.
Verify that the receiving application is configured as follows:
• Baud Rate — 38400 bps
• Data Bits — 8
• Stop Bits — 1
• Parity — None
• Flow Control — None
Enabling Serial Data Export

To enable serial data export:
Step



Step

System Admin Menu
LAN
Default Blue Probe Site: Oral Upgrade Software


Align Interval to Clock: No QuickCapture
QuickCheck
Date/Time Settings
Demo Mode Security
Large Battery Icon Default Alarm Settings
QuickNBP Dashboard
Return
Caution

Step
5 Select the Data Export button.

Data Export Menu

Data Export: Serial
Temperature Units: oC
SpHb Units: g/dl
Apply Cancel
6 Select Serial from the Data Export list.
7 Optionally, configure the units of measurement in the exported data. You can
specify that the NBP, Temperature, CO2 and SpHb units of measurement in the
exported data match the corresponding unit of measurement on the receiving
system, regardless of the setting on the monitor.
Note — For information on the Hide Exported Patient Records and Save Patient
Records options, see the SureSigns VS4 Installation and Configuration Guide.
9 To close the System Admin Menu, select the Return button, or press the Main Screen
key on the front of the monitor.

Connecting the Serial Interface Adapter

If you are connecting the serial interface adapter and another USB device (the barcode scanner),
you must first install the USB hub and then connect the devices directly into the USB hub. For more
information about the USB hub, see the SureSigns VS4 Installation and Configuration Guide.
If you are only connecting the serial interface adapter, you do not need to use the USB hub, but
you must install the USB clamp, as described in the following instructions. The clamp prevents the
serial interface adapter from accidentally disconnecting from the back of the monitor or damaging
the USB port.
Warning To ensure patient electrical isolation, use only the Philips serial interface adapter.
Caution Do not allow liquid to enter the connectors or the openings on the adapter. Wet connectors can
prevent connected devices from operating. If liquid spills on the adapter, clean and dry it
thoroughly before reuse. If you think that liquid may have entered the adapter, verify the
performance and safety of the adapter before returning it to use.
To connect the USB clamp and serial interface adapter
Step
1 Do either of the following:

• If you are using the USB hub, do not install the USB clamp. Instead,
make sure the USB hub is directly plugged into the USB port on the
back of the monitor and then plug the serial interface adapter’s USB
connector into the USB hub. To continue, go to Step 5.
• If you are not using the USB hub, install the clamp and connect the
serial interface adapter as described in the following steps.
2 To ensure that the USB clamp adheres to the monitor, clean the area
around the USB port on the monitor. For cleaning instructions, see the
Instructions for Use for your monitor.

Step
3 To attach the clamp to the rear of the monitor, peel the paper backing
from the foam mounting sticker on the USB clamp and press it firmly into
place below the USB port.
Clamp
4 Slide the serial interface adapter’s USB connector through the clamp and
into the USB port on the back of the monitor. Tighten the screws on the
clamp with a Phillips screwdriver.
5 Insert the other end of the USB cord into the adapter.
6 Slide the insulator sheath over the adapter, wide end first, and push it
down to completely cover the adapter.
7 Attach the adapter to the RS-232 serial port of the receiving system.
Caution If users disconnect the adapter to move the monitor to a different location, ensure that the
users understand that the black sheath must completely cover the RS-232 connector after they
reconnect the cable.

5
Time Synchronization
You can synchronize the clock on the SureSigns VS4 monitor to the clock on your hospital EHR
server or HL7 interface server. If you have a Simple Network Time Protocol (SNTP) server running
in your hospital network, you can configure the monitor to synchronize its time with that server.
• If your monitor is configured for LAN/WLAN data export, the monitor clock can be
synchronized to the clock on your EHR server, HL7 interface server, or SNTP server.
• If your monitor is configured for serial data export, the monitor clock can be
synchronized to the clock on the computer that receives the data from the monitor.
If the clock on the monitor differs from the clock on the server by more than five seconds, the
monitor automatically adjusts the date and time, unless:
• A patient record is open; the time change occurs after the record is closed.
• An NBP or temperature measurement is in progress; the time change occurs when the
measurement is complete.
• A patient record is printing; the time change occurs after printing is complete.
• An HL7 query command is sent to the monitor; the monitor rejects the query, the next
acknowledgment message is not accepted, and the time does not synchronize.
If the time difference is greater than 30 seconds, the following occurs:
• A low-priority technical alarm message, Date/Time Adjusted, appears and flashes in the
monitor’s message area.
Note — No audible alarm sounds with the Date/Time Adjusted alarm message. To clear
the message, press the Alarm Silence key.
• A horizontal blue line appears in the Patient Records table to indicate when the date/time
adjustment occurred.
• If NBP Interval mode is enabled, the monitor starts a new NBP measurement.
Enabling Time Synchronization

Use the Date/Time Settings Menu to enable or disable time synchronization and to select the
synchronization type: Data Export or SNTP.
Data Export
With Data Export, the monitor and the server must be in the same time zone. When the monitor
exports patient data, it synchronizes its time to the clock on your hospital EHR server or HL7
interface server. You do not make adjustments for DST. The monitor sends patient data to the
receiving system, and then expects an Acknowledgment (ACK) message from the receiving
system indicating that the patient data was received and validated. The clock on the monitor is
synchronized using the timestamp in the ACK message.
SNTP
With SNTP, the monitor synchronizes time to an SNTP server. You can specify the SNTP server
address, select the time zone that corresponds with your region, and allow the clock to
automatically adjust for daylight saving time. The monitor synchronizes time with the SNTP server
every five minutes, or every two minutes if the previous attempt fails.
Verify the following:
• The SNTP server address is valid

• The time zone is set correctly
• If your time zone supports DST, the Auto adjust clock for DST is checked in the
Date/Time Settings Menu
To enable time synchronization:
Step
1 Open the System Admin Menu.
2 Select the Date/Time Settings button.

The Date/Time Settings Menu appears.
Date/Time Settings Menu
Synchronize Time: Enable
Synchronization Type: SNTP
SNTP Server Address: 0.0.0.0
Time Zone:
Yes
(GMT-08:00) Pacific Time (US & Canada)
Auto adjust clock for DST
Disable Date/Time Menu
Return
3 Select Enable from the Synchronize Time list.

The Synchronization Type field becomes available.
4 Select the Synchronization Type field.
Step
5 Select the time synchronization type for the monitor:

• If the monitor synchronizes its time with the timestamp of an HL7
acknowledgment message from the receiving system, select Data Export.
Proceed to step 10.
• If the monitor synchronizes its time with an SNTP server, select SNTP. The
SNTP Server Address, Time Zone, and Auto adjust clock for DST fields
become available.
6 Select the SNTP Server Address field.

A keyboard appears.
7 Enter the IP address or the hostname (up to 50 characters) of the SNTP server,
and then select OK.
8 Select the Time Zone field to display the list of time zones. Select the time zone
that matches your region.
9 Select the Auto adjust clock for DST check box:

Press the wheel until the desired setting appears.
The clock automatically adjusts for daylight saving time
NoThe clock does not automatically adjust for daylight saving time
Note — If you select a time zone that does not adjust for daylight saving time,
the Auto adjust clock for DST check box is unavailable.
10 To close the Date/Time Settings Menu, select the Return button, or press the Main
Screen key on the front of the monitor.
6
Troubleshooting
Use the information in this chapter to diagnose and correct common network problems.
If you follow the troubleshooting steps in this chapter and you still cannot resolve the problem,
call the Philips Customer Care Center.
Accessing the Network Test Menu

Use the Network Test menu to troubleshoot network issues. You can:
• Ping an access point (AP) or destination server

• Release and renew the monitor IP address
• Enable or disable the radio
• View information about the wireless connection
• Export the wireless status log
To access the Network Test menu:
Step

Troubleshooting
Step
3 In the window that appears, enter the Administrator password, 215, and then
select OK.
System Admin Menu
LAN
Upgrade Software

QuickCapture
QuickCheck
Date/Time Settings
3
QuickNBP Return
Caution
allows you to open the menu again without having to re-enter the password.
Do not leave the monitor unattended during the unlock time.
Troubleshooting
Step
4 Select the Diagnostics button.

The System Diagnostics menu appears.
System Diagnostics Menu
Monitoring Suspended
NBP Cycle Count: 3
LCD Usage Hours: 2.7
Errors: 0 Error Log
Self Test Display Test
Recorder Test Audio Test

Battery Info LED Test
Keys Test Touch Screen Calibration
Network Test
Maintenance >>
Return
Troubleshooting
Step
5 Select the Network Test button.

The Network Test menu appears.
Network Test
Start Ping Release/Renew
Wireless: Enable Radio
Disable Radio
Diagnostics
Save to USB
Return
Note — If your monitor is not wireless, the wireless options in the Network Test
menu are unavailable.
Troubleshooting
Sending a Ping
Sending a Ping
Use the following procedure to check the connectivity between the monitor and an access point
(AP) or EHR server.
To ping an AP or EHR server:
Step
1 Open the Network Test menu.

Note — If the monitor is connected to a Cisco AP, the Start Ping field displays the IP
address of the AP.
2 To change the IP address or to enter a new IP address or hostname, select the field
next to the Start Ping button.
A keyboard appears.
3 Enter the IP address or hostname of the AP or destination server you want to ping.
4 Select the Start Ping button.

The button name changes to Stop Ping. The log indicates if the ping was successful
and displays the round-trip times for messages sent and received from the AP or
server.
Network Test
Stop Ping 192.168.1.1 Release/Renew
Parameter Value Disable Radio
Status Associated Diagnostics

Radio Type AR ABG
Reg. Domain Worldwide
Ping Host 192.168.1.1

Reply from 192.168.1.1: Echo size=32 time=11ms TTL=64
Save to USB
Return
log
5 To stop the ping, select the Stop Ping button.

Note — You cannot close the Network Test menu until you select the Stop Ping
button.
Troubleshooting
Releasing and Renewing the Monitor IP Address
Releasing and Renewing the Monitor IP Address

If your network uses a DHCP server to assign IP addresses and you suspect an IP address conflict,
use the Release/Renew button to release the monitor’s current IP address and obtain a new one.
To release the monitor’s IP address and obtain a new IP address:
Step
2 To view the IP address currently assigned to the monitor, select the Wireless list.
The current IP address appears in the list.
Note — The LAN IP address is displayed in the LAN IP Address field in the System
Information menu.
3 Select the Release/Renew button.

The log indicates that the monitor’s IP address has been released and a new one
assigned.
Network Test
Stop Ping 192.168.1.1 Release/Renew
Parameter Value Disable Radio
Status Associated Diagnostics

Radio Type AR ABG
Reg. Domain Worldwide
Save to USB
IP release OS call succeeded.

IP renew OS call succeeded. Return
log
Troubleshooting
Enabling and Disabling the Radio
Enabling and Disabling the Radio

If the monitor is being used in an area that does not have wireless coverage, you can disable the
radio to extend the battery life on the monitor.
To enable or disable the wireless radio:
Step

The Status field displays the current status of the radio: Down, Disabled, Not
Associated, or Associated.
2 To disable the radio, select the Disable Radio button.

The Status field changes to Disabled.
3 To enable the radio, select the Enable Radio button.

The Status field displays the current status of the radio.
Viewing Wireless Status

The Wireless list in the Network Test menu contains the current status for several wireless
parameters, including radio status, configuration settings on the monitor and the AP, and
information about the wireless connection. See the following table for descriptions of each option
in the list.
• To view the wireless status, open the Network Test menu, as described in “Accessing the
Network Test Menu” on page 6-1.
The following table describes the options in the Wireless status list
Parameter Description
Radio Information
Status The current status of the radio. Possible values include:

• Down — The radio is not recognized and therefore not associated.
Restart the monitor to reload the firmware.
• Disabled — The radio is disabled. To enable the radio, select the
Enable Radio button in the Network Test menu. When the radio is
disabled, it does not attempt to make a connection to an AP.
• Not Associated — The radio has not established a connection to an
access point.
• Associated — The radio has established a connection to an access
point.
Radio Type The type of radio installed in the monitor.
Troubleshooting
Viewing Wireless Status
Reg. Domain The current Regulatory Domain, which determines the radio’s maximum
transmit power and available operating channels. Possible values
include:
• FCC — Federal Communications Commission
• ETSI — European Telecommunications Standards Institute
• MIC — Ministry of Internal Affairs and Communications
• Worldwide — If the APs in your WLAN do not support 802.11d, the
Worldwide setting restricts the radio’s transmit power and operating
channels to the allowable ranges for all regulatory domains.
• KCC — Korea Communications Commission
For more information, see “802.11 Wireless Overview” on page 3-2.
Driver Version The current version of the radio’s device driver.
SDK Version The current version of the radio’s software developer’s kit.
Monitor Information
Device Name The Device Name corresponds to the monitor’s serial number, which
appears in the System Menu.
Device IP The WLAN IP address currently assigned to the monitor.
Device MAC The WLAN MAC address assigned to the monitor.
AP Information
AP Name The name assigned to the access point that the radio is connected to.
Note — The AP Name only displays if connected to a Cisco AP.
AP IP The IP address of the access point that the radio is connected to.
Note — The AP IP address only displays if connected to a Cisco AP.
AP MAC The MAC address of the access point that the radio is connected to.
Beacon Period The Beacon Period is the amount of time between the packets that the
AP periodically sends out to announce its presence, readiness, and SSID.
The Beacon Period is typically measured in Kilomicroseconds, where one
Kusec equals 1.024 milliseconds.
DTIM The interval at which the delivery traffic indication map (DTIM) appears
in beacons. For example, if the DTIM interval is set to 2, every second
beacon will include the DTIM.
Troubleshooting
Troubleshooting
Wireless Connection Information
Connection Displays the channel currently being used for wireless transmission.
Channel The default channel settings allow the radio to scan all available
channels in the 2.4 GHz and 5 GHz bands.
Bit Rate The current wireless bit rate (or data rate).
Tx Power The power of the radio in milliwatts (mW). The AP can override this value.
Signal Strength The Signal Strength, or Received Signal Strength Indication (RSSI), is the
(RSSI) strength of the received signal as measured by the radio. It is expressed
as a negative number of decibels (dB). As the received signal weakens,
the RSSI value decreases (becomes a larger negative number); as the
received signal strengthens, the RSSI value increases. Typical RSSI values
range from a high of –50 dBm to a low of –95 dBm.
The Signal Strength value corresponds to the number of
bars displayed in the wireless connection icon:
• 0 bars = RSSI < –82 dBm Wireless
Connection
• 1 bars = –81 dBm < RSSI < –72 dBm
• 4 bars = –57 dBm < RSSI
For reliable communication, the Signal Strength should be at least –71
dBm and the wireless connection icon should display at least 2 bars.
Signal Quality A measure of the stability of the wireless connection. The Signal Quality
is determined by the number of beacons received versus the number of
beacons expected over a set period of time.
Troubleshooting
Use the following tables to diagnose and fix network problems. If you cannot resolve wireless
issues, see “Creating a Wireless Log” on page 6-13.
Use the following tables to diagnose and fix data export and certificate problems.
Troubleshooting
Troubleshooting
Radio Problems
Symptom Possible Cause Action

Wireless Malfunc Radio firmware did not load Restart the monitor.
technical alarm correctly or the radio board is If the radio status is Firmware not
occurs. defective. Loaded, replace the radio board.
Radio status is Radio firmware did not load Open the Network Test menu and select
Down. No wireless correctly. the Disable/Enable Radio button.
connectivity. If the status is still Down, perform a hard
shutdown of the monitor and check the
radio status again.
For information about shutting down the
monitor, see the SureSigns VS4 Service
Guide.
Connectors to the radio board Check the connections between the
are loose. radio board and the main board.
For more information, see the SureSigns
VS4 Service Guide.
Wireless Connectivity Problems

Monitor has Incorrect IP address for At the monitor, open the Data Export
established a destination server. Menu and verify that the IP address
wireless settings for the destination server are
connection but correct.
cannot If the server IP address settings are
communicate with correct, check the router/switch
the destination configuration settings on your network.
server.
Connectivity issue on the At the monitor, ping the destination
wired backbone prevents server. (See “Sending a Ping” on
message from reaching server. page 6-5.)
If the ping to the destination server fails,
ping the AP.
If the ping to the AP is successful, check
for physical damage to the wired
network connection or check for routing
issues.
Troubleshooting
Troubleshooting

Monitor cannot The AP is malfunctioning. At the monitor, ping the AP. (See
connect to “Sending a Ping” on page 6-5.) If the
wireless network. ping fails, verify that the AP is powered
The wireless on.
connectivity icon Ping the AP again. If the ping fails again,
does not appear. try restarting the AP.
Invalid configuration settings. At the monitor, open the Available
Wireless Networks Menu and verify that
the IP address settings are correct.
Ensure that the monitor and the AP are
on the same subnet.
At the WLAN controller, verify that the IP
address settings are correct.
IP address conflict or monitor At the monitor, open the Network Test
cannot acquire an IP address. menu and select the Release/Renew
button.
Wireless Antenna is damaged. Exchange the monitor with another
connectivity icon wireless monitor and check the signal
indicates a weak strength on the other monitor.
signal (less than 2 If the other monitor has a strong signal,
bars) and Signal check the first monitor for damage to the
Strength is less antenna or check the connection
than –71 dBm. between the antenna and the radio
board.
If the antenna is damaged, replace the
antenna.
For more information, see the SureSigns
VS4 Service Guide.
Available Wireless SSID broadcast is disabled on If your network does not broadcast its
Networks list is your network. SSID, follow the procedure in “SSID
empty. Broadcast Disabled” on page 3-18.
When roaming, Allowed client list not If your APs use MAC filtering, verify that
the monitor configured on all APs. the allowed client list is configured on all
cannot connect to APs.
all APs. Weak signal. Move the monitor closer to the AP. Open
the Network Test menu and note
changes in the Signal Strength and Bit
Rate as you move the monitor closer.
Exchange the monitor with another
wireless monitor and check the signal
strength on the other monitor to
determine if the problem is with the
monitor or with other network settings.
Interference. Assess the RF environment, as described
in “RF Assessment” on page 3-5. Locate
and remove interference sources.
Troubleshooting
Troubleshooting

Monitor does not Incorrect password. Select the SSID from the Available
connect to SSID. Wireless Networks list and re-enter the
The Connected correct password.
and Associated If you cannot select the SSID, open the
messages enter a Network Test menu, disable the radio,
loop. and try re-entering the password. Check
that you are selecting the correct SSID
and entering the correct password for
that SSID.
Data Export Problems

Monitor is connected Record(s) do not contain a At the monitor, use the Edit
to a network, but primary patient ID. button to open the record(s) and
patient records do not add a primary patient ID.
change from white to For more information, see the
green. Instructions for Use for your
monitor.
Monitor is connected The server rejected the At the monitor, use the Edit
to a network, but record(s). button to open the record(s) and
patient record(s) are correct the error.
blue. For more information, see the
Instructions for Use for your
monitor.
Certificate Import Problems

The certificate is The certificate is not saved Create a \Cert folder on the
loaded on the USB in a \Cert folder on the USB flash drive and place the
flash drive, but will not USB flash drive. certificate in this folder.
load into the monitor. The certificate file name is Make sure that the correct file
incorrect. name is used.
For more information, see
“Certificate Requirements” on
page 3-9.
The certificate is not saved The client certificate must be
in the correct format. saved in the PKCS #12 format.
The CA certificate must be saved
in the X.509 format (either
Base-64 encoded or DER
encoded binary).
Troubleshooting
Creating a Wireless Log

If you cannot resolve your wireless network problems, you can create a log that contains detailed
information about your wireless connection. You can export the log to a USB drive and then share
the information in the log with a Philips Customer Care representative.
To create a wireless log:
Step
1 Insert the USB flash drive into the USB port on the back of the monitor.
3 Select the Diagnostics button.

The log appears in the pane at the bottom of the window.
4 Select the Save to USB button.

The monitor saves the log to the USB flash drive as a .txt file with the name
DiagLog_<Monitor Serial Number>_<Timestamp>.txt.
Troubleshooting
Troubleshooting
7
Regulatory and Safety Information
Safety Standards
The SureSigns VS4 monitor has been tested to the following safety standards.
Parameter Specification
EN/IEC 60601-1, EN/IEC 60601-1-2, EN/IEC 60601-1-1 (as applicable), EN/IEC 60601-2-30, EN/IEC
60601-2-49, ISO 9919, EN12470-5:2003 (E), ASTM E1965-98
Protection Class Class I, internally powered equipment, per IEC 60601-1
Degree of Protection Type CF defibrillator-proof: per IEC 60601-1
Mode of Operation Continuous
Protection Against Hazards of Equipment is not suitable for use in the presence of a flammable anesthetic
Ignition of Flammable mixture with air or oxygen or nitrous oxide, per 60601-1
Anesthetic Mixtures
Safety
SureSigns VS4 vital signs monitors conform to CISPR 11. SureSigns VS4 vital signs monitors are
suitable for use in all establishments, except domestic establishments and those directly
connected to the public low-voltage power supply network that supplies buildings used for
domestic purposes.
Accessory equipment connected to the data interface of the VS4 monitor must be certified
according to EN Standard 60950 for data-processing equipment or EN Standard 60601-1 for
electromedical equipment. All combinations of equipment must be in compliance with EN
Standard 60601-1-1 systems requirements.
Anyone who connects additional equipment to the signal input port or signal output port
configures a medical system and is therefore responsible to ensure that the system complies
with the requirements of system standard EN Standard 60601-1-1. If in doubt, contact the Philips
Customer Care Center or your local Philips representative.
It is essential that all personnel in the care of individuals or the service of equipment associated
with patient care within the context of a clinical setting, service attention or otherwise, provide
for the proper handling of ePHI (electronic protected health information) or PHI (protected
health information) by maintaining the confidentiality, integrity, and the availability of ePHI data.
Each organization using this product must provide the protective means necessary to safeguard
ePHI/PHI consistent with each country law, code and regulation and developed and maintained
company policy with respect to managing ePHI/PHI. While the handling of ePHI is outside the
scope of this document, in general each organization is responsible for the identification of who
has access to ePHI/PHI data and under what conditions an individual has authorization to use
that data, how ePHI/PHI is stored and the conditions by which it is stored, and finally how
ePHI/PHI is transmitted and the conditions under which that data is transmitted.

Radio Regulatory Compliance
Warning If multiple instruments are interconnected or if multiple instruments are connected to a patient,
the sum of the leakage currents may exceed the limits given in IEC/EN60601-1.
Electromagnetic interference may cause disruption of performance. Protect the monitor from
sources of intense electromagnetic radiation. This device is designed to provide resistance to
electromagnetic interference; however, because of the proliferation of radio-frequency
transmitting equipment and other sources of electrical noise (such as cellular phones, mobile
two-way radios, and electrical appliances) in the healthcare environment, it is possible that
high levels of such interference due to close proximity or strength of a source, may result in
disruption of performance of this device. Disruption may be evidenced by erratic readings,
cessation of operation or other incorrect functioning. If this occurs, the site of use should be
surveyed to determine the source of this disruption, and actions taken to eliminate the source. If
you need assistance, contact the Philips Customer Care Center or your local Philips
representative.
USA — Federal Communication Commission

Interference Statement
This equipment has been tested and found to comply with the limits for a Class A digital device,
pursuant to Part 15 of the FCC Rules. These limits are designed to provide reasonable protection
against harmful interference in a residential installation. This equipment generates, uses, and can
radiate radio frequency energy and, if not installed and used in accordance with the instructions,
may cause harmful interference to radio communications. However, there is no guarantee that
interference will not occur in a particular installation. If this equipment does cause harmful
interference to radio or television reception, which can be determined by turning the equipment off
and on, the user is encouraged to try to correct the interference by one of the following measures:
1. Reorient or relocate the receiving antenna.

2. Increase the separation between the equipment and receiver.
3. Connect the equipment into an outlet on a circuit different from that to which the receiver is
connected.
4. Consult the dealer or an experienced radio/TV technician for help.
Caution FCC Caution: Any changes or modifications not expressly approved by the party responsible for
compliance could void the user’s authority to operate this equipment.
This device complies with Part 15 of the FCC Rules. Operation is subject to the following two
conditions: (1) This device may not cause harmful interference, and (2) this device must accept any
interference received, including interference that may cause undesired operation.
Note — FCC Radiation Exposure Statement:

This equipment complies with FCC radiation exposure limits set forth for an uncontrolled
environment. This equipment should be installed and operated with minimum distance of
20 cm between the monitor and any person.

Industry Canada
To prevent radio interference to the licensed service, this device is intended to be operated indoors
and away from windows to provide maximum shielding. Equipment (or its transmit antenna) that is
installed outdoors is subject to licensing.
For the specifications of antennas that are used with the monitor, see the Instructions for Use
provided with the monitor.
European Union
This device complies with the essential requirements of the R&TTE Directive 1999/5/EC. The
following test methods have been applied in order to prove presumption of conformity with the
essential requirements of the R&TTE Directive 1999/5/EC:
• EN60950-1:2001 A11:2004
Safety of Information Technology Equipment
• EN 300 328 V1.7.1: (2006-10)
Electromagnetic compatibility and Radio spectrum Matters (ERM); Wideband Transmission
systems; Data transmission equipment operating in the 2.4 GHz ISM band and using spread
spectrum modulation techniques; Harmonized EN covering essential requirements under
article 3.2 of the R&TTE Directive
• EN 301 489-1 V1.6.1: (2005-09)
Electromagnetic compatibility and Radio spectrum Matters (ERM); ElectroMagnetic
Compatibility (EMC) standard for radio equipment and services; Part 1: Common technical
requirements
• EN 301 489-17 V1.2.1: (2002-08)
Electromagnetic compatibility and Radio spectrum Matters (ERM); ElectroMagnetic
Compatibility (EMC) standard for radio equipment and services; Part 17: Specific conditions
for 2.4 GHz wideband transmission systems and 5 GHz high performance RLAN equipment
• EN 301 893
Electromagnetic compatibility and Radio spectrum Matters (ERM); Broadband Radio Access
Networks (BRAN); Specific conditions for 5 GHz high performance RLAN equipment
• EU 2002/95/EC (RoHS)
Declaration of Compliance - EU Directive 2003/95/EC; Reduction of Hazardous Substances
This device is a 2.4 GHz wideband transmission system (transceiver), intended for use in all EU
member states and EFTA countries, except in France and Italy where restrictive use applies.
In Italy the end-user should apply for a license at the national spectrum authorities in order to
obtain authorization to use the device for setting up outdoor radio links and/or for supplying public
access to telecommunications and/or network services.
This device may not be used for setting up outdoor radio links in France and in some areas the RF
output power may be limited to 10 mW EIRP in the frequency range of 2454 MHz to 2483.5 MHz.
For detailed information the end-user should contact the national spectrum authority in France.
Hereby, Philips declares that this monitor is in compliance with the essential requirements and
other relevant provisions of Directive 1999/5/IEC.


Index
Numerics S
802.11 overview, 3-2 safety, 7-1
802.11d, 3-2 security and encryption options, 3-4
serial adapter
C connecting, 4-5
certificates Serial Data Export
importing, 2-3, 3-9 enabling, 4-1
configuration overview serial overview, 4-1
LAN, 2-2 serial port settings, 4-2
serial, 4-2 Server Address, 3-12
WLAN, 3-7
Server Port, 3-12
D server settings, 2-6
site planning, WLAN, 3-5
DNS hostname, 2-9
SNTP server
documentation, 1-3 time synchronization, 5-2
E system requirements
LAN, 2-1
EAP authentication, 3-9 serial, 4-1
enabling and disabling the radio, 6-7 WLAN, 3-7
Encryption, 2-10, 3-12
Export to cfg File, 2-6, 3-12
T
time synchronization, 5-1
I enabling, 5-1
overview, 5-1
IP address SNTP server, 5-2
monitor, configuring, 2-9
renewing, 6-6 troubleshooting
connectivity problems, 6-5
L Network Test menu, 6-1
LAN configuration overview, 2-2 V
LAN network verifying network connection, LAN, 2-10
connecting to, 2-10
verifying the connection, 2-10 W
LAN network information, obtaining, 2-2
LAN overview, 2-1 wireless status, 6-7
wireless log, 6-13
N wireless specifications, 3-20
network connection status, 3-19 WLAN
configuration overview, 3-7
network information, obtaining overview, 3-1
LAN, 2-2 site planning, 3-5
network settings, wireless, 3-8 system requirements, 3-7
Network Test menu, 6-1
networked monitors
connection status, 3-19
P
pinging the server, 6-5
R
radio
enabling and disabling, 6-7
radio regulatory compliance, 7-2
releasing the IP address, 6-6
renewing the IP address, 6-6
Index-1
Index-2
Part Number 4535 645 72721
Printed in USA October 2015
First Edition
*453564572721*
*A*

SureSigns VS4 Monitor Network Configuration Guide Release A.06

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Network Configuration Guide

ii SureSigns VS4 Network Configuration Guide

This section describes the conventions used in this guide.

Typeface Usage Example

Bold System keys Press the Main Screen key.

Special bold User interface text Open the System Menu.

Italic Variables, document • <product name>-<hardware

Notes, Cautions, and Warnings

Note — A Note calls attention to an important point in the text.

SureSigns VS4 Network Configuration Guide iii

Symbol Description Symbol Description

NBP Interval key Main Screen key

Print key On/Standby key

CE marking Serial number

Prescription Use Only Batch code

Catalog number Electrostatic sensitive

Fragile, handle with 40°C Temperature limitation

Keep dry Keep upright

SpO2 connector ICES-001 Canadian ISM

Caution, consult Temperature

Battery charging LED AC Power LED

NBP connector USB port

Nurse call connector Option number

iv SureSigns VS4 Network Configuration Guide

Ingress protection to Compliance with

Date of manufacture Use by

Eject key Probe cover installed

Scan key °C/°F key

Probe cover not Single Use

Timer key No Latex

Choking Hazard DEHP-free

Consult instructions Keep out of sun

Non-Sterile Manufacturer’s Name

SureSigns VS4 Network Configuration Guide v

Dangerous voltage Follow instructions for

CO2 output CO2 input connector

Masimo rainbow Intellivue

Regulatory and Safety Specifications

vi SureSigns VS4 Network Configuration Guide

2. Configuring LAN Network Settings

3. Configuring WLAN Network Settings

7. Regulatory and Safety Information

Network Security on the VS4 Monitor

Access Control includes the following:

• Active Directory user authentication and authorization for Web Services

Security measures include the following:

• 802.11 a/b/g WiFi Certifications

SureSigns VS4 Documentation

LAN System Requirements

• VS4 software release A.04 and later.

Configuring LAN Network Settings

LAN Configuration Overview

Obtain LAN Network Information

Encryption Key: _________________________________________________

IP Address Type: Static DHCP

Range of IP Addresses: ____________________________________________

Subnet Mask: ____________________________________________

DNS Server: ____________________________________________

Configuring LAN Network Settings

Requirements for the CA certificate are:

To import certificates to the monitor:

2 Select the System button.

3 Select the System Admin button.