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GE Medical Systems marquette Dash 2000 Operator'S Manual Download Page 19

 

Revision C 

Dash 2000 Patient Monitor 

xv 

 2005873-001 

Display Defaults 

PATIENT AGE 

 

COLOR FORMAT* 

 

BACKGROUND** 

 

PRIMARY ECG 

 

ARRHYTHMIA 

 

DETECT PACE 

 

ARTERIAL RATE 

 

LEAD ANALYSIS 

 

GRAPH WAVEFORM 2 

 

GRAPH WAVEFORM 3 

 

ALARM GRAPH 

 

TIMED GRAPH 

 

ART DISCONNECT*** 

 

SMART BP*** 

 

ARTERIAL SCALE 

 

PA SCALE 

 

CPV-RA-UVC SCALE 

 

LA SCALE 

 

ICP SCALE 

 

SP SCALE 

 

NBP AUTO 

 

ADULT CUFF 
PRESSURE 

 

PED CUFF 
PRESSURE 

 

NEO CUFF 
PRESSURE 

 

NBP CUFF SIZE 

 

RR PARAMETER 

 

RR LEAD 

 

VIEW ON ALARM 

 

VOA BROADCAST 

 

REMOTE ALARM 
LEVEL 

 

 

 

ALARM VOLUME 

 

SILENCE ALARM 

 

QRS VOLUME 

 

RATE VOLUME 

 

ECG LEADS FAIL 

 

SPO2 PROBE OFF 

 

DISPLAY LIMITS 

 

DISPLAY UNITS 

 

UNITS FOR HEIGHT 

 

UNITS FOR WEIGHT 

 

TEMPERATURE 
UNITS 

 

NBP LIMITS TYPE 

 

ARTERIAL LIMITS 
TYPE 

 

PA LIMITS TYPE 

 

MENU TIMEOUT 

 

ECG FILTER 

 

BP FILTER 

 

QRS WIDTH 

 

DISCHARGE ALERT 

 

 
* color display 
** monochrome display 
*** not in NEO-ICU mode 

Summary of Contents for marquette Dash 2000

Page 1: ...Dash 2000 Patient Monitor Software Version 3 Operator s Manual 2005873 001 ENG Revision C ...

Page 2: ...logo MEMOPORT MEMOPORT C MINISTORE MINNOWS Monarch 8000 MULTI LINK MULTISCRIPTOR MUSE MUSE CV Neo Trak NEUROSCRIPT OnlineABG OXYMONITOR Pres R Cuff PRESSURE SCRIBE QMI QS Quantitative Medicine Quantitative Sentinel RAC RAMS RSVP SAM SEER SILVERTRACE SOLAR SOLARVIEW Spectra 400 Spectra Overview Spectra Tel ST GUARD TRAM TRAM NET TRAM RAC TRAMSCOPE TRIM KNOB Trimline UNION STATION UNITY logo UNITY N...

Page 3: ...vice is within the limits specified in EN 55011 for class B equipment The product complies with the requirements of standard EN 60601 1 2 Electromagnetic Compatibility Medical Electrical Equipment The safety and effectiveness of this device has been verified against previously distributed devices Although all standards applicable to presently marketed devices may not be appropriate for prior devic...

Page 4: ...turers GE Medical Systems Information Technologies is responsible for the effects on safety reliability and performance of the product only if assembly operations extensions readjustments modifications or repairs are carried out by persons authorized by GE Medical Systems Information Technologies the electrical installation of the relevant room complies with the requirements of the appropriate reg...

Page 5: ...Optional Nurse Call 1 3 Optional Centralscope Central Station 1 4 Optional Clinical Information Center 1 5 Optional Laser Printer 1 6 Optional Defibrillator and Pacer 1 7 Optional Dash Port Docking Station 1 8 Operation 1 9 General 1 9 Trim Knob Control 1 10 Control Keys 1 11 Power 1 11 Graph Go Stop 1 11 NBP Go Stop 1 12 Function 1 12 Silence Alarm 1 12 Turning Power On 1 13 AC Power 1 13 Normal ...

Page 6: ...Scales 1 28 Graphing Messages 1 28 Graph Header 1 28 Putting the Monitor Into Operation 1 29 Monitor Installation and Connection 1 29 Performance Check 1 30 SAFETY 2 1 For Your Safety 2 2 Intended Use 2 2 Terminology 2 2 Monitor Safety 2 2 Dangers 2 2 Warnings 2 3 Cautions 2 7 Notes 2 10 Reference Literature 2 10 Classifications 2 11 Underwriters Laboratories Inc 2 11 Safe Operating and Handling C...

Page 7: ...3 16 Discharge Patient 3 16 Standard and Rover Admit Menu 3 16 Combo and Rover Combo 3 17 New Case 3 17 ALARM CONTROL 4 1 Smart Alarms 4 2 Alarm Structure 4 3 Patient Status Alarms 4 3 System Status Alarms 4 4 Controlling Audio Alarms 4 5 Silencing an Alarm for One Minute 4 5 Pausing Alarms 4 5 Turning Alarm Volume Off Permanently 4 5 Alarm Control Menu 4 6 All Limits 4 7 Viewing an All Limits Scr...

Page 8: ...Waveform 3 5 17 Graph Location 5 18 Alarm Graph 5 20 Speed 5 20 Timed Graph 5 21 Parameters On Off 5 22 Software Summary 5 23 Service Mode 5 24 Patient Monitor Type 5 25 Admit Mode 5 25 PATIENT DATA 6 1 Patient Data Menu 6 2 Vital Signs 6 3 View Older View Newer 6 4 Time Interval 6 4 Specific Time 6 4 Page Down and Page Up 6 4 Graphic Trends 6 5 Select Parameters 6 6 View Older View Newer 6 7 Time...

Page 9: ...lectrosurgical Unit ESU Cable 8 8 ECG Monitoring Features 8 9 ECG Display 8 9 Getting to the ECG Menu 8 10 ECG Menu Options 8 11 Display Lead 8 11 Synchronized Cardioversion 8 11 Smart Lead Fail 8 12 Leads Fail Patient Condition 8 12 ECG Size 8 13 ECG Limits 8 14 Heart Rate 8 14 Relearn 8 15 QRS Volume 8 15 Analysis Settings 8 16 ECG Filter 8 17 Lead Analysis 8 18 Multi Lead Analysis 8 18 Single L...

Page 10: ...sducer 9 12 Smart BP 9 13 Pulse Rate 9 13 Disconnect Alarm 9 14 Troubleshooting 9 15 NBP 10 1 Introduction 10 2 Checklist 10 5 Patient Preparation 10 6 NBP Monitoring Features 10 7 NBP Information 10 7 Mean Arterial Pressure 10 7 Systolic Search 10 8 NBP Go Stop Key 10 8 Power Key 10 8 Getting to the NBP Menu 10 9 NBP Menu Options 10 10 NBP Auto 10 10 NBP Stat 10 11 Early Systolic Measurement 10 1...

Page 11: ... Limits 11 11 Rate Volume 11 12 Rate 11 12 Probe Off Patient Condition 11 13 Troubleshooting 11 14 SPO2 Messages 11 14 RESPIRATION 12 1 Introduction 12 2 General Information 12 3 Checklist 12 4 Respiration Monitoring Features 12 5 Respiration Information 12 5 Getting to the Respiration Menu 12 6 Respiration Menu Options 12 7 Lead 12 7 Relearn Respiration 12 7 Respiration Limits 12 8 Sensitiv 12 9 ...

Page 12: ...bols 14 9 Software Packages 14 10 Factory Defaults Adult ICU Mode 14 11 Factory Defaults Neonatal ICU Mode 14 15 Factory Defaults Operating Room Mode 14 19 Minimum and Maximum Limits Default Mode 14 23 Technical Specifications 14 24 Display 14 24 Controls 14 24 Processing 14 24 Alarms 14 25 ECG 14 25 Respiration 14 26 Temperature TEMP 14 27 Invasive Blood Pressure BP 14 27 Pulse Oximetry SpO2 14 2...

Page 13: ...ct Digital Writer DDW are referred to as writer The laser printer is referred to as the printer References to screen text appear throughout this manual in all capital letters for example ECG DISCHARGED SAVING ALARM VOLUME OFF etc This manual refers to keys menus and menu options Keys a labeled button found on the front of the monitor which you press to activate Menus and Menu Options A menu is tex...

Page 14: ...ter located at the bottom of each page This revision letter changes whenever the manual is updated Revision Date Comments A April 2001 This document corresponds with the Dash monitor software version 3 B April 2002 ECO 070505 C September 2002 ECO 072030 C1 February 2004 ECO 075999 Updated addresses ...

Page 15: ...ories and Supplies 2607 North Grandview Blvd Mail Code SN 471 Waukesha WI 53188 Telephone 800 558 5102 US only 262 521 6856 outside US Fax 800 232 2599 US only 262 521 6855 outside US Service parts GE Clinical Services P O Box 9100 100 Marquette Drive Jupiter FL 33468 9100 Telephone 800 558 7044 US only 561 575 5000 outside US Fax 800 421 6841 US only 561 575 5050 outside US Have the following inf...

Page 16: ...c 8200 West Tower Avenue Milwaukee WI 53223 USA Tel 1 414 355 5000 1 800 558 5120 US only Fax 1 414 355 3790 Europe GE Medical Systems Information Technologies GmbH Munzinger Straße 3 5 D 79111 Freiburg Germany Tel 49 761 45 43 0 Fax 49 761 45 43 233 Asia Headquarters GE Medical Systems Information Technologies Asia GE China Co Ltd 24th Floor Shanghai MAXDO Center 8 Xing Yi Road Hong Qiao Developm...

Page 17: ...a prominent place to refer to your setup You may want to make additional copies of the worksheet for future use before filling it out Arrhythmia Alarm Levels Crisis Warning Advisory Message Asystole VFib VTac VTach Brady NEO mode Date ________________ Unit ______________ Patient Monitor Type circle one ADULT ICU NEONATAL ICU OPERATING ROOM NOTE Changing patient monitor type after setup erases your...

Page 18: ...tient Monitor Revision C 2005873 001 Parameter Limits Low High HR NBP S NBP D NBP M ART S ART D ART M ART R FEM S FEM D FEM M FEM R UAC S UAC D UAC M UAC R PA S PA D PA M CVP RA UVC LA ICP SP SpO2 SpO2 R RR RR Apnea TP ...

Page 19: ...CALE ICP SCALE SP SCALE NBP AUTO ADULT CUFF PRESSURE PED CUFF PRESSURE NEO CUFF PRESSURE NBP CUFF SIZE RR PARAMETER RR LEAD VIEW ON ALARM VOA BROADCAST REMOTE ALARM LEVEL ALARM VOLUME SILENCE ALARM QRS VOLUME RATE VOLUME ECG LEADS FAIL SPO2 PROBE OFF DISPLAY LIMITS DISPLAY UNITS UNITS FOR HEIGHT UNITS FOR WEIGHT TEMPERATURE UNITS NBP LIMITS TYPE ARTERIAL LIMITS TYPE PA LIMITS TYPE MENU TIMEOUT ECG...

Page 20: ...iority in the first 3 positions on the display ECG always appears first and cannot be changed Parameter 1 ECG Parameter 2 Parameter 3 Circle the other parameters you want to have priority after position 3 The software prevents you from selecting more parameters than allowable NBP UVC ART LA FEM ICP UAC SP PA SPO2 CVP RR RA TP ...

Page 21: ... 1 11 Turning Power On 1 13 AC Power 1 13 Battery Power 1 14 Power Indicator Lights 1 15 Battery Conditioning 1 16 Battery 1 17 Battery Service Information Window 1 18 Software Features 1 19 Menus 1 19 Popup Menus 1 20 Subordinate Menus 1 22 Direct Action Menu Options 1 23 Parameter Windows 1 24 Information Windows 1 25 Trim Knob Control Operation When Setting Alarm Limits 1 26 Graphing Printing 1...

Page 22: ...de panel of the monitor The screen displays patient information in a logical easily understood format A Trim Knob control provides single control operation of virtually all monitor functions The monitor is available in both monochrome and color DASH 2000 AC Battery Power Graph Go Stop NBP Go Stop Function Silence Alarm Trim Knob Charging Status ECG 150 50 21 NOV 1998 16 27 II SPO2 DAK BED 1 75 SPO...

Page 23: ...nalog Output for details on signal output Network Connector A cable can be connected to this port for monitors used in the patient monitoring network configuration 002 Handle An optional alarm indicator can be built into the handle of the monitor not shown When activated the LED indicator flashes red for CRISIS and WARNING patient status alarms and yellow for all other alarms AC Power Connector Pe...

Page 24: ...ralscope central station and to other monitors on the network All devices must be connected to the network The central station may have a built in writer for graphing printing This built in writer uses 2 inch wide graph paper 012A Centralscope Central Station The Centralscope Central Station is generically referred to as the central station throughout this manual Refer to the Centralscope central ...

Page 25: ...tient data to be sent to an optional Clinical Information Center and to other monitors on the network All devices must be connected to the network Clinical Information Center The Clinical Information Center is generically referred to as the central station throughout this manual Refer to the Clinical Information Center operator s manual for instructions on operation ...

Page 26: ...when the GRAPH GO STOP key is pressed It prints 20 seconds of waveforms per page in a cascade format when the graph speed is set for 25 millimeters per second There will be a delay of approximately one minute until the first page is printed then it will run until all patient data is printed NOTE The one minute delay does not mean the data printed is delayed It just takes that long for the informat...

Page 27: ... 50Ω Charging Status Pacer Pause Pacer Mode Pacer On Off Rate ppm Output mA Dash Responder transport defibrillator 139 Dash Responder defibrillator with Dash 2000 patient monitor Refer to the Dash Responder Operator s Manual for instructions on operation WARNING Arrhythmia processing is suspended during external pacing with the Dash Responder Refer to the ECG chapter in this manual for notes on in...

Page 28: ...d connected to Ethernet and to the nurse call system Refer to the Dash Port Docking Station Operator s Manual for instructions on operation NOTES The Dash 2000 patient monitor can only be connected either to the Dash Responder or to the Dash Port Docking Station at a time Only versions 3 and higher of the Dash 2000 patient monitor are compatible with the Dash Port Docking Station ...

Page 29: ...he monitor are labeled Each of these is described in more detail on the following pages DASH 2000 AC Battery Power Graph Go Stop NBP Go Stop Function Silence Alarm Trim Knob Charging Status ECG 150 50 21 NOV 1998 16 27 II SPO2 DAK BED 1 75 SPO2 105 90 RT70 97 NBP 200 80 ADT X X X MORE MENUS 003 Power Parameter Windows Graph Go Stop NBP Go Stop Function Trim Knob Control Silence Alarm Operating the...

Page 30: ...fter highlighting the desired selection press the Trim Knob control to view a new menu or a small popup menu This procedure is referred to as select throughout the manual Remember when using the Trim Knob control rotate to highlight then press to select AC Battery Power Graph Go Stop NBP Go Stop Function Silence Alarm Trim Knob Charging Status ECG 150 50 75 SPO2 105 90 RT70 97 NBP 200 80 ADT X X X...

Page 31: ... battery charging function continues NOTES To avoid unintentional switchoff the POWER key must be pressed at least 0 25 seconds to switch off the monitor In the event of a lockup you can force a switch off by pressing the POWER key for five seconds Press this key once to start a graph run of the patient s data Press a second time to stop If pressed during an alarm graph run the graph will run cont...

Page 32: ...tor This key silences a current audible alarm for 60 seconds Only new alarms of equal or higher level interrupt the silence command WARNING Alarms do not sound alarm graphs do not print and alarms are not sent to the central station during an Alarm Pause condition Press the key twice during an alarm to start an alarm pause five minutes for Adult ICU 3 minutes for Neonatal ICU Press the key again d...

Page 33: ...r approximately 10 seconds you should see a display on the screen The AC indicator on the front panel will light when using AC power Two modes of operation are available when using AC power The monitor will enter NORMAL mode when plugged into AC power and the monitor is turned ON Normal mode operation provides all functional capabilities of the monitor including vital signs monitoring communicatio...

Page 34: ...ver it is not in use Depending on usage you can get 2 to 3 hours of battery power on a new fully charged battery on a color monitor and up to 4 hours on a monochrome monitor NBP and SpO2 monitoring and the usage of the recorder will drain battery power faster than other parameters NOTE A Battery Low message at the top of the screen and an audible system alarm indicate 10 minutes of battery life re...

Page 35: ...details these power conditions and their indicators In the chart below an X indicates that the indicator light shown at the top of the column is lit Conditions Indicated by Power Indicator Lights AC Battery Charging Status Unit is AC powered battery is being charged X yellow X Unit is AC powered battery is fully charged X green X Unit is battery powered X Conditioning battery is being discharged X...

Page 36: ... defined with the softkey AUTO START AT Should there be a loss of AC power all the user has to do is plug in the power cord user controlled mode If the time limit or discharge limit is reached the monitor displays the status message BATTERY NEEDS COND It is up to the user to start the conditioning as a result of this message manual mode In this mode the user is required to manually start the condi...

Page 37: ...d will be represented on the gauge by a dashed outline The maximum charge level for the cell currently installed in the monitor is represented by a solid outline on the gauge As the battery ages and its charging capacity becomes diminished this line becomes a smaller percentage of the full rated capacity shown by the solid line Refer to the following examples New battery fully charged New battery ...

Page 38: ... system message is displayed when the battery needs to be reconditioned The COND IS RUNNING message is displayed while the battery is being reconditioned The BATTERY DEFECTIVE message is displayed when errors have occurred within the battery management system or the battery The reason of the error can be found in the error logbook MONITOR SETUP SERVICE MODE REVIEW ERRORS VIEW OUTPUT ERRORS Notify ...

Page 39: ...monitor automatically returns to the Main Menu refer to the figure below when you have displayed another menu and have not used the Trim Knob for 5 minutes default time This is a Monitor Defaults setting SETUP DEFAULT DISPLAY which can be set for a longer period of time or no timeout at all Some menus such as Vital Signs and trends are not affected by the timeout setting You must exit them using o...

Page 40: ...isplay the following menu MAIN MENU ALARM CONTROL PATIENT DATA ADMIT MENU MONITOR SETUP 012 MORE MENUS Menu ALARM CONTROL This option displays a menu which allows you to view and modify all alarm limits change alarm levels and adjust alarm volume PATIENT DATA This option displays a menu which allows you to view patient data vital sign history and graphic trends ADMIT MENU This option displays a me...

Page 41: ...ection highlighted The arrows are also highlighted indicating that the Trim Knob control can be rotated scrolled to change the selection When the Trim Knob control is rotated the new selection is highlighted and the change occurs immediately on the screen so that the user can see if the selection is appropriate before exiting the popup Press the Trim Knob control to close the popup menu MAIN MENU ...

Page 42: ...p menus are displayed when selecting menu options In some cases however a whole new menu is displayed This is a menu within a menu or a subordinate menu Many but not all subordinate menus have the PREV MENU option to allow you to return to the previously displayed menu Following is an example of a subordinate menu Display the ECG Menu MAIN MENU DISPLAY LEAD II RELEARN ECG SIZE 1X QRS VOLUME OFF EC...

Page 43: ...ate selecting it switches to the other state MAIN MENU CALIB TRANSDUC PREV MENU SMART BP ON BP FILTER 12Hz PULSE PATE ON DISCONN ALARM ON 018 SMART BP ON MAIN MENU CALIB TRANSDUC PREV MENU SMART BP OFF BP FILTER 12Hz PULSE PATE ON DISCONN ALARM ON 019 SMART BP OFF Other direct action options start a process For example selecting the RELEARN option from the ECG parameter menu tells the monitor to i...

Page 44: ...reen and when necessary across the bottom Every monitored parameter has a parameter window Each parameter window has two parts a parameter label and digital values Depending on how you have set your defaults limits and units of measure may be displayed under the parameter label ART 200 80 S mmHg RT 70 72 94 136 020 ART Parameter Window ...

Page 45: ...tructions or other non realtime information Below is an example of an information window ECG 150 50 21 NOV 2000 17 10 II DAK BED 1 60 SPO2 105 90 RT51 98 NBP 200 80 S mmHg ADT X X X ART 200 80 S mmHg RT59 MAIN MENU PREV MENU SPECIFIC TIME VIEW OLDER SELECT PARAM 46 73 117 VITAL SIGNS 21 NOV 2000 17 10 ART S ART D ART M ART R SPO2 SPO2 R ALARMS 21 NOV 16 15 60 116 46 72 58 21 NOV 16 30 60 116 46 72...

Page 46: ... control to move the pointer through the list 3 Press the Trim Knob control when the pointer is in front of HR The parameter label highlights 4 Turn the Trim Knob control to highlight the low limit The number 50 is displayed 5 Rotate the Trim Knob control until the number reads 45 It will follow this sequence 49 48 47 46 45 NOTE The next rotation will take the number to 40 which in this instance i...

Page 47: ...INDOW is displayed when a manual graph is requested There is a setting in the Graph Setup Menu which allows you to set a time for how long a manual graph runs e g continuous 20 seconds etc NOTES A one millivolt ECG signal at normal 1X size equals 10 millimeters on the graph paper All waveforms on a graph strip begin with 10 seconds of delayed data The header information printed with the waveforms ...

Page 48: ...aph occurs GRAPHING MANUAL a manual graph is in progress GRAPHING ALARM a crisis or warning alarm has occurred An automatic graph is run PRINTING WINDOW a manual graph of a printable information window is in progress PAPER OUT the writer printer needs paper or a writer door is open NOTE If saved graph never prints or graph does not print at your central station check all graph locations then verif...

Page 49: ...tion on page 1 3 shows the AC power connector Use only the original cord or an equivalent one WARNING The Dash 2000 must be connected to a properly installed power outlet with protective earth contacts only If the installation does not provide for a protective earth conductor disconnect the monitor from the power line and operate it on battery power For measurements in or near the heart we recomme...

Page 50: ...s After power up and during operation the Dash 2000 runs automatic self tests When a malfunction is detected the monitor displays a message and a prompt asking whether the user wishes to continue operation WARNING If this message appears during operation it is the physician s responsibility to decide whether the unit is still suitable for patient monitoring As a general rule monitoring with this u...

Page 51: ... Your Safety 2 2 Intended Use 2 2 Terminology 2 2 Monitor Safety 2 2 Dangers 2 2 Warnings 2 3 Cautions 2 7 Notes 2 10 Reference Literature 2 10 Classifications 2 11 Underwriters Laboratories Inc 2 11 Safe Operating and Handling Conditions 2 12 Equipment Symbols 2 13 ...

Page 52: ...injury to a person DANGER indicates an imminent hazard which if not avoided will result in death or serious injury WARNING indicates a potential hazard or unsafe practice which if not avoided could result in death or serious injury CAUTION indicates a potential hazard or unsafe practice which if not avoided could result in minor personal injury or product property damage NOTE provides application ...

Page 53: ...tem verify the function of the alarm system The functions of the alarm system for monitoring the patient must be verified at regular intervals BEFORE USE Before putting the system into operation visually inspect all connecting cables for signs of damage Damaged cables and connectors must be replaced immediately Before using the system the operator must verify that it is in correct working order an...

Page 54: ...ckets of the power cord by mistake DISPOSAL Dispose of the packaging material observing the applicable waste control regulations and keeping it out of children s reach EXPLOSION HAZARD Do not use this equipment in the presence of flammable anesthetics vapors or liquids INTERFACING OTHER EQUIPMENT Devices may only be interconnected with each other or to parts of the system when it has been determin...

Page 55: ...fied biomedical engineering personnel before using with patients PATIENT AMBULATION A patient must be assisted if ambulating with a roll stand mounted monitor POWER SUPPLY The device must be connected to a properly installed power outlet with protective earth contacts only If the installation does not provide for a protective earth conductor disconnect the monitor from the power line and operate i...

Page 56: ...o not rely entirely on rate meter alarms SITE REQUIREMENTS For safety reasons all connectors for patient cables and sensor leads with the exception of temperature are designed to prevent inadvertent disconnection should someone pull on them Do not route cables in a way that they may present a stumbling hazard For devices installed above the patient adequate precautions must be taken to prevent the...

Page 57: ... evidence that the safety certification of the ACCESSORY has been performed in accordance to the appropriate IEC 60601 1 and or IEC 60601 1 1 harmonized national standard BATTERY POWER The device is equipped with a battery pack The battery discharges even when the device is not in use Store the device with a fully charged battery and check the battery status of devices in storage once a month BEFO...

Page 58: ... comply with the relevant EMC requirements X ray equipment or MRI devices are a possible source of interference as they may emit higher levels of electromagnetic radiation Also keep cellular phones or other telecommunication equipment away from the monitor INSTRUCTIONS FOR USE For continued safe use of this equipment it is necessary that the listed instructions are followed However instructions li...

Page 59: ...o have received adequate training in the use of such equipment and who are capable of applying it properly POWER REQUIREMENTS Before connecting the device to the power line check that the voltage and frequency ratings of the power line are the same as those indicated on the unit s label If this is not the case do not connect the system to the power line until you adjust the unit to match the power...

Page 60: ...cable This product is protected against the effects of cardiac defibrillator discharges to ensure proper recovery as required by test standards The screen may blank during a defibrillator discharge but recovers within seconds as required by test standards Medical Device Directive 93 42 EEC EN 60601 1 1990 A1 1993 A2 1995 Medical electrical equipment General requirements for safety EN 60601 1 1 9 1...

Page 61: ...water Degree of safety of application in the presence of a flammable anesthetic mixture with air or with oxygen or nitrous oxide Not suitable I Class I equipment CF Type CF applied part BF Type BF applied part Not suitable Equipment not suitable for use in the presence of flammable anesthetic mixture with air or with oxygen or nitrous oxide CLASSIFIED C US R Classified by Underwriters Laboratories...

Page 62: ...e of operation Continuous operation Electromagnetic interference No cordless telephone nearby Electrosurgical interference damage No damage Diathermy instruments influence Displayed values and prints may be disturbed or erroneous during diathermy Defibrillation shocks The monitor specifications fulfill the requirements of EC13 IEC 60601 2 27 30 34 and prEN 865 Auxiliary outputs The system must ful...

Page 63: ...egree of protection against electric shock than that provided by type BF applied parts TYPE BF APPLIED PART Insulated floating applied part suitable for intentional external and internal application to the patient excluding direct cardiac application Paddles outside the box indicate the applied part is defibrillator proof Medical Standard Definition F type applied part floating insulated complying...

Page 64: ...2 14 Dash 2000 Patient Monitor Revision C 2005873 001 For your notes ...

Page 65: ...u 3 4 Standard Admit Menu 3 5 Rover Admit Menu 3 6 Combo Admit Menu 3 7 Rover Combo Admit Menu 3 8 Admit Menu Options 3 9 Admit Info 3 9 Change Admit Info 3 10 Request Admit Info 3 11 Save Admit Info 3 11 Weight and Height 3 11 Age 3 11 Admit Patient 3 12 Admit Patient 3 12 New Case 3 12 Set Unit Name 3 13 Set Bed Number 3 14 Set Graph Location 3 15 ECG Source 3 15 About Discharging 3 16 Discharge...

Page 66: ...on you can move or rove the monitor to the patient rather than moving the patient to a monitored room It does not accommodate telemetry A network connection is not required unless you have a central station COMBO This application provides the option to acquire ECG data from either the monitor or from a telemetry receiver cabinet This ECG data acquisition capability enhances basic telemetry monitor...

Page 67: ...d at the monitor If you switch ECG monitoring from telemetry to monitor the ECG limits arrhythmia alarm levels and display formats will be recalled from Monitor Defaults The arrhythmia alarm level for the telemetry will be reduced to match the monitor s arrhythmia alarm level If you want to know the application for which the monitor is set follow these steps 1 Select MORE MENUS option from the Mai...

Page 68: ...s MAIN MENU ALARM CONTROL PATIENT DATA ADMIT MENU MONITOR SETUP 023 Adult ICU and Neonatal ICU Modes MAIN MENU ALARM CONTROL PATIENT DATA NEW CASE SETUP MONITOR SETUP 024 Operating Room Mode 3 Select ADMIT MENU or NEW CASE SETUP to display the Admit Menu The admit menu displayed depends on how your monitor has been set up The following pages describe the various admit menus ...

Page 69: ...wise MAIN MENU ADMIT INFO NEW CASE PREV MENU 026 OR ADMIT Menu STANDARD Application ADMIT INFO opens the admit information window and popup menu refer to section Admit Info later in this chapter ADMIT PATIENT a direct action menu option that admits the patient DISCHARG PATIENT opens a popup menu to confirm the discharge of the patient NEW CASE a direct action option which discharges the patient s ...

Page 70: ... central station and other network devices SET BED NUMBER verify or change the assigned bed number The correct bed number is essential for recognition at a central station and other network devices SET GRAPH LOCATION option displays a menu which allows you to choose writers for alarm and manual graphs refer to sections Monitor Setup Graph Setup Set Graph Location ADMIT INFO opens the admit informa...

Page 71: ...029 ICU Admit Menu Combo Application NOTE XXX ADMIT if patient is discharged DISCHARG otherwise NOTE It is not likely that this application is used when the monitor is set for Operating Room mode However the admit menu would look just like this one ECG SOURCE choose either the monitor or a telemetry transmitter from which to receive the patient s parameter data ADMIT INFO opens the admit informati...

Page 72: ...ode However the admit menu would look just like this one ECG SOURCE choose either the monitor or a telemetry transmitter from which to receive the patient s parameter data ADMIT INFO opens the admit information window and popup menu refer to section Admit Info later in this chapter ADMIT PATIENT a direct action menu option that admits the patient DISCHARG PATIENT opens a popup menu to confirm the ...

Page 73: ...NAME FIRST NAME PATIENT ID SEX BIRTH DATE AGE HEIGHT WEIGHT 034 ADMIT INFO Information Window The RETURN option appears after selecting CHANGE ADMIT INFO Then two additional items LOCATION ID and SITE NUMBER are accessible when scrolling through the window not functional in Dash 2000 Depending on the monitor setup different Admit Info popup menus are displayed MAIN MENU REQUEST ADMIT INFO PREV MEN...

Page 74: ...r each name The name at least part if not all is displayed on the monitor and central station and printed on all graph headers Patient ID enter up to 13 characters This is important information to enter if you have a MUSE system or a Solar Lab Access Server If not entered the monitor uses a default of all 9 s for MUSE storage Sex select male or female Birth Date enter the patient s birth date AGE ...

Page 75: ... will be displayed if previously entered If necessary you can add to or change the information displayed 034A MAIN MENU REQUEST ADMIT INFO PREV MENU WEIGHT KG CHANGE ADMIT INFO HEIGHT INCHES REQUEST ADMIT INFO Information Menu Verify the accuracy of any displayed information Use the CHANGE ADMIT INFO option if any information needs to be corrected or additional information entered NOTE If you chan...

Page 76: ...ich admits the patient to the monitor Simply select the key to admit the patient This menu option is found only when the monitor is set for Operating Room mode and Standard or Rover admit menu It is a direct action menu option which when selected does both a discharge and immediate admit All patient data from the previous patient is erased the screen blanks for a few seconds and then the monitor i...

Page 77: ...T59 The unit name appears here 036 Location of Unit Name on the Monitor If it is not the correct unit name follow this procedure to change it 1 Select SET UNIT NAME option from the Admit Menu An information window is displayed with the available unit names 21 NOV 2000 16 27 II DAK BED 1 SELECT A CARE UNIT RETURN NICU PICU SICU MAIN MENU XXX PATIENT SET UNIT NAME SET GRAPH LOCATION PREV MENU 037 SE...

Page 78: ...is procedure to confirm that the bed number is correct 1 Select SET BED NUMBER from the Admit Menu A popup menu and information window are displayed 21 NOV 2000 16 27 II DAK BED 1 CONFIRM BED NUMBER CREATE NEW BED BED1 BED2 BED3 BED4 BED5 BED6 MAIN MENU SET UNIT NAME SET BED NUMBER XXXX PREV MENU 039 SET BED NUMBER Popup Menu and Information Window 2 Use the Trim Knob control to move the pointer i...

Page 79: ...formation window are displayed 21 NOV 2000 16 27 II DAK BED 1 SELECT ECG SOURCE MONITOR 331 446 447 783 MAIN MENU ECG SOURCE PREV MENU 040 ADMIT PATIENT SET GRAPH LOCATION ECG SOURCE Popup Menu and Information Window The information window lists the possible sources from which the parameter data can be obtained The transmitter numbers listed are those transmitters assigned to the unit 2 Rotate the...

Page 80: ...o discharge a patient select MORE MENUS Depending on how your monitor is set up you will see one of two menu options DISCHARG PATIENT or NEW CASE This menu option indicates that the patient is admitted You select it to discharge the patient To discharge a patient from the Standard and Rover admit menu follow this procedure 1 Select MORE MENUS 2 Select ADMIT MENU to display the Admit Menu 3 Select ...

Page 81: ...inue to monitor the telemetry c TELEMETRY to discharge patient from telemetry only ECG will automatically switch to the monitor d BOTH to discharge patient from telemetry and monitor If ECG was from the monitor BOTH will only affect the monitor 5 Press the Trim Knob control to complete the discharge This menu option is displayed only when the monitor is set for Operating Room mode and is found in ...

Page 82: ...3 18 Dash 2000 Patient Monitor Revision C 2005873 001 For your notes ...

Page 83: ...s Alarms 4 4 Controlling Audio Alarms 4 5 Silencing an Alarm for One Minute 4 5 Pausing Alarms 4 5 Turning Alarm Volume Off Permanently 4 5 Alarm Control Menu 4 6 All Limits 4 7 Viewing an All Limits Screen 4 7 Changing a Limit in the All Limits Screen 4 8 Alarm Graph 4 9 Alarm Volume 4 10 Parameter Alarm Level 4 11 Arrhythmia Alarm Level 4 12 ...

Page 84: ... for example pulse oximetry the alarm processing for that parameter will not be active until valid physiologic data is detected NOTE To properly use the smart alarm feature be sure to remove all patient cables to the monitor prior to discharging This assures that no data is seen after a discharge WARNING After an interruption of the electric power supply e g for an emergency power test it is neces...

Page 85: ...an arrhythmia condition Patient status alarms provide you the highest priority information The levels within the Patient Status Alarm category and how the monitor responds to each is shown in the following chart The chart begins with the most critical type of alarm Crisis and ends with the least critical type of alarm Message NOTE Only for monitors without arrhythmia detection For patients at risk...

Page 86: ...ill activate the nurse call connector WARNING After connecting the monitor to the central station and or nurse call system verify the function of the alarm system System status alarms are triggered by mechanical or electrical problems and are of lesser priority than patient status alarms The levels within the System Status Alarm category and how the monitor responds to each are shown in the follow...

Page 87: ...ress the key twice if an alarm is sounding when you want to start an alarm pause ADULT ICU mode If your monitor is set up for this mode a five minute alarm pause occurs and a count down timer is displayed on the screen Press the SILENCE ALARM key again to reactivate alarms before the five minute period elapses NEONATAL ICU mode If your monitor is set up for this mode a three minute alarm pause occ...

Page 88: ...RRHYTH ALARM LEVEL 045 ALARM CONTROL Menu ALL LIMITS view a screen of all currently monitored parameters and their alarm limits Included also is the unit of measure for each Alarm limits can also be changed ALARM GRAPH turn automatic alarm graphing on and off ALARM VOL adjust the volume of the alarm tone PARAM ALARM LEVEL view parameter alarm levels Can adjust parameter alarms to other alarm level...

Page 89: ... from the Alarm Control Menu 2 An information window is displayed on the screen and a popup menu is displayed in the menu area 21 NOV 2000 16 27 II DAK BED 1 SETUP DEFAULT LIMITS RETURN HR SPO2 RR RR APNEA NBP S NBP D NBP M TP UNITS BPM MIN SEC mmHg mmHg mmHg C LOW 50 90 5 80 20 40 30 0 HIGH 150 105 55 20 200 120 140 42 0 MAIN MENU ALL LIMITS PREV MENU 046 ALL LIMITS Popup Menu and Information Win...

Page 90: ...change press the Trim Knob control The parameter label highlights 3 Rotate the Trim Knob control to highlight the low or high limit 4 Press then rotate the Trim Knob control to change the limit value 5 Press the Trim Knob control again to complete the change The new limit is in effect immediately 6 Rotate the Trim Knob control to highlight the parameter label then press to unhighlight You can now ...

Page 91: ... to on or off follow this procedure 1 Select ALARM GRAPH option from the Alarm Control Menu 2 Pressing the Trim Knob control alternately changes the state to on or off the actual setting is always displayed Any change made with this menu option is only temporary and will revert to default upon discharge ...

Page 92: ... VOL Popup Menu 3 Rotate the Trim Knob control to change the selection Each time the control is rotated you hear a tone at that volume ALARM VOL OFF message is displayed at the top of the screen if OFF is selected NOTE When in Neonatal ICU mode alarm volume cannot be turned off The lowest it can be set is 10 4 When you are satisfied with the volume level press the Trim Knob control to close the po...

Page 93: ... to move a parameter alarm to another level use the PARAM ALARM LEVEL option and follow the same procedure as described for arrhythmia alarm levels Any changes made with this menu option are temporary and will revert to defaults upon discharge 21 NOV 2000 16 27 II DAK BED 1 PARAMETER ALARM LEVELS RETURN HR SPO2 RR RR APNEA SPO2 RATE NBP TP WARNING ADVISORY ADVISORY ADVISORY MESSAGE MESSAGE MESSAGE...

Page 94: ...ect ARRHYTH ALARM LEVEL option from the ALARM CONTROL Menu 2 An information window is displayed on the screen and a popup menu is displayed in the menu area 21 NOV 2000 16 27 II DAK BED 1 ARRHYTHMIA ALARM LEVELS RETURN ASYSTOLE VFIB VTAC V TACH BRADY CRISIS CRISIS CRISIS CRISIS MAIN MENU ARRHYTH ALARM LEVELS PREV MENU 047 ARRHYTHMIA ALARM LEVELS Popup Menu NRT The information window shows a list o...

Page 95: ...Adult and Neonatal Mode 1 Rotate the Trim Knob control to move the pointer in front of V TACH 2 Press the Trim Knob control The level for the V TACH call highlights 3 Rotate the Trim Knob control until WARNING is displayed 4 Press the Trim Knob control to complete the change The information window is reorganized to include V TACH as a WARNING alarm and the change is in effect The information windo...

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Page 97: ...its 5 7 Setup Default Display 5 8 Setup Default Parameter Priority 5 9 Recall Default 5 10 Display Setup Menu 5 11 Waveform On Off 5 12 Contrast 5 13 Color 5 14 Backgrnd 5 14 Time and Date 5 14 Set Date 5 15 Set Time 5 15 Graph Setup 5 16 ECG 1 Waveform 2 Waveform 3 5 17 Graph Location 5 18 Alarm Graph 5 20 Speed 5 20 Timed Graph 5 21 Parameters On Off 5 22 Software Summary 5 23 Service Mode 5 24 ...

Page 98: ...larm limits and establish display defaults to be recalled whenever a discharge is performed DISPLAY SETUP selects the DISPLAY SETUP menu for the following adjustments WAVEFORM ON OFF reassign waveform positions on the screen or turn some waveforms off COLOR choose a color configuration if you have a color monitor BACKGRND switch from background white to black monochrome option CONTRAST control how...

Page 99: ...m the monitor display all alarm limits may revert to the set monitor default alarm limits when the cable is reconnected To display the menu to set up your Monitor Defaults select MONITOR DEFAULTS from the Monitor Setup Menu MAIN MENU SETUP DEFAULT DISPLAY PARAM PRIORITY DEFAULT LIMITS PREV MENU PARAM ALARM LEVELS ARRHYTH ALARM LEVELS RECALL DEFAULT 063 MONITOR DEFAULTS Menu NOTE Monitor Defaults c...

Page 100: ...hich each is assigned 1 Select ARRHYTH ALARM LEVELS option from the Monitor Defaults Menu 21 NOV 2000 16 27 II DAK BED 1 ARRHYTHMIA ALARM LEVELS RETURN ASYSTOLE V FIB VTAC V TACH CRISIS CRISIS CRISIS MAIN MENU ARRHYTH ALARM LEVELS PREV MENU 064 SETUP DEFAULT ARRHYTHMIA ALARM LEVELS Popup Menu and Information Window The information window shows a list of the arrhythmia calls on the left with their ...

Page 101: ... pointer up and down the list Stop when the pointer is in front of V TACH 2 Press the Trim Knob control Notice that the level for the V TACH call is highlighted 3 Rotate the Trim Knob control until WARNING is displayed 4 Press the Trim Knob control to complete the change The information window is reorganized to include V TACH as a WARNING alarm The information window remains open for you to make a...

Page 102: ...ption to view and adjust default alarm levels for parameters Follow the same procedure as described for changing arrhythmia alarm level defaults 21 NOV 2000 16 27 II DAK BED 1 PARAMETER ALARM LEVELS RETURN HR SPO2 RR RR APNEA SPO2 RATE NBP TP WARNING ADVISORY ADVISORY ADVISORY MESSAGE MESSAGE MESSAGE MAIN MENU PARAM ALARM LEVELS PREV MENU 065 PARAM ALARM LEVELS Popup Menu and Information Window ...

Page 103: ...MITS PREV MENU 066A DEFAULT LIMITS Popup Menu and Information Window 2 Rotate the Trim Knob control to move the pointer through the list 3 Press the Trim Knob control when the pointer is in front of the parameter for which you want to change default limits The parameter label highlights 4 Turn the Trim Knob control to highlight the low or high limit 5 Press the Trim Knob control again and rotate t...

Page 104: ...27 II DAK BED 1 SETUP DISPLAY RETURN PATIENT AGE COLOR FORMAT PRIMARY ECG DETECT PACE ARTERIAL RATE LEAD ANALYSIS GRAPH WAVEFORM 2 GRAPH WAVEFORM 3 ADULT TRANSDUC II OFF OFF SINGLE ART OFF MAIN MENU SETUP DEFAULT DISPLAY PREV MENU 067 SETUP DEFAULT DISPLAY Popup Menu and Information Window 2 Using the rotate and press technique with the Trim Knob control select a display item and make the desired ...

Page 105: ...2 RESP TEMP PARAM PRIORITY PARAM PRIORITY Popup Menu and Information Window 2 Using the rotate and press technique with the Trim Knob control select parameters for positions on the display The PARAMETER selections in the top half of the window are the ones displayed as full size windows on the right side of the screen You control the order of these when you designate a parameter for each position ...

Page 106: ...ignated space Whenever possible waveforms will align with their parameter window You can override waveform alignment with the WAVEFORMS ON OFF option The RECALL DEFAULT option is a direct action menu option used to recall the monitor defaults while monitoring an admitted patient In some cases you may have to temporarily override a default For example it may be necessary to set different alarm limi...

Page 107: ...tomize display settings MAIN MENU WAVEFORM ON OFF CONTRAST 30 COLOR CLINICAL PREV MENU TIME AND DATE 051 DISPLAY SETUP MENU color version MAIN MENU WAVEFORM ON OFF CONTRAST 30 BACKGRND WHITE PREV MENU TIME AND DATE 051A DISPLAY SETUP MENU monochrome version NOTE The TIME AND DATE option is displayed only if no network is available ...

Page 108: ...u option to display a popup menu MAIN MENU WAVEFORM 2 ART I II III V AVR AVL AVF SPO2 RR ART OFF PREV MENU 053 WAVEFORM 2 Popup Menu The choices in the popup menu indicate which waveforms can be displayed in the second waveform position 3 Rotate the Trim Knob control to move the pointer in front of the waveform you would like to display in that position Choose OFF if you want no waveform displayed...

Page 109: ...om the Display Setup Menu A popup menu is displayed with all choices MAIN MENU CONTRAST 20 100 90 80 70 60 50 40 30 20 10 PREV MENU 069 20 CONTRAST Popup Menu 2 Rotate the Trim Knob control to change the brightness of the display The change takes place immediately so you can judge the appropriate percentage 3 Press the Trim Knob control to close the popup menu ...

Page 110: ...ological functions by color ECG is amber hemodynamics are green and cardiopulmonary and temperature are blue TRANSDUC matches a color to a specific transducer ART FEM AND UAC are red PA is yellow LA and ICP are white CVP RA and UVC are blue SP and all other physiological parameters are green If you have a monochrome monitor this is a direct action menu option which switches the background from whi...

Page 111: ...usible value is entered the monitor will not accept this value and display a message 5 To complete the procedure select the SET DATE option again and press the Trim Knob control SET TIME opens a popup menu to enter or adjust the current time The time is displayed in the 24 hour format MAIN MENU PREV MENU 033A SET DATE 1 1 2 9 SET TIME SET TIME Popup Menu To modify the time follow this procedure 1 ...

Page 112: ...APH LOCATION 056 GRAPH SETUP Menu ECG 1 designate the ECG lead graphed as position 1 WAVEFORM 2 3 designate the other waveforms to be graphed GRAPH LOCATION display a new menu to select writers for manual and alarm graphs and information window data ALARM GRAPH turn automatic alarm graphing on and off GRAPH TIME SPEED control the duration of a manual graph and the speed at which a graph is run SPE...

Page 113: ...e stopped and re started Since all of these options are similar only one WAVEFORM 2 is detailed below Use this procedure for the other waveform options 1 Select WAVEFORM 2 option from the Graph Setup Menu A popup menu opens displaying all choices Choices available reflect the parameters currently being monitored MAIN MENU WAVEFORM 2 ART I II III V AVR AVL AVF SPO2 RR ART OFF PREV MENU 057 WAVEFORM...

Page 114: ...ed with the GRAPH GO STOP key on the front of the monitor ALARM GRAPH LOCATION designate to which writer an alarm graph strip with patient waveforms will be printed An alarm graph is automatically started when a Crisis or Warning alarm occurs PRINT WINDOW LOCATION designate to which writer the data from an information window will be printed You can designate a different writer for each type of gra...

Page 115: ...sed and the popup menu closed 3 Press the Trim Knob control to confirm the change and close the popup menu The menu option displays the name of the writer where the graph strip will print NOTE Graph locations cannot be set as Monitor Defaults however upon discharge the graph location designations will remain as last selected If the selected writer printer is removed from use this menu option will ...

Page 116: ... the GRAPH GO STOP key on the writer and immediately restart the graph The speed at which a graph strip is printed is controlled with this menu option The slower the speed the more condensed the data will be This option affects manual graphs only and must be selected before starting the graph NOTE Alarm graphs always run at 25 millimeters per second 1 Select the GRAPH TIME SPEED option from the Gr...

Page 117: ... Setup Menu A menu with the two options SPEED and TIMED GRAPH appears 2 Select the TIMED GRAPH option A popup menu opens displaying all choices MAIN MENU SPEED 25 TIMED GRAPH CONTIN 10 SEC 20 SEC 30 SEC 60 SEC CONTIN PREV MENU 062 TIMED GRAPH Popup Menu 3 Rotate the Trim Knob control so the pointer is in front of your choice 4 Press the Trim Knob control to confirm the change and close the popup m...

Page 118: ...BLE PARAMETERS RETURN ECG NBP ART ON ON ON MAIN MENU GRAPH SETUP PREV MENU PARAM ON OFF SERVICE MODE 055 PARAM ON OFF Popup Menu and Information Window The first column in the information window shows the parameter name and the second column shows whether this parameter is on or off 2 Rotate the Trim Knob control to move the pointer to the desired parameter 3 Press the Trim Knob control If the par...

Page 119: ...layed 21 NOV 2000 16 27 II DAK BED 1 SOFTWARE SUMMARY SOFTWARE REVISIONS MAIN MAIN BOOT DAS DAS BOOT DDW ADMIT MENU MONITOR TYPE 3AX01 2ATST 4A 2BX01 VER 2A STANDARD ADLT ICU MAIN MENU MONITOR DEFAULTS PREV MENU SOFTWARE SUMMARY OK PARAM ON OFF 070 C COPYRIGHT 2000 2001 GE MEDICAL SYSTEMS INFORMATION TECHNOLOGIES GMBH SOFTWARE SUMMARY Popup Menu and Information Window The information in the list i...

Page 120: ...ATIONS WILL CAUSE A COLD START OF THE MONITOR ENTER THE PASSWORD AND PROCEED AT YOUR OWN RISK MAIN MENU PREV MENU SERVICE MODE O O O O 071 SERVICE MODE Popup Menu and Information Window When the password is entered and the popup menu closed the Service Mode Menu will be displayed MAIN MENU BATTERY SERVICE REVIEW ERRORS CALIBRATE ADDRESS MONITOR ADMIT TYPE TIME AND DATE 072 SERVICE MODE Menu The se...

Page 121: ... know which mode your monitor is set up for by the absence or presence of a label on the date and time line at the top of the display Adult ICU has no label The other labels are NEO ICU and OP ROOM The patient must be DISCHARGED to change the patient monitor type Remember when you change the patient monitor type any Monitor Defaults you have set will be lost and factory defaults will again be in e...

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Page 123: ...6 1 2005873 001 6 PATIENT DATA Patient Data Menu 6 2 Vital Signs 6 3 View Older View Newer 6 4 Time Interval 6 4 Specific Time 6 4 Page Down and Page Up 6 4 Graphic Trends 6 5 Select Parameters 6 6 View Older View Newer 6 7 Time Period 6 7 ...

Page 124: ...display the following menu MAIN MENU GRAPHIC TRENDS VITAL SIGNS PREV MENU 073 PATIENT DATA Menu VITAL SIGNS TABULAR TRENDS display the values for the patient s monitored parameters over the last 24 hours GRAPHIC TRENDS plot trends for selected parameters Detailed information on each option is found in this chapter ...

Page 125: ... TIME INTERVAL 15 MINS VITAL SIGNS 21 APR 2001 17 10 RETURN SPO2 SPO2 RR NBP S NBP D NBP M ALARMS 21 APR 16 15 68 99 21 APR 16 30 68 99 21 APR 16 45 67 98 OFF 21 APR 17 00 67 99 132 70 92 OFF HR 074 Current Date and Time OFF is displayed if alarms were paused or the monitor was in discharged state Press the GRAPH GO STOP key to print the vital signs information VITAL SIGNS Menu and Information Win...

Page 126: ...hich allows you to enter a specific time you want to find and display in vital signs MAIN MENU SPECIFIC TIME PREV MENU 27 NOV 2000 16 27 076 SPECIFIC TIME Popup Menu 1 Rotate the Trim Knob control to move the highlight into the date and time The popup menu opens with the current date and time 2 Press the Trim Knob control when an element in the date or time is highlighted Rotate to make a change 3...

Page 127: ...Menu An information window and new set of menu options are displayed HR GRAPHIC TRENDS 27 NOV 1998 16 27 150 50 SPO2 100 90 MAIN MENU VIEW OLDER VIEW NEWER PREV MENU SELECT PARAM TIME PERIOD 90 MINS 077 The trend data will automatically update while displayed Refer to this chapter Time Period Press the GRAPH GO STOP key to print the displayed trends GRAPHIC TRENDS Menu and Information Window The g...

Page 128: ... Knob control to move the pointer and then press the Trim Knob control In this example HR is highlighted because that is the default Up to two parameters can be selected Selecting a third will unmark the first selection chosen NOTE NBP or an invasive pressure with a systolic diastolic and mean value is considered one selection For example if you select ART S the other two parameters ART D and ART ...

Page 129: ...or viewing the displayed trends MAIN MENU TIME PERIOD 90 MINS 24 HRS 12 HRS 6 HRS 3 HRS 90 MINS 60 MINS 30 MINS 15 MINS 6 MINS PREV MENU 079 TIME PERIOD Popup Menu Displayed trends will automatically update The frequency of the update is based on the time period selected 6 MINS updates every 10 seconds not for NBP 15 30 MINS updates every minute 60 MINS 90 MINS 3 HRS updates every minute 6 HR upda...

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Page 131: ...compatibility 7 2 Inspection 7 3 General Cleaning 7 4 Exterior Surface 7 4 Display 7 5 Cleaning Applied Parts 7 6 Cables and Leadwires 7 6 Other 7 6 Technical Maintenance 7 7 Technical Inspections 7 7 Changing Graph Paper 7 8 Built in Writer 7 8 Thermal Paper Storage 7 9 ...

Page 132: ...oduct described in this operator manual including accessories that come in contact with the patient during the intended use fulfill the biocompatibility requirements of the applicable standards If you have questions in this matter please contact GE Medical Systems Information Technologies or its representatives ...

Page 133: ...nt for obvious physical damage and replace damaged items Inspect all cords for fraying or other damage Inspect all plugs and connectors for bent prongs or pins Repair or replacement must be performed by qualified service personnel Inspect all cable insulation Qualified service personnel should repair or replace damaged or deteriorated cables In the United States GE Medical Systems Information Tech...

Page 134: ...or mild soap diluted To avoid damage to the equipment follow these rules CAUTION Failure to follow these rules may melt distort or dull the finish of the case blur lettering on the labels or cause equipment failures Always dilute the solutions according to the manufacturer s suggestions Always wipe off all the cleaning solution with a dry cloth after cleaning Never use a cleaning substance contain...

Page 135: ...ave a special filter for the display Specifically it s a circular polarized filter with an anti reflective coating This type of filter increases the display s contrast while it reduces glare from nearby lights If you look closely at the display while it s turned off you might notice milky white streaks The streaks don t mean that you need to clean the display They re caused by the circular polariz...

Page 136: ...r safe cleaning techniques For more intensive disinfecting near sterile Ethylene Oxide ETO is acceptable but will reduce the useful lifetime of the cable or leadwire CAUTION The decision to sterilize must be made per your institution s requirements with an awareness of the effect on the integrity of the cable or leadwire For other applied parts such as temperature sensors catheters pulse oximetry ...

Page 137: ...maintenance To ensure functional and operational safety of the Dash 2000 patient monitor technical inspections should be carried out on an annual basis These inspections should be referred to independent persons with adequate training and experience Within the framework of a service agreement GE Medical Systems Information Technologies service representatives would be pleased to carry out these te...

Page 138: ...and must be installed correctly Install the paper so it unrolls from the bottom 639A 3 Close the door Make sure the paper protrudes through the opening 640A 4 Test the writer by initiating a graph strip refer to The Basics chapter Graphing Printing for directions Be sure to tear downward when removing a graph strip from the writer NOTE If the graph strip is blank the paper is probably installed up...

Page 139: ...t protectors envelopes and sheet separators containing polyvinyl chloride or other vinyl chlorides AVOID CONTACT WITH cleaning fluids and solvents such as alcohols ketones esters ether etc DO NOT USE mounting forms pressure sensitive tapes or labels containing solvent based adhesives To assure MAXIMUM TRACE IMAGE LIFE thermal paper should be stored separately in manilla folders polyester or polyim...

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Page 141: ...g Features 8 9 ECG Display 8 9 Getting to the ECG Menu 8 10 ECG Menu Options 8 11 Display Lead 8 11 Synchronized Cardioversion 8 11 Smart Lead Fail 8 12 Leads Fail Patient Condition 8 12 ECG Size 8 13 ECG Limits 8 14 Heart Rate 8 14 Relearn 8 15 QRS Volume 8 15 Analysis Settings 8 16 ECG Filter 8 17 Lead Analysis 8 18 Multi Lead Analysis 8 18 Single Lead Analysis 8 18 Changing Lead Analysis 8 18 D...

Page 142: ...d publication Accessories Dash 2000 3000 Electrodes for diagnostic use may vastly compromize recovery time and stability after defibrillation Do not connect any electrode to metal parts or ground 1 Electrodes have been placed on the patient following proper skin preparation NOTE When using snap leadwires attach leadwires to electrodes first then apply electrodes to the patient This prevents the ge...

Page 143: ... information for processing the ECG data Choose flat non muscular areas to place electrodes then follow the established prep protocol for your unit Following is a suggested guideline for skin preparation 1 Shave hair from skin at chosen sites 2 Gently rub skin surface at sites to remove dead skin cells 3 Thoroughly clean the site with alcohol or a mild soap and water solution Be sure to remove all...

Page 144: ... F V1 precordial brown V1 white C1 V2 precordial yellow V2 yellow C2 V3 precordial green V3 green C3 V4 precordial blue V4 brown C4 V5 precordial orange V5 black C5 V6 precordial purple V6 purple C6 Following is a suggested configuration when using five leadwires 132B V1 RA LA RL LL 132C C1 R L N F AHA Configuration IEC Configuration Right arm and left arm electrodes should be placed just below th...

Page 145: ...he molded 3 leadwire sets can be placed in the 5 lead Multi Link patient cable Standard Molded 3 leadwire Set Rotating Reference Selectable lead I II or III cable with a rotating reference right arm left arm left leg Operation of the monitor with this standard cable allows you to select one of three leads I II or III for monitoring When using the standard 3 leadwire configuration the following ope...

Page 146: ... only enough room for a 3 leadwire electrode configuration A 3 lead neonatal ECG cable is available and a Multi Link DIN adapter is available for the 5 lead Multi Link cable The right arm and left arm or right arm and left leg electrodes are positioned on the right and left sides of the chest The third electrode right leg can be placed on either the right or left side of the abdomen RA LL RL RA LA...

Page 147: ...maker Following is a suggested configuration NOTE When using this configuration display Lead II as your primary ECG lead AHA Configuration IEC Configuration The right arm electrode is moved down to the 5th intercostal space and the left leg electrode is moved up to the 5th intercostal space NOTE After all electrodes are in place ensure minimum of 1 2 mV of signal is present on each lead I II III V...

Page 148: ...dhesive causing discomfort Stabilize the electrode and leadwire with a leadwire stress loop near the electrode Tape the stress loop to the patient A secured stress loop prevents leadwire rotation about the electrode snap leadwire tugging at the electrode and ECG artifact Thorough skin preparation is very important to help keep ESU interference to a minimum Do a thorough skin prep to the skin next ...

Page 149: ... settings determine the information displayed in the window ECG 150 50 P 70083 Heart Rate Alarm Limits QRS Indicator Pace Detector Indicators Heart Rate ECG Parameter Window The parameter window displays the current heart rate pacemaker indicators and the heart rate limit Also displayed are a QRS indicator flashing heart and a large flashing asterisk for each detected pacemaker spike when pacemake...

Page 150: ...YSIS SETTINGS QRS VOLUME OFF 085 ECG Menu With the Trim Knob control you can now select any of the displayed options DISPLAY LEAD change the top displayed primary ECG lead ECG SIZE change the size of all ECG waveforms displayed and graphed ECG LIMITS display a new menu and an information window to adjust heart rate alarm limits RELEARN relearn the patient s QRS pattern to enable more accurate moni...

Page 151: ...Popup Menu 2 Rotate the Trim Knob control to change the displayed lead The change occurs immediately on the screen 3 When you are satisfied with your selection press the Trim Knob control to close the popup menu NOTE If you are using a standard selectable lead three leadwire patient cable the popup menu only has leads I II and III as available choices The lead displayed in the top trace position i...

Page 152: ...itch to another lead Refer to the chart below Message IEC Label New lead monitored RA FAIL R Lead III LL FAIL F Lead I LA FAIL L Lead II V FAIL C Lead II LEADS FAIL No waveform displayed right leg fail or multiple leads fail Individual lead fail messages will not be displayed when using single lead analysis but lead switching will occur There is a system alarm to alert you when more than one lead ...

Page 153: ...s may be helpful for low amplitude QRS waveforms Use with caution since baseline artifact may be detected as a QRS Follow this procedure 1 Select ECG SIZE option from the ECG Menu A popup menu opens showing all sizes available The current size of all displayed ECG waveforms is highlighted MAIN MENU PREV MENU ECG SIZE 1X 4X 2X 0 5X DISPLAY LEAD II RELEARN 087 1X ECG SIZE Popup Menu 2 Rotate the Tri...

Page 154: ...G LIMITS RETURN HR UNITS BPM LOW 50 HIGH 150 MAIN MENU ECG LIMITS 089 ECG LIMITS Menu and Information Window 1 Rotate the Trim Knob control to move the pointer through the list 2 Press the Trim Knob control when the pointer is in front of HR The parameter label highlights 3 Turn the Trim Knob control to highlight the low or high limit 4 Press the Trim Knob control again and rotate to change value ...

Page 155: ...e value in the ECG values window NOTE Whenever arrhythmia is turned on relearn automatically takes place The QRS VOLUME option turns on a tone which sounds each time a QRS complex is detected You can adjust how loud you want this tone Follow this procedure 1 Select QRS VOLUME option from the ECG Menu A popup menu opens displaying all choices MAIN MENU QRS VOLUME OFF 100 90 80 70 60 50 40 30 20 10 ...

Page 156: ...played at the bottom of the screen MAIN MENU LEAD ANALYSIS MULTI LD ECG FILTER MONITORG DETECT PACE OFF PREV MENU ARRHYTH ON QRS WIDTH NORMAL 085A ANALYSIS SETTINGS Menu With the Trim Knob control you can now select any of the displayed options ECG FILTER select one of four filter settings for the ECG signal LEAD ANALYSIS choose single lead or multi lead processing of ECG DETECT PACE turn pacemake...

Page 157: ...effect until the Trim Knob control is pressed and the popup menu closed Press the Trim Knob to close the popup menu DIAGNOSTIC provides the least amount of filtering 05 120Hz MONITOR recommended for typical monitoring applications 05 40Hz MODERATE used to reduce high frequency interference i e ESU 05 25Hz Moderate ECG filtering is not recommended with pacemaker patients MAXIMUM provides maximum fi...

Page 158: ...ocess ECG and arrhythmia information When monitoring an adult single lead analysis would be beneficial when using an external temporary pacemaker with a Zoll interface cable troubleshooting pacemaker detection and or arrhythmia detection NOTE ECG is relearned whenever lead analysis is changed To change the lead analysis follow this procedure 1 Select LD ANALYSIS option from the Analysis Settings m...

Page 159: ...emaker patients under close observation Rate meters may continue to count the pacemaker rate during cardiac arrest and some arrhythmias Therefore do not rely entirely on rate meter alarms CAUTION FDA POSTMARKET SAFETY ALERT The United States FDA Center for Devices and Radiological Health issued a safety bulletin October 14 1998 This bulletin states that minute ventilation rate adaptive implantable...

Page 160: ...088 DETECT PACE Popup Menu 2 Rotate the Trim Knob control so the pointer is in front of your choice The Pace 2 mode is much more conservative in recognizing paced QRS morphologies and is recommended for use whenever possible It is designed to minimize the possibility of counting pacemaker artifact as QRS complexes during ASYSTOLE If the monitor does not adequately detect paced beats in the Pace 2 ...

Page 161: ...u are experiencing problems select the Pace 1 mode as an option and observe all cautions as described for the Pace 1 mode of operation Here are some additional guidelines for successful monitoring of pacemaker patients When using the 10 leadwire patient cable with all electrodes attached pace detection occurs on any V lead selected for the top trace position For more information refer to Troublesh...

Page 162: ...Full range of QRS amplitude sensitivity is achieved for QRS 80 ms The QRS WIDTH option opens a popup menu that allows you to specify the QRS width type to NORMAL or NARROW The selected width type will be sent to the monitor for use in the ECG analysis algorithms To change the QRS width follow this procedure 1 Select QRS WIDTH from the Analysis Settings menu MAIN MENU PREV MENU DETECT PACE OFF NORM...

Page 163: ...LEADS FAIL ALARM PAUSE ALL ALARMS OFF and DISCHARGED The EK Pro algorithm simultaneously uses leads I II III and V for ECG and arrhythmia analysis The software package detects lethal arrhythmias Lethal arrhythmias are Asystole VFib VTac and V Tach unless in Neonatal ICU mode Then Asystole VFib VTac and Brady are the lethal arrhythmias Refer to this chapter Arrhythmia Conditions for arrhythmia defi...

Page 164: ...ate greater than or equal to 100 beats per minute 0 2 years Occurs when a run of six or more ventricular beats is detected with an average heart rate greater than or equal to 160 beats per minute 3 10 years Occurs when a run of six or more ventricular beats is detected with an average heart rate greater than or equal to 140 beats per minute 11 13 years Occurs when a run of six or more ventricular ...

Page 165: ... signals validate on a graph 4 If amplitudes are low electrodes may need to be repositioned or replaced Relearn arrhythmia 1 Select ECG parameter label 2 Select RELEARN IF PROBLEM CONTINUES AND ECG AMPLITUDE IS LOW 1 Select ECG parameter label 2 Select ECG SIZE 3 Select 2X or higher 4 Close the popup menu 5 Select RELEARN IF PROBLEM CONTINUES Change to single lead ECG detection and processing 1 Se...

Page 166: ...n the pace mode is activated for internal pacemaker patients 1 Beats that would otherwise be classified as ventricular are instead classified as V paced if a ventricular pacemaker event is detected 2 Residual pacemaker energy that might otherwise appear in the ECG is removed and a pacemaker enhancement spike is artificially placed in the ECG Pace detection is indicated visually in the ECG paramete...

Page 167: ...lliseconds following the pacer spike it will be counted Pace 2 mode analyzes waveforms with the added capability of minimizing the chance of counting severe residual pacemaker energy as QRS complexes In relation to the event rejection capability of Pace 2 pace mode certain morphologies may not be detected Arrhythmia calls like asystole or pause may be made with heart rate identified as less than a...

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Page 169: ...list 9 4 Pressure Monitoring Features 9 5 Pressure Information 9 5 Getting to the Pressure Menu 9 6 Pressure Menu Options 9 7 Scales 9 7 Cursor 9 8 Clear Cursor 9 8 Limits 9 9 Change Name 9 10 Zero 9 10 Settings 9 11 BP Filter 9 12 Calibrate Transducer 9 12 Smart BP 9 13 Pulse Rate 9 13 Disconnect Alarm 9 14 Troubleshooting 9 15 ...

Page 170: ...ve pressure monitoring Detailed operating procedures are given for the CVP pressure site Other pressure sites have menu items just like those in the CVP Menu so you can apply the same principles when monitoring those sites There is one blood pressure connector labeled BP on the right side of the monitor as shown in the illustration below AC Battery Power Graph Go Stop NBP Go Stop Function Silence ...

Page 171: ...essing different pressure sites Site names supported and values displayed are arterial ART systolic diastolic and mean femoral FEM systolic diastolic and mean pulmonary artery PA systolic diastolic and mean central venous CVP mean left atrial LA mean right atrial RA mean intracranial ICP mean special SP mean Additional site names available in the Neonatal ICU mode are umbilical artery catheter UAC...

Page 172: ...ressure parameter window for messages 5 Close the venting stopcock to air atmosphere 6 Open the transducer stopcock to the patient Within seconds pressure numerics should be displayed in the pressure parameter windows As an alternative select the ZERO option in the pressure menu Checklist 1 Patient cable is attached to the BP connector on the monitor 2 Transducers are level according to unit polic...

Page 173: ...tes systolic limits Diastolic Value Mean Value Systolic Value Pulse Rate Value ART Pressure Parameter Window CVP 349 99 mmHg 8096 Mean Value CVP Pressure Parameter Window The current systolic diastolic and mean values are displayed Some pressures only display a mean value Limits and the units of measurement may also be displayed For pressures with multiple values the limits are labeled S systolic ...

Page 174: ... CVP CVP SETTINGS 098 CVP Menu With the Trim Knob control you now can select any of the displayed options SCALES change the displayed scale for this pressure CURSOR display a new menu for a moveable cursor on the waveform LIMITS display a new menu and an information window to adjust alarm limits CHANGE NAME change to another name ZERO zero reference transducer SETTINGS displays a new menu to adjus...

Page 175: ...enu A popup menu opens showing the scale sizes available The scale currently used is designated with the pointer MAIN MENU CVP SCALES 160 AUTO 300 200 160 100 60 40 30 099 CVP SCALES Popup Menu NOTE The auto scale is only an option once the pressure is zeroed 2 With the Trim Knob control move the pointer to the desired scale size The scale on the display will not change until the Trim Knob control...

Page 176: ...nu 2 Select CVP CURSOR option from the CVP CURSOR Menu Another popup menu opens MAIN MENU CVP CURSOR USE TO POSITION CURSOR ON WAVEFORM PREV MENU 100A CVP Cursor Popup Menu The monitor automatically calculates a scale and the new scale and cursor are displayed with the waveform A numeric cursor value is displayed to the right of the cursor CVP2 25 1 12 New Scale Cursor Cursor Value 101 Cursor on C...

Page 177: ...RETURN ART S ART D ART M ART R UNITS mmHg mmHg mmHg BPM LOW 80 20 40 50 HIGH 200 120 110 150 MAIN MENU ART LIMITS 102 ART LIMITS Menu and Information Window 2 Rotate the Trim Knob control to move the pointer through the list 3 Press the Trim Knob control when the pointer is in front of the parameter for which you want to change limits The parameter label highlights 4 Turn the Trim Knob control to ...

Page 178: ...GE NAME Popup Menu 2 Rotate the Trim Knob control to place the pointer in front of the desired name The change will not take effect until the popup menu is closed 3 Press the Trim Knob control to confirm the change and close the popup menu This causes a change in the parameter window and the Main Menu is displayed Use the ZERO option to zero the transducer 1 Place the transducer at the left atrial...

Page 179: ...e and the selected monitory type MAIN MENU BP FILTER 12 Hz PULSE RATE OFF PREV MENU CALIB TRANSDUC SMART BP ON DISCONN ALARM OFF BPSET1 BP Settings Menu for pressures sites ART FEM Adult ICU and Operating Room mode MAIN MENU BP FILTER 12 Hz PULSE RATE OFF PREV MENU CALIB TRANSDUC BPSET2 BP Settings Menu for pressures sites ART FEM UAC Neonatal ICU mode MAIN MENU BP FILTER 12 Hz PREV MENU CALIB TRA...

Page 180: ... option from the Settings menu A new menu is displayed with two options to adjust for transducer error MAIN MENU CAL 100 ADJUST TO MMHG PREV MENU 105 CALIBRATE TRANSDUCER Menu 2 Select one of the two menu options Adjusting one option automatically adjusts the other CAL 100 Open a popup menu to enter the percentage of error Use this option when the calibration error is already known NOTE Always mak...

Page 181: ...st flushing or drawing blood is not accomplished within certain time frames alarms will sound When artifact is detected Smart BP begins to search for the return of a pulsatile pressure When 15 20 beats have been detected numerics are displayed and alarms are reactivated If pressure remains below 10 mmHg for more than 14 seconds the alarms will reactivate During sustained high pressure drawing bloo...

Page 182: ...pressure falls below 25 mmHg and the disconnect alarm is on a Warning alarm sounds and the message DISCONNECTED is displayed in the values window Check your patient immediately in the event the catheter has dislodged To turn this feature off and on select DISCONN ALARM option from the appropriate Settings menu This feature can be set off or on in Monitor Defaults You cannot change the alarm level ...

Page 183: ...ansducer Rezero pressure 1 Place the transducer at the left atrial level 2 Close transducer stopcock to patient 3 Open the venting stopcock to air 4 Press FUNCTION key on the front panel of the monitor 5 Close the venting stopcock to air 6 Open transducer stopcock to patient Solution Turn Smart BP OFF then ON If problem persists you may need to disable Smart BP by turning it off for that pressure ...

Page 184: ...9 16 Dash 2000 Patient Monitor Revision C 2005873 001 For your notes ...

Page 185: ... Mean Arterial Pressure 10 7 Systolic Search 10 8 NBP Go Stop Key 10 8 Power Key 10 8 Getting to the NBP Menu 10 9 NBP Menu Options 10 10 NBP Auto 10 10 NBP Stat 10 11 Early Systolic Measurement 10 11 NBP Limits 10 12 NBP Settings 10 13 Cuff Size 10 14 Initial Cuff Pressure 10 14 Review NBPs 10 15 Clear NBP Reading 10 15 Troubleshooting 10 16 NBP Status Messages 10 16 ...

Page 186: ...ndards for accuracy GENERAL WARNINGS The NBP parameter will not measure blood pressure effectively on patients who are experiencing seizures or tremors Arrhythmias will increase the time required by the NBP parameter to determine a blood pressure and may extend the time beyond the capabilities of the parameter Devices that exert pressure on tissue have been associated with purpura skin avulsion co...

Page 187: ...during the use of cardiovascular agents such as those that raise or lower blood pressure or those that increase or decrease heart rate Automatic noninvasive blood pressure monitoring uses the oscillometric method of measurement To understand how this method works we ll compare it to the auscultative method With auscultation the clinician listens to the blood pressure and determines the systolic an...

Page 188: ...f the other NBP Cable Connector 107 BP ECG Temp SPO2 NBP Dash 2000 Monitor NBP Connector NOTE The NBP cable connector is insulated and it is defibrillator proof Use only the BP cuffs listed in the enclosed publication Accessories Dash 2000 3000 These cuffs ensure patient safety and protect the device during defibrillation and electrosurgery ...

Page 189: ... as detailed in this section or use the NBP GO STOP control key 8 The measurement should be performed on the left arm if feasible Roll up sleeve before measurement Only very thin fabrics will not impair the measurement 9 Check that rolled up sleeve does not constrict the vessels 10 The arm should be placed on a surface that is level with the heart The palm of the hand should face up 11 Position pa...

Page 190: ... limb being used for A V Fistulas intravenous infusion or any area where circulation is compromised or has the potential to be compromised Cuff selection 1 Identify patient limb circumference 2 Select appropriate cuff limb circumference is identified on each cuff Cuff placement 1 Place cuff snugly around extremity being used 2 Marking on cuff should match artery location 3 Cuff should be 2 to 5 cm...

Page 191: ...ue If AUTO mode is on a countdown timer is displayed in the lower left corner The NBP values change to X if no NBP monitoring has taken place for 2 hours in ADULT ICU mode 15 minutes in OPERATING ROOM mode and 12 hours in NEONATAL ICU mode The NBP monitoring features are found in the NBP Menu These features include AUTO and STAT modes reviewing previous NBP measurements cuff size alarm limits and ...

Page 192: ...ressure This will occur only once per NBP determination The maximum pressure allowed in systolic search is limited by the normal range for cuff pressures The NBP GO STOP key on the front of the monitor is a quick way to take one measurement without going into the NBP menu It can also be used to stop a measurement already in progress If you turn the power off with the POWER key on the front of the ...

Page 193: ...READING NBP SETTINGS 110 REVIEW NBPS NBP Menu With the Trim Knob control you now can select any of the displayed options NBP AUTO start stop the automatic mode select appropriate time interval NBP STAT start 5 minutes of continuous sequential NBP measurements Not available in Neonatal ICU mode NBP LIMITS display an information window and a new menu to adjust systolic diastolic and mean limits NBP ...

Page 194: ...s pressed and the popup menu closed NOTE The NBP AUTO program is a timed cycle If when first turned on it is set to run at 5 minute intervals the cuff inflates immediately and then every 5 minutes thereafter If you change the timing interval i e 15 minutes without turning AUTO off the timing cycle does not start over The next cuff inflation will occur 15 minutes after the last inflation and every ...

Page 195: ...NBP STAT option of the NBP menu to start 5 minutes of continuous sequential NBP measurement Press OFF to discontinue the STAT process before the 5 minute period is up or simply press NBP GO STOP key on the front of the monitor Early systolic measurement is a feature of the NBP STAT mode As soon as you enter NBP STAT mode cuff inflation begins a measurement is taken and the systolic diastolic and m...

Page 196: ...UNITS mmHg mmHg mmHg LOW 20 20 40 HIGH 200 120 140 MAIN MENU NBP LIMITS 112 NBP LIMITS Menu and Information Window 2 Rotate the Trim Knob control to move the pointer through the list 3 Press the Trim Knob control when the pointer is in front of the parameter for which you want to change default limits The parameter label highlights 4 Turn the Trim Knob control to highlight the low or high limit 5 ...

Page 197: ...ation pressure Follow this procedure Select NBP SETTINGS from the NBP Menu MAIN MENU INIT CUFF PRESSURE AUTO CUFF SIZE ADULT 110A PREV MENU NBP Settings Menu With the Trim Knob control you can now select any of the displayed options CUFF SIZE select the type of cuff being used adult pediatric neonatal INIT CUFF PRESSURE determine the target inflation pressure for the first measurement ...

Page 198: ...ess the Trim Knob control to close the popup menu This option allows you to set the target inflation pressure for the first measurement 1 Select INIT CUFF PRESSURE option from the NBP Settings Menu to display the following popup menu MAIN MENU INIT CUFF PRESSURE AUTO AUTO CUFF SIZE ADULT 113A PREV MENU INIT CUFF PRESSURE Popup Menu 2 Rotate the Trim Knob control to scroll through the list of infla...

Page 199: ...MAIN MENU PREV MENU SPECIFIC TIME PAGE UP PAGE DOWN VIEW OLDER VIEW NEWER TIME INTERVAL VITAL SIGNS 21 MAR 2001 17 10 RETURN NBP S NBP D NBP M NBP R ALARMS 21 MAR 16 45 117 63 85 69 OFF 22 MAR 17 00 114 73 93 69 OFF 112A REVIEW NBPS Menu and Information Window 2 Use the Trim Knob control to select menu options Refer to the Patient Data chapter Vital Signs to review details NOTE TIME INTERVAL and S...

Page 200: ... shut off Check patient and cuff placement try another measurement If problem persists contact service OVER PRESSURE System status alarm Remove cuff and contact service PUMP TIMEOUT inflation failure pressure leak System status alarm Check connections between cuff and monitor try another measurement If problem persists contact service Check for worn connector O rings Contact service TOTAL TIMEOUT ...

Page 201: ...erroneously low value 2 Check for residual air left in the cuff from a previous measurement 3 Make sure cuff is not too tight or too loose 4 Make sure cuff and heart are at same level otherwise hydrostatic pressure will offset the NBP value 5 Minimize patient movement during measurement 6 Watch for pulsus paradoxus 7 Check for leak in cuff or tubing 8 Patient may have a weak pulse 9 Calibration ma...

Page 202: ......

Page 203: ... and Data Validity 11 6 Signal Strength Indicator 11 6 Quality of SPO2 Waveform 11 6 Stability of SPO2 Values 11 7 SPO2 Monitoring Features 11 8 SPO2 Information 11 8 Getting to the SPO2 Menu 11 9 SPO2 Menu Options 11 10 Size 11 10 SPO2 Limits 11 11 Rate Volume 11 12 Rate 11 12 Probe Off Patient Condition 11 13 Troubleshooting 11 14 SPO2 Messages 11 14 ...

Page 204: ...e light generated in the probe passes through the tissue and is converted into an electrical signal by the photodetector in the probe The monitor processes the electrical signal and displays on the screen a waveform and digital values for SpO2 and pulse rate This chapter provides guidelines for successful SPO2 monitoring 114 SPO2 Cable Connector BP ECG Temp SPO2 NBP Dash 2000 Monitor SPO2 Cable Co...

Page 205: ...serve the following precautions PRECAUTIONS We recommend the application of the following criteria when using the pulse oximetry function on neonates and infants 1 The peripheral pulse rate PPR as determined by the pulse oximetry function must be within 10 of the heart rate and 2 the pulse oximetry signal strength indicator must have 2 or 3 asterisks displayed and 3 six seconds of artifact free wa...

Page 206: ...3 001 Checklist 1 SPO2 probe is correctly positioned on the patient Follow instructions provided with the probe of choice 2 Patient cable is connected to the monitor 3 SPO2 setup is adjusted if necessary Follow detailed procedures within this chapter ...

Page 207: ... general safety precautions when using SPO2 probes WARNINGS DATA VALIDITY Do not expose probe detector to strong ambient light while monitoring a patient A poor signal may result DATA VALIDITY Do not allow tape to block the probe light detector DATA VALIDITY Check that the SPO2 waveform is physiological in shape PATIENT SAFETY Prolonged monitoring may require changing the probe site periodically M...

Page 208: ... will help to ensure a strong signal Under normal conditions the SPO2 waveform corresponds to but is not proportional to the arterial pressure waveform The typical SPO2 waveform indicates not only a good waveform but helps the user find a probe placement with the least noise spikes present The figure below represents an SPO2 waveform of good quality 115 Good Quality SPO2 Waveform If noise artifact...

Page 209: ...peed of each Messages are provided in the SPO2 values window to aid you in successful SPO2 monitoring Refer to this chapter Troubleshooting WARNING In the monitoring of patients the coincidence of adverse conditions may lead to a disturbed signal going unnoticed In this situation artifacts are capable of simulating a plausible parameter reading so that the monitor fails to sound an alarm In order ...

Page 210: ... Value Limits and Units SPO2 Value 117 SPO2 Parameter Window The current SPO2 value and the derived pulse rate RT are displayed The asterisks indicate the strength of the signal three asterisks indicate the strongest signal The SPO2 measurements are averaged over a 6 second period of time in adult mode and 12 seconds in neonatal mode The different averaging time in neonatal mode is to help decreas...

Page 211: ...he SPO2 menu is displayed at the bottom of the screen MAIN MENU SIZE 1X RATE OFF SPO2 LIMITS RATE VOL OFF 118A SPO2 Menu With the Trim Knob control you now can select any of the displayed options SIZE adjust the size of the displayed SPO2 waveform SPO2 LIMITS display a new menu and an information window to adjust SPO2 percent and rate beats per minute alarm limits RATE VOL turn the rate volume on ...

Page 212: ...t SIZE option from the SPO2 Menu A popup menu opens showing all sizes available The current size is highlighted MAIN MENU SPO2 LIMITS 8X 4X 2X SIZE 1X 119 1X SIZE Popup Menu 2 Rotate the Trim Knob control to change the size The change occurs immediately on the screen 3 When you are satisfied with your selection press the Trim Knob control to close the popup menu ...

Page 213: ...R UNITS BPM LOW 90 50 HIGH 98 150 MAIN MENU SPO2 LIMITS 121 SPO2 LIMITS Menu and Information Window 2 Rotate the Trim Knob control to move the pointer through the list 3 Press the Trim Knob control when the pointer is in front of the parameter for which you want to change default limits The parameter label highlights 4 Turn the Trim Knob control to highlight the low or high limit 5 Press the Trim ...

Page 214: ...NU RATE VOL OFF 100 90 80 70 60 50 40 30 20 10 120 OFF RATE VOL Popup Menu 2 Rotate the Trim Knob control You will hear the tone volume when an option is highlighted Press the Trim Knob control to confirm the change and close the popup menu NOTE Turning the rate volume on will automatically turn the QRS volume off When in OR mode the 10 and 20 volume tone is slightly quieter than the 10 and 20 vol...

Page 215: ...o alert you when the probe is off the patient The monitor defaults this probe off patient condition as a System Warning alarm You can however set it as a System Advisory alarm in Monitor Defaults Refer to Setup Default Display section in Chapter 5 Monitor Setup It is identified as SPO2 PROBE OFF in the Setup Default Display information window ...

Page 216: ... displayed but the quality of the signal is questionable Check the patient and the probe PROBE IS OFF THE PATIENT Reusable finger probe is off the patient Check the probe The factory default for this alarm is system warning You can set it to be a system advisory alarm in your Monitor Defaults POOR SIGNAL QUALITY The SPO2 signal is too low No SPO2 data is displayed This can be due to a low patient ...

Page 217: ... is because reduced hemoglobin RHb and oxyhemoglobin HbO2 absorb these two wavelengths differently The hemoglobin saturation is then figured from the measured amounts of the hemoglobins SpO2 HbO2 HbO2 RHb Carboxyhemoglobin COHb absorbs similarly to HbO2 and thus can raise the SpO2 Normal levels of COHb are 1 2 Methemoglobin MetHb usually represents less than 1 total Hb but in cases such as some IV...

Page 218: ... is usually less than the rest of the body Patients with Sickle Cell Anemia undergoing a sickling crisis may have erroneous readings due to the absorption spectrum of HbS being different than for normal adult Hb Severely jaundiced patients have high levels of bilirubin in their blood A product of bilirubin metabolism is CO and thus high levels of carboxyhemoglobin can be formed causing the oximete...

Page 219: ... keep his hands still or an adhesive probe on the toe an adhesive probe on the little finger for an adult or on the sole of the foot in a newborn can help greatly Cable movement can be reduced by applying the probe with the cable leading toward the patient then taping the cable to the side of the hand or foot In the case of the butterfly probe the tape was designed to secure the cable to the finge...

Page 220: ...11 18 Dash 2000 Patient Monitor Revision C 2005873 001 For your notes ...

Page 221: ... 12 5 Respiration Information 12 5 Getting to the Respiration Menu 12 6 Respiration Menu Options 12 7 Lead 12 7 Relearn Respiration 12 7 Respiration Limits 12 8 Sensitiv 12 9 Cardiac Artifact Alarm 12 10 Size 12 11 Auto Size 12 11 Manual Size 12 11 Troubleshooting 12 12 Respiratory Waveform 12 12 Cardiac Artifact 12 12 Varying Amplitudes 12 13 Messages 12 13 ...

Page 222: ...e connector on the side of the monitor used for impedance respiration monitoring ECG RESP Cable Connector 122 BP ECG Temp SPO2 NBP Dash 2000 Monitor ECG Resp Cable Connector NOTE The signal input is a high insulation port and it is defibrillator proof The insulated input ensures patient safety and protects the device during defibrillation and electrosurgery NOTE Respiration monitoring is not adver...

Page 223: ...d by measuring thoracic impedance When respiration is monitored a small AC signal is applied through ECG lead I or ECG lead II This AC signal appears between the right arm and left arm electrodes or the right arm and left leg electrodes depending on the selected ECG lead The lead selected is dependent on the type of breather the patient is See the figures below NOTE The figures below are used to s...

Page 224: ...necessary NOTE Respiration detection is not dependent on the size of the waveform Size is for visual purposes only Even though the same electrodes are used for ECG and respiration monitoring it is possible to get a lead fail message for respiration without one for ECG The impedance may be too high for respiration detection but the electrode is still good for ECG Refer to Smart Lead Fail in the ECG...

Page 225: ... displayed in the RR parameter window on the right side of the screen RR 55 5 20 S II 20 Breath Indicator Lead Monitored Limits Respiration Rate 124 RR Parameter Window The parameter window displays the current respiration rate and the ECG lead used to monitor respiration A flashing breath indicator lung symbol is displayed with each breath detection Alarm limits may be displayed for respiration r...

Page 226: ...P LIMITS SIZE CARDIAC ARTIFACT ON OFF 126 Respiration Menu With the Trim Knob control you now can select any of the displayed options LEAD change the lead from which the respiration rate is derived RELEARN RESP tell the monitor to examine and relearn the patient s respiration pattern RESP LIMITS display a new menu and an information window to adjust respiration rate and apnea alarm limits SENSITIV...

Page 227: ...h the cable is manufactured For example if your cable is a fixed lead II cable you will see a LD I FAIL message in the RR parameter window should you try to change the respiration lead A learning process always takes place for a few seconds whenever respiration monitoring is started If your patient s breathing pattern changes after the initial learning process has taken place it may be necessary t...

Page 228: ... RR APNEA UNITS min sec LOW 5 HIGH 30 20 MAIN MENU RESP LIMITS 128 RESPIRATION LIMITS Menu and Information Window 2 Rotate the Trim Knob control to move the pointer through the list 3 Press the Trim Knob control when the pointer is in front of the parameter for which you want to change default limits The parameter label highlights 4 Turn the Trim Knob control to highlight the low or high limit 5 P...

Page 229: ... amplitudes or artifact follow this procedure 1 Select SENSITIV ITY option from the respiration menu A popup menu opens showing the choices available Any change is effective immediately The lower the percentage the greater the detection sensitivity MAIN MENU SENSITIV 40 90 80 70 60 50 40 30 20 10 127 40 SENSITIV Popup Menu 2 As you change the sensitivity percentage the markers will move on the wav...

Page 230: ... may be counting heart beat artifact as respiration The cardiac artifact alarm is an Advisory alarm ARTIFACT is displayed in the RR values window and a 1 beep tone sounds There is no adjustable limit for this alarm but you can turn it off and on WARNING If the cardiac artifact alarm is turned off apnea events may not be detected Select CARDIAC ARTIFACT option from the Respiration Menu to turn the ...

Page 231: ...e may have been changed manually see below Select AUTO SIZE option to automatically resize the waveform to fit the predetermined area This is a direct action menu option If desired you can manually change the size of the respiration waveform 1 Select MANUAL SIZE option from the Respiration Size Menu A popup menu opens displaying the choices available MAIN MENU MANUAL SIZE 4X 10X 9X 8X 7X 6X 5X 3X ...

Page 232: ...ntified Inspiration Marker 130 Expiration Marker Regular and Even In cases where there is cardiac artifact if the detection sensitivity percentage is set too low the artifact will be detected as breaths Increase the detection sensitivity percentage until the markers correctly identify each inspiration and expiration See the markers in the figures below A artifact B breath A B A A B 131 Incorrect D...

Page 233: ... window is sized smaller due to the number of parameters being monitored The abbreviated form if there is one is shown in parenthesis LEARNING The monitor takes approximately 8 breaths to learn the patient s respiration pattern before displaying a respiration value Learning automatically occurs whenever respiration is turned on and when the lead from which respiration is determined is switched APN...

Page 234: ...monitoring respiration has failed You can manually switch respiration detection to the other lead refer to page 12 7 Or it may be necessary to reprep the patient s skin and change the electrodes LEADS FAIL LDS FAIL CHECK THE PATIENT This is an alarm condition which requires action It may be necessary to reprep the patient s skin and change the electrodes ...

Page 235: ...73 001 13 TEMPERATURE Introduction 13 2 Checklist 13 2 Temperature Monitoring Features 13 3 Temperature Information 13 3 Getting to the Temperature Menu 13 4 Temperature Menu Options 13 5 Units 13 5 TP Limits 13 5 Troubleshooting 13 6 Messages 13 6 ...

Page 236: ...ion port and it is defibrillator proof Use only the temperature probes listed in the enclosed publication Accessories Dash 2000 3000 These probes ensure patient safety and protect the device during defibrillation and electrosurgery 1 The temperature probe is correctly positioned on the patient Follow appropriate medical procedures 2 Temperature cable is attached to the monitor 3 Temperature setup ...

Page 237: ...ternal and external temperature sensors may be used The monitor calculates the monitored temperature and displays its value on the screen The monitor is compatible with YSI series 400 probes listed in the enclosed publication Accessories Dash 2000 3000 The temperature cable is plugged into the TEMP cable connector on the monitor The temperature monitoring features are found in the Temperature Para...

Page 238: ...to highlight then press to select TP 42 0 30 0 C 37 8 136 Selecting the TP Parameter Label The Temperature menu is displayed at the bottom of the screen MAIN MENU UNITS CELSIUS TP LIMITS 137 Temperature Menu With the Trim Knob control you now can select any of the displayed options UNITS switch the units of measurement between Celsius and Fahrenheit TP LIMITS display a new menu and an information ...

Page 239: ...V 2000 16 27 II DAK BED 1 TP LIMITS RETURN TP UNITS C LOW 00 0 HIGH 42 0 MAIN MENU TP LIMITS 138 TP LIMITS Menu and Information Window 2 Rotate the Trim Knob control to move the pointer through the list 3 Press the Trim Knob control when the pointer is in front of TP The parameter label highlights 4 Turn the Trim Knob control to highlight the low or high limit 5 Press the Trim Knob control again a...

Page 240: ...arameter window CHECK There is a 0 1 oC deviation between the temperature value and the internal calibration No temperature value will be displayed Service on the monitor is required CAL FAIL There is a 1 oC deviation between the temperature value sensed and the internal calibration No temperature value will be displayed Service on the monitor is required SENSOR The temperature sensor has failed ...

Page 241: ... Defaults Operating Room Mode 14 19 Minimum and Maximum Limits Default Mode 14 23 Technical Specifications 14 24 Display 14 24 Controls 14 24 Processing 14 24 Alarms 14 25 ECG 14 25 Respiration 14 26 Temperature TEMP 14 27 Invasive Blood Pressure BP 14 27 Pulse Oximetry SpO2 14 28 Non invasive Blood Pressure NBP 14 28 Paper Recorder 14 30 Analog Output 14 30 Defibrillator Synchronization Pulse 14 ...

Page 242: ... detected In the event of a LEAD FAIL refer to the following Lead Failed AHA Label IEC Label ECG Analog Out Right arm RL R III Left arm LA L II Left leg LL F I Chest V C II Right leg RL N Buzz A right leg lead fail causes an all LEADS FAIL on the screen and a buzz is output NOTES 1 All ECG outputs are 1 volt per millivolt referred to input 2 In single lead mode if the specified lead is not availab...

Page 243: ...ation ANT anterior AO2 aO2 arterial oxygen saturation AR argon ARR arrhythmia ART arterial ASYS asystole Auto AUTO automatic a v02 arterial venous oxygen content difference AVF left foot augmented lead AVG average AVL left arm augmented lead AVR right arm augmented lead B BE base excess BGMY bigeminy BP blood pressure BPM beats per minute BRAD bradycardia BSA body surface area BT blood temperature...

Page 244: ... DES desflurane DIA diastolic DISCH discharge dyn dyne E E expired ea vO2 estimated arterial venous oxygen content difference eCaO2 estimated arterial oxygen content ECG electrocardiograph eCvO2 estimated mixed venous oxygen content eg for example ENF enflurane eO2CI estimated oxygen consumption eO2DI estimated oxygen delivery eO2R estimated oxygen extraction ratio eQs Qt estimated shunt fraction ...

Page 245: ... unit ie that is IEEE Institute of Electrial and Electronics Engineers IEC International Electrotechnical Commission IN inspired Inc incorporated INF infusion inferior INIT initialization Inj INJECT injectate Insp inspired IRRG irregular ISO isoflurane ISU inlet select unit IT injectate temperature IV intravenous K kg KG kilogram kPa kilopascal L L liter left LA left arm left atrial LAT lateral LB...

Page 246: ...ninvasive blood pressure NC non capture NEO Neo neonatal NRT non real time NS non sense O O2 oxygen O2CI oxygen consumption index O2D1 oxygen delivery index O2R oxygen extraction ratio OR operating room P PA pulmonary artery PaCO2 partial pressure of carbon dioxide in arterial blood PAD pulmonary artery diastolic Pa FiO2 oxygenation ratio PAM pulmonary artery mean pressure PaO2 partial pressure of...

Page 247: ...ce QRS interval of ventricular depolarization Qs Qt shunt fraction QTY quantity R R rate right RA right arm right atrial RESP respiration RHb reduced hemoglobin RHY rhythm RL right leg RM respiratory mechanics RT A LM remote alarm RMTVID remote video RR respiration rate RTFC artifact RVSWI right ventricular stroke work index S S systolic Sa02 arterial oxygen saturation sec second SOL solution SP s...

Page 248: ...ous catheter V V precordial lead V volt VAC volts AC alternating current VBRADY ventricular bradycardia VBRD ventricular bradycardia VENT ventilator V Fib V FIB ventricular fibrillation VID video VNT ventilator VT ventricular tachycardia VTAC ventricular tachycardia V Tach V TACH ventricular tachycardia VOL volume W WT weight X X multiplier when used with a number 2X denotes invalid data when used...

Page 249: ...Revision C Dash 2000 Patient Monitor 14 9 2005873 001 Symbols 12SL 12 lead ECG analysis and degree s greater than less than minus number percent plus or minus ...

Page 250: ...atient Monitor Revision C 2005873 001 Software Packages There is an invasive pressure software package available for the Dash 2000 patient monitor This package can be activated by entering a password in the service mode ...

Page 251: ...change these using the Monitor Defaults feature Monitor defaults are recalled upon discharge Refer to the Monitor Setup chapter Arrhythmia Alarm Levels Crisis Warning Advisory Message Asystole VFib VTac V Tach Parameter Alarm Levels Crisis Warning Advisory Message HR PA ART NBP SPO2 FEM UAC CVP RA UVC LA ICP SP ART Rate RR Resp Apnea SPO2 Rate TP FEM Rate UAC Rate ...

Page 252: ...ART S 80 200 ART D 20 120 ART M 40 140 ART R 50 150 FEM S 80 200 FEM D 20 120 FEM M 40 140 FEM R 50 150 UAC S 80 200 UAC D 20 120 UAC M 40 140 UAC R 50 150 PA S 99 350 PA D 99 350 PA M 99 350 CVP 99 350 RA 99 350 UVC 99 350 LA 99 350 ICP 99 350 SP 99 350 SpO2 90 105 SpO2 R 50 150 RR 5 30 RR Apnea 20 TP 30 0 C 86 0 F 42 0 C 107 6 F ...

Page 253: ...P Auto Off Adult Cuff Pressure Auto PED Cuff Pressure Auto NEO Cuff Pressure Auto NBP Cuff Size Adult RR Parameter Off RR Lead II View on Alarm Off VOA Broadcast Off Remote Alarm Level Crisis Alarm Volume 70 Silence Alarm Normal QRS Volume Off Rate Volume Off ECG Leads Fail Sys Warning SPO2 Probe Off Sys Warning Display Limits On Display Units Off Units for Height cm Units for Weight kg Temperatur...

Page 254: ...n monitored will always appear in parameter windows at the right side of the display Parameter 1 ECG Parameter 2 SPO2 Parameter 3 RR The highlighted parameters below appear in parameter windows at the bottom of the display only when there is no room at the side NBP UVC ART LA FEM ICP UAC SP PA SPO2 CVP RR RA TP ...

Page 255: ...an change these using the Monitor Defaults feature Monitor defaults are recalled upon discharge Refer to the Monitor Setup chapter Arrhythmia Alarm Levels Crisis Warning Advisory Message Asystole VFib VTac V Tach Parameter Alarm Levels Crisis Warning Advisory Message Resp Apnea HR UAC UVC SPO2 NBP ART FEM PA CVP RA LA ICP SP UAC Rate RR SPO2 Rate ART Rate FEM Rate TP ...

Page 256: ... ART S 40 100 ART D 20 60 ART M 30 70 ART R 90 200 FEM S 40 100 FEM D 20 60 FEM M 30 70 FEM R 90 200 UAC S 40 100 UAC D 20 60 UAC M 30 70 UAC R 90 200 PA S 99 350 PA D 99 350 PA M 99 350 CVP 99 350 RA 99 350 UVC 99 350 LA 99 350 ICP 99 350 SP 99 350 SpO2 88 100 SpO2 R 90 200 RR 15 100 RR Apnea 15 TP 30 0 C 86 0 F 42 0 C 107 6 F ...

Page 257: ...lt Cuff Pressure Auto PED Cuff Pressure Auto NEO Cuff Pressure Auto NBP Cuff Size Neonatal RR Parameter On RR Lead II View on Alarm Off VOA Broadcast Off Remote Alarm Level Crisis Alarm Volume 70 Silence Alarm Normal QRS Volume Off Rate Volume Off ECG Leads Fail Sys Warning SPO2 Probe Off Sys Warning Display Limits On Display Units Off Units for Height cm Units for Weight kg Temperature Units C NB...

Page 258: ...n monitored will always appear in parameter windows at the right side of the display Parameter 1 ECG Parameter 2 SPO2 Parameter 3 RR The highlighted parameters below appear in parameter windows at the bottom of the display only when there is no room at the side ART RA FEM UVC UAC LA PA ICP RR SP NBP SPO2 CVP TP ...

Page 259: ... can change these using the Monitor Defaults feature Monitor defaults are recalled upon discharge Refer to the Monitor Setup chapter Arrhythmia Alarm Levels Crisis Warning Advisory Message Asystole VFib VTac V Tach Parameter Alarm Levels Crisis Warning Advisory Message HR NBP ART PA CVP SPO2 FEM UAC RA UVC LA ICP SP ART Rate TP SPO2 Rate FEM Rate UAC Rate RR Resp Apnea ...

Page 260: ... ART S 40 200 ART D 20 120 ART M 40 140 ART R 1 150 FEM S 40 200 FEM D 20 120 FEM M 40 140 FEM R 1 150 UAC S 40 200 UAC D 20 120 UAC M 40 140 UAC R 1 150 PA S 99 350 PA D 99 350 PA M 99 350 CVP 99 350 RA 99 350 UVC 99 350 LA 99 350 ICP 99 350 SP 99 350 SpO2 90 105 SpO2 R 1 150 RR 1 200 RR Apnea 20 TP 0 0 C 32 0 F 42 0 C 107 6 F ...

Page 261: ...NBP Auto Off Adult Cuff Pressure Auto PED Cuff Pressure Auto NEO Cuff Pressure Auto NBP Cuff Size Adult RR Parameter Off RR Lead II View on Alarm Off VOA Broadcast Off Remote Alarm Level Crisis Alarm Volume 40 Silence Alarm Normal QRS Volume Off Rate Volume 40 ECG Leads Fail Sys Advisory SPO2 Probe Off Sys Warning Display Limits Off Display Units Off Units for Height cm Units for Weight kg Tempera...

Page 262: ...n monitored will always appear in parameter windows at the right side of the display Parameter 1 ECG Parameter 2 SPO2 Parameter 3 RR The highlighted parameters below appear in parameter windows at the bottom of the display only when there is no room at the side SPO2 CVP TP RA NBP UVC ART LA FEM ICP UAC SP PA RR ...

Page 263: ...1 299 UAC S 99 349 UAC D 99 349 UAC M 99 349 UAC R 1 299 PA S 99 349 PA D 99 349 PA M 99 349 CVP 99 349 RA 99 349 UVC 99 349 LA 99 349 ICP 99 349 SP 99 349 SpO2 0 104 SpO2 R 1 299 RR 1 199 RR Apnea TP 1 0 C 30 2 F 46 9 C 116 5 F High Limits Min Max 0 300 98 350 98 350 98 350 98 350 98 350 98 350 0 300 98 350 98 350 98 350 0 300 98 350 98 350 98 350 0 300 98 350 98 350 98 350 98 350 98 350 98 350 9...

Page 264: ...r of traces 3 Number of seconds trace 3 8 at 25 mm sec Sweep speed All waveforms 25 mm sec 20 with erase bar Waveform display Individual Information window Display of non real time information without obstructing the display of real time information Display organization Prioritized by parameter Controls Standard Trim Knob control plus 5 hard keys Silence Alarm NBP Go Stop Graph Go Stop Function an...

Page 265: ...selectable upper and lower heart rate limits Input specifications Voltage range QRS detection Signal width Heart rate range Accuracy Response time to change in heart rate Heart rate update Input impedance Common mode Differential Tall T wave rejection amplitude 0 5 mV to 5 mV amplitude 0 5 to 5 mV with size 2x or 4x below 1 mV and with QRS time duration Adult ICU 70 to 120 ms Neonatal ICU 40 to 80...

Page 266: ...o 100 µs 2 mV max with Diagnostic or Monitor filter setting and size 1x or 0 5x 0 5 mV hour with a 700 mV 2 ms pacemaker pulse applied Time to alarm for tachycardia for cardiac standstill 12 s 2 s 7 s 1 s acoustic alarm Response to irregular rhythm EK PRO used for optimized results with learning function Respiration Measurement technique Impedance variation detection Range Respiration rate Base im...

Page 267: ...Arterial ART femoral artery FEM pulmonary artery PA central venous CVP right atrial RA left atrial LA intracranial ICP and special SP In neonatal mode umbilical artery catheter UAC or umbilical venous catheter UVC Transducer requirements Excitation voltage Transducer output 5 Vdc 0 1 50 µV V cmHg Input specifications Range Offset Input impedance Common mode Differential 25 mmHg to 300 mmHg 150 mmH...

Page 268: ... range 25 250 beats per minute 3 beats per minute Accuracy SpO2 PPR Actual accuracy depends on probe Please reference manufacturer s specifications 2 70 100 SpO2 1 standard deviation 3 50 69 SpO2 1 standard deviation 3 beats per minute Alarms User selectable upper and lower limits for SpO2 and PPR Non invasive Blood Pressure NBP Measurement technique Oscillometric Displayed parameters Systolic dia...

Page 269: ...e and motion artifact Automatic cycle times 0 to 8 hours Auto zero Zero pressure reference prior to each cuff inflation Tubing length Adult Neonatal 12 feet 3 6 m 8 feet 2 4 m Automatic cuff deflation Cycle time exceeding 3 minutes 90 seconds neonatal power off or cuff pressure exceeds 294 mmHg 6 mmHg adult 147 mmHg 3 mmHg neonatal Cuff sizes Disposable Reusable Large adult adult small adult neona...

Page 270: ... delay 5 V selection 12 V selection Pulse width Output impedance Current limit 35 ms max R wave peak to leading edge of pulse Amplitude selectable in Service Menu for selection of the Service Menu and adjustments reference the Dash 2000 Field Service Manual 3 5 V min at 1 mA sourcing 0 5 V max at 5 mA sinking 11 0 V max at 1 mA sourcing 0 75 V max at 5 mA sinking 10 ms 10 or 100 ms 10 in Service M...

Page 271: ...ll affect operating time SpO2 and NBP monitoring as well as battery age reduce operating time Typical operation time while monitoring ECG is 3 5 hours from a new fully charged battery Typical operation time while monitoring ECG is 3 hours from a new fully charged battery 1 5 hours 1 hour to 3 hours Operating conditions Ambient temperature Relative humidity Atmospheric pressure 10 to 40 C 50 to 104...

Page 272: ... battery pack and recorder with color monochrome display 11 5 lb 5 2 kg Certification IEC IEC 60601 1 certified CE Marking for the 93 42 EEC Medical Device Directive UL UL 2601 1 classified UL classified for CAN CSA C22 2 No 601 1 Warranty Standard One year Optional Other options available Contact the manufacturer sales representative for more information ...

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