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GE Dash 3000, Operator'S Manual

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GE Dash 3000 Operator'S Manual Download Page 152

12-4

Dash™ 3000/4000/5000

2000966-386D

Measuring Cardiac Output

Performing the CO Procedure

To perform a CO procedure, follow this procedure. Before you begin this procedure, 
verify you are ready by reviewing 

Measuring on page 12-3

.

1.

Select the 

CO

 parameter window label.

2.

If the monitor is configured for automatic measurements, the “

INJECT WHEN 

READY

” message and 

CARDIAC OUTPUT

 information window displays.

3.

Watch for the 

“Inject Now

” message and select 

CARDIAC OUTPUT NOW

 to 

calculate the cardiac output. 

The information window displays the current cardiac trial information, a review 
CO curve, the derived CO value, the average CO value between stored trials, the 
patient’s heart rate and other vital signs at the time of the trial. It also includes 
cardiac disturbances (

RHY

), the patient’s height and weight and calculated 

parameters. 

PRINT CO CURVE

Print the displayed real-time waveform. A “

PRINTING 

MANUAL

” message displays when the waveform is printing.

AUTO MODE

Turn automatic measurements on or off. The monitor 
searches for a stable baseline by averaging approximately 
8.5 seconds of the patient’s blood temperature and displays 
the message “

INJECT WHEN READY

” when a stable 

baseline is established.

USE

Before the injection procedure begins, select one of the 
blood pressure values to be factored in the cardiac 
calculation:

CATHETER

Before the injection procedure begins, select the correct 
catheter type. The monitor guides you through the 

INJECT 

TEMP

,

 SIZE

 and 

INJECT VOL

 options to assure correct 

setup. 

If you select

 OTHER

, you must select a value for 

COMPUTATION CONSTANT

. Refer to the literature 

provided by the catheter manufacturer for the correct value.

INJECT TEMP

Select the injectate probe type.

SIZE

Select the catheter French size.

INJECT VOL

Select the injectate volume.

COMPUTATION 
CONSTANT

Select a computation constant for a catheter manufacturer. 

If you selected a specific manufacturer for the 

CATHETER

, 

the correct value for the manufacturer is automatically 
selected for you.

If you selected 

OTHER

 for the 

CATHETER

, you must select 

a value or you will not be able to complete a trial. Refer to 
the literature provided by the catheter manufacturer for the 
correct value.

CARDIAC OUTPUT HELP

Display troubleshooting information. 

Option

Function

Summary of Contents for Dash 3000

Page 1: ...GE Healthcare Dash 3000 4000 5000 English 2023909 011 cd 2023896 071 paper 2008 General Electric Company All rights reserved Dash 3000 4000 5000 Patient Monitor Operator s Manual Software version 6 ...

Page 2: ...ems Information Technologies Listed below are GE Medical Systems Information Technologies trademarks used in this document All other trademarks contained herein are the property of their respective owners DASH DINAMAP EAGLE MARS MUSE RESPONDER SOLAR TRAMSCOPE TRIM KNOB and UNITY NETWORK are trademarks of GE Medical Systems Information Technologies registered in the United States Patent and Tradema...

Page 3: ...verview 2 2 Front 2 2 Right 2 2 Left 2 3 Back 2 4 Control Panel 2 5 Trim Knob Control 2 6 Indicators 2 7 Optional Components 2 8 Operating Modes 2 12 User Interface Overview 2 13 Main Display 2 13 Menus 2 14 Windows 2 14 3 Monitor Setup 3 1 Getting Started 3 2 Identifying Your Configuration 3 2 Software Packages 3 2 Software Options 3 3 Monitoring Admit Modes 3 3 Patient Monitor Type 3 4 Language ...

Page 4: ...Permanently 4 8 5 Managing Patients 5 1 Introduction 5 2 Admit 5 2 Overview 5 2 Standard Admit 5 2 Quick Admit 5 3 Automatic Admit 5 4 Control Settings 5 5 Discharge 5 6 View Other Patients 5 7 Software Option Comparison 5 7 Limitations 5 8 Custom Defaults 5 8 Control Settings 5 10 Viewing Other Monitors 5 10 6 Patient Data 6 1 Introduction 6 2 Reviewing Patient Data 6 2 Alarm History 6 2 Vital Si...

Page 5: ...8 1 Introduction 8 2 Overview 8 2 Options 8 3 Combo and Rover Combo Monitoring Guidelines 8 5 Analog Output 8 6 Additional Information 8 6 Safety 8 7 Pacemaker 8 7 Arrhythmia 8 8 Monitoring 8 9 Control Settings 8 9 Custom Defaults 8 12 Turning Off ECG 8 12 ECG Setting Source 8 12 ECG Rate Averaging 8 14 IntelliRate 8 14 AFIB Alarm Level 8 15 Performing ST Analysis 8 15 Overview 8 15 Control Settin...

Page 6: ...9 8 10 Monitoring NBP 10 1 Introduction 10 2 Overview 10 2 Options 10 3 Additional Information 10 4 Safety 10 4 Monitoring 10 6 Control Settings 10 6 Custom Defaults 10 9 Setup Custom Automatic NBP Measurements 10 9 Auto NBP Cancellation Notification 10 9 Extended NBP Alarm Silence 10 10 Troubleshooting 10 10 11 Monitoring SpO2 11 1 Introduction 11 2 Overview 11 2 Primary Parameter Monitoring Cons...

Page 7: ...on 12 2 Overview 12 2 Additional Information 12 2 Measuring 12 3 Control Settings 12 3 Performing the CO Procedure 12 4 Troubleshooting 12 6 13 Monitoring Respiration 13 1 Introduction 13 2 Overview 13 2 Additional Information 13 2 Safety 13 3 Monitoring 13 3 Control Settings 13 3 Troubleshooting 13 4 14 Monitoring Temperature 14 1 Overview 14 2 Monitoring 14 2 Control Settings 14 2 Troubleshootin...

Page 8: ...mple Lines 15 6 Troubleshooting 15 7 16 Monitoring Anesthesia Gases 16 1 Introduction 16 2 Overview 16 2 Options 16 3 Guidelines 16 3 Additional Information 16 3 Safety 16 3 Monitoring 16 5 Control Settings 16 5 CO2 16 5 Gas 16 6 Enabling HAL and ENF 16 7 Troubleshooting 16 8 17 Monitoring Impedance Cardiography ICG 17 1 Introduction 17 2 Overview 17 2 Monitored Parameters 17 2 Additional Informat...

Page 9: ...ter 18 6 Testing the BIS 18 6 Understanding Displayed Values 18 6 BIS 18 6 SR 18 7 SQI 18 7 SEF 18 7 EMG 18 7 Troubleshooting 18 7 A Maintenance A 1 Overview A 2 Biocompatibility A 2 Inspection A 2 Disposal A 2 Cleaning and disinfecting A 3 Procedure A 3 Cautions A 4 Impact or results of improper cleaning products and processes A 4 Cleaning products to avoid A 5 Applied Parts A 5 Printer Writer s ...

Page 10: ...er Limits C 4 Display Defaults C 6 Default Parameter Priority C 11 D Custom Defaults D 1 Overview D 2 E Interfacing with Non GE Devices E 1 Introduction E 2 General E 2 Safety E 2 Non GE Device Information E 3 Displayed Data E 3 Compatible Devices E 4 Limitations E 12 Setup E 14 Connecting the Monitor E 14 Connecting Peripheral Devices E 14 Establishing Communication E 15 Customizing Data Display ...

Page 11: ...2000966 386D Dash 3000 4000 5000 ix Symbols F 8 ...

Page 12: ...x Dash 3000 4000 5000 2000966 386D ...

Page 13: ...e aware that adding accessories or components or modifying the medical device or system may degrade the EMI performance Consult with qualified personnel regarding changes to the system configuration Radio and Telecommunication Terminal Equipment Directive The monitor contains a transmitter The transmitter bears a CE mark indicating conformity with the essential requirements specified in Article 3 ...

Page 14: ...ersions of the product is accompanied by the model number s of the product s concerned The model number is given on the nameplate of the product The warranty does not cover damages resulting from the use of accessories and consumables from other manufacturers GE is responsible for the effects on safety reliability and performance of the product only if assembly operations extensions readjustments ...

Page 15: ...2000966 386D Dash 3000 4000 5000 1 1 1 Introduction ...

Page 16: ... impedance cardiography oxygen and anesthetic agents as summarized in the operator s manual The Dash 3000 4000 5000 patient monitor is also intended to provide physiologic data over the UNITY NETWORK indirectly to clinical information systems via our Enterprise Gateway and allow the user to access hospital data at the point of care The information can be displayed trended stored and printed The Da...

Page 17: ...nt monitoring may result in a hazard to the patient Remember that the most reliable method of patient monitoring combines close personal surveillance with correct operation of monitoring equipment After connecting the monitor to the central station and or nurse call system verify the function of the alarm system The functions of the alarm system for monitoring of the patient must be verified at re...

Page 18: ...ring defibrillation Otherwise serious injury or death could result WARNING DISCHARGE TO CLEAR PATIENT DATA When admitting a new patient you must clear all previous patient data from the system To accomplish this disconnect patient cables then do a discharge WARNING DISCONNECTION FROM MAINS When disconnecting the system from the power line remove the plug from the wall outlet first Then you may dis...

Page 19: ...operator or the environment as a result In those instances where there is any element of doubt concerning the safety of connected devices the user must contact the manufacturers concerned or other informed experts for proper use In all cases safe and proper operation should be verified with the applicable manufacturer s instructions for use and system standard EN 60601 1 1 must be complied with WA...

Page 20: ... from the power line and operate it on battery power if possible All devices of a system must be connected to the same power supply circuit Devices which are not connected to the same circuit must be electrically isolated when operated WARNING PROTECTED LEADWIRES Only use protected leadwires and patient cables with this monitor The use of unprotected leadwires and patient cables creates the potent...

Page 21: ... must be repaired before being used again on a patient If an error message appears AFTER power up the unit must be repaired before being used on a patient WARNING If connecting a monitor to a central station verify the alarm system is functional by temporarily changing one of the alarm limits to initiate an alarm Cautions Caution statements identify a potential hazard or unsafe practice which if n...

Page 22: ...l to safe and effective use of this device Please contact your local sales or service representative prior to installation to verify equipment compatibility CAUTION CO2 PARAMETER INTERFERENCE Capnostat CO2 sensors with a serial number 26104 or greater require a separation distance of 0 25 meters 10 inches from the Wireless LAN device to minimize potential interference CO2 sensors with a serial num...

Page 23: ...ng electrodes stainless steel or silver constructed may cause the electrodes to retain a residual charge after defibrillation A residual charge will block acquisition of the ECG signal CAUTION Changes or modifications to this device system not expressly approved by GE may cause EMC issues with this or other equipment This device system is designed and tested to comply with applicable standards and...

Page 24: ...ipment or MRI devices are a possible source of interference as they may emit higher levels of electromagnetic radiation CAUTION INSTRUCTIONS FOR USE For continued safe use of this equipment it is necessary that the listed instructions are followed However instructions listed in this manual in no way supersede established medical practices concerning patient care CAUTION LOSS OF DATA Should the mon...

Page 25: ...by persons who have received adequate training in the use of such equipment and who are capable of applying it properly CAUTION 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 un...

Page 26: ...en may blank during a defibrillator discharge but recovers within seconds as required by test standards This equipment is suitable for use in the presence of electrosurgery Users should be aware of a possible time discrepancy between the waveforms from the telemetry device and the waveforms hardwired to the monitor Users should not consider these waveforms to be synchronous If absolute synchronici...

Page 27: ... 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 isolated complying with the specified requirements of EN 60601 1 UL 60601 1 CSA 601 1 Medical Standards to provide a higher degree of protection against electric shock than that provided by type B applied parts NOTE T...

Page 28: ...tate or country laws Within this system the backlight lamps in the monitor display contain mercury Non ionizing electromagnetic radiation To indicate elevated potentially dangerous levels of non ionizing radiation Note In case of application in a warning sign the rules according to ISO 3864 1 shall be adhered to IEC 60878 note See safety sign ISO 7010 W005 Warning non ionizing radiation This symbo...

Page 29: ...iodic maintenance schedules specified in Product Maintenance Procedures shall be followed strictly Consumables or certain parts may have their own label with an EFUP value less than the product Periodic replacement of those consumables or parts to maintain the declared EFUP shall be done in accordance with the Product Maintenance Procedures This product must not be disposed of as unsorted municipa...

Page 30: ...to operate the monitor safely and in accordance with its functions and intended use Intended Audience This manual is intended for clinical professionals Clinical professionals are expected to have a working knowledge of medical procedures practices and terminology as required for monitoring of critically ill patients 1 The class of equipment I or N A not applicable 2 The type of applied part B BF ...

Page 31: ... device SAM module ICG module Non GE interfaced devices central station CIC Pro Clinical Information Center Centralscope central station docking station Dash Port 2 docking station monitor Dash 3000 4000 5000 Patient Monitor printer Direct digital writer DDW Laser printer writer PRN 50 M digital writer Term Definition key A labeled key found on the keypad or remote keypad A pad containing multiple...

Page 32: ... History Each page of this document has the document part number and revision letter at the bottom of the page The revision letter changes whenever the document is updated window A window contains one or more of the following items Patient waveform and parameter data Parameter specific controls List of menu options Data entry fields screen text Any text that appears on the display screen Term Defi...

Page 33: ...2000966 386D Dash 3000 4000 5000 2 1 2 Equipment Overview ...

Page 34: ...aph Go Stop Power Charging Status A B Trim Knob NBP Go Stop Zero All Silence Alarm Admit Graph Power Charging Status A B AC Battery 3000 4000 1 2 5000 1 Alarm light indicator Provides a visual alarm for patient status alarms 2 Control panel Provides quick function keys and the Trim Knob control to navigate menus and select options 4000 1 2 ...

Page 35: ...during defibrillation and electrosurgery Left 1 Patient connectors Allows patient cables to connect to the monitor 2 Enabled option labels Identifies the options enabled on the monitor 1 Built in writer Prints on two inch wide paper 2 Battery doors Holds up to two batteries to provide power during patient transport or whenever AC power is interrupted For more information refer to Batteries on page...

Page 36: ...voltage Refer to the label on the back of the unit for the voltage and current requirements Before applying power verify the power requirements match your power supply 5 Wireless transmitter label Identifies monitors that contain an internal wireless transmitter for network communication 6 Ethernet connector Provides network connections to other monitors and devices used in the patient monitoring ...

Page 37: ... to Operating Modes on page 2 12 Graph Go Stop 3000 4000 Print 5000 Press once to print patient data or an information window Press again to stop the print job For more information refer to Chapter 7 NBP Go Stop Press once to start one noninvasive blood pressure measurement Press again to stop the measurement For more information refer to Monitoring NBP on page 10 1 Zero All Press once to zero all...

Page 38: ... control Icon Label Description Standby Press once to enter the standby mode Press again to return to normal mode For more information refer to Getting Started on page 3 2 Main Display Press once to close all open menus and information windows and return to the main display For more information refer to User Interface Overview on page 2 13 Trend Press once to display patient trends The type of tre...

Page 39: ...isplay bezel Flashing red CRISIS patient status alarms Flashing yellow WARNING patient status and system status alarms Power On the Dash 3000 monitor front panel there is an LED labeled AC and an LED labeled Battery When the AC LED is illuminated the monitor is running on AC power When the Battery LED is illuminated the monitor is running on battery power On the Dash 4000 and Dash 5000 monitors th...

Page 40: ...ta and view it on the monitor SAM Module The Smart Anesthesia Multi gas SAM module is an infrared based multi gas analyzer module that measures inspired and expired values for patient gases and calculates respiratory rate For more information refer to Chapter 16 Solar ICG Module The Solar ICG impedance cardiography module uses thoracic bioimpedance technology TEB to provide non invasive continuous...

Page 41: ... ROVER COMBO The wireless LAN system allows monitors to roam within the access point coverage area and maintain a strong seamless connection to the network Access points connect wireless monitors to the wired network infrastructure within the building The areas covered by each access point overlaps to ensure continuous coverage Wireless monitors perform the same as monitors directly connected to t...

Page 42: ...or A laser printer can be accessed through a central station For more information refer to Chapter 7 PRN 50 M Digital Writer The built in four channel writer prints on two inch wide paper Remote Control The hand held remote control operates the monitor It connects to the monitor via a communications cable with a DIDCA connector plugged into the Aux port on the monitor or the docking station The re...

Page 43: ...ng on AC or battery power and active at the central station Dose Calcs Neonatal Opens the DOSE CALCS menu Graph Go Stop Print Adult Neonatal and Operating Room Prints the current patient data Press again to stop Graphic Trends Adult and Operating Room Opens the GRAPHICS TRENDS menu Main Menu Adult Neonatal and Operating Room Returns to the main display NBP Auto Adult and Operating Room Opens the N...

Page 44: ...able Approximately one minute after power up perform one of the following actions to verify network communication From the wireless monitor s main display select MORE MENUS VIEW OTHER PATIENTS SELECT A BED TO VIEW Select a bed from the network View the wireless monitor from a central station on the network Perform a LIST NETWORK from a central station on the network and verify the wireless monitor...

Page 45: ...ed to discharge the patient The monitor receives power from the batteries until the patient is discharged User Interface Overview Main Display The main display is the primary display It includes all monitored parameter windows and waveforms It also includes monitor information and access to all other monitor and parameter functions and menus The monitor automatically returns to the main display wh...

Page 46: ...you to select a status for example ON or OFF or start a process for example RELEARN Windows There are two types of window parameter and information A parameter window for every monitored parameter displays on the right side and bottom of the screen Where and how each parameter window displays depends on the priority set in MONITOR DEFAULTS For more information refer to Defining Parameter Window Pr...

Page 47: ...window is a large popup window that displays over most of the screen It contains help and other non real time information Up to six parameter windows and the last two seconds of real time waveforms remain visible 522D Information Window 3 Alarm limits 4 Units of measurement ...

Page 48: ...2 16 Dash 3000 4000 5000 2000966 386D Equipment Overview ...

Page 49: ...2000966 386D Dash 3000 4000 5000 3 1 3 Monitor Setup ...

Page 50: ...ent data and access the calculation programs For more information refer to Chapter 6 MONITOR SETUP Access menu options to customize the monitor to meet your needs For more information refer to Customizing Monitor Setup on page 3 6 ADMIT MENU Access the menu options to admit and discharge patients For more information refer to Admit on page 5 2 NOTE The menu name changes in OPERATING ROOM patient m...

Page 51: ...nd the Acute Cardiac Ischemia Time Insensitive Predictive Instrument ACI TIPI It uses recorded ECG data to produce a numerical score which is the predicted probability of acute cardiac ischemia In addition the gender specific criteria improves the detection of acute myocardial infarctions AMI for adult women under the age of 60 Unity Network Enables you to view other patients on the network interf...

Page 52: ...st cases the language does not affect the monitor functionality or usability However in a few languages you may experience the following conditions NOTE Special characters that are sent over the network in alarm broadcasts patient status or system status messages patient bed or care unit names cannot be displayed by networked equipment that does not support these languages HUNGARIAN POLISH and RUS...

Page 53: ...larms every three minutes when a patient is discharged Alarm levels All parameter patient status message level alarms except ECG are automatically increased to a patient status advisory level alarm The following monitor default alarm limits are also unique NBP S NBP D NBP M ADULT ICU and OPERATING ROOM 350 to 25 NBP S NBP D NBP M NEONATAL ICU 150 to 25 ART 300 to 30 HR 300 to 30 SPO2 105 to 60 SPO...

Page 54: ...after selecting this option access to monitor defaults was password protected during installation For a complete list of the factory defaults for each patient monitor type refer to Factory Defaults on page C 1 Custom Defaults Custom defaults are a set of modified factory defaults You can create up to five custom default profiles for each patient monitor type used in your care unit Custom defaults ...

Page 55: ...efaults follow this procedure NOTE All custom defaults are effective immediately but you must admit the patient to the monitor for fully functional alarms NOTE If you do not define a custom default name and make any changes to the monitor default settings the custom default name displays with an asterisk For example ADULT 0 1 Discharge the patient from the monitor 2 Select MORE MENUS MONITOR SETUP...

Page 56: ... is set for lethal or full BASIC software package Only the V TACH alarm level can be changed ADULT ICU patient monitor type The V FIB and V TAC alarm levels cannot be changed NEONATAL ICU patient monitor type The V FIB and V TAC alarm levels cannot be changed SETUP DEFAULT PARAMETER ALARM LEVELS Select the default alarm level for all monitored parameters SETUP DEFAULT LIMITS Select the default hig...

Page 57: ...al scales the next two are full scale common and the final is an individual scale FULL GRID Display the FULL mode waveforms with additional graticules The graticules do not print COLOR Select one of the display color options CLINICAL Group physiological functions by color Amber ECG Green Hemodynamics Blue Cardiopulmonary temperature and all other parameters Red Alarms White Gas TRANSDUCER Match tr...

Page 58: ...pper left of the screen ON W SEC Display the military time in hours minutes and seconds ON W OUT SEC Display the military time in hours and minutes NOTE This option uses the space of one parameter window If the maximum number of parameter windows are needed for patient monitoring turn this option off This option is only available in software version 6 or later BRIGHTNESS Select the screen brightne...

Page 59: ...bottom of the screen NOTE The large CLOCK DISPLAY option uses the space of one parameter window If the maximum number of parameter windows are needed for patient monitoring turn this option off NOTE Only available in software version 6 or later You can define which parameters display as full sized parameter windows in the DEFAULT PARAMETER PRIORITY window by selecting the parameters in priority or...

Page 60: ...L LIMITS menus You cannot select more than 10 parameters The monitored parameters vary by patient monitor type For a complete list of all parameter priority definitions by patient monitor type refer to Factory Defaults on page C 1 NOTE If you are not actively monitoring a parameter the parameter window is not displayed When you begin monitoring the parameter the screen automatically reconfigures t...

Page 61: ...2000966 386D Dash 3000 4000 5000 4 1 4 Alarms ...

Page 62: ...A For ADULT ICU and NEONATAL ICU patient monitor types the alarm parameter window automatically displays when a patient is admitted to the monitor It records any patient status alarms set to CRISIS WARNING and ADVISORY Active alarms display in red Resolved alarms are the designated color for that parameter The four most recently resolved alarms are displayed in chronological order with the extreme...

Page 63: ...ted No parameter alarms will be activated until the monitor automatically admits the patient The capability to manually admit the patient is still available at any time See Automatic Admit on page 5 4 WARNING After an interruption of the electric power supply e g for an emergency power test you must check whether alarm processing is active again and whether an arrhythmia has occurred while the pow...

Page 64: ...level to another However you can set default alarm levels for the following system status alarms ECG LEADS FAIL SPO2 PROBE OFF SPO2 PULSE SEARCH NBP NO DETERMINATION The System status alarm levels are configurable in MONITOR DEFAULTS SETUP DEFAULT DISPLAY Indicator CRISIS WARNING ADVISORY MESSAGE Alarm tone Three beeps Two beeps One beep No Alarm light Red Yellow No No On screen message Yes Yes Ye...

Page 65: ... condition You must admit the patient to activate alarms automatic alarm printing and the ALARM HISTORY WARNING After an interruption of the electric power supply verify the alarm processing is active and verify that no arrhythmia occurred CAUTION GE recommends that monitors without arrhythmia detection monitoring patients at risk of asystole should define the HR alarm as CRISIS If the HR alarm is...

Page 66: ...be set to MESSAGE ALARM VOLUME Select the alarm tone volume NOTE In NEONATAL ICU the alarm volume cannot be turned off The lowest alarm volume can be set to is 10 percent ALARM HELP Select to learn about alarms levels and hear alarm tones DISPLAY OFF ALARM PAUSE Select one of the following options to temporarily pause patient and system status alarms MONITOR CENTRAL PAUSE Preserve the collected pa...

Page 67: ...tion of equal or greater priority occurs the alarm pause is cancelled and the alarm will break through When ECG is turned off the ALARM PAUSE system status message does not display on the central station FRANCE locale Alarms are paused for no more than three minutes in ADULT ICU and NEONATAL ICU patient monitor types Active Alarm NOTE You can also select Silence Only from the monitor defaults This...

Page 68: ...MORE MENUS ALARM CONTROL ALARM VOLUME OFF NOTE In NEONATAL ICU the alarm volume cannot be turned off The lowest alarm volume can be set to is 10 percent NOTE All changes are temporary and revert to the factory or custom defaults when the patient is discharged To permanently change the these settings refer to Defining Custom Defaults on page 3 7 ...

Page 69: ...2000966 386D Dash 3000 4000 5000 5 1 5 Managing Patients ...

Page 70: ...tion You must admit the patient to activate alarms automatic alarm printing and the ALARM HISTORY Admitting a patient to the monitor is essential When the monitor is discharged the following message displays near the middle of the screen to alert you to admit your patient ALL ALARMS OFF ADMIT PATIENT TO ACTIVATE ALARMS In addition to the message a discharge alert beep can be set in monitor default...

Page 71: ...T PATIENT or NEW CASE 2 Select MORE MENUS ADMIT MENU CHANGE ADMIT INFO to add the patient s information LAST NAME Select the patient s last name up to 16 characters FIRST NAME Select the patient s first name up to 10 characters PATIENT ID Select a patient identification number up to 13 characters for a MUSE or a Lab Access Server The default is 9999999999999 SEX Select male or female BIRTH DATE Se...

Page 72: ... menu WARNING A clinical site might consist of a mixed environment of Dash monitors with auto admit turned ON and some with Auto Admit turned OFF or Dash monitors earlier than version 6 6 that do not support the AUTO ADMIT feature If the ADMIT PATIENT TO ACTIVATE ALARMS message continues to display on the monitor 30 seconds after ECG or SpO2 physiologic data has been detected you must manually adm...

Page 73: ... All All Request patient information from a Lab Access Server with an interface to hospital information NOTE Use the VIEW MANUAL ADMIT INFO menu option to review the manually entered information separately from the automatically populated information RECALL DEFAULT All All Recall factory defaults ADMIT HELP All ADULT ICU and NEONATAL ICU Review the patient information required to admit a patient f...

Page 74: ...and telemetry 4 If the monitor is setup to view other monitors the following events occur when the host monitor is discharged When running the VOA or AVOA software option the viewed bed is removed from the display and the monitor reverts to the factory or custom defaults When running the AutoView XM software option the viewed bed is removed from the display the monitor reverts to the factory or cu...

Page 75: ...n Alarm AVOA AutoView XM Host monitor software version Dash 3000 4000 5000 Patient Monitor V1 or later Solar 8000M Patient Monitor V4 or later Solar 9500 Information Monitor Dash 3000 4000 5000 V5 or later Monitor source of alarm software version Number of monitors viewable on a host monitor1 40 or 10 100 40 or 10 Unity Network Information Server V1 or greater Not required Required Not required Ne...

Page 76: ...OR ECG SOURCE COMBO UNIT NAME BED NUMBER and CONFIRM BED NUMBER ROVER ALL LIMITS ARRHYTHMIA ALARM LEVEL PARAMETER ALARM LEVEL or any parameter alarm limit SELECT A BED TO VIEW SELECT A BED TO AUTOVIEW SELECT A CARE UNIT If any of the following functions are being performed or updated PA WEDGE PA INSERT WEDGE CARDIAC OUTPUT CARDIAC CALCS PULMONARY CALCS DOSE CALCS NOTE If an alarming monitor is blo...

Page 77: ... line message NOT the split screen view or the accompanying audible alarm To avoid this limitation verify that all viewing beds in the watch list have SEND AUTO VIEWS turned ON VOA ALERT TONE All Select one of the following options OFF No tone sounds at host monitor ON Tone sounds once at host monitor REPEAT Tone sounds at the host monitor until the condition is resolved AVOA ALARM LEVEL AutoView ...

Page 78: ...include View On Alarm VOA Auto View On Alarm AVOA and AutoView XM Option Function VIEW ALARM Select the alarming monitor to display or print patient data or silence alarms VIEW ON ALARM OPTIONS Select how this monitor receives automatic alarm displays VIEW OTHER BEDS ON ALARM Select ON OFF or AUTO SEND AUTO VIEWS Select ON or OFF ALERT TONE Select ON OFF or REPEAT CONFIGURE AUTO VIEW ON ALARM Auto...

Page 79: ...Select the alarming monitor from the associated VIEW ALARM menu 3 Select one or more of the following functions GRAPH PRINT SILENCE 60 seconds LAST EVENT VITAL SIGNS GRAPHIC TRENDS 4 Select RETURN PREVIOUS MENU or MAIN MENU to exit Understanding the Split View Display When viewing another monitor the split view divides the display in half Each side displays one monitor s patient information Right ...

Page 80: ... display from the host monitor VOA Select MAIN MENU or RETURN AVOA Perform any one of the following actions Select MAIN MENU or RETURN Silence the alarming monitor at the host monitor or central station Resolve the alarm condition at the alarming monitor all alarm levels except CRISIS Silence the remote alarm This also prevents new alarms from sounding even if a new alarm is of higher priority Aut...

Page 81: ...2000966 386D Dash 3000 4000 5000 6 1 6 Patient Data ...

Page 82: ...dose calculations Reviewing Patient Data Alarm History When running the CARDIAC software package the ALARM HISTORY information window displays CRISIS WARNING and ADVISORY alarm level arrhythmia and ST events in chronological order beginning with the most recent event No parameter information is stored in ALARM HISTORY NOTE In ADULT ICU and NEONATAL ICU patient monitor types events are not stored d...

Page 83: ...e graph strips Three leads of ECG are displayed for arrhythmia events If an ART line was monitored at the time of the event two leads of ECG and the ART waveform are displayed with the associated numerics To select an alarm or event position the pointer in front of the option and press the Trim Knob control Selecting an arrhythmia event displays the applicable waveform and new menu options When vi...

Page 84: ... sampled 30 times a minute To display GRAPHIC TRENDS select MORE MENUS PATIENT DATA GRAPHIC TRENDS Option Function VIEW OLDER View the previous event VIEW NEWER View the next event TIME INTERVAL Select the desired time interval for the patient data display SPECIFIC TIME Select a specific time period of collected patient data to display in the information window SORT DATA Select one of the followin...

Page 85: ...rs Updates every six minutes 12 hours Updates every four minutes Eight hours Updates every two minutes Four hours Updates every minute Two hours Updates every minute One hour Updates every minute 30 minutes Updates every minute 15 minutes Updates every minute Six minutes Updates every 10 seconds SELECT PARAMETERS Select up to three parameters to trend HR is the default parameter NOTE NBP and invas...

Page 86: ...trace data for this event usually because the event just occurred and the data is not available yet The directory holds up to 100 of the most recent events Only resolved alarms with an alarm level above MESSAGE are stored The directory automatically updates when a valid alarm is resolved When the directory is full the oldest event in the directory is removed to make room for a new event Trend trac...

Page 87: ...d an interface to a lab information system LIS you can access the patient s laboratory data at a monitor While monitoring you may also receive an alert when new lab data is available for the patient The alert is displayed at the top of the screen as the lab data icon To review lab data information select MORE MENUS PATIENT DATA LAB DATA Option Function LOCATE CURSOR Select a specific time on the d...

Page 88: ...ation window CRG Displays the CRG TRENDS information window Calculations Cardiac Calculations NOTE Only available in the CARDIO PULMONARY software package The cardiac calculations program displays monitored and calculated hemodynamic parameter values that are used in cardiac output measurement The calculated parameter values are computed with input values The input values are obtained from availab...

Page 89: ...neric drug names DRUG A B C or D Make a note of the drug assigned to each generic drug name For more information on dosage calculations refer to the GE Critical Care Monitoring Clinical Reference and Troubleshooting Guide To adjust the dosage calculations for the patient admitted to the monitor select MORE MENUS PATIENT DATA DOSE CALCS Then select any of the following options and make the desired ...

Page 90: ...e dose based on concentration from solution volume dose and rate If entered in milligrams the DOSE KG MIN is in micrograms DOSE MIN DOSE HR OR DOSE KG MIN Calculated from volume quantity and rate INF RATE Infusion rate How long the bag takes to infuse cc hr DRIP RATE When administrating medication with a pump that counts drops and the pump s drop size is NOT 60 gtt cc DROP SIZE INF TIME infusion t...

Page 91: ...on window changes to the current date and any applicable calculated values display SAVE CALC Select to save the displayed data REVIEW CALC Select to review the saved calculation WEIGHT Select the units of measurement for the patient s weight HEIGHT Select the units of measurement for the patient s height CALCULATED Select O2CI requires O2CI value or FICK CO requires CO value ...

Page 92: ...6 12 Dash 3000 4000 5000 2000966 386D Patient Data ...

Page 93: ...2000966 386D Dash 3000 4000 5000 7 1 7 Printing ...

Page 94: ...ntral station to cancel the print job Control Settings To adjust the control settings for the patient admitted to the monitor select MORE MENUS MONITOR SETUP GRAPH SETUP or PRINT SETUP Then select any of the following options and make the desired changes NOTE All changes are temporary and revert to the factory or custom defaults when the patient is discharged To permanently change the these settin...

Page 95: ...r alarms print automatically SPEED Select the print speed The slower the speed the more condensed the data NOTE Alarms print at 25 mm sec Laser printers do not support 0 1 mm sec print speed TIMED GRAPH TIMED PRINT Select the amount of time to print for each manual print job NOTE Arrhythmia alarms run until a normal sinus rhythm is detected or the print job is manually stopped All other alarms run...

Page 96: ...rinter All failed print jobs are saved until a printer is available They print as soon as a functioning printer is selected A one millivolt ECG signal at normal 1X size equals 10 millimeters on the graph paper To convert an arrhythmia alarm to a manual print stop the print job by pressing the Graph Go Stop or Print key and immediately restart by pressing the Graph Go Stop or Print key again Invasi...

Page 97: ...2000966 386D Dash 3000 4000 5000 8 1 8 Monitoring ECG ...

Page 98: ...are package and the control settings 655A When the quality of an electrode signal degrades to an inadequate monitoring level a lead failure message displays and monitoring automatically switches to another lead as described in the following table 1 QRS indicator 2 Heart rate 3 Paced beat detection indicator Pacemaker detection enabled 4 PVC count full arrhythmia only 5 ST measurement point 6 ST an...

Page 99: ...gered An ATRIAL FIB message displays in the message line on both the monitor and the central station AFIB arrhythmia alarms can take up to 90 seconds to display while the algorithm verifies the event When set for an alarm level of ADVISORY or greater all AFIB alarms are displayed on the monitor in the ALARM parameter window and recorded in the ALARM HISTORY VITAL SIGNS and GRAPHIC TRENDS informati...

Page 100: ...e delayed Such patients should always be kept under close observation The IntelliRate algorithm utilizes information contained in multiple physiologic signals for example ECG arterial blood pressure and pulse oximetry to improve the accuracy of the heart rate calculation Solar 7000 8000 patient monitor Full View Split View Solar View OctaView No text is displayed Solar 8000M i patient monitor Full...

Page 101: ...settings at the monitor The alarm pause feature if available on your transmitter is honored at the monitor You should not turn off the monitor until you have discharged the patient from the monitor Second V lead data is not sent to the monitor from the telemetry transmitter If you wish to see telemetry second V lead data you must view the telemetry patient When switching ECG monitoring from the mo...

Page 102: ...ccurs A defibrillator synchronization marker to determine the peak of the R wave In the event of a lead failure the following output occurs NOTE In a single lead mode if the lead is not available a buzz signal occurs The buzz signal can be either a zero volt flat line or a 60 Hz sine wave The buzz signal option is set in the SERVICE MODE CALIBRATE CAL ECG ANALOG OUT For more information refer to t...

Page 103: ...KE An artificial pacemaker spike is displayed in place of the actual pacemaker spike All pacemaker spikes appear uniform Do not diagnostically interpret pacemaker spike size and shape WARNING PATIENT HAZARD A pacemaker pulse can be counted as a QRS during asystole Keep pacemaker patients under close observation WARNING RATE METERS Keep pacemaker patients under close observation Rate meters may con...

Page 104: ...TE ECG monitoring with patients on non invasive transcutaneous pacemakers may not be possible due to large amounts of energy produced by these devices Monitoring ECG with an external device for example a defibrillator may be needed Remember that there are no ECG alarms at the monitor if you are monitoring with an external devices Arrhythmia The following safety statements apply when monitoring arr...

Page 105: ...TE When using snap leadwires attach leadwires to the electrodes first then apply the electrodes to the patient 4 If using a 5 or 10 leadwire patient cable verify the V lead labels are correct 5 Connect the patient cable to the ECG patient connector on the monitor 6 Verify that patient data displays in the ECG parameter window 7 Verify the ECG baseline is stable and the waveforms are noise free 8 P...

Page 106: ... of ECG For more information refer to Performing 12 Lead Analysis on page 8 17 ECG FILTER Select a ECG waveform signal filter to improve the waveform display and graphs Does not affect ST and arrhythmia analysis DIAGNOSTIC Provides the maximum available ECG signal information Recommended for high fidelity recordings in low noise environments MONITORING Provides modest reduction of high frequency i...

Page 107: ...ient s ECG pattern FULL CARDIAC software package only detects and identifies all types of arrhythmia LETHAL Detects and identifies only lethal arrhythmia OFF Does not detect or identify arrhythmia NOTE You cannot select an arrhythmia level lower than the MIN ARRHYTH LEVEL monitor default CLEAR V2 V6 FAIL Clear the V2 V6 Fail message More ECG MORE ECG QRS VOLUME Select the alarm tone for QRS comple...

Page 108: ...the ECG parameter on When the monitor is connected to a Dash Responder defibrillator the ECG parameter will either automatically turn on or remain turned on When the monitor alarms are paused AND the ECG parameter is turned off the following network devices will NOT display an ALARM PAUSE text message for that monitor CIC clinical information center using software version 3 0 or earlier Centralsco...

Page 109: ...dmitted Use the telemetry ECG settings if telemetry IS admitted ECG Setting Source When Entering COMBO Mode The following tables indicate the source monitor or telemetry of ECG settings when entering COMBO mode Notice that selecting Tele Defined means the ECG setting source is always telemetry when entering COMBO mode while the ECG setting source for User Defined depends on whether the patient is ...

Page 110: ...m the monitor For both the TELE DEFINED and USER DEFINED options when discharging from the monitor exiting COMBO mode but remaining admitted to telemetry the ECG settings for the current patient persist until the patient is discharged from telemetry ECG Rate Averaging To select the number of heart beat intervals used to generate an average heart rate follow this procedure The factory default is ei...

Page 111: ...oint Numerics update every two seconds If ST is the second priority parameter ECG is the first the ST values display in three groups Anterior ANT V1 to V4 Inferior INF Lead II III and AVF Lateral LAT Lead I AVL V5 and V6 The default ST display shows three 30 minute ST trends and three ECG complexes for leads I II and V To change the display default settings refer to Control Settings on page 8 9 ST...

Page 112: ...or 4 mm print on a 3 mm scale 6 or 8 mm print on a 6 mm scale STORE NEW REFERENCES Select a new set of reference complexes ST LIMITS Select the ST deviation limits ADJUST INDIVIDUAL LIMITS Select the low and high limits for any of the available leads ADJUST ALL LIMITS Select the range to trigger an alarm for all of the groups ADJUST INF LIMITS Select the range to trigger an alarm for INF group onl...

Page 113: ...a follow this procedure IDENTIFY V LEAD Locate the V lead being used for ECG and ST analysis For 5 Leadwire Cables Verify the V Lead used in ST and arrhythmia analysis is selected This V Lead is also used for ST trends and complex displays For 10 Leadwire Cables Since ST measurement is performed with a different V lead I than arrhythmia analysis any changes made to this selection only apply to the...

Page 114: ...with Gender Specific Analysis improves the detection of acute myocardial infarctions AMI for adult women under the age of 60 If the date of birth is not entered the system will set the date of birth to the current month and day but the year will be set to 1948 ACI TIPI analysis cannot be performed on patients less than 16 years of age 1 From the ECG menu select 12 LEAD ECG ANALYSIS All 12 leads of...

Page 115: ...ction to MULTI LEAD Printing a 12 lead analysis report fails There is a printer error If you cannot resolve the printer error contact service There are communication problems with the network Contact service ALARM PAUSE or permanently paused Clinician paused the alarms Reactivate the alarms ALL ALARMS OFF The monitor is in a discharged state Admit a patient to the monitor PERFORMING ANALYSIS PLEAS...

Page 116: ...8 20 Dash 3000 4000 5000 2000966 386D Monitoring ECG ...

Page 117: ...2000966 386D Dash 3000 4000 5000 9 1 9 Monitoring Invasive Pressures ...

Page 118: ...d to the monitor The display updates every two seconds 518A There are two BP patient connectors on the monitor Depending on your monitor s capabilities you may be able to use a Y adapter cable to monitor two sites per BP patient connector NOTE When both ART and ICP pressure sites are monitored a CPP values is calculated and displayed in the ICP pressure parameter window The formula for CPP is the ...

Page 119: ... the analog output If both pressure sites are labeled ART BP1 is sent to the analog output If no pressure sites are labeled ART BP1 is sent to the analog output Additional Information The GE Critical Care Monitoring Clinical Reference and Troubleshooting Guide provides the following information IABP feature Smart BP feature Clinical level troubleshooting Monitoring To verify that you are ready to ...

Page 120: ...shooting on page 9 8 b Place the transducer at the LA level phlebostatic axis c Close the transducer stopcock s to the patient d Open the venting stopcock s to the air atmosphere e Press the Zero All key f Verify that the zero reference is established g Close the venting stopcock s to the air atmosphere h Open the transducer stopcock s to the patient 6 Position the catheter in the patient 7 Verify...

Page 121: ...e tracing not the primary ECG HR alarm level CHANGE NAME Select the site name for the monitored pressure site for accurate waveform processing for example if monitoring the femoral pressure site select FEM ZERO Zero a single transducer To zero all transducers press the Zero All key BP FILTER Select one of the following filter options 12 HZ Recommended for typical monitoring 40 HZ Recommended for h...

Page 122: ... monitor type Turn the feature on or off This is an arterial ART artifact rejection program that substantially reduces alarms associated with zeroing the transducer fast flushing the system and drawing blood DISCONNECT ALARM NOTE Only available with ART and FEM parameter sites Turn the feature on or off This detects potential catheter disconnections When on if the mean pressure falls below 25 mmHg...

Page 123: ...cursor to the real time wedged waveform select PA CURSOR 5 Deflate the balloon after three or four respiratory cycles no more than 20 seconds The PA WEDGE REVIEW information window displays 20 seconds of compressed waveform data with horizontal and vertical cursors identifying the end exhalation point PAW value and time of measurement 705B 6 To change the calculated PA wedge value select MOVE WEDG...

Page 124: ... and procedure 4 To add a cursor to the real time wedged waveform select PA CURSOR 5 Deflate the balloon after three or four respiratory cycles no more than 20 seconds 6 Select REVIEW WEDGE to review the last 20 seconds of data 7 To change the calculated PA wedge value select MOVE WEDGE CURSOR Adjust the value and select MAIN MENU to save the new cursor value 8 To start a new PA wedge measurement ...

Page 125: ...2000966 386D Dash 3000 4000 5000 10 1 10 Monitoring NBP ...

Page 126: ...ons in the cuff is measured Finally systolic mean and diastolic pressure are calculated and the display is updated The monitor deflates the cuff one step each time it detects two pulsations of relatively equal amplitude The time between deflation steps depends on the frequency of these matched pulses pulse rate of the patient However if the monitor is unable to find any pulse within several second...

Page 127: ...itial target pressure preset To allow for rapid setting of cuff pressure the monitor will momentarily inflate to a higher pressure then immediately deflate to the target pressure As a determination is taken the monitor stores the pattern of the patient s oscillation size as a function of pressure In any subsequent determination as few as four pressure steps may be necessary to complete the process...

Page 128: ...l Care Monitoring Clinical Reference and Troubleshooting Guide provides the following information Oscillometric versus auscultation measurement methods Patient preparation NBP monitoring features Clinical level troubleshooting Safety The following safety statements apply when monitoring NBP WARNING The NBP parameter will not measure blood pressure effectively on patients who are experiencing seizu...

Page 129: ...y the NBP parameter to determine a blood pressure and may extend the time beyond the capabilities of the parameter WARNING For SuperSTAT NBP Adult Pediatric Only It takes one to three minutes for the NBP parameter to establish irregular rhythm after ECG is connected The NBP parameter will relearn the rhythm in the event of a lead fault disconnect or lead switch In patients with irregular rhythm wa...

Page 130: ...ly Simultaneously monitoring ECG will enhance SuperSTAT NBP performance in irregular rhythm NOTE A patient s vital signs may vary dramatically during the use of cardiovascular agents such as those that raise or lower blood pressure or those that increase or decrease heart rate Monitoring To verify that you are ready to monitor NBP follow this procedure 1 Admit the patient to the monitor 2 Connect ...

Page 131: ...tervals Intervals below 10 minutes are not recommended for extended periods of time CAUTION NBP AUTO MODE SHUT OFF When you select the GO TO STANDBY option or press the Standby key the NBP AUTO mode automatically shuts off NBP STAT NOTE Not available when in the NEONATAL ICU patient monitor type Start five minutes of automatic continuous sequential NBP measurements When initiated cuff inflation be...

Page 132: ...nly available in software version 6 or later Create a custom series of automatic NBP measurements including the time interval between measurements and the number of measurements to perform For more information refer to Setup Custom Automatic NBP Measurements on page 10 9 INITIAL INFLATION PRESSURE Select the target inflation pressure for the first NBP measurement The choices vary by cuff size NOTE...

Page 133: ...eat the measurement 1to 25 times or continuously until manually stopped 4 Repeat 3 for each series 2ND 3RD and 4TH 5 To begin the automatic measurement cycle select START CUSTOM AUTO The measurement cycle begins with the first series completes each measurement the defined number of times then proceeds to the second third and fourth series If any series is not defined or is turned off it is skipped...

Page 134: ...r clinical level troubleshooting refer to the GE Critical Care Monitoring Clinical Reference and Troubleshooting Guide NOTE The following messages display until the next measurement is initiated or manually cleared Problem Monitor Response Solution CUFF INFLATION OVER 5 MINS Stops automatic NBP measurement after ONE message Make sure there is no air in the cuff and try a manual measurement DEFLATI...

Page 135: ...2000966 386D Dash 3000 4000 5000 11 1 11 Monitoring SpO2 ...

Page 136: ...onitor processes the electrical signal and displays digital values for SpO2 and pulse rate A parameter window displays when a patient cable is connected to the monitor The display updates every two seconds 719A An SpO2 waveform is also displayed The following examples show a good quality and bad quality waveform Bad quality waveforms display motion artifact The motion at the sensor site is indicat...

Page 137: ...Masimo The following measurement guidelines apply to Masimo SET The time period for acquiring a measurement average is adjustable The default setting for all patient monitor types is eight seconds The pulse oximetry is calibrated to display functional saturation The signal strength indicator denotes signal quality Zero asterisks indicate low signal quality three asterisks indicate high signal qual...

Page 138: ...ections for use for reusable Masimo LNOP or LNCS sensors Always disconnect the LNOP or LNCS sensor from the cable before repositioning the sensor Reconnect the cable to the LNOP or LNCS sensor after the sensor has been repositioned Nellcor The following measurement guidelines apply to Nellcor The time period for acquiring a measurement average is adjustable The pulse oximetry is calibrated to disp...

Page 139: ...Ohmeda oximetry Adult measurements are averaged over a nine second time period Neonate measurements are averaged over a 12 second time period This longer averaging time decreases false alarms from patient motion artifact The pulse oximetry is calibrated to display functional saturation The signal strength indicator denotes signal quality Zero asterisks indicate low signal quality three asterisks i...

Page 140: ...neonates If required reduce the application periods to half the times recommended above If a sensor is damaged in any way discontinue use immediately WARNING APNEA A pulse oximeter should NOT be used as an apnea no breath monitor WARNING CABLES Route all cables away from the patient s throat to avoid possible strangulation WARNING EARLY WARNING A pulse oximeter should be considered an early warnin...

Page 141: ...SpO2 or use SpO2 probes during magnetic resonance imaging MRI scanning Induced current could potentially cause burns SpO2 monitoring may affect the MRI image and the MRI unit may affect the accuracy of the oximetry measurements NOTE Read all literature accompanying sensors for specific safety information Neonates and Infants The following precautions apply when monitoring neonate and infant patien...

Page 142: ...not seem reasonable check the patient s vital signs by alternate means then check the monitor for proper SpO2 functioning Control Settings To adjust the control settings for the patient admitted to the monitor select the SpO2 parameter window label Then select any of the following options and make the desired changes NOTE All changes are temporary and revert to the factory or custom defaults when ...

Page 143: ...patient s saturation level decreases The lower the setting the quieter the tone NOTE Turning the pulse tone volume off also automatically turns off the ECG QRS volume SPO2 LIMITS Select the high and low alarm limits for SpO2 percentage and pulse rate beats per minute An alarm sounds when a value occurs outside of these limits SPEED Select a sweep speed for the displayed waveform Option Function Op...

Page 144: ...seconds that it remains outside the limit This can be stated as the equation points x seconds saturation seconds where points equals SpO2 percentage points at or outside the limit and seconds equals the number of seconds SpO2 remains at that point outside the limit The upper and lower SpO2 alarm limits are set in the same way as traditional alarms NOTE When Sat Seconds is turned on the signal stre...

Page 145: ...me may result in delayed startup erroneous detection of minimum parameter values missed alarms and desaturation and resaturation detection delays Select the sensor averaging time The higher the setting the more stable the reading The default setting is eight seconds NOTE For the two and four second settings the actual averaging time may range from two to four and four to six seconds ALARM DELAY Se...

Page 146: ...0 2000966 386D Monitoring SpO2 401A Use the following diagram to connect two pulse oximeters to the AUX ports on the monitor and docking station Power cable Standard category 5 cable Nellcor 395 DIDCA cable kit AC power source ...

Page 147: ...rnal alarm limit violations probe off and pulse search Any alarm settings for the monitor do not apply to the external device The central station displays alarm messages and highlights the single view and multi view window displaying the alarm condition SpO2 data from the pulse oximeter can be viewed on alarm via the monitor Nellcor Oxismart XL GE Nellcor R Cal compatible or other Nellcor R Cal co...

Page 148: ...econdary monitoring parameter The monitor does not allow the external SpO2 parameter to be the primary monitoring parameter Secondary parameter display priority The monitor does not allow the external SpO2 parameter to have a higher display priority than the internal SpO2 parameter As a result the monitor displays the internal primary SpO2 parameter before an external secondary SpO2 parameter Mess...

Page 149: ...2000966 386D Dash 3000 4000 5000 12 1 12 Measuring Cardiac Output ...

Page 150: ...you to perform multiple measurements and to delete those not wanted Up to four measurements are retained and included in the average value The program automatically averages these and when saved enters the average value into cardiac calculations and GRAPHIC TRENDS The monitor can save up to 20 calculations Additional Information The GE Critical Care Monitoring Clinical Reference and Troubleshootin...

Page 151: ...s NOTE All changes are temporary and revert to the factory or custom defaults when the patient is discharged To permanently change the these settings refer to Defining Custom Defaults on page 3 7 NOTE If you change the selections for USE CATHETER INJECT TEMP SIZE or INJECT VOL during or after beginning a cardiac trial the trials saved in the history are deleted Saved calculations are not deleted o...

Page 152: ...stable baseline by averaging approximately 8 5 seconds of the patient s blood temperature and displays the message INJECT WHEN READY when a stable baseline is established USE Before the injection procedure begins select one of the blood pressure values to be factored in the cardiac calculation CATHETER Before the injection procedure begins select the correct catheter type The monitor guides you th...

Page 153: ...PUTING CO displays 6 When the message CO COMPLETE displays the CARDIAC OUTPUT information window is populated with the relevant values for this trial and the values update in the CO parameter window 7 Perform another injection when prompted up to four The average value displays in the information window and parameter window 8 To print the displayed waveform and information window select PRINT CO C...

Page 154: ...nd the monitor is ready for the injectate PLEASE WAIT The monitor is searching for a stable baseline temperature PUSH CO NOW OR TURN AUTO ON A stable baseline temperature has been automatically detected and the monitor is ready for the injectate CO IS TOO LOW HIGH TO DISPLAY The calculated cardiac output value has exceeded the acceptable range 0 2L to 20L Check the patient and catheter If any of t...

Page 155: ...2000966 386D Dash 3000 4000 5000 13 1 13 Monitoring Respiration ...

Page 156: ...UP PARAMETERS ON OFF RR A parameter window and waveform display when a patient cable is connected to the monitor and respiration monitoring is enabled The display is updated every two seconds 752A NOTE Using an ESU ECG filter will not adversely affect respiration monitoring NOTE When monitoring CO2 a respiration rate is always measured and displayed in the CO2 parameter window Using the respiratio...

Page 157: ...r 2 Verify that respiration is enabled on the monitor 3 Position electrodes on the patient 4 Attach leadwires to the electrodes 5 Connect the patient cable to the leadwires 6 Connect the patient cable to the ECG patient connector on the monitor 7 Verify that patient data displays in the RR parameter window 8 Verify the respiration waveform is regular and even 9 Adjust the control settings as neces...

Page 158: ...intended on the display The waveform size has no effect on detection MANUAL SIZE Select the size of the displayed waveform The waveform size has no effect on detection CARDIAC ARTIFACT ALARM Turn this patient status ADVISORY alarm on or off It alerts you when the respiration rate is within five percent of the heart rate over 30 consecutive breaths because the monitor may be counting heart beat art...

Page 159: ...2000966 386D Dash 3000 4000 5000 14 1 14 Monitoring Temperature ...

Page 160: ...400 and 700 Monitoring To verify that you are ready to monitor temperature follow this procedure 1 Admit the patient to the monitor 2 Position the sensor on the patient 3 If you are using a dual temperature cable select 400 or 700 on the cable switch 766A 4 Connect the patient cable to the Temp CO patient connector on the monitor 5 Verify that patient data displays in the TP parameter window 6 Adj...

Page 161: ...data When off no patient data is acquired or displayed T2 Select the T2 temperature site to acquire patient data When off no patient data is acquired or displayed UNITS Select the unit of measurement TEMPERATURE LIMITS Select the high and low alarm limits for each temperature site An alarm sounds when a value occurs outside of these limits Message Cause Solution CAL CHECK The monitor detects a 0 1...

Page 162: ...14 4 Dash 3000 4000 5000 2000966 386D Monitoring Temperature ...

Page 163: ...2000966 386D Dash 3000 4000 5000 15 1 15 Monitoring End Tidal CO2 ...

Page 164: ... two minutes after the sensor is connected to the monitor to display patient data and a waveform The message WARMING UP displays in the CO2 parameter window and is replaced with patient data when available The display updates every two seconds Compatible Devices Sensors Patients can be monitored whether intubated or non intubated Intubated patients Use the SAM module or a direct connection to the ...

Page 165: ...mal operation will resume when the source of interference is removed CAUTION CO2 SOURCE Do not attempt to use a combination of gas monitoring modules for example end tidal CO2 and SAM at the same time Only data from one acquisition source is displayed CAUTION GAS EXHAUST LINE Do not allow the gas exhaust line to become kinked or blocked Back pressure may cause inaccurate gas readings It may also c...

Page 166: ... For more information refer to Sensors on page 15 5 7 If using a sidestream setup calibrate the sample line For more information refer to Sample Lines on page 15 6 If using a mainstream setup calibrate the airway adapter For more information refer to Adapters on page 15 6 8 Verify that patient data displays in the CO2 parameter window 9 Verify that a good quality waveform displays 10 Adjust the co...

Page 167: ...available when in the OPERATING ROOM patient monitor type Select the percentage of N2O concentration to compensate for N2O related elevation of the CO2 value Obtain the concentration from an analyzer or anesthesia machine O2 COMPENSATION Select the percentage of O2 concentration to compensate for O2 related decrease of the CO2 value Obtain the concentration from an oxygen analyzer CO2 AVERAGING Se...

Page 168: ... out of tolerance Replace the sensor Adapters To calibrate an airway adapter follow this procedure 1 Verify the sensor is connected to the adapter 2 Verify the sensor cable is connected to the CO2 patient connector on the monitor 3 Verify the airway adapter is clean and free of foreign matter 4 Place the sensor and adapter away from all sources of CO2 including the patient s exhaled breath your ex...

Page 169: ...ATE SAMPLE LINE The sample line is not calibrated Calibrate the sample line CAL SENSOR TO ZERO CELL The sensor is not calibrated Calibrate the sensor CANNOT CALIBRATE The calibration process failed Calibrate the sensor again CHECK ADAPTER ADAPTER CAL The adapter is not calibrated Calibrate the adapter INCOMPATIBLE SENSOR The sensor is not compatible with the monitor Replace the sensor NO BREATH DE...

Page 170: ...15 8 Dash 3000 4000 5000 2000966 386D Monitoring End Tidal CO2 ...

Page 171: ...2000966 386D Dash 3000 4000 5000 16 1 16 Monitoring Anesthesia Gases ...

Page 172: ...tect a mixture of anesthetic agents A gas mixture is made up of two or more anesthetic agents each greater than 0 30 percent in concentration A third gas agent is displayed if its concentration is greater than 0 60 percent If two agents are detected the primary and secondary agents are displayed with N2O The primary agent is always displayed on the left The primary agent is defined as the agent wi...

Page 173: ...es Additional Information Refer to the GE Critical Care Monitoring Clinical Reference and Troubleshooting Guide for the following information Patient tube connections Patient gas exhaust Safety The following safety statements apply when monitoring anesthesia gases with a SAM module WARNING ISOFLURANE AND DESFLURANE The SAM module cannot distinguish between isoflurane and desflurane You must use te...

Page 174: ... patient airway The SAM 80 module has a withdrawal rate of about 150 milliliters per minute Do not use the module on any patient who may be adversely affected by this sampling rate CAUTION AQUA KNOT WATER TRAP USE An Aqua Knot water trap must always be used when the unit is running Failure to use the water trap can result in contamination of the internal gas measurement instruments and may cause s...

Page 175: ...ng You will hear a click when the module is fully inserted 2 Connect one end of the TRAM NET communication cable into the Auto or TRAM NET port on the back of the module housing 3 Connect the other end of the communication cable into the Aux port on the back of the monitor 4 Turn on the power switch on the back of the module housing 5 Turn on the monitor 6 Admit the patient to the monitor 7 Positi...

Page 176: ...nspired expired O2 respiration rate and apnea An alarm sounds when a value occurs outside of these limits O2 COMPENSATION NOTE Only available with O2 sensor Select the percentage of O2 concentration to compensate for O2 related decrease of the CO2 value Obtain the concentration from an oxygen analyzer CLEAR MESSAGE Clear hardware error messages after the condition is corrected MODE Select one of t...

Page 177: ...ination for analysis ISO Isoflurane halothane enflurane and sevoflurane DES Desflurane halothane enflurane and sevoflurane GAS LIMITS Select the high and low alarm limits for gas parameters An alarm sounds when a value occurs outside of these limits CP BYPASS Select to deactivate alarms when the patient is on bypass Alarms are automatically reactivated when three minutes of uninterrupted ventilati...

Page 178: ...s selected but isoflurane is detected Change the gas agent selection ISOFLURANE Isoflurane is selected but desoflurane is detected CONNECT AQUA KNOT The Aqua Knot water trap is disconnected Connect or replace the Aqua Knot water trap LOW TEMP Gas cells are liquefied Apply power and wait for the module to warm up 30 minutes to one hour GAS LIQUEFIED WARMING UP Due to extreme temperature change gas ...

Page 179: ...2000966 386D Dash 3000 4000 5000 17 1 17 Monitoring Impedance Cardiography ICG ...

Page 180: ...rs The following measured parameters are available for display Thoracic Fluid Content TFC Acceleration Index ACI Velocity Index VI Heart Rate HR The following calculated parameters are available for display Cardiac Output CO Cardiac Index CI Stroke Volume SV Stroke Index SI Systemic Vascular Resistance SVR Systemic Vascular Resistance Index SVRI Left Ventricular Stroke Work Index LVSWI Left Cardia...

Page 181: ... 30 155 kg 67 341 lbs WARNING The ICG module and its components are not designed sold or intended for use except as described in this document WARNING Use only GE approved ICG module accessories WARNING ICG sensors are intended for skin application only and are not for direct cardiac application WARNING The conductive gel of the ICG sensors should not contact any other conductive materials during ...

Page 182: ...er calculations are dependent on accurate patient height weight sex and age values Ensure that these values have been properly entered Monitoring To verify that you are ready to monitor ICG follow this procedure 1 Install the ICG module into the TRAM RAC 2A module housing You will hear a click when the module is fully inserted 2 Connect one end of the TRAM NET communication cable into the Auto or ...

Page 183: ...toring This value is retained for 12 hours and may be used in other calculations for example pulmonary calculations FAST LOOK Select one of the following options for viewing and printing parameter data NORMAL RANGES Display data with normal parameter ranges A plus or minus indicates values outside the normal range UNITS OF MEASURE Displays data with units of measurement SECONDARY PARAMETERS Select...

Page 184: ...gins at 10 20 30 and 60 beats The averaging remains at 60 beats unless a new value is selected The smaller the number selected the more likely the data will be affected by artifact The higher the number selected the more the beat average will be smoothed out with minimum fluctuation CHANGE NORMALS Select the normal range for the parameters CHECK LEADS Check for lead failures Option Function Messag...

Page 185: ...2000966 386D Dash 3000 4000 5000 18 1 18 Monitoring Bispectral Index BIS ...

Page 186: ...ct of ambient noise sources When connected to the monitor BISx computes the BIS value and other processed EEG parameters in real time using three steps The raw EEG signal is broken down second by second and the segments that have artifact are identified and removed BISx calculates the BIS value by combining EEG features associated with the anesthetic effect The index is modified to reflect the amo...

Page 187: ... rigidity head and body motion sustained eye movements improper sensor placement and unusual or excessive electrical interference Due to limited experience in the following applications BIS values should be interpreted cautiously in patients with known neurological disorders those taking psychoactive medications and in children below the age of one General The following safety statements apply whe...

Page 188: ...unted to an IV pole bedrail or clipped to a bedsheet 2 Connect the BISx communication cable in the AUX connector on the back of the monitor 3 Connect BISx to an AC power source 4 Position the sensor on the patient For more information refer to the sensor packaging or the GE Critical Care Monitoring Clinical Reference and Troubleshooting Guide 5 Insert the BIS sensor paddle into the patient interfa...

Page 189: ...s when a value occurs outside of these limits SENSOR CHECK Select to automatically detect sensors and display the impedance value and status of each lead This data is updated every two seconds PASS This lead passed the sensor check LD OFF No impedance value check the lead NOISE No impedance value check the lead HIGH Re prep the sensor BIS SETUP Provides access to the following controls LEAD DETECT...

Page 190: ...e BIS parameter window label BIS SETUP BIS TEST ON The message BIS TEST IN PROGRESS displays until the evaluation is complete A PASS message displays if BISx is functioning within normal operating parameters A FAIL message displays if BISx did not meet the noise gain high and low pass normal values If BISx fails contact service Understanding Displayed Values BIS BIS is a processed EEG parameter wh...

Page 191: ...artifact in the EEG signal within this frequency range The indicator displays up to seven bars the more bars the greater the EMG activity No bars display when EMG values are less than 30 dB Seven bars display when the EMG values are 55 dB Troubleshooting For clinical level troubleshooting refer to the GE Critical Care Monitoring Clinical Reference and Troubleshooting Guide Message Cause Solution C...

Page 192: ...k fails reposition or replace the sensor PIC cable or BISx SENSOR CHECK IN PROGRESS A self test is in progress This is a normal procedure message SENSOR ERROR Sensor failure Replace the sensor SERVICE BIS Hardware failure Contact service SIM CONNECTED A BIS demonstration device is connected to the patient interface cable This is a normal procedure message SQI BELOW 50 The signal quality is low The...

Page 193: ...2000966 386D Dash 3000 4000 5000 A 1 A Maintenance ...

Page 194: ...he use of this monitoring equipment to implement a satisfactory maintenance schedule may cause undue equipment failure and possible health hazards Check with your biomedical department to be sure preventive maintenance and calibration is complete Refer to the service manual for detailed maintenance and repair information Follow these guidelines when inspecting the equipment Locate obvious physical...

Page 195: ...tment Complete the following procedure to clean the exterior surfaces of this equipment 1 For cleaning all displays including touchscreen and standard displays do the following a Turn off the power to the touchscreen and standard displays before you start cleaning the displays b Wipe the exterior with a soft lint free cloth lightly moistened with household glass cleaner 2 For cleaning the equipmen...

Page 196: ...ns that contain chlorides wax or wax compounds to clean the device Never use solutions or products that contain the following Any type of Ammonium Chloride such as but not limited to Dimethyl Benzyl Ammonium Chloride and Quaternary Ammonium Chloride solutions Abrasive cleaners or solvents of any kind Acetone Ketone Betadine Alcohol based cleaning agents Sodium salts Never autoclave or steam clean ...

Page 197: ...ires Use a warm damp cloth and mild soap to clean cables and leadwires For more intensive disinfecting near sterile you can use Ethylene Oxide ETO however this method will reduce the useful lifetime of the cable or leadwire Capnostat Sensor and Adapter To clean the sensor use a damp cloth to wipe clean and dry including the sensor windows Do not immerse or sterilize the sensor To clean the reusabl...

Page 198: ...age to the monitor Other For other applied parts such as temperature sensors catheters pulse oximetry probes and NBP cuffs consult the manufacturer for cleaning sterilization or disinfecting methods Printer Writer s Changing Writer Paper 1 Press the button on the top of the writer to open the writer door 638A 2 Remove the old spool and install a new paper roll Install the paper so it unrolls from ...

Page 199: ...e at the top of the screen warns you prior to complete loss of battery power You should replace the battery or connect the monitor to an AC power source when the message is displayed Lithium Ion Technology The batteries used in this monitor are rechargeable batteries containing lithium ion cells Each battery contains an integrated electronic fuel gauge and a safety protection circuit The following...

Page 200: ...g change by illumination type solid or flashing Safety WARNING PHYSICAL INJURY Do NOT install the monitor above a patient Make sure the batteries are completely inserted and battery doors are completely closed Falling batteries could seriously or fatally injure neonatal or other vulnerable patients WARNING EXPLOSION OR FIRE Using non recommended batteries could result is injury burns to the patien...

Page 201: ... used to define the battery capacity Design capacity The theoretical capacity of the battery cells when the battery is new Full charge capacity The actual amount of charge the battery can store and deliver to the monitor Remaining charge capacity The amount of full charge capacity currently remaining in the battery This is a percent of the full charge capacity Battery Gauges The battery gauge for ...

Page 202: ...enu select MORE MENUS BATTERY STATUS 637B Select BATTERY HELP for more information on batteries SLOT STATUS Definitions of the information presented in the BATTERY STATUS information window TIMES Definitions of the information presented in the BATTERY STATUS information window FUEL GAUGES Explains the battery capacity gauges ALARMS Lists the battery messages and solutions Installation Guidelines P...

Page 203: ... battery charger time out errors Internal Method To charge a battery use the following procedure 1 Insert battery into the monitor The battery CHARGING STATUS indicator illuminates yellow 2 When the battery CHARGING STATUS indicator illuminates green the battery is fully charged Conditioning Condition the battery every six months or whenever the BATTERY STATUS information window displays CONDITION...

Page 204: ...tery cell temperature increases by 15ºC to 20ºC 27ºF to 36ºF above the room s ambient temperature This reduces the life of the battery When the battery is stored inside a monitor that is continuously powered by an AC power source and is not powered by battery on a regular basis the life of the battery may be less than 12 months GE recommends that you remove the battery and store it near the monito...

Page 205: ...lluminates remove the battery and reinsert it into the battery charger e Watch the battery charger LEDs The RUN LED should stop flashing and remain illuminated for approximately one minute then the CONDITION LED should stop flashing At this time the battery is awake and being charged Recycling WARNING EXPLOSION HAZARD DO NOT incinerate the battery or store at high temperatures Serious injury or de...

Page 206: ...izing the device General safety tests should be performed every 12 months NBP and temperature measuring devices should be tested every two years Safety tests may only be performed by qualified personnel not subject to directives with respect to these tests Message Solution BATTERY LOW When this system WARNING sounds and displays only 10 minutes of battery run time is remaining Replace the battery ...

Page 207: ...ature use the following procedure and a MARQIII patient simulator 1 Connect the simulator to the Temp CO patient connector 017C 2 Turn on the simulator set the adapter to 400 and set the temperature output to 37ºC 3 Check the temperature values in the TEMP parameter window The displayed value must be within 0 4ºCof the simulator setting If the readings fail re calibrate the Temp CO circuit For mor...

Page 208: ...nitor on 4 Verify the parameter window waveform label and other parameter information display 5 Turn the manometer on and set range switch to 1000 mmHg 6 Wrap the NBP cuff around rigid cylinder or pipe at least six inches in diameter 021B 7 Verify the calibration a Select MORE MENUS MONITOR SETUP SERVICE MODE b Select CALIBRATE CALIBRATE NBP CHECK CALC OFF START c Verify the readings in the NBP pa...

Page 209: ...e heart rate limit until it is higher that the patient s current heart rate 2 Verify the following The audible alarm sounds the correct tone The heart rate in the ECG parameter window flashes in the correct color The alarm light flashes the correct color An alarm graph printed 3 Silence the alarms and verify they react correctly 4 Return the heart rate alarm settings to the original monitoring lev...

Page 210: ...A 18 Dash 3000 4000 5000 2000966 386D Maintenance ...

Page 211: ...2000966 386D Dash 3000 4000 5000 B 1 B Software Packages ...

Page 212: ...p to 100 CRG events X Storage of up to 24 hours of CRG trend data X Simultaneous multi lead ECG acquisition X 3 lead or 5 lead ECG cable compatibility X Selectable beat pause interval X Selectable heart rate averaging X Pacemaker detection rejection X Smart lead fail X All ECG display format X Lethal arrhythmia detection package Asystole VTach and VFib alarms X Full arrhythmia package w alarm leve...

Page 213: ...re monitoring support X Thermodilution cardiac output support X Cardiac computation constants stored for major manufacturers X Cardiac calculations X CapnoFlex LF Sidestream CO2 X SAM Smart Anesthesia Multi gas module interface X Vital Signs 24 hr X Graphic trending 24 hr X Pulmonary calculations w fick CO calculation X Dose calculations adult neonate X High low alarms all parameters X Alarm windo...

Page 214: ...B 4 Dash 3000 4000 5000 2000966 386D Software Packages ...

Page 215: ...2000966 386D Dash 3000 4000 5000 C 1 C Factory Defaults ...

Page 216: ...rm Levels The following are the parameter alarm level factory defaults To access these options select MORE MENUS MONITOR SETUP MONITOR DEFAULTS SETUP DEFAULT PARAMETER ALARM LEVELS ADULT ICU NEONATAL ICU OPERATING ROOM ASYSTOLE CRISIS CRISIS ADVISORY VFIB VTAC V TACH VT 2 V BRADY COUPLET MESSAGE BIGEMINY ACC VENT PAUSE TRIGEMINY R ON T PVC TACHY BRADY CRISIS IRREGULAR ATRIAL FIB ADULT ICU NEONATAL...

Page 217: ...T ART PA CO2 NBP FEM UAC GAS CVP RA UVC LA ICP SP SVO2 TC SPO21 ART RATE MESSAGE MESSAGE MESSAGE BT ICG RR RESP APNEA CRISIS FEM RATE MESSAGE UAC RATE CCO SPO2 RATE TMP ICG 1 When ECG is turned off SpO2 alarm levels are elevated from advisory to warning ADULT ICU NEONATAL ICU OPERATING ROOM ...

Page 218: ... 150 90 200 1 150 PVC MIN 6 6 6 ST I 2 0 2 0 2 0 2 0 2 0 2 0 ST II ST III ST V1 ST AVL ST AVF ST AVR ST V2 ST V3 ST V4 ST V5 ST V6 NBP S 80 200 40 100 40 200 NBP D 20 120 20 60 20 120 NBP M 40 140 30 70 40 140 ART S 80 200 40 100 40 200 ART D 20 120 20 60 20 120 ART M 40 140 30 70 40 140 ART R 50 150 90 200 1 150 FEM S 80 200 40 100 40 200 FEM D 20 120 20 60 20 120 FEM M 40 140 30 70 40 140 FEM R ...

Page 219: ...200 1 150 BT 30 0 C 86 0 F 42 0 C 107 6 F 30 0 C 86 0 F 42 0 C 107 6 F 0 0 C 32 0 F 42 0 C 107 6 F SVO2 60 80 60 80 60 80 RR 5 30 15 100 1 200 RR APNEA 20 15 20 TEMP 1 30 0 C 86 0 F 42 0 C 107 6 F 30 0 C 86 0 F 42 0 C 107 6 F 0 0 C 32 0 F 42 0 C 107 6 F TEMP 2 30 0 C 86 0 F 42 0 C 107 6 F 30 0 C 86 0 F 42 0 C 107 6 F 0 0 C 32 0 F 42 0 C 107 6 F O2 INSP 18 102 18 102 18 102 O2 EXP 1 102 1 102 1 102...

Page 220: ...SP 85 0 85 0 85 0 N2 EXP 85 0 85 0 85 0 SEV INSP 7 0 7 0 7 0 SEV EXP 7 0 7 0 7 0 DES INSP 12 0 12 0 12 0 DES EXP 12 0 12 0 12 0 ENF INSP 7 0 7 0 7 0 ENF EXP HAL INSP HAL EXP HE INSP HE EXP ISO INSP ISO EXP AR INP AR EXP CI 1 5 5 0 1 5 5 0 1 5 5 0 TFC 10 60 10 60 10 60 BIS 1 100 1 100 ADULT ICU NEONATAL ICU OPERATING ROOM LOW HIGH LOW HIGH LOW HIGH ADULT ICU NEONATAL ICU OPERATING ROOM PATIENT AGE ...

Page 221: ...PLATE 1 II ST TEMPLATE 2 V5 ST TEMPLATE 3 I ADJUST ST POINT J 60 MS J 30 MS J 60 MS 12 LD ON ST HISTORY OFF ECG WF SPEED 25 PRINT WAVEFORM 2 ART PRINT WAVEFORM 3 OFF RR OFF PRINT WAVEFORM 4 OFF PRINT ON ALARM ON OFF OFF TIMED PRINT CONTINUOUS CONTINUOUS 20 SECONDS ART DISCONNECT ON OFF SMART BP ON ON ARTERIAL SCALE 160 100 160 PA SCALE 60 CVP RA UVC SCALE 30 LA SCALE ICP SCALE SP SCALE 160 BP WF S...

Page 222: ...ON OFF N2O COMPENSATION 0 40 N2O O2 COMPENSATION 0 60 O2 RR PARAMETER OFF ON OFF RR LEAD II RR WF SPEED 25 SPO2 WF SPEED VIEW ON ALARM OFF VOA BROADCAST VOA ALERT TONE REMOTE ALARM LEVEL CRISIS ALARM VOLUME OFF ENABLE DISABLE ENABLE MIN ALARM VOLUME 10 ALARM VOLUME 70 70 40 SILENCE ALARM NORMAL QRS VOLUME OFF RATE VOLUME OFF OFF 40 ECG LEADS FAIL SYSTEM WARNING SYSTEM WARNING SYSTEM ADVISORY SPO2 ...

Page 223: ...MHG O2 UNITS GAS UNITS NBP LIMITS TYPE SYSTOLIC ARTERIAL LIMITS TYPE PA LIMITS TYPE DIASTOLIC NBP IBP KPA UNITS OFF MENU TIMEOUT 5 MINUTES ECG FILTER MONITORING MONITORING MODERATE BP FILTER 12 HZ QRS WIDTH NORMAL NARROW NORMAL CO2 DISPLAY MODE AUTO DISCHARGE ALERT OFF VENT WF SPEED 6 25 DISPLAY MAC VALUE OFF DISABLE SAM HAL DISABLE SAM ENF TECH ID FIELD ICG PRIMARY PAR CI ICG SECONDARY PAR1 CO AD...

Page 224: ... ECG INTELLIRATE ON ECG PARAMETER DISCONNECT OPTION TO DEFAULT NBP CLOCK SYNC OFF AVOA ALARM LEVEL WARNING REMOTE SILENCE CRISIS AVOA SILENCE SILENCED PERSISTENT SPO2 OFF ECG RATE AVERAGING 8 BEATS BEAT PAUSE INTERVAL 3 SEC UNIT ROVING ON DOSE CALCS WT XFER OFF ON ON NBP PULSE RATE OFF NBP NO DETERMINATION SYS ADVISORY TRENDS HARDKEY TABULAR ALL COMBO DEFAULT SOURCE TELE DEFINED CLOCK DISPLAY ON W...

Page 225: ...he screen when there is no room on the right side of the screen The parameters preceded with an asterisk may display in reduced size Adult ICU BIS SMOOTH RATE 15 SEC EEG WF SCALE 25 EEG WF SPEED 25 AUTO ADMIT ON ADULT ICU NEONATAL ICU OPERATING ROOM ADULT ICU NEONATAL ICU OPERATING ROOM PARAMETER 11 1 When ECG is turned on it is first and cannot be changed If turned off SPO2 is first and cannot be...

Page 226: ...eonatal ICU Operating Room CO2 SVO2 ICG VENT SPO2 ALARMS VENT NBP SVO2 BIS ART CVP TC FEM RA TEMP UAC UVC CO PA LA CCO CO2 ICP UO GAS SP ICG RESP SPO2 ALARMS CO2 FEM ICP BIS GAS UAC SP SPO2 PA SVO2 CO VENT RESP CCO CVP TC TEMP RA UO NBP UVC ICG ART LA ALARMS ...

Page 227: ...2000966 386D Dash 3000 4000 5000 D 1 D Custom Defaults ...

Page 228: ...rmation Custom Default Name _____________________________________________ Unit Name ________________________________________________________ Patient monitor type _______________________________________________ Arrhythmia Alarm Levels Parameter Alarm Levels Crisis Warning Advisory Message ASYSTOLE VFIB VTAC V TACH VT 2 V BRADY COUPLET BIGEMINY ACC VENT PAUSE TRIGEMINY R ON T PVC TACHY BRADY IRREGUL...

Page 229: ...2000966 386D Dash 3000 4000 5000 D 3 Parameter Limits ST ART PA CO2 NBP FEM UAC GAS CVP RA UVC LA ICP SP SVO2 TC SPO2 ART RATE BT ICG RR RESP APNEA FEM RATE UAC RATE SPO2 RATE TMP LOW HIGH HR PVC MIN ST I ST II ST III ...

Page 230: ...000966 386D Custom Defaults ST V1 ST AVL ST AVF ST AVR ST V2 ST V3 ST V4 ST V5 ST V6 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 CO2 EXP LOW HIGH ...

Page 231: ...CO2 INSP CO2 RESP NO BREATH SPO2 SPO2 R BT RR SVO2 RR APNEA TEMP 1 TEMP 2 O2 INSP O2 EXP N2O INSP N2O EXP N2 INSP N2 EXP SEV INSP SEV EXP DES INSP DES EXP ENF INSP ENF EXP HAL INSP HAL EXP ISO INSP ISO EXP HE INPS HE EXP AR INP AR EXP CI TFC BIS LOW HIGH ...

Page 232: ...TERIAL RATE LEAD ANALYSIS ST ANALYSIS ST TEMPLATES ST V LEAD ST TEMPLATE 1 ST TEMPLATE 2 ST TEMPLATE 3 ADJUST ST POINT 12 LD ON ST HISTORY ECG WF SPEED PRINT WAVEFORM 2 PRINT WAVEFORM 3 PRINT WAVEFORM 4 PRINT ON ALARM TIMED GRAPH ART DISCONNECT SMART BP ARTERIAL SCALE PA SCALE CVP RA UVC SCALE LA SCALE ICP SCALE SP SCALE BP WF SPEED NBP IBP KPA UNITS CO2 SCALE ...

Page 233: ...N2O COMPENSATION OR ONLY O2 COMPENSATION RR PARAMETER RR LEAD RR WF SPEED SPO2 WF SPEED VIEW ON ALARM VOA BROADCAST VOA ALERT TONE REMOTE ALARM LEVEL ALARM VOLUME ALARM VOLUME OFF MIN ALARM VOLUME SILENCE ALARM QRS VOLUME RATE VOLUME ECG LEADS FAIL SPO2 PROBE OFF SPO2 PULSE SEARCH MONITOR ISO DES DISPLAY LIMITS DISPLAY UNITS UNITS FOR HEIGHT UNITS FOR WEIGHT TEMPERATURE UNITS CO2 UNITS ...

Page 234: ... SPEED DISPLAY MAC VALUE DISABLE SAM HAL DISABLE SAM ENF TECH ID FIELD ICG PRIMARY PAR ICG SECONDARY PAR1 ICG SECONDARY PAR2 ICG SECONDARY PAR3 NBP SILENCE ALARM PAUSE BREAKTHRU MASIMO AVERAGING MASIMO ALARM DELAY ECG INTELLIRATE ECG PARAMETER DISCONNECTION OPTION NBP CLOCK SYNC AVOA ALARM LEVEL REMOTE SILENCE AVOA SILENCE PERSISTENT CO2 ECG RATE AVERAGING BEAT PAUSE INTERVAL UNIT ROVING DOSE CALC...

Page 235: ...selections you can make three full size five reduced size or combination thereof The software prevents you from selecting more parameters than allowable NBP PULSE RATE NBP NO DETERMINATION TRENDS HARDKEY COMBO DEFAULT SOURCE CLOCK DISPLAY BIS SMOOTH RATE EEG WF SCALE EEG WF SPEED AUTO ADMIT PARAMETER 1 ECG PARAMETER 2 PARAMETER 3 PARAMETER 4 PARAMETER 5 PARAMETER 6 GAS RA TEMP NBP UVC ALARMS ART L...

Page 236: ...D 10 Dash 3000 4000 5000 2000966 386D Custom Defaults ...

Page 237: ...2000966 386D Dash 3000 4000 5000 E 1 E Interfacing with Non GE Devices ...

Page 238: ...he peripheral device as the primary alarm source for parameters monitored by the peripheral device WARNING CORRECT INTERFACE ADAPTER Use of the wrong interface adapter may cause improper operation of the supported peripheral device Verify that the correct interface adapter on the peripheral device is operational before the device is used on a patient WARNING INSTALLATION Qualified technical person...

Page 239: ... Treatment should be based on the information presented at the peripheral device Non GE Device Information Displayed Data The peripheral device data that displays on the monitor varies by device as shown in the following table The monitor only displays the information the peripheral device sends to the connectivity device The parameters sent vary with each external device and are subject to change...

Page 240: ...pported devices Anesthesia Machines Supported Anesthesia Machines Supported Device Supported Device Software Version s Waveform Parameter Alarms Part Number for Interface Adapter Part Number for Interface Installation Instructions North American Dräger Narkomed Anesthesia Machine Narkomed 2B 2 06 Narkomed 2C 1 11 E Narkomed 3 CO2 Agt 1 02 O2 Med 1 04 Oximeter 1 07 Spiromed 1 04 Sphymomed 2 05 Baro...

Page 241: ...ex Ohmeda Anesthesia Machine Aisys software version 3 0 Avance software version 4 01 VNT Flow VNT Pres CO2 Exp VNT GAS CO2 Yes 420915 083 418625 083 Dräger Apollo Anesthesia Machine Software Version 3 20 05 Dräger Medibus Version 4 03 VNT Pres CO2 Exp VNT GAS CO2 Yes 420915 092 418265 092 Supported Anesthesia Machines Supported Device Supported Device Software Version s Waveform Parameter Alarms P...

Page 242: ...uous Cardiac Output Monitors Supported Device Supported Device Software Version s Waveform Parameter Alarms Part Number for Interface Adapter Part Number for Interface Installation Instructions Supported Gas Analyzers Supported Device Supported Device Software Version s Waveform Parameter Alarms Part Number for Interface Adapter Part Number for Interface Installation Instructions Datex Capnomac Ul...

Page 243: ... 09 N A Status messages 420915 028 418265 028 Alaris Medical IVAC Signature 7130 and 7230 Infusion Pumps 4 08 IV Status messages 420915 079 418265 079 Alaris Medical Systems Gemini Infusion Pumps PC 1 7 11 PC 2 2 49a PC 2 TX 2 31 PC 4 1 31 N A Status messages 420915 029 418265 029 Supported Miscellaneous Monitors Supported Device Supported Device Software Version s Waveform Parameter Alarms Part N...

Page 244: ...lse Oximeters Supported Device Supported Device Software Version s Waveform Parameter Alarms Part Number for Interface Adapter Part Number for Interface Installation Instructions Nellcor Puritan Bennett N 200 Pulse Oximeter Monitor Version 2 9 Powerbase Version 2 73 SPO2 Yes 420915 033 418265 033 Nellcor Puritan Bennett N 395 Pulse Oximeter 1 7 0 0 1 8 0 0 1 9 0 2 1 9 3 0 SPO2 Yes 420915 069 41826...

Page 245: ...r and 860 TCO2M Monitors 840 3 3 TCO2M eng 860 14 TCO2 Status messages 420915 022 418265 022 Radiometer TCM3 TpCO2 TpO2 TINA Monitor 22 TCO2 Yes 420915 023 418265 023 Linde MicroGas 7650 Transcutaneous Monitor 3 02 TCO2 Yes 420915 072420915 072 418265 072 Supported Urometers Supported Device Supported Device Software Version s Waveform Parameter Alarms Part Number for Interface Adapter Part Number...

Page 246: ...ule 990 VNT Yes 420915 002 418265 002 Allied Healthcare Bear 1000 Ventilator 9 7 and A 3 3 VNT Flow VNT Pres VNT Yes 420915 005 418265 005 Hamilton Veolar or Amadeus Ventilator Veolar E V31E 4 N31D 2 R030 0 Amadeus A33X 0 N33A 6 N01S 1 A33X 0 N33A 6 R33A 0 VNT Flow VNT Pres VNT Yes 420915 007 418265 007 Nellcor Puritan Bennett Infant Star Infant Star 500 and Infant Star 950 Ventilators Infant Star...

Page 247: ...sion 1 0 VNT Pres CO2 Exp VNT CO2 Yes 420915 043 418265 043 Dräger Evita XL Ventilator Dräger Medibus Version 4 0 and Software Version 5 00 VNT Pres CO2 Exp VNT CO2 Yes 420915 070 418265 070 Dräger Fabius GS Ventilator Dräger Medibus Version 3 0 and Device Version 1 0 VNT Yes 420915 075 418265 075 Dräger Savina Ventilator Dräger Medibus Version 4 0 and Software Version 2 10 VENT Pres VNT Yes 42091...

Page 248: ...NT VTI SPONT 420915 063 418265 063 Siemens Servo i Ventilator System software version V3 01 02 VNT Pres CO2 Exp VNT Yes 420915 077 418265 077 GE Datex Ohmeda Ventilator Engstrom software version 4 15 VNT Pres VNT Flow CO2 Exp VNT CO2 Yes 420915 083 418265 083 Respironics Esprit Ventilator Esprit 6 10 7 10 8 10 VNT Yes 420915 082 418265 082 Stephan Christina Ventilator V1 9 4 VNT Yes 420915 078 418...

Page 249: ...2 and Gas parameters originate from the same peripheral device If a device only provides one of the parameters the connectivity device does not recognize the other parameter from any other peripheral device However when the connectivity device is connected to a Dash 3000 4000 5000 monitor the monitor controls which source of CO2 and Gas parameter data is used The monitor does NOT require that CO2 ...

Page 250: ...Connect one end of the network cable to the Ethernet connector on the connectivity device 5 Connect the other end of the network cable to the Ethernet connector on the monitor or docking station 6 Turn on the monitor and connectivity device Connecting Peripheral Devices A unique factory programmed interface adapter is required for each peripheral device Refer to the instructions provided with the ...

Page 251: ...us indicators Green Indicator Yellow Indicator Serial Port Status Description off off No connection Nothing is connected to this serial port or the interface connector is not operational on Pending communication The cable and interface adapter are connected but communication with the peripheral device is not established yet slow flash Communication error The peripheral device is connected but ther...

Page 252: ...Menus The parameters displayed by the monitor from a peripheral device vary from device to device Anesthesia machines parameter modules gas analyzers and ventilators are capable of sending parameters to the monitor In some cases not all parameters can be displayed at one time To add parameters to the display use the following procedure 1 Select MONITOR SETUP 2 Select PARAMETERS ON OFF All paramete...

Page 253: ...s connected the following applies The monitor displays a TC parameter window The information displayed varies by device Ventilator Interface When a ventilator interface is connected the following applies The monitor displays a VENT parameter window The monitor displays up to four ventilator parameters The information displayed varies by device The control settings vary by device Continuous Cardiac...

Page 254: ...he monitor displays a UO parameter window The information displayed varies by device The temperature is displayed and trended as an indicator of core temperature Additional Information For more information on the intended use safety and setup information for any interface with the Unity Network ID connectivity device refer to the Unity Network ID connectivity device operator s manual ...

Page 255: ...2000966 386D Dash 3000 4000 5000 F 1 F Abbreviations and Symbols ...

Page 256: ...I acceleration index AD adult AFIB atrial fibrillation ALRM alarm AMI acute myocardial infarctions ANT anterior Arr Arrhy arrhythmia ART arterial Auto automatic Aux auxiliary A V arterial venous AVG average AVOA automatic view on alarm B BIS bispectral index BP blood pressure Brady bradycardia BT blood temperature C C celsius Cal calibrate Calc calcs calculation s cc cubic centimeter CC computatio...

Page 257: ...ral venous pressure D D diastolic DDW direct digital writer DES desflurane DIDCA direct interface device connection adapter DSC digital signal converter E E expired e g for example ECG electrocardiograph eDO2I estimated delivered oxygen index EEG electroencephalograph EMC electromagnetic compatibility EMI electromagnetic interference ENF enflurane ESU electrosurgical cautery unit et al and others ...

Page 258: ...ntra aortic balloon pump ICG impedance cardiography ICP intracranial pressure ICU intensive care unit ID identification in inches INDV individual INF infusion inferior Inject injectate INSP inspired INT interior INF inferior ISO isoflurane IT injectate temperature IV intravenous J J ST measurement point K kg kilogram kPa kilopascals L L lead L left L liter LA left arm ...

Page 259: ...I left ventricular stroke work index M M mean MAC minimum alveolar concentration MAP mean arterial pressure Min minimum mm millimeters mmHg millimeters of mercury MPSO multiple portable socket outlet MRI magnetic resonance image ms milliseconds mV millivolt N N A not applicable N2O nitrous oxide NBP NIBP non invasive blood pressure Neo neonatal O O2 oxygen O2CI oxygen consumption index OR operatin...

Page 260: ...RS interval of ventricular depolarization Qty quantity R R right R rate RA right arm RA right atrial REF reference Reprep re prepare RES resistance Resp respiration RF radio frequency RHY rhythm RL right leg RR respiration rate S S systolic sec second SEV sevoflurane SIM simulator Sol solution SP special SpO2 arterial oxygen saturation pulse oximetry SQI signal quality index ST interval of ventric...

Page 261: ...e site Tachy tachycardia TC transcutaneous Tech technical Temp TMP TP temperature TFC thoracic fluid content TIR technical information report U UAC umbilical artery catheter UO urometer UVC umbilical venous catheter V V volt V version V ventrical lead Vent ventilator VFib ventricular fibrillation VI velocity index VOA view on alarm Vol volume VTach ventricular tachycardia W WF WFS waveform s X X m...

Page 262: ...F 8 Dash 3000 4000 5000 2000966 386D Abbreviations and Symbols Symbols and degree s greater than less than minus number percent plus or minus inches µ micro ...

Page 263: ...ses 16 2 16 8 control settings 16 5 02 compensation 16 6 alarm limits 16 6 analysis 16 7 calibrate module 16 6 clear messages 16 6 CP alarm bypass 16 7 display mode 16 6 gas alarm limits 16 7 MAC values 16 7 mode 16 6 review gas data 16 7 units of measurement 16 7 view other gases 16 7 HAL and ENF 16 7 safety 16 3 troubleshooting 16 8 B basic 3 2 batteries A 7 A 14 capacity A 9 charging A 11 condi...

Page 264: ... 3 control settings 3 8 brightness 3 10 clock 3 10 display colors 3 9 IP 9 4 parameters 3 10 print 3 10 waveforms 3 9 control setttings waveform display options 3 9 CRG trends 6 6 custom defaults arrhythmia alarm levels 3 8 default display options 3 8 parameter alarm limits 3 8 parameter priority 3 8 recall defaults 3 8 D Danger 1 2 discharge 5 6 manual 5 6 dosage calculations 6 9 E ECG 8 2 8 19 1...

Page 265: ...2 5 Admit 2 6 Discharge 2 6 Main Menu 2 6 NBP Go Stop 2 5 Power 2 5 Print 2 5 Silence Alarm 2 5 Standby 2 6 Trends 2 6 Zero All 2 5 L lab data 6 7 M monitor defaults 3 6 3 7 control settings 3 7 custom defaults 3 6 parameter alarm levels 3 8 factory defaults 3 6 monitoring modes 3 3 combo 3 4 rover 3 3 rover combo 3 4 standard 3 3 N NBP 10 2 10 10 control settings 10 6 alarm limits 10 7 automatic ...

Page 266: ...vice mode 3 10 SmartBP 9 6 software configuration 3 10 revision 3 10 software options 3 3 12SL ECG 3 3 high resolution trends 3 3 Unity Network 3 3 software packages 3 2 basic 3 2 cardiac 3 3 cardiopulmonary 3 3 SPO2 11 2 11 14 control settings 11 8 alarm limits 11 9 alarm volume 11 9 persistent 11 9 pulse rate 11 8 response mode 11 10 SatSeconds 11 10 sensitivity 11 11 sensor averaging 11 11 wave...

Page 267: ...SPO2 11 14 TP 14 3 V view other patients 5 7 5 12 control settings 5 10 care unit 5 10 monitor 5 10 view alarm 5 10 view trends 5 10 custom defaults 5 8 alarm level 5 9 alert tone 5 9 broadcast 5 9 remote silence 5 9 silence 5 9 view on alarm 5 9 limitations 5 8 options 5 7 split view display 5 11 VITAL 6 3 vital signs 6 3 W waveforms SPO2 11 2 wireless LAN 2 12 ...

Page 268: ...Index 6 Dash 3000 4000 5000 2000966 386D ...

Page 269: ......

Page 270: ...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 Development Zone Shanghai 200336 P R China Tel 86 21 5257 4650 Fax 86 21 5208 2008 GE Medical Systems Information Technologies a General Electric Company going to market as GE Healthcare www...

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