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Airway gas (CO2)

17-9

Checklist

Check that:

•

Water trap is locked into the module.

•

Water trap container is empty.

•

A new sampling line is used after each patient.

•

Sampling line is connected to the water trap.

•

Monitor is turned on and self-check is performed with the sampling line attached.

•

Sampling line is connected to the airway adapter.

•

The humidification and/or bacteria filter are in correct place.

•

Breathing circuit or accessories have no residuals of alcohol based disinfectants.

•

Desired gas parameter is selected for screen through

Monitor Setup

Screen Setup

Содержание b30

Страница 2: ......

Страница 3: ...ithout notice Document no 2039820 001 15th July 2009 Copyright 2009 General Electric Company All rights reserved GE Medical Systems Information Technologies Inc 8200 West Tower Avenue Milwaukee WI USA...

Страница 4: ...de Module are indicated for use by qualified medical personnel only Classifications In accordance with IEC 60601 1 Class I and internally powered equipment the type of protection against electric shoc...

Страница 5: ...by merger or by operation of law or otherwise without the prior written consent of GE You may not rent lease sell or otherwise dispose of the software firmware or the products on a temporary basis GE...

Страница 6: ...that its officers and employees shall protect the confidentiality of the Software and all confidential and non public information relating thereto and shall not disclose such information to any third...

Страница 7: ...ne other than GE or otherwise than in accordance with written instructions provided by GE or altered by anyone other than GE or if the Product has been subject to abuse misuse negligence or accident G...

Страница 8: ......

Страница 9: ...ion 3 Monitoring basic 4 Alarms 5 Monitor setup 6 Trends 7 Patient data management 8 Printing and recording 9 Cleaning and care 10 Troubleshooting 11 ECG 12 Pulse oximetry 13 Temperature 14 Invasive b...

Страница 10: ...Table of contents ii...

Страница 11: ...i Table of contents About this manual 1 Intended audience About 1 Overview About 1 Illustrations and names About 1 Conventions used in this manual About 2 Related documentation About 2 Installation an...

Страница 12: ...Table of contents ii...

Страница 13: ...uide or this manual thoroughly This User s Reference Manual gives you more specific information about the clinical and technical aspects Pay special attention to WARNING and CAUTION statements The new...

Страница 14: ...comm exe Messages Messages alarm messages informative messages displayed on the screen are written inside single quotes Please wait References When referring to different sections in this manual or to...

Страница 15: ...maintenance and reparation procedures of the monitor Medical electrical equipment needs special precautions regarding EMC and needs to be installed and put into service according to the EMC informatio...

Страница 16: ...B30 Patient Monitor 4...

Страница 17: ...Table of contents i Table of contents 1 Safety precautions 1 1 Warnings 1 1 Cautions 1 2 ESD precautionary procedures 1 3 ESD precautionary procedure training 1 3 Points to note 1 3 Disposal 1 3...

Страница 18: ...Table of contents ii...

Страница 19: ...ds for example during MRI Do not connect any external devices to the system other than those specified Do not touch the patient table instruments modules or the monitor during defibrillation Pins of c...

Страница 20: ...ture and humidity ranges specified in Performance in section System description of this manual Refresh the batteries completely every six months ESD precautionary procedures To avoid electrostatic cha...

Страница 21: ...r medical devices to IEC 60601 1 This Monitor conforms to EMC safety standard to IEC 60601 1 2 This Monitor conforms to usability safety standard for medical devices to IEC 60601 1 6 Software is devel...

Страница 22: ...and warning The invasive blood pressure parameter conforms to the IEC 60601 2 34 with the exception of Sub clause 51 300 and 51 207 4 NOTE The invasive blood pressure parameter conforms to the IEC 606...

Страница 23: ...n the functioning independently of the normal pressure control system does not prevent immediately WARNING Prolonged use and frequent blood pressure determinations can lead to venous pooling and conge...

Страница 24: ...hall have at least one set of ALARM SIGNALS The characteristics of auditory alarm signals are different from IEC 60601 1 8 requirement This is only ms quantitative difference that can t be defected by...

Страница 25: ...Inserting and removing a module 2 8 Keyboards 2 10 Command Board keys 2 10 Side panel 2 11 Batteries 2 12 Battery indicators 2 13 Replacing the batteries 2 14 Conditioning a battery 2 15 Symbols and a...

Страница 26: ...Table of contents ii...

Страница 27: ...t include all these components Consult your local representative for the available components Figure 2 1 B30 patient monitor system 1 B30 with module s 2 Printer network printer only 3 Other monitors...

Страница 28: ...l shocks pressure moisture or direct sunlight Components The main components of the B30 are the monitor frame and the interchangeable modules Figure 2 2 B30 monitor front panel 1 Battery compartment 2...

Страница 29: ...ions 1 Battery compartment 2 Slot for infusion pole mounting 3 Module connector marked with X4 4 Guide rail for GCX mounting 5 Receptacle for power cord 6 Fuse holder 7 Serial port marked with X9 8 Ne...

Страница 30: ...See below for module descriptions and features Patient Side Module E PSMW Figure 2 4 Module E PSMW 1 Module keys 2 NIBP connector 3 Temperature connector 2 channel measurement 4 SpO2 connector 5 ECG...

Страница 31: ...tor 6 ECG 3 5 lead and impedance respiration connector 7 Tab for removing the module Module keys The E PSM P W modules have the following direct function keys For starting or stopping the NIBP automat...

Страница 32: ...tient Monitor 2 6 Extension Module N FC Figure 2 6 Module N FC 1 Module insertion guide for attaching an E PSM P W module 2 Sample gas inlet 3 Water trap 4 Gas outlet 5 Tab for removing the module 1 2...

Страница 33: ...REC 1 Recorder 2 Paper compartment lever 3 CO2 measurement 4 Water trap 5 Tab for removing the module 6 Sample gas inlet 7 Gas outlet Extension Module N FREC Figure 2 8 Module N FREC 1 Recorder 2 Pape...

Страница 34: ...Inserting and removing a module To insert a module 1 Align the module with the insertion guide E PSM P W and N Fx modules are all inserted the same way 2 Push the module into the monitor frame until...

Страница 35: ...sing two modules NOTE You can use one E PSM P W and or one N Fx module in the monitor at a time To install an E PSM P W and an N Fx module 1 Insert the N Fx module first see Inserting and removing a m...

Страница 36: ...nd alarm history 5 For activating parameter specific menus NOTE All modules do not measure all of these parameters For more information see Module overview on page 2 4 6 For returning the Normal Scree...

Страница 37: ...section Alarms For silencing the alarms For zeroing the invasive pressure channels For starting the NIBP autocycling For starting or stopping the NIBP manual cycling For starting or stopping local re...

Страница 38: ...eparately and screen symbols and monitor frame LEDs indicate their charging level and possible failure see below You can also check the battery status through Monitor Setup Battery Setup The internal...

Страница 39: ...lly charged the size of the green bar indicates the charging level green lit orange dark Monitor is battery powered Battery A is empty battery B charge is ok green lit orange dark Monitor is battery p...

Страница 40: ...ding it to the left 2 Lift up the battery you want to change Check the indicators and messages on screen to make sure that you change the battery with lower charge 3 Push in the new battery Make sure...

Страница 41: ...against cardiac defibrillator discharge is due in part to the accessories for pulse oximetry SpO2 temperature T and invasive pressure P measurement On the N FC REC module indicates that airway gases...

Страница 42: ...d not be touched Connections should not be made to these connectors unless ESD precautionary procedures are used For details see ESD precautionary procedures page 1 2 Symbol for non ionizing electroma...

Страница 43: ...monitor is connected to Network A blinking heart next to the heart rate or pulse rate value indicates the beats detected A lung next to the respiration rate value indicates that respiration rate is ca...

Страница 44: ...ease consult the service manual or equipment instructions Information on the potential effects on the environment and human health of the substances used in batteries is available at this url http www...

Страница 45: ...y temperature Alpha Al alpha frequency band AM Anesthesia Monitor Amp amplitude Ant anterior APN apnea Arrh arrhythmia Art arterial pressure ASY asystole ATMP atmospheric pressure ATPD atmospheric amb...

Страница 46: ...tor CaO2 arterial oxygen content Casc cascaded ECG cc cubic centimeter CCCM Compact Critical Care Monitor CCM Critical Care Monitor CcO2 capillary oxygen content CCU cardiac coronary care unit CEL Cel...

Страница 47: ...cardiogram ECG1 first ECG waveform top ECG1 r real time ECG ECG2 second ECG waveform ECG3 third ECG waveform ED emergency department EDV end diastolic volume EDVI end diastolic volume index EE energy...

Страница 48: ...romyogram FFT fast Fourier transform FI Fi fraction of inspired gas FiAA fraction of inspired anesthetic agent Fib fibrillation FiBal fraction of inspired balance gas FiCO2 fraction of inspired carbon...

Страница 49: ...CP intracranial pressure ICU intensive care unit ID identification Imped impedance impedance respiration in inch Inf inferior Infl inflation limit Insp inspiratory Inv invasive Inv BP invasive blood p...

Страница 50: ...lobin MF median frequency mg milligram min minute Min minimum ml milliliter MLAEP middle latency auditory evoked potential mmHg millimeters of mercury mol mole Monit monitoring ECG filter MRI magnetic...

Страница 51: ...ure in STPD conditions P1 P2 invasive pressure channel identification on module PA pulmonary artery Pa Pascal unit of pressure Paced paced beats PaCO2 partial pressure of carbon dioxide in the arterie...

Страница 52: ...s PVC polyvinylchloride PVC premature ventricular contraction PVloop pressure volume loop PvO2 partial pressure of oxygen in mixed venous blood PVR pulmonary vascular resistance PVRI pulmonary vascula...

Страница 53: ...spontaneous electromyogram Sev sevoflurane SI stroke index Skin skin temperature SN S N serial number Spiro patient spirometry SpO2 oxygen saturation Spont spontaneous breathing SQI signal quality in...

Страница 54: ...MT Trigem trigeminy TV tidal volume TVexp expired tidal volume ml TVinsp inspired tidal volume ml Tx temperature label x being 1 2 3 or 4 or one of the other label choices Tymp tympanic temperature v...

Страница 55: ...System description 2 29 V Run ventricular run V Tachy ventricular tachycardia WLAN wireless local area network wt weight X extreme yr year yrs years with Fick equation...

Страница 56: ...m delay of the alarm at the monitor signal output to network 5 seconds If the alarm mode is latched the technical alarms are latched as well This does not comply with the NIBP IEC 60601 2 30 and invas...

Страница 57: ...ime of heart rate meter to change in heart rate Response time 80 to 120 bpm 6 9 s Response time 80 to 40bpm 8 2 s Maximum Tall T wave amplitude that does not disturb the heart rate calculation time 1...

Страница 58: ...quate for displaying the complete ECG amplitude when measuring ECG direct from the surface of the heart Clipping of the signal can be reduced by adjusting the size of the signal on the screen for exam...

Страница 59: ...ation ranges Pulse oximetry SpO2 1 Automatic scaling of plethysmographic waveform Measurement and display range 0 to 100 Calibration range 70 to 100 Calibrated against functional oxygen saturation Mea...

Страница 60: ...ng at 5 0 vol 0 2 vol The effect is valid for specific concentrations shown in parentheses of the non disturbing gas Ethanol C2H5OH 0 3 Acetone 0 1 Methane CH4 0 2 Nitrogen N2 0 to 100 water vapor 0 t...

Страница 61: ...tes and with varying ventilation methods the specifications may not be met Respiration rate Breath detection 1 change in CO2 level Measurement range 4 to 80 breaths min Accuracy 1 breath min in the ra...

Страница 62: ...B30 Patient Monitor 2 36...

Страница 63: ...recorder N FREC 3 2 Module with CO2 measurement and built in recorder N FCREC 3 3 Module with CO2 measurement N FC 3 4 Command Board 3 4 Command Board keys 3 5 Side panel keys 3 6 Using menus 3 7 Star...

Страница 64: ...Table of contents ii...

Страница 65: ...often used functions while the Command Board keys give access to all functions Modules and module Keys The module keys start or end a function immediately They are designed to make the most common mo...

Страница 66: ...displayed on the monitor screen To display a menu press one of the Command Board keys Figure 3 1 Example of a menu 1 Menu header 2 List of menu selections 3 Indicates the present selection 4 Adjustmen...

Страница 67: ...ms in the menus with the ComWheel For example to change what is displayed in the ECG display ECG Select the desired function by pressing the menu key Turn the ComWheel to move the highlight down in th...

Страница 68: ...bmenus are indicated by a symbol They function just like the main menus and contain less frequently used functions Push the ComWheel to enter an adjustment window or a submenu Turn the ComWheel to cho...

Страница 69: ...yed on screen and in the trends Note that changing the mode also changes settings such as alarm limits The monitor automatically reconfigures the display when modules are inserted Reconfiguration of t...

Страница 70: ...y 2 Wait until the printing is finished Then clear patient data and return settings including alarm limits to their defaults by discharging the patient Press the Admit Discharge key Select Discharge a...

Страница 71: ...ning to default limits 4 7 Changing alarm sources 4 8 Silencing alarms 4 9 Silencing audible alarms temporarily 4 9 Reactivating alarms 4 9 Silencing audible alarms permanently 4 9 Reactivating alarms...

Страница 72: ...Table of contents ii...

Страница 73: ...m is a low priority white note the measurement value is not flashing 3 In some cases a message in the digit or waveform field gives more detailed information using the color of the parameter An audibl...

Страница 74: ...ou can also check the functioning of the audio signal and alarm light through Alarms Setup Alarm Volume or Alarm Light If alarms are turned off and a power interruption occurs when there is no battery...

Страница 75: ...the alarm categories Table 4 1 ISO pattern Table 4 2 ISO2 pattern Visual Tone pattern Meaning Side panel LEDs Alarm light if enable Red Rising triple double beep every 5 seconds except the second tone...

Страница 76: ...f the light 1 Press the Alarms Setup key 2 Select Alarm Light and adjust with the ComWheel During adjustment the red light is on to help you determine a suitable brightness level Alarm activation To e...

Страница 77: ...eading at the time when auto limits are selected Default Limits Sets the alarms to the default alarm limits NOTE Default limits can be changed and saved to modes For more information see the Default C...

Страница 78: ...ate Alarms are available only if alarm silencing has been enabled by selecting Monitor Setup Install Service Installation Alarm Options Show Audio ON OFF Yes By default it is disabled For more details...

Страница 79: ...enu select XX Alarm or enter XX Setup and then select XX Alarm NOTES ST high low alarms will reach the white low priority level only In NIBP measurement the alarm limits change automatically according...

Страница 80: ...easurement If the desired measurement is not displayed select Next Page 4 Push the ComWheel An adjustment window is displayed 5 In the adjustment window turn the ComWheel to get from the limit setting...

Страница 81: ...5 minutes The crossed bell symbol with a countdown timer is displayed in the upper left hand corner of the screen to indicate that the alarms are silenced and the message field is cleared of all the p...

Страница 82: ...lences apnea and disconnection alarms as well as CO2 respiration rate low Ppeak PEEP and minute volume limit alarms permanently Silence ECG Silences arrhythmia alarms and also HR limit alarms Silence...

Страница 83: ...ent 4 and push the ComWheel to change the selection Off The symbol appears in the digit field When you select the alarm limit ON again the previous alarm limits will be active Automatic recording on a...

Страница 84: ...ory This displays a list of the last 20 alarms that have reached the yellow or the red alarm level The time and type of occurrence are displayed next to the alarm list items Alarm Recorded parameters...

Страница 85: ...ngs we recommend that you contact the person responsible for the entire configuration Displaying limits You may select the alarm limits to be displayed next to the numerical parameter value 1 Press th...

Страница 86: ...ON OFF and YES to enable alarm silencing or NO to disable it Disabling the alarm light By default the Alarm Light has been enabled The light flashes red or yellow according to the currently active ala...

Страница 87: ...seconds To clear the message field of the no longer active alarm messages and to clear the beep press the Silence Alarms key once To clear the message field of all the alarms enabling only new upcomin...

Страница 88: ...ume and adjust the alarm reminder volume with the ComWheel Changing the tone pattern The monitor has three choices of alarming tone patterns ISO ISO2 and General To change the tone pattern 1 Press the...

Страница 89: ...tartup mode 5 7 Renaming a mode 5 7 Loading modes 5 7 Changing the Normal Screen layout 5 8 Modifying waveform fields 5 9 Modifying digit fields 5 10 Modifying split screen 5 11 Modifying the minitren...

Страница 90: ...Table of contents ii...

Страница 91: ...tion and passwords below This User s Reference Manual describes most of the configurable features More detailed lists of the options and also of the factory settings can be found in the Default Config...

Страница 92: ...urn and push the ComWheel to set the time and date Hours minutes and seconds Day month and year NOTE If the monitor is connected to the Central the monitor follows the Central s time settings and the...

Страница 93: ...u can change temperature units through Others TempSetup and CO2 units through Airway Gas CO2 Setup The changes are permanent To change the units 1 Press the Monitor Setup key 2 Select Install Service...

Страница 94: ...or General Other alarm settings alarm limits alarm light brightness and alarm volume can be changed in the Alarms Setup menu To make the changes permanent save them in user modes see section Saving ch...

Страница 95: ...and passwords page 5 1 This section describes the following changes that can be saved in user modes Changing the Normal Screen layout on page 5 8 Changing sweep speeds on page 5 12 Displaying pulse r...

Страница 96: ...llowing modes The selected mode is marked with a circle You can return to the previous mode by selecting Return to X During monitoring you can make additional changes to the mode settings and to make...

Страница 97: ...password 2 Select the mode select Name and give a new name Loading modes 1 Select Monitor Setup Install Service Save Modes Enter the password 2 Select Load Modes and one of the following From Network...

Страница 98: ...r save the changes in the user mode To make the changes permanent save them in the user mode through Monitor Setup Install Service Save Modes Figure 5 1 Display fields To change the Normal Screen page...

Страница 99: ...aveform area Whenever there are less than 6 waveforms configured on the screen the remaining waveforms are enlarged Changing the waveform to another also changes the numerical field to the right of th...

Страница 100: ...he digit fields remember to check that the desired parameter module is plugged in 1 Press the Monitor Setup key and select Screen Setup 2 Select Digit Fields and change the field contents Changing the...

Страница 101: ...the options Trend or None Figure 5 3 Split screen view Modifying the minitrend length You can choose to view minitrend data from the last 5 minute or 30 minute period next to the parameter s waveform...

Страница 102: ...waveforms 1 Press the Monitor Setup key 2 Select Sweep Speeds select the parameter and adjust the value Displaying pulse rate Combined heart rate and pulse rate can be displayed next to the ECG wavef...

Страница 103: ...fault the recording starts when an event occurs and the 12 seconds prior to the event are recorded from the recorder memory The recording continues for 18 seconds if the length has been set to 30 seco...

Страница 104: ...tom of the page If several similar fields are selected on top of each other they form one higher field Equal fields cannot be defined separate to each other NOTE You cannot make changes in numerical t...

Страница 105: ...aphical trend view 6 5 Symbols 6 6 Graphical trend pages 6 7 Changing trend length and resolution 6 7 Moving on graphical trend pages 6 8 Recording and printing 6 8 Factory default parameters 6 8 Nume...

Страница 106: ...Table of contents ii...

Страница 107: ...can view the trends through Pt Data Trends Trends or you can select graphical minitrends to be displayed continuously next to the waveform fields Monitor Setup Screen Setup Split Screen Trended param...

Страница 108: ...cale 2 Select the trend time 20 min or 1 2 4 6 8 10 12 24 36 48 72 hours Selecting numerical or graphical trends to the screen Select Graphical or Numerical Changing trend scales Select Trend Scales P...

Страница 109: ...iew You can split the Normal Screen page so that one fourth of the screen on the left hand side continuously shows graphical minitrends beside waveforms Note that the split screen option is available...

Страница 110: ...st 30 minute period The five minute minitrend is updated every 10 seconds the 30 minute minitrend is updated once every minute To modify the split screen trend view 1 Press the Monitor Setup key 2 Sel...

Страница 111: ...6 2 Graphical trend page 1 Trends menu 2 Measurement trend field 3 Real time ECG 4 Numeric value of a measurement at the trend cursor point 5 Trend page number 6 Indication of the amount of data gathe...

Страница 112: ...s the amount of data on the screen the left end of the line shows the starting point of the trend data gathering The right end of the line shows the last moment the data has been gathered White line i...

Страница 113: ...cales Changing trend length and resolution 1 Press the Pt Data Trends key 2 Select Trends Time Scale 3 Select the trend length Table 6 1 Trend length and resolution Trend length on the screen Resoluti...

Страница 114: ...raphical The recording time of a trend corresponds to the time scale of the graphical trends You can choose the time scale 20 minutes to 72 hours in the trends menu To select the parameters for graphi...

Страница 115: ...Trends 6 9 Numerical trend view Figure 6 3 Numerical trend page 1 Trend menu 2 Page name and number 3 Real time ECG 4 Real time digit fields if the Normal Screen shows waveforms...

Страница 116: ...ange the parameters see section Monitor setup 1 Press the Print Record key 2 Select Record Trends 3 Select Record Numerical Printing 1 Press the Pt Data Trends key and select Trends 2 To print all the...

Страница 117: ...sing trend data Trends are erased when you discharge the patient 1 Press the Admit Discharge key 2 Select Discharge 3 In the opened window select Yes to erase the trends and to discharge the patient A...

Страница 118: ...B30 Patient Monitor 6 12...

Страница 119: ...Table of contents 7 Patient data management 7 1 Overview 7 1 Admitting a patient 7 1 Adding demographics 7 2 Loading previous data 7 2 Contin Previous 7 2 Automatic saving of patient data 7 3 Discharg...

Страница 120: ...Table of contents ii...

Страница 121: ...ing on the configuration All the data can be printed through network and saved to the network for monitor memory Admitting a patient Monitoring of a new patient is started by admitting the patient Aft...

Страница 122: ...ing index values of some parameters Loading previous data If the patient has already been admitted on the same monitor and this monitor has been restarted the Contin Previous will be appeared Contin P...

Страница 123: ...data is automatically saved to the network The network saves data from up to 2 to 90 days The amount depends on the network configuration Discharging the patient When you end monitoring discharge the...

Страница 124: ...B30 Patient Monitor 7 4...

Страница 125: ...g the paper speed 8 3 Controlling the recording time 8 3 Selecting the recording delay time 8 4 Recording on alarms 8 5 Recording trends 8 6 Recording numerical trends 8 6 Tabular trend format 8 7 Sel...

Страница 126: ...Table of contents ii...

Страница 127: ...r all the data gathered and about several parameters you need to enter the Print Record menu Recording The recorder records up to three real time waveforms simultaneously displays recordings of numeri...

Страница 128: ...ecorder 1 Press the Print Record monitor key and select Record Waveforms Record to Local 2 Stop Waveforms Figure 8 2 Sample of recording 1 Recorder speed 2 Scale 3 Selected waveform 4 Date 5 Time NOTE...

Страница 129: ...r select OFF 4 Select Waveform 2 and 3 and their parameters You can record simultaneously up to three waveforms The following menu figure shows which parameters have recordable waveforms Changing the...

Страница 130: ...until it is manually stopped or until the recorder runs out of paper see Controlling the recording time on page 8 4 If the delay time is set to 12 seconds default the recording starts when an event o...

Страница 131: ...Record key 2 Select Record Waveforms 3 Select Start on Alarms and Yes The following alarms start recording All alarm recordings are marked with the alarm source Alarm Recorded parameters Asystole Tac...

Страница 132: ...nfigured you cannot choose the parameters or change their order The following parameters are printed in the numerical trend record Figure 8 3 Numerical trend printout For pressures either Sys Dia or M...

Страница 133: ...t Record key and select Record Trends 2 Select Trend Resolution Choices are every 1 minute 5 minutes 10 minutes 30 minutes Tabular trend format Selecting graphical trends You can record graphical tren...

Страница 134: ...ct Trends Graphical Numerical 3 Select the desired trend page with Scroll Pages 4 Select Print Page Printing all the information To print several pages of graphical trend data 1 Press the Print Record...

Страница 135: ...9 1 Overview 9 1 Preventive maintenance 9 1 Daily and between the patients 9 1 Regular checks 9 2 Every six months 9 3 Every 12 months 9 3 Power interruption 9 4 Changing fuses 9 4 Cleaning 9 4 Permit...

Страница 136: ...Table of contents ii...

Страница 137: ...blem contact your service or sales representative Do not perform any other cleaning or maintenance procedures than those described in the monitor manuals NOTE Refer to the accessory package for detail...

Страница 138: ...mits For children and when using hoses without identification the inflation limit must be set manually Check that the cuff hose detection works properly Check that the pressure values are displayed St...

Страница 139: ...Continue normal battery use until the green bar of a battery charge indicator is less than 3 4 of the full height After this remove the battery Continue monitoring with one battery until its charge i...

Страница 140: ...ory is used and on the patient s condition WARNING Before cleaning disconnect the monitor from the power supply WARNING After cleaning ensure that every part of the system is dry before reconnecting i...

Страница 141: ...r 2 Wipe the sensor with mild detergent solution Allow it to dry completely before use Sensors can be disinfected with chlorite compounds The sensors may be sterilized using an ethylene oxide mixture...

Страница 142: ...c membrane which prevents water and secretions from entering the measuring chamber Condensed water and saliva are collected into a washable container Replace the water trap every 24 hours or when the...

Страница 143: ...cartridge by pulling it carefully downward Empty and clean the container Attach the container tightly back into the cartridge Push the whole unit into its housing on the front panel until the latch is...

Страница 144: ...B30 Patient Monitor 9 8...

Страница 145: ...Table of contents i Table of contents 10 Troubleshooting 10 1 Overview 10 1 Checklist 10 1 Power interruption 10 1 Messages 10 2 Other situations 10 8...

Страница 146: ...Table of contents ii...

Страница 147: ...into the frame and the monitor recognizes the module parameter is displayed on the screen and menu selections are active Patient connection cables are attached to the module connectors Trends of the...

Страница 148: ...e ventilator and breathing circuit Apnea deactivated The case has just been started or the measurement has just been activated and apnea alarm is not active yet It will activate after 5 breaths The me...

Страница 149: ...the leads or wait to continue the measurement EEPROM error or EPROM error Faulty EEPROM circuit on the CPU board or failure in CPU software memory Call service to replace CPU Faulty ECG cable The ECG...

Страница 150: ...rted waveform possibly during defibrillation or because of motion artifacts ECG Check the patient status ECG Check the electrodes Ensure that the patient is not shivering Poor electrode quality or wro...

Страница 151: ...ing sensor is inoperative or the temperature in the module has increased Contact authorized service personnel Small resp curve Signal amplitude is less than 0 4 ohms SpO2 probe off The finger or ear l...

Страница 152: ...to restart the measurement x high low Check the patient status Adjust the alarm limits Zero error Zeroing during gas calibration failed Repeat the calibration procedure 0 6 displayed in the RQ field G...

Страница 153: ...e from the connector and reinsert it Pacermarkersare not visible Check that The pacer markers have been selected ON The pacemaker has been adjusted correctly and not above R The pacemaker functions co...

Страница 154: ...ymptom Possible cause and solution SpO2 signal is poor Check the sensor and sensor positioning Change the averaging time from slow to normal Note that skin pigment causes differences Make sure that th...

Страница 155: ...Setting PVC alarm limits 11 10 ST segment analysis 11 11 Overview 11 11 Display of ST 11 11 Monitoring the ST segment 11 11 Setting the ST measurement points 11 12 Setting ST alarm limits 11 13 Descr...

Страница 156: ...Table of contents ii...

Страница 157: ...Normal Screen when measuring 5 lead ECG you can simultaneously monitor the waveforms of up to three different ECG leads In 3 lead ECG the monitor displays one ECG lead When monitoring the ECG the mon...

Страница 158: ...displayed next to ECG2 11 Fourth ST value showing the largest absolute ST value 12 Selected ST leads 13 ST label 14 Message field for parameter messages NOTES You can change the number of ECG wavefor...

Страница 159: ...ution Dry the skin completely before applying the electrodes Pre gelled electrodes are recommended Check that the electrodes are moist and have not dried out during storage Placing the electrodes When...

Страница 160: ...list of accessories see the Supplies and Accessories catalog Lead measurement The following table lists the electrodes needed to measure different ECG leads Lead Electrodes needed I R RA L LA F LL or...

Страница 161: ...en left leg left leg N black right leg neutral right leg neutral C white chest 4th intercostal space at right border of sternum 3 lead ECG Position on body surface 5 lead ECG Position on body surface...

Страница 162: ...selected heart rate source is displayed above the numerical display of the heart rate The color of the heart rate source indicator is the same as that of the source parameter The AUTO selection prior...

Страница 163: ...ou select ON you can view the ECG waveforms over gridlines 5 lead cable Selects five or three electrodes V Lead Selects the label for V lead according to the placement of the 5th electrode see Placing...

Страница 164: ...complexes are displayed at the same time With a 5 leadwire set either a cascaded ECG or different leads can be displayed Select the leads in the ECG menu To cascade a lead press ECG and select ECG2 E...

Страница 165: ...for example when changing the patient s position To start relearning manually 1 Press the ECG key 2 Select Relearn Setting heart rate alarm limits To set the heart rate alarm limits 1 Press the ECG ke...

Страница 166: ...larm limits To set the PVC alarm limits 1 Press the ECG key 2 Select ECG Alarms 3 Select PVC Alarm ON 4 Select Adjust Limits You can also adjust the limits through Alarms Setup Adjust Limits For detai...

Страница 167: ...Lead label NOTE ST segment deviations are not displayed if the patient has a ventricular pacemaker in use Monitoring the ST segment The monitor analyzes ST for all measured leads and gives ST trends s...

Страница 168: ...e When you adjust the J point also the ST point is set according to the selected ST point setting J 20 J 40 J 60 or J 80 The manually set J point remains until the monitor is turned off or reset After...

Страница 169: ...13 Setting ST alarm limits To set the ST alarm limits 1 Press the ECG key 2 Select ECG Alarms 3 Select ST Alarms 4 Select Adjust Limits You can also adjust the limits through Alarms Setup Adjust Limi...

Страница 170: ...O and J points Due to the large variation with QRST complexes the user has possibility to adjust the ST measurement points manually The QRS analysis classifies each beat by using several criteria and...

Страница 171: ...or all alarms except asystole and ventricular fibrillation which are always red high priority and ventricular tachycardia which cannot be selected OFF NOTE Alarm priorities can also be set using the C...

Страница 172: ...rithm The bedside arrhythmia algorithm is based on template matching A template is a group of beats matching the same morphology The algorithm detects QRS complexes generates QRS templates and perform...

Страница 173: ...ST calculations can be performed if the pacer does not coincide with the ISO point s adjustment range NOTE Pacemaker detector may not operate correctly during the use of high frequency HF surgical eq...

Страница 174: ...gs on page 5 4 ECG waveform sweep speed To change the waveform sweep speed Monitor Setup Sweep Speeds Select Hemodynamics and adjust the value Checklist Check that Electrode gel is moist Electrodes ha...

Страница 175: ...erview 12 1 Module description 12 1 Display of pulse oximetry 12 2 Patient connections 12 3 Selecting the sensor 12 3 Connecting the patient 12 4 Pulse oximetry menu 12 5 During monitoring 12 6 Removi...

Страница 176: ...Table of contents ii...

Страница 177: ...h the monitored tissue The amount of transmitted light is detected in the detector side of the sensor When the pulsative part of the light signal is examined the amount of light absorbed by arterial h...

Страница 178: ...Patient Monitor 12 2 Display of pulse oximetry Figure 12 1 Display of SpO2 value and pleth waveform 1 Scale of plethysmogram 2 Label 3 Oxygen saturation SpO2 value 4 Pulse oximetry message field 2 1 3...

Страница 179: ...ing and during high motion conditions use GE Healthcare OxyTip Adhesive Sensors For pediatric patients weighing more than 3 kg use GE Healthcare OxyTip Adhesive Sensors or Wrap Sensors NOTE For each S...

Страница 180: ...y affect the measurement accuracy WARNING To prevent erroneous readings do not use physically damaged sensors cables or modules Discard a damaged sensor or cable immediately Never repair a damaged sen...

Страница 181: ...ging time The selections are Normal 12 seconds default setting Fast 3 seconds Beat Sound Volume Adjusting the SpO2 beat volume also affects the beat volume of ECG When SpO2 is monitored the monitor pr...

Страница 182: ...th a fixed pleth scale Take special care of this when monitoring small children If possible do not attach the SpO2 sensor on a limb that is used for NMT measurement or for administrating cold infusion...

Страница 183: ...fere with the SpO2 measurement Vasoconstrictive drugs such as phenylephrine hydrochloride and dopamine may affect the accuracy of the measurement The pulse oximeter cannot distinguish between oxyhemog...

Страница 184: ...B30 Patient Monitor 12 8...

Страница 185: ...1 Overview 13 1 Module description 13 1 Displaying temperature 13 2 Patient connections 13 2 Temp Setup menu 13 3 Changing temperature label 13 3 Combining different temperatures 13 4 Testing temperat...

Страница 186: ...Table of contents ii...

Страница 187: ...kin temperature NOTE Monitoring of perioperative body temperature is recommended when inducing hypothermia or if unexpected temperature changes occur Module description Temperature measurement is incl...

Страница 188: ...gure 13 3 Temperature measurement setup 1 E PSMW or E PSMPW module 2 Adapter cable for temperature probes 3 Reusable temperature probe 4 Adapter cable for disposable temperature probe 5 Disposable tem...

Страница 189: ...active at a time Previous Menu Returns to the previous menu level Changing temperature label 1 Press the Others key 2 Temp Setup T1 Label or T2 Label 3 Select the label with the ComWheel Labels are T1...

Страница 190: ...re measurement functioning is automatically tested periodically During the test the message Performing temp test is displayed If the test fails the monitor displays the message Temperature error Chang...

Страница 191: ...ys 14 1 Side panel key 14 1 Display of invasive blood pressure 14 2 Patient connections 14 2 Starting with accurate values 14 4 Invasive Pressures menu 14 5 Px Setup menu 14 5 Labeling channels 14 6 C...

Страница 192: ...Table of contents ii...

Страница 193: ...es and waveforms WARNING All invasive procedures involve risks to the patient Use aseptic technique Follow catheter manufacturer s instructions Module description Module keys E PSMPW module has direct...

Страница 194: ...able to the red connector in the module or to the dual invasive blood pressure adapter cable NOTE Invasive pressures need to be zeroed after reconnecting the pressure transducer or cable and whenever...

Страница 195: ...Adapter cable for the InvBP transducer 7 Adapter cable for dual InvBP measurement NOTE Patient connections made according to the picture above using approved accessories are defibrillator proof WARNIN...

Страница 196: ...y or the Zero ALL side panel key This starts zeroing immediately NOTE Selecting Zero ALL does not zero ICP Zero it separately Press the Invasive Pressures key on the Command Board and select Zero Pres...

Страница 197: ...l and B TO B beat to beat With selection Normal normal averaging is used Depending on the label the values are updated approximately every five seconds With selection B TO B no averaging is used and t...

Страница 198: ...remove the cursor by selecting Remove cursor Note that if the cursor is not removed it remains visible in the Normal Screen Labeling channels The label of the pressure channel sets its display scale c...

Страница 199: ...its in the Alarms Setup Adjust Limits menu Enter the menu by pressing the Alarms Setup key For each pressure channel you can choose as a source Sys Systolic Dia Diastolic Mean or Off Note that you can...

Страница 200: ...to flush the invasive blood pressure line There is a 40 second time out for performing the flushing The digits change to dashes and there are no alarms After 40 seconds or when flushing is completed a...

Страница 201: ...Respiration detection 15 2 Respiration rate calculation 15 2 Displaying impedance respiration 15 3 Patient connections 15 4 Activating measurement 15 5 Improving waveform readability 15 6 Correcting...

Страница 202: ...Table of contents ii...

Страница 203: ...t to use it for detecting obstructive or mixed apneas since respiration movements and impedance variations may continue in these cases WARNING The impedance respiration measurement may cause rate chan...

Страница 204: ...may be larger The RR value could include fewer respirations than indicated by the gridline Respiration rate calculation Respiration rate is calculated automatically when ECG or CO2 is measured unless...

Страница 205: ...respiration as respiration rate source 1 Press the Others key 2 Select Resp Setup 3 Select Resp Rate Source and select AUTO CO2 or Imped Displaying impedance respiration Figure 15 3 Impedance respira...

Страница 206: ...standard cable 3 Multi link leadwire set 3 or 5 leads ECG electrodes pre gelled electrodes are recommended Check the expiration date NOTE For a comprehensive list of accessories see the Supplies and A...

Страница 207: ...tion in a waveform or a digit field otherwise the respiration information is not included in the trends and the alarms are not operative Check that the measurement is on 1 Press the Others key 2 Selec...

Страница 208: ...waveform readability To improve readability increase the waveform size 1 Press the Others key 2 Select Resp Setup 3 Select Size and adjust the waveform size The bar on the left side of the waveform al...

Страница 209: ...e In this case the dotted line represents the absolute detection limits When there are lots of artifacts the grids can be adjusted further apart to separate smaller artifacts from larger true respirat...

Страница 210: ...entilation During spontaneous breathing the ventilator may at times support the patient s ventilation with an extra inspiration If these ventilator inspirations are substantially larger than the spont...

Страница 211: ...n contact Electrodes are positioned correctly Correct leadwire set is selected The trunk cable is connected properly Leadwire set is properly connected to the trunk cable Correct leadwire type is sele...

Страница 212: ...B30 Patient Monitor 15 10...

Страница 213: ...ting a cuff and a cuff hose 16 3 Connecting the cuff hose 16 4 NIBP Setup menu 16 4 Starting 16 5 During measurement 16 5 Autocycling 16 6 Setting cycle time 16 6 Starting a manual measurement 16 7 Ca...

Страница 214: ...Table of contents ii...

Страница 215: ...this device are equivalent to those obtained by an intra arterial blood pressure measurement device Multiple intra arterial sites were used You can set the NIBP module into an automatic cycling mode...

Страница 216: ...sive blood pressure 2 Label 3 Mean pressure value of NIBP 4 Time since the last autocycle measurement 5 NIBP autocycle time indicator NOTE When 60 minutes has passed from the latest NIBP measurement t...

Страница 217: ...tion limits automatically for adults to Adult For children and when using hoses without identification the light blue infant hose the inflation limit must be set manually in the NIBP Setup menu To do...

Страница 218: ...ant This selection allows you to override the automatic safety limit feature for the hose cuff being used The selections are Auto Infant Child and Adult The selection AUTO is not available when using...

Страница 219: ...roper measurement a new measurement starts automatically When the measurement is ready you can hear a short beep and see the result numbers flashing WARNING The monitor sets the inflation pressure aut...

Страница 220: ...ule or side panel key or press the NIBP key on the Command Board and select Start Cycling The bar at the bottom of the NIBP field shows the time remaining to the next measurement To stop autocycling P...

Страница 221: ...ect Cancel Starting and stopping a continuous measurement STAT The STAT mode initiates continuous measurement for five minutes A new NIBP measurement starts immediately after the previous one In STAT...

Страница 222: ...venous stasis pressure and venous stasis times are listed in the table below Venous stasis pressure may be lower than the values above if the patient has low blood pressure The venous stasis pressure...

Страница 223: ...icate that the presence of some arrhythmias during measurement may increase the time required for the measurement Checklist Check that The hose is correct black NIBP hose for adults and children and l...

Страница 224: ...B30 Patient Monitor 16 10...

Страница 225: ...y gas CO2 17 1 Overview 17 1 Module description 17 1 Display of gases 17 2 Patient connections 17 3 Points to note 17 4 CO2 setup menu 17 5 Selecting alarm sources 17 5 Calibrating 17 6 Interfering ga...

Страница 226: ...Table of contents ii...

Страница 227: ...gnal which exceeds 1 8 mmHg All concentrations are measured and displayed breath by breath Module description The airway gas measurement is housed in the N FC and N FCREC modules You can connect and d...

Страница 228: ...r CO2 selected in the Monitor Setup menu 2 Gas waveforms 3 Message field for gases 4 Gas label 5 Digit field for ET and FI gas values 6 Respiration rate 7 Scale NOTE When the measured CO2 value is out...

Страница 229: ...k 6 Before connecting the patient wait until the message Calibrating gas sensor disappears Then make the patient connections as described below and connect the sampling line to the airway adapter 7 Po...

Страница 230: ...e only approved accessories For a list of approved supplies and accessories see the Supplies and Accessories catalog delivered with the monitor Other accessories may cause a safety hazard damage the e...

Страница 231: ...impedance measurement is present and the source is AUTO the respiration rate calculation switches back to impedance respiration if you press the Silence Alarms key during an Apnea alarm CO2 Alarm Open...

Страница 232: ...e calibration gas Do not use any other calibration gases Use the regulator 755534 or equivalent Use the gas 755580 only and set the CO2 concentration to 20 If you do not use the recommended calibratio...

Страница 233: ...over the item Recalibrate and the text Calibr error is displayed after each gas Push the ComWheel to perform a new calibration If adjustments are required Turn the ComWheel to highlight the first gas...

Страница 234: ...vol Desflurane 24 increases 1 2 vol Sevoflurane 6 increases 0 4 vol Helium 50 decreases 0 3 vol If O2 compensation is not activated O2 40 to 95 decreases 0 3 vol If O2 compensation is activated O2 40...

Страница 235: ...cted to the water trap Monitor is turned on and self check is performed with the sampling line attached Sampling line is connected to the airway adapter The humidification and or bacteria filter are i...

Страница 236: ...B30 Patient Monitor 17 10...

Страница 237: ...encing permanently 4 9 ST limit 11 13 Arrhythmia alarm settings 11 15 arrhythmia algorithm 11 16 detecting 11 15 selecting leads 11 16 Axillary temperature 13 3 B Batteries capacity 2 12 charging indi...

Страница 238: ...M 13 2 16 1 E PSMP 13 2 16 1 Equipment safety symbols 2 15 ESD warning symbol 2 16 Esophageal temperature 13 3 F Filter ECG 11 6 Functioning of the alarms 9 2 G Gas calibrating 17 6 Graphical trends 6...

Страница 239: ...ive blood pressure 14 2 NIBP 16 3 SpO2 12 3 temperature 13 2 Preparations 3 5 Printing numerical trends 6 10 Printout tabular trend printout 8 7 Problems messages 10 2 other situations 10 8 Pulse rate...

Страница 240: ...cleaning the probes 9 5 combining temperatures 13 4 display 13 2 label 13 3 modules 13 1 patient connections 13 2 testing 13 4 Time setup 5 2 Trend configuring 5 14 graphical pages 6 7 graphical trend...

Страница 241: ......

Страница 242: ...mbH MunzingerStrasse 5 79111 Freiburg Germany Asian Headquarters GE Medical Systems Information Technologies Asia GE China Technology Park 1 Huatuo Road Shanghai 201203 P R China Tel 86 21 3877 7888 F...

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