GE CARESCAPE User manual

GEHealthcare
CARESCAPEModularMonitors
User'sManual
Softwareversion2
CARESCAPEModularMonitors
English
2062978-001DVD
2068394-008paper
©2012GeneralElectricCompany.
Allrightsreserved.

Theinformationinthismanualappliestothesoftwareversionlistedontherstpageofthemanual.Duetocontinuingproductinnovation,
specicationsinthismanualaresubjecttochangewithoutnotice.
Fortechnicaldocumentationpurposes,theabbreviationGEisusedforthelegalentitynames,GEMedicalSystemsInformationTechnologies,
Inc.andGEHealthcareFinlandOy.
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18December2012

Contents
1Aboutthismanual.......................................................................................39
Intendeduseofthismanual.........................................................................39
Intendedmarketsofthismanual...............................................................39
Intendedaudienceofthismanual...............................................................39
Trainingrequirements..................................................................................39
Manualconventions.....................................................................................39
Monitornamingconventions.....................................................................40
Acquisitionmodulenamingconventions..................................................40
Illustrationsandnames................................................................................41
Relateddocuments.......................................................................................41
Orderingmanuals.........................................................................................41
Trademarks...................................................................................................42
Thirdpartytrademarks...............................................................................42
Manufacturerresponsibility.........................................................................42
2Safety............................................................................................................43
Safetymessagesignalwords.......................................................................43
Systemsafety................................................................................................43
Systemwarningsafetymessages...............................................................43
Accessorieswarnings.................................................................................43
Cableswarnings..........................................................................................44
Debrillationwarnings................................................................................44
Electricalwarnings......................................................................................44
Equipmentwarnings...................................................................................45
Siterequirementwarnings.........................................................................46
Systemcautionsafetymessages................................................................46
Lossofdata.................................................................................................46
Electricalcaution.........................................................................................46
Siterequirementcautions..........................................................................47
Noticesafetymessages...............................................................................47
Safetysymbols..............................................................................................47
Indicationsforuse.........................................................................................48
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B850indicationsforuse.............................................................................48
B650indicationsforuse.............................................................................49
B450indicationsforuse.............................................................................49
Indicationsforusesafetyprecautions........................................................50
Indicationsforusewarnings......................................................................50
Indicationsforusecautions.......................................................................50
Trainingrequirements..................................................................................50
Electromagneticcompatibility.....................................................................51
EMCwarnings..............................................................................................51
EMCcautions...............................................................................................51
ESDsafetyprecautions...............................................................................52
3Systemintroduction....................................................................................53
Monitorandmodulecompatibilitylimitations............................................53
Systemsafetyprecautions...........................................................................53
Systemwarnings.........................................................................................53
Systemcaution............................................................................................54
B850systemcomponents............................................................................55
B850processingunitfrontview.................................................................56
B850processingunitbackview.................................................................56
B850moduleframesF7andF5.................................................................57
B850Tram-Racframes2Aand4A.............................................................58
B650systemcomponents............................................................................58
B650monitorfrontpanel...........................................................................59
B650monitorsideviews.............................................................................60
B650monitorbackpanel...........................................................................60
B650pivotingmoduleframe......................................................................61
B450systemcomponents............................................................................62
B450monitorfrontpanel...........................................................................64
B450monitorsideviews.............................................................................64
B450monitorbackpanel...........................................................................65
Monitorbattery.............................................................................................65
InsertingandremovingtheB650monitorbattery...................................66
InsertingandremovingtheB450monitorbattery...................................67
Checkingthebatterychargewithmonitorsoftware................................67
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Monitorbatterychargesymbolsonscreen...............................................68
Batterytestbutton......................................................................................68
Alarmlight.....................................................................................................69
Displays..........................................................................................................69
Acquisitionmodules......................................................................................70
PSMPfrontview...........................................................................................70
PDMfrontview............................................................................................71
TRAMmodulefrontview.............................................................................72
Single-parameterTram-Racfrontview.....................................................72
Modulesandparameters...........................................................................73
Barcodereader.............................................................................................77
Keyboard.......................................................................................................77
Mouse............................................................................................................77
Remotecontrolandkeypad.........................................................................78
Recordersandlaserprinters........................................................................78
AbouttheUnityNetworkInterfaceDevice(ID)............................................78
CICProClinicalInformationCenter..............................................................79
CARESCAPECentralStation..........................................................................79
iCentral..........................................................................................................80
Remotealarmbox(nursecall)......................................................................80
iPanelsoftwareapplication..........................................................................81
Equipmentsymbols......................................................................................81
Userinterfacesymbols.................................................................................89
4Monitoringbasics........................................................................................93
Modulecompatibilitylimitations..................................................................93
Identicalmodules..........................................................................................93
Connectingandremovingmodules:B850..................................................94
ConnectingaPDMorPSMtoaframe........................................................94
RemovingaPDMorPSMfromaframe.....................................................94
ConnectingotherE-modulesthanthePSMtoaframe............................94
RemovingotherE-modulesthanPSMfromaframe................................95
ConnectingTRAMmodulestoaTram-Rachousing.................................95
RemovingTRAMmodulesfromaTram-Rachousing...............................95
Connectingandremovingmodules:B650..................................................96
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RemovingaPSMorPDMfromtheB650....................................................96
ConnectingaPDMorPSMtotheB650......................................................96
ConnectingotherE-modulesthanPSMtotheB650................................96
RemovingotherE-modulesthanPSMfromtheB650..............................97
Connectingandremovingmodules:B450..................................................97
ConnectingaPDMorPSMtotheB450......................................................97
RemovingaPDMorPSMfromtheB450....................................................98
ConnectingotherE-modulesthanPSMtotheB450................................98
RemovingotherE-modulesthanPSMfromtheB450..............................98
Mainkeys.......................................................................................................98
Mainscreenlayout......................................................................................101
Anexampleofamenu..............................................................................102
Menuoptions...............................................................................................102
Selectingmenuoptionswithatouchscreen...........................................103
SelectingmenuoptionswiththeTrimKnobcontrol...............................103
Selectingmenuoptionswithamouse.....................................................103
Dataeldentries.........................................................................................103
Enteringdatawiththeon-screenkeyboard............................................103
Enteringdatawithakeyboard.................................................................103
Puttingthemonitorintooperation............................................................104
Operationwarnings..................................................................................104
Operationcaution.....................................................................................104
Monitorinstallationpointstonote.............................................................104
Turningonthemonitor...............................................................................105
Performancecheck.....................................................................................105
MessageaboutPDMservice......................................................................105
Pre-monitoringchecklist.............................................................................105
Supplymainsinterruption..........................................................................106
Powerfailurealarm.....................................................................................106
5Settingupthemonitorbeforeuse...........................................................107
Normalscreenandotherpages................................................................107
Selectingthenormalscreen(mainpage)................................................107
Selectingpages.........................................................................................107
Adjustingsoundvolumes...........................................................................108
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Brightnesssettings.....................................................................................108
B850displaybrightness............................................................................108
Adjustingthedisplaybrightnessautomatically......................................108
Adjustingthedisplaybrightnessmanually..............................................108
Adjustingthealarmlightbrightness........................................................109
Settingthekeyboardlighttoturnonautomatically...............................109
Turningthekeyboardlightonmanually..................................................109
Screensetupmodications........................................................................109
Parameterwindows..................................................................................109
Selectingparameterstothescreen.........................................................110
Waveformeldsafetyprecautions..........................................................110
SelectingthedisplaymodeforIPwaveforms.........................................111
Settingupasplitscreen............................................................................111
Lockedalarmandparametersettings....................................................111
Colorselections.........................................................................................112
Parametercongurations.........................................................................112
Settingupprintingoptions.........................................................................112
CheckingthePDMbatterystatus..............................................................113
Checkingthemonitorbatterystatus.........................................................113
Settingthetouchscreenoff........................................................................113
B850withseveralscreens..........................................................................113
Othersetupchanges..................................................................................113
6Startingandendingmonitoring..............................................................115
Monitorandmodulecompatibility.............................................................115
Softwarepackagesandterminology.........................................................115
Abouttheuserdefaultsettings..................................................................115
InvasivepressurelabelsandPDMorTRAM...............................................115
Startingmonitoring.....................................................................................116
Aboutthecombinationmonitoringmode.................................................117
Enteringpatientdata..................................................................................118
Enteringpatientdatawiththemonitor...................................................118
Enteringpatientdatawithabarcodereader..........................................119
Abouttherovingfunctionality....................................................................119
Rovingbetweenunits................................................................................120
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Rovingbetweenbeds................................................................................120
Addingnewunitsandbeds(manualroving)...........................................120
Enteringadministrativeinformation..........................................................121
LoadingpatientinformationfromtheCARESCAPENetwork(ADT
server)..........................................................................................................121
LoadingpatientdataandtrenddatafromtheS/5Network...................121
Aboutstandby.............................................................................................122
Startingstandby........................................................................................122
Endofstandby...........................................................................................123
Aboutcontinuingmonitoring.....................................................................123
Howtocontinuemonitoringwhenacaseisnotactive/patientis
discharged.................................................................................................123
Howtocontinuemonitoringwhenacaseisactive/patientis
admitted....................................................................................................124
Aboutcasereset/patientdischarge..........................................................125
Pendingsoftwareorsettingactivation....................................................125
Residualphysiologicaldata......................................................................125
Resettingacase/dischargingapatient...................................................125
Resettingacase/dischargingapatientincombinationmonitoring
mode..........................................................................................................126
7Alarms.........................................................................................................127
Alarmwarnings...........................................................................................127
Alarmcautions............................................................................................129
Alarmoverview...........................................................................................129
Alarmtypes................................................................................................129
Alarmconditions.......................................................................................129
Alarmprioritylevels...................................................................................130
Alarmpriorityescalation...........................................................................130
Physiologicalalarms’activationcriteria..................................................130
Broadcastonlyalarms..............................................................................131
Checkingalarmfunction...........................................................................133
Alarmindications........................................................................................133
Alarmiconsonthescreen........................................................................133
Descriptionofalarmandinformationmessages....................................134
Settingthealarmlightbrightness............................................................135
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Audiblealarmsignals................................................................................135
Audibleandvisualalarmsignals..............................................................136
Auditoryinformationsignals....................................................................136
Audiblealarmsoffbehavior.....................................................................136
Pauseaudiobehaviors...............................................................................137
Pausingalarmsfor5minutes...................................................................138
Activatingallaudiblealarms....................................................................138
Technicalalarms’deactivationwiththepauseaudiokey.......................139
Apneaalarms’deactivationwiththepauseaudiokey.............................139
Pauseaudiowithcombinationmonitoring...............................................139
Breakthroughalarms..................................................................................139
Latchedalarms...........................................................................................140
Settingparameteralarmlimits..................................................................140
Alarmlocks................................................................................................140
Alarmguardlimits.....................................................................................140
Settingarrhythmiaalarms.........................................................................141
Selectingparameteralarmprioritylevels.................................................141
Settingalarmlimitsautomatically.............................................................142
Defaultautoalarmlimits..........................................................................143
Returningthedefaultalarmlimits.............................................................143
Turningoffalllocalalarmindicators(sleepmode)...................................144
Remotemanagementofalarms................................................................144
Alarmsettingsafterapowerloss..............................................................144
AlarmdatastoredinClinicallogs..............................................................145
Storedalarmdataduringapowercycleorpowerloss...........................145
8ECG..............................................................................................................147
ECGcompatibilitylimitations......................................................................147
ECGsafetyprecautions..............................................................................147
ECGwarnings............................................................................................147
ECGcautions.............................................................................................149
ECGmeasurementlimitations....................................................................149
ECGpointstonote......................................................................................149
ECGmeasurementsetup............................................................................150
ECGequipmenttopatientconnection.....................................................150
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Preparingthepatient’selectrodesites....................................................150
Applyingtheelectrodestothepatient.....................................................150
3–leador5–leadECGelectrodeplacement...........................................151
6–leadECGelectrodeplacement.............................................................151
10–leadECGelectrodeplacementforcardiacmonitoring....................152
Standardresting10–leadECGelectrodeplacement..............................153
CheckingtheECGmeasurement.............................................................154
AbouttheECGanalogoutputsignal..........................................................154
Aboutthecombinationmonitoringmode.................................................155
SelectingtheECGsource..........................................................................156
UsingtheECGmeasurement.....................................................................156
TherstthreedisplayedECGleads..........................................................156
SelectingtheVaECGlead.........................................................................157
SelectingtheVbECGlead.........................................................................157
ChangingtoanECGcablewithfewerleadwires....................................158
DeactivatingtheECGleadsoffalarm......................................................158
Selectingthebeatsource.........................................................................158
Settingthebeatvolume............................................................................158
SettingthebeeptoneduringbradycardiaandHRlowalarms..............159
Variablebeattone.....................................................................................159
Aspectratioanddifferentdisplaysizes...................................................159
SelectingtheECGwaveformsize.............................................................159
Selectingthehemodynamicwaveformsweepspeed............................160
PrintingallECGwaveforms......................................................................160
SelectingtheECGwaveformlter............................................................160
SettingtheQRSwidth...............................................................................161
SelectingtheleadsforECGanalysis........................................................161
Relearningthepatient’sQRSpattern.......................................................161
SettingtheprimaryHRsource.................................................................162
ShowingasecondHRvalueintheHRparameterwindow....................162
ShowingSTintheHRparameterwindow...............................................163
ShowingPVCintheHRparameterwindow............................................163
ShowingQTintheHRparameterwindow...............................................163
DisplayingtheECGgrid.............................................................................163
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