GE CARESCAPE User manual

CARESCAPEONE
UserManual
Softwareversion1
CARESCAPEONE
English
1stedition
2094480-001paper
©2017GeneralElectricCompany.
Allrightsreserved.
CARESCAPE ONE User Manual DRAFT 26 October 2017

Theinformationinthismanualappliestothesoftwareversionlistedontherstpageofthemanual.Duetocontinuingproductinnovation,
specicationsinthismanualaresubjecttochangewithoutnotice.
Fortechnicaldocumentationpurposes,theabbreviationGEisusedforthelegalentitynames,GEMedicalSystemsInformationTechnologies,
Inc.andGEHealthcareFinlandOy.
2CARESCAPEONE2094480-001
2017-10-26
CARESCAPE ONE User Manual DRAFT 26 October 2017

Contents
1Aboutthismanual.......................................................................................23
Intendeduseofthismanual.........................................................................23
Intendedaudienceofthismanual...............................................................23
Trainingrequirements..................................................................................23
Manualconventions.....................................................................................24
Monitornamingconventions.....................................................................24
Othernamingconventions.........................................................................24
Illustrationsandnames................................................................................25
Relateddocuments.......................................................................................25
Orderingmanuals.........................................................................................25
Productavailability.......................................................................................25
Trademarks...................................................................................................25
Thirdpartytrademarks...............................................................................26
Manufacturerresponsibility.........................................................................26
2Safety............................................................................................................27
Safetymessagesignalwords.......................................................................27
Safetysymbols..............................................................................................27
Systemsafety................................................................................................28
Systemwarningsafetymessages...............................................................28
Accessorieswarnings.................................................................................29
Cableswarnings..........................................................................................29
Debrillationwarnings................................................................................29
Electricalwarnings......................................................................................30
Systemwarnings.........................................................................................31
Siterequirementwarnings.........................................................................31
Systemcautionsafetymessages................................................................32
Lossofdata.................................................................................................32
Electricalcaution.........................................................................................32
Siterequirementcaution............................................................................32
Noticesafetymessages...............................................................................32
Indicationsforuse.........................................................................................32
2094480-001CARESCAPEONE3
CARESCAPE ONE User Manual DRAFT 26 October 2017

Contraindicationsforusingthemonitor....................................................32
CARESCAPEONEindicationsforuse..........................................................32
Indicationsforusesafetyprecautions........................................................33
Indicationsforusewarnings......................................................................33
Indicationsforusecautions.......................................................................34
Trainingrequirements..................................................................................34
Electromagneticcompatibility.....................................................................34
EMCwarnings..............................................................................................34
EMCcautions...............................................................................................35
ESDsafetyprecautions...............................................................................35
3Systemintroduction....................................................................................37
Systemsafetyprecautions...........................................................................37
Systemwarnings.........................................................................................37
Operationwarnings....................................................................................37
CARESCAPEONEinstallationpointstonote................................................37
Shortdescriptionoftheequipment.............................................................38
CARESCAPEONEsystemcomponents.........................................................39
CARESCAPEONEfrontandbackviews......................................................40
CARESCAPEONEsideview.........................................................................41
CARESCAPEParameters..............................................................................41
Powerstatusindicator................................................................................41
Battery...........................................................................................................42
Batterystatusindicator..............................................................................42
Installingbatteries.......................................................................................42
Docks.............................................................................................................45
ConnectingtheCARESCAPEONEtoadock...............................................45
DisconnectingtheCARESCAPEONEfromadock.....................................46
CARESCAPEDockF0....................................................................................46
MiniDock.....................................................................................................48
ParameterDock1andParameterDock5.................................................48
Equipmentsymbols......................................................................................48
UniqueDeviceIdentier(UDI).......................................................................53
CEmarkingapplicationyear........................................................................54
Servicerequirements....................................................................................54
4CARESCAPEONE2094480-001
CARESCAPE ONE User Manual DRAFT 26 October 2017

4Monitoringbasics........................................................................................55
Mainscreenlayout........................................................................................55
Mainkeys.......................................................................................................56
Anexampleofamenu..................................................................................56
Menuoptions.................................................................................................57
Selectingmenuoptionswithatouchscreen.............................................57
Dataeldentries...........................................................................................58
Enteringdata...............................................................................................58
Abouttheuserdefaultsettings....................................................................58
Aboutproles................................................................................................58
Selectingaprole........................................................................................58
Supplymainsinterruption............................................................................59
Userinterfaceindicators..............................................................................59
5Settingupthemonitorbeforeuse.............................................................61
Normalscreenandotherpages..................................................................61
Selectingthenormalscreen(mainpage)..................................................61
Adjustingsoundvolumes.............................................................................61
Brightnesssettings.......................................................................................61
Adjustingthedisplaybrightness................................................................61
Adjustingthealarmlightbrightness..........................................................62
Screensetupmodications..........................................................................62
Parameterwindows....................................................................................62
Normalscreenpages..................................................................................63
Selectingparameterstothenormalscreen..............................................64
Waveformeldsafetyprecautions............................................................64
Lockedalarmandparametersettings......................................................64
Colorselections...........................................................................................64
Parametercongurations...........................................................................65
Checkingthebatterystatus.........................................................................65
Settingthetouchscreenoff..........................................................................65
Othersetupchanges....................................................................................65
6Startingandendingmonitoring................................................................67
Softwarepackagesandterminology...........................................................67
TurningontheCARESCAPEONE..................................................................67
2094480-001CARESCAPEONE5
CARESCAPE ONE User Manual DRAFT 26 October 2017

TurningofftheCARESCAPEONE..................................................................67
Startingmonitoring.......................................................................................67
Pre-monitoringchecklist...............................................................................68
Performancecheck.......................................................................................69
Enteringpatientdata....................................................................................69
Resettingacase/dischargingapatient.......................................................69
Aboutcontinuingmonitoring.......................................................................69
Aboutstandby...............................................................................................70
Startingstandby..........................................................................................70
Endofstandby.............................................................................................71
7Alarms...........................................................................................................73
Alarmsafetyprecautions.............................................................................73
Alarmwarnings...........................................................................................73
Alarmoverview.............................................................................................74
Alarmtypes..................................................................................................74
Alarmconditions.........................................................................................75
Alarmsindualmonitoring..........................................................................75
Checkingalarmfunction.............................................................................75
Visualalarmindications...............................................................................76
Alarmiconsonthescreen..........................................................................76
Descriptionofalarmandinformationmessages......................................76
Visualalarmsignalsandprioritylevels......................................................77
Settingthealarmlightbrightness..............................................................77
Audiblealarmindications.............................................................................78
Audiblealarmsignals..................................................................................78
Audiblealarmsignalsandprioritylevels...................................................78
Auditoryinformationsignals......................................................................79
Parameteralarms.........................................................................................79
Alarmlocks..................................................................................................79
Settingparameteralarmlimits..................................................................79
Settingalarmlimitsautomatically.............................................................79
Returningthedefaultalarmlimits.............................................................80
Alarmprioritiesandescalation....................................................................81
Alarmprioritylevels.....................................................................................81
6CARESCAPEONE2094480-001
CARESCAPE ONE User Manual DRAFT 26 October 2017

Alarmpriorityescalation.............................................................................81
Selectingparameteralarmprioritylevels..................................................81
Settingarrhythmiaalarms..........................................................................82
Pausingandsilencingalarms......................................................................83
Audiblealarmsoffbehavior.......................................................................83
Pauseaudiobehaviors...............................................................................83
Pausingalarmsfor5minutes.....................................................................84
Activatingallaudiblealarms......................................................................84
Technicalalarms’deactivationwiththepauseaudiokey........................85
Apneaalarms’deactivationwiththepauseaudiokey.............................85
Breakthroughalarms..................................................................................85
Latchedalarms...........................................................................................85
Alarmsettingsafterapowerloss................................................................85
AlarmdatastoredinClinicallogs................................................................86
Storedalarmdataduringapowercycleorpowerloss............................86
8Transportuse...............................................................................................87
Transportmonitoring....................................................................................87
Dualmonitoringandtransport..................................................................87
Preparingtotransportapatient..................................................................88
Returningapatientfromtransport.............................................................88
Transporttransfersettings...........................................................................89
Transportsettings.........................................................................................89
Transporttroubleshooting............................................................................95
9ECG................................................................................................................97
ECGcompatibilitylimitations........................................................................97
ECGsafetyprecautions................................................................................97
ECGwarnings..............................................................................................97
ECGcautions...............................................................................................99
ECGmeasurementlimitations......................................................................99
ECGpointstonote........................................................................................99
ECGmeasurementsetup..............................................................................99
ECGequipmenttopatientconnectionwithCARESCAPEONE..................99
Preparingthepatient’selectrodesites....................................................100
Applyingtheelectrodestothepatient.....................................................100
2094480-001CARESCAPEONE7
CARESCAPE ONE User Manual DRAFT 26 October 2017

3-leador5-leadECGelectrodeplacement............................................101
6-leadECGelectrodeplacement.............................................................101
10–leadECGelectrodeplacementforcardiacmonitoring....................102
Standardresting10–leadECGelectrodeplacement..............................103
CheckingtheECGmeasurement.............................................................104
AbouttheECGanalogoutputsignal..........................................................104
UsingtheECGmeasurement.....................................................................104
TherstthreedisplayedECGleads..........................................................104
SelectingtheVaECGlead.........................................................................105
SelectingtheVbECGlead.........................................................................105
ChangingtoanECGcablewithfewerleadwires....................................105
DeactivatingtheECGleadsoffalarm......................................................105
Settingthebeatvolume............................................................................106
Selectingthebeatsource.........................................................................106
Settingthebeeptoneduringbradycardiaalarms..................................106
SelectingtheECGwaveformsize.............................................................106
Selectingthehemodynamicwaveformsweepspeed............................107
SelectingtheECGwaveformlter............................................................107
SettingtheQRSwidth...............................................................................107
SelectingtheleadsforECGanalysis........................................................108
Relearningthepatient’sQRSpattern.......................................................108
SettingtheprimaryHRsource.................................................................108
SelectingHRalarmrange.........................................................................109
ShowinganothervalueintheHRparameterwindow............................109
DisplayingtheECGgrid.............................................................................110
ECGalarmlimits........................................................................................110
ECGalarmpriorities..................................................................................111
ECGmeasurementpracticalities................................................................111
Alternatepulseratesource......................................................................111
IntelliRatealgorithm..................................................................................111
Autoalgorithm...........................................................................................112
ECGtroubleshooting...................................................................................112
Aboutthe12RL™feature............................................................................112
Pacemakerdetection..................................................................................113
8CARESCAPEONE2094480-001
CARESCAPE ONE User Manual DRAFT 26 October 2017

Pacemakerdetectionwarnings...............................................................113
Pacemakerdetectionpointstonote........................................................113
Selectingthepacemakerdetection.........................................................114
Pacemakerdetectiontroubleshooting....................................................114
Arrhythmiamonitoring...............................................................................115
Arrhythmiamonitoringwarnings.............................................................115
Arrhythmiameasurementlimitations......................................................116
Settingthearrhythmiacategorytoalarm...............................................117
Settingarrhythmiaalarms........................................................................117
SettingHRforVTach................................................................................117
Settingthepauseinterval.........................................................................117
SettingtheSVTlength...............................................................................118
SettingHRforSVT.....................................................................................118
Arrhythmiaalarmmessages....................................................................118
Aboutthearrhythmiadetection...............................................................120
Arrhythmiatroubleshooting.....................................................................120
STdetection.................................................................................................122
AbouttheSTanalysis................................................................................122
STdetectionmeasurementlimitations....................................................122
STdetectionpointstonote.......................................................................122
StartingtheSTdetection..........................................................................122
STalarmlimits...........................................................................................122
10Impedancerespiration..............................................................................123
Impedancerespirationcompatibilitylimitations......................................123
Respirationsafetyprecautions..................................................................123
Respirationwarnings................................................................................123
Respirationcautions.................................................................................124
Respirationmeasurementlimitations........................................................124
Respirationpointstonote..........................................................................124
Respirationmeasurementsetup................................................................125
RespirationequipmenttopatientconnectionwithCARESCAPE
ONE............................................................................................................125
Preparingthepatient’srespirationelectrodesites.................................125
Respirationleadandbreathdetection....................................................125
2094480-001CARESCAPEONE9
CARESCAPE ONE User Manual DRAFT 26 October 2017

RespirationleadIelectrodeplacement...................................................126
RespirationleadIIelectrodeplacement..................................................126
RespirationleadRL-LLelectrodeplacement...........................................127
Respirationmeasurementchecks............................................................127
Respirationmeasurementonthemonitorscreen....................................127
Usingtherespirationmeasurement..........................................................128
Turningontherespirationmeasurement................................................128
Selectingtherespirationlead...................................................................128
Selectingtherespirationwaveformsizeautomatically..........................128
Selectingtherespirationwaveformsizemanually.................................128
Selectingthewaveformsensitivity..........................................................128
Enablingrespirationsmoothing...............................................................128
Turninginspirationandexpirationmarkersonoroff............................129
Selectingthewaveformspeed.................................................................129
Relearningtherespirationpattern...........................................................129
Turningonorofftherespirationratealarm............................................129
Settingtherespirationalarmlimits..........................................................129
Apneaalarms’deactivationwiththepauseaudiokey...........................130
Settingtheapneaalarmdelay.................................................................130
Enablingtherespirationcardiacartifactalarm......................................130
Respirationalarmpriorities......................................................................130
Turningofftherespirationmeasurement...............................................130
Respirationmeasurementdescription......................................................131
Howtointerprettherespirationvalues.....................................................131
Respirationtroubleshooting.......................................................................131
11SpO₂.............................................................................................................133
SpO2compatibilitylimitations....................................................................133
SpO2safetyprecautions.............................................................................133
SpO2warnings...........................................................................................133
SpO2cautions............................................................................................136
SpO2measurementlimitations..................................................................137
SpO2pointstonote.....................................................................................137
Masimosafetyprecautions........................................................................137
Masimowarnings......................................................................................137
10CARESCAPEONE2094480-001
CARESCAPE ONE User Manual DRAFT 26 October 2017

Masimocautions.......................................................................................139
Masimopointstonote..............................................................................140
SpO₂measurementguidelines...................................................................141
GETruSignaltechnologyandsensormeasurementguidelines.............141
MasimoSETtechnologyandsensormeasurementguidelines..............141
Nellcor™sensorswithOxiMax™technologyandsensormeasurement
guidelines...................................................................................................142
SpO₂measurementsetup..........................................................................143
SpO2equipmenttopatientconnectionwithCARESCAPEONE..............143
PreparingtheSpO2connection................................................................143
CheckingtheSpO2measurement............................................................143
UsingtheSpO₂measurement....................................................................144
ChangingtheSpO2waveformscale........................................................144
ChangingtheSpO2waveformsize...........................................................144
SelectingtheSpO2hemodynamicsweepspeed.....................................144
SelectingtheSpO2astheprimaryheartratesource.............................144
ShowingtheSpO2pulserate....................................................................145
AdjustingtheSpO2pulsebeepvolume....................................................145
Selectingthebeatsource.........................................................................145
Settingthevariablebeattone..................................................................145
MasimoSETdataaveragingandupdating.............................................145
SelectingtheSpO2averagingtime..........................................................145
SelectingtheMasimoSpO2sensorsensitivitylevel................................146
Nellcor™sensorswithOxiMax™technologydataaveragingand
updating.....................................................................................................146
SelectingtheSpO2responsetime............................................................146
Nellcor™OxiMax™SatSeconds™alarmmanagement............................147
SettingtheSpO2alarmsandalarmlimits................................................148
DeactivatingtheSpO2probeoffalarm...................................................148
SpO2alarmpriorities.................................................................................148
StoppingtheSpO2measurement............................................................149
HowtointerprettheSpO₂values...............................................................149
SpO2signalstrength.................................................................................149
SpO2waveformquality.............................................................................149
2094480-001CARESCAPEONE11
CARESCAPE ONE User Manual DRAFT 26 October 2017

SpO2waveformstability...........................................................................150
SpO2wavelengthsandopticaloutputpower...........................................150
SpO2measurementandinterference........................................................150
SpO2troubleshooting..................................................................................151
12Non-invasivebloodpressure....................................................................153
NIBPcompatibilitylimitations....................................................................153
NIBPsafetyprecautions.............................................................................153
NIBPwarnings...........................................................................................153
NIBPcautions............................................................................................154
NIBPmeasurementlimitations..................................................................155
NIBPpointstonote.....................................................................................155
NIBPmeasurementsetup...........................................................................156
NIBPequipmenttopatientconnectionwithCARESCAPEONE...............156
PreparingtheNIBPpatientconnection...................................................156
CheckingtheNIBPmeasurement............................................................156
NIBPmeasurementonscreen...................................................................157
ManualNIBPmeasurements......................................................................157
StartingorstoppingasingleNIBPmeasurementfromthemain
menu..........................................................................................................157
StartingorstoppingasingleNIBPmeasurementfromtheNIBPsetup
menu..........................................................................................................157
AutomaticNIBPmeasurements.................................................................157
NIBPAutomode........................................................................................157
SettingthecycletimebetweenNIBPmeasurements.............................158
AutomaticNIBPmeasurementsandmonitorclock
synchronization.........................................................................................158
STATmode.................................................................................................158
NIBPcuffs....................................................................................................159
NIBPcuffselectionandplacement..........................................................159
SelectingNIBPcuffsize.............................................................................159
InitialNIBPcuffinationpressure............................................................159
NIBPvolumeanddisplaysettings..............................................................160
AdjustingtheNIBPmeasurementcompletiontonevolume..................160
SettingtheNIBPdisplayformat...............................................................160
NIBPalarms.................................................................................................160
12CARESCAPEONE2094480-001
CARESCAPE ONE User Manual DRAFT 26 October 2017

SettingNIBPalarms..................................................................................160
NIBPalarms’deactivationwithpauseaudiokey....................................161
NIBPrecheckafteralarmviolation(controlmeasurement)...................161
NIBPmeasurementdescription.................................................................161
NIBPmeasurementtechnologies..............................................................162
DINAMAPSuperSTATNIBPtechnology.....................................................162
DINAMAPStepDeationtechnology.......................................................162
NIBPcalibration...........................................................................................163
NIBPtroubleshooting..................................................................................164
13Invasivepressures.....................................................................................165
Invasivepressurescompatibilitylimitations.............................................165
Invasivepressuresafetyprecautions........................................................165
Invasivepressurewarnings......................................................................165
Invasivepressurepointstonote................................................................166
Invasivepressuremeasurementsetup.....................................................166
InvasivepressureequipmenttopatientconnectionwithCARESCAPE
ONE............................................................................................................166
Connectingtheinvasivepressuretransducerandcable.......................166
Checkingtheinvasivepressuremeasurement.......................................166
Invasivepressuremeasurementonthemonitorscreen........................167
Usingtheinvasivepressuremeasurement...............................................167
Invasivepressureanalogoutput..............................................................167
Aboutzeroingtheinvasivepressuretransducers...................................167
Zeroingtheinvasivepressuretransducers.............................................168
Selectinganinvasivepressurechannellabel..........................................168
Selectingthesizeoftheinvasivepressurewaveform............................168
Optimizingtheinvasivepressurewaveformscale..................................168
Selectingthehemodynamicwaveformsweepspeed............................169
Selectingthedisplayedinvasivepressureformat...................................169
Selectinginvasivepressureastheprimaryheartratesource...............169
Showingthepulserateintheinvasivepressureparameter
window......................................................................................................170
ShowingtheCPPvalueintheICPparameterwindow............................170
UsingtheIPchannelstandby...................................................................170
2094480-001CARESCAPEONE13
CARESCAPE ONE User Manual DRAFT 26 October 2017

Selectingtheinvasivepressurenoisereductionlter.............................170
Selectingtheprimaryarterialsource......................................................171
SelectingSmartBP....................................................................................171
Compensatingforintra-aorticballoonpump(IABP)waveform
irregularities...............................................................................................171
Settinganarterialinvasivepressuredisconnectionalarm......................172
Settinginvasivepressurealarmlimits.......................................................172
Invasivepressuresalarmpriorities............................................................172
Invasivepressurepracticalities..................................................................173
Invasivepressureparameters..................................................................173
Intra-aorticballoonpump........................................................................173
Invasivepressuretroubleshooting.............................................................176
14Temperature...............................................................................................179
Temperaturecompatibilitylimitations.......................................................179
Temperaturesafetyprecautions................................................................179
Temperaturewarnings.............................................................................179
Temperaturecautions...............................................................................179
Temperaturepointstonote........................................................................180
Temperaturemeasurementsetup.............................................................180
TemperatureequipmenttopatientconnectionwithCARESCAPE
ONE............................................................................................................180
Preparingthepatientfortemperaturemeasurement............................180
Checkingthetemperaturemeasurement...............................................181
Temperaturemeasurementonscreen......................................................181
Usingthetemperaturemeasurement.......................................................181
Temperaturemappings............................................................................181
Startingthetemperaturemeasurement.................................................181
Changingthetemperaturesitelabel.......................................................181
Settingtemperaturealarms.....................................................................181
Stoppingthetemperaturemeasurement................................................182
Temperaturepracticalities.........................................................................182
Temperaturetroubleshooting....................................................................182
15CO₂...............................................................................................................185
CO2safetyprecautions...............................................................................185
14CARESCAPEONE2094480-001
CARESCAPE ONE User Manual DRAFT 26 October 2017

CO2warnings.............................................................................................185
CO2cautions..............................................................................................186
CO2pointstonote.......................................................................................186
CO₂measurementsetup............................................................................187
EquipmentconnectionwithCARESCAPECO2..........................................187
PreparingthesetupforCARESCAPECO2.................................................187
Aboutsidestreamkits...............................................................................188
UsingtheCO₂measurement......................................................................188
PumponoroffwithCARESCAPECO2.......................................................188
SelectingtheCO2scale.............................................................................188
SelectingtheCO2sweepspeed................................................................188
SettingCO2limitalarms............................................................................189
Deactivatingtheapneaalarm.................................................................189
Apneaalarmdeactivationwiththepauseaudiokey.............................189
SelectingCO2average..............................................................................190
SelectingtheFiO2level..............................................................................190
SelectingtheN2Olevel..............................................................................190
Selectingtheapneaalarmlimit...............................................................190
ZeroingtheLoFloSidestreamModule.....................................................190
Preventingcareareapollution...................................................................191
Connectingtoscavengingsystems.........................................................191
StoppingtheCO2measurement................................................................191
BasicsofCO₂measurement.......................................................................191
NormalCO2waveform..............................................................................191
TheoriginoftheCO2waveform...............................................................192
Dipsincapnogram....................................................................................192
CO₂measurementpracticalities................................................................193
Ventilationmanagement..........................................................................193
Preventionofthebreathingsystemcontamination...............................194
Howtopreventeffectsofhumidity..........................................................194
CO2troubleshooting....................................................................................195
16Trends..........................................................................................................197
Viewingnumerictrends..............................................................................197
Changingthetimeintervalofnumerictrends..........................................197
2094480-001CARESCAPEONE15
CARESCAPE ONE User Manual DRAFT 26 October 2017

Aboutsnapshotsandgraphictrends........................................................197
17Cleaningandcare......................................................................................199
Cleaningandcareoverview.......................................................................199
Cleaning.......................................................................................................199
Cleaningsafetyprecautions.....................................................................199
Permitteddetergents................................................................................200
Cleaningpointstonote.............................................................................200
Settingthetouchscreenoffforcleaning.................................................200
Generalcleaninginstructions...................................................................200
Othermanufacturercleaninginstructions..............................................201
Disinfection..................................................................................................204
Disinfectioncleaningprecautions............................................................204
Disinfectionpointstonote........................................................................204
Permitteddisinfectants.............................................................................204
Disinfectionandsterilizationofaccessories...........................................206
Care..............................................................................................................207
Caresafetyprecautions............................................................................207
Careschedules..........................................................................................207
Regularcalibrationchecks.......................................................................208
18Messages....................................................................................................209
MessagesrelatedtoECGmeasurement...................................................209
Messagesrelatedtoimpedancerespirationmeasurementwith
CARESCAPEONE..........................................................................................213
MessagesrelatedtoSpO2measurementwithCARESCAPEONE.............214
MessagesrelatedtoNIBPmeasurement..................................................218
Messagesrelatedtoinvasivepressuresmeasurement...........................219
Messagesrelatedtotemperaturemeasurement.....................................225
MessagesrelatedtoCO2measurement....................................................226
Messagesrelatedtovarioustechnicalissues...........................................229
19Abbreviations.............................................................................................233
Listofabbreviations....................................................................................233
ASkillschecklist............................................................................................239
Systemintroduction....................................................................................239
Startingandending....................................................................................239
16CARESCAPEONE2094480-001
CARESCAPE ONE User Manual DRAFT 26 October 2017

Monitoringbasics........................................................................................240
Alarms..........................................................................................................240
Transport.....................................................................................................241
ECG...............................................................................................................241
Impedancerespiration...............................................................................243
Pulseoximetry(SpO2)..................................................................................243
Non-invasivebloodpressure......................................................................244
Invasivepressures.......................................................................................245
Temperature................................................................................................245
CO2...............................................................................................................246
Trends..........................................................................................................246
BCompatibility..............................................................................................247
Compatibility...............................................................................................247
Measurementdevicecompatibility............................................................247
Identicalmeasurementdevices...............................................................247
Measurementdevicecompatibility..........................................................248
Hostmonitorcompatibility.........................................................................248
Dockcompatibility......................................................................................248
CCompliance.................................................................................................249
Standardscompliance................................................................................249
IEC60601-1.................................................................................................249
DDesign,environmental,andphysicalspecications.............................251
CARESCAPEONEspecications..................................................................251
CARESCAPEDockF0specications...........................................................253
MiniDock,ParameterDock1,andParameterDock5
specications..............................................................................................254
CARESCAPEECGspecications..................................................................255
CARESCAPESpO2specications.................................................................255
CARESCAPEPressurespecications..........................................................257
CARESCAPETemperaturespecications...................................................258
CARESCAPECO2specications...................................................................258
EAlarmspecications..................................................................................261
Alarmstandardscompliance.....................................................................261
Auditoryalarmvolume,IECtones..............................................................261
2094480-001CARESCAPEONE17
CARESCAPE ONE User Manual DRAFT 26 October 2017

Auditoryalarmvolume,legacytones........................................................261
Audioalarmsoundtolerances...................................................................262
IECalarmtonesoundpatterns................................................................262
Legacyalarmtonesoundpatterns..........................................................263
Auditoryinformationsignalcharacteristics..............................................263
Visualinformationsignals..........................................................................263
Alarmdelayspecications.........................................................................263
Timetoalarmfortachycardia..................................................................264
Physiologicalalarmdelayspecications.................................................264
Technicalalarmdelayspecications.........................................................269
Alarmprioritiesandescalationtimes........................................................273
AlarmprioritiesandescalationtimesforECG.........................................273
Alarmprioritiesandescalationtimesforimpedancerespiration...........278
AlarmprioritiesandescalationtimesforSpO2.......................................279
AlarmprioritiesandescalationtimesforNIBP........................................283
Alarmprioritiesandescalationtimesforinvasivepressures.................284
Alarmprioritiesandescalationtimesfortemperature..........................291
AlarmprioritiesandescalationtimesforCO2.........................................292
Alarmprioritiesandescalationtimesforvarioussituations..................294
FParameterspecications..........................................................................297
Parameterspecications............................................................................297
ECGstandardscompliance........................................................................297
ECGperformancespecications................................................................297
Impedancerespirationstandardscompliance.........................................300
Impedancerespirationperformancespecications.................................300
SpO2standardscompliance.......................................................................300
SpO2displayedsaturationvalues..............................................................301
SpO₂summaryofclinicalstudiesusedtoestablishaccuracy
claims...........................................................................................................301
AccuracyofNellcor™sensorswithOximax™technology.......................301
AccuracyofMasimoSETtechnologywithMasimoSETsensors............301
AccuracyofGETruSignaltechnologywithTruSignalsensors...............302
SpO2testmethodsusedtoestablishaccuracyclaimsduring
motion..........................................................................................................302
18CARESCAPEONE2094480-001
CARESCAPE ONE User Manual DRAFT 26 October 2017

SpO₂testmethodsusedtoestablishaccuracyclaimsduringlow
perfusion......................................................................................................303
LowperfusionaccuracyofNellcorOximaxtechnologywithOximax
sensors.......................................................................................................303
LowperfusionaccuracyofMasimoSETtechnology..............................303
LowperfusionaccuracyofGETruSignaltechnologywithTruSignal
sensors.......................................................................................................303
SpO₂testmethodsusedtoestablishpulserateaccuracy......................303
PulserateaccuracyofNellcorOximaxtechnologywithOximax
sensors.......................................................................................................303
PulserateaccuracyofMasimoSETtechnologywithMasimo
sensors.......................................................................................................304
PulserateaccuracyofGETruSignaltechnologywithTruSignal
sensors.......................................................................................................304
SpO2performancespecications..............................................................304
SpO₂supplementalanalysisgraphs..........................................................307
AdditionalaccuracyinformationforNellcor™sensors...........................307
AdditionalaccuracyinformationforMasimosensors............................309
AdditionalaccuracyinformationforGETruSignalsensors....................313
NIBPstandardscompliance.......................................................................318
NIBPperformancespecications...............................................................318
Invasivepressurestandardscompliance..................................................319
Invasivepressureperformancespecications.........................................319
Temperaturestandardscompliance.........................................................320
Temperatureperformancespecications.................................................320
CO2standardscompliance.........................................................................321
CO2performancespecications................................................................321
GDefaultsettings..........................................................................................323
Understandingyourmonitorconguration..............................................323
Softwarepackages...................................................................................323
Licensedsoftwareoptions........................................................................323
Softwareproles.......................................................................................324
Softwaresettings........................................................................................324
Careunitsettings......................................................................................324
DEMOMODE..............................................................................................325
Prolesettings...........................................................................................325
2094480-001CARESCAPEONE19
CARESCAPE ONE User Manual DRAFT 26 October 2017

Currentpatientsettings............................................................................326
Conguringcareunitsettings....................................................................326
Alarmsettings...........................................................................................326
Parameteralarmssettings.......................................................................327
Admit/dischargesettings..........................................................................330
Unitofmeasuresettings...........................................................................330
Parametersettings....................................................................................330
Conguringprolesettings........................................................................331
Alarmdelaysettings.................................................................................332
Invasivepressuresalarmssettings..........................................................332
Invasivepressuressettingsforlabels......................................................337
Conguringlockingsettings.......................................................................339
Parameterlockingsettings.......................................................................339
Alarmlockingsettings...............................................................................339
ConguringTime&Datesettings..............................................................341
TimeFormatsettings................................................................................341
Conguringcurrentpatientsettings..........................................................341
Alarmlimitssettings..................................................................................342
Alarmprioritysettings...............................................................................342
Arrhythmiaalarmsettings........................................................................343
Audibleandvisualalarmsettings............................................................346
Monitorscreensettings............................................................................346
Invasivepressurescolorsettingsforchannels.......................................347
Otherparameterscolorsettings..............................................................347
Monitorsoundsettings.............................................................................347
Monitorparametersettings......................................................................348
Admit/dischargeorstart/endcasesettings............................................348
Trendsettings............................................................................................349
Parameterdefaultsettings.........................................................................350
ECGdefaultsettings..................................................................................350
STdefaultsettings.....................................................................................354
Impedancerespirationdefaultsettings...................................................355
SpO2defaultsettings................................................................................356
NIBPdefaultsettings.................................................................................358
20CARESCAPEONE2094480-001
CARESCAPE ONE User Manual DRAFT 26 October 2017