GE CARESCAPE User manual

CARESCAPE ONE
Clinical Reference Guide
Software Version 3.0
gehealthcare.com

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Notice
The materials contained in this document are intended for educational purposes only. This document does not
establish specications, operating procedures or maintenance methods for any of the products referenced.
Always refer to the ocial written materials (labeling) provided with the product for specications, operating
procedures and maintenance requirements.

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CARESCAPE ONE ................................. 1
Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
CARESCAPE ONE System Components ............2
CARESCAPE ONE Front, Back, and Side Views . . . . . 3
Docking ...........................................4
Turning the CARESCAPE ONE On/O . . . . . . . . . . . . . . 5
Inserting and Removing a Battery..................5
CARESCAPE ONE Monitoring Basics ...............6
Proles ............................................9
Starting Monitoring...............................10
Entering Patient Data.............................11
Resetting a Case / Discharging a Patient . . . . . . . . . . 12
Standby ..........................................13
Alarms ...........................................14
Pausing Alarms ..................................14
Adjusting the Alarm Volume ......................14
Changing an Alarm Limit..........................15
CARESCAPE CO2Measurement ..................16
Trends............................................17
Transport Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Contents

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CARESCAPE ONE
Overview
The CARESCAPE ONE (CS ONE) can be used as an accessory to the B850/B650/B450 monitor with version 3.1
software, or as a standalone monitor. As a standalone monitor, the CS ONE provides ECG, ST segment, arrhythmia
detection, impedance respiration, SpO2, non-invasive blood pressure, invasive pressure, temperature, and CO2
airway gas parameter acquisition and monitoring.
The CS ONE includes an integrated display, touchscreen, alarm light, user input buttons, and an audio subsystem.
Realtime physiological parameter measurements and waveforms are displayed on the integrated display. Visual
alarms are conveyed using both the integrated display and alarm light. Audible alarms are conveyed using the
integrated audio subsystem. User input for conguration control and interaction is provided via the touchscreen.
In addition, both a power button and touchscreen lock button are provided.
CARESCAPE ONE • Front View

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CARESCAPE ONE System Components
Your system may not include all these components. Consult your local representative for the available components.
1. CARESCAPE ONE
2. CARESCAPE F0 Dock: Provides powered
docking and battery charging for CS ONE.
3. Mini Dock: Provides unpowered docking for
CS ONE.
4. Parameter Dock 1 and Parameter
Dock 5: Allows CARESCAPE Parameters
to be mounted.
5. CARESCAPE Parameters used with CS ONE:
• CARESCAPE ECG
• CARESCAPE Pressure
• CARESCAPE Temperature
• CARESCAPE CO2
• CARESCAPE SpO2
• CARESCAPE SpO2– Masimo
• CARESCAPE SpO2– Nellcor
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CARESCAPE ONE Front, Back, and Side Views
Front and Back Views
1. Alarm light area (blue, yellow, or red).
2. Audio alarm paused/o indicator (blue).
3. Battery status indicator (yellow or green).
4. Power on/standby button.
On/standby (yellow): The yellow on/
standby key should be lit when one of the
following occurs:
• The device is connected to an
external power source and the device
is turned o
• The device is booting up or is in standby
On/standby (green): The green on/
standby key indicates the device is ready
for operation.
On/standby (unlit): The unlit on/standby
key indicates there is no power applied to
the device.
5. Screen lock/unlock button.
6. Pull tab for removing the acquisition platform from
the docking mount.
7. Battery door.
8. Docking interface connector to the CARESCAPE
Dock F0 or Mini Dock.
Side View
1. CARESCAPE Parameter connectors.
2. Analog out / Debrillator synchronization connector.
Connect IEC 60601-1 complaint medical devices to
this port only.
3. NIBP hose connector.
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Docking
Connecting the CARESCAPE ONE to a Dock
To connect the CS ONE to a dock:
1. Align the CS ONE with the dock rails.
2. Push the CS ONE into the dock until it stops.
You will hear a click when it is fully docked.
Disconnecting the CARESCAPE ONE from a Dock
To disconnect the CS ONE from a dock:
1. Pull the tab out and slide the CS ONE out of the
dock rails.
2. Hold onto the CS ONE to make sure it does not drop
when it comes out.
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Click
Back view of the
CARESCAPE ONE
Back view of the
CARESCAPE ONE
Front view of the
CARESCAPE ONE
Front view of the
CARESCAPE ONE

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Turning the CARESCAPE ONE On/O
Turning On the CARESCAPE ONE
CS ONE can operate via battery power using its own
battery, or via DC power when connected to a powered
docking station.
1. Ensure all cables are properly connected.
2. Press the on/standby button on the handle side of
the CS ONE. The welcome screen will appear.
Turning O the CARESCAPE ONE
1. Ensure that the patient has been discharged/the
case has ended.
2. Press the on/standby button for approximately
1 second.
The Powering Down window appears to conrm
you want to shut down the CS ONE.
3. Press the on/standby button again within 10
seconds to shut down the CS ONE.
If you do not press the on/standby button again
within 10 seconds, the CS ONE remains on and the
Powering Down window is removed from
the display.
Inserting and Removing
a Battery
Caution: To prevent loss of monitoring, or the
CS ONE from powering down, change the CS ONE
battery when the CS ONE is connected to a powered
CS ONE dock F0.
Inserting a Battery
1. Open the battery door by gently pulling on the
battery door pull tab.
2. Position the battery with the connector end facing
towards the battery slot and insert the battery all
the way into the battery slot.
Removing a Battery
1. Open the battery door by gently pulling on the
battery door pull tab.
2. Pull on the battery cord to remove the battery from
the battery slot.
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CARESCAPE ONE Monitoring Basics
CARESCAPE ONE Main Screen Layout
The main screen displays alarms, information, waveforms, parameter windows, and the main menu in
pre-dened areas.
1. Alarm area
2. Information area
3. Waveform area.
4. Upper parameter windows
5. Lower parameter windows
(optional).
6. Main menu area
Information Area
When the Information area of the screen is selected via touch, it opens the Admit/Discharge or Case Setup
menu and provides access to settings related to patient information, standby and prole selections.
The Information area of the screen
displays the following information:
• Patient name (if entered).
The patient name may be
covered by an alarm message
if there are three or more active
alarms.
• Prole name that is being used
for patient monitoring. The
prole name may be covered by
an alarm message if there are
three or more active alarms.
• Patient icon . You can
access the Admit/Discharge or
Case Setup menu by selecting
this icon.
• Battery icon . You can access
the Battery Status menu by
selecting this icon.
• Current time of day.
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Main Menu Keys
Various functions of the monitor can be accessed through the main menu keys.
Key Function
Home Close all menus/applications displayed on the monitor.
Alarms Setup Allows access to alarm limits and priorities, arrhythmia alarm settings,
audible and visual alarm indicators.
Monitor Setup The Main Setup tab allows access to screen setup, colors, sound volumes,
parameter setup, battery status, brightness settings, admit/discharge (ICU,
ED, NICU software packages) or case setup (OR, PACU software packages).
The Defaults & Service tab allows access to default setup, service
calibrations, and service, which are password protected.
The Monitor Info tab presents monitor hardware and software information.
Pt. Data & Trends Allows access to numeric trends, trends time interval, and admit/discharge
(ICU, ED, NICU software packages) or case setup (OR, PACU software
packages).
NIBP Start or NIBP Cancel Start or stop a non-invasive blood pressure measurement. After selection,
the key toggles to NIBP Cancel.
Measurement does not start unless the cu size is dened.
NIBP Auto Start of NIBP
Auto Stop
Start or stop automatic non-invasive blood pressure measurements at timed
intervals. After selection, the button toggles to NIBP Auto Stop.
Measurement does not start unless the cu size is dened.
Zero All Pressures Zero all invasive pressure channels. This does not apply to ICP.
Pause audio alarm. Pause actives audio alarms or pre-pause audio for
incoming active alarms.

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Menu Example
1. Menu title (for example, ECG).
2. Submenu tabs (for example,
Setup, ST).
3. Selection lists: when selecting
the arrow, a list of options
appear.
4. Arrow selector for increasing/
decreasing a value.
5. Radio button for selecting or
deselecting a feature from the
available options.
6. Help text area.
7. Further menu selections
8. Selector for increasing or
decreasing the volume.
9. Check box for selecting or
deselecting a feature.
10. Tabs to access additional pages
(for example, Page 1, Page 2).
Note! These tabs may
also be labeled with
feature names (for
example, HR, PVC/SVC
Arrhythmia).
11. Exit key (for example, Previous
Menu, Close).
Note! Not all menus
have these same
components.
Selecting Menu Options with a Touchscreen
In this guide, the term select means using the touchscreen display to select an item on the screen.
1. Touch the menu option with your nger.
2. The highlight on screen moves to this option.
3. Lift your nger o the screen, and the selected function is performed (for example, a list opens).
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Proles
When you start monitoring a patient, you can use the startup prole or select another prole. According to the
conguration, your software may have up to eight proles to choose from. Proles control many settings, including
parameter defaults, alarm detection limits, and alarm functionality.
1. Select the patient information
area on the screen.
2. Select the Patient tab.
3. Select a prole from the
Prole list.
If you make changes to a prole
while using it and need to return
to its previous settings, rst select
another prole and then re-select
the one you were using. If only one
prole has been enabled during
conguration, return to saved prole
settings through patient discharge/
case end or device reset.
If a prole other than the startup
menu has been selected during
the monitoring session, upon
discharge the CS ONE will return
to the startup prole for the next
monitoring session.
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Starting Monitoring
A case automatically starts/a patient is admitted when the monitor detects any of the following vital signs:
ECG, impedance respiration, Art, Fem, UAC, NIBP, SpO2, or CO2. Each vital sign has activation criteria that must be
met before the vital sign is considered active. For more information about activation criteria, see the User Manual.
A case manually starts/a patient is admitted when any patient data is entered, such as the patient name or medical
record number.
Always observe the monitor and the patient carefully during startup periods and when connecting CARESCAPE
Parameters.
Here are the basic steps for starting monitoring. Parameter-specic instructions are more detailed and should
always be followed.
1. Connect the patient to the CS ONE according to the measurement setup requirements in the parameter-
specic chapters of the User Manual. The alarms and parameter settings become active.
2. If the startup prole is not suitable, select another prole.
3. Enter patient demographics. Alarms will be activated based on the criteria, even if demographic information is
not entered. Demographic information can be entered at a later point, if needed.
4. Start the measurement.
5. Zero invasive pressure lines. Refer to the invasive pressures chapter in the User Manual.
6. If required, change the parameters displayed on the screen.
7. Check alarm limits and adjust, if necessary.

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Entering Patient Data
The monitor automatically displays an on-screen keyboard for you to use for data entry.
1. Select the patient information
area on the screen.
2. Select the Patient tab.
3. Edit or enter patient data by
selecting the characters using
the touchscreen.
a. Select MRN: Second
ID:, select the eld to
be edited, and enter
the data.Entering the
Second ID: in addition
to the Medical Record
Number allows a exible
use of local patient
identication methods.
b. Select Name:, select the
eld to be edited, and
enter the data.
c. Select Date of Birth:
Age: to enter or edit the
patient’s date of birth or
age. If Day, Month, and
Year are entered, Age is
automatically calculated.
d. Select the Height:
Weight: BSA: Gender:
Ethnicity: eld, then
select values for dierent
types of data. If height
and weight are entered,
the patient’s BSA
(body surface area) is
automatically calculated.
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Resetting a Case / Discharging a Patient
Resetting a case/discharging a patient deletes all patient information and returns the monitor to the dened
startup prole.
All settings, including alarm limits return to their default values. All patient data is removed from the monitor.
The CS ONE may be congured in care unit settings with an automatic case reset/patient discharge timer. Care unit
settings are password protected. If an automatic case reset/patient discharge is congured and there are no active
parameters and no use of the touchscreen, monitoring will end automatically after the congured time has elapsed.
1. Disconnect patient cables.
2. Select the patient information
area on the screen.
3. Select the Discharge / Reset
Case tab.
4. Select Conrm.
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Standby
About Standby
When you remove the patient temporarily from the monitor, you can use the standby option to put the monitor
on standby until the patient is reconnected to the monitor. You can also use the standby option before a patient
is admitted to the monitor/patient case is started. Congure the current patient settings for the incoming patient,
then put the monitor in standby to prevent nuisance alarms or automatic discharge due to monitor inactivity.
Starting Standby
1. Select the patient information
area on the screen.
2. Select the Standby tab.
3. If a patient is connected, select
Prepare for Standby to pause
audible alarms for two minutes.
This allows time to disconnect
patient cables.
If no patient is connected (no
CARESCAPE Parameters are
connected to the CS ONE),
select Standby from the
Standby tab, and the monitor
will immediately enter standby.
4. Disconnect the patient cables
and check that NIBP Auto is
turned o.
If patient cables are still
connected and the monitor
receives vital signs, a message
indicating that audio alarms
have been paused appears.
If you do not disconnect the
cables and vital signs are still
present after the audio pause
time expires, the standby
is cancelled. You can also
cancel the standby before
the timer expires by selecting
Cancel Standby.The monitor
will automatically enter
standby when all cables are
disconnected and NIBP Auto
is turned o. The screen goes
blank and the GE logo with the
message Standby appears.
End of Standby
The monitor ends the standby
automatically when any of the
following conditions occur:
• The touchscreen is pressed.
• At least one CARESCAPE
Parameter is connected and active
parameter data is detected.
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Alarms
Alarm Priority Levels
Physiological and technical alarms
are categorized by priority level:
1. High priority alarms require an
immediate response.
2. Medium priority alarms
require a prompt response.
3. Low priority alarms require
you to be aware of the
condition.
4. Informational priority
messages provide information
you should know.
Pausing Alarms
Selecting the Pause Audio key results in dierent alarm behaviors depending on whether the alarms are active
and/or latched or not. The length of audio pause (2 min or 5 min) has been congured in Care Unit Settings > Alarms
(password protected). Acknowledging or pausing audio alarms does not aect the visual alarm indicators. They will
still continue indicating alarms.
Adjusting the Alarm Volume
The selections in the Alarms Setup menu vary according to what has been congured in the Care Unit Settings >
Alarms (password protected).
1. Select Alarms Setup from the
main menu.
2. Select the Audible & Visual tab.
3. Select the Volume & Light tab.
• Adjust the Alarm Volume
value. This is the volume for
all alarms.
• Adjust the Alarm Volume
separately for High &
Medium Priority and Low
Priority.
The lower the number, the quieter
the alarm volume. Note that the
minimum allowed alarm volume
levels are set in the Care Unit
Settings.1
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Pause Audio Key

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Changing an Alarm Limit
Setting Parameter Alarm Limits
Parameter alarm limits may be set in the Alarms Setup menu, or in the parameter menu’s own Alarm tab.
Alarm limits should not be set beyond reasonable physiological boundaries in to maintain patient safety.
Setting outside of reasonable boundaries would cause the alarms to be ineective.
1. Select Alarms Setup from the
main menu.
2. Select the Alarm Limits tab.
3. Select a parameter label.
That parameter menu’s Alarms
tab opens, where you can select
the alarms on or o, and set
their limits.
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CARESCAPE CO2Measurement
Equipment Connection with CARESCAPE CO2
For intubated and non-intubated patients.
• Connect the LoFlo Sidestream Module to CARESCAPE CO2.
• Connect CARESCAPE CO2to the CS ONE.
• Connect the sample line to the LoFlo Sidestream Module.
• When the LoFlo Sidestream module is connected it will zero
and go through a warm-up procedure automatically.
1. CARESCAPE ONE
2. CARESCAPE CO2
3. Exhaust port
4. LoFlo Sidestream Module
5. Accessories, i.e. sample lines,
nasal cannulas, etc.
About Sidestream
Sidestream kits are intended for monitoring CO2of intubated and
non-intubated patients. Following are things to consider when
selecting a sidestream kit for a non-intubated patient.
• Select the kit that has the best t
and most comfort for the patient.
For example, the kit labeled as
Pediatric may have the best t
and be more comfortable on a
small-statured adult than the
adult cannula kit. The cannula kit
are equally functional regardless
of which is used.
• Verify that the cannula kit is
clean, dry and undamaged.
Replace the cannula kit , if
necessary.
• Insert the sample cell into the
sample cell receptacle. You will
hear a click when the sample cell
is properly inserted.
• When the LoFlo Sidestream
module is connected it will
zero and go through a warm-up
procedure automatically.
• Place the nasal cannula kit onto
the patient.
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