GE Dash 3000 User manual

GE Healthcare
Dash™ 3000/4000/5000
English
2023909-011 (cd)
2023896-071 (paper)
© 2008 General Electric Company
All rights reserved.
Dash™ 3000/4000/5000 Patient Monitor
Operator’s Manual
Software version 6

T-2 Dash™ 3000/4000/5000 2000966-386D
4 September 2008
NOTE
Due to continuing product innovation, specifications in this manual are subject to change without notice. The information
in this manual supports software version 6.6 or later.
NOTE
For technical documentation purposes, the abbreviation GE is used for the legal entity name, GE Medical Systems
Information Technologies.
Listed below are GE Medical Systems Information Technologies trademarks used in this document. All other trademarks
contained herein are the property of their respective owners.
DASH, DINAMAP, EAGLE, MARS, MUSE, RESPONDER, SOLAR, TRAMSCOPE, TRIM KNOB, and UNITY
NETWORK are trademarks of GE Medical Systems Information Technologies registered in the United States Patent and
Trademark Office.
12SL, CENTRALSCOPE, CIC PRO, DASH PORT, EK-PRO, INTELLIRATE, PRISM, and SUPERSTAT are trademarks of
GE Medical Systems Information Technologies.

2000966-386D Dash™ 3000/4000/5000 i
Contents
1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-1
Equipment Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2
Intended Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2
Safety Statements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2
Equipment Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-13
Equipment Compliance Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-15
Manual Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-16
Purpose . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-16
Intended Audience . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-16
Conventions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-17
2 Equipment Overview . . . . . . . . . . . . . . . . . . . . . . . . . 2-1
Hardware Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-2
Front . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-2
Right . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-2
Left . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-3
Back . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-4
Control Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-5
Trim Knob Control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-6
Indicators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-7
Optional Components. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-8
Operating Modes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-12
User Interface Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-13
Main Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-13
Menus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-14
Windows . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-14
3 Monitor Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-1
Getting Started . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2
Identifying Your Configuration. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2
Software Packages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2
Software Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-3
Monitoring/Admit Modes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-3
Patient-Monitor Type . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-4
Language . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-4
Locale. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-5
Customizing Monitor Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-6
Monitor Defaults Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-6
Defining Custom Defaults . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-7

ii Dash™ 3000/4000/5000 2000966-386D
Defining Control Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-8
Restoring Factory Defaults . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-10
Defining Parameter Window Priority . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-11
4 Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-1
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-2
Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-2
Smart Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-3
Alarm Types . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-3
Safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-5
Control Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-5
Silencing Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-6
Temporarily . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-6
Permanently . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-8
5 Managing Patients . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-1
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-2
Admit. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-2
Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-2
Standard Admit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-2
Quick Admit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-3
Automatic Admit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-4
Control Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-5
Discharge . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-6
View Other Patients. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-7
Software Option Comparison . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-7
Limitations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-8
Custom Defaults . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-8
Control Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-10
Viewing Other Monitors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-10
6 Patient Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-1
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-2
Reviewing Patient Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-2
Alarm History . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-2
Vital Signs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-3
Graphic Trends . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-4
CRG Trends . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-6
Lab Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-7
Customizing the Trends Key . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-8

2000966-386D Dash™ 3000/4000/5000 iii
Calculations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-8
Cardiac Calculations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-8
Dosage Calculations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-9
Pulmonary Calculations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-10
7 Printing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-1
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-2
Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-2
Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-2
Control Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-2
Printed Output . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-3
Guidelines . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-4
8 Monitoring ECG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-1
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-2
Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-2
Options. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-3
Combo and Rover Combo Monitoring Guidelines . . . . . . . . . . . . . . . . . . . 8-5
Analog Output . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-6
Additional Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-6
Safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-7
Pacemaker . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-7
Arrhythmia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-8
Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-9
Control Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-9
Custom Defaults . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-12
Turning Off ECG. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-12
ECG Setting Source. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-12
ECG Rate Averaging . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-14
IntelliRate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-14
AFIB Alarm Level . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-15
Performing ST Analysis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-15
Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-15
Control Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-16
Performing 12 Lead Analysis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-17
Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-19

iv Dash™ 3000/4000/5000 2000966-386D
9 Monitoring Invasive Pressures . . . . . . . . . . . . . . . . 9-1
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-2
Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-2
Pressure Site Names and Values . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-2
Default Site Labels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-3
Analog Output . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-3
Additional Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-3
Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-3
Control Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-4
Performing PA Wedge Measurements. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-7
Automatic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-7
Manual . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-8
Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-8
10 Monitoring NBP . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-1
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-2
Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-2
Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-3
Additional Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-4
Safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-4
Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-6
Control Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-6
Custom Defaults . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-9
Setup Custom Automatic NBP Measurements . . . . . . . . . . . . . . . . . . . . 10-9
Auto NBP Cancellation Notification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-9
Extended NBP Alarm Silence . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-10
Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-10
11 Monitoring SpO2 . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-1
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-2
Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-2
Primary Parameter Monitoring Considerations . . . . . . . . . . . . . . . . . . . . 11-3
Configuration Options. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-3
Additional Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-5
Safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-5
General . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-5
Neonates and Infants . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-7

2000966-386D Dash™ 3000/4000/5000 v
Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-8
Control Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-8
Nellcor 395 Pulse Oximeter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-11
Connecting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-11
Guidelines . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-13
Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-14
12 Measuring Cardiac Output . . . . . . . . . . . . . . . . . . . 12-1
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-2
Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-2
Additional Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-2
Measuring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-3
Control Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-3
Performing the CO Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-4
Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-6
13 Monitoring Respiration . . . . . . . . . . . . . . . . . . . . . . 13-1
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-2
Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-2
Additional Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-2
Safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-3
Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-3
Control Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-3
Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-4
14 Monitoring Temperature . . . . . . . . . . . . . . . . . . . . . 14-1
Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14-2
Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14-2
Control Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14-2
Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14-3

vi Dash™ 3000/4000/5000 2000966-386D
15 Monitoring End-Tidal CO2 . . . . . . . . . . . . . . . . . . . 15-1
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15-2
Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15-2
Compatible Devices/Sensors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15-2
Additional Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15-2
Safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15-3
Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15-4
Control Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15-4
Calibrating . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15-5
Sensors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15-5
Adapters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15-6
Sample Lines . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15-6
Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15-7
16 Monitoring Anesthesia Gases . . . . . . . . . . . . . . . . 16-1
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16-2
Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16-2
Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16-3
Guidelines . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16-3
Additional Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16-3
Safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16-3
Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16-5
Control Settings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16-5
CO2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16-5
Gas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16-6
Enabling HAL and ENF . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16-7
Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16-8
17 Monitoring Impedance Cardiography (ICG) . . . . . 17-1
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17-2
Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17-2
Monitored Parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17-2
Additional Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17-2
Safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17-3
Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17-4
Control Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17-5

2000966-386D Dash™ 3000/4000/5000 vii
Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17-6
18 Monitoring Bispectral Index (BIS) . . . . . . . . . . . . . 18-1
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18-2
Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18-2
Additional Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18-3
Safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18-3
Considerations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18-3
General . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18-3
Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18-4
Control Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18-4
Disabling Continuous Lead Detection . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18-5
Disabling the Waveform Filter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18-6
Testing the BIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18-6
Understanding Displayed Values. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18-6
BIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18-6
SR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18-7
SQI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18-7
SEF . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18-7
EMG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18-7
Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18-7
A Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .A-1
Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-2
Biocompatibility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .A-2
Inspection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-2
Disposal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .A-2
Cleaning and disinfecting. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-3
Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .A-3
Cautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .A-4
Impact or results of improper cleaning products and processes . . . . . . . . A-4
Cleaning products to avoid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .A-5
Applied Parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-5
Printer/Writer(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-6
Changing Writer Paper . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .A-6
Batteries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-7
Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-7
Identifying Capacity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-9
Installation Guidelines . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .A-10

viii Dash™ 3000/4000/5000 2000966-386D
Battery Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-11
Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .A-13
Technical Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-14
Safety Tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-14
Alarm Verification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .A-17
B Software Packages . . . . . . . . . . . . . . . . . . . . . . . . . .B-1
Feature Comparison by Software Package . . . . . . . . . . . . . . . . . . . . . . . . B-2
C Factory Defaults . . . . . . . . . . . . . . . . . . . . . . . . . . . .C-1
Arrhythmia Alarm Levels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-2
Parameter Alarm Levels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-2
Parameter Limits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-4
Display Defaults . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-6
Default Parameter Priority . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-11
D Custom Defaults . . . . . . . . . . . . . . . . . . . . . . . . . . . .D-1
Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D-2
E Interfacing with Non-GE Devices . . . . . . . . . . . . . . . E-1
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-2
General . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .E-2
Safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-2
Non-GE Device Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-3
Displayed Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-3
Compatible Devices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-4
Limitations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-12
Setup. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-14
Connecting the Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .E-14
Connecting Peripheral Devices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-14
Establishing Communication . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .E-15
Customizing Data Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-16
Peripheral Device Monitoring Guidelines . . . . . . . . . . . . . . . . . . . . . . . . E-16
F Abbreviations and Symbols . . . . . . . . . . . . . . . . . . . F-1
Abbreviations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . F-2

2000966-386D Dash™ 3000/4000/5000 ix
Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . F-8

x Dash™ 3000/4000/5000 2000966-386D

2000966-386D Dash™ 3000/4000/5000 CE-1
CE Marking Information
Compliance
The patient monitor bears CE mark CE-0459 indicating its conformity with the
provisions of the Council Directive 93/42/EEC concerning medical devices and
fulfills the essential requirements of Annex I of this directive. The product is in radio-
interference protection class A in accordance with EN 55011.
The country of manufacture can be found on the equipment labeling.
The product complies with the requirements of standard EN 60601-1-2
“Electromagnetic Compatibility - Medical Electrical Equipment”.
The system meets the requirements of EN 60601-1-2 (2001) Medical Electrical
Equipment, Part 1: General Requirements for Safety, 2. Collateral Standard:
Electromagnetic compatibility — Requirements and tests.
Exceptions
Users should be aware of known RF sources, such as radio or TV stations and hand-
held or mobile two-way radios, and consider them when installing a medical device
or system.
Be aware that adding accessories or components, or modifying the medical device or
system may degrade the EMI performance. Consult with qualified personnel
regarding changes to the system configuration.
Radio and Telecommunication Terminal Equipment
Directive
The monitor contains a transmitter. The transmitter bears a CE mark indicating
conformity with the essential requirements specified in Article 3 of the Council
Directive 1999/5/EC of 9 March 1999 concerning Radio Equipment and
Telecommunications Terminal Equipment (R&TTE).
The essential requirements are as follows:
Article 3.1 (a) Health Safety; the product complies with the particular medical device
safety standards specified in the Medical Device Directive 93/42/EEC: EN 60601-1/
1990 + A1: 1993 + A2: 1995: Medical electrical equipment. General requirements for
safety.
Article 3.1 (b) EMC; the product complies with:
EN 60601-1-2 (2001) Medical electrical equipment: Part 1: General requirements
for safety - 2. Collateral standard: Electromagnetic compatibility - requirements
and test.
ETS 300 826 (1997): “Electromagnetic compatibility and Radio spectrum
Matters (ERM); ElectroMagnetic Compatibility (EMC) standard for 2.4 GHz

CE-2 Dash™ 3000/4000/5000 2000966-386D
CE Marking Information
wideband transmission systems and HIgh PErformance Radio Local Area
Network (HIPERLAN) equipment”.
Article 3.2 Protection of the Radio Spectrum: the product complies with: ETSI EN
300 328 (2003): “Radio Equipment and Systems (RES); Wideband transmission
systems; Technical characteristics and test conditions for data transmission equipment
operating in the 2.4 GHz ISM band and using spread spectrum modulation
techniques.
General Information
This manual is an integral part of the product and describes its intended use. It
should always be kept close to the equipment. Observance of the manual is a
prerequisite for proper product performance and correct operation and ensures
patient and operator safety.
The symbol means ATTENTION: Consult accompanying documents.
Information which refers only to certain versions of the product is accompanied
by the model number(s) of the product(s) concerned. The model number is given
on the nameplate of the product.
The warranty does not cover damages resulting from the use of accessories and
consumables from other manufacturers.
GE is responsible for the effects on safety, reliability, and performance of the
product, only if:
assembly operations, extensions, readjustments, modifications, or repairs are
carried out by persons authorized by GE;
the electrical installation of the relevant room complies with the
requirements of the appropriate regulations; and,
the device is used in accordance with the instructions for use.
All publications conform with the product specifications and applicable EN
publications on safety and essential performance of electromedical equipment as
well as with applicable UL and CSA requirements and AHA recommendations
valid at the time of printing.
The quality management system complies with the international standards ISO
9001 and ISO 13485, and the Council Directive on Medical Devices 93/42/EEC.

2000966-386D Dash™ 3000/4000/5000 1-1
1 Introduction

1-2 Dash™ 3000/4000/5000 2000966-386D
Introduction
Equipment Information
Intended Use
The Dash™ 3000/4000/5000 patient monitor is intended for use under the direct
supervision of a licensed healthcare practitioner. The intended use of the system is to
monitor physiologic parameter data on adult, pediatric and neonatal patients.
The Dash™ 3000/4000/5000 patient monitor is designed as a bedside, portable, and
intra-hospital transport monitor that can operate in all professional medical facilities
including but not limited to: emergency department, operating room, post anesthesia
recovery, critical care, surgical intensive care, respiratory intensive care, coronary
care, medical intensive care, pediatric intensive care, or neonatal intensive care areas
located in hospitals, outpatient clinics, free-standing surgical centers, and other
alternate care facilities.
Physiologic data includes but is not restricted to: electrocardiogram, invasive blood
pressure, noninvasive blood pressure, heart rate, temperature, cardiac output,
respiration, pulse oximetry, carbon dioxide, bi-spectral index, impedance
cardiography, oxygen, and anesthetic agents as summarized in the operator’s manual.
The Dash™ 3000/4000/5000 patient monitor is also intended to provide physiologic
data over the UNITY NETWORK™ indirectly to clinical information systems (via
our Enterprise Gateway) and allow the user to access hospital data at the point-of-
care. The information can be displayed, trended, stored, and printed.
The Dash™ 3000/4000/5000 patient monitor was developed to interface with non-
proprietary third party peripheral devices that support serial data outputs.
Safety Statements
The safety statements presented in this chapter refer to the equipment in general and,
in most cases, apply to all aspects of the monitor. There are additional safety
statements in the parameter chapters which are specific to that monitored parameter.
The order in which safety statements are presented in no way implies order of
importance.
Dangers
Danger statements identify an imminent hazard which, if not avoided, will result in
death or serious injury. No danger statements apply to this monitoring system.
Warnings
Warning statements identify a potential hazard or unsafe practice which, if not
avoided, could result in death or serious injury.
The following warning statements apply to this monitoring system:

Introduction
2000966-386D Dash™ 3000/4000/5000 1-3
WARNING
ACCIDENTAL SPILLS —To avoid electric shock or device
malfunction, liquids must not be allowed to enter the device. If
liquids have entered a device, take it out of service and have it
checked by a service technician before it is used again.
WARNING
ACCURACY—If the accuracy of any value viewed on the monitor,
central station, or printed on a graph strip is questionable, determine
the patient's vital signs by alternative means. Verify that all
equipment is working correctly.
WARNING
ALARMS —Do not rely exclusively on the audible alarm system
for patient monitoring. Adjustment of alarm volume to a low level or
off during patient monitoring may result in a hazard to the patient.
Remember that the most reliable method of patient monitoring
combines close personal surveillance with correct operation of
monitoring equipment.
After connecting the monitor to the central station and/or nurse-call
system, verify the function of the alarm system.
The functions of the alarm system for monitoring of the patient must
be verified at regular intervals.
WARNING
BEFORE USE—Before putting the system into operation visually
inspect all connecting cables for signs of damage. Damaged cables
and connectors must be replaced immediately.
Before using the system, the operator must verify that it is in correct
working order and operating condition.
Periodically, and whenever the integrity of the product is in doubt,
test all functions.
WARNING
CABLES —Route all cables away from patient's throat to avoid
possible strangulation.

1-4 Dash™ 3000/4000/5000 2000966-386D
Introduction
WARNING
CONDUCTIVE CONNECTIONS—Extreme care must be
exercised when applying medical electrical equipment. Many parts
of the human/machine circuit are conductive, such as the patient,
connectors, electrodes, transducers. It is very important that these
conductive parts do not come into contact with other grounded,
conductive parts when connected to the isolated patient input of the
device. Such contact would bridge the patient's isolation and cancel
the protection provided by the isolated input. In particular, there
must be no contact of the neutral electrode and ground.
WARNING
DEFIBRILLATION—Do not come into contact with patients during
defibrillation. Otherwise serious injury or death could result.
WARNING
DISCHARGE TO CLEAR PATIENT DATA—When admitting a
new patient, you must clear all previous patient data from the
system. To accomplish this, disconnect patient cables then do a
discharge.
WARNING
DISCONNECTION FROM MAINS—When disconnecting the
system from the power line, remove the plug from the wall outlet
first. Then you may disconnect the power cord from the device. If
you do not observe this sequence, there is a risk of coming into
contact with line voltage by inserting metal objects, such as the pins
of leadwires, into the sockets of the power cord by mistake.
WARNING
DISPOSAL—Dispose of packaging material, observing the
applicable waste control regulations and keeping it out of children’s
reach.
WARNING
EXPLOSION HAZARD—Do not use this equipment in the
presence of flammable anesthetics, vapors or liquids.

Introduction
2000966-386D Dash™ 3000/4000/5000 1-5
WARNING
WIRELESS COMMUNICATION INTERFERENCE—Wireless
LAN equipment contains an intentional RF radiator that has the
potential of interfering with other medical equipment, including
patient implanted devices.
Before installation and any time new medical equipment is added to
the Wireless LAN coverage area, complete the following tests:
Software version 5.3 or earlier — Perform the electromagnetic
compatibility test as described in the Wireless LAN
Configuration Guide.
Software version 5.4 or later — Perform the ad-hoc tests AND
the electromagnetic compatibility test as described in the
Wireless LAN Configuration Guide.
WARNING
INTERFACING OTHER EQUIPMENT—Devices may only be
interconnected with each other or to parts of the system when it has
been determined by qualified biomedical engineering personnel that
there is no danger to the patient, the operator, or the environment as
a result. In those instances where there is any element of doubt
concerning the safety of connected devices, the user must contact
the manufacturers concerned (or other informed experts) for proper
use. In all cases, safe and proper operation should be verified with
the applicable manufacturer's instructions for use, and system
standard EN 60601-1-1 must be complied with.
WARNING
—Before using the monitor for the first time, please read the Safety
Statements on page 1-2.
WARNING
INTRACARDIAC APPLICATION —When applying devices
intracardially, electrically conductive contact with parts connected to
the heart (pressure transducers, metal tube connections and
stopcocks, guide wires, etc.) must be avoided in all cases.
To prevent electrical contact, we recommend the following:
Always wear isolating rubber gloves.
Keep parts that are conductively connected to the heart isolated
from the ground.
Do not use tube fittings or stopcocks made of metal.
During intracardiac application of a device, a defibrillator and
pacemaker whose proper functioning has been verified must be kept
at hand.

1-6 Dash™ 3000/4000/5000 2000966-386D
Introduction
WARNING
LEAKAGE CURRENT TEST—When interfacing with other
equipment, a test for leakage current must be performed by qualified
biomedical engineering personnel before using with patients.
WARNING
PATIENT AMBULATION —A patient must be assisted if
ambulating with a roll-stand mounted monitor.
WARNING
POWER SUPPLY—The device must be connected to a properly
installed power outlet with protective earth contacts only. If the
installation does not provide for a protective earth conductor,
disconnect the monitor from the power line and operate it on battery
power, if possible.
All devices of a system must be connected to the same power supply
circuit. Devices which are not connected to the same circuit must be
electrically isolated when operated.
WARNING
PROTECTED LEADWIRES —Only use protected leadwires and
patient cables with this monitor.
The use of unprotected leadwires and patient cables creates the
potential for making an electrical connection to ground or to a high
voltage power source which can cause serious injury or death to the
patient.
WARNING
RATE METERS—Keep pacemaker patients under close
observation. Rate meters may continue to count the pacemaker rate
during cardiac arrest and some arrhythmias. Therefore, do not rely
entirely on rate meter alarms.