NOTE: The information in this manual applies to CARESCAPE B850 monitors.
NOTE: For technical documentation purposes, the abbreviation GE is used for the legal entity name, GE Medical Systems
Information T echnologies and GE Healthcare Finland Oy.
Listed below are GE Medical Systems Information Technologies and GE Healthcare Finland Oy trademarks used in this
document. All other product and company names contained herein are the property of their respective owners.
MUSE, TRAM, Tram-Net, Tram-Rac, TRIM KNOB, and Unity Network are trademarks of GE Medical Systems Information
Technologies registered in the United States Patent and Trademarks Office.
12SL, CARESCAPE, and iPanel are trademarks of GE Medical Systems Information Technologies.
Entropy is a trademark of GE Healthcare Finland Oy.
NOTE: The Patient Data Module (PDM) is describe d in promotional materials as the CARESCAPE™ Patient Data Module.
NOTE: A portion of the Entropy software is derived from the RSA Data Security, Inc. MD5 Message-Digest Algorithm.
T-2CARESCAPE Monitor B8502040384-004D
5 January 2012
Master table of contents
Patient monitor technical manual
Notes to the reader
This technical manual is presented in two parts.
Part I, system installation, provides an overview of the patient monitoring
system and contains information needed to initially install, configure, check out
and troubleshoot the system. Make sure you understand the procedures before
installing the patient monitor. Observe all safety hazard statements.
Part II, repair and maintenance, contains detailed descriptions of the patient
monitor components (such as processor board and power supply) and the
display. Instructions for calibration, planned maintenance, troubleshooting,
disassembly and field replaceable units are also included.
Each page of the document has the document part number and revision at the bottom
of the page. The revision changes whenever the document is updated.
RevisionComment
Intended use
AInitial release
BUpdated the CARESCAPE Monitor B850 Addendum for Device
Compatibility.
CConfigure Time Zone added in Time configuration and Module voltage low
case added in error messages. Updated the “Replace the processor board”
and “Replaceable parts” chapters.
DHostname configuration chapter added, Network configuration and Citrix
chapters updated.
The CARESCAPE™ Monitor B850 is a multi-parameter high acuity patient monitor
intended for use in multiple areas within a professional healthcare facility.
The CARESCAPE Monitor B850 is intended for use on adult, pediatric, and neonatal
patients and on one patient at a time.
The CARESCAPE Monitor B850 system is indicated for monitoring of
Hemodynamic (including ECG, ST Segment, Arrhythmia Detection, ECG Diagnostic
Analysis and Measurement, Invasive Pressure, Noninvasive Blood Pressure, Pulse
Oximetry, Cardiac Output, Temperature, Impedance Respiration and SvO2 (Mixed
Venous Oxygen Saturation)), Airway Gases (Fi/Et CO2, O2, N2O and Anesthetic
Agent), Spirometry, Gas Exchange (O2 Consumption (VO2), CO2 production
(VCO2), energy expenditure (EE), and respiratory quotient (RQ)) and
neurophysiological (including electroencephalography (EEG), Entropy, Bispectral
Index (BIS) and Neuromuscular Transmission (NMT) Monitoring) status.
The CARESCAPE Monitor B850 provides alarms, trends, snapshots and events, and
calculations and can be connected to displays, printers and recording devices. The
CARESCAPE Monitor B850 can be a stand-alone monitor or interfaced to other
devices. It can also be connected to other monitors for bed to bed viewing and to data
management software devices via a network.
The CARESCAPE Monitor B850 is intended for use under the direct supervision of a
licensed healthcare practitioner, or by personnel trained in proper use of the
equipment in a professional healthcare facility. In addition to the healthcare
practitioner, the CARESCAPE Monitor B850 is designed to provide configuration
and troubleshooting capabilities to qualified service personnel.
The CARESCAPE Monitor B850 is not intended for use during MRI.
1-2CARESCAPE Monitor B8502040384-004D
Manual purpose
Intended audience
Ordering manuals
Related documents
This manual supplies technical information for service representatives and technical
personnel so they can install and maintain the equipment to the assembly level. Use it
as a guide for installation, maintenance and electrical repairs considered field
repairable. Where necessary the manual identifies additional sources of relevant
information and technical assistance.
See the user’s manual for the instructions necessary to operate the equipment safely in
accordance with its function and intended use.
This manual is intended for service representatives and technical personnel who
install, maintain, troubleshoot, or repair this equipment.
A paper copy of this manual will be provided upon request. Contact your local GE
representative and request the part number on the first page of the manual.
Within this manual, special styles and formats are used to distinguish among terms
viewed on screen, a button you must press, or a list of menu commands you must
select:
For technical documentation purposes, the abbreviation GE is used for the legal
entity names, GE Medical Systems Information Technologies and GE Healthcare
Finland Oy.
Names of hardware keys on the equipment, keypad, remote control, and modules
are written in bold typeface: Zero All.
Menu items are written in bold italic typeface: ECG Setup.
Emphasized text is in italic typeface.
Menu options or control settings selected consecutively are separated by the >
symbol: ECG Setup > AFIB.
When referring to different sections in this manual, section names are enclosed in
double quotes: “Cleaning and care.”
The word “select” means choosing and confirming.
Messages (alarm messages, informative messages) displayed on the screen are
written inside single quotes: ‘Learning’
Note statements provide application tips or other useful information.
Product references
In this manual, the CARESCAPE Monitor B850 is referred to as the patient monitor.
1-4CARESCAPE Monitor B8502040384-004D
Safety information
Responsibility of the manufacturer
GE is responsible for the effects of safety, reliability, and performance 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.
The equipment is used in accordance with the instructions for use.
The equipment is installed, maintained and serviced in accordance with the
instructions provided in the related technical manuals.
Product availability
Some of the products mentioned in this manual may not be available in all countries.
Please consult your local representative for the availability.
General safety statements
See the user’s manual for a list of general safety statements.
This device is intended for use under the direct supervision of a licensed health care
practitioner.
Contact GE for information before connecting any devices to the equipment that are
not recommended in this manual.
Parts and accessories used must meet the requirements of the applicable IEC 60601
series safety standards, and/or the system configuration must meet the requirements
of the IEC 60601-1-1 medical electrical systems standard. Refer to the CARESCAPE
supplies and accessories document for compatible parts and accessories.
Periodically, and whenever the integrity of the device is in doubt, test all functions.
The use of accessory equipment not complying with the equivalent safety
requirements of this equipment may lead to a reduced level of safety of the resulting
system. Consideration relating to the choice shall include:
use of the accessory in the patient vicinity; and
evidence that the safety certification of the accessory has been performed in
accordance to the appropriate IEC 60601-1 and/or IEC 60601-1-1 harmonized
national standard.
If the installation of the equipment, in the USA, will use 240VAC rather than
120VAC, the source must be a center-tapped, 240VAC, single-phase circuit.
2040384-004DCARESCAPE Monitor B8501-5
NOTE
The following symbols (required by China law
only) are representative of what you may see on
your equipment.
The number in the symbol indicates the EFUP period
in years, as explained below. Check the symbol on
your equipment for its EFUP period.
This symbol indicates the product contains hazardous
materials in excess of the limits established by the
Chinese standard SJ/T11363-2006 Requirements for
Concentration Limits for Certain Hazardous
Substances in Electronic Information Products. The
number in the symbol is the Environment-friendly User
Period (EFUP), which indicates the period during
which the toxic or hazardous substances or elements
contained in electronic information products will not
leak or mutate under normal operating conditions so
that the use of such electronic information products will
not result in any severe environmental pollution, any
bodily injury or damage to any assets. The unit of the
period is “Year”.
In order to maintain the declared EFUP, the product
shall be operated normally according to the
instructions and environmental conditions as defined
in the product manual, and periodic maintenance
schedules specified in Product Maintenance
Procedures shall be followed strictly.
Consumables or certain parts may have their own
label with an EFUP value less than the product.
Periodic replacement of those consumables or p arts to
maintain the declared EFUP shall be done in
accordance with the Product Maintenance
Procedures. This product must not be disposed of as
unsorted municipal waste, and must be collected
separately and handled properly after
decommissioning.
This symbol indicates that this electronic information
product does not contain any toxic or hazardous
substance or elements above the maximum
concentration value established by the Chinese
standard SJ/T11363-2006, and can be recycled after
being discarded, and should not be casually
discarded.
2040384-004DCARESCAPE Monitor B8501-15
Safety symbols
NOTE
The following safety-related symbols appear on one or more of the devices.
ATTENTION: Consult accompanying documents.
CAUTION — Safety ground precaution. Remove power
cord from the mains source by grasping the plug. Do not
pull on the cable.
Consult operating instructions.
Electrostatic sensitive device. Connections should not be
made to this device unless ESD precautionary procedures
are followed.
LASER RADIA TION: Do not stare into beam. Class 2 laser
product.
Non-ionizing electromagnetic radiation. Interference may
occur in the vicinity of this device.
Shock Hazard. Dangerous voltage. To reduce the risk of
electric shock, do not remove cover. Refer servicing to
qualified service personnel.
Type BF (IEC 60601-1) defibrillator-proof protection
against electric shock. Isolated (floating) applied part
suitable for intentional external and internal application to
the patient, excluding direct cardiac application.
Type BF (IEC 60601-1) protection against electric shock.
Isolated (floating) applied part suitable for intentional
external and internal application to the patient, excluding
direct cardiac application.
1-16CARESCAPE Monitor B8502040384-004D
User interface symbols
NOTE
The following symbols appear in the software user interface.
Type CF (IEC 60601-1) defibrillator-proof protection
against electric shock. Isolated (floating) applied part
suitable for intentional external and internal application to
the patient, including direct cardiac application.
Type CF (IEC 60601-1) protection against electric shock.
Isolated (floating) applied part suitable for intentional
external and internal application to the patient, including
direct cardiac application.
Active audio alarms paused indicator. Indicates an active
audio alarm is temporarily paused.
Alarm off indicator. Indicates the alarm is disabled (turned
off).
Alarm priority indicator: High (red). Indicates a high priority
alarm.
Alarm priority indicator: Medium (yellow). Indicates a
medium priority alarm.
Alarm priority indicator: Low (blue). Indicates a low priority
alarm.
Alarm volume icon. Adjust the minimum alarm tone
volume.
Audio alarms off indicator. Indicates the specified alarm
group (ALL, APN, APN ECG or ECG) audio alarms are
turned off.
Audio alarms paused indicator. Indicates all audio alarms
are paused and the amount of time remaining for the alarm
pause period displays as a countdown timer.
Beat volume icon. Adjust the volume of the QRS beep
tone.
BIS and Entropy sensor impedance check indicator.
Displays for each sensor as the impedance check is in
progress.
BIS and Entropy sensor impedance check error indicator.
Indicates the specified sensor failed the impedance check.
2040384-004DCARESCAPE Monitor B8501-17
BIS and Entropy sensor impedance check passed
indicator. Indicates the specified sensor passed the
impedance check.
Completed NIBP volume icon. Adjust the volume of the
tone that sounds when an NIBP measurement result is
available.
Home icon. Close all menus/applications displayed on the
monitor.
Locking setting indicator. Indicates this setting is locked
and cannot be adjusted.
Manual NIBP icon. Start a manual NIBP measurement.
Nellcor OxiMax SatSeconds indicator. Indicates the
amount of time the SpO2 saturation is outside the limits
before alarms are generated.
NMT Stimulus beep vo lum e icon. Ad just the vo lume of the
tone that sounds when a stimulus pulse is generated.
Network connection indicator. Indicates the monitor is
connected to the Local Area Network (LAN).
Pause audio alarms icon. Selecting this option results in
different silence alarm behaviors depending whether
alarms are active and/or latched or not. For more
information, refer to the user’s manual.
PDM battery charging indicator. Indicates the battery is
charging.
PDM battery failure indicator. Indicates the battery is not
available for use.
PDM battery gauge indicator. Indicates the charge level of
the battery.
Progress bar. Indicates the amount of time remaining until
the next automatic measurement.
Reminder volume icon. Adjust the volume of the tone that
sounds every two minutes when audio alarms are turned
off.
Respiration indicator . Indicates a breath is detected by the
impedance respiration algorithm.
1-18CARESCAPE Monitor B8502040384-004D
Service information
Service requirements
Follow the service requirements listed below.
Refer equipment servicing to GE authorized service personnel only.
Any unauthorized attempt to repair equipment under warranty voids that
It is the user’s responsibility to report the need for service to GE or to one of their
Failure on the part of the responsible individual, hospital, or institution using this
Regular maintenance, irrespective of usage, is essential to ensure that the
Snapshot indicator. Indicates the event has an associated
snapshot.
SpO2 signal strength indicator. Indicates the signal
strength, with three asterisks indicating the strongest
signal.
Touch volume icon. Adjust the volume of the tone that
sounds when a user touches a touchscreen display.
warranty.
authorized agents.
equipment to implement a satisfactory maintenance schedule may cause undue
equipment failure and possible health hazards.
equipment will always be functional when required.
2040384-004DCARESCAPE Monitor B8501-19
Displays
Displays integrate auditory and visual alarms and are available in 15-inch non-touch
or 19-inch touch LCD with integrated keypads. Both displays include an integrated
alarm light.
15-inch non-touch LCD19-inch touch LCD
Refer to the “CARESCAPE Monitor B850 Addendum for Device Compatibility” for
a list of compatible devices.
Input devices
Input devices include remote control, keypad, keyboard, mouse and barcode reader.
The remote control and keypad provide all patient monitor controls on a portable
component with a TRIM KNOB control. The remote control is connected to the
patient monitor via one of the USB connectors at the back of the processing unit
or at the bottom of the display. The keypad is connected to an M-port and can be
mounted on the display or on a separate holster that has various mounting
configurations.
A standard keyboard and mouse may be connected to the patient monitor or
display via one of the USB connectors on the back of the processing unit or at the
bottom of the display.
The barcode reader, which may be connected to the patient monitor or display via
one of the USB connectors on the back of the processing unit or at the bottom of
the display, can be used to scan patient data from barcodes when admitting
patients.
2-4CARESCAPE Monitor B8502040384-004D
Refer to the “CARESCAPE Monitor B850 Addendum for Device Compatibility” for
PDM with F5 Frame
PSM with F5 Frame
a list of compatible devices.
Module Frames and Tram-Rac housing
F5 and F7 Module Frames provide an interface between the patient monitor and EModules. The F5 Module Frame has 5 module slots that support a series of E-module
acquisition devices. It supports both PDM and PSM with a slide mount. The F7
Module Frame has 7 module slots.
The Tram-Rac housing provides an interface between the patient monitor and a
TRAM module or a single parameter Tram-Rac module.
Acquisition modules
E-Modules and PDM
Refer to the “CARESCAPE Monitor B850 Addendum for Device Compatibility” for
a list of compatible devices and parameters monitored by PDM, each E-module,
TRAM module and single parameter Tram-Rac module.
Hemodynamic multi parameter acquisition modules are the Patient Data Module
(PDM), Patient Side Modules (PSM), E-PRESTN and TRAM modules. They provide
connection to the patient, process patient data signals, and send patient data signals to
the patient monitor.
Refer to the “CARESCAPE Monitor B850 Addendum for Device Compatibility” for
a list of compatible devices and parameters monitored by PDM, each E-module,
TRAM module and single parameter Tram-Rac module.
E-modules and the PDM offer a wide variety of parameter acquisition capability to
the patient monitoring system. Refer to the “Module Frames and Modules Technical
Manual” for detailed information on each E-module and the PDM.
2040384-004DCARESCAPE Monitor B8502-5
2-10CARESCAPE Monitor B8502040384-004D
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