GE Dash 2000 User manual

Dash 2000 Patient Monitor

Operator's Manual

Software Version 2

227 499 06 GA (US/E) Revision B

NOTE:

The information in this manual only applies to Dash 2000 software
version 2.

Due to continuing product innovation, specifications in this
manual are subject to change without notice.

Trademarks

Trademarked names appear throughout this document. Rather than list the
names and entities that own the trademarks or insert a trademark symbol
with each mention of the trademarked name, the publisher states that it is
using the names only for editorial purposes and to the benefit of the
trademark owner with no intention of improperly using the trademark.

900 SC, ACCUSKETCH, AccuVision, APEX , AQUA-KNOT, ARCHIVIST, Autoseq,
BABY MAC, C Qwik Connect, CardioServ, CardioSmart, CardioSys, CardioWindow,
CASE, CD TELEMETRY, CENTRA, CHART GUARD, CINE 35, COROLAN, CORO,
COROMETRICS, Corometrics Senso r Tip, CRG PLUS, DASH, Digistore, Digital
DATAQ, E for M, EAGLE, Event-Link, FMS 101B, FMS 111, HELLIGE, IMAGE
STORE, INTELLIMOTION, IQA, LASER SXP, MAC, MAC-LAB, MACTRODE,
MARQUETTE, MARQUETTE MAC, MARQUETTE MEDICAL SYSTEMS,
MARQUETTE UNITY NETWORK, MARS, MAX, MEDITEL, MEI, MEI in the
circle logo, MEMOPORT, MEMOPORT C, MINISTORE, MINNOWS, Mo narch
8000, MULTI-LINK, MULTISCRIPTOR, MUSE, MUSE CV, Neo-Trak,
NEUROSCRIPT, OnlineABG, OXYMONITOR, Pres-R-Cuff, PRESSURE-SCRIBE,
QMI, QS, Quantitative Medicine, Quantitative Sentinel, RAC, RAMS, RSVP, SAM,
SEER, SILVERTRACE, SOLAR, SOLARVIEW, Spectra 400, Spectra-Overview,
Spectra-Tel, ST GUARD, TRAM, TRAM-NET, TRAM-RAC, TRAMSCOPE, TRIM
KNOB, Trimline, UNITY logo, UNITY NETWORK, Vari-X, Vari-X Cardiomatic,
VariCath, VARIDEX, VAS, and Vision Care Filter are trademarks of GE Marquette
Medical Systems, Inc., registered in the United States Patent and Trademark
Office.

12SL, 15SL, Access, AccuSpeak, ADVANTAGE, BAM, BODYTRODE, Cardiomatic,
CardioSpeak, CD TELEMETRY®-LAN, CENTRALSCOPE, Corolation, EK-Pro,
EDIC, Event-Link Cumulus, Event-Link Cirrus , Event-Link Nimbus, HI-RES,
ICMMS, IMAGE VAULT, IMPACT.wf, INTER-LEAD, LIFEWATCH, Managed Use,
MARQUETTE PRISM, MARQUETTE® RESPONDER, MENTOR, MicroSmart,
MMS, MRT, MUSE CardioWindow, NST PRO, NAUTILUS, OCTANET, O2
SENSOR, OMRS, PHi-Res, Premium, Prism, QUIK CONNECT V. QUICK
CONNECT, QT Guard, SMARTLOOK, SMART-PAC, Spiral Lok, Sweetheart,
UNITY, Universal, Waterfall, and Walkmom are trademarks of GE Marquette
Medical Systems, Inc.

GE Marquette Medical Systems, Inc.
8200 West Tower Avenue
Milwaukee, WI 53223 USA
Tel: [phone]

800.558.5120 (US only)

Marquette Hellige GmbH
Postfach 60 02 65
D-79032 Freiburg, Germany
Tel: [phone]
Fax: [phone]

Fax: [phone]

© GE Marquette Medical Systems, Inc., 1999, All rights reserved.

T-2 Dash 2000 Patient Monitor Revision B

227 499 06 (US/E) 6 May 1999

NOTICES: CE Marking Information

CE Marking Information

Compliance

Declarations of
Conformity

The Dash 2000 patient monitor bears CE mark CE-0366 or
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 radio-interference emitted by this device is within the
limits specified in EN 55011, for class B equipment.

For devices manufactured in the United States, the CE mark
is applied under the authority of Notified Body GMED (0459).
For devices manufactured in Germany, the CE mark is
applied under the authority of Notified Body VDE (0366).

The product complies with the requirements of standard EN 60601-1-2
”Electromagnetic Compatibility – Medical Electrical Equipment”.

The safety and effectiveness of this device has been verified against
previously distributed devices. Although all standards applicable to
presently marketed devices may not be appropriate for prior devices (i.e.
electromagnetic compatibility standards), this device will not impair the
safe and effective use of those previously distributed devices. See user’s
information.

Copies of applicable EC Declarations of Conformity can be found at the end
of the appendices chapter.

Revision B Dash 2000 Patient Monitor NOTICES-1

227 499 06 (US/E)

General Information

•

•

•

•

•

NOTICES: 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 Marquette 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 Marquette
Medical Systems

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 are in conformity with the product specifications and

•

IEC publications on safety of electromedical equipment as well as with
UL and CSA requirements and AHA recommendations valid at the time
of printing.

The GE Marquette quality management system complies with the

•

standards DIN/EN/ISO 9001 and EN 46001, and the Council Directive
on Medical Devices 93/42/EEC.

NOTICES-2 Dash 2000 Patient Monitor Revision B

227 499 06 (US/E)

Table of Contents

TABLE OF CONTENTS

About This Manual.............................................................................ix

Manual Purpose ............................................................................ix

Intended Audience ........................................................................ix

Intended Use .................................................................................ix

Product References........................................................................ix

Conventions...................................................................................ix

Revision History ..................................................................................x

How To Reach Us ...............................................................................xi

Service Calls and Product Support ..............................................xi

Ordering Supplies and Service Parts...........................................xi

Other Questions or Problems ......................................................xii

Monitor Defaults Worksheet ...........................................................xiii

1

THE BASICS ..............................................................1-1

Components ......................................................................................1-2

The Monitoring System...............................................................1-2

Dash 2000 Monitor......................................................................1-2

Optional Centralscope Central Station......................................1-4

Optional Clinical Information Center........................................1-5

Optional Laser Printer...............................................................1-6

Operation ..........................................................................................1-7

General.........................................................................................1-7

Trim Knob Control......................................................................1-8

Control Keys................................................................................1-9

Power ......................................................................................1-9

Graph Go/Stop........................................................................1-9

NBP Go/Stop.........................................................................1-10

Function................................................................................1-10

Silence Alarm .......................................................................1-10

Turning Power On..........................................................................1-11

AC Power ...................................................................................1-11

Normal Mode........................................................................1-11

Standby Mode.......................................................................1-11

Battery Power.................................................................................1-12

Power Indicator Lights .............................................................1-13

Battery Conditioning ................................................................1-14

Battery.......................................................................................1-15

Battery Capacity Gauge ......................................................1-15

Battery Service Information Window ......................................1-16

Battery Status Messages .....................................................1-16

Software Features ..........................................................................1-17

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Menus....................................................................................1-17

Menu Timeout ......................................................................1-17

Main Menu ...........................................................................1-17

Parameter Menus.................................................................1-18

More Menus..........................................................................1-18

Popup Menus.............................................................................1-19

Scrolling Popup ....................................................................1-19

Pointer Popup.......................................................................1-19

Numeric Popup.....................................................................1-20

Subordinate Menus...................................................................1-20

Direct Action Menu Options.....................................................1-21

Parameter Windows..................................................................1-22

Information Windows................................................................1-23

Trim Knob Control Operation When Setting Alarm Limits...1-24

Graphing (Printing)........................................................................1-25

Devices.......................................................................................1-25

Manual Graphs..........................................................................1-25

Exclusive Graph Control .....................................................1-25

Alarm Graphs.......................................................................1-25

Pressure Scales..........................................................................1-26

Graphing Messages...................................................................1-26

Graph Header............................................................................1-26

2

3

Putting the Monitor Into Operation..............................................1-27

Monitor Installation and Connection.......................................1-27

Performance Check ...................................................................1-28

SAFETY....................................................................... 2-1

For Your Safety ................................................................................2-2

Intended Use ...............................................................................2-2

Terminology.................................................................................2-2

Monitor Safety.............................................................................2-2

Dangers........................................................................................2-2

Warnings......................................................................................2-3

Cautions.......................................................................................2-7

Notes ..........................................................................................2-10

Reference Literature ......................................................................2-10

Classifications.................................................................................2-11

Underwriters Laboratories, Inc................................................2-11

Safe Operating and Handling Conditions................................2-12

Equipment Symbols ..................................................................2-13

ADMIT DISCHARGE................................................ 3-1

About Admitting...............................................................................3-2

You Must Admit to Activate Alarms..........................................3-2

Monitors are Used in Different Ways ........................................3-2

Guidelines When Doing Combination Monitoring...............3-3

For Which Application is the Monitor Set?................................3-3

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TABLE OF CONTENTS

Getting to the Admit Menu..............................................................3-4

Standard Admit Menu .....................................................................3-5

Rover Admit Menu ...........................................................................3-6

Combo Admit Menu..........................................................................3-7

Rover Combo Admit Menu...............................................................3-8

Admit Menu Options........................................................................3-9

Admit Info....................................................................................3-9

Change Admit Info...............................................................3-10

Request Admit Info..............................................................3-11

Save Admit Info....................................................................3-11

Weight and Height...............................................................3-11

Age .....................................................................................3-11

Admit Patient............................................................................3-12

Admit Patient.......................................................................3-12

New Case..............................................................................3-12

Set Unit Name...........................................................................3-13

Set Bed Number........................................................................3-14

Set Graph Location ...................................................................3-14

ECG Source................................................................................3-15

4

About Discharging..........................................................................3-16

Discharge Patient......................................................................3-16

Standard and Rover Admit Menu.......................................3-16

Combo and Rover Combo.....................................................3-17

New Case..............................................................................3-17

ALARM CONTROL...................................................4-1

Smart Alarms ...................................................................................4-2

Alarm Structure ...............................................................................4-3

Patient Status Alarms.................................................................4-3

System Status Alarms.................................................................4-4

Controlling Audio Alarms................................................................4-5

Silencing an Alarm for One Minute...........................................4-5

Pausing Alarms...........................................................................4-5

Turning Alarm Volume Off Permanently..................................4-5

Alarm Control Menu ........................................................................4-6

All Limits.....................................................................................4-7

Viewing an All Limits Screen................................................4-7

Changing a Limit in the All Limits Screen ..........................4-8

Alarm Graph................................................................................4-9

Alarm Volume............................................................................4-10

Parameter Alarm Level ............................................................4-11

Arrhythmia Alarm Level ..........................................................4-12

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TABLE OF CONTENTS

5

MONITOR SETUP.....................................................5-1

Monitor Setup Menu ........................................................................5-2

Monitor Defaults .........................................................................5-3

Monitor Defaults Menu...............................................................5-3

Setup Default Arrhythmia Alarm Levels .............................5-4

Setup Default Parameter Alarm Levels ...............................5-6

Setup Default Limits..............................................................5-7

Setup Default Display............................................................5-8

Setup Default Parameter Priority.........................................5-9

Recall Default.......................................................................5-10

Display Setup Menu..................................................................5-11

Waveform On / Off ...............................................................5-12

Contrast................................................................................5-13

Color .....................................................................................5-14

Backgrnd...............................................................................5-14

Time and Date......................................................................5-14

Set Date ................................................................................5-15

Set Time................................................................................5-15

Graph Setup ..............................................................................5-16

ECG 1, Waveform 2, Waveform 3 .......................................5-17

Graph Location.....................................................................5-18

Alarm Graph.........................................................................5-20

Speed.....................................................................................5-20

Timed Graph ........................................................................5-21

Parameters On / Off ..................................................................5-22

Software Summary....................................................................5-23

Service Mode..............................................................................5-24

Patient Monitor Type...........................................................5-25

Admit Mode ..........................................................................5-25

6

7

iv Dash 2000 Patient Monitor Revision B

PATIENT DATA......................................................... 6-1

Patient Data Menu...........................................................................6-2

Vital Signs....................................................................................6-3

View Older / View Newer.......................................................6-4

Time Interval..........................................................................6-4

Specific Time ..........................................................................6-4

Graphic Trends............................................................................6-5

Select Parameters ..................................................................6-6

View Older / View Newer.......................................................6-7

Time Period ............................................................................6-7

MAINTENANCE........................................................7-1

Biocompatibility................................................................................7-2

Inspection..........................................................................................7-3

General Cleaning..............................................................................7-4

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TABLE OF CONTENTS

Cleaning Applied Parts....................................................................7-6

Cables and Leadwires.................................................................7-6

Other............................................................................................7-6

Technical Maintenance....................................................................7-7

Technical Inspections.............................................................7-7

Changing Graph Paper....................................................................7-8

Built-in Writer........................................................................7-8

Thermal Paper Storage....................................................................7-9

8

ECG..............................................................................8-1

Introduction......................................................................................8-2

Checklist ......................................................................................8-2

Skin Preparation ..............................................................................8-3

Electrode Placement.........................................................................8-4

5-Leadwire Electrode Placement................................................8-4

3-Leadwire Electrode Placement................................................8-5

Three-leadwire Configuration...............................................8-5

Electrode Placement for Neonates.............................................8-6

Electrode Placement for Pacemaker Patients...........................8-7

Maintaining Quality ECG Signal...............................................8-8

Surgical Considerations for Electrode Placement (Adults)......8-8

ESU ECG Filters..............................................................................8-8

Electrosurgical Unit (ESU Cable) ..............................................8-8

ECG Monitoring Features ...............................................................8-9

ECG Display................................................................................8-9

Getting to the ECG Menu.........................................................8-10

ECG Menu Options ........................................................................8-11

Display Lead..............................................................................8-11

Synchronized Cardioversion................................................8-11

Smart-Lead Fail...................................................................8-12

Leads Fail Patient Condition ..............................................8-12

ECG Size....................................................................................8-13

ECG Limits................................................................................8-14

Heart Rate............................................................................8-14

QRS Volume ..............................................................................8-15

Analysis Settings.......................................................................8-16

ECG Filter ............................................................................8-17

Lead Analysis.......................................................................8-18

Multi-Lead Analysis.............................................................8-18

Single Lead Analysis............................................................8-18

Changing Lead Analysis......................................................8-18

Detect Pace...........................................................................8-19

Safety Considerations..........................................................8-19

Monitoring Pacemaker Patients..........................................8-20

QRS Width............................................................................8-22

Changing QRS width ...........................................................8-22

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TABLE OF CONTENTS

Arrhythmia.................................................................8-23

Lethal....................................................................................8-23

Arrhythmia Conditions........................................................8-24

Troubleshooting..............................................................................8-25

9

PRESSURES ..............................................................9-1

Introduction......................................................................................9-2

Assigned BP Names ....................................................................9-3

Zero Reference..................................................................................9-4

Checklist ...........................................................................................9-4

Pressure Monitoring Features.........................................................9-5

Pressure Information..................................................................9-5

Getting to the Pressure Menu ....................................................9-6

Pressure Menu Options....................................................................9-7

Scales............................................................................................9-7

Cursor ..........................................................................................9-8

Clear Cursor ................................................................................9-8

Limits...........................................................................................9-9

Change Name............................................................................9-10

Zero.............................................................................................9-10

Settings......................................................................................9-11

BP Filter ...............................................................................9-12

Calibrate Transducer...........................................................9-12

Smart BP ..............................................................................9-13

Pulse Rate.............................................................................9-13

Disconnect Alarm.................................................................9-14

10

Troubleshooting..............................................................................9-15

NBP............................................................................10-1

Introduction....................................................................................10-2

Checklist ....................................................................................10-3

Patient Preparation........................................................................10-4

NBP Monitoring Features..............................................................10-5

NBP Information.......................................................................10-5

NBP Go/Stop Key.................................................................10-5

Power Key.............................................................................10-5

Getting to the NBP Menu.........................................................10-6

NBP Menu Options ........................................................................10-7

NBP Auto...................................................................................10-7

NBP Stat....................................................................................10-8

NBP Limits................................................................................10-9

Cuff Size...................................................................................10-10

Cuff Inflation Pressures.....................................................10-10

Clear NBP Reading.................................................................10-10

Troubleshooting............................................................................10-11

NBP Status Messages.............................................................10-11

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TABLE OF CONTENTS

11

SPO2 ..........................................................................11-1

Introduction....................................................................................11-2

Neonates and Infants.....................................................................11-3

Checklist .........................................................................................11-4

Patient Preparation........................................................................11-5

Signal and Data Validity ...............................................................11-6

Signal Strength Indicator.........................................................11-6

Quality of SPO2 Waveform.......................................................11-6

Stability of SPO2 Values...........................................................11-7

SPO2 Monitoring Features............................................................11-8

SPO2 Information .....................................................................11-8

Getting to the SPO2 Menu .......................................................11-9

SPO2 Menu Options.....................................................................11-10

Size...........................................................................................11-10

SPO2 Limits.............................................................................11-11

Rate Volume ............................................................................11-12

Rate..........................................................................................11-12

Probe Off Patient Condition ........................................................11-13

Troubleshooting............................................................................11-14

SPO2 Messages........................................................................11-14

12

RESPIRATION ........................................................12-1

Introduction....................................................................................12-2

General Information .................................................................12-3

Checklist ....................................................................................12-4

Respiration Monitoring Features..................................................12-5

Respiration Information ...........................................................12-5

Getting to the Respiration Menu .............................................12-6

Respiration Menu Options.............................................................12-7

Lead............................................................................................12-7

Relearn Respiration ..................................................................12-7

Respiration Limits.....................................................................12-8

Sensitiv ......................................................................................12-9

Cardiac Artifact Alarm ...........................................................12-10

Size...........................................................................................12-11

Auto Size.............................................................................12-11

Manual Size........................................................................12-11

Troubleshooting............................................................................12-12

Respiratory Waveform ............................................................12-12

Cardiac Artifact..................................................................12-12

Varying Amplitudes...........................................................12-13

Messages..................................................................................12-13

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TABLE OF CONTENTS

13

14

TEMPERATURE ..................................................... 13-1

Introduction....................................................................................13-2

Checklist ....................................................................................13-2

Temperature Monitoring Features................................................13-3

Temperature Information.........................................................13-3

Getting to the Temperature Menu...........................................13-4

Temperature Menu Options ..........................................................13-5

Units...........................................................................................13-5

TP Limits ...................................................................................13-5

Troubleshooting..............................................................................13-6

Messages....................................................................................13-6

APPENDICES..........................................................14-1

Defib Sync/Analog Output .............................................................14-2

ECG Acquisition Modules.........................................................14-2

Abbreviations and Symbols ...........................................................14-3

Abbreviations.............................................................................14-3

Symbols......................................................................................14-9

Software Packages........................................................................14-10

Factory Defaults— Adult-ICU Mode...........................................14-11

Factory Defaults— Neonatal-ICU Mode.....................................14-15

Factory Defaults— Operating Room Mode.................................14-19

Minimum and Maximum Limits (Default Mode).......................14-23

Technical Specifications...............................................................14-24

Display.....................................................................................14-24

Controls....................................................................................14-24

Processing................................................................................14-24

Alarms......................................................................................14-24

ECG..........................................................................................14-24

Respiration...............................................................................14-26

Temperature (TEMP)..............................................................14-26

Invasive Blood Pressure (BP) .................................................14-26

Pulse Oximetry (SpO2) ...........................................................14-27

Non-invasive Blood Pressure (NBP) ......................................14-27

Analog Output.........................................................................14-28

Defibrillator Synchronization Pulse.......................................14-28

Environmental Specifications.................................................14-28

Physical Specifications............................................................14-29

Certification.............................................................................14-29

Warranty..................................................................................14-29

EC Declaration of Conformity .....................................................14-30

viii Dash 2000 Patient Monitor Revision B

227 499 06 (US/E)

About This Manual

PREFACE: About This Manual

Manual Purpose

Intended Audience

Intended Use

Product References

Conventions

This operator manual has been prepared by the technical writing staff of
GE Marquette Medical Systems. It provides operating instructions for the
Dash 2000 patient monitor.

This manual is geared for clinical professionals. Clinical professionals are
expected to have working knowledge of medical procedures, practices, and
terminology as required for monitoring of critically ill patients.

This product is intended for use as a hospital patient monitor. It is NOT
intended for home use.

The Dash 2000 patient monitor is referred to in this manual as the Dash
monitor or simply the monitor.

The Centralscope central station and the Clinical Information Center are
generically referred to as the central station in this manual.

The Direct Digital Writer is referred to as DDW or writer.
The laser printer is referred to as the printer.

References to screen text appear throughout this manual in all capital
letters (for example ECG, DISCHARGED, SAVING, ALARM VOLUME
OFF, etc.). This manual refers to keys, menus, and menu options.

Keys— a labeled button found on the front of the monitor which you
press to activate.

Menus and Menu Options—A menu is text which appears at the
bottom of the display screen. A menu is composed of a set of menu
options. Each menu option is encl osed in a rectangle.

How can you tell what software package you have? Follow this
procedure:

1. Select MORE MENUS option from the Main Menu.

2. Select MONITOR SETUP from the menu displayed.

3. Select SOFTWARE SUMMARY from the Monitor Setup Menu. An
information window is displayed.

The software package number is displayed in the second line of the
title in the information window.

Illustrations

All illustrations in this manual are provided as examples only. They may
not necessarily reflect your monitoring setup or data displayed on your
monitor.

Revision B Dash 2000 Patient Monitor ix

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Revision History

PREFACE: Revision History

This manual has a revision letter, located at the bottom of each page. This
revision letter changes whenever the ma nual is updated.

Revision Date Comments
A July 1999 This document corresponds

with the Dash monitor
software version 2.

B September 1999 UL mark added,

ECO 063 296

x Dash 2000 Patient Monitor Revision B

227 499 06 (US/E)

How To Reach Us

PREFACE: How To Reach Us

Service Calls and
Product Support

Ordering Supplies
and Service Parts

To open a service call or obtain product support call the numbers below:
Service calls All products 800-558-7044 (U.S. & Canada)

561-575-5000 (outside U.S.)

Product support Monitors 800-558-7044 (U.S. & Canada)

561-575-5000 (outside U.S.)

Cardiology 800-558-5120 (U.S.)

414-355-5000 (outside U.S.)

or contact your local sales and service representative:

Name: __________________________________________
Telephone: ______________________________________

For other product information please contact one of the offices listed on the
next page.

Order supplies (leadwires, electrode paste, thermal paper, etc.) or service
parts (manuals, circuit boards, cables, software, etc.) from:

Supplies GE Marquette Supplies

2607 North Grandview Blvd.
Mail Code: SN-471
Waukesha, WI 53188
Telephone: [phone] (U.S. only)

414-521-6856 (outside U.S.)

Fax: [phone] (U.S. only)

414-521-6855 (outside U.S.)

Service parts GE Marquette Service Parts

P.O. Box 9100, 100 Marquette Drive
Jupiter, FL 33468-9100
Telephone: [phone] (U.S. only)

561-575-5000 (outside U.S.)

Fax: [phone] (U.S. only)

561-575-5050 (outside U.S.)

Have the following information handy before calling:

part number of the defective part, or

•

model and serial number of the equipment,

•

part number/name of the assembly where the item is used,

•

item name, and

•

where applicable, reference designation (e.g., R13, S12, U32).

•

Ordering Manuals When ordering additional operator manuals, be sure

to include the software version of th e product.

Revision B Dash 2000 Patient Monitor xi

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PREFACE: How To Reach Us

Other Questions or
Problems

For additional information contact one of the offices listed below:

Headquarters

GE Marquette Medical Systems, Inc.
8200 West Tower Avenue
Milwaukee, Wisconsin 53223 U.S.A.
Telephone: [phone]

800-558-5120 (U.S. only)

Fax: [phone]

Europe

Marquette Hellige GmbH
Postfach 60 02 65
D-79032 Freiburg
Germany
Telephone: [phone]
Fax: [phone]

Australia

Marquette Medical Systems (Australia) Pty Ltd.
Forest Corporate Centre, Suite 7
19 Rodborough Road
Frenchs Forest NSW 2086
Australia
Telephone: (61) (2) 9975-5501
Fax: (61) (2) 9975-5503

Japan

Marquette Medical Systems, Japan
Waseda Hirai Building, 7th Floor
1-18-9, Nishi-Waseda,
Shinjuku-KuTokyo, Japan
Telephone: (81) (3) 3203-1631
Fax: (81) (3) 3202-1626

Hong Kong

Marquette Medical Systems (HK)
26/F, Catic Plaza
8 Causeway Road
Causeway Bay, Hong Kong
Telephone: [phone]
Fax: [phone]

Southeast Asia

Marquette Electronics (SEA) Pte.
#2 Leng Kee Road,
04-04A Thye Hong Centre
Singapore 0315
Telephone: [phone]
Fax: [phone]

xii Dash 2000 Patient Monitor Revision B

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PREFACE: Monitor Defaults Worksheet

Monitor Defaults Worksheet

You can customize alarm limits and levels as well as
numerous display options. Your settings can be set
up as Monitor Defaults to be recalled with each
discharge procedure. Refer to the Monitor Setup
chapter of this manual for details.

We have provided this worksheet as an optional
reference tool. Fill it out and keep it in a prominent
place to refer to your setup. You may want to make
additional copies of the work sheet for future use
before filling it out.

Arrhythmia Alarm Levels

Crisis Warning Advisory Message

Asystole
VFib/VTac
VTach
Brady

(NEO
mode)

Date: ________________ Unit: ______________
Patient Monitor Type (circle one):

ADULT ICU NEONATAL-ICU OPERATING ROOM

NOTE:Changing patient-monitor type after setup

erases your monitor defaults and reinstates
monitor defaults.

Parameter Alarm Levels

Crisis Warning Advisory Message

HR
CO2 No

Breath
ART
PA
CVP
CO2
NBP
SPO2
FEM
UAC
RA
UVC
LA
ICP
SP
ART Rate
SPO2 Rate
FEM Rate
UAC Rate
RR
Resp Apnea
TP

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HR
NBP-S
NBP-D
NBP-M
ART-S
ART-D
ART-M
ART-R
FEM-S
FEM-D
FEM-M
FEM-R
UAC-S

PREFACE: Monitor Defaults Worksheet

Parameter Limits

Low High

UAC-D
UAC-M
UAC-R
PA-S
PA-D
PA-M
CVP
RA
UVC
LA
ICP
SP
No Breath
SpO2
SpO2-R
RR
RR-Apnea
TP

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Display Defaults

PREFACE: Monitor Defaults Worksheet

PATIENT AGE
COLOR FORMAT*
BACKGROUND**
PRIMARY ECG
ARRHYTHMIA
DETECT PACE
ARTERIAL RATE
LEAD ANALYSIS
GRAPH WAVEFORM 2
GRAPH WAVEFORM 3
ALARM GRAPH
TIMED GRAPH
ART DISCONNECT***
SMART BP***
ARTERIAL SCALE
PA SCALE

SPO2 PROBE OFF
DISPLAY LIMITS
DISPLAY UNITS
UNITS FOR HEIGHT
UNITS FOR WEIGHT
TEMPERATURE

UNITS
NBP LIMITS TYPE
ARTERIAL LIMITS

TYPE
PA LIMITS TYPE
MENU TIMEOUT
ECG FILTER
BP FILTER
DISCHARGE ALERT
QRS WIDTH

CPV-RA-UVC SCALE
LA SCALE
ICP SCALE
SP SCALE
NBP AUTO
NBP CUFF SIZE
RR PARAMETER
RR LEAD
VIEW ON ALARM
VOA BROADCAST
ALARM VOLUME
SILENCE ALARM
QRS VOLUME
RATE VOLUME
ECG LEADS FAIL

* color display
** monochrome display
*** not in NEO-ICU mode

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PREFACE: Monitor Defaults Worksheet

Parameter Priority Defaults

Indicate which parameters you want to have priority
in the first 3 positions on the display. ECG always
appears first and cannot be changed.

Parameter 1

ECG

Parameter 2
Parameter 3

Circle the other parameters you want to have priority
after position 3. Size of the parameter window
determines how many selections you can make. The
software prevents you from selecting more
parameters than allowable.

NBP UVC
ART LA
FEM ICP
UAC SP

PA SPO2

CVP RR

RA TP

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1 THE BASICS

Components ......................................................................................1-2

The Monitoring System..............................................................1-2

Dash 2000 Monitor......................................................................1-2

Optional Centralscope Central Station......................................1-4

Optional Clinical Information Center........................................1-5

Optional Laser Printer...............................................................1-6

Operation ..........................................................................................1-7

General.........................................................................................1-7

Trim Knob Control......................................................................1-8

Control Keys................................................................................1-9

Turning Power On..........................................................................1-11

AC Power ...................................................................................1-11

Battery Power.................................................................................1-12

Power Indicator Lights .............................................................1-13

Battery Conditioning ................................................................1-14

Battery.......................................................................................1-15

Battery Service Information Window ......................................1-16

Software Features ..........................................................................1-17

Menus.........................................................................................1-17

Popup Menus.............................................................................1-19

Subordinate Menus...................................................................1-20

Direct Action Menu Options.....................................................1-21

Parameter Windows..................................................................1-22

Information Windows................................................................1-23

Trim Knob Control Operation When Setting Alarm Limits...1-24

Graphing (Printing)........................................................................1-25

Devices.......................................................................................1-25

Manual Graphs..........................................................................1-25

Pressure Scales..........................................................................1-26

Graphing Messages...................................................................1-26

Graph Header............................................................................1-26

Putting the Monitor Into Operation..............................................1-27

Monitor Installation and Connection.......................................1-27

Performance Check ...................................................................1-28

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Components

THE BASICS: Components

The Monitoring
System

Dash 2000 Monitor

The Dash 2000 monitor is a self-contained patient transport monitor
available with a built-in writer (optional). The monitor can be viewed on a
Tramscope monitor, an Eagle 4000 monitor, a Dash 3000 monitor, a
Centralscope central station or a Clinical Information Center over the
Marquette Unity Network via Ethernet.

This device is designed to monitor a fixed set of parameters including ECG,
noninvasive blood pressure, impedance respiration, SpO2, and temperature.
Invasive pressure is an optional feature.

All of the patient cable connectors are located on the right side panel of the
monitor. The screen displays patient information in a logical, easily
understood format. A Trim Knob control provides single control operation of
virtually all monitor functions.

The monitor is available in both monochrome and color.

AC Battery

Power

Charging Status

Graph Go/Stop

NBP Go/Stop

Function

Trim Knob

Silence Alarm

Trim Knob
Control

Patient Cable
Connectors

Screen

DASH 2000

DAK.BED 1

150/ 5021-NOV-1998 16:27

ECG

II

SPO

2

MORE
MENUS

+-

75

105/ 90

SPO

2

* * *

97

RT

70

200/ 80

NBP

XXX/

ADT

001

Monitor, Front and Side Views

The illustration above shows one invasive pressure connector (labeled BP).
This is an optional feature which your monitor may not have. References
are made to this optional feature throughout the manual. Please ignore
such references if this feature was not purchased with your monitor.

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On the back of the monitor, you can find all connectors for equipment and
network. (See the illustration below.)

NOTE: Refer to the service manual for system safety requirements when

Handle – An optional alarm indicator can be
built into the handle of the monitor (not shown).
When activated, the LED indicator flashes red
for CRISIS and WARNING patient status alarms
and yellow for all other alarms.

THE BASICS: Components

connecting the monitor to accessory equipment.

Aux Port – This
auxiliary port is
non functional at
this time.

Network Connector – A cable
can be connected to this port
for monitors used in the patient
monitoring network configuration.

Power Input

Monitor, Back View

002

Defib Sync Connector – Provides ECG analog
output signals to user-supplied equipment. A 5-volt,
2-milisecond artificial pacer spike is added to the
analog output when PACE is on and detection
occurs. Refer to the Appendices, Analog Output, for
details on signal output.

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THE BASICS: Components

Optional
Centralscope Central
Station

The GE Marquette Unity Network (Ethernet) establishes bed-to-bed
communication and allows patient data to be sent to an optional
Centralscope central station and to other monitors on the network. All
devices must be connected to the network.

The central station may have a built-in writer for graphing (printing). This
built-in writer uses 2-inch wide graph paper.

012A

Centralscope Central Station

The Centralscope Central Station is generically referred to as the central
station throughout this manual.

Refer to the Centralscope central station operator’s manual for instructions
on operation.

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THE BASICS: Components

Optional Clinical
Information Center

The Unity Network (Ethernet) establishes bed-to-bed communication and
allows patient data to be sent to an optional Clinical Information Center
and to other monitors on the network. All devices must be connected to the
network.

Clinical Information Center

The Clinical Information Center is generically referred to as the central
station throughout this manual.

Refer to the Clinical Information Center operator's manual for instructions
on operation.

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THE BASICS: Components

Optional Laser
Printer

An optional laser printer (not shown) connects to the central station. It is
identified on the Dash monitor as LASER when choosing a graph locat ion.
(Refer to the Monitor Setup chapter for more details.)

When you choose the laser printer as the print window location, it can print
any printable information window when it is displayed and the GRAPH GO
/ STOP key is pressed.

When you choose the laser printer as the manual graph location, it will
print the waveforms as selected in Graph Setup when the GRAPH GO /
STOP key is pressed. It prints 20 seconds of waveforms per page in a
cascade format when the graph speed is set for 25 millimeters per second.
There will be a delay of approximately one minute until the first page is
printed, then it will run until all patient data is printed.

NOTE: The one-minute delay does not mean the data printed is delayed. It

just takes that long for the information to be processed by the laser
printer. The amount of data printed will increase and the delay will
be longer if a speed slower than 25 mm/s is chosen.

When you choose the laser printer as the alarm graph location, it will
provide 20 seconds of waveforms per page in a cascade format, but again,
there will be a delay of one minute until the first page is printed.

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Operation

THE BASICS: Operation

General

Below is an illustration of the front of the monitor with a waveform display.
The parts of the monitor and display which are involved in the operation of
the monitor are labeled. Each of these is described in more detail on the
following pages.

Power

Parameter
Windows

Graph
Go/Stop

NBP
Go/Stop

Function (Zero)

Trim Knob
Control

Silence Alarm

II

SPO2

MORE

MENUS

DASH 2000

AC Battery

Power

Charging Status

Graph Go/Stop

NBP Go/Stop

Function

Trim Knob

Silence Alarm

003

SPO2

* * *

RT

150/ 5021-NOV-1998 16:27

ECG

75

105/ 90

97

70

200/ 80

NBP

XXX/

ADT

DAK.BED 1

+-

Operating the Dash 2000 Patient Monitor

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THE BASICS: Operation

AC Battery

Power

Graph Go/Stop

NBP Go/Stop

Function

Silence Alarm

Trim Knob

Charging Status

ECG

150/ 50

75

SPO

2

105/ 90

RT

70

* * *

97

NBP

200/ 80

ADT

XXX/

Trim Knob Control

The main operator control is the Trim Knob control. The Trim Knob control
rotates in either direction to highlight parameter labels and menu options.
After highlighting the desired selection, press the Trim Knob control to
view a new menu or a small popup menu. This procedure is referred to as
”select” throughout the manual.

Remember, when using the Trim Knob control, rotate to highlight, then
press to select.

003A

Trim Knob Control

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THE BASICS: Operation

AC Battery

Power

Graph Go/Stop

NBP Go/Stop

Function

Silence Alarm

Trim Knob

Charging Status

ECG

150/ 50

75

SPO

2

105/ 90

RT

70

* * *

97

NBP

200/ 80

ADT

XXX/

Control Keys

Power

On the right side of the monitor are five control keys. Their functions are
described below. Press the key to activate the function.

Beginning with the upper key and reading down, the keys are:

004

Location of Control Keys

The monitor will be powered at all times when plugged into AC power. This
key turns the monitoring function ON and OFF. When the monitor is
turned off, patient monitoring is discontinued; however, patient data
already accumulated is retained and the battery charging function
continues.

NOTES:To avoid unintentional switchoff, the POWER key must be pressed

at least 0.25 seconds to switch off the monitor.
In the event of a lockup, you can force a switch-off by pressing the

POWER key for five seconds.

Graph Go/Stop

Press this key once to start a graph run of the patient’s data. Press a second
time to stop. If pressed during an alarm graph run, the graph will run
continuously until GRAPH GO/STOP is pressed again. Note that an alarm
graph run is usually an automatic 20-second timed graph.

This key is also used to print a copy of non-real time screens. We refer to
these as information windows. Not all information windows can be printed.
If a printable information window is displayed, press GRAPH GO/ STOP to
print a copy. If a nonprintable information window is displayed, pressing
the GRAPH GO/STOP key prints patient data as if the information window
was not displayed.

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THE BASICS: Operation

NBP Go/Stop

Function

Silence Alarm

This key starts one noninvasive blood pressure measurement. It can also be
used at any time to stop a measurement in process.

NOTE: In Operating Room Mode, if an auto mode time is set in monitor

defaults, pressing the NBP GO/STOP key starts the auto mode
feature.

This key zeroes the invasive pressure line. The pressure can also be zeroed,
if desired, with a menu option in the pressure menu. (If your monitor does
not have the invasive pressure option, this key will be present, but will not
affect the operation of the monitor.)

This key silences a current, audible alarm for 60 seconds. Only new alarms
of equal or higher level interrupt the silence command. Press the key twice
during an alarm to start an alarm pause (five minutes for Adult-ICU, 3
minutes for Neonatal-ICU). Press the key again during the alarm pause to
reactivate alarms.

If no alarm is sounding, press this key to start an alarm pause.
If your monitor is set up for Operating Room mode, you have three levels of

alarm pause:

Press once (if an alarm is sounding you must press twice) to start a 5-

•

minute alarm pause;
Press again to start a 15-minute alarm pause;

•

Press again to start a permanent alarm pause;

•

Press again to reactivate alarms.

•

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