GE Solar 8000i User manual

Solar® 8000i
Patient Monitor
Operator’s Manual
Software Version 4
2026264-001 Revision A
NOTE: The information in this manual only applies to Solar 8000i Patient Monitor software version 4. Due to continuing product innovation, specifications in this manual are subject to change without notice.
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.
CD TELEMETRY, CRG PLUS, MUSE, QS, RAC, RAMS, SAM, SOLAR, ST GUARD, 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 Trademark Office.
12SL, ApexPro, CD TELEMETRY
®
-LAN, CENTRALSCOPE, EK-Pro, IMPACT.wf, iPanel, MENTOR,
Octanet, PRN 50, PRN 50-M, and UNITY are trademarks of GE Medical Systems Information Technologies.
© 2005 General Electric Company. All rights reserved.
2026265-001 6 April 2005

CE Marking Information

CE Marking Information

Compliance

The Solar 8000i 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”.
Revision A Solar 8000i Patient Monitor CE-1
2026265-001

General Information

CE Marking 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 Medical Systems Information Technologies 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 Medical Systems Information Technologies;
the electrical installation of the releva nt 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 IEC 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.
CE-2 Solar 8000i Patient Monitor Revision A
2026265-001

Contents

1 The Basics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-1
About This Manual . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2
Manual Purpose . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-2
Intended Audience . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-2
Revision History . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-2
Ordering Manuals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-2
Manual Conventions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-3
Product References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-3
Definitions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-3
Illustrations and Names . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-3
Software Packages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-4
Menus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-6
Main Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-6
More Menus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-7
Popup Menus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-8
Subordinate Menus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-11
Windows . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-13
Parameter Windows . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-13
Information Windows . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-15
Common Operations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-17
Using the Trim Knob Control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-17
Using the Touchscreen Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-18
Entering Alphanumeric Characters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-21
Setting Alarm Limits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-23
Selecting Options from Scroll Lists . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-25
Language-Specific Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-27
Chinese and Japanese Language Information . . . . . . . . . . . . . . . . . . . . . . . . . .1-27
French Language Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-27
Hungarian, Polish and Russian Language Information . . . . . . . . . . . . . . . . . . . .1-27
2 Equipment Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-1
Components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-2
Solar 8000i Patient Monitoring System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-2
Tram Modules . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-6
Single-Parameter Modules . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-11
Tram-rac Housing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-13
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2026265-001
Optional Writers and Printers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-18
Optional Remote Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-18
Optional Connectivity Devices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-19
Optional iPanel Computer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-19
Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-20
Keypad . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-20
Putting the Monitor Into Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-24
Monitor Installation and Connection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-24
Turning Power On . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-25
Performance Check . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-26
3 Safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-1
For Your Safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2
Intended Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-2
Terminology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-2
Monitor Safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-2
Classification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-12
Underwriters Laboratories, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-13
Equipment Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-13
4 Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-1
Biocompatibility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-2
Inspection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-3
General Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-4
Cleaning the Touchscreen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-5
Cleaning Applied Parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-6
Cables and Leadwires . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-6
Other . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-6
Internal Lithium Battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-7
Technical Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-8
Technical Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-8
ii Solar 8000i Patient Monitor Revision A
2026265-001
5 Monitor Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-1
Monitor Setup Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-2
Waveforms On/Off . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-3
Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-5
Parameters On/Off . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-8
Graph Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-9
Monitor Defaults Password . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-21
Print CRG Plus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-22
Touchscreen Volume . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-22
Learn the Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-23
Software Compatibility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-24
6 Admit/View A Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-1
About Admitting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-2
Monitor Applications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-2
Admit Menus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-5
Standard Admit Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-6
Combo Admit Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-8
Rover Combo Admit Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-9
Admit Menu Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-10
Change Admit Info . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-10
Request Admit Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-13
ECG Source . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-14
Graph Location . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-14
Set Unit Name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-14
Set Bed Number . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-15
Units of Measure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-15
Options for Admitting a Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-15
About Discharging . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-17
Discharge Patient — Standard and Rover Applications . . . . . . . . . . . . . . . . . . .6-17
Discharge Patient — Combo and Rover Combo Applications . . . . . . . . . . . . . . .6-18
New Case . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-18
Viewing Other Patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-19
Automatic View On Alarm Feature . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-20
Viewed Patient Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-23
Monitor Setup for Viewing Other Patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-25
Default Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-25
View On Alarm Options Menu Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-28
View Other Patients Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-29
View Alarm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-30
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View On Alarm Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-31
Select a Bed to View . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-36
Turn the View Off . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-36
Select Another Care Unit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-36
Graph Viewed Bed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-37
Viewed Patient Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-37
Full Patient View . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-38
7 Printing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-1
Writers and Printers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-2
PRN 50 and PRN 50-M Digital Writers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-2
Laser Printer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-5
Graphing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-6
Manual Graphs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-6
Alarm Graphs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-7
Invasive BP Only . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-7
Pressure Scales . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-7
Graphing Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-8
Graph Header . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-8
8 Alarm Control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-1
Smart Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-2
Alarm Structure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-3
Patient Status Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-3
System Status Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-5
On-screen Alarm Help . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-5
Controlling Audio Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-6
Silencing Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-6
Pausing Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-7
Alarm Pause Breakthrough . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-8
Remote Silencing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-8
Turning Alarm Volume Off Permanently . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-9
Alarm Window . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-10
Clear Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-10
Alarm Histories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-11
Alarm Control Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-12
All Limits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-13
Arrhythmia Alarm Level . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-14
Parameter Alarm Level . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-15
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Alarm Volume . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-15
Alarm Help . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-17
Display Off/Alarm Pause . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-18
Clear Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-18
Alarm History . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-18
CRG Trends . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-19
Alarm Pause . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-19
9 CRG Plus Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-1
Parameters Displayed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-2
CRG Plus Full Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-3
CRG Plus Individual Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-4
Turning on the CRG Plus Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-5
Selecting Parameters for the CRG Plus Display . . . . . . . . . . . . . . . . . . . . . . . . . .9-5
Printing CRG Plus Parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-6
Print CRG Plus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-6
CRG Plus Printing Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-6
CRG Trends . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-9
CRG Trends Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-9
CRG Trends Event Directory . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-11
CRG Trends Menu Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-12
Document CRG Events . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-15
Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-17
10 Patient Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-1
Patient Data Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-2
Alarm History . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-3
Vital Signs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-6
Graphic Trends . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-9
Cardiac Calcs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-12
Pulmonary Calcs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-15
Dose Calcs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-21
CRG Trends . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-26
Lab Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-27
11 ECG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-1
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 -2
NO ECG” Comm Alarm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-3
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Checklist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-4
ECG Monitoring Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-5
ECG Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-5
ECG Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-7
Getting to the ECG Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-7
Display Lead . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-8
ECG Size . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-10
Detect Pace . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-11
ECG Limits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-16
View All ECG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-17
Clear V2-V6 Fail . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-17
Arrhythmia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-18
Relearn . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-22
ST Analysis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-23
ST Analysis Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-26
ECG Filter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-32
12 Lead ECG Analysis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-33
Lead Analysis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-37
More ECG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-38
Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-41
Pacemaker Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-43
12 Pressures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-1
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-2
Zero Reference . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-4
Checklist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-5
Pressure Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-6
Pressure Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12-6
Getting to the Pressure Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12-7
Pressure Menu Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-8
Scales . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12-8
Full Scales . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12-8
Cursor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12-9
Clear Cursor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12-9
Change Name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12-10
Zero . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12-11
BP Filter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12-11
Calibrate Transducer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12-12
Speed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12-12
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Special Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-13
IABP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12-13
Using the IABP Feature . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12-15
Smart BP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12-15
Pulse Rate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12-16
Disconnect Alarm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12-16
PA Wedge . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-17
PA Wedge Menu Option . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12-17
PA Insert Wedge Menu Option . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12-19
Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-27
13 NBP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-1
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 -2
NBP Connectors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13-2
Safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-3
Checklist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-5
NBP Monitoring Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-6
NBP Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13-6
Getting to the NBP Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13-8
NBP Menu Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-9
NBP Auto . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13-9
NBP Stat . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13-10
Review NBPs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13-11
NBP Limits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13-11
Cuff Size . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13-12
Clear NBP Reading . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13-12
Initial Inflation Pressure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13-13
Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-14
NBP Status Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13-14
14 SPO2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14-1
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 -2
Safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14-4
Measurements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14-6
Neonates and Infants . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14-6
Checklist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14-7
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Masimo SET Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14-8
Masimo SET Module PWR Indicator Light . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14-8
SPO2 Monitoring Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14-9
SPO2 Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14-9
Getting to the SPO2 Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14-11
SPO2 Menu Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14-12
Size . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14-12
Rate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14-12
Rate Volume . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14-12
SPO2 Limits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14-13
Persistent . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14-13
Speed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14-13
Sensitivity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14-14
Averaging . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14-14
Sat-Seconds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14-14
SPO2 System Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14-15
Probe Off Patient Condition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14-15
Pulse Search Condition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14-15
Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14-16
SPO2 Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14-16
15 Cardiac Output . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15-1
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15-2
Influencing Factors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15-3
Suggested Cardiac Output Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15-5
Checklist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15-7
Cardiac Output Monitoring Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15-8
Cardiac Output Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15-8
Cardiac Output Trials . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15-9
Getting to the Cardiac Output Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15-11
Cardiac Output Menu Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15-12
Delete CO Trials . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15-12
Cardiac Calcs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15-13
Cardiac Output Now . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15-15
BT Limits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15-16
Print CO Curve . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15-16
Auto Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15-16
Use: PAW (PAD, LA) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15-17
Catheter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15-17
Injectate Temperature . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15-18
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Size . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15-18
Injectate Volume . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15-19
Computation Constant . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15-20
Cardiac Output Help . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15-20
Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15-21
Procedural Prompts and Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15-21
16 Respiration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16-1
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 -2
General Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16-3
Checklist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16-4
Respiration Monitoring Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16-5
Respiration Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16-5
Getting to the Respiration Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16-6
Respiration Menu Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16-7
Lead . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16-7
Relearn Respiration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16-7
Sensitivity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16-8
Respiration Limits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16-8
Auto Size . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16-8
Manual Size . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16-9
Cardiac Artifact Alarm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16-9
Speed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16-10
Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16-11
Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16-11
17 Temperature . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17-1
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 -2
Checklist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17-3
Temperature Monitoring Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17-4
Temperature Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17-4
Getting to the Temperature Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17-5
Temperature Menu Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17-6
T1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17-6
T2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17-6
Units . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17-6
Temperature Limits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17-6
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Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17-7
Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17-7
18 SvO2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18-1
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18-2
Checklist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18-4
SVO2 Monitoring Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18-5
SVO2 Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18-5
Getting to the SVO2 Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18-6
SVO2 Menu Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18-7
SVO2 Limits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18-7
SVO2 Help . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18-7
Preinsertion Calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18-7
Light Intensity Calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18-7
SVO2 Cal History . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18-8
Calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18-9
Preinsertion Calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18-9
Light Intensity Calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18-11
Calibrate to Venous Blood Gas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18-12
SVO2 Cal History . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18-14
Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18-16
19 CO2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19-1
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19-2
Safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19-3
CO2 Monitoring Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19-5
CO2 Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19-5
Capnostat Modules . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19-7
General Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19-7
CO2 Menu Options (Capnostat Modules) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19-10
Getting to the CO2 Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19-10
Pump . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19-11
Units . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19-11
CO2 Scale . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19-11
N2O Compensation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19-12
O2 Compensation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19-13
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CO2 Averaging . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19-13
Cal Sensor to Zero Cell . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19-13
Calibrate Adapter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19-13
Speed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19-13
Zero the Capnostat Sensor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19-14
Calibrate the Capnostat Adapter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19-15
Capnostat Sensor and Adapter Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19-16
Cleaning the Capnostat Sensor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19-16
Cleaning the Reusable Capnostat Adapters . . . . . . . . . . . . . . . . . . . . . . . . . . .19-16
Capnostat Sensor Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19-17
Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19-17
Sidestream Modules . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19-20
CO2 Menu Options (Non-Capnostat Modules) . . . . . . . . . . . . . . . . . . . . . . . . . . 19-21
Getting to the CO2 Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19-21
Units . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19-21
CO2 Scale . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19-22
CO2 Limits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19-22
N2O Compensation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19-23
Speed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19-23
20 Interfaces . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20-1
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 -2
Connectivity Devices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20-6
Safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20-7
Interconnection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20-9
Serial Port Indicator Lights . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20-10
Displayed Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20-11
Parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20-12
Parameter Windows and Menus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20-12
Software Compatibility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20-20
Device-Specific Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20-21
Notification of Equipment Upgrade . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20-23
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21 Appendices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21-1
Appendix A — Adult-ICU Mode Defaults . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21-3
Appendix B — Neonatal-ICU Mode Defaults . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21-9
Appendix C — Operating Room Mode Defaults . . . . . . . . . . . . . . . . . . . . . . . . . 21-15
Appendix D — Monitor Defaults Worksheet . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21-21
Appendix E — Analog Output . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21-27
ECG Acquisition Modules . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21-27
Tram-rac Housing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21-28
Appendix F — Supplies Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21-31
Appendix G — Software Packages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21-33
Appendix H — Abbreviations and Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21-37
Abbreviations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21-37
Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21-49
Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Index-1
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1 The Basics

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About This Manual

Manual Purpose

This manual contains the instructions necessary to operate the Solar 8000i patient monitor safely and in accordance with its function and intended use.

Intended Audience

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

Revision History

Each page of the document has the document part number and revision letter at the bottom of the page. The revision letter changes whenever the document is updated.
The Basics: About This Manual

Ordering Manuals

Revision Comments
A Initial release of this document.
To order additional copies of this manual, call Accessories and Supplies and request part number 2026264-001. Refer to the How To Reach Us page for Accessories and Supplies contact information.
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Manual Conventions

This section describes terminology, standards, and other conventions that are used throughout this manual.

Product References

In this manual:
The Solar 8000i patient monitor is referred to as the monitor. The Clinical Information Center is referred to as the central station. The Solar SpO2 module with Masimo SET is referred to as the
Masimo module.
The PRN 50 and PRN 50-M digital writers are referred to as the
writers.
The laser printer is referred to as the printer. Collectively, the laser printer and the PRN 50 digital writer are
referred to as printers.
The Basics: Manual Conventions

Definitions

The following terms are used in this manual to describe various monitor features and functions.
Button — A labeled key located on the keypad or remote control. Press to initiate a process, open a menu, or enter a number.
Menu — Text which appears at the bottom of the display. A menu is composed of a set of menu options.
Menu option — A choice found in a menu. A menu option is enclosed in a rectangle.
Screen text — Any text that appears on the monitor display. In this manual, screen text is shown i n itali cs (for exam ple, ECG, SAVING, etc.).

Illustrations and Names

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

The Basics: Manual Conventions
In this manual, all names appearing in examples and illustrations are fictitious. The use of any real person’s name is purely coincidental.
The Solar 8000i monitor comes configured with the Basic software package. This package consists of standard-of-care parameters and features required by clinicians caring for acutely ill patients.
Three additional software pa ckages can be purchased separately or in any combination. These packages provide a variety of features which allow the monitor to be configured to best meet the needs of its intended environment.
The Cardiac software package focuses on cardiac conductivity. Its features include full arrhythmia analysis and storage, as well as ST segment trending, storage, and templates. The ability to adjust the ST measurement point is also included in this package.
The Cardiopulmonary software package centers upon cardiac and pulmonary hemodynamics. Fe at ure s include th e PA inse rt and wed ge algorithms, the intra-aortic balloon pump algorithm, and the thermodilution cardiac output algorithm, including predefined computation constants for the catheters of major manufacturers. Also included are cardiac and pulmonary calculations.
The High Resolution CRG Trends package provides storage of up to 100 CRG events, and up to 24 hours of CRG trend data, in addition to the CRG feature set found in the Basic software package.
In this manual, features that are not part of the Basic software package have a note indicating the purchased package in which they are available.
Refer to the appendices for a complete breakdown of the software packages by feature.
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The Basics: Manual Conventions
How can you tell what software package you have?
To determine whether you have the Basic software package or the Cardiac software package, follow these steps:
1. Select the ECG label. The ECG menu is then displayed at the bottom of the screen.
2. Select the ARRHYTHMIA option from the ECG menu. If you have the Basic software package, the Arrhyt hmia popup menu
will look like this illustration:
↓ ↑
Arrhythmia Popup Menu — Basic Software Package
If you have the Cardiac software package, the Arrhythmia popup menu will look like this illustration:
↓↓
Arrhythmia Popup Menu — Cardiac Software Package
To determine if the Cardiopulmonary and/or High Resolution CRG Trends options have been installed on your monitor, follow these steps.
1. Select MORE MENUS from the monitor’s main display.
2. Select MONITOR SETUP from the menu displayed.
3. Select REVISION AND ID from the Monitor Setup menu. A popup menu and information window appear.
4. Select NEXT in the popup menu a s many ti mes as ne cessar y to scroll through the information windows until the SOFTWARE OPTIONS DISPLAY information window appears.
5. In the Software Options Display information window, the word “Enabled” appears below CARDIOPULMONARY FEATURES and/or HI RES GRAPHIC TRENDS if one or both options have been purchased and installed.
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Menus

Main Display

The Basics: Menus
There are several types of menus foun d on the So lar 8000 i monitor. T hey are described below.
The main display sho ws all monitored p arameters and waveforms. It also contains the main menu in the lower left corner of the screen. The main menu consists of one menu option, MORE MENUS. You can access menus not related to specific parameters by selecting the MORE MENUS option. You can also access parameter menus by selecting the parameter labels. The main display is shown below.
mmHg
D
mmHg
Menu Timeout
mmHg
20
TP1
Solar 8000i Main Display
The monitor automatically returns to the main display when you have displayed another menu and have not used the Trim Knob control or touchscreen for 5 minutes (default time). This is a monitor default display setting, which can be set for a longer period of time or for no timeout at all. Some menus, such as Vital Signs and Trends, are not affected by the timeout setting. You must exit them using the MAIN MENU or PREVIOUS MENU option.
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More Menus

The Basics: Menus
Selecting the MORE MENUS option from the main menu opens the following menu.
MAIN MENU — Returns to the main display with the MORE
MENUS menu option visible.
ALARM CONTROL — Displays the Alarm Control menu. VIEW OTHER PATIENTS — Displays the View Other Pati ents
menu.
PATIENT DATA — Displays the Patient Data menu. MONITOR SETUP — Displays the Monitor Setup menu. ADMIT MENU — Displays the Admit menu. In Operating Room
mode, this option is labeled NEW CASE SETUP.
Each of these menus is discussed in more detail in following chapters.
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Popup Menus

The Basics: Menus
When some menu options are selected, a small menu “pops up” around the selected menu option. These small menus are called popup menus. The most common types of popup menus are described below.
NOTE
With all popup menus, the original menu remains on the screen, but the other options are dimmed. The popup menu must be closed before you can select other options from the original menu.
Frequently in this manual, only the popup menu is shown, rather than the popup menu and the dimmed menu options. Examples of both are shown below.
1X
↓ ↑
ECG Size Popup Menu with Dimmed Menu Options
(as it appears on the monitor’s display)
1X
↓ ↑
ECG Size Popup Menu Only (as it appears in this manual)
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Scrolling Popup Menu
Pointer Popup Menu
The Basics: Menus
1X
↓ ↑
Scrolling Popup Menu
In a scrolling popup menu, all available selections appear, with the current selection highlighted. The Trim Knob control can be rotated, or the touchscreen arrows can be touched, to change the selection. This is called “scrolling.” The new selection is highlighted, and the change appears on the display immediately, allowing the user to see if the selection is appropriate. Pressing the Trim Knob control or touching the anchor menu option selects the highlighted option and closes the popup menu.
↓↓
Pointer Popup Menu
In a pointer popup menu, all available selections and a pointer (>) appear. The Trim Knob control can be rotated or the touc hscreen arrows can be touched to move the pointer to another selection. Pressing the Trim Knob control or touching the anchor menu option implements the change and closes the popup menu.
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Numeric Popup Menu
The Basics: Menus
↓ ↑
Numeric Popup Menu
Because there are many selections available, only the current selection is displayed in a numeric popup menu. Use the number buttons on the keypad or remote control to enter a new value. Rotating the Trim Knob control or touching the touchscreen arrows also changes the displayed value in the popup menu. You must press the Trim Knob control or touch the anchor menu option to implement the change and close the popup menu.
NOTE
When a numeric popup menu i s open , the bu tt ons on the key pa d a nd remote control can only be used to enter numbers. Close the numeric popup menu to access features using these buttons.
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Subordinate Menus

The Basics: Menus
In some cases when selecting menu options, a whole new menu is displayed. This is called a subordinate menu.
Below is an example that shows how to access a subordinate menu.
1. Select the ECG parameter label to display the ECG menu.
ECG Menu
2. Select ECG LIMITS. The entire ECG menu is replaced with the subordinate ECG limits menu.
ECG Limits Menu
3. Select PREVIOUS MENU to redisplay the ECG menu.
NOTE
Many, but not all, subordinate menus have the PREVIOUS MENU option to allow you to return to the previously displayed menu.
526A
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Direct Action Menu Options
A direct action menu option either turns a feature on or off, or starts a processing function.
Some direct action menu options turn a feature on or off. For example, selecting the SMART BP: ON option from the ART parameter menu turns the Smart BP feature off. In on/off cases, the menu option label reflects the current state; selecting it switches to the other state.
The Basics: Menus
SMART BP: ON
SMART BP: OFF
Some direct action menu options start a process. For example, selecting the RELEARN option from the ECG parameter menu tells the monitor to immediately relearn the patient’s ECG rhythm. These processes cannot be stopped, as they are s hort-term and st op automatica lly. Theref ore, the menu option label does not change as it does in on/off cases.
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Windows

Parameter Windows

The Basics: Windows
There are two types of windows found on the Solar 8000i display. They are described below.
Parameter windows are displayed on the right side of the display, and when necessary, along the bottom of the display. Every monitored parameter has a parameter window.
Each parameter window has two parts, a parameter label and a digital values area. Depending on your default settings, limits and units of measure may be displayed under the parameter label.
Digital Values Parameter
Label, Limits, Units of Measure
ART Parameter Window
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The Basics: Windows
If many parameters are being monitored, some of the parameter windows at the bo tt om o f t he dis pla y ma y be reduce d i n s ize . Bel ow is an example of a parameter window at its normal size and at its reduced size.
CO Parameter Window, Normal Size
CO Parameter Window, Reduced Size
The parameters that may be displayed at reduced size when positioned at the bottom of the display are: CO, CVP, ICP, LA, RA, RR, SP, SPO2, SVO2, TP, UO, UVC, and VNT.
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Information Windows

The Basics: Windows
Information windows are superimpos ed over the upper left porti on of the display. Six parameter windows and two seconds of all real-time waveforms continue to be displayed.
Information windows are displayed when a help option is selected and with certain menu options such as limits. Information windows can contain instructions or other information related to the parameter or menu.
Information Window
More Information Indicator
Real-time Waveforms
LAST AVG CO 6.3L 15:25
Vital Signs Information W indow
Sometimes an information window contains a list, as in the Vital Signs information window shown above. A limited amount of informat ion can be displayed at one time. If there is more information to view, an arrow is displayed at the bottom of the information window.
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The Basics: Windows
If a popup menu is displayed with the informa tion window, use the Trim Knob control or touchscreen arrows to scroll to more information. If a menu is displayed, as in the example above, you must select the PAGE UP or PAGE DOWN option to display more information.
There is more information. Scroll down or use the PAGE DOWN
È
option to display more information.
ÇÈ
Ç
You are in the middle of t he list. Scroll up or down, or use t h e PAGE UP or PAGE DOWN option to display additi onal information.
You are at the end of the list. Scroll up or use the PAGE UP option to display the previous information.
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The Basics: Common Operations

Common Operations

Some monitor operations are used repetitively. Rather than listing the steps to perform each operation every time it appears in this manual, these steps are presented below. Familiarize yourself with the proper procedure for each operation.

Using the Trim Knob Control

The Trim Knob control is found on the keypad and remote control. Refer to Chapter 2, Equipment Overview, for details regarding its location and appearance.
The Trim Knob control is used for highlighting and selecting.
To highlight with the Trim Knob control:
Rotate the Trim Knob control in either direction. This moves the “highlight” (reverse video) on the screen up, down, left, or right to the next option, depending on the type of menu that curre ntly appea rs on the display.
NOTE
In some cases, rather than highlighted text, a pointer (>) appears in front of the text. When a pointer is present, rotating the Trim Knob control moves the pointer to another option. This is equivalent to highlighting.
To select with the Trim Knob control:
First, highlight your desired menu option (or move the point er in front of it), as described above. Once you have highlighted the option, press the Trim Knob control once to select it.
NOTE
This manual refers to the Trim Knob operation of highlighting a menu option and then selecting it as “select.”
You can also use this procedure to select the parameter labels found in the parameter windows. Simply rotate the Trim Knob control until the parameter label (e.g., ECG) is highlighted, then press the Trim Knob control to select it. The corresponding parameter menu will then appear at the bottom of the display.
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The Basics: Common Operations

Using the Touchscreen Display

NOTE
The touchscreen display is an optional feature.
A touchscreen display (or simply touchscreen) is a screen that ha s areas that are sensitive to touch. These areas are:
Anywhere inside a parameter window. Any menu or menu option.
The touchscreen feature does not function properly if tape or paper is stuck to the screen’s surface. Pencils, pens, and other sharp, pointed objects should not be used to activate the touchscreen.
When you have selected a touchscre en i tem, a n audi ble t one sounds . The volume of this tone can be adjusted in the Setup Default Display menu using the Touch Volume option.
Touching any parameter label opens the parameter menu. Touching MORE MENUS on the main display opens a set of menu options used to access menus that are not related to specific parameters.
Once a menu is open, you can touch any of the menu options to:
Open a popup menu. Open a popup menu and information window. Open a submenu. Perform a direct action.
The result of touching a menu option depends on the option selected. Touching a menu option is equivalent to highlighting it by rotating the Trim Knob control, then pressing the Trim Knob control. This manual refers to this process as “selecting.”
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The Basics: Common Operations
Using the Touchscreen with Popup Menus and Information Windows
When a menu option is selected (touched), and a popup menu or a popup menu and information w indow open, touchscreen arrow options and/or a RETURN option may appear in the popup menu. In addition, the menu option selecte d now serves as an anchor menu option and is used as part of the selecting process.
Anchor Menu Option
↓ ↑
Touchscreen Arrows
Arrhythmia Alarm Level Popup Menu and Information Window
RETURN option
Touchscreen Arrows
Touchscreen arrows can be touched to move up, down, left, or right. Touching an arrow once will move it to the next option. Touching and holding your touch on an arrow will scroll th rough the options until you release your touch.
Popup menus may have both the up/down arrows and the left/right arrows, or only one set may appear. The currently active set of arrows is highlighted. Touch the other set to activate it when needed.
For example, in the illustration above, touching the down arrow option once would move the cursor in the information window in front of ASYSTOLE.
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The Basics: Common Operations
Anchor Menu Option
Once a popup menu is open, the menu option is referred to as the anchor menu option. For example, in the illustration on the previous page, the ARRHYTHMIA ALARM LEVEL option is the anchor menu option.
The anchor menu option can be touched as an equiva lent to pressing the Trim Knob control. This i s the second step of the “selecting” process. For example, in the illustration on the previous page, after moving the cursor in front of V BRADY with the down arrow option, you would touch the ARRHYTHMIA ALARM LEVEL anchor menu option. The V Brady alarm level (CRISIS) would then be highlighted so the alarm level could be adjusted.
RETURN Menu Option
Touch the RETURN menu option in any popup menu to close the popup menu.
When an information window is displayed, touch the RETURN menu option in the popup menu at any time to close the information window.
It is also possible to select the RETURN option in an information window by using the touchscreen arrows to place the cursor in front of it, then touching the anchor menu option. The information window and popup menu will close. However, the RETURN option in the information window is not directly touch se nsitive i tself. On ly the RETURN opt ion in the popup menu is directly touch sensitive.
When you are finished making changes, select the RETUR N option to close the popup menu and information window.
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The Basics: Common Operations

Entering Alphanumeric Characters

Occasionally, a popup menu or information window requires alphanumeric input, such as patient information or a password. The example below describes how to enter alphanumeric characters when changing admit information. Use the same procedure in other alphanumeric situations.
1. Access the Change Admit Info information window and popup menu: a. Select MORE MENUS from the main display. b. Select ADMIT ME NU. An information window and a new menu
are displayed.
c. Select CHANGE ADMIT INFO from the menu. A popup menu
opens.
CHANGE
ADMIT INFO
↓ ↑
Change Admit Info Popup Menu and Information Window
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The Basics: Common Operations
2. Move the cursor in front of LAST NAME, then press the Trim Knob control or touch the CHANGE ADMIT INFO option to select it. If a name has already been entered, the selected name appears in the Change Last Name popup menu, as shown below.
↓ ↑
Change Last Name Popup Menu
3. Select the first character block by rotating, then pressing the Trim Knob control, or by using the touchscreen arrows.
4. To scroll through the alphanumeric characters, rotate the Trim Knob control in either direction or use the up/down touchscreen arrows. Press the Trim Knob control when the desired character appears.
NOTE
It is not necessary to touch the anchor menu option or press the Trim Knob control when using the touchscreen. Simply use the left/right arrow keys to move to the next character block after you have reached the desired character.
5. After the character is selected, move to the next character block and repeat the procedure.
6. Continue until you have entered all the characters.
NOTE
Alphanumeric popup menus have character limits. In this manual, these limits are indicated wherever such popup menus are described.
7. Select the CHANGE LAST NAME option with the Trim Knob contro l or touchscreen. You can then select another option from the information window, if desired.
8. When you are finished making changes, select the RETURN option to close the popup menu and information window.
NOTE
When no information window appears on the display, step 8 is not necessary. Upon sel ecting the menu option in the popup menu (step 7), the popup menu closes and function of the Trim Knob control returns to the menu.
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Setting Alarm Limits

The Basics: Common Operations
Each parameter menu has an option to set the alarm limits for the monitored aspects of that parameter. The monitor’s response when a limit is violated depends on the alarm level for which the parameter is set. Refer to Chapter 8, Alarm Control, for details on the alarm levels and the monitor’s response.
Regardless of the parameter, all alarm limits are adjusted in the same way. The procedure below describes how to set alarm limits for the ART parameter. Follow this pro c edu re to set all other parameter alarm limits.
1. Select the ART parameter label. The ART menu appears at the bottom of the screen.
2. Select the ART LIMITS option from the ART menu. An information window and a new set of menu options are displayed.
Pressure Parameter
High Range
High Limit Setting
Low Limit Setting
Low Range
ART Limits Menu and Information Window
The information window shows the limit ranges and th e current set limits. The pointer (>) indicates the current value of that parameter for the monitored patient. The pointer moves as the current value of that parameter changes.
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The Basics: Common Operations
3. To change a limit, for example, the Rate High Limit, select the RATE HIGH LIMIT option from the limits menu. A popup menu opens,
displaying the current limit.
4. You can enter a new limit value in three different ways: a. Use the number buttons on the keypad or remote control. b. Rotate the Trim Knob contro l. c. Use the touchscreen arrows to change the value. The bar graph in the information wi ndow is adjust ed to show the new
limit. If a value entered for one limit exceeds the opposite limit for the
same parameter, the value will be i gnored. For example, using the limits shown in the illustration on the previous page, if you were to enter a value of 40 for the RATE HIGH LIMIT, it would be ignored because the RATE LOW LIMIT is set to 50.
Regardless of the method used to enter a new value, the limit will not be in effect until you press the Trim Knob control or touch the Rate Limit menu option (anchor menu option), closing the popup menu.
5. Follow this procedure to set any other parameter limits in this menu.
6. When you are finished, select PREVIOUS MENU to exit the limits menu and return to the parameter menu.
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The Basics: Common Operations

Selecting Options from Scroll Lists

Various features of the monitor can be set up using scroll lists. In a scroll list, the currently selected option is the only one shown. However, selecting the option and then rotating the Trim Knob (or using the touchscreen arrows) allows you to scroll through the other choices and select one, if desired.
For example, the Arrhythmia Alarm Levels information window uses scroll lists to set the alarm level for each arrhythmia call. The steps below demonstrate how to select and change an option in the Arrhy thmia Alarm Levels information window. In this example, V BRADY is changed from a Crisis level to a Warning level.
1. Access the Arrhythmia Alarm Level popup menu and information window by selecting MORE MENUS from the main display. Select
ALARM CONTROL from the menu that appears, then select ARRHYTHMIA ALARM LEVEL. The Arrhythmia Alarm Level
popup menu and information window open.
↓ ↑
Arrhythmia Alarm Level Popup Menu and Information Window
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The Basics: Common Operations
2. Rotate the Trim Knob control or use the touchscreen arrows to move the pointer (>) next to V B RA DY .
3. When the poin ter is next to V BR ADY, push the Trim Knob control or touch the ARRHYTHMIA ALARM LEVEL menu option (anchor menu option). The alarm level (in this case CRISIS) for V BRADY highlights.
4. Rotate the Trim Knob control or use the touchscreen arrows to scroll through the options.
5. When WARNING is displayed, press the Trim Knob control or touch the ARRHYTHMIA ALARM LEVEL menu option (anchor menu option) to complete the change. The change takes effect immediately, and the information window remains open to make other changes.
6. When you are finished making changes, sele ct RETURN to close the information window.
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The Basics: Language-Specific Information

Language-Specific Infor m ation

The following information describes differences in Solar 8000i monitor functionality when the monitor is se t to certain languages.

Chinese and Japanese Language Information

When the Solar 8000i monitor language is set to Chinese or Japanese, the following conditions apply:
Text for alarm broadcast over the Unity network is in English. All text input is in English only (i.e., text for patient information, bed
and unit names, printer names).

French Language Information

When the Solar 8000i monitor country selection is set to France, alarm pause duration is three minutes. Refer to the “Pausing Alar ms” section in Chapter 8, Alarm Control.

Hungarian, Polish and Russian Language Information

Alarm broadcasts sent over the Unity network cannot be received by equipment that does not suppo rt these l anguages . Mes sages ar e receiv ed as a series of square boxes because the ability to display Cyrillic (Russian alphabet) and special Hungarian and Polish characters does not exist on this equipment. This is also true when a patient name, site name, or location containing Cyrillic or special Hungarian or Polish characters is sent to the MUSE system.
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For your notes
The Basics: Language-Specific Information
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2 Equipment Overview

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Equipment Overview: Components

Components

Solar 8000i Patient Monitoring System

The Solar 8000i monitoring system consists of the following standard components:
Solar 8000i processing unit Display Keypad and/or remote control Acquisition module(s) Tram-rac housing
Additional, option al components include:
Touchscreen display Clinical Information Center (central station) Remote display Writer or printer Octanet connectivity device or Unity Network ID connectivity device
iPanel
computer
The components of the system are discussed and illustrated on the following pages. For complete setup information, refer to the service manual.
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Solar 8000i Processing Unit
Equipment Overview: Components
Connectors are located on th e processing unit. Patient data is displayed on a separate display unit.
M-ports
890C
Front View of the Processing Unit
M-Ports
There are four M-ports on the front of the 8000i processing unit. The M-ports are used to connect external devices to the Solar 8000i monitor.
The following devices can be directly connected to the M-ports:
Solar 8000i keypad Solar 8000i remote control PRN 50-M digital writer Laser printer Unity Network ID connectivity device Respiratory mechanics module (RM-M module) RAMS M-200 system
NOTE
If the PRN 50 writer, respiratory mechanics module, or RAMS system does not function when conne cted to an M-port, y ou may need an AutoPort to M-port adapter. Refer to Chapter 7, Printing, for connection information for the PRN 50 writer, and to the Solar 8000i Patient Monitor Service Manual for additional information about all three devices.
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Equipment Overview: Components
Ethernet connector
Video (display) connectors
Tram-net connectors
NOTE
Back View of the Processing Unit
RS-232 connectors
The number of video connectors varies by
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Solar 8000i Display Unit
Equipment Overview: Components
The Solar 8000i display unit is connected by cable to a video connector on the processing unit. A selection of different color displays is offered to accommodate different needs.
WARNING
Do not connect a monochrome display to the Solar 8000i monitor. Visual alarm indicators may not appear properly.
Display Items
Regardless of the size or type of display unit you have, the display items are the same. The illustration below shows a typical display with items labeled.
Date and Time
Name
Parameter Waveforms
Care UnitMonitor Default
ECG
LIMITS
Bed Number
Patient Name
Parameter Labels, Limits, and Vital Signs
Menu Options
Solar 8000i Display Items
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Tram Modules

Equipment Overview: Components
The Tram module is an acquisition module that collects the patient’s physiological data and sends it to the monitor for di sp lay. Tra m modules are multi-parameter acquisition modules. Multi-parameter modules are capable of monitoring more than one parameter simultaneously, e.g., ECG, SpO2, and NBP.
The type of Tram module determines what parameters it monitors. A label on the front of the monitor identifies the type of module.
The label is located on this panel.
567A
Tram 451N Module
These series of Tram modules are discussed in this document:
Tram x00 Tram x00A Tram x00SL Tram x50SL Tram x51 Tram x51M Tram x51N
The “x” refers to the “hundred series” number of the module, e.g., Tram 600SL, Tram 851N.
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Tram x51 Series Modules
Equipment Overview: Components
The x51 series is the current series of Tram modules. Refer to the table below to determine your Tram x51 series module’s monitoring features.
Tram
Module
451 451M 451N
851 851M 851N
12-Lead ECG
Analysis
Resp Temp/CO
Dinamap
NBP
9 9 9 9
9 999
9 9 9 9
Invasive
BP
*
3/4
*
3/4
*
3/4
Masimo
GE SpO2
SpO2
9 9
99
Nellcor
SpO2
Defib/
Sync
9 9
9 999 9 9
9 9 9 9 9 9
9 999 99
*
A Y-adapter cable is required to monitor four invasive blood pressures.
Different SpO2 cables are required for each type of SpO2 processing.
The cable connectors are not interchangeable.
The Defib Sync connector on x51 series modules requires a DIFFERENT cable than the other Tram module series. They are not interchangeable. The cable for the x51 series modules has a 7-pin connector.
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Tram Module Y-Adapter Cable
The Tram 451 series modules can monitor four invasive blood pressures when a Y-adapter cable is used. This cable plugs into the BP3 connector on the module, and allows two separate invasive blood pressures to be monitored from that connector.
Tram 451N Module with Y-Adapter Cable Connected to BP3 Connector
This cable is designed to fit only in the BP3 connector. Do not a t te mpt to plug it into any other connector; it will not function.
Equipment Overview: Components
539A
The Y-adapter cable can ONLY be used with Tram 451 series modules. It cannot be used with any other Tram module series.
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Other Tram Module Series
Equipment Overview: Components
There are several other series of Tram modules. Refer to the table below to determine the monitoring features of your non-x51 series module.
Tram
Module
100A
200A 200SL 250SL
400A 400SL 450SL
500A
600A 600SL 650SL
800A 800SL
12-Lead ECG
Analysis
Resp Temp/CO NBP*
9 9 9
999
9 9 9 9
9 999
9 9 9
9 999
9 9 9 9
99
9 9
999
9 9 9
Invasive
BP
2 2 2 2 3 3 3 4 4 4 4
SpO2
99
9 9
99
9 9
99
9 9
9 9
99
9 9
999 99
9 9 9 9 9 9
Defib/
Sync
9
9
850A 850SL
999 99
9 9 9 9 9 9
* Tram module software versions 10B and later use the Dinamap NBP algorithm. Software versions 10A and earlier use the GE Medical Systems Information Technologies NBP algorit h m .
Tram x00, x00A, and x00SL modules with SpO2 are compatible with Ohmeda probes.
Tram x50SL modules are compatible with Ne llcor and GE Medical Systems Information Technologies probes.
Although not shown in the table above, Tram x00 modules have the same features as the x00A modules. However, Tram x00 modules are not compatible with the selectable lead, 3-lead ECG cable.
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Equipment Overview: Components
Tram Module Front Panel Connectors
Below are two examples of T ra m modules . The co nnect ors on the fro nt of the module are labeled. Some Tram modules have different NBP and SPO2 connectors, but t hey are located in the same position as those shown below.
ECG/Resp
Power Indicator Light
ECG/Resp
Temp/CO
BP 1 BP 2 BP 3/4
Transport Display
Defib/Sync
Front Panel of Tram 4 51N Module
Temp/CO
NBP
SPO2
545A
NBP
Power Indicator Light
Transport Display
Defib/Sync
Front Panel of Tram 850SL Module
SPO2
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Equipment Overview: Components
The Defib/Sync connector pro vi des ana l og out put signa ls (a n EC G sign al and a blood pressure signal, if available) to user-supplied equipment. A 5-volt, 2-millisecond artificial pacer spike is added to the analog output when PACE is on and detection occurs. Refer to Chapter 21, Appendices, for details on signal outputs, and to the Tram module service manual for signal connector pin configuration.

Single-Parameter Modules

Single-parameter acquisition modules also collect the patient’s physiologica l data and send it to the monitor for display. Single parameter acquisition modules are available to monitor a wide variety of parameters, such as ECG, BP, NBP, CO2, SpO2, and SvO2.
Single-Parameter ECG/Resp Module
Single-parameter modules can be used for ECG acquisition in place of the multi-parameter Tram module. There are four different single­parameter ECG/Resp modules. The chart below shows the features of each.
ECG/Resp Module Features
Module
ECG/RESP No Yes No
ECG/RESP No Yes Yes* ECG/RESP SL Yes Yes No ECG/RESP SL Yes Yes Yes*
*There is a Defib Sync connector on the modules that have this feature.
Front Panel of ECG/Resp SL Module with Defib Sync
12-Lead ECG
Analysis
Resp Defib/Sync
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Equipment Overview: Components
Status Indicator Light
There is a STATUS indicator light on each ECG/Resp module. A green status light indicates a normal condition.
If the status light is yellow, check for system compatibility:
Verify that the monitor is a Solar monitor. Verify that the Tram-rac housing is a Tram-rac 4A housing.
If you can verify both of these, call your biomedical department for further assistance.
Defib Sync Connector
The DEFIB. SYNC. connector provides analog output signals to user­supplied equipment. A 5-volt, 2 -millisecond artifi cial pacer spike is adde d to the analog output when PACE is on and detection occurs. Refer to Chapter 21, Appendices, for details on signal outputs, and to the appropriate module service manual for signal connector pin configuration.
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Tram-rac Housing

Equipment Overview: Components
The Tram-rac housing holds the Tram module and other GE Medical Systems Information Technologies parameter modules. The housing is connected by cable to the monitor, using a Tram-net connector.
The Tram-rac 2 housing holds one Tram module. The Tram-rac 4A housing holds one Tram module plus two parameter modules.
Multiple Housings
T ram-rac 4A Housing
You can connect an additional housing to a Tram-rac 4A housing to allow for monitoring additional parameters. Refer to the Tram-rac 4A service manual for details on setup.
When using two housings, follow these guidelines:
One housing must have a power supply. Only one ECG source module can be used. If the second housing is NOT a Tram-rac 4A housing, the Tram
module must go in the second housing.
Single-parameter BP and temp modules can only be placed in the
bottom two positions of a housing.
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Housing Connectors
Equipment Overview: Components
All housings have a Tram-net connector. Except for the Tram-rac 2 housing, all housings also have an analog outp ut connector. The analog output connector provides data from the monitor to other user-supplied equipment. (Refer to Chapter 21, Appendices, for details.) Depending on the type of Tram-rac housing, th e connectors may be located on th e front, the back, or both.
The Tram-net connectors are on the back panel.
Analog Output Connector
ANALOG
TRAM
TRAM
NET
OUT
NET
Two Tram-net Connectors
TRAM-RAC Ports
CAUTION
V~
100–120V
220–240V 500mA
50-60 Hz
TRAM
TRAM
NET
NET
I
1A
Back Panel of Tram-rac 4A Housing
NOTE
The Solar ECG module does not support analog output from the Tram-rac analog output connector. When using the Solar ECG module, analog output is only available from the optional Defib Sync connector on the front of the module.
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Equipment Overview: Components
The Tram-rac 2 housing does not have an analog outpu t connector. The Tram-net connector is on the back.
TRAM- RAC2
marquette
Tram-net Connector
Front and Back Panels of Tram-rac 2 Housing
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Features of the Housing
Equipment Overview: Components
The housing has “slots,” whi ch are use d to hold modules. Mo dules occup y either one or two slots. All Tram modules occupy two slots, and must be placed in the top two slots of the housing.
There are numbers on each side of each slot on the housing. These numbers have significance when duplicate parameters are being monitored. The number displayed with the parameter label on the monitor — i.e., ART1, PA2 — indicates that the module is in the same­numbered slot. For example, if you have an ART5 parameter label on the monitor, this means that a pressure module is in slot 3, and an ART line is connected to that module.
Slot 1
Slot 2
Slot 3
Slot 4
Tram-rac Housing Slots
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Equipment Overview: Components
Installing and Removing Modules
Acquisition modules are easily installed and removed. A Tram module must always occupy the top position in the Tram-rac housing. Other modules are installed below it.
To install a module:
1. Facing the Tram-rac housing, guide the back of the module into the appropriate position.
2. Gently push the module into the housing. You will hear a click when the module is fully inserted.
To remove a module:
1. Push the module into the Tram-rac housing. This releases the module and makes it easier to remove.
2. Press and hold the release levers found on each side of the front of the module.
3. Pull the module out about 6 inches (15 cm).
4. Grasp the module firmly with both hands and remove it. Do not try to hold the module by the release levers.
The release levers for Tram modules are recessed in the side of the protruding front of the module.
Tram-rac Housing
Release Levers
Removing a Tram Module
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Optional Clinical Information Center
The Unity Network (Ethernet) establishes communication and allows patient data to be sent to an optional Clinical Information Center (central station). Refer to the Clinical Information Center Operator’s Manual for operating instructions.

Optional Writers and Printers

For information about writers and printers available for the Solar 8000i monitor, refer to Chapter 7, Printing.

Optional Remote Display

An optional remote display can be connected to the system to provide enhanced visibility.
Clinical Information Center
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Equipment Overview: Components

Optional Connectivity Dev ices

For information about the Unity Network ID connectivity device and the Octanet remote connectivity device, refer to Chapter 20, Interfaces.

Optional iPanel Computer

For information about the iPanel computer, refer to the iPanel computer ‘operator’s instructions and/or administrator’s manual.
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Controls

Keypad

Equipment Overview: Controls
The Solar 8000i monitor keypad has a Trim Knob control, as well as 18 buttons that can be used to access various operational features of the monitor. Some buttons are also labeled with numbers, and can be used for direct numeric data entry.
The keypad may be mounted in convenient location using an optional holster (not shown) and connected by cable to the processing unit.
There are three versions of the keypad: Adult, Neonatal, and Operating Room. Each version features buttons that allow easy access to commo nly performed functions for that mode. For example, the Neonatal keypad has CRG buttons, while the Operating Room keypad has Airway Gases buttons. The Operating Room keypad is shown below.
NOTE
The message WARNING: REMOTE MISMATCHED WITH MONITORING MODE is displayed if the keypad type does not
match the monitoring mode. Fo r example, if an Operating Room keypad were connected to a monitor set for the Adult-ICU monitoring mode, this message w ould a ppe ar. Howev er, t he moni tor a nd k eypa d will continue to function.
Solar 8000i Remote Keypad — Operating Room
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Equipment Overview: Controls
Trim Knob Control
Operation of the Trim Knob control is described in Chapter 1, The Basics.
Buttons
The table below shows the buttons that appear on the keypads. It also indicates which type(s) of keypad the button appears on, and gives a brief description of its function.
Button Keypad Type(s) Function
12-Lead Adult Opens the 12 Lead ECG Analysis menu. Admit/Discharge Adult, Neonatal Opens a menu to admit or discharge a patient. Airway Gases: CO2 Operating Room Opens the CO2 menu. Airway Gases: Gas Operating Room Opens the Gas menu. Alarm Volume Neonatal Opens a menu to adjust the audio alarm volume. All Limits Adult, Neonatal Opens the All Limits menu to adjust the limits of currently monitored
parameters.
Cardiac Calcs Adult, Operating Room Opens the Cardiac Calcs menu. Cardiac Output Adult, Operating Room Opens the Cardiac Output menu. CRG Events Neonatal Opens the Document CRG Events window. CRG Print Neonatal Prints the CRG waveforms. CRG Recall Neonatal Opens the CRG Trends menu at the most recent CRG event. Defaults Adult, Neonatal, Operating Room Opens the defaults menu. Display On/Off Adult, Neonatal, Operating Room Turns the monitor display and audio items off and on. Operating power
(mains) is still on, and alarms remain active at the central station. Also turns NBP off.
Dose Calcs Neonatal Enters the dose calculations program. Graph Go/Stop Adult, Neonatal, Operating Room Initiates a graph run of patient data. Press the button again to stop. Graphic Trends Adult, Operating Room Opens the Graphic Trends menu. Main Menu Adult, Neonatal, Operating Room Returns to the main display.
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Button Keypad Type(s) Function
NBP Auto Adult, Operating Room Opens the NBP Auto menu. NBP Go/Stop Adult, Neonatal, Operating Room Initiates an NBP measurement. Pressing this button while a
measurement is in process stops that measurement.
NBP Stat Adult, Operating Room Starts five minutes of continuous, sequential NBP measurements. New Case Operating Room Performs the direct action of discharging and then immediately admitting
a patient.
PA Wedge Adult, Operating Room Opens the PA Wedge menu. QRS Volume Neonatal Opens a menu to adjust the volume of the QRS tone. Resp Relearn Neonatal Starts a relearn of the patient’s respiration. Silence Alarm Adult, Neonatal, Operating Room Refer to “Controlling Audio Alarms” on page 8-6 for important information
on the function of this button.
SpO2 Operating Room Opens the SpO2 menu. Tabular Trends Operating Room Opens the Tabular Trends menu. View Other Adult, Neonatal Opens the View Other Patients menu. Vital Signs Adult, Neonatal Opens the Vital Signs menu. Zero All Adult, Neonatal, Operating Room Zeros all invasive pressure lines that are open to atmosphere.
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Remote Control
Equipment Overview: Controls
A hand-held remote control is also available. This can be used in addition to, or instead of the keypad, allowing the clinician a greater range of movement while operating the monitor. Like the keypad, the remote control contains a Trim Knob control and 18 function buttons. It is also available in three versions, Adult, Neonatal, and Operating Room.
All functions of the remote control are identical to those of the corresponding keypad. Refer to the Keypad section in this chapter for details.
An optional holster, shown below, is al so avail able for convenien t storage of the remote control.
Solar 8000i Remote Control — Adult
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Equipment Overview: Putting the Monitor Into Operation

Putting the Moni to r Into Operation

Monitor Installation and Connection

WARNING
Before using the monitor for the first time, read the information in Chapter 3, Safety.
The operating position of the processing unit does not influence the
performance of the monitor in any way.
Choose a location that affords an unobstructed view of the display
and easy access to the operating controls.
Set up the monitor in a location that affords sufficient ventilation.
The ventilation openings of the device must not be obstructed (by equipment, walls, or blankets, for example).
The ambient conditions specified in the technical specifications must
be ensured at all times.
The monitor is designed to comply with the requirements of IEC
60601-1/EN 60601-1.
Using the power cord supplied with the monitor, connect it to the
power line. Use only the original cord.
WARNING
To reduce the risk of electric shock, the monitor must only be connected to a properly installed power outlet with protective ground contacts.
For measurements in or near the heart, we recommend conn ecting
the monitor to the potential equalization system. Use the green and yellow potential equalization cable and connect it to the pin labeled
with the symbol.
GE Medical Systems Information Technologies service is available to
connect the monitor to the Unity network (for use with a Clinical Information Center, a QS system, a MUSE system, etc.).
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Turning Power On

Equipment Overview: Putting the Monitor Into Operation
WARNINGS
For safety reasons, all connectors for patient cables and sensor leads are designed to prevent inadvertent disconnection, should someone pull on them. Do not route cables in a way that they may present a stumbling hazard. For devices inst alled abov e the pa tient, adequa te precautions must be taken to prevent them from dropping on the patient.
After connecting the monitor to the Unity network, verify the function of the alarm system. This can be done, for instance, by temporarily changing one of the alarm limits to initiate an alarm.
The monitor is preset at the factory for a specific AC voltage. Before applying power, be sure that the power requirements match your power supply. Refer to the label on the back of the processing unit for voltage and current requirements. Also refer to Chapter 3, Safety, for power requirements.
Power Switch
When all cables are properly connected, press the power switch on the processing unit to the “I” (on) position. Also turn power on to the display. After approximately 10 seconds, a display should appear on the monitor.
Solar 8000i Processing Unit
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Performance Check

Equipment Overview: Putting the Monitor Into Operation
After turning the monitor on, and during operation, the monitor runs automatic self-tests. If a malfunction is detected, the monitor displays a message and a prompt, asking if the user wishes to continue operation.
WARNING
If the “DO YOU WISH TO CONTINUE?” message appears during monitor operation, it is the physician’s responsibility to decide if the unit is still suitable for patient monitoring. As a general rule, monitoring with this unit should continue only in extremely urgent cases and under the supervision of a physician. The unit must be repaired before being used on a patient again. If this message appears after power-up, the unit must be repaired before being used on a patient.
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3 Safety

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For Your Safety

Intended Use

Terminology

Safety: For Your Safety
The intended use of this monitoring system is to monitor physiological parameter data on adult, pediatric, and neonatal patients within a hospital or facility providing patient care.
Physiological data includes the parameters covered in this manual. The monitoring system is also int ended to provid e physi ological data ov er the Unity network to clinical information systems. This information can be displayed, trended, stored, and printed.
The terms danger, warning, and caution are used throughout this manual to point out hazards and to designate a degree or level of seriousness. Familiarize yourself with their definitions and significance.

Monitor Safety

Hazard is defined as a source of potential injury to a person. DANGER indicates an imminent hazard which, if not avoided, will
result in death or serious injury. WARNING indicates a potential hazard or unsafe practice which, if not
avoided, could result in death or serious injury. CAUTION indicates a potential hazard or unsafe practice which, if not
avoided, could result in minor personal injury or product/property damage.
NOTE provides application tips or other useful information to assure that you get the most from your equipment.
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 w ay i mplies order of importance.
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Dangers
Warnings
Safety: For Your Safety
There are no dangers that refer to the equipment in general. Specific “Danger” statements may be given in the respective sections of this manual.
WARNINGS
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.
ACCURACY — If the accuracy of any value displayed 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.
ALARMS — Do not rely exclus iv el y o n th e a udib le al a rm system for patient monitoring. Adjustment of ala rm 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, nurse-call system, and/or network, verify the function of the alarm system.
The functions of the alarm sy stem for monitoring of the patient must be verified at regular intervals.
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WARNINGS
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 t he integri ty of the product is in doubt, test all functions.
CABLES — Route all cables away from patient's throat to avoid possible strangulation.
CONDUCTIVE CONNECTIONS — Extreme care must be exercised when applying medical electrical equi pment. Many parts of the human/machine circuit are conduct ive, 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.
DEFIBRILLATION — Do not come into contact with patients during defibrillation. Otherwise serious injury or death could result.
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 (if you use a Tram module be sure the module is locked in place in the Tram-rac housing) then do a discharge.
DISCONNECTION FROM MAINS — When disconnecting the syst em from the power line, remo ve the plug from the wall outlet first. Then you may disconnect the power cord from the device. If you do n ot observe t his 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.
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WARNINGS
DISPOSAL — Dispose of the packaging material, observing the applicable waste control regulations and keeping it out of children's reach.
EXPLOSION HAZARD — Do not use this equipment in the presence of flammable anesthetics, vapors or liquids.
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 pe rsonnel that t here 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 o f connected devices, t he 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 standards IEC 60601-1-1/EN 60601-1-1 must be complied with.
INTRACARDIAC APPLICATION — When applying devices intracardiall y, ele ctr i cally cond uc tiv e cont act 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 ground,
if possible, 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.
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WARNINGS
LEAKAGE CURRENT TEST — When interfacing with other equipment, a test for leakage current must be performed by qualified b iome dical eng in eering p erso nnel before using with patients.
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 (electrically isolated RS232 interface).
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.
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.
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Cautions
Safety: For Your Safety
WARNINGS
SITE REQUIREMENTS — For safety reasons, all connectors for patient cables and sensor leads are designed to prevent inadvertent disconnection, should someone pull on them. Do not route cables in a way that they may present a stumbling hazard. For devices installed above the patient, adequate precautions must be taken to prevent them from dropping on the patient.
CAUTIONS
ACCESSORIES (SUPPLIES) — To ensure patient safety, use only parts and accessories manufactured or recommended by GE Medical Systems Information Technologies.
Parts and accessories used must meet the requirements of the applicable IEC 60601 series safety standards and essential performance standards, and/or the system configuration must meet the requirements of the IEC 60601-1-1 medical electrical systems standard.
ACCESSORIES (EQUIPMENT) — 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; andevidence 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.
BATTERY POWER — If a device equipped with an optional battery pack will not be used or not be connected to the power line for a period of over six months, remove the battery.
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CAUTIONS
BEFORE INSTALLATION — Compatibility is critical to safe and effective use of this device. Please contact your local sales or service representative prior to installation to verify equipment compatibility.
DEFIBRILLATOR PRECAUTIONS — Patient signal inputs labeled with the CF and BF symbols with paddl es are protected against da mage resulting from defibrillation voltages. To ensure proper defibrillator protection, use only the recommended cables and leadwires.
Proper placement of defibrillator paddles in relation to the electrodes is required to ensure successful defibrillation.
DISPOSABLES — Disposable devices are intended for single use only. They should not be reused as performance could degrade or contamination could occur.
DISPOSAL — At the end of its service life, the product described in this manual, as well as its accessories, must be disposed of in compliance with the guidelines regulating the disposal of such products. If you have questions concerning disposal of the product, please contact GE Medical Systems Information Technologies or its representatives.
ELECTROCAUTERY PRECAUTIONS — To prevent unwanted skin burns, apply electrocautery electr odes as far as possible from all other electrodes, a distance of at least 15 cm/6 in. is recommended.
ELECTRODES — Whenever patient defibrillation is a possibility, use non-polarizing (silver/silver chloride construction) electrodes for ECG monitoring. Polarizing electrodes (stainless steel or silver constructed) may cause the electrodes to retain a residual charge after defibrillation. A residual charge will block acquisition of the ECG signal.
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CAUTIONS
EMC — Magnetic and electrical fields are capable of interfering with the prop er performance of the device. For this reason make sure that all external devices operated in the vicinity of the monitor comply with the relevant EMC requirements. X-ray equipment or MRI devices are a possible source of interference as they may emit higher levels of electromagnetic radiation.
INSTRUCTIONS FOR USE — For continued safe use of this equipment, it is necessary that the listed instructions are followed. However, instructions listed in this manual in no way supersede established medical practices concerning patient care.
LOSS OF DATA — Should the monitor at any time temporarily lose patient data, the potential exists that active monitoring is not being done. Close patient observation or alternate monitoring devices should be used until monitor function is restored.
If the monitor does not automa t icall y re s um e ope ratio n within 60 seconds, power cycle the monitor using the power on/off switch. Once monitoring is restored, you should verify correct monitoring state and alarm function.
MAINTENANCE — Regular preventive maintenance should be carried out annually. You are responsible for any requirements specific to your country.
MPSO — Do not use a multiple portable socket outlet (MPSO) for a system because it could result in unacceptable enclosure leakage currents.
NEGLIGENCE — GE Medical Systems Information Technologies does not assume responsibility for damage to the equipment caused by improperly vented cabinets, improper or faulty power, or insufficient wall strength to support equipment mounted on such walls.
OPERATOR — M edi cal tec hnic al e quip men t suc h as th is monitor/monitoring system must only be used by persons who have received adequate training in the use of such equipment and who are capable of applying it properly.
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CAUTIONS
POWER REQUIREMENTS — Before connecting the device to the power line, check that the voltage and frequency ratings of th e po wer line a re t he same a s those indicated on the unit's label. If this is not the case, do not connect the system to the power line until you adjust the unit to match the power source.
In U.S.A., if the installation of this equipment will use 240V rather than 120V, the source must be a center­tapped, 240V, single-phase circuit.
This equipment is suitable for connection to public mains as defined in CISPR 11.
RESTRICTED SALE — U.S. federal law restricts this device to sale by or on the order of a physician.
SINGLE PATIENT USE — This equipment is designed for use on one patient at a time. Using this equipment to monitor different parameters on different patients at the same time compromises the accuracy of data acquired.
SUPERVISED USE — This equipment is intended for use under the direct supervision o f a l icense d healt h care practitioner.
UNINTENTIONAL RADIO FREQUENCY (RF) INTERFERENCE — Unintentional RF interference could degrade the reliability and performance of the wireless data link. The facility must maintain an RF environment free from unintentional interference. Refer to the service manual for more information.
VENTILATION REQUIREMENTS — Set up the device in a location which affords sufficient ventilation. The ventilation opening s of the device must no t be obstructed. The ambient conditions specified in the technical specifications must be ensured at all times.
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Notes
Safety: For Your Safety
Put the monitor in a l ocation where you can ea sily se e the scree n and
access the operating controls.
This product is not likely to cause abnormal operation of other
patient-connected equipment such as cardiac pacemaker or other electrical stimulators. Exceptions are noted in the pacemaker monitoring sectio n, if applicable.
This product is protected against the effects of cardiac defibrillator
discharges to ensure proper recovery, as required by test standards. (The screen may blank during a defibrillator discharge but recovers within seconds as required by test standards.)
This equipment is suitable for use in the presence of electrosurgery. Users should be aware of a possible time discrepancy between the
waveforms from the telemetry device and the waveforms hardwired to the monitor. Users should not consider these waveforms to be synchronous. If absolute synchronicity is desired, Combo mode should be discontinued and the ECG waveforms should be acquired via the hardwired bedside monitor.
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Classification

Safety: For Your Safety
Equipment components are classified, according to IEC 60601-1, as:
electrical shock
Type of protection against
Solar 8000i CPU I Not Marked Ordinary Not Suitable NA Continuous Tram modules:
ECG, BP, Temp, CO NBP, SPO2
Solar ECG/Resp module NA CF Ordinary Not Suitable NA Continuous BP module NA CF Ordinary Not Suitable NA Continuous Dual BP module NA CF Ordinary Not Suitable NA Continuous BP/dual temp module NA CF Ordinary Not Suitable NA Continuous NBP module NA BF Ordinary Not Suitable NA Continuous Solar SPO2 module NA BF Ordinary Not Suitable NA Continuous Solar SPO2 module with
Masimo SET Dual temp module NA CF Ordinary Not Suitable NA Continuous SvO2 module NA B Ordinary Not Suitable NA Continuous TC module NA BF Ordinary Not Suitable NA Continuous Mainstream CO2 module
Sidestream CO2 module
NA NA
NA BF Ordinary Not Suitable NA Continuous
NA B
CF BF
BF
electrical shock
Degree of protection against
the manufacturer
harmful ingress of water
Degree of protection against
Ordinary Ordinary
Ordinary Not Suitable NA Continuous
Not Suitable Not SuitableNANA
anesthetic mixture with air or
Degree of safety of application
in the presence of a flammable
Method(s) of sterilization or
with oxygen or nitrous oxide
disinfection recommended by
Mode of operation
Continuous Continuous
I: Class I equipment B: Type B applied part BF: Type BF applied part CF: Type CF applied part NA: Not applicable Ordinary: Ordinary
equipment (enclosed equipment without protection against ingress of water) Not Suitable: Equipment not suitable for use in the presence of a flammable anesthetic mixture with air or with oxygen or nitrous oxide
Solar BP/CO module NA CF Ordinary Not Suitable NA Continuous ICG module NA BF Ordinary Not Suitable NA Continuous BIS/EEG module NA B Ordinary Not Suitable NA Continuous Tram-net interface adapter NA Not Marked Ordinary Not Suitable NA Continuous Octanet Connectivity Device I Not Marked Ordinary Not Suitable NA Continuous Tram-rac without power supply NA Not Marked Ordinary Not Suitable NA Continuous Tram-rac with power supply I Not Marked Ordinary Not Suitable NA Continuous PRN 50 and PRN 50-M
Writers Keypad NA Not Marked Ordinary Not Suitable NA Continuous Remote control NA Not Marked Ordinary Not Suitable NA Continuous
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Safety: For Your Safety

Underwriters Laboratories, Inc.

4P41

Equipment Symbols

NOTE
Some symbols may not appear on all equipment.
ATTENTION: Consult accompanying documents.
CAUTION: To reduce the risk of electric shock, do NOT remove cover. Refer servicing to qualified service personnel.
Medical Equipment With respect to electric shock, fire and mechanical hazards only in accordance with UL 60601-1, and CAN/CSA C22.2 NO. 601.1.
NOTE
The rating of protection against electric shock (indicated by symbol for CF or BF) is achieved only when used with patient applied parts recommended by GE Medical Systems
Information Technologies.
TYPE CF APPLIED PART: Isolated (floating) applied part suitable for intentional external and internal application to the patient including direct cardiac application. “Paddles” outside the box indicate the applied part is defibrillator proof. [Medical Standard Definition:] F-type applied part (floating/isolated) complying with the specified requirements of IEC 60601-1/UL 60601-1/CSA 601.1 Medical Standards to provide a higher degree of protection against electric shock than that provided by type BF applied parts.
TYPE BF APPLIED PART: Isolated (floating) applied part suitable for intentional external and internal application to the patient excluding direct cardiac application. “Paddles” outside the box indicate the applied part is defibrillator proof. [Medical Standard Definition:] F-type applied part (floating/isolated) complying with the specified requirements of IEC 60601-1/UL 60601-1/CSA 601.1 Medical Standards to provide a higher degree of protection against electric shock than that provided by type B applied parts.
TYPE B APPLIED PART: Non-isolated applied part suitable for intentional external and internal application to the patient excluding direct cardiac application. [Medical Standard Definition:] Applied part complying with the specified requirements of IEC 60601-1/UL 60601-1/CSA 601.1 Medical Standards to provide protection against electric shock, particularly regarding allowable leakage current.
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Safety: For Your Safety
Fuse
Equipotential Stud: A ground wire from another device can be tied here to ensure the devices share a common reference.
Alternating current (AC)
Power; I = ON; O = OFF
This symbol indicates that the waste of electrical and electronic equipment must not be disposed as unsorted municipal waste and must be collected separately. Please contact an authorized representative of the manufacturer for information concerning the decommissioning of your equipment.
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4 Maintenance

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Biocompatibility

Maintenance: Biocompatibility
When used as intended, the parts of the product described in this operator manu al, including accessories that come in contact with the patient during the inten ded use, fulfill the biocompatibi lity requirements of the applicable standards. If you have questions about this matter, please contact GE Medical Systems Information Technologies or its representatives.
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Inspection

Maintenance: Inspection
An effective maintenance schedule should be established for your monitoring equipment and reusable supplies. This should include inspection as well as general cleaning on a regular basis. The maintenance schedule must comply wit h the policies of yo ur institut ion’s infection control unit and/or biomedical department.
WARNING
Failure on the part of the responsible hospital or institution employing the use of this monitoring equipment to implement a satisfactory maintenance schedule may cause undue equipment failure and possible health hazards.
Check with your biomedical department to be sure preventive maintenan ce and cali bratio n has been done. The service manuals contain detailed information.
Follow these guidelines when inspecting the equipment:
Inspect the equipment for obvious physical damage and replace
damaged items.
Inspect all cords for fraying or other damage. Inspect all plugs and
connectors for bent prongs or pins. Repair or replacement must be performed by qualified service personnel.
Inspect all cable insulation. Qualified service personnel should repair
or replace damaged or deteriorated cables.
In the United States, GE Medical Systems Information Technologies Service is available 24 hours a day by calling 800-558-7044.
Outside the United States, please contact your sales/service office.
NOTE
Refer to the service manuals for more comprehensive checkout procedures.
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General Cleaning

Maintenance: General Cleaning
WARNING
Disconnect the monitor from the power line before cleaning or disinfecting its surface.
The equipment should be cleaned on a regular basis. (Comply with the policies of your institution’s infection control unit and/or bio medical department.) The exteri or surfaces of th e equipment may be clea ned with a dampened, lint-free cl oth. Use one of the following approved solutions:
ammonia (diluted), Cidex, sodium hypochlorite bleach (diluted), or mild soap (diluted).
To avoid damage to the equipment, follow these rules:
CAUTION
Failure to follow these rules may melt, distort, or dull the finish of the case, blur lettering on the label s, or cause equipment failures.
Always dilute the solutions according to the manufacturer’s
suggestions.
Always wipe off all the cleaning solution with a dry cloth after
cleaning.
Never use a cleaning substance containing wax. Never pour or spray water or any cleaning solution on the
equipment.
Never permit fluids to run behind switches, into the connectors, or
into any ventilation openings in the equipment.
Never use these cleaning agents:
abrasive cleaners or solvents of any kind,acetone,ketone,alcohol-based cleaning agents, orBetadine
To clean the display screen, use a soft, clean cloth dampened with a glass cleaner. Never spray the glass cleaner directly onto the display, and never use alcohol or hospital disinfectants like Cidex or Betadine.
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Maintenance: Cleaning the Touchscreen

Cleaning the Touchscreen

NOTE
Turn the display power off before cl eaning the touchscreen.
Clean the touchscreen with one of the following approved solutions:
Household glass cleaner Virex (full strength) Cavicide (diluted: 1/2 oz per gallon of water)
To avoid damage to the equipment, follow these rules:
CAUTION
Failure to follow these rules may melt, distort, or dull the finish of the case, blur lettering on the label s, or cause equipment failures.
Always dampen the towel and then clean the touchscreen. Do NOT spray cleaner directly on the touchscreen. Do NOT use these chemicals on the touchscreen:
AcetoneMethylene chlorideMet hyl ethyl ketoneHexaneAmmonia-based glass cleaners
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Maintenance: Cleaning Applied Parts

Cleaning Applied Parts

Cables and Leadwires

CAUTION
Do not use acetone or ketone s olvents for cleani ng; do not use an autoclave or steam cleaner.
Cables and leadwires can be cleaned with a warm, damp cloth and mild soap, or isopropyl alcohol wipes. Refer to the previous page for safe cleaning techniques.
For more intensive disinfecting (near sterile) Ethylene Oxide (ETO) is acceptable but will reduce the useful lifetime of the cable or leadwire.
CAUTION
The decision to sterilize must be made per your institution’s requirements with an awareness of the effect on the integrity of the cable or leadwi re.

Other

For other applied parts such as temperature sensors, catheters, pulse oximetry probes, etc., you must consult the manufacturer for cleaning, sterilization, or disinfecting methods.
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Maintenance: Internal Lithium Battery

Internal Lithium Battery

The Solar 8000i processing unit contains a li thium battery. This battery is used to retain factory default settings when AC power to the monitor is turned off.
If the lithium battery charge becomes low during normal operation, the following message appears near the middle of the screen:
SERVICE MONITOR BATTERY ERROR
Contact service if this message appears (refer to the “How to Reach Us” page).
If the lithium battery fails when AC power to the monitor is turned off, the following message will appear on the display when the monitor is turned on again:
ERROR: THE INTERNAL BATTERY THAT MAINTAINS THE MONITOR’S DEFAULTS HAS FAILED! ** SERVICE MAY BE REQUIRED **
The monitor cannot be used until the lithium battery is replaced. Contact service if this message appears (refer to the “How to Reach Us” page).
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Maintenance: Technical Maintenance

Technical Maintenance

Specifications and other relevant technical information can be found in the service manuals supplied with this equipment. Comply with the policies of your institution’s biomedical departm ent, or the recommendations made within the Preventive Maintenance section of the product’s service manual.

Technical Specifications

Technical specifications are located in the service manual.
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5 Monitor Setup

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Monitor Setup Menu

The Monitor Setup menu lets you customize the monitor to best suit your unit’s and patients ’ needs. In some cases these chan ges can be saved as monitor defaults, which are recalled each time you admit a patient.
To access the monitor setup menu, select MORE MENUS from the main display, then select MONITOR SETUP.
WAVEFORMS ON/OFF — Reassigns waveform positions on the
DISPLAY — Chooses a display mode, which puts pressure
COLOR — Chooses a color configuration. PARAMETERS ON/OFF — Clears unneeded parameter windows
GRAPH SETUP — Selects waveforms to be graphed, graph speed,
MONITOR DEFAULTS — Configures alarms, set alarm limits, and
PRINT CRG PLUS — Prints CRG Plus waveforms as selected in the
TOUCH VOL — Adjusts the volume of the tone that sounds when the
LEARN THE MONITOR — Displays information windows
REVISION AN D ID — Displays a list of the software versions
SOFTWARE COMPATIBILITY — Displays a software compatibility
SERVICE MODE — Used by qualified service personnel to access
Monitor Setup: Monitor Setup Menu
Monitor Setup Menu
display or turn certain waveforms off.
waveforms on an individual or full (common) scale.
from the display and turn th em back on again when needed.
and graph location. CRG Plus graph options are included in this menu.
establish monitor display defaults.
Graph Setup menu.
touchscreen is touched.
containing basic operating instructions.
currently installed for the various components of the monitor.
list.
the service mode.
Detailed information on each option is found in this chapter.
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Waveforms On/Off

Individual Display Mode
Monitor Setup: Monitor Setup Menu
The Waveforms On/Off menu option allo ws you to reassign wavef orms on the display or turn an individual waveform off.
To access the Waveforms On/Off menu, select WAVEFORMS ON/OFF from the Monitor Setup menu. Your display mode (Indi vidual, Fu ll, CRG Plus) determines the me nu options avai lable. Ref er to the Displa y section in this chapter for display mode details.
If you are using the individual display mode, the Waveforms On/Off menu looks like this:
Waveforms On/Off Menu — Individual Mode
To change a displayed waveform, select a WAVEFORM menu option to display a popup menu. In the popup menu, move the pointer to the waveform you want to display, then select it. Choose OFF if you do not want a waveform displayed in that position.
Align Waveforms
When monitoring in the individual display mode, waveforms automatically align with their respective parameter windows. You can override alignment with the waveforms on/off menu.
Use the ALIGN WAVEFORMS option in this menu to automatically realign waveforms with their parameter windows.
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Full Display Mode
Monitor Setup: Monitor Setup Menu
If you are using the full displa y mode, the Wav eforms On/Off menu looks like this:
Waveforms On/Off Menu — Full Mode
The FULL BP WAVEFORMS menu option allows you to select the pressure waveforms you want to display on the full scale.
>
↓ ↑
CRG Plus Display Mode
Full BP Waveforms Popup Menu
The pressures displayed in the popup menu are determined by the pressures being monitored. The pressure waveforms that are currently on the full scale are highlighted. Only four pressure waveforms can be displayed on the full scale at one time.
Use the Trim Knob control or touchscreen to select or deselect pressure waveforms.
There are left and right scales. To position a waveform on a right or left scale, use the Scales menu option in the individual pressure menu.
If you are using one of the CRG Plus display modes, the Full BP Waveforms menu option reads CRG PLUS WAVEFORMS. Use the popup menu as described above. Refer to Chapter 9, CRG Plus Display, for more information.
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Display

The Display menu option controls the display mode for monitored pressure parameters. The Display popup menu offers the choices described below.
NOTE
Individual 6 Waveform Display
With the INDV 6 WFS option, you can display a maximum of six waveforms, each with an independent scale. When monitoring in this display mode, the waveforms automatically align with their respective parameter windows.
Individual 3 Waveform Display
With the INDV 3 WFS option, you can display a maximum of three waveforms, each with an independent scale. When monitoring in this display mode, each parameter window is displayed at double-high size. Waveforms automatically align with their respective parameter windows.
Monitor Setup: Monitor Setup Menu
Display mode can be set as a monitor default. Refer to the Monit or Defaults section in this chapter.
Full Display
Full Grid Display
With the FULL option, a maximum of eight waveforms can be displaye d. The waveforms in the first two positions are on individual scales. Then, up to four pressures waveforms are displayed on a full (common) scal e. The last two waveforms, if any, are displayed on individual scales.
The FULL GRID display mode is the same as the full display mode, with additional graticules displayed on the screen. The additional graticules do not print when waveforms a re graphed.
NOTE
When using the Full or Full Gri d mode s, the re ar e left an d righ t scales. Read ART, FEM, UAC, and SP pressures using the left scale markers. Read PA, CVP, RA, UVC, LA, and ICP pressures using the right scale markers. Use the Scales menu option in the individual parameter menu to change pressures from one side to the other.
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CRG Full Display
CRG Individual Display
EEG Spectra Display
Monitor Setup: Monitor Setup Menu
The CRG FU LL o ption pro vides a fu ll scale CRG mode with l eft and ri ght scales.
The CRG INDV option provides a CRG mode with individual scales for each parameter.
NOTE
Refer to Chapter 9, CRG Plus Display, for details on the CRG Plus full and individual display modes.
The EEG SPECTRA option displays two- or four-channel EEG spectra, depending on the number of channels being moni tored and the selection made in the EEG Spectra popup menu.
BIS Spectra Display
The BIS SPECTRA option displays either a single CSA sp ectrum or a single DSA spectrum, depending on the selection made in the BIS Spectra Setup menu.
NOTE
Refer to the Patient Monitoring System Operator’s Manual Supplement for the BIS/EEG Module for details on BIS and EEG spectral di splays.
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Color
Monitor Setup: Monitor Setup Menu
Selecting the COLOR menu option opens a popup menu to select a color format. The tables below indicate the parameter colors used in each color format.
CLINICAL Color Format TRANSDUCER Color Format
Parameter(s) Color Parameter(s) Color
ECG Amber ECG Green
Hemodynamics Green Priority ART1/FEM1/UAC1 Red
Cardiopulmonary Blue Additional ART/FEM/UAC White
Temperature Blue PA Yellow
Gas White CVP/RA/UVC Blue
Alarms Red LA/ICP White
All other parameters Blue SP Green
POC Red
Alarms Red
All other parameters Green
.
CRG PLUS Color Format
Parameter(s) Color
ECG Green
Priority ART1/FEM1/UAC1 Red
MAP Red
All other pressures White
CO2/RR Yellow
SPO2 Blue
Alarms Red
Waveforms not part of the CRG Plus display Shown in Transducer color format
NOTE
With the Transducer and CRG Plus color formats, the pressure colors are based on the priorit y s et up i n moni tor def au lts. T he a rte ri al l ine (ART, FEM, or UAC) set at the highest priority is red, and all other pressures are whit e.
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Parameters On/Off

Monitor Setup: Monitor Setup Menu
This menu option allows you to turn specific parameters on and off. Turning a parameter off removes the waveform and the parameter window from the displa y. Al arms a re o ff a nd d ata is no t co lle cte d in vi ta l signs for that parameter.
NOTE
ECG cannot be turned off.
When the Parameters On/Off menu option is selected, an information window opens. The first column in the information window shows the parameter name, the second indicates the data source, and the third column indicates whether the parameter is on or off.
↓ ↑
Parameters On/Off Information Window
If a parameter is on, selecting it turns it off, and vice versa. The change takes effect immediately. The information window remains open so you can select another parameter if desired. To close the information window and popup menu, select RETURN.
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