GE Medical Systems Dash 2000 Operator's Manual

Dash 2000 Patient Monitor
Software Version 3
Operator's Manual
2005873-001 ENG Revision C
Trademarks
NOTE: The information in this manual only applies to Dash 2000
software version 3.
Due to continuing product innovation, specifications in this
manual are subject to change without notice.
Trademarked names appear throughout this document. Rather than list the names and entities that own the trademarks or insert a trademark symbol with each mention of the trademarked name, the publisher states that it is using the names only for editorial purposes and to the benefit of the trademark owner with no intention of improperly using the trademark.
900 SC, ACCUSKETCH, AccuVision, APEX , AQUA-KNOT, ARCHIVIST, Autoseq, BABY MAC, C Qwik Connect, CardioServ, CardioSmart, CardioSys, CardioWindow, CASE, CD TELEMETRY, CENTRA, CHART GUARD, CINE 35, COROLAN, CORO, COROMETRICS, Corometrics Sensor Tip, CRG PLUS, DASH, Digistore, Digital DATAQ, E for M, EAGLE, Event-Link, FMS 101B, FMS 111, HELLIGE, IMAGE STORE, INTELLIMOTION, IQA, LASER SXP, MAC, MAC-LAB, MACTRODE, MARQUETTE, MARQUETTE MAC, MARQUETTE MEDICAL SYSTEMS, MARQUETTE UNITY NETWORK, MARS, MAX, MEDITEL, MEI, MEI in the circle logo, MEMOPORT, MEMOPORT C, MINISTORE, MINNOWS, Monarch 8000, MULTI-LINK, MULTISCRIPTOR, MUSE, MUSE CV, Neo-Trak, NEUROSCRIPT, OnlineABG, OXYMONITOR, Pres-R-Cuff, PRESSURE-SCRIBE, QMI, QS, Quantitative Medicine, Quantitative Sentinel, RAC, RAMS, RSVP, SAM, SEER, SILVERTRACE, SOLAR, SOLARVIEW, Spectra 400, Spectra-Overview, Spectra-Tel, ST GUARD, TRAM, TRAM-NET, TRAM-RAC, TRAMSCOPE, TRIM KNOB, Trimline, UNION, STATION, UNITY logo, UNITY NETWORK, Vari-X, Vari-X Cardiomatic, VariCath, VARIDEX, VAS, and Vision Care Filter are trademarks of GE Medical Systems United States Patent and Trademark Office.
12SL, 15SL, Access, AccuSpeak, ADVANTAGE, BAM, BODYTRODE, Cardiomatic, CardioSpeak, CD TELEMETRY®-LAN, CENTRALSCOPE, Corolation, Dash Port Docking Station, Dash Responder, EK-Pro, EDIC, Event-Link Cumulus, Event-Link Cirrus, Event-Link Nimbus, HI-RES, ICMMS, IMAGE VAULT, IMPACT.wf, INTER-LEAD, LIFEWATCH, Managed Use, MARQUETTE PRISM, MARQUETTE® RESPONDER, MENTOR, MicroSmart, MMS, MRT, MUSE CardioWindow, NST PRO, NAUTILUS, OCTANET, O2 SENSOR, OMRS, PHi-Res, Premium, Prism, QUIK CONNECT V. QUICK CONNECT, QT Guard, SMARTLOOK, SMART-PAC, Spiral Lok, Sweetheart, UNITY, Universal, Waterfall, and Walkmom are trademarks of GE Medical Systems Inc.
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© GE Medical Systems reserved.
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CE Marking Information
Compliance
The Dash 2000 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 radio-interference emitted by this device is within the limits specified in EN 55011, for class B equipment.
The product complies with the requirements of standard EN 60601-1-2 ”Electromagnetic Compatibility – Medical Electrical Equipment”.
The safety and effectiveness of this device has been verified against previously distributed devices. Although all standards applicable to presently marketed devices may not be appropriate for prior devices (i.e. electromagnetic compatibility standards), this device will not impair the safe and effective use of those previously distributed devices. See user’s information.
Revision C Dash 2000 Patient Monitor NOTICES-1 2005873-001
General Information
This manual is an integral part of the product and describes its
intended use. It should always be kept close to the equipment. Observance of the manual is a prerequisite for proper product performance and correct operation and ensures patient and operator safety.
The symbol means ATTENTION: Consult accompanying
documents.
Information which refers only to certain versions of the product is
accompanied by the model number(s) of the product(s) concerned. The model number is given on the nameplate of the product.
The warranty does not cover damages resulting from the use of
accessories and consumables from other manufacturers.
GE Medical Systems
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
the electrical installation of the relevant room complies with the requirements of the appropriate regulations; and,
the device is used in accordance with the instructions for use.
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All publications are in conformity with the product specifications and
IEC publications on safety of electromedical equipment as well as with UL and CSA requirements and AHA recommendations valid at the time of printing.
The GE Medical Systems
management system complies with the international standards DIN/EN/ISO 9001 and EN 46001, and the Council Directive on Medical Devices 93/42/EEC.
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NOTICES-2 Dash 2000 Patient Monitor Revision C 2005873-001
Table of Contents
About This Manual ............................................................................ ix
Manual Purpose............................................................................ ix
Intended Audience........................................................................ ix
Intended Use ................................................................................. ix
Product References ....................................................................... ix
Conventions................................................................................... ix
Revision History.................................................................................. x
How to Reach Us................................................................................ xi
Service Calls and Product Support.............................................. xi
Ordering Supplies & Service Parts.............................................. xi
Other Questions or Problems......................................................xii
Monitor Defaults Worksheet...........................................................xiii
1
THE BASICS...............................................................1-1
Components......................................................................................1-2
The Monitoring System .............................................................. 1-2
Dash 2000 Monitor .....................................................................1-2
Optional Nurse Call.................................................................... 1-3
Optional Centralscope Central Station.....................................1-4
Optional Clinical Information Center .......................................1-5
Optional Laser Printer ...............................................................1-6
Optional Defibrillator and Pacer ...............................................1-7
Optional Dash Port Docking Station.........................................1-8
Operation..........................................................................................1-9
General ........................................................................................1-9
Trim Knob Control.................................................................... 1-10
Control Keys.............................................................................. 1-11
Power .................................................................................... 1-11
Graph Go/Stop .....................................................................1-11
NBP Go/Stop ........................................................................1-12
Function ...............................................................................1-12
Silence Alarm.......................................................................1-12
Turning Power On .........................................................................1-13
AC Power...................................................................................1-13
Normal Mode........................................................................1-13
Standby Mode ......................................................................1-13
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Battery Power ................................................................................1-14
Power Indicator Lights............................................................. 1-15
Battery Conditioning................................................................ 1-16
Battery.......................................................................................1-17
Battery Capacity Gauge...................................................... 1-17
Battery Service Information Window...................................... 1-18
Battery Status Messages.....................................................1-18
Software Features..........................................................................1-19
Menus.........................................................................1-19
Menu Timeout......................................................................1-19
Main Menu ........................................................................... 1-19
Parameter Menus ................................................................1-20
More Menus .........................................................................1-20
Popup Menus............................................................................. 1-21
Scrolling Popup....................................................................1-21
Pointer Popup ......................................................................1-21
Numeric Popup ....................................................................1-22
Subordinate Menus................................................................... 1-22
Direct Action Menu Options ....................................................1-23
Parameter Windows .................................................................1-24
Information Windows ...............................................................1-25
Trim Knob Control Operation When Setting Alarm Limits..1-26
Graphing (Printing) .......................................................................1-27
Devices.......................................................................................1-27
Manual Graphs .........................................................................1-27
Exclusive Graph Control.....................................................1-27
Alarm Graphs ......................................................................1-27
Pressure Scales .........................................................................1-28
Graphing Messages ..................................................................1-28
Graph Header ...........................................................................1-28
2
3
Putting the Monitor Into Operation .............................................1-29
Monitor Installation and Connection ......................................1-29
Performance Check...................................................................1-30
SAFETY.......................................................................2-1
For Your Safety ................................................................................ 2-2
Intended Use ............................................................................... 2-2
Terminology ................................................................................ 2-2
Monitor Safety ............................................................................2-2
Dangers........................................................................................2-2
Warnings .....................................................................................2-3
Cautions ......................................................................................2-7
Notes.......................................................................................... 2-10
Reference Literature......................................................................2-10
Classifications ................................................................................ 2-11
Underwriters Laboratories, Inc ...............................................2-11
Safe Operating and Handling Conditions...............................2-12
Equipment Symbols..................................................................2-13
ADMIT DISCHARGE .................................................3-1
About Admitting ..............................................................................3-2
You Must Admit to Activate Alarms .........................................3-2
Monitors are Used in Different Ways........................................ 3-2
Guidelines When Doing Combination Monitoring ..............3-3
For Which Application is the Monitor Set?...............................3-3
ii Dash 2000 Patient Monitor Revision C 2005873-001
Getting to the Admit Menu .............................................................3-4
Standard Admit Menu.....................................................................3-5
Rover Admit Menu...........................................................................3-6
Combo Admit Menu ......................................................................... 3-7
Rover Combo Admit Menu .............................................................. 3-8
Admit Menu Options .......................................................................3-9
Admit Info ...................................................................................3-9
Change Admit Info ..............................................................3-10
Request Admit Info.............................................................. 3-11
Save Admit Info ...................................................................3-11
Weight and Height ..............................................................3-11
Age ....................................................................................3-11
Admit Patient............................................................................ 3-12
Admit Patient....................................................................... 3-12
New Case..............................................................................3-12
Set Unit Name ..........................................................................3-13
Set Bed Number........................................................................3-14
Set Graph Location...................................................................3-15
ECG Source ...............................................................................3-15
About Discharging .........................................................................3-16
Discharge Patient .....................................................................3-16
Standard and Rover Admit Menu ......................................3-16
Combo and Rover Combo ....................................................3-17
New Case..............................................................................3-17
4
5
ALARM CONTROL..................................................... 4-1
Smart Alarms................................................................................... 4-2
Alarm Structure ............................................................................... 4-3
Patient Status Alarms................................................................4-3
System Status Alarms................................................................ 4-4
Controlling Audio Alarms ...............................................................4-5
Silencing an Alarm for One Minute ..........................................4-5
Pausing Alarms........................................................................... 4-5
Turning Alarm Volume Off Permanently .................................4-5
Alarm Control Menu........................................................................4-6
All Limits..................................................................................... 4-7
Viewing an All Limits Screen ...............................................4-7
Changing a Limit in the All Limits Screen.......................... 4-8
Alarm Graph ............................................................................... 4-9
Alarm Volume ...........................................................................4-10
Parameter Alarm Level............................................................ 4-11
Arrhythmia Alarm Level..........................................................4-12
MONITOR SETUP......................................................5-1
Monitor Setup Menu........................................................................5-2
Monitor Defaults.........................................................................5-3
Monitor Defaults Menu ..............................................................5-3
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Setup Default Arrhythmia Alarm Levels ..................5-4
Setup Default Parameter Alarm Levels............................... 5-6
Setup Default Limits ............................................................. 5-7
Setup Default Display ...........................................................5-8
Setup Default Parameter Priority ........................................ 5-9
Recall Default ......................................................................5-10
Display Setup Menu ................................................................. 5-11
Waveform On / Off ............................................................... 5-12
Contrast................................................................................ 5-13
Color ....................................................................................5-14
Backgrnd ..............................................................................5-14
Time and Date .....................................................................5-14
Set Date................................................................................5-15
Set Time ...............................................................................5-15
Graph Setup .............................................................................. 5-16
ECG 1, Waveform 2, Waveform 3.......................................5-17
Graph Location ....................................................................5-18
Alarm Graph ........................................................................5-20
Speed ....................................................................................5-20
Timed Graph ........................................................................ 5-21
Parameters On / Off..................................................................5-22
Software Summary ...................................................................5-23
Service Mode .............................................................................5-24
Patient Monitor Type ..........................................................5-25
Admit Mode..........................................................................5-25
6
7
PATIENT DATA..........................................................6-1
Patient Data Menu ..........................................................................6-2
Vital Signs................................................................................... 6-3
View Older / View Newer ......................................................6-4
Time Interval .........................................................................6-4
Specific Time.......................................................................... 6-4
Page Down and Page Up ....................................................... 6-4
Graphic Trends ...........................................................................6-5
Select Parameters..................................................................6-6
View Older / View Newer ......................................................6-7
Time Period ............................................................................ 6-7
MAINTENANCE.........................................................7-1
Biocompatibility ............................................................................... 7-2
Inspection .........................................................................................7-3
General Cleaning .............................................................................7-4
Exterior Surface ............................................................................... 7-4
Display.........................................................................................7-5
Cleaning Applied Parts ...................................................................7-6
Cables and Leadwires................................................................. 7-6
Other............................................................................................7-6
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Technical Maintenance.................................................................... 7-7
Technical Inspections ............................................................7-7
Changing Graph Paper.................................................................... 7-8
Built-in Writer .......................................................................7-8
Thermal Paper Storage ...................................................................7-9
8
ECG .............................................................................8-1
Introduction......................................................................................8-2
Checklist......................................................................................8-2
Skin Preparation..............................................................................8-3
Electrode Placement ........................................................................8-4
5-Leadwire Electrode Placement ............................................... 8-4
3-Leadwire Electrode Placement ............................................... 8-5
Three-leadwire Configuration ..............................................8-5
Electrode Placement for Neonates............................................. 8-6
Electrode Placement for Pacemaker Patients .......................... 8-7
Maintaining Quality ECG Signal .............................................. 8-8
Surgical Considerations for Electrode Placement (Adults) .....8-8
ESU ECG Filters.............................................................................. 8-8
Electrosurgical Unit (ESU Cable) ............................................. 8-8
ECG Monitoring Features............................................................... 8-9
ECG Display................................................................................ 8-9
Getting to the ECG Menu ........................................................8-10
ECG Menu Options........................................................................8-11
Display Lead .............................................................................8-11
Synchronized Cardioversion ............................................... 8-11
Smart-Lead Fail................................................................... 8-12
Leads Fail Patient Condition..............................................8-12
ECG Size.................................................................................... 8-13
ECG Limits................................................................................8-14
Heart Rate............................................................................8-14
Relearn ......................................................................................8-15
QRS Volume .............................................................................. 8-15
Analysis Settings ...................................................................... 8-16
ECG Filter............................................................................8-17
Lead Analysis....................................................................... 8-18
Multi-Lead Analysis ............................................................ 8-18
Single Lead Analysis ........................................................... 8-18
Changing Lead Analysis .....................................................8-18
Detect Pace...........................................................................8-19
Safety Considerations .........................................................8-19
Monitoring Internal Pacemaker Patients .......................... 8-20
Monitoring Dash Responder Paced Patients .....................8-21
QRS Width ...........................................................................8-22
Changing QRS Width.......................................................... 8-22
Arrhythmia ..........................................................................8-23
Lethal ...................................................................................8-23
Arrhythmia Conditions ....................................................... 8-23
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Troubleshooting .............................................................................8-25
Internal Pacemaker Troubleshooting...........................................8-26
PRESSURES ...............................................................9-1
9
Introduction......................................................................................9-2
Assigned BP Names.................................................................... 9-3
Zero Reference..................................................................................9-4
Checklist........................................................................................... 9-4
Pressure Monitoring Features ........................................................ 9-5
Pressure Information.................................................................. 9-5
Getting to the Pressure Menu.................................................... 9-6
Pressure Menu Options ................................................................... 9-7
Scales ........................................................................................... 9-7
Cursor .......................................................................................... 9-8
Clear Cursor................................................................................9-8
Limits........................................................................................... 9-9
Change Name............................................................................9-10
Zero ............................................................................................9-10
Settings...................................................................................... 9-11
BP Filter...............................................................................9-12
Calibrate Transducer ..........................................................9-12
Smart BP..............................................................................9-13
Pulse Rate ............................................................................9-13
Disconnect Alarm.................................................................9-14
10
Troubleshooting .............................................................................9-15
NBP ...........................................................................10-1
Introduction....................................................................................10-2
Checklist....................................................................................10-5
Patient Preparation .......................................................................10-6
NBP Monitoring Features ............................................................. 10-7
NBP Information ......................................................................10-7
Mean Arterial Pressure.......................................................10-7
Systolic Search.....................................................................10-8
NBP Go/Stop Key................................................................. 10-8
Power Key ............................................................................10-8
Getting to the NBP Menu ........................................................10-9
NBP Menu Options......................................................................10-10
NBP Auto.................................................................................10-10
NBP Stat..................................................................................10-11
Early Systolic Measurement.............................................10-11
NBP Limits.............................................................................. 10-12
NBP Settings........................................................................... 10-13
Cuff Size .............................................................................10-14
Initial Cuff Pressure..........................................................10-14
Review NBPs...........................................................................10-15
Clear NBP Reading.................................................................10-15
vi Dash 2000 Patient Monitor Revision C 2005873-001
Troubleshooting ...........................................................................10-16
NBP Status Messages.............................................................10-16
SPO2.......................................................................... 11-1
11
Introduction....................................................................................11-2
Neonates and Infants ....................................................................11-3
Checklist......................................................................................... 11-4
Patient Preparation .......................................................................11-5
Signal and Data Validity...............................................................11-6
Signal Strength Indicator.........................................................11-6
Quality of SPO2 Waveform ...................................................... 11-6
Stability of SPO2 Values.......................................................... 11-7
SPO2 Monitoring Features ...........................................................11-8
SPO2 Information.....................................................................11-8
Getting to the SPO2 Menu....................................................... 11-9
SPO2 Menu Options ....................................................................11-10
Size........................................................................................... 11-10
SPO2 Limits ............................................................................ 11-11
Rate Volume............................................................................11-12
Rate..........................................................................................11-12
Probe Off Patient Condition........................................................11-13
Troubleshooting ...........................................................................11-14
SPO2 Messages ....................................................................... 11-14
12
RESPIRATION.......................................................... 12-1
Introduction....................................................................................12-2
General Information................................................................. 12-3
Checklist....................................................................................12-4
Respiration Monitoring Features .................................................12-5
Respiration Information...........................................................12-5
Getting to the Respiration Menu.............................................12-6
Respiration Menu Options ............................................................12-7
Lead ...........................................................................................12-7
Relearn Respiration.................................................................. 12-7
Respiration Limits .................................................................... 12-8
Sensitiv...................................................................................... 12-9
Cardiac Artifact Alarm...........................................................12-10
Size........................................................................................... 12-11
Auto Size ............................................................................12-11
Manual Size .......................................................................12-11
Troubleshooting ...........................................................................12-12
Respiratory Waveform............................................................ 12-12
Cardiac Artifact .................................................................12-12
Varying Amplitudes...........................................................12-13
Messages..................................................................................12-13
Revision C Dash 2000 Patient Monitor vii 2005873-001
13
TEMPERATURE....................................................... 13-1
Introduction....................................................................................13-2
Checklist....................................................................................13-2
Temperature Monitoring Features ............................................... 13-3
Temperature Information ........................................................13-3
Getting to the Temperature Menu ..........................................13-4
Temperature Menu Options..........................................................13-5
Units ..........................................................................................13-5
TP Limits...................................................................................13-5
Troubleshooting .............................................................................13-6
Messages....................................................................................13-6
14
APPENDICES ...........................................................14-1
Defib Sync/Analog Output............................................................. 14-2
ECG Acquisition Modules ........................................................ 14-2
Abbreviations and Symbols...........................................................14-3
Abbreviations ............................................................................14-3
Symbols......................................................................................14-9
Software Packages .......................................................................14-10
Factory Defaults—Adult-ICU Mode ........................................... 14-11
Factory Defaults—Neonatal-ICU Mode .....................................14-15
Factory Defaults—Operating Room Mode .................................14-19
Minimum and Maximum Limits (Default Mode) ......................14-23
Technical Specifications ..............................................................14-24
Display.....................................................................................14-24
Controls ...................................................................................14-24
Processing................................................................................ 14-24
Alarms .....................................................................................14-25
ECG..........................................................................................14-25
Respiration .............................................................................. 14-26
Temperature (TEMP) .............................................................14-27
Invasive Blood Pressure (BP)................................................. 14-27
Pulse Oximetry (SpO2)...........................................................14-28
Non-invasive Blood Pressure (NBP)......................................14-28
Paper Recorder........................................................................ 14-30
Analog Output......................................................................... 14-30
Defibrillator Synchronization Pulse......................................14-30
Environmental Specifications................................................ 14-31
Physical Specifications ...........................................................14-32
Certification ............................................................................14-32
Warranty .................................................................................14-32
viii Dash 2000 Patient Monitor Revision C 2005873-001
About This Manual
Manual Purpose
Intended Audience
Intended Use
Product References
Conventions
This manual contains the instructions to operate the Dash 2000 patient monitor safely and in accordance with its functions and intended use.
This manual is geared for clinical professionals. Clinical professionals are expected to have working knowledge of medical procedures, practices, and terminology as required for monitoring of critically ill patients.
This product is intended for use as a hospital patient monitor. It is NOT intended for home use.
The Dash 2000 patient monitor is referred to in this manual as the Dash monitor or simply the monitor.
The Centralscope central station and the Clinical Information Center are generically referred to as the central station in this manual.
The PRN 50 and the Direct Digital Writer (DDW) are referred to as writer.
The laser printer is referred to as the printer.
References to screen text appear throughout this manual in all capital letters (for example ECG, DISCHARGED, SAVING, ALARM VOLUME OFF, etc.). This manual refers to keys, menus, and menu options.
Keys—a labeled button found on the front of the monitor which you
press to activate.
Menus and Menu Options—A menu is text which appears at the
bottom of the display screen. A menu is composed of a set of menu
options. Each menu option is enclosed in a rectangle.
How can you tell what software package you have? Follow this procedure:
1. Select MORE MENUS option from the Main Menu.
2. Select MONITOR SETUP from the menu displayed.
3. Select SOFTWARE SUMMARY from the Monitor Setup Menu. An information window is displayed.
The software package number is displayed in the second line of the title in the information window.
Illustrations
All illustrations in this manual are provided as examples only. They may not necessarily reflect your monitoring setup or data displayed on your monitor.
Revision C Dash 2000 Patient Monitor ix 2005873-001
Revision History
This manual has a revision letter, located at the bottom of each page. This
revision letter changes whenever the manual is updated.
Revision Date Comments
A April 2001 This document corresponds
with the Dash monitor software version 3.
B April 2002 ECO 070505
C September 2002 ECO 072030
C1 February 2004 ECO 075999 Updated
addresses
x Dash 2000 Patient Monitor Revision C 2005873-001
How to Reach Us
Service Calls and Product Support
Ordering Supplies & Service Parts
To open a service call or obtain product support call the numbers below:
800.558.7044 (US & Canada)
561.575.5000 (outside US)
or contact your representative or distributor
For other product information please contact one of the offices listed on the next page.
Order supplies (leadwires, electrode paste, thermal paper, etc.) or service parts (manuals, circuit boards, cables, software, etc.) from:
Accessories GE Medical Systems Accessories and Supplies 2607 North Grandview Blvd. Mail Code: SN-471 Waukesha, WI 53188 Telephone: 800.558.5102 (US only)
262.521.6856 (outside US) Fax: 800.232.2599 (US only)
262.521.6855 (outside US)
Service parts GE Clinical Services
P.O. Box 9100, 100 Marquette Drive Jupiter, FL 33468-9100 Telephone: 800.558.7044 (US only)
561.575.5000 (outside US) Fax: 800.421.6841 (US only)
561.575.5050 (outside US)
Revision C Dash 2000 Patient Monitor xi 2005873-001
Have the following information available before calling:
part number of the defective part, or
model and serial number of the equipment,
part number/name of the assembly where the item is used,
item name, and
where applicable, reference designation (e.g., R13, S12, U32).
Ordering Manuals When ordering additional operator manuals, be sure to include the software version of the product.
Other Questions or Problems
For additional information contact one of the offices listed below or see our website at www.gemedicalsystems.com.
Headquarters
World Headquarters GE Medical Systems
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8200 West Tower Avenue Milwaukee, WI 53223 USA Tel: + 1 414 355 5000 1 800 558 5120 (US only) Fax: + 1 414 355 3790
Europe
GE Medical Systems
Information Technologies
Munzinger Straße 3-5 D-79111 Freiburg Germany Tel: + 49 761 45 43 - 0 Fax: + 49 761 45 43 - 233
Asia Headquarters
GE Medical Systems
Information Technologies
24th Floor, Shanghai MAXDO Center, 8 Xing Yi Road, Hong Qiao Development Zone Shanghai 200336, P.R. China Tel: + 86 21 5257 4650 Fax: + 86 21 5208 2008
, Inc.
GmbH
Asia; GE (China) Co., Ltd.
xii Dash 2000 Patient Monitor Revision C 2005873-001
Monitor Defaults Worksheet
You can customize alarm limits and levels as well as numerous display options. Your settings can be set up as Monitor Defaults to be recalled with each
Date: ________________ Unit: ______________
Patient Monitor Type (circle one): discharge procedure. Refer to the Monitor Setup chapter of this manual for details.
We have provided this worksheet as an optional
ADULT ICU NEONATAL-ICU OPERATING ROOM
NOTE: Changing patient-monitor type after setup reference tool. Fill it out and keep it in a prominent
place to refer to your setup. You may want to make additional copies of the worksheet for future use before filling it out.
Arrhythmia Alarm Levels
Crisis Warning Advisory Message
Asystole VFib/VTac VTach Brady
(NEO mode)
Crisis Warning Advisory Message
HR ART PA CVP NBP SPO2 FEM UAC RA UVC LA ICP SP ART Rate SPO2 Rate FEM Rate UAC Rate RR Resp Apnea TP
erases your monitor defaults and reinstates monitor defaults.
Parameter Alarm Levels
Revision C Dash 2000 Patient Monitor xiii 2005873-001
Parameter Limits
Low High
HR NBP-S NBP-D NBP-M ART-S ART-D ART-M ART-R FEM-S FEM-D FEM-M FEM-R UAC-S UAC-D UAC-M UAC-R PA-S PA-D PA-M CVP RA UVC LA ICP SP SpO2 SpO2-R RR RR-Apnea TP
xiv Dash 2000 Patient Monitor Revision C 2005873-001
Display Defaults
PATIENT AGE COLOR FORMAT* BACKGROUND** PRIMARY ECG ARRHYTHMIA DETECT PACE ARTERIAL RATE LEAD ANALYSIS GRAPH WAVEFORM 2 GRAPH WAVEFORM 3 ALARM GRAPH TIMED GRAPH ART DISCONNECT*** SMART BP*** ARTERIAL SCALE PA SCALE CPV-RA-UVC SCALE LA SCALE ICP SCALE SP SCALE NBP AUTO ADULT CUFF
PRESSURE PED CUFF
PRESSURE
ALARM VOLUME SILENCE ALARM QRS VOLUME RATE VOLUME ECG LEADS FAIL SPO2 PROBE OFF DISPLAY LIMITS DISPLAY UNITS UNITS FOR HEIGHT UNITS FOR WEIGHT TEMPERATURE
UNITS NBP LIMITS TYPE ARTERIAL LIMITS
TYPE PA LIMITS TYPE MENU TIMEOUT ECG FILTER BP FILTER QRS WIDTH DISCHARGE ALERT
* color display
** monochrome display
*** not in NEO-ICU mode
NEO CUFF PRESSURE
NBP CUFF SIZE RR PARAMETER RR LEAD VIEW ON ALARM VOA BROADCAST REMOTE ALARM
LEVEL
Revision C Dash 2000 Patient Monitor xv 2005873-001
Parameter Priority Defaults
Indicate which parameters you want to have priority in the first 3 positions on the display. ECG always appears first and cannot be changed.
Parameter 1 Parameter 2 Parameter 3
ECG
Circle the other parameters you want to have priority after position 3. The software prevents you from selecting more parameters than allowable.
NBP UVC ART LA FEM ICP UAC SP
PA SPO2
CVP RR
RA TP
xvi Dash 2000 Patient Monitor Revision C 2005873-001
1 THE BASICS
Components......................................................................................1-2
The Monitoring System ............................................................. 1-2
Dash 2000 Monitor .....................................................................1-2
Optional Nurse Call.................................................................... 1-3
Optional Centralscope Central Station.....................................1-4
Optional Clinical Information Center .......................................1-5
Optional Laser Printer ..............................................................1-6
Optional Defibrillator and Pacer ...............................................1-7
Optional Dash Port Docking Station.........................................1-8
Operation..........................................................................................1-9
General ........................................................................................1-9
Trim Knob Control.................................................................... 1-10
Control Keys.............................................................................. 1-11
Turning Power On .........................................................................1-13
AC Power...................................................................................1-13
Battery Power ................................................................................1-14
Power Indicator Lights............................................................. 1-15
Battery Conditioning................................................................ 1-16
Battery.......................................................................................1-17
Battery Service Information Window...................................... 1-18
Software Features..........................................................................1-19
Menus ........................................................................................1-19
Popup Menus............................................................................. 1-20
Subordinate Menus................................................................... 1-22
Direct Action Menu Options ....................................................1-23
Parameter Windows .................................................................1-24
Information Windows ...............................................................1-25
Trim Knob Control Operation When Setting Alarm Limits..1-26
Revision C Dash 2000 Patient Monitor 1-1 2005873-001
Graphing (Printing) .......................................................................1-27
Devices.......................................................................................1-27
Manual Graphs .........................................................................1-27
Pressure Scales .........................................................................1-28
Graphing Messages ..................................................................1-28
Graph Header ...........................................................................1-28
Putting the Monitor Into Operation .............................................1-29
Monitor Installation and Connection ......................................1-29
Performance Check...................................................................1-30
Components
The Monitoring System
Dash 2000 Monitor
The Dash 2000 patient monitor can function by itself with a built-in writer (optional) or it can be cabled in with the Unity network via Ethernet. Optional components are, if cabled to Ethernet, a Centralscope central station and the Clinical Information Center.
This device is designed to monitor a fixed set of parameters including ECG, noninvasive blood pressure, impedance respiration, SpO2, and temperature. Invasive pressure is an optional feature.
All of the patient cable connectors are located on the right side panel of the monitor. The screen displays patient information in a logical, easily understood format. A Trim Knob control provides single control operation of virtually all monitor functions.
The monitor is available in both monochrome and color.
AC Battery
Power
Charging Status
Graph Go/Stop
NBP Go/Stop
Function
Trim Knob
Silence Alarm
Trim Knob Control
Patient Cable Connectors
Screen
DASH 2000
DAK.BED 1
150/ 5021-NOV-1998 16:27
ECG
II
2
SPO
MORE MENUS
+-
75
105/ 90
SPO
2
* * *
97
70
RT
200/ 80
NBP
XXX/
ADT
1-2 Dash 2000 Patient Monitor Revision C 2005873-001
001
Monitor, Front and Side Views
The illustration above shows one invasive pressure connector (labeled BP). This is an optional feature which your monitor may not have. References are made to this optional feature throughout the manual. Please ignore such references if this feature was not purchased with your monitor.
On the back of the monitor, you can find all connectors for equipment and
network. (See the illustration below.)
NOTE: Refer to the service manual for system safety requirements when
connecting the monitor to accessory equipment.
Handle – An optional alarm indicator can be built into the handle of the monitor (not shown). When activated, the LED indicator flashes red for CRISIS and WARNING patient status alarms and yellow for all other alarms.
Aux Port – Used for nurse call connector only.
Network Connector – A cable can be connected to this port for monitors used in the patient monitoring network configuration.
Optional Nurse Call
002
Defib Sync Connector – Provides ECG analog
AC Power Connector
Peripheral Expansion Connector
output signals to user-supplied equipment. A 5-volt, 2-milisecond artificial pacer spike is added to the analog output when PACE is on and detection occurs. Refer to the Appendices, Analog Output, for details on signal output.
Monitor, Back View
For connection of the monitor to a nurse-call system, a separation line according to IEC 60601 (4 kV voltage isolation) is required. Use parts set 2005693-001. Please note the information given in chapter 4, section "Alarm Structure", on the different categories of transferred alarms.
Revision C Dash 2000 Patient Monitor 1-3 2005873-001
Optional Centralscope Central Station
The GE Medical Systems (Ethernet) establishes bed-to-bed communication and allows patient data to be sent to an optional Centralscope central station and to other monitors on the network. All devices must be connected to the network.
The central station may have a built-in writer for graphing (printing). This built-in writer uses 2-inch wide graph paper.
Information Technologies
012A
Unity Network
Centralscope Central Station
The Centralscope Central Station is generically referred to as the central station throughout this manual.
Refer to the Centralscope central station operator’s manual for instructions on operation.
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Optional Clinical Information Center
The Unity Network (Ethernet) establishes bed-to-bed communication and allows patient data to be sent to an optional Clinical Information Center and to other monitors on the network. All devices must be connected to the network.
Clinical Information Center
The Clinical Information Center is generically referred to as the central station throughout this manual.
Refer to the Clinical Information Center operator's manual for instructions on operation.
Revision C Dash 2000 Patient Monitor 1-5 2005873-001
Optional Laser Printer
An optional laser printer (not shown) connects to the central station. It is identified on the Dash monitor as LASER when choosing a graph location. (Refer to the Monitor Setup chapter for more details.)
When you choose the laser printer as the print window location, it can print any printable information window when it is displayed and the GRAPH GO/STOP key is pressed.
When you choose the laser printer as the manual graph location, it will print the waveforms as selected in Graph Setup when the GRAPH GO/STOP key is pressed. It prints 20 seconds of waveforms per page in a cascade format when the graph speed is set for 25 millimeters per second. There will be a delay of approximately one minute until the first page is printed, then it will run until all patient data is printed.
NOTE: The one-minute delay does not mean the data printed is delayed. It just
takes that long for the information to be processed by the laser printer. The amount of data printed will increase and the delay will be longer if a speed slower than 25 mm/s is chosen.
When you choose the laser printer as the alarm graph location, it will provide 20 seconds of waveforms per page in a cascade format, but again, there will be a delay of one minute until the first page is printed.
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Optional Defibrillator and Pacer
The Dash Responder® defibrillator (with optional integrated pacer) also connects to the Dash 2000 patient monitor, version 3.
DASH 2000
Dash Responder
transport defibrillator
Sync.
patient monitor
On/Off Charge
123
Energy Select J(50Ω )Charging Status
Shock
Pacer On/Off
Pacer Mode
Pacer Pause
AC Battery
Power
Charging Status
Graph Go/Stop
NBP Go/Stop
Function
Trim Knob
Silence Alarm
Rate (ppm)
Output (mA)
139
Dash Responder® defibrillator with Dash 2000 patient monitor
Refer to the Dash Responder Operator's Manual for instructions on operation.
WARNING Arrhythmia processing is suspended during external pacing with the Dash Responder.
Refer to the ECG chapter in this manual for notes on influences of the Dash Responder defibrillator and pacer.
NOTE: Only versions 3 and higher of the Dash 2000 patient monitor are
capable of communicating with the Dash Responder.
Revision C Dash 2000 Patient Monitor 1-7 2005873-001
Optional Dash Port Docking Station
Via the Dash Port Docking Station, the Dash 2000 patient monitor, version 3, can also be powered, connected to Ethernet and to the nurse-call system.
Refer to the Dash Port Docking Station Operator's Manual for instructions on operation.
NOTES: The Dash 2000 patient monitor can only be connected either to the
Dash Responder or to the Dash Port Docking Station at a time.
Only versions 3 and higher of the Dash 2000 patient monitor are
compatible with the Dash Port Docking Station.
1-8 Dash 2000 Patient Monitor Revision C 2005873-001
Operation
General
Below is an illustration of the front of the monitor with a waveform display. The parts of the monitor and display which are involved in the operation of the monitor are labeled. Each of these is described in more detail on the following pages.
Power
Parameter Windows
Graph Go/Stop
NBP Go/Stop
Function
Trim Knob Control
Silence Alarm
II
SPO2
MORE MENUS
DASH 2000
AC Battery
Power
Charging Status
Graph Go/Stop
NBP Go/Stop
Function
Trim Knob
Silence Alarm
003
SPO2
* * *
RT
150/ 5021-NOV-1998 16:27
ECG
75
105/ 90
97
70
200/ 80
NBP
XXX/
ADT
DAK.BED 1
+-
Operating the Dash 2000 Patient Monitor
Revision C Dash 2000 Patient Monitor 1-9 2005873-001
AC Battery
Power
Graph Go/Stop
NBP Go/Stop
Function
Silence Alarm
Trim Knob
Charging Status
ECG
150/ 50
75
SPO
2
105/ 90
RT
70
* * *
97
NBP
200/ 80
ADT
XXX/
Trim Knob Control
The main operator control is the Trim Knob control. The Trim Knob control rotates in either direction to highlight parameter labels and menu options. After highlighting the desired selection, press the Trim Knob control to view a new menu or a small popup menu. This procedure is referred to as ”select” throughout the manual.
Remember, when using the Trim Knob control, rotate to highlight, then press to select.
003A
Trim Knob Control
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