GE Healthcare
Dash 2500 Patient Monitor Operators Manual Jan 2009
Operators Manual
260 Pages
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Page 1
GE Healthcare
Dash™ 2500 Patient Monitor Operator’s Manual
Dash 2500 Patient Monitor English 2042480-001 C (paper) © 2009 General Electric Company. All Rights Reserved.
GE Healthcare
Dash™ 2500 Patient Monitor Operator’s Manual
Dash 2500 Patient Monitor English 2042480-001 C (paper) © 2009 General Electric Company. All Rights Reserved.
NOTE: In addition to software version RAK, the information in this manual also applies to the old Dash 2500 Patient Monitor software version. There are no user-apparent differences among these software versions. Due to continuing product innovation, specifications in this manual are subject to change without notice. NOTE: For technical documentation purposes, the abbreviation GE is used for the legal entity name, GE Medical Systems Information Technologies. Listed below are GE Medical Systems Information Technologies trademarks. All other trademarks contained herein are the property of their respective owners. Ohmeda Oximetry and other trademarks (OxyTip+, PIr, TruSat, TruSignal, TruTrak+) are the property of GE Medical Systems Information Technologies, a division of General Electric Corporation. All other product and company names are the property of their respective owners. Alaris Turbo Temp is a trademark of Cardinal Health, Inc. SuperSTAT, Trim Knob and EK-Pro are registered trademarks of GE Medical Systems Information Technologies. MASIMO SET is a trademark of Masimo Corporation. Possession or purchase of this device does not convey any express or implied license to use the device with replacement parts which would, alone, or in combination with this device, fall within the scope of one or more of the patents relating to the device. NELLCOR, OxiMax, C-LOCK and SatSeconds are trademarks of Nellcor Puritan Bennett.
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Contents
1
Introduction... 1-1 Description... 1-3 Indications for Use... 1-3 Contraindications... 1-3 Product Compliance... 1-5
2
Product Overview... 2-1 Description... 2-3 Monitor... 2-3 Parameters... 2-4 Mounting the Dash 2500 Patient Monitor... 2-4 Display... 2-5 Trim Knob... 2-5 Hardkeys... 2-5 Optional Components... 2-6 Symbols... 2-6 Specifications... 2-8
3
Using the Dash 2500 Patient Monitor... 3-1 Basic Operation... 3-3 Menus... 3-4 Menu Options...3-5 Accessing and Using Menu Options...3-6 Display Screen... 3-7 Color Format...3-7 Display Colors... 3-7 Screen... 3-8 Waveform and Vital Signs Priority...3-9 Waveform Sweep Speed...3-9 Popup window... 3-11 SelectBox... 3-11
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Helplines... 3-12 Large Numeric Display... 3-13 Hardkeys... 3-13 NIBP Go/Stop Hardkey... 3-14 NIBP Auto Hardkey... 3-14 Zero Hardkey... 3-16 Silence Alarm Hardkey... 3-16 Crisis Alarms... 3-16 Power Hardkey... 3-16 Print Hardkey... 3-17 Freeze Hardkey... 3-17 Trend Hardkey... 3-19 Standby Hardkey... 3-19 Main Hardkey... 3-21 Demo Mode... 3-21 LED Displays... 3-22 Battery in Use... 3-22 AC Operation... 3-22 Loss of AC Power... 3-22 Other System Settings... 3-23 turn off system... 3-23 go to config mode... 3-23 go to service mode... 3-23 print to CS... 3-23 Always display battery icon?... 3-23 Adjust date & time... 3-23 Advanced settings... 3-24 Select color format... 3-24 Adjust keyclick volume... 3-24 Adjust system volume... 3-24 Config settings... 3-24 Config HostComm... 3-24 Turn the Dash 2500 Monitor off... 3-25
4
Alarms... 4-1 Description... 4-3 Interruption of Visible and/or Audible Indications... 4-4 Alarm Priorities... 4-4 Crisis... 4-6 Warning... 4-6 Procedural... 4-6 Message... 4-6 Responding to Alarms... 4-7 Silence Alarm Hardkey... 4-7
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Crisis Alarms...4-7 Alarm Limit Settings... 4-8 Adjust Alarms Menu... 4-8 print limits...4-8 Adjust alarm volume...4-8 Choose autoset%...4-9 autoset all...4-9 auto-set, hi, lo...4-9 Config settings... 4-10 View Event History Menu... 4-10 Choose event history... 4-11 view older events... 4-11 view newer events... 4-11 print this page... 4-11 print all pages... 4-11 crisis events and frozen waveforms... 4-11 choose event to view... 4-12 print this event... 4-12 delete this event... 4-12 delete all frozen waveforms... 4-12 System Fault Alarm... 4-12
5
Admit Patient... 5-1 Description... 5-3 Admit Patient Menu... 5-4 admit...5-4 discharge...5-5 Choose patient settings...5-5 enter patient name...5-5 enter bed number...5-6 enter unit number...5-6 print active settings...5-6
6
Trends... 6-1 Description... 6-3 Trend Hardkey... 6-4 Scroll Bar... 6-4 Viewing Window...6-5 Conventions Used in Trends menu... 6-5 View Patient Trends Menu: Numbers... 6-6 print this page...6-6 print all pages...6-6
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Choose graphs to print... 6-7 Display as... 6-7 view older trends... 6-7 view newer trends... 6-7 Time to view... 6-7 Move cursor... 6-7 View vitals every... 6-7 Select Patient... 6-8 Mini trends... 6-8 View trends on main screen?... 6-8 Display as... 6-8 View vitals every... 6-8 View vitals for... 6-9 Config settings... 6-9 View Patient Trends Menu: Graphs... 6-9 print chosen graphs... 6-9 print all graphs... 6-10 Choose graphs to print... 6-10 Display as... 6-10 view older trends... 6-10 view newer trends... 6-10 Time to view... 6-10 Move cursor... 6-10 View vitals for... 6-11 Select Patient... 6-11 Mini trends... 6-11 View trends on main screen... 6-11 Display as... 6-11 View vitals every... 6-11 View vitals for... 6-12 Config settings... 6-12
7
Recorder... 7-1 Description... 7-3 Print Hardkey... 7-3 Printing in Continuous Mode... 7-3 Printing in Timed Mode... 7-4 Alarm Mode Printing... 7-4 Printing Priorities... 7-4 Recorder/Printer Menu... 7-5 start timed recording... 7-5 print to CS... 7-5 Print on alarm?... 7-6 Vitals summary with printout?... 7-6 Auto printout of vitals summary?... 7-6 setup continuous... 7-6 setup timed... 7-7
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Record key printout...7-7 Sample Printout... 7-7 Accessories... 7-7 Storage...7-7 Loading the Printer Paper... 7-8 Alarms... 7-9
8
Heart Rate/Pulse... 8-1 Description... 8-3 Indications and Contraindications... 8-3 General Notes... 8-3 Procedures... 8-4 HR/Pulse Menu... 8-4 Select source...8-4 Adjust QRS volume...8-5 Adjust limits...8-5 Advanced settings...8-5 Limit alarms priority...8-5 Change color based on source?...8-5 Select HR/Pulse’s color...8-5 Specifications... 8-6 Alarms... 8-7
9
ECG... 9-1 Description... 9-3 Indications and Contraindications... 9-3 Stress Loop Stabilization...9-9 ECG Menu... 9-9 turn parameter off...9-9 Lead selection...9-9 Primary Lead... 9-10 Secondary Lead... 9-10 Waveform size... 9-10 Pacer detection... 9-11 Arrhythmia detection... 9-12 Re-learn... 9-12 Label VA... 9-12 Advanced settings... 9-13 Cardiac sweep speed... 9-13 Cascade ECG?... 9-13
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calibration pulse... 9-13 Display filter... 9-14 QRS width... 9-14 other alarm priorities... 9-14 Select ECG’s color... 9-14 Config settings... 9-14 Alarms... 9-14 Calibration... 9-15 Auxiliary Output... 9-15 Specifications... 9-15 Poor Signal Troubleshooting... 9-17 Muscle Interference... 9-17 60 or 50 Hz Interference... 9-17 Baseline Wandering... 9-18 Saturation... 9-18 Poor Electrode Connections... 9-18 Alarms... 9-19
10
RESP... 10-1 Description... 10-3 Indications and Contraindications... 10-3 RESP Menu... 10-4 turn parameter off... 10-4 Lead to analyze... 10-4 View waveform?... 10-4 Waveform size... 10-4 Adjust limits... 10-5 Advanced settings... 10-5 RESP sweep speed... 10-5 Cardiogenic filter... 10-6 Detection threshold... 10-6 Limit alarms priority... 10-6 other alarm priorities... 10-6 Select RESP’s color... 10-6 Config settings... 10-6 Specifications... 10-7 Alarms... 10-8
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NIBP... 11-1 Description... 11-3
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Indications and Contraindications... 11-3 Procedures... 11-5 NIBP Menu... 11-8 turn parameter off... 11-8 setup custom series... 11-8 Auto BP... 11-9 Adjust limits... 11-10 Advanced settings... 11-11 Initial target pressure... 11-11 Limit alarms priority... 11-11 other alarm priorities... 11-11 Select NIBP’s color... 11-12 Config settings... 11-12 NIBP Hardkeys... 11-12 NIBP Go/Stop Hardkey... 11-12 NIBP Auto Hardkey... 11-12 Auto Mode... 11-13 Manual Mode... 11-14 Stat Mode... 11-14 Service... 11-15 Cuff Cleaning and Disinfection... 11-15 General... 11-15 Materials... 11-16 Procedure... 11-16 Specifications... 11-17 GE Healthcare Patents... 11-17 Principles of SuperSTAT Noninvasive Blood Pressure Determination... 11-18 Systolic Search... 11-19 Alarms... 11-21
12
NELLCOR® OXIMAX® SpO2... 12-1 Description... 12-3 Indications and Contraindications... 12-4 Procedures... 12-5 SpO2 Menu... 12-7 turn parameter off... 12-7 View waveform?... 12-7 Adjust limits... 12-7 Advanced settings... 12-8 View signal strength bar?... 12-8 View SpO2 PR?... 12-9
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Enable spot check?... 12-9 Turn c-Lock on?... 12-9 Cardiac sweep speed... 12-9 Limit alarms priority... 12-9 other alarm priorities... 12-9 Select SpO2’s color... 12-10 Config settings... 12-10 Data update period... 12-10 Sensor Cleaning and Disinfection... 12-10 Procedures... 12-10 Calibration... 12-10 Specifications... 12-11 NELLCOR® Puritan Bennett, Inc. Patents... 12-12 Principle of SatSeconds™... 12-13 Alarm Response with SatSeconds... 12-13 Using SatSeconds... 12-13 Troubleshooting... 12-14 Alarms... 12-17
13
MASIMO SET® SpO2... 13-1 Description... 13-3
Indications and Contraindications... 13-4 SpO2 Menu... 13-9 turn parameter off... 13-9 View waveform?... 13-9 Adjust limits... 13-9 Advanced settings... 13-10 View signal strength bar?... 13-10 View SpO2 PR?... 13-11 Enable spot check?... 13-11 Cardiac sweep speed... 13-11 Limit alarms priority... 13-11 other alarm priorities... 13-11 Select SpO2’s color... 13-11 Config settings... 13-12 Data update period... 13-12 Sensor Cleaning and Disinfection... 13-12 Calibration... 13-12 Specifications... 13-13 MASIMO® Patents... 13-14
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Troubleshooting... 13-15 Alarms... 13-18
14
Alaris® TURBO TEMP®... 14-1 Description... 14-3 Indications and Contraindications... 14-3 Predictive Mode... 14-4 Monitor Mode... 14-5 Procedures for Oral Predictive Mode Determinations... 14-5 Procedures for Rectal Predictive Mode Determinations... 14-6 Procedures for Monitor Mode Determinations (Axillary Determinations)... 14-7 TEMP Menu... 14-8 turn parameter off... 14-8 Unit of measure... 14-8 Choose mode... 14-8 trend monitor temp now... 14-9 Advanced Settings... 14-9 other alarm priorities... 14-9 Select TEMP’s color... 14-9 Config settings... 14-9 Probe Cleaning and Disinfection... 14-10 Calibration... 14-10 Specifications... 14-10 Alaris® Patents... 14-10 Alarms... 14-11
15
Battery... 15-1 Description... 15-3 First Use... 15-3 Battery Charging... 15-4 Battery Icon... 15-4 Battery State of Charge... 15-5 Battery Alarm... 15-5 Loss of Power Shutdown... 15-5 3.6 V Backup Battery... 15-6
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Disposal of Batteries... 15-6 Batteries... 15-6 Specifications... 15-7 Troubleshooting... 15-8 Alarms... 15-9
A
Connections... A-1 Data Connections... A-3 Dash 2500 network module... A-3 Interface Cover... A-3 Displayed Data... A-4 Alarms... A-4 Alarm Mapping... A-5 FAQs... A-8 Communication Adaptor Connector... A-10 Auxiliary Output... A-11
B
Accessories... B-1 Accessories... B-3
C
EMI Considerations... C-1 Electromagnetic Interference (EMI) Considerations... C-3
D
Maintenance... D-1 Assistance and Parts... D-3 Maintenance, Cleaning, and Calibration... D-3 Cleaning the Monitor... D-3 Monitor Exterior... D-4 Display... D-4 Repairs... D-5 Packaging Material... D-5 Packing Instructions... D-5
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Disposal of Product Waste... D-5 Patient Applied Parts... D-6
E
EMC Compliance...E-1 Electromagnetic Compatibility (EMC)... E-3 Guidance and Manufacturer’s Declaration...E-3 Recommended Separation Distances...E-6 Compliant Cables and Accessories...E-7
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Introduction
Introduction: For your notes
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Introduction: Description
Description The Dash 2500 Patient Monitor is a portable (intra-hospital) multi-parameter monitor designed for monitoring adult, pediatric, and neonate patient vital signs.The Dash 2500 Patient Monitor is self-contained and can be powered by batteries or AC. The Monitor has a carrying handle and can be operated on a shelf or table. It can also be mounted in a variety of ways (e.g., wall, pole, bed rail, or head/foot board) using a mounting plate located on the bottom of the Monitor. The Monitor can be used as a stand-alone monitor with the capability to interface to a central station, a server or any other device capable of receiving data using the host communications protocol.
Indications for Use The Dash 2500 Patient Monitor is intended for use under the direct supervision of a licensed healthcare practitioner. The intended use of this device is a portable (intra-hospital) multiparameter unit designed for monitoring adult, pediatric, and neonate patient vital signs in a hospital subacute care environments, such as same-day surgery, emergency rooms, recovery/PACU, progressive care, interventional radiology, special care units, and GI/endoscopy. The Dash 2500 Patient Monitor monitors and displays oscillometric non-invasive blood pressure (systolic, diastolic and mean arterial pressure), heart/pulse rate, respiration rate, ECG, temperature with an reusable electronic thermometer (predictive mode for oral and rectal temperature measurement, monitor mode for axillary temperature measurement), and functional oxygen saturation (SpO2) and pulse rate via spot checking and continuous monitoring, including monitoring during conditions of clinical patient motion or low perfusion. The Dash 2500 also detects alarm limit conditions and is capable of recording up to two waveforms. Using this monitor a clinician can view, record and recall clinical data derived from each parameter.
Contraindications
This device is not designed, sold, or intended for use except as indicated.
Federal law (U.S.A.) restricts this device to sale by or on the order of a physician. WARNINGS If cables and hoses are pulled with sufficient force, unsecured monitors may fall causing injury or equipment damage. To PREVENT injury or equipment damage, install the Monitor with mounting hardware recommended by GE Medical Systems Information Technologies.
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Introduction: Contraindications
WARNINGS Do not use the Dash 2500 Patient Monitor in the presence of magnetic resonance imaging (MRI) devices. There have been reports of sensors causing patient burns when operating in an MRI environment. To help prevent burns caused by unintended current return paths with the use of high frequency (HF) surgical equipment, ensure that the HF surgical neutral electrode is properly connected. To avoid personal injury, do not perform any servicing unless qualified to do so. Disconnect the power supply and remove the battery before servicing. To reduce the risk of electric shock, do not remove the cover or the back of the unit. Refer servicing to a qualified service person. If the accuracy of any determination reading is questionable, first check the patient’s vital signs by alternate means, and then check the Dash 2500 Patient Monitor for proper functioning. PACEMAKER PATIENTS: Rate meters may continue to count the pacemaker rate during occurrences of cardiac arrest or some arrhythmias. Do not rely entirely upon rate meter alarms. Keep pacemaker patients under close surveillance. See this manual for disclosure of the pacemaker pulse rejection capability of this instrument. VENTRICULAR ARRHYTHMIA: The arrhythmia analysis program is intended to detect ventricular arrhythmias. It is not designed to detect atrial or supraventricular arrhythmias. Occasionally it may incorrectly identify the presence or absence of an arrhythmia. Therefore, a physician must analyze the arrhythmia information in conjunction with other clinical findings. SUSPENDED ANALYSIS: When arrhythmia analysis is turned on, conditions that suspend ECG processing also suspend arrhythmia analysis. No detection of arrhythmia conditions or associated alarms are given when arrhythmia analysis is suspended. Arrhythmia analysis can be turned off by the user. When it is, the message ARR OFF appears in the ECG waveform area.
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Introduction: Product Compliance
CAUTIONS Arrange the power cord, air hoses, and all cables carefully so they do not constitute a patient strangulation, entanglement, or tripping hazard. Verify calibration and ensure that the Dash 2500 Patient Monitor is functioning properly before operating it. Perform regular functional testing of each of the parameters, using the accessories supplied with the Dash 2500 Monitor. Allow for heat dissipation by ensuring that the vent in the rear is unobstructed. Do not gas sterilize or autoclave. When the installation or arrangement integrity of the external earth conductor is in doubt, operate equipment from its internal battery until this condition can be corrected. Unplug the Monitor before transport. NOTES
Waveforms may be distorted and readings inaccurate when electrosurgical cautery equipment is used while monitoring with the Dash 2500 Patient Monitor.
The electromagnetic compatibility profile of the Dash 2500 Patient Monitor may change if accessories other than those specified for use with the Dash 2500 Patient Monitor are used.
Product Compliance The Dash 2500 Patient Monitor is classified in the following categories for compliance with IEC 60101-1:
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Class I, internally powered
Transportable (intra-hospital)
For continuous operation
Not suitable for use in the presence of flammable anesthetics
Not for use in the presence of an oxygen-enriched atmosphere (oxygen tent)
Type BF and type CF applied parts
Defibrillation protected. When used with the GE Medical Systems Information Technologies-recommended accessories, the Monitor is protected against the effects of defibrillator discharge. If monitoring is disrupted by the defibrillation, the Monitor will recover.
This equipment is suitable for connection to public mains as defined in CISPR 11..
This Monitor conforms to general safety standard for medical devices to IEC
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