Eagle 4000 Patient Monitor Operators Manual Sw Ver 6F Rev C

NOTES: In addition to software version 6F, the information in this manual also applies to Eagle 4000 Patient Monitor software versions 6A, 6B, 6C, and 6D. There are no user-apparent differences among these software versions. Software version 6E is Japanese only. Due to continuing product innovation, specifications in this manual are subject to change without notice.

Trademarks

Trademarked names appear throughout this document. Rather than list the names and entities that own the trademarks or insert a trademark symbol with each mention of the trademarked name, the publisher states that it is using the names only for editorial purposes and to the benefit of the trademark owner with no intention of improperly using that 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, CORO, COROLAN, COROMETRICS, Corometrics Sensor Tip, CRG PLUS, DASH, Digistore, Digital DATAQ, E for M, EAGLE, Event-Link, FMS 101B, FMS 111, HELLIGE, IMAGE STORE, INTELLIMOTION, 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, RAMS, RSVP, SAM, SEER, SILVERTRACE, SOLAR, SOLARVIEW, Spectra 400, Spectra-Overview, Spectra-Tel, ST GUARD, TRAM, TRAM-NET, TRAM-RAC, TRAMSCOPE, TRIM KNOB, Trimline, UNITY logo, UNITY NETWORK, Vari-X, Vari-X Cardiomatic, VariCath, VARIDEX, VAS, and Vision Care Filter are trademarks of GE Marquette Medical Systems, Inc. registered in the United States Patent and Trademark Office. 12SL, 15SL, Access, AccuSpeak, ADVANTAGE, BAM, BODYTRODE, Cardiomatic, ® CardioSpeak, CD TELEMETRY -LAN, CENTRALSCOPE, Corolation, EDIC, EK-Pro, Event-Link Cirrus, Event-Link Cumulus, Event-Link Nimbus, HI-RES, ICMMS, IMAGE VAULT, IMPACT.wf, INTER-LEAD, IQA, LIFEWATCH, Managed Use, MARQUETTE ® PRISM, MARQUETTE RESPONDER, MENTOR, MicroSmart, MMS, MRT, MUSE CardioWindow, NST PRO, NAUTILUS, O2SENSOR, Octanet, OMRS, PHi-Res, Premium, Prism, QUIK CONNECT V, QUICK CONNECT, QT Guard, RAC, SMART-PAC, SMARTLOOK, Spiral Lok, Sweetheart, UNITY, Universal, Waterfall, and Walkmom are trademarks of GE Marquette Medical Systems, Inc.

GE Marquette Medical Systems, Inc. 8200 W. Tower Ave. Milwaukee, WI 53223 USA Tel: Fax:

414.355.5000 800.558.5120 (USA only) 414.355.3790

Marquette Hellige GmbH Postfach 60 02 65 D-79032 Freiburg Germany Tel: Fax:

49.761.45.43.0 49.761.45.43.446

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

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NOTICES

CE Marking Information Compliance

The Eagle 4000 patient monitor bears CE mark CE-0366 or CE-0459 indicating its conformity with the provisions of the Council Directive 93/42/EEC concerning medical devices, and fulfills the essential requirements of Annex I of this directive. The product is in radio-interference protection class A in accordance with EN 55011. For devices manufactured in the United States, the CE mark is applied under the authority of Notified Body GMED (0459). For devices manufactured in Germany, the CE mark is applied under the authority of Notified Body VDE (0366). The product complies with the requirements of standard EN 60601-1-2 “Electromagnetic Compatibility - Medical Electrical Equipment”. The safety and effectiveness of this device has been verified against previously distributed devices. Although all standards applicable to presently marketed devices may not be appropriate for prior devices (i.e., electromagnetic compatibility standards), this device will not impair the safe and effective use of those previously distributed devices. See user’s information.

Exceptions

The Eagle 4000 system EMC: Immunity Performance Users should be aware of known RF sources, such as radio or TV stations and hand-held or mobile two-way radios, and consider them when installing a medical device or system. Be aware that adding accessories or components, or modifying the medical device or system may degrade the immunity performance. Consult with qualified personnel regarding changes to the system configuration. Noise may be induced on the capnogram when the monitor and CO2 sensor are used in the presence of an electromagnetic field strength of 2 volts per meter or greater. The CO2 parameter value may be replaced by "XX," and the message "CHECK ADAPTER" may be displayed in the parameter window. Normal operation will resume when the source of interference is removed. Clinical utility of the CO2 function is maintained at a field strength of 3 volts per meter or less.

Declarations of Conformity

Revision C

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

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NOTICES

General Information • This manual is an integral part of the product and describes its intended use. It should always be kept close to the equipment. Observance of the manual is a prerequisite for proper product performance and correct operation and ensures patient and operator safety. • The symbol

means ATTENTION: Consult accompanying

documents. • Information which refers only to certain versions of the product is accompanied by the model number(s) of the product(s) concerned. The model number is given on the nameplate of the product. • The warranty does not cover damages resulting from the use of accessories and consumables from other manufacturers. • GE Marquette is responsible for the effects on safety, reliability, and performance of the product, only if - assembly operations, extensions, readjustments, modifications, or repairs are carried out by persons authorized by GE Marquette Medical Systems - the electrical installation of the relevant room complies with the requirements of the appropriate regulations; and, - the device is used in accordance with the instructions for use. • All publications are in conformity with the product specifications and IEC publications on safety of electromedical equipment as well as with UL and CSA requirements and AHA recommendations valid at the time of printing. • The GE Marquette quality management system complies with the international standards DIN/EN/ISO 9001 and EN 46001, and the Council Directive on Medical Devices 93/42/EEC.

Notices-2

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TABLE OF CONTENTS

Table of Contents About This Manual... xiii Manual Purpose... xiii Intended Audience... xiii Intended Use... xiii Product References... xiii Conventions... xiii Revision History... xv How to Reach Us... xvii Customer Support and Equipment Repair Information... xvii Ordering Service Parts... xvii Supplies Information... xvii Addresses... xviii Monitor Defaults Worksheet... xix

1

THE BASICS... 1-1 Components... 1-2 The Monitoring System... 1-2 Eagle 4000 Monitor... 1-2 Optional Centralscope Central Station... 1-4 Optional Clinical Information Center... 1-5 Nurse Call “RMT-ALM”... 1-5 Optional Digital Writers... 1-6 PRN 50 Digital Writer... 1-6 7160 DDW... 1-7 Optional Remote Display... 1-8 Optional Laser Printer... 1-8 Operation... 1-9 General... 1-9 Trim Knob Control... 1-10 Optional Remote Control... 1-10 Control Keys... 1-11 Turning Power On... 1-13 Main Power... 1-13 Display Power... 1-14 Battery Pack... 1-15 Power Indicator Lights... 1-15 External Battery... 1-17 Battery Handling... 1-17 LED Indicators and Buttons... 1-18 Battery... 1-18 Battery Charger... 1-19 Power Status Indicators... 1-20 Connecting and Disconnecting the Battery... 1-21 Charger Setup... 1-22 Charging a Battery... 1-23 Conditioning a Battery... 1-24 Battery Recycling... 1-24

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Software Features... 1-25 Menus... 1-25 Menu Timeout... 1-25 Main Menu... 1-25 Parameter Menus... 1-26 More Menus... 1-26 Popup Menus... 1-27 Scrolling Popup... 1-27 Pointer Popup... 1-27 Numeric Popup... 1-28 Subordinate Menus... 1-28 Direct Action Menu Options... 1-29 Parameter Windows... 1-30 Information Windows... 1-31 Trim Knob Control Operation When Setting Alarm Limits... 1-32 Graphing (Printing)... 1-33 Devices... 1-33 Manual Graphs... 1-33 Exclusive Graph Control... 1-33 Alarm Graphs... 1-33 Pressure Scales... 1-34 Graphing Messages... 1-34 Graph Header... 1-34 Putting the Monitor Into Operation... 1-35 Monitor Installation and Connection... 1-35 Performance Check... 1-36

2

SAFETY... 2-1 For Your Safety... 2-2 Monitor Safety... 2-2 Dangers... 2-2 Warnings... 2-2 Cautions... 2-6 Notes... 2-8 Reference Literature... 2-9 Classification... 2-10 Underwriters Laboratories, Inc... 2-10 Equipment Symbols... 2-11

3

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 Getting to the Admit Menu... 3-4 Standard Admit Menu... 3-5 Rover Admit Menu... 3-6 Combo Admit Menu... 3-7

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Rover Combo Admit Menu... 3-8 Admit Menu Options... 3-9 Patient Age... 3-9 Set Patient Name... 3-10 Patient ID... 3-11 Set Unit Name... 3-12 Set Bed Number... 3-13 ECG From... 3-14 Patient Discharged... 3-15 Admit Patient... 3-15 New Case... 3-15 About Discharging... 3-16 Patient Admitted... 3-16 Discharge Patient... 3-17 New Case... 3-17

4

ALARM CONTROL... 4-1 Smart Alarms... 4-2 Alarm Structure... 4-3 Patient Status Alarms... 4-3 System Status Alarms... 4-4 On-Screen Alarm Help... 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 Window... 4-6 Clear Alarms... 4-6 Alarm History... 4-6 Alarm Control Menu... 4-7 All Limits... 4-8 Viewing an All Limits Screen... 4-8 Changing a Limit in the All Limits Screen... 4-9 Arrhythmia Alarm Level... 4-10 Viewing... 4-10 Adjusting... 4-11 Parameter Alarm Level... 4-12 Alarm Volume... 4-13 Alarm Help... 4-14 Display Off / Alarm Pause... 4-15 Clear Alarms... 4-15 Alarm History... 4-16 Select Alarm... 4-17

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5

MONITOR SETUP... 5-1 Monitor Setup Menu... 5-2 Waveforms On / Off... 5-3 Individual Display Mode... 5-3 Align Waveforms... 5-3 Full Display Mode... 5-4 CRG Plus Display Mode... 5-4 Display... 5-5 Individual Display... 5-5 Full Display... 5-5 Full Grid Display... 5-5 CRG Plus Full and CRG Plus Individual Displays... 5-5 Color... 5-6 Parameters On / Off... 5-7 Graph Setup... 5-8 ECG 1, Waveform 2, Waveform 3, Waveform 4... 5-9 Graph Location... 5-10 Alarm Graph... 5-12 Speed... 5-12 Timed Graph... 5-13 CRG Plus Options... 5-13 Monitor Defaults... 5-14 Monitor Defaults Menu... 5-14 Setup Default Arrhythmia Alarm Levels... 5-15 Setup Default Parameter Alarm Levels... 5-17 Setup Default Limits... 5-18 Setup Default Display... 5-19 Setup Default Parameter Priority... 5-20 Recall Default... 5-21 Print CRG Plus... 5-22 Brightness... 5-22 Learn the Monitor... 5-23 Software Revision... 5-24 Software Compatibility... 5-24 Service Mode... 5-25 Patient-Monitor Type... 5-26 Admit Mode... 5-26

6

CRG PLUS DISPLAY... 6-1 Parameters Displayed... 6-2 CRG Plus Full Display... 6-2 CRG Plus Individual Display... 6-3 Turning On the CRG Plus Display... 6-4 Selecting Parameters for the CRG Plus Display... 6-4 Printing CRG Plus Parameters... 6-5 Print CRG Plus... 6-5 CRG Plus Printing Options... 6-5 Choose Parameters... 6-5 Print CRG Plus Every Two Minutes... 6-6 Print CRG Plus on Alarm... 6-6 Other Print Information... 6-7

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CRG Trends... 6-8 CRG Trends Display... 6-8 CRG Trends Menu... 6-9 Respiration Trend... 6-9 Printing CRG Trend... 6-9 Clearing Data... 6-9 Troubleshooting... 6-10

7

VIEW OTHER PATIENTS... 7-1 Viewing Other Patients... 7-2 View Other Patients Menu... 7-4 View Other Beds on Alarm... 7-5 View Alarm... 7-6 Select a Bed to View... 7-7 Turn the View Off... 7-7 Select Another Care Unit... 7-8 Graph Viewed Bed... 7-9

8

PATIENT DATA... 8-1 Patient Data Menu... 8-2 Alarm History... 8-3 Arrhythmia and ST Events... 8-3 Select Alarm (Arrhythmia Event)... 8-4 Select Alarm (ST Event)... 8-5 Vital Signs... 8-6 View Older / View Newer... 8-7 Time Interval... 8-7 Specific Time... 8-7 Sort Data... 8-8 Page Down and Page Up... 8-8 Graphic Trends... 8-9 Select Parameters... 8-10 Preset Trends... 8-11 View Older/View Newer... 8-11 Time Period... 8-11 Cardiac Calcs... 8-12 Change Value... 8-12 Save Calc... 8-14 Review Calcs... 8-15 Weight and Height... 8-15 Pulmonary Calcs... 8-16 Monitored/Measured Parameters... 8-16 Derived Pulmonary Calculations... 8-17 Change Value... 8-18 Save Calc... 8-19 Review Calcs... 8-19 Weight... 8-19 Height... 8-19 Calculate... 8-19

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Dose Calcs... 8-20 Change Value... 8-23 Save Calc... 8-25 Recall Saved Calc... 8-25 Delete Calc... 8-26 Titration Table... 8-27 Weight... 8-28 Drug Units... 8-28 Drug Quantity Range... 8-28 CRG Trends... 8-28

9

MAINTENANCE... 9-1 Biocompatibility... 9-2 Inspection... 9-3 General Cleaning... 9-4 Cleaning Applied Parts... 9-6 Cables and Leadwires... 9-6 Capnostat Sensor and Adapter... 9-6 Other... 9-6 Technical Maintenance... 9-7 Changing Graph Paper... 9-8 PRN 50 Digital Writer... 9-8 7100 DDW... 9-9 7150 DDW... 9-10 7160 DDW... 9-11 Thermal Paper Storage... 9-12

10

ECG... 10-1 Introduction... 10-2 Checklist... 10-2 Skin Preparation... 10-3 Electrode Placement... 10-4 5-Leadwire Electrode Placement... 10-4 3-Leadwire Electrode Placement... 10-5 Three-leadwire Configuration... 10-5 Electrode Placement for Neonates... 10-6 Electrode Placement for Pacemaker Patients... 10-7 10-Leadwire Electrode Configuration for 12SL Monitoring... 10-7 Maintaining Quality ECG Signal... 10-9 Surgical Considerations for Electrode Placement (Adults)... 10-9 ESU ECG Filters... 10-9 Electrosurgical Unit (ESU) Cable... 10-9 ECG Monitoring Features... 10-10 ECG Display... 10-10 Getting to the ECG Menu... 10-11

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ECG Menu Options... 10-13 Display Lead... 10-13 Synchronized Cardioversion... 10-13 Smart-Lead Fail... 10-14 Leads Fail Patient Condition... 10-14 ECG Size... 10-15 Detect Pace... 10-16 Safety Considerations... 10-16 Monitoring Pacemaker Patients... 10-17 Pace Help... 10-18 ECG Limits... 10-19 Heart Rate... 10-20 PVCs Per Minute... 10-20 Artifact Alarm... 10-20 View All ECG... 10-21 Print All ECG... 10-21 Clear V2-V6 Fail... 10-21 Arrhythmia... 10-22 Lethal... 10-22 Full... 10-23 Arrhythmia Conditions... 10-23 Relearn... 10-26 ST Analysis... 10-27 Numerics... 10-27 Trends and Complexes... 10-28 Turn ST On and Off... 10-30 ST Analysis Menu... 10-30 Print ST... 10-31 Store New References... 10-31 ST Limits... 10-32 Identify V Lead... 10-34 Trend Scale... 10-34 ST Display: Complexes... 10-35 ST Display... 10-35 Initiate 12 Lead On ST History... 10-35 ECG Filter... 10-36 QRS Volume... 10-37 Lead Analysis... 10-38 Multi-Lead Analysis... 10-38 Single Lead Analysis... 10-38 Changing Lead Analysis... 10-38 12 Lead ECG Analysis... 10-39 Manual Method... 10-41 Automatic Method... 10-42 General Troubleshooting... 10-43 Pacemaker Troubleshooting... 10-45

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11

PRESSURES... 11-1 Introduction... 11-2 Assigned BP Names... 11-3 Zero Reference... 11-4 Checklist... 11-4 Pressure Monitoring Features... 11-5 Pressure Information... 11-5 CPP Pressure... 11-5 Getting to the Pressure Menu... 11-6 Pressure Menu Options... 11-7 Scales... 11-7 Full Scales... 11-7 Cursor... 11-8 Limits... 11-9 Change Name... 11-11 Zero... 11-11 BP Filter... 11-12 Calibrate Transducer... 11-12 Special Features... 11-13 IABP... 11-13 Triggering... 11-13 Using the IABP Feature... 11-14 Turning IABP Program ON... 11-14 Displayed Values... 11-14 Smart BP... 11-17 Pulse Rate... 11-17 Disconnect Alarm... 11-18 PA Wedge... 11-19 Auto Mode... 11-20 Manual Mode... 11-23 General Troubleshooting... 11-24 Wedge Troubleshooting... 11-25

12

NBP... 12-1 Introduction... 12-2 Checklist... 12-3 Patient Preparation... 12-4 NBP Monitoring Features... 12-5 NBP Information... 12-5 NBP Go/Stop Key... 12-5 Display On/Off Key... 12-5 Getting to the NBP Menu... 12-6

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NBP Menu Options... 12-7 NBP Auto... 12-7 NBP Stat... 12-8 Review NBPs... 12-9 NBP Limits... 12-10 Cuff Size... 12-12 Cuff Inflation Pressures... 12-12 Clear NBP Reading... 12-12 Troubleshooting... 12-13 NBP Status Messages... 12-13

13

SPO2... 13-1 Introduction... 13-2 Neonates and Infants... 13-3 Checklist... 13-4 Patient Preparation... 13-5 Signal and Data Validity... 13-6 Signal Strength Indicator... 13-6 Quality of SPO2 Waveform... 13-6 Stability of SPO2 Values... 13-7 SPO2 Monitoring Features... 13-8 SPO2 Information... 13-8 SPO2 and NBP Simultaneously... 13-8 Getting to the SPO2 Menu... 13-9 SPO2 Menu Options... 13-10 Size... 13-10 Rate... 13-10 Rate Volume... 13-10 SPO2 Limits... 13-11 Probe Off Patient Condition... 13-13 Troubleshooting... 13-14 SPO2 Messages... 13-14

14

CARDIAC OUTPUT... 14-1 Introduction... 14-2 Cardiac Output Washout Curve... 14-3 Influencing Factors... 14-3 Technique... 14-3 Suggested Cardiac Output Procedure... 14-4 Checklist... 14-6 Bath Probe Setup... 14-6 In-Line Setup... 14-7 Cardiac Output Monitoring Features... 14-8 Cardiac Output Information... 14-8 Cardiac Output Trials... 14-9 Getting to the Cardiac Output Menu... 14-11

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Cardiac Output Menu Options... 14-13 Delete CO Trials... 14-13 Cardiac Calcs... 14-13 Cardiac Output Now... 14-14 BP Limits... 14-14 Units... 14-15 Print CO Curve... 14-15 Auto Mode... 14-16 Use: PAW (PAD, LA)... 14-16 Catheter... 14-17 Injectate Temperature... 14-18 Size... 14-19 Injectate Volume... 14-19 Computation Constant... 14-20 Cardiac Output Help... 14-20 Cardiac Calculations... 14-21 Introduction... 14-21 Monitored Parameters... 14-21 Calculated Parameters... 14-22 Cardiac Calcs... 14-23 Change Value... 14-24 Save Calc... 14-25 Weight... 14-25 Height... 14-25 Troubleshooting... 14-26 Procedural Prompts/Messages... 14-26 Error Messages... 14-27

15

RESPIRATION... 15-1 Introduction... 15-2 General Information... 15-3 Checklist... 15-4 Respiration Monitoring Features... 15-5 Respiration Information... 15-5 Getting to the Respiration Menu... 15-6 Respiration Menu Options... 15-7 Lead... 15-7 Relearn Respiration... 15-7 Sensitivity... 15-8 Respiration Limits... 15-9 Auto Size... 15-10 Manual Size... 15-10 Cardiac Artifact Alarm... 15-11 Troubleshooting... 15-12 Respiratory Waveform... 15-12 Cardiac Artifact... 15-12 Varying Amplitudes... 15-13 Messages... 15-13

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TEMPERATURE... 16-1 Introduction... 16-2 Checklist... 16-2 Temperature Monitoring Features... 16-3 Temperature Information... 16-3 Getting to the Temperature Menu... 16-4 Temperature Menu Options... 16-5 T1... 16-5 T2... 16-5 Units... 16-5 Temperature Limits... 16-5 Troubleshooting... 16-7 Messages... 16-7

17

CO2... 17-1 Introduction... 17-2 Checklist... 17-2 Capnostat CO2 Sensor... 17-3 General Information... 17-3 Mainstream Setup... 17-4 CO2 Monitoring Features... 17-5 CO2 Information... 17-5 Getting to the CO2 Menu... 17-6 CO2 Menu Options... 17-7 Units... 17-7 CO2 Scale... 17-8 CO2 Limits... 17-9 N2O Compensation... 17-10 O2 Compensation... 17-10 CO2 Averaging... 17-10 Cal Sensor to Zero Cell... 17-11 Calibrate Adapter... 17-11 Speed... 17-11 Zero Capnostat Sensor... 17-12 Calibrate Capnostat Adapter... 17-13 Cleaning the Sensor and Adapter... 17-14 Cleaning the Capnostat Sensor... 17-14 Cleaning the Reusable Capnostat Adapters... 17-14 Troubleshooting... 17-15 Capnostat Sensor Check... 17-15 Messages... 17-16

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APPENDICES... 18-1 Analog Output... 18-2 ECG Acquisition Modules... 18-2 Supplies... 18-3 Abbreviations and Symbols... 18-4 Abbreviations... 18-4 Symbols... 18-9 Software Packages... 18-10 Factory Defaults-Adult-ICU Mode... 18-13 Factory Defaults-Neonatal-ICU Mode... 18-17 Factory Defaults-Operating Room Mode... 18-21 Technical Specifications... 18-25 Display... 18-25 Controls... 18-25 Processing... 18-25 Alarms... 18-25 ECG... 18-26 Respiration... 18-26 Temperature (TEMP)... 18-27 Cardiac Output (CO)... 18-27 Invasive Blood Pressure (BP)... 18-28 Pulse Oximetry (SPO2)... 18-28 Noninvasive Blood Pressure (NBP)... 18-29 End-tidal Carbon Dioxide (EtCO2)... 18-29 Analog Output... 18-31 Defibrillator Synchronization Pulse... 18-31 External Battery... 18-32 Environmental Specifications... 18-32 Physical Specifications... 18-33 Certification... 18-33 Warranty... 18-33 CE Declaration of Conformity INDEX... Index-1

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PREFACE: About This Manual

About This Manual Manual Purpose

This manual contains the instructions necessary to operate the Eagle 4000 patient monitor safely in accordance with its function and intended use.

Intended Audience

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.

Intended Use

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

Product References

• The Eagle 4000 patient monitor is referred to in this manual as the Eagle 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 Digital Writer is referred to as the digital writer or writer. • The Direct Digital Writer is referred to as DDW or writer. • The laser printer is referred to as the printer.

Conventions

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 the 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. Three different software packages are offered for the Eagle 4000 patient monitor-7015, 7020, and 7025. Each software package builds successively on the previous. The 7015 package is the basic one and the 7025 package contains the most features. (Refer to the Appendices for a comparison of software packages.) Symbols are used throughout the manual to indicate what software packages apply to that feature. If you see no symbol, it is a basic feature which is included in all software packages. This symbol indicates that the feature is found in the 7020 and 7025 software packages but not in the 7015. This symbol indicates that the feature is found in the 7025 software package but not in the 7015 or 7020.

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PREFACE: About This Manual

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 REVISION 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 Unless noted, all menu illustrations in this manual show 7025 software. 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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PREFACE: Revision History

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.

Revision A

9/24/98

Initial release of this document for software version 6F. NOTE: In addition to software version 6F, the information in this manual also applies to software versions 6A, 6B, 6C, and 6D. There are no userapparent differences among these software versions. However, the information in this manual does not apply to software version 6E. Software version 6E is a Japanese language release only.

Revision C

Revision B

2/5/99

Minor editorial revisions were made, and information about the external battery was added.

Revision C

4/30/99

Definitions of some arrhythmia calls were changed (refer to chapter 10), and some editorial revisions were made.

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PREFACE: Revision History

For your notes

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