GE Healthcare

Solar 7000 & 8000 Operators Manual Version 7 Rev A

Operators Manual

638 Pages

File Type: PDF

File Size: 17.9 MB

File Name: GE Healthcare - Solar 7000 & 8000 Operators Manual Version 7 Rev A.pdf

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Solar® 7000/8000 Patient Monitor Operator’s Manual Software Version 7 2000711-032

Revision A

127(The information in this manual only applies to Solar 7000/8000 Patient Monitor software version 7. It does not apply to earlier software versions. Due to continuing product innovation, specifications in this manual are subject to change without notice.

Listed below are GE Medical Systems Information Technologies trademarks. All other trademarks contained herein are the property of their respective owners. 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, IQA, LASER SXP, MAC, MAC-LAB, MACTRODE, MANAGED USE, 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 Information Technologies 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, PHiRes, Premium, Prism, QUIK CONNECT V, QUICK CONNECT, QT Guard, SMART-PAC, SMARTLOOK, Spiral Lok, Sweetheart, UNITY, Universal, Waterfall, and Walkmom are trademarks of GE Medical Systems Information Technologies. © GE Medical Systems Information Technologies, 2001. All rights reserved.

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CE Marking Information

CE Marking Information Compliance The Solar 7000 and Solar 8000 patient monitors bear the CE mark CE0366 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.

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CE Marking Information

Exceptions The Solar 7000 system and Solar 8000 system EMC: Immunity Performance IEC 60601-1-2 Medical Electrical Equipment, Part 1: General Requirements for Safety, 2. Collateral Standard: Electromagnetic compatibility-Requirements and tests. Section 36.202.a-Radiated electromagnetic fields states: For Patient Coupled Equipment and/or systems applicable IMMUNITY levels are under consideration. The 3 volts per meter IMMUNITY level may be inappropriate because the physiological signals measured can be substantially below those induced by a field strength of 3 volts per meter. The Tram module respiration parameter numeric and waveform data may be affected at levels of 3 volts per meter or greater over the frequency range of 115 to 125 MHz. Noise may be induced on the CO2 waveform from the CO2 Capnostat modules when the system is used in the presence of an electromagnetic field strength of 3 volts per meter or greater. Measurement accuracy is maintained at a field strength of 3 volts per meter or less. 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.

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CE Marking Information

General Information

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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 documents.

Information which refers only to certain versions of the product is accompanied by the model number(s) of the product(s) concerned. The model number is given on the nameplate of the product.

The warranty does not cover damages resulting from the use of accessories and consumables from other manufacturers.

GE Medical Systems Information Technologies is responsible for the effects on safety, reliability, and performance of the product, only if:

means ATTENTION: Consult accompanying

assembly operations, extensions, readjustments, modifications, or repairs are carried out by persons authorized by GE Medical Systems Information Technologies;

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 conform with the product specifications and applicable IEC publications on safety and essential performance of electromedical equipment as well as with applicable UL and CSA requirements and AHA recommendations valid at the time of printing.

The GE Medical Systems Information Technologies 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.

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CE Marking Information

SAM Module Information Disabling Halothane and Enflurane When using the SAM module with the Solar 7000/8000 patient monitor, the detection of low values of halothane and enflurane, due to nonanalyzed gases in the circuit, can be disabled. This option defaults OFF. If you do not want the system to detect and display low values for halothane and enflurane, you must turn DISABLE SAM HAL and DISABLE SAM ENF ON. These options are found under SETUP DEFAULT DISPLAY in the Monitor Defaults Menu. 127( Halothane and enflurane values greater than 1% are displayed in the Gas parameter window even when this feature is ON. 127( Values less than 1% are not be displayed.

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Display MAC Value When using the SAM module with the Solar 7000/8000 patient monitor, the current MAC value can be displayed in the GAS parameter window. This option defaults OFF but can be turned on in Monitor Defaults under SETUP DEFAULT DISPLAY. This option can also be turned on/off using the DISPLAY MAC VALUE menu option from the Gas Menu. When on, the MAC value is displayed in the third agent slot in the Gas parameter window. 127( If N2O and two other agents are being displayed, the MAC value will not appear in the Gas parameter window.

GAS Parameter Window Displaying MAC Value

:$51,1* These MAC values correspond to healthy adults. Other factors such as age and physical condition need to be accounted for.

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CE Marking Information

For your notes

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Contents About This Manual... xv Manual Purpose...xv Intended Audience...xv Revision History...xv Manual Conventions... xvi Product References... xvi Definitions... xvi Software Packages... xvii Illustrations... xvii Monitor Defaults Worksheet... xix

The Basics... 1-1 Components-Solar 7000... 1-3 Solar 7000 Patient Monitoring System... 1-3 Components-Solar 8000... 1-8 Solar 8000 Patient Monitoring System... 1-8 Components-Solar 7000/8000... 1-12 Acquisition Modules... 1-12 Tram-rac Housing... 1-16 Optional Tram-net Hub... 1-22 Optional Centralscope Central Station... 1-23 Optional Clinical Information Center... 1-24 Optional Direct Digital Writer... 1-25 Optional Laser Printer... 1-28 Optional Remote Display... 1-28 Trend Memory Storage System... 1-28 Controls... 1-29 Trim Knob Control... 1-29 Optional Remote Control... 1-30 Control Keys... 1-31 Turning Power On... 1-34 Software Features... 1-35 Menus... 1-35

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Popup Menus... 1-38 Subordinate Menus... 1-40 Direct Action Menu Options... 1-41 Parameter Windows... 1-42 Information Windows... 1-43 Trim Knob Control Operation When Setting Alarm Limits... 1-44 Graphing (Printing)... 1-45 Devices... 1-45 Manual Graphs... 1-45 Alarm Graphs... 1-46 Graphing Invasive BP Only... 1-46 Pressure Scales... 1-46 Graphing Messages... 1-47 Graph Header... 1-48 Graphing from a Wireless Monitor... 1-49 Putting the Monitor Into Operation... 1-50 Monitor Installation and Connection... 1-50 Performance Check... 1-52

Safety... 2-1 For Your Safety... 2-3 Intended Use... 2-3 Terminology... 2-3 Monitor Safety... 2-3 Reference Literature... 2-11 Underwriters Laboratories, Inc... 2-11 Classifications... 2-12 Equipment Symbols... 2-13

Admit/Discharge... 3-1 About Admitting... 3-3 You Must Admit to Activate Alarms... 3-3 Monitors are Used in Different Ways... 3-3 For Which Application is the Monitor Set?... 3-5 Getting to the Admit Menu... 3-6 Standard Admit Menu... 3-7 Rover Admit Menu... 3-8 Combo Admit Menu... 3-10

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Rover Combo Admit Menu... 3-12 Admit Menu Options... 3-14 Change Admit Info... 3-14 Request Admit Info... 3-17 Recall Default... 3-18 Admit Help... 3-18 Admit Patient... 3-19 Units of Measure... 3-19 Set Unit Name... 3-20 Set Bed Number... 3-21 Graph Location... 3-21 ECG Source... 3-22 About Discharging... 3-23 Discharge Patient... 3-23

Alarm Control... 4-1 Smart Alarms... 4-3 Alarm Structure... 4-4 Patient Status Alarms... 4-4 System Status Alarms... 4-5 On-Screen Alarm Help... 4-6 Controlling Audio Alarms... 4-7 Silencing an Alarm for One Minute... 4-7 Pausing Alarms... 4-7 Turning Alarm Volume Off Permanently... 4-8 Alarm Window... 4-9 Clear Alarms... 4-9 Alarm History... 4-10 Alarm Control Menu... 4-11 All Limits... 4-13 Arrhythmia Alarm Level... 4-15 Parameter Alarm Level... 4-17 Alarm Volume... 4-18 Alarm Help... 4-19 Display Off/Alarm Pause... 4-20 Clear Alarms... 4-20 Alarm History... 4-21 CRG Trends... 4-23

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Monitor Setup... 5-1 Monitor Setup Menu... 5-3 Waveforms On/Off... 5-4 Full Display Mode... 5-5 Display... 5-6 Color... 5-8 Parameters On/Off... 5-9 Graph Setup... 5-10 Monitor Defaults... 5-17 Monitor Defaults Menu... 5-18 Monitor Default Password... 5-30 Print CRG Plus... 5-32 Brightness... 5-32 Learn the Monitor... 5-33 Software Revision... 5-34 Software Compatibility... 5-34 Service Mode... 5-35

CRG Plus Display... 6-1 Parameters Displayed... 6-3 CRG Plus Full Display... 6-4 CRG Plus Individual Display... 6-5 Turning On the CRG Plus Display... 6-6 Selecting Parameters for the CRG Plus Display... 6-6 Printing CRG Plus Parameters... 6-7 Print CRG Plus... 6-7 CRG Plus Printing Options... 6-8 CRG Trends... 6-11 CRG Trends Display... 6-11 CRG Trends Event Directory... 6-13 CRG Trends Menu... 6-15 Clearing Data... 6-17 Troubleshooting... 6-18

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View Other Patients... 7-1 Viewing Other Patients... 7-3 View Other Patients Menu... 7-5 View Alarm... 7-6 View On Alarm Options... 7-7 Select a Bed to View... 7-11 Select Another Care Unit... 7-12 Graph Viewed Bed... 7-12 Full Patient View... 7-13

Patient Data... 8-1 Patient Data Menu... 8-3 Alarm History... 8-4 Vital Signs... 8-8 Graphic Trends... 8-11 Cardiac Calcs... 8-15 Pulmonary Calcs... 8-20 Dose Calcs... 8-29 CRG Trends... 8-38 Lab Data... 8-39

Maintenance... 9-1 Biocompatibility... 9-3 Inspection... 9-4 General Cleaning... 9-5 Cleaning Applied Parts... 9-6 Cables and Leadwires... 9-6 Other... 9-6 Technical Maintenance... 9-7 Changing Graph Paper... 9-8 7100 DDW... 9-8 7160 DDW... 9-9 PRN 50 Digital Writer... 9-10 Thermal Paper Storage... 9-11

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ECG... 10-1 Introduction... 10-3 “NO ECG” Comm Alarm... 10-4 Checklist... 10-5 Skin Preparation... 10-6 Electrode Placement... 10-7 5-Leadwire Electrode Placement... 10-8 3-Leadwire Electrode Placement... 10-9 Electrode Placement for Pacemaker Patients... 10-11 10-Leadwire Electrode Placement for 12SL Monitoring... 10-12 Maintaining Quality ECG Signal... 10-13 Surgical Considerations for Electrode Placement (Adults)... 10-13 ESU ECG Filters... 10-14 Electrosurgical Unit (ESU) Cable... 10-14 ECG Monitoring Features... 10-15 ECG Display... 10-15 Getting to the ECG Menu... 10-16 ECG Menu Options... 10-18 Display Lead... 10-18 ECG Size... 10-20 Detect Pace... 10-21 ECG Limits... 10-26 View All ECG... 10-28 Clear V2-V6 Fail... 10-28 Arrhythmia... 10-29 Relearn... 10-33 ST Analysis... 10-34 ST Analysis Menu... 10-37 ECG Filter... 10-45 12 Lead ECG Analysis... 10-46 Lead Analysis... 10-51 More ECG... 10-53 Holter Recording... 10-56 Holter Recorder Module... 10-57 SEER Module... 10-59 Troubleshooting... 10-61 Pacemaker Troubleshooting... 10-63

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Pressures... 11-1 Introduction... 11-3 Assigned BP Names... 11-4 Zero Reference... 11-5 Checklist... 11-6 Pressure Monitoring... 11-7 Pressure Information... 11-7 Getting to the Pressure Menu... 11-8 Pressure Menu Options... 11-9 Scales... 11-9 Full Scales... 11-9 Cursor... 11-10 Clear Cursor... 11-10 Limits... 11-11 Change Name... 11-13 Zero... 11-14 BP Filter... 11-14 Calibrate Transducer... 11-15 Speed... 11-15 Special Features... 11-16 IABP... 11-16 Using the IABP Feature... 11-18 Smart BP... 11-22 Pulse Rate... 11-22 Disconnect Alarm... 11-23 PA Wedge... 11-24 PA Wedge Menu Option... 11-24 PA Insert Wedge Menu Option... 11-26 General Troubleshooting... 11-34 Wedge Troubleshooting... 11-35

NBP... 12-1 Introduction... 12-3 Checklist... 12-5 Patient Preparation... 12-6

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NBP Monitoring Features... 12-7 NBP Information... 12-7 Getting to the NBP Menu... 12-9 NBP Menu Options... 12-10 NBP Auto... 12-10 NBP Stat... 12-11 Review NBPs... 12-12 NBP Limits... 12-13 Cuff Size... 12-15 Clear NBP Reading... 12-16 Troubleshooting... 12-17 NBP Status Messages... 12-17

SPO2... 13-1 Introduction... 13-3 Safety... 13-5 Neonates and Infants... 13-7 Checklist... 13-8 Patient Preparation... 13-9 Signal and Data Validity... 13-10 Signal Strength Indicator... 13-10 Quality of SPO2 Waveform... 13-10 Stability of SPO2 Values... 13-11 Masimo Module and Probes... 13-12 No Implied License... 13-12 Probes... 13-12 SPO2 Monitoring Features... 13-14 SPO2 Information... 13-14 SPO2 and NBP Simultaneously... 13-15 Getting to the SPO2 Menu... 13-16 SPO2 Menu Options... 13-17 Size... 13-17 Rate... 13-17 Rate Volume... 13-18 SPO2 Limits... 13-19 Speed... 13-20

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Probe Off Patient Condition... 13-21 Troubleshooting... 13-22 SPO2 Messages... 13-22 Clinical Questions... 13-24

Cardiac Output... 14-1 Introduction... 14-3 Cardiac Output Washout Curve... 14-4 Influencing Factors... 14-5 Suggested Cardiac Output Procedure... 14-6 Checklist... 14-8 Bath Probe Setup... 14-9 In-Line Setup... 14-10 Cardiac Output Monitoring Features... 14-11 Cardiac Output Information... 14-11 Cardiac Output Trials... 14-12 Getting to the Cardiac Output Menu... 14-14 Cardiac Output Menu Options... 14-16 Delete CO Trials... 14-16 Cardiac Calcs... 14-16 Cardiac Output Now... 14-17 BT Limits... 14-18 Print CO Curve... 14-19 Auto Mode... 14-20 Use: PAW (PAD, LA)... 14-20 Catheter... 14-21 Injectate Temperature... 14-22 Size... 14-23 Injectate Volume... 14-24 Computation Constant... 14-25 Cardiac Output Help... 14-25 Cardiac Calculations... 14-26 Introduction... 14-26 Cardiac Calcs... 14-28 Troubleshooting... 14-31 Procedural Prompts/Messages... 14-31 Error Messages... 14-32

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Respiration... 15-1 Introduction... 15-3 General Information... 15-4 Checklist... 15-6 Respiration Monitoring Features... 15-7 Respiration Information... 15-7 Getting to the Respiration Menu... 15-8 Respiration Menu Options... 15-9 Lead... 15-9 Relearn Respiration... 15-9 Sensitivity... 15-10 Respiration Limits... 15-11 Auto Size... 15-12 Manual Size... 15-13 Cardiac Artifact Alarm... 15-13 Speed... 15-13 Troubleshooting... 15-14 Respiratory Waveform... 15-14 Messages... 15-16

Temperature... 16-1 Introduction... 16-3 Checklist... 16-4 Temperature Monitoring Features... 16-5 Temperature Information... 16-5 Getting to the Temperature Menu... 16-7 Temperature Menu Options... 16-8 T1... 16-8 T2... 16-8 Units... 16-8 Temperature Limits... 16-9 Troubleshooting... 16-11 Messages... 16-11

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SvO2... 17-1 Introduction... 17-3 Checklist... 17-4 Signal and Data Validity... 17-5 Signal Strength Indicator... 17-5 SVO2 Monitoring Features... 17-6 SVO2 Information... 17-6 Getting to the SVO2 Menu... 17-7 SVO2 Menu Options... 17-8 SVO2 Limits... 17-8 SVO2 Help... 17-10 Preinsertion Calibration... 17-11 Light Intensity Calibration... 17-13 Calibrate to Venous Blood Gas... 17-14 SVO2 Cal History... 17-16 Troubleshooting... 17-18

CO2... 18-1 Introduction... 18-3 CO2 Monitoring Features... 18-4 CO2 Information... 18-4 Capnostat Modules... 18-6 General Information... 18-6 Mainstream Setup... 18-8 Sidestream Setup (Dual Module)... 18-10 CO2 Menu Options (Capnostat Modules)... 18-15 Getting to the CO2 Menu... 18-15 Pump... 18-16 Units... 18-17 CO2 Scale... 18-18 CO2 Limits... 18-19 N2O Compensation... 18-20 O2 Compensation... 18-21 CO2 Averaging... 18-21 Cal Sensor to Zero Cell... 18-21 Calibrate Adapter... 18-21 Speed... 18-21

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Zero Capnostat Sensor... 18-22 Calibrate Capnostat Adapter... 18-23 Capnostat Sensor and Adapter Cleaning... 18-24 Cleaning the Capnostat Sensor... 18-24 Cleaning the Reusable Capnostat Adapters... 18-24 Capnostat Sensor Troubleshooting... 18-25 Capnostat Sensor Check... 18-25 Messages... 18-27 Sidestream and Mainstream Modules... 18-30 Sidestream Module Setup... 18-31 Mainstream Module Setup... 18-33 CO2 Menu Options (Non-Capnostat Modules)... 18-34 Getting to the CO2 Menu... 18-34 Sensor... 18-35 Units... 18-35 CO2 Scale... 18-36 CO2 Limits... 18-37 N2O Compensation... 18-39 Speed... 18-39

ICG... 19-1 Introduction... 19-3 Safety Considerations... 19-4 Monitoring ICG on Pacemaker Patients... 19-6 ICG Parameters... 19-7 Measured Parameters... 19-7 Calculated Parameters... 19-7 ICG Formulas... 19-8 Measured Parameter... 19-8 Calculated Parameters... 19-9 Definitions of Terms... 19-10 Getting Started... 19-11 Checklist... 19-11 Skin Preparation... 19-11 Sensor Placement... 19-12 Cable Connection... 19-13

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