B125 and B105 Clinical Reference Guide 2018

Notice The materials contained in this document are intended for educational purposes only. This document does not establish specifications, operating procedures or maintenance methods for any of the products referenced. Always refer to the official written materials (labeling) provided with the product for specifications, operating procedures and maintenance requirements.

Contents 01 System Overview... 1

Invasive Pressure ... 23

System Components ... 1

Temperature...24

System Components: Front View ... 2

Cardiac Output Setup...25

System Components: Main Side View... 2

Cardiac Output Setup Menu... 26

System Components: Back View... 3

Cardiac Output Measurement Menu... 27

Hemodynamic Connectors... 4

Airway Gas Overview... 28 Airway Gas Setup... 29

02 Monitoring Basics...5

The CO2 Setup Tab... 30

Turning the Monitor On and Off ... 5

O2 Setup Menu Selections ... 31

Keypad... 6

Anesthetic Agent and N20 ... 32

Soft Keys... 6

MAC, MACage and Balance...33

Normal Screen... 7

Entropy Overview...34

Waveform Layout... 8

Entropy Setup...35

Large Number Layout... 8

Entropy Setup Menu Selections... 36

System Navigation... 9 Admitting a Patient... 10

05 Patient Data... 37

Adjusting Sound Volume... 11

Numeric Trends... 37

User Modes... 12

Graphic Trends...38

Patient Discharge... 13

Snapshots ... 39

Standby... 14

Alarm History... 40 OxyCRG... 41

03 Alarms... 15

Full Disclosure (FD)...42

Alarms Overview...15

National Early Warning Score (NEWS)...43

Turning Audible Alarms On and Off...16 Audio Pause...17

06 Printing... 44

Changing an Alarm Limit... 18

Local and Remote Printing Options... 44 Printing Waveforms... 45

04 Patient Parameters... 19

Printing Numerical Trends ... 46

ECG... 19

Inserting Recorder Paper...47

Impedance Respiration...20 Pulse Oximetry...21 NIBP Starting Measurements ... 22 NIBP Menu Selections...22

01 System Overview System Components Your system may not include all these components. Consult your local representative for the available components.

12:05

PACU

HR

ICU|85402

/min

Sp02

%

PACU

ECG

80

Monit

98

II Monit

1 mV

T1&T2 CO2

mmHg

CO2 ET

38

FI

0

ET 23 61 RR

18

/min

Art

°C

mmHg

Sys

/ 37.1 36.5 112 (95) 76 T1

T2

T2-T1

mmHg Adult/Child

-0.6

SYS 70 150

2

1

1

2

2

Zero P4/P8

3

Start C.O.

Entropy

! !

P4/P8

5

4

N-CAi0

E-ENTROPY

M1025230 EN

Gas Exhaust

M11235884

E-sC0

M1197891 EN

E-sCAi0

M1197891 EN

M1197891 EN

C.O.

E-COP

3

1. B105 monitor, 10.1’ LED display 2. B125 monitor, 12.1’ LED display 3. Acquisition modules 4. B1X5-F2 Frame 5. Recorder

1

System Components: Front View 1

1

6 6 2

2 5

5

4

4

3

3

B105 Front View (Full Configuration)

B125 Front View

1. Alarm light: Changes color based on alarm condition. 2. LED Display: B125 Monitor is 12.1 inches, B105 Monitor is 10.1 inches. 3. Trim Knob: Used to highlight and confirm menu selections. 4. Keypad: Used to turn the monitor on and off, along with other interactions. 5. Hemodynamic Connectors: Contains the Invasive Pressure, Temperature, SpO2, ECG and NIBP connectors. 6. Transportation Handle: Used to transport the monitor.

System Components: Main Side View

1 2 B105 Side View (Full Configuration)

2 B125 Side View

1. Recorder Guide Rail: Used to insert the recorder along the insertion guides. 2. Battery Compartment: Insert a GE authorized lithium-ion battery to allow the monitor to run on battery power. 2

System Components: Back View

9 8 6 7

6 7

1

2

3

4

1

5

2

3

B105 Back View (full configuration)

4

5

B125 Back View

11 12

10 Multi I/O

1. Receptacle for power cord: Connect AC power to the monitor via the power cord receptacle. 2. Equipotential connector: Connect device to a potential equalization conductor. 3. Multi I/O connector: Connect the customized Multi I/O adaptor to the Multi I/O connector. 4. DVI connector: Connect an external display to the monitor via the DVI connector. 5. Recorder/B1X5-F2 frame connector: Connect the recorder and/or the B1X5-F2 frame via this connector. 6. USB connector: Connect a USB storage device to save and load settings and to download logs. 7. Network connector: Connect the monitor to a network via the network connector. 8. E-miniC module: CO2 measurement module. 9. Extension rack: Required to connect an E-module. 10. Serial Port (Multi I/O): Output for a serial connection from the monitor. 11. Defibrillator connector (Multi I/O): Used for synchronization with a defibrillator. 12. Nurse call connector (Multi I/O): Used to output alarm signals to the nurse call system in the hospital.

3

Hemodynamic Connectors The cables for the parameters shown all connect to the hemodynamic connectors on the left side of the monitor. 1. Invasive blood pressure (IBP) Connector 2. Temperature Connector 3. SpO2 Connector

!

4. ECG and Impedance Respiration Connector

IBP1 IBP2

1

5. NIBP Connector !

T1 T2

2

!

SpO2

3 4 ECG NIBP

5

4

02 Monitoring Basics Turning the Monitor On and Off

Turning the Monitor On 1. Ensure all cables are properly connected. 2. Press the On/Off key located on the keypad. 3. The welcoming screen will appear with a status bar indicating the progress of the startup procedure.

Turning the Monitor Off 1. Press the On/Off key. 2. The message Monitor is shutting down. . . will appear on the screen.

5

Keypad 1. On/Off Key: Press to turn the monitor on or off. 2. AC Power Status Indicator: The indicator is lit when the monitor is receiving AC power.

ICU|85402

PACU

Monit

CO2

mmHg

CO2 ET

FI

38

3. Battery Status Indicator: Green when the monitor is operating on battery power.

0

mmHg Adult/Child

ET 23 61 RR

18

/min

SYS 70 150

4. Audio pause key: Temporary audio pause of active alarms. 5. Snapshot key: Press to take a snapshot, which is a set of measured data captured at that specific moment. 6. Manual NIBP key: Press to start a manual NIBP measurement.

1

2

3

4

2 ICU|85402

3

PACU

Monit

1. Home 2. Admit/Discharge

4 CO2

mmHg

CO2 ET

38

3. Trends 4. Print

6 1

Soft Keys Select a soft key to access the corresponding feature for that soft key. More information on each soft key will be covered throughout the quick reference guide.

5

mmHg Adult/Child

FI

0

ET 23 61 RR

18

/min

SYS 70 150

5

5. Auto NIBP 6. Zero Invasive Pressure 7.

6

Layout Switch

8. Standby 9. Audio Pause 10. More

7 8 9 10

6

Normal Screen When monitoring begins, the main page appears automatically. This preconfigured page is called the normal screen. There are two layouts available for the normal screen: • Waveform Layout: The monitor displays up to 5 waveforms and 4 lower digit fields at a time. If the lower digit field is turned off, up to 6 waveforms can be displayed.

ICU|85402

1

PACU

Monit

CO2

mmHg

CO2 ET

38

mmHg Adult/Child

FI

0

ET 23 61 RR

18

/min

2

SYS 70 150

• Large Number Layout: The monitor displays up four large numbered digit fields with the associated waveform at the bottom of each digit field. 1. Select the Home soft key in the upper right area of the display to return to the normal screen. 2. Select the Layout Switch soft key in the right area of the display to switch between Waveform and Large Number layout. Any changes you make to the screen setup during monitoring are changes to this normal screen. These changes are not permanent unless they are saved to a mode. They are valid until the patient is discharged They are also kept in the device memory for 120 minutes after the power is turned off.

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Waveform Layout 1. Information and Message Fields 2. Upper Digit Fields

1

3

2

ICU|85402

PACU

Monit

3. Soft Key Field 4. Lower Digit Fields 5. Waveform Fields

5 CO2

mmHg

CO2 ET

ET 23 61 RR

FI

38

0

18

/min

mmHg Adult/Child

SYS 70 150

4

Large Number Layout

1

2

1. Information and Message Fields HR

2. Soft Key Field

12:05

PACU

/min

Sp02

%

ECG

3. Large Number Fields

80

98

II Monit

3

1 mV

T1&T2

Art

°C

Sys

/ 76 112 37.1 36.5 (95) T1

T2

T2-T1

-0.6

8

mmHg

System Navigation ICU|85402

PACU

Monit

CO2

mmHg

CO2 ET

38

FI

0

mmHg Adult/Child

ET 23 61 RR

Touch Screen

18

/min

SYS 70 150

Trim Knob

Selecting Menu Options with a Touch Screen 1. Touch the menu option with your finger. 2. The highlight on the screen moves to this option. 3. Lift your finger off the screen, and the selected function is performed.

Selecting Menu Options with the Trim Knob Control 1. Rotate the Trim Knob control in either direction to move the highlighted cursor from option to option on the display. 2. Press the Trim Knob control once to select the highlighted option.

Entering Data When data entry is required, the monitor automatically displays an on-screen keyboard for you to use. 1. Select the desired data field. The selected field is highlighted in yellow, indicating that you can begin entering the text. 2. To enter data, select the characters with the Trim Knob or touchscreen.

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Admitting a Patient 1

2

4

3

5

A patient is automatically admitted when the monitor detects any of the following vital signs: ECG, impedance respiration, Art, ABP, UAC, NIBP, SpO2, Gases or Entropy. When a patient is admitted at the bedside monitor and the monitor is connected to the network, patient data will display at the central station. A patient is manually admitted when any patient data is entered or loaded. Patient data can be entered locally using the monitor, or entered remotely using a central station.

Entering Patient Data with the Monitor: 1. Select the Admit/Discharge soft key. 2. Edit or enter the First Name, Last Name and Patient ID by selecting the letters or numbers. 3. Select Demographics. 4. Select Height, Weight, AgeYears with arrows. The BSA is automatically calculated. 5. Select the Patient Type from the list. Choices are Adult/Pediatric and Neonatal. Note! When you select Patient Type to Neonatal: • The mode will automatically become NEONATAL. • The Age Years are not available. • The OxyCRG will display.

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Adjusting Sound Volume

2

1 3

You can adjust various sound volumes according to your care environment needs. While you are adjusting the volume, you will hear a corresponding sound that will guide you in determining a suitable level. All volumes other than Alarm Volume can be set to 0 if required. 1. Select the More soft key to access the Quick Access Panel. 2. Select Sound Volumes. 3. Adjust the Alarm Volume, Beat Volume or Completed NIBP Volume with the arrows.

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User Modes 2

3

1

4 5

When you start monitoring a patient, you can use the startup mode or select another mode. You can also change the mode while monitoring a patient without losing any patient data. The device has seven user modes to choose from. Modes control many settings, including parameter defaults, alarm detection limits, and the screen display.

Changing a Mode 1. Select the Admit/Discharge soft key. 2. Select the Select Mode tab. 3. The current mode is displayed in the message area of the display 4. Select a mode from the Select Mode list. 5. You can return to the previous mode by selecting Return to previous mode. If you make changes to a mode while using it and need to return to its previous settings, first select another mode and then re-select the one you were using.

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Patient Discharge 1

2

3

Discharging a patient deletes all patient information in the monitor. The monitor discharges a patient automatically after 24 hours when vital signs for parameters (except Temperature) are not available. When this happens, all trend data will be cleared and alarm settings will return to the default values. The patient can be discharged remotely using a central station, provided that this option has been enabled.

Discharging a patient If desired, print the patient data and then disconnect any patient cables. 1. Select the Admit/Discharge soft key. 2. Select the Discharge tab. 3. Select YES from the Discharge list. Parameter settings, including alarm limits, return to the default settings. All patient data and trend data is removed from the monitor.

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Standby

1

Starting Standby 1. Select the Standby soft key. If patient cables are still connected and the monitor is receiving physiological data, a text message will be displayed, indicating that audio alarms have been paused. 2. Disconnect patient cables to start the standby. If you do not disconnect the cables and physiological data is still present after the audio pause time expires, the standby is canceled. You can also select to cancel entering standby immediately. 3. The screen will go blank and the Standby text appears.

Ending Standby The monitor ends the standby state automatically when any of the following conditions occur: • Any physiological data is detected. • User input is received: a keypad key is pressed, Trim Knob is pressed or rotated, or the touchscreen is pressed. After that, a continue menu will open, the options are: • Continue: Continue monitoring of previous patient. • Discharge: Discharge current patient and erase patient data from monitor. • Standby: Enter Standby mode.

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03 Alarms Alarms Overview High

Medium

Low

Alarm priority levels All alarms are categorized by priority level: • High priority alarms: Require an immediate response (white text flashes inside a red box). • Medium priority alarms: Require a prompt response (black text inside a yellow box). • Low priority alarms: Require you to be aware of this condition (white text inside a blue box). • Informational priority messages: Provide information you should know (black text inside a grey box).

Alarm priority escalation An escalating alarm starts at a designated priority level (low or medium) and will escalate to the next higher priority level (after a set number of seconds) if the alarm condition has not been resolved. It is important to note that the alarms escalate up to the next level but will not reset until the condition has been resolved. When more than one alarm occurs at the same time, the monitor will sound an alarm tone for the highest priority alarm. Any lower priority audible alarm tones are suppressed by the higher priority alarm tone.

Breakthrough Alarms The breakthrough alarms feature allows pre-defined and user-selectable alarms to “breakthrough” (interrupt) a 2-minute audible alarm pause state.

Latched Alarms When alarms are latched, the visual message remains after the alarm condition no longer exists. To clear alarms that are no longer active, select the Alarm Reset or the Audio Pause soft key.

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Turning Audible Alarms On and Off 5

3

4 2

1

You can turn on/off the audible physiological alarm tones for an alarm group or for all alarms. 1. Select the More soft key to access the Quick Access Panel. 2. Select Alarm Setup. 3. Select the Audio tab. 4. Select an alarm group. Choices are: • None: No audible alarms are turned off. • Silence Apnea: Turns off audible alarms for apnea, EtCO2, FiCO2, respiration rate limit alarms. • Silence ECG: Turns off audible alarms for all HR source limit and arrhythmia alarms. • Silence Apn&ECG: Turns off audible alarms for all HR source limit, arrhythmia, apnea, EtCO2, FiCO2, respiration rate limit alarms. • Silence ALL: Turns off all audible alarms except some high priority alarms defined as breakthrough alarms. 5. To turn on all audible alarms again, select Activate Alarms, or select None as instructed above.

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Audio Pause 4

3 1

2

3 1. Selecting the Audio Pause soft key once: a. Starts a 2-minute audio pause state for all alarms except the specified breakthrough alarms. b. Removes all latched alarms (including message and light). 2. Selecting the Audio Pause soft key a second time during the 2-minute pause: a. Ceases the audio pause state. b. Deactivates some alarms (mainly technical alarms). 3. Selecting the More soft key and then the Alarm Reset soft key: a. Starts a 2-minute alarm silence for all current active alarms. b. Removes all latched alarms (including message and light). c. Does not silence any new alarms. d. Ceases the audio pause state, if available. 4. When audible alarms are turned off, the alarm bell icon displays in the upper left corner of the display.

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