Operators Manual
504 Pages
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Solar® 8000i Patient Monitor Operator’s Manual Software Version 4 2026264-001
Revision A
NOTE: The information in this manual only applies to Solar 8000i Patient Monitor software version 4. Due to continuing product innovation, specifications in this manual are subject to change without notice.
Listed below are GE Medical Systems Information Technologies trademarks used in this document. All other trademarks contained herein are the property of their respective owners. CD TELEMETRY, CRG PLUS, MUSE, QS, RAC, RAMS, SAM, SOLAR, ST GUARD, TRAM, TRAM-NET, TRAM-RAC, TRIM KNOB, and UNITY NETWORK are trademarks of GE Medical Systems Information Technologies registered in the United States Patent and Trademark Office. 12SL, ApexPro, CD TELEMETRY®-LAN, CENTRALSCOPE, EK-Pro, IMPACT.wf, iPanel, MENTOR, Octanet, PRN 50, PRN 50-M, and UNITY are trademarks of GE Medical Systems Information Technologies.
© 2005 General Electric Company. All rights reserved.
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Solar 8000i Patient Monitor 2026265-001
Revision A 6 April 2005
CE Marking Information
CE Marking Information Compliance The Solar 8000i 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 product is in radio-interference protection class A in accordance with EN 55011. The country of manufacture can be found on the equipment labeling. The product complies with the requirements of standard EN 60601-1-2 “Electromagnetic Compatibility - Medical Electrical Equipment”.
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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 quality management system complies with the international standards ISO 9001 and ISO 13485, and the Council Directive on Medical Devices 93/42/EEC.
Solar 8000i Patient Monitor 2026265-001
Revision A
Contents
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The Basics... 1-1 About This Manual... 1-2 Manual Purpose... 1-2 Intended Audience... 1-2 Revision History... 1-2 Ordering Manuals... 1-2 Manual Conventions... 1-3 Product References... 1-3 Definitions... 1-3 Illustrations and Names... 1-3 Software Packages... 1-4 Menus... 1-6 Main Display... 1-6 More Menus... 1-7 Popup Menus... 1-8 Subordinate Menus... 1-11 Windows... 1-13 Parameter Windows... 1-13 Information Windows... 1-15 Common Operations... 1-17 Using the Trim Knob Control... 1-17 Using the Touchscreen Display... 1-18 Entering Alphanumeric Characters... 1-21 Setting Alarm Limits... 1-23 Selecting Options from Scroll Lists... 1-25 Language-Specific Information... 1-27 Chinese and Japanese Language Information... 1-27 French Language Information... 1-27 Hungarian, Polish and Russian Language Information... 1-27
2
Equipment Overview... 2-1 Components... 2-2 Solar 8000i Patient Monitoring System... 2-2 Tram Modules... 2-6 Single-Parameter Modules... 2-11 Tram-rac Housing... 2-13
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Optional Writers and Printers... 2-18 Optional Remote Display... 2-18 Optional Connectivity Devices... 2-19 Optional iPanel Computer... 2-19 Controls... 2-20 Keypad... 2-20 Putting the Monitor Into Operation... 2-24 Monitor Installation and Connection... 2-24 Turning Power On... 2-25 Performance Check... 2-26
3
Safety... 3-1 For Your Safety... 3-2 Intended Use... 3-2 Terminology... 3-2 Monitor Safety... 3-2 Classification... 3-12 Underwriters Laboratories, Inc... 3-13 Equipment Symbols... 3-13
4
Maintenance... 4-1 Biocompatibility... 4-2 Inspection... 4-3 General Cleaning... 4-4 Cleaning the Touchscreen... 4-5 Cleaning Applied Parts... 4-6 Cables and Leadwires... 4-6 Other... 4-6 Internal Lithium Battery... 4-7 Technical Maintenance... 4-8 Technical Specifications... 4-8
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Monitor Setup... 5-1 Monitor Setup Menu... 5-2 Waveforms On/Off... 5-3 Display... 5-5 Parameters On/Off... 5-8 Graph Setup... 5-9 Monitor Defaults Password... 5-21 Print CRG Plus... 5-22 Touchscreen Volume... 5-22 Learn the Monitor... 5-23 Software Compatibility... 5-24
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Admit/View A Patient... 6-1 About Admitting... 6-2 Monitor Applications... 6-2 Admit Menus... 6-5 Standard Admit Menu... 6-6 Combo Admit Menu... 6-8 Rover Combo Admit Menu... 6-9 Admit Menu Options... 6-10 Change Admit Info... 6-10 Request Admit Information... 6-13 ECG Source... 6-14 Graph Location... 6-14 Set Unit Name... 6-14 Set Bed Number... 6-15 Units of Measure... 6-15 Options for Admitting a Patient... 6-15 About Discharging... 6-17 Discharge Patient - Standard and Rover Applications... 6-17 Discharge Patient - Combo and Rover Combo Applications... 6-18 New Case... 6-18 Viewing Other Patients... 6-19 Automatic View On Alarm Feature... 6-20 Viewed Patient Display... 6-23 Monitor Setup for Viewing Other Patients... 6-25 Default Settings... 6-25 View On Alarm Options Menu Settings... 6-28 View Other Patients Menu... 6-29 View Alarm... 6-30
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View On Alarm Options... 6-31 Select a Bed to View... 6-36 Turn the View Off... 6-36 Select Another Care Unit... 6-36 Graph Viewed Bed... 6-37 Viewed Patient Data... 6-37 Full Patient View... 6-38
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Printing... 7-1 Writers and Printers... 7-2 PRN 50 and PRN 50-M Digital Writers... 7-2 Laser Printer... 7-5 Graphing... 7-6 Manual Graphs... 7-6 Alarm Graphs... 7-7 Invasive BP Only... 7-7 Pressure Scales... 7-7 Graphing Messages... 7-8 Graph Header... 7-8
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Alarm Control... 8-1 Smart Alarms... 8-2 Alarm Structure... 8-3 Patient Status Alarms... 8-3 System Status Alarms... 8-5 On-screen Alarm Help... 8-5 Controlling Audio Alarms... 8-6 Silencing Alarms... 8-6 Pausing Alarms... 8-7 Alarm Pause Breakthrough... 8-8 Remote Silencing... 8-8 Turning Alarm Volume Off Permanently... 8-9 Alarm Window... 8-10 Clear Alarms... 8-10 Alarm Histories... 8-11 Alarm Control Menu... 8-12 All Limits... 8-13 Arrhythmia Alarm Level... 8-14 Parameter Alarm Level... 8-15
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Alarm Volume... 8-15 Alarm Help... 8-17 Display Off/Alarm Pause... 8-18 Clear Alarms... 8-18 Alarm History... 8-18 CRG Trends... 8-19 Alarm Pause... 8-19
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CRG Plus Display... 9-1 Parameters Displayed... 9-2 CRG Plus Full Display... 9-3 CRG Plus Individual Display... 9-4 Turning on the CRG Plus Display... 9-5 Selecting Parameters for the CRG Plus Display... 9-5 Printing CRG Plus Parameters... 9-6 Print CRG Plus... 9-6 CRG Plus Printing Options... 9-6 CRG Trends... 9-9 CRG Trends Display... 9-9 CRG Trends Event Directory... 9-11 CRG Trends Menu Options... 9-12 Document CRG Events... 9-15 Troubleshooting... 9-17
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Patient Data... 10-1 Patient Data Menu... 10-2 Alarm History... 10-3 Vital Signs... 10-6 Graphic Trends... 10-9 Cardiac Calcs... 10-12 Pulmonary Calcs... 10-15 Dose Calcs... 10-21 CRG Trends... 10-26 Lab Data... 10-27
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ECG... 11-1 Introduction... 11-2 “NO ECG” Comm Alarm... 11-3
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Checklist... 11-4 ECG Monitoring Features... 11-5 ECG Display... 11-5 ECG Menu... 11-7 Getting to the ECG Menu... 11-7 Display Lead... 11-8 ECG Size... 11-10 Detect Pace... 11-11 ECG Limits... 11-16 View All ECG... 11-17 Clear V2-V6 Fail... 11-17 Arrhythmia... 11-18 Relearn... 11-22 ST Analysis... 11-23 ST Analysis Menu... 11-26 ECG Filter... 11-32 12 Lead ECG Analysis... 11-33 Lead Analysis... 11-37 More ECG... 11-38 Troubleshooting... 11-41 Pacemaker Troubleshooting... 11-43
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Pressures... 12-1 Introduction... 12-2 Zero Reference... 12-4 Checklist... 12-5 Pressure Monitoring... 12-6 Pressure Information... 12-6 Getting to the Pressure Menu... 12-7 Pressure Menu Options... 12-8 Scales... 12-8 Full Scales... 12-8 Cursor... 12-9 Clear Cursor... 12-9 Change Name... 12-10 Zero... 12-11 BP Filter... 12-11 Calibrate Transducer... 12-12 Speed... 12-12
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Special Features... 12-13 IABP... 12-13 Using the IABP Feature... 12-15 Smart BP... 12-15 Pulse Rate... 12-16 Disconnect Alarm... 12-16 PA Wedge... 12-17 PA Wedge Menu Option... 12-17 PA Insert Wedge Menu Option... 12-19 Troubleshooting... 12-27
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NBP... 13-1 Introduction... 13-2 NBP Connectors... 13-2 Safety... 13-3 Checklist... 13-5 NBP Monitoring Features... 13-6 NBP Information... 13-6 Getting to the NBP Menu... 13-8 NBP Menu Options... 13-9 NBP Auto... 13-9 NBP Stat... 13-10 Review NBPs... 13-11 NBP Limits... 13-11 Cuff Size... 13-12 Clear NBP Reading... 13-12 Initial Inflation Pressure... 13-13 Troubleshooting... 13-14 NBP Status Messages... 13-14
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SPO2... 14-1 Introduction... 14-2 Safety... 14-4 Measurements... 14-6 Neonates and Infants... 14-6 Checklist... 14-7
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Masimo SET Module... 14-8 Masimo SET Module PWR Indicator Light... 14-8 SPO2 Monitoring Features... 14-9 SPO2 Information... 14-9 Getting to the SPO2 Menu... 14-11 SPO2 Menu Options... 14-12 Size... 14-12 Rate... 14-12 Rate Volume... 14-12 SPO2 Limits... 14-13 Persistent... 14-13 Speed... 14-13 Sensitivity... 14-14 Averaging... 14-14 Sat-Seconds... 14-14 SPO2 System Alarms... 14-15 Probe Off Patient Condition... 14-15 Pulse Search Condition... 14-15 Troubleshooting... 14-16 SPO2 Messages... 14-16
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Cardiac Output... 15-1 Introduction... 15-2 Influencing Factors... 15-3 Suggested Cardiac Output Procedure... 15-5 Checklist... 15-7 Cardiac Output Monitoring Features... 15-8 Cardiac Output Information... 15-8 Cardiac Output Trials... 15-9 Getting to the Cardiac Output Menu... 15-11 Cardiac Output Menu Options... 15-12 Delete CO Trials... 15-12 Cardiac Calcs... 15-13 Cardiac Output Now... 15-15 BT Limits... 15-16 Print CO Curve... 15-16 Auto Mode... 15-16 Use: PAW (PAD, LA)... 15-17 Catheter... 15-17 Injectate Temperature... 15-18
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Size... 15-18 Injectate Volume... 15-19 Computation Constant... 15-20 Cardiac Output Help... 15-20 Troubleshooting... 15-21 Procedural Prompts and Messages... 15-21
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Respiration... 16-1 Introduction... 16-2 General Information... 16-3 Checklist... 16-4 Respiration Monitoring Features... 16-5 Respiration Information... 16-5 Getting to the Respiration Menu... 16-6 Respiration Menu Options... 16-7 Lead... 16-7 Relearn Respiration... 16-7 Sensitivity... 16-8 Respiration Limits... 16-8 Auto Size... 16-8 Manual Size... 16-9 Cardiac Artifact Alarm... 16-9 Speed... 16-10 Troubleshooting... 16-11 Messages... 16-11
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Temperature... 17-1 Introduction... 17-2 Checklist... 17-3 Temperature Monitoring Features... 17-4 Temperature Information... 17-4 Getting to the Temperature Menu... 17-5 Temperature Menu Options... 17-6 T1... 17-6 T2... 17-6 Units... 17-6 Temperature Limits... 17-6
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Troubleshooting... 17-7 Messages... 17-7
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SvO2... 18-1 Introduction... 18-2 Checklist... 18-4 SVO2 Monitoring Features... 18-5 SVO2 Information... 18-5 Getting to the SVO2 Menu... 18-6 SVO2 Menu Options... 18-7 SVO2 Limits... 18-7 SVO2 Help... 18-7 Preinsertion Calibration... 18-7 Light Intensity Calibration... 18-7 SVO2 Cal History... 18-8 Calibration... 18-9 Preinsertion Calibration... 18-9 Light Intensity Calibration... 18-11 Calibrate to Venous Blood Gas... 18-12 SVO2 Cal History... 18-14 Troubleshooting... 18-16
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CO2... 19-1 Introduction... 19-2 Safety... 19-3 CO2 Monitoring Features... 19-5 CO2 Information... 19-5 Capnostat Modules... 19-7 General Information... 19-7 CO2 Menu Options (Capnostat Modules)... 19-10 Getting to the CO2 Menu... 19-10 Pump... 19-11 Units... 19-11 CO2 Scale... 19-11 N2O Compensation... 19-12 O2 Compensation... 19-13
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CO2 Averaging... 19-13 Cal Sensor to Zero Cell... 19-13 Calibrate Adapter... 19-13 Speed... 19-13 Zero the Capnostat Sensor... 19-14 Calibrate the Capnostat Adapter... 19-15 Capnostat Sensor and Adapter Cleaning... 19-16 Cleaning the Capnostat Sensor... 19-16 Cleaning the Reusable Capnostat Adapters... 19-16 Capnostat Sensor Troubleshooting... 19-17 Messages... 19-17 Sidestream Modules... 19-20 CO2 Menu Options (Non-Capnostat Modules)... 19-21 Getting to the CO2 Menu... 19-21 Units... 19-21 CO2 Scale... 19-22 CO2 Limits... 19-22 N2O Compensation... 19-23 Speed... 19-23
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Interfaces... 20-1 Introduction... 20-2 Connectivity Devices... 20-6 Safety... 20-7 Interconnection... 20-9 Serial Port Indicator Lights... 20-10 Displayed Data... 20-11 Parameters... 20-12 Parameter Windows and Menus... 20-12 Software Compatibility... 20-20 Device-Specific Information... 20-21 Notification of Equipment Upgrade... 20-23
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Appendices... 21-1 Appendix A - Adult-ICU Mode Defaults... 21-3 Appendix B - Neonatal-ICU Mode Defaults... 21-9 Appendix C - Operating Room Mode Defaults... 21-15 Appendix D - Monitor Defaults Worksheet... 21-21 Appendix E - Analog Output... 21-27 ECG Acquisition Modules... 21-27 Tram-rac Housing... 21-28 Appendix F - Supplies Information... 21-31 Appendix G - Software Packages... 21-33 Appendix H - Abbreviations and Symbols... 21-37 Abbreviations... 21-37 Symbols... 21-49
Index... Index-1
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The Basics: About This Manual
About This Manual Manual Purpose This manual contains the instructions necessary to operate the Solar 8000i patient monitor safely and in accordance with its function and intended use.
Intended Audience This manual is geared for clinical professionals. Clinical professionals are expected to have a working knowledge of medical procedures, practices, and terminology, as required for monitoring of critically ill patients.
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
Comments Initial release of this document.
Ordering Manuals To order additional copies of this manual, call Accessories and Supplies and request part number 2026264-001. Refer to the How To Reach Us page for Accessories and Supplies contact information.
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The Basics: Manual Conventions
Manual Conventions This section describes terminology, standards, and other conventions that are used throughout this manual.
Product References In this manual:
The Solar 8000i patient monitor is referred to as the monitor.
The Clinical Information Center is referred to as the central station.
The Solar SpO2 module with Masimo SET is referred to as the Masimo module.
The PRN 50 and PRN 50-M digital writers are referred to as the writers.
The laser printer is referred to as the printer.
Collectively, the laser printer and the PRN 50 digital writer are referred to as printers.
Definitions The following terms are used in this manual to describe various monitor features and functions. Button - A labeled key located on the keypad or remote control. Press to initiate a process, open a menu, or enter a number. Menu - Text which appears at the bottom of the display. A menu is composed of a set of menu options. Menu option - A choice found in a menu. A menu option is enclosed in a rectangle. Screen text - Any text that appears on the monitor display. In this manual, screen text is shown in italics (for example, ECG, SAVING, etc.).
Illustrations and Names 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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In this manual, all names appearing in examples and illustrations are fictitious. The use of any real person’s name is purely coincidental.
Software Packages The Solar 8000i monitor comes configured with the Basic software package. This package consists of standard-of-care parameters and features required by clinicians caring for acutely ill patients. Three additional software packages can be purchased separately or in any combination. These packages provide a variety of features which allow the monitor to be configured to best meet the needs of its intended environment. The Cardiac software package focuses on cardiac conductivity. Its features include full arrhythmia analysis and storage, as well as ST segment trending, storage, and templates. The ability to adjust the ST measurement point is also included in this package. The Cardiopulmonary software package centers upon cardiac and pulmonary hemodynamics. Features include the PA insert and wedge algorithms, the intra-aortic balloon pump algorithm, and the thermodilution cardiac output algorithm, including predefined computation constants for the catheters of major manufacturers. Also included are cardiac and pulmonary calculations. The High Resolution CRG Trends package provides storage of up to 100 CRG events, and up to 24 hours of CRG trend data, in addition to the CRG feature set found in the Basic software package. In this manual, features that are not part of the Basic software package have a note indicating the purchased package in which they are available. Refer to the appendices for a complete breakdown of the software packages by feature.
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The Basics: Manual Conventions
How can you tell what software package you have? To determine whether you have the Basic software package or the Cardiac software package, follow these steps: 1. Select the ECG label. The ECG menu is then displayed at the bottom of the screen. 2. Select the ARRHYTHMIA option from the ECG menu. If you have the Basic software package, the Arrhythmia popup menu will look like this illustration:
↑ ↓
Arrhythmia Popup Menu - Basic Software Package If you have the Cardiac software package, the Arrhythmia popup menu will look like this illustration:
↑
↓
Arrhythmia Popup Menu - Cardiac Software Package To determine if the Cardiopulmonary and/or High Resolution CRG Trends options have been installed on your monitor, follow these steps. 1. Select MORE MENUS from the monitor’s main display. 2. Select MONITOR SETUP from the menu displayed. 3. Select REVISION AND ID from the Monitor Setup menu. A popup menu and information window appear. 4. Select NEXT in the popup menu as many times as necessary to scroll through the information windows until the SOFTWARE OPTIONS DISPLAY information window appears. 5. In the Software Options Display information window, the word “Enabled” appears below CARDIOPULMONARY FEATURES and/or HI RES GRAPHIC TRENDS if one or both options have been purchased and installed.
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