Notice

The materials contained in this document are intended for educational purposes only. This document does not
establish specications, operating procedures or maintenance methods or any o the products reerenced.
Always reer to the ofcial written materials (labeling) provided with the product or specications, operating
procedures and maintenance requirements.

2
Contents
01 Monitoring Basics 5 Changing an Alarm Limit . . . . . . . . . . . . . . . . . . . . . . . . . 37
Acquisition Modules . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Critical Alarms for HR and SpO2. . . . . . . . . . . . . . . . . . . 38
Main Screen Layout for B850/B650/B450 . . . . . . . . . . 6 Breakthrough Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
Admitting and Discharging a Patient Overview. . . . . 7 08 Trends 40
Accessing the Admit/Discharge Menu. . . . . . . . . . . . . . 7 Viewing Numeric Trends . . . . . . . . . . . . . . . . . . . . . . . . . . 40
Loading Patient Information from the Viewing Graphic Trends. . . . . . . . . . . . . . . . . . . . . . . . . . . 41
CARESCAPE Network . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Managing Snapshots . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42
Combination Monitoring Mode . . . . . . . . . . . . . . . . . . . . 9 Managing Events . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
Roving Functionality . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 09 Troubleshooting 44
Discharging a Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 ECG Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44
Starting Standby . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Respiration Troubleshooting . . . . . . . . . . . . . . . . . . . . . . 47
Selecting Pause Monitor & Central. . . . . . . . . . . . . . . . 12 SpO2 Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
02 ECG 13 NIBP Troubleshooting. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
ECG Setup Menu: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 10 CARESCAPE ONE 50
Skin Preparation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50
Lead Placement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 CARESCAPE ONE System Components . . . . . . . . . . . 51
12 Lead Analysis. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 CARESCAPE ONE Front, Back, and Side Views . . . . 52
Impedance Respiration . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 Docking . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53
Neonatal Impedance Respiration . . . . . . . . . . . . . . . . . 21 Turning the CARESCAPE ONE On/O . . . . . . . . . . . . . 54
03 NIBP 23 Inserting and Removing a Battery. . . . . . . . . . . . . . . . . 54
Manual NIBP Measurement from the Main Menu 23 CARESCAPE ONE Monitoring Basics . . . . . . . . . . . . . . 55
The NIBP Setup Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24 Proles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58
04 Pulse Oximetry 25 Starting Monitoring. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59
Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 Entering Patient Data. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60
05 Invasive Pressure Monitoring 28 Resetting a Case / Discharging a Patient . . . . . . . . . . 61
Invasive Pressure Connections . . . . . . . . . . . . . . . . . . . 28 Standby . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62
Zeroing a Transducer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29 Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63
The Invasive Pressure Setup Menu. . . . . . . . . . . . . . . . 30 Pausing Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63
06 Airway Gases 31 Adjusting the Alarm Volume . . . . . . . . . . . . . . . . . . . . . . 63
Airway Gas Modules and Connectors . . . . . . . . . . . . . 31 Changing an Alarm Limit. . . . . . . . . . . . . . . . . . . . . . . . . . 64
CARESCAPE CO2 Measurement . . . . . . . . . . . . . . . . . . 32 Trends. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65
Airway Gas Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33 Transport Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66
Starting and Stopping the Pump . . . . . . . . . . . . . . . . . . 34
07 Alarms 35
Alarm Priority Levels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
Pausing Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
Adjusting the Alarm Volume . . . . . . . . . . . . . . . . . . . . . 36
3
4
01 Monitoring Basics

Acquisition Modules
There are two multi-parameter acquisition modules that process the patient data signals for the main patient
parameters such as ECG, Impedance Respiration, Temperature, SpO2, Invasive Pressure, and Non-Invasive Blood
Pressure (NIBP).
1 The PDM (Patient Data Module)
2 The CARESCAPE ONE
Only one o these modules may be used at a time. The main dierence between the two is the PDM does not have
any type o display, it must be connected to a standalone monitor such as the CARESCAPE B850, B650 or B450
(CARESCAPE B Series Monitor). The CARESCAPE ONE has its own display and can be used as a standalone monitor
or as an acquisition module.

Note! If both modules are connected simultaneously, the CARESCAPE ONE will have priority.

PDM
1 ECG/Imp. Respiration
2 T1-T2/CO
3 P1-P4
4 Tab or removing the module
5 SpO2
6 NIBP
7 Deb/Sync
8 Dual function Power On and 10
Zero All button
MASlMO SET
® 9
9 Power indicator
10 Communication Indicator 8
!
Rx Only ECG Temp CO P1/P3 P2/P4 SPO2 NIBP Defib/sync
U.S.

1 2 3 4 5 6 7
5
Admitting and Discharging a Patient Overview
A patient is automatically admitted when the monitor detects any o the ollowing vital signs: ECG, Impedance
Respiration, Art, Fem, UAC, NIBP, SpO2, CO2, EEG, BIS, or Entropy. (EEG, BIS, and Entropy are not used with the
CS ONE.)
A patient is also automatically admitted when any patient data is entered or loaded. Patient data can be entered
locally using the monitor, scanner using a barcode reader, loaded rom an Admit- Discharge-Transer (ADT) server
over the CARESCAPE Network, or entered remotely using a central station.

Accessing the Admit/Discharge Menu

The Admit/Discharge menu is used to add or edit patient information. There are two ways to access the Admit/
Discharge menu:
1 Select the patient information area on the screen.
2 Select Data & Pages from the main menu area at the bottom of the display and then select Admit/ Discharge
or Case Setup.

Selecting a Prole
Overview
A prole is a group o unique settings suited to a particular care unit or patient demographic and can be
customized. Settings or a prole could include alarm limits, screen layouts, trends and snapshot settings.
When you start monitoring a patient, you can use the startup prole or select another prole. According to the
conguration, your monitor sotware may have up to eight proles to choose rom.
You can select another prole while monitoring a patient without losing any patient data.

To Select a Prole:
1 Select the patient information area on 2
the screen.
2 Select the Patient tab.
3 Select a prole rom the Profle list.
4 You can return to the previous prole by
selecting Return to Previous Profle.

7
Loading Patient Information from the
CARESCAPE Network
In the CARESCAPE Network, patient inormation can be loaded rom the ADT server. You cannot merge data
between the monitor and the CARESCAPE Gateway Server. This can only be done on the host or Central Station.
You cannot do barcode scanning and ADT on the CS ONE.
1 Select the patient information area on
the screen. 2
2 Select the Load Patient tab.
3 Select Find Patients. 3
4 Select the Medical Record Number and/or
Last Name eld and enter the inormation
you have available.
Note! You can also add the First Name 4
information but the search does not
function with this information only.
5 Select Find.
6 When the patient list appears, select the patient.
7 Select Load Patient Information to load the
data rom the CARESCAPE Gateway server.

8
Combination Monitoring Mode
Combination monitoring is a licensed eature where ECG is acquired rom a telemetry receiver system.
This ECG data acquisition capability enhances basic telemetry monitoring by providing access to all o the available
parameters rom bedside monitors, while acquiring the ECG data rom telemetry. All data is viewed at the central
station and the beside monitor.

Selecting the ECG Source

Note! Not available with the NICU software package.

1 Select the HR parameter window and then ECG.

2 Select Setup. 1
3 Select a source from the ECG Source list.
4 Select the correct patient transmitter/
2
transceiver rom the drop-down list.
5 Conrm the source selection with Confrm.

Exiting Combo/Discharging from Combo

1 Select the HR Parameter window and then ECG.
2 Select Setup.
3 Select a source from the ECG Source list.
4 Select Monitor from the drop-down list.
5 Conrm the source selection with Confrm.

9
Roving Functionality
Roving unctionality allows you to move, or rove, the monitor to t the patient’s acuity needs, rather than moving
the patient to a higher acuity monitored room. When you move the monitor to a new location on the CARESCAPE
Network, you can update the unit and/or bed names rom drop-down lists or add new names manually. Available
selections depend on what has been allowed in conguration.

Roving between units

I roving between units is allowed, you can update the unit name when moving the monitor to a new location.
1 Select the patient information area on screen.
2 Select the Care Unit & Bed tab.
3 Select the Care Unit Name from the drop-down list. ICU

Changing the Care Unit Name will also update the contents of the Bed Bed 12

Name list.
1

You can also change the name manually through New Unit & Bed. This
selection is available in the Care Unit & Bed menu if it has been allowed
in the Roving settings.

Roving between beds

I roving between beds is allowed, you can update the
bed name when needed.
1 Select the patient information area.
2 Select the Care Unit & Bed tab.
3 Select the Bed Name from the drop-down list.
The new name appears in the upper right corner of the display. The unit
name is given rst, then a dash and the bed name (or instance, UNIT1–
BED1).
You can also change the name manually through New Unit & Bed, or
through New Bed. These selections are available in the Care Unit &
Bed menu according to what has been allowed in the Roving settings.
Monitors being roved to a dierent room need to be discharged beore
leaving the patient room and admitting another patient to the monitor.

Adding new units and beds (manual roving)

I manual roving between beds and/or units is allowed,
you can also enter their names manually.
1 Select the patient information area.
2 Select the Care Unit & Bed tab. I the Roving settings do not allow
roving between units, the New Unit & Bed is not available. In this
case, select New Bed to enter a new bed name.
3 Select New Unit & Bed.
4 Select the Care Unit Name or the Bed Name eld and type the
new name with the on-screen keyboard. The maximum number of
characters for the Care Unit Name is seven, and or the Bed Name
it is ve.

10
Discharging a Patient
1 Disconnect patient cables.
2 Print necessary data and wait until the printing 5
is completed.
3 Select the patient information area on the screen.
4 Then select Admit/ Discharge.
5 Select the Patient tab.
6 Select Discharge Patient and then Confrm.
(In PACU and Anesthesia sotware, rather than
Discharge Patient, you will select Reset Case.
Note! Monitor settings, including alarm
limits, return to their default settings.
All patient data and trend data is removed
from both the monitor and a connected
acquisition device.
66

Starting Standby 2
When you remove the patient temporarily
rom the monitor, you can use the standby option.
1 Select the patient information area on the
screen. Standby can also be accessed via Data
and Pages.
3 4
2 Select the Standby tab.
3 Select the radio button for an appropriate
standby location.
4 Select Prepare or Standby. If patient cables
are still connected and the monitor receives vital
signs, a text indicating that audio alarms have
been paused appears.
5 Remove the acquisition device or disconnect
patient cables to start the standby. If you do not
disconnect the cables and vital signs are still
present ater the audio pause time expires, the
standby is canceled. Check that the NIBP Auto is
turned o.
6 The screen goes blank and the GE logo along with
a message such as Patient temporarily in MRI
(according to the location selected) appears.
11
Selecting Pause Monitor & Central
I Pause Monitoring has been allowed in the Care Unit Settings (password protected), you can select to pause
audible alarms at both the monitor and central. This selection also pauses all visual alarms and alarm printouts at
the monitor. The system stops sending the digital output signal to the CARESCAPE Remote Alarm Device (RAD)
when Pause Monitor & Central is active.
For more inormation regarding the Pause Monitoring setting, see the supplemental inormation provided.
Pause Monitoring is not available in the CS ONE at this time.
1 Select Alarms Setup from the main menu.
2 Select the Pause Monitoring tab. I there is no network connection, it is indicated with the text Monitor is
not connected to the network on an orange background. Pausing monitoring in this case would result in a
complete loss of monitoring.
3 Select Pause Monitor & Central.
The screen saver that ollows replaces the display o patient data, and alarms will be o at the monitor. In
case there is no admitted patient/active patient case, it is indicated by the text Monitoring paused - Patient
discharged or Monitoring paused - Case ended, respectively. Touch the screen or press any key to continue.
Automatic admit and discharge are not possible during Pause Monitor & Central. If remote discharge from a
central station has been enabled, it can also be done during Pause Monitor & Central.

12
02 ECG

ECG Setup Menu:

To access the ECG setup menu:
1 Select the ECG parameter window.
2 Select the Setup tab.

13
Skin Preparation
Excessive body hair or skin oil reduces electrode contact with the skin and decreases the quality o electrode signal.
When preparing the electrode sites, avoid bones close to skin, obvious layers o adipose tissue and major muscles.
1 Shave any hair rom the electrode site.
2 Gently rub the surace o the skin to increase capillary blood ow.
3 Clean the skin with a mild soap and water solution to remove skin oil and dead or abraded skin cells.
4 Dry the skin completely before applying the electrodes.

Lead Placement
3-lead or 5-lead ECG Electrode Placement

IEC AAMI/AHA IEC AAMI/AHA IEC AAMI/AHA IEC AAMI/AHA

R RA L LA R RA L LA

User
dened

IEC AAMI/AHA IEC AAMI/AHA IEC AAMI/AHA

F LL N RL F LL

IEC Lead AAMI/AHA Lead Electrode Placement

R - Red RA - White Just below the right clavicle
L - Yellow LA - Black Just below the let clavicle
User dened User dened For the 5-lead placement, place the precordial electrode according to the
physicians preference

N - Black RL - Green Lower right edge of the rib cage

F - Green LL - Red Lower left edge of the rib cage

14
3-lead or 5-lead ECG Electrode Placement for the Neonatal Patient

IEC AAMI/AHA IEC AAMI/AHA

L L LA
LA
AAMI/AHA IEC
RA R

AAMI/AHA IEC User IEC AAMI/AHA

RA R IEC AAMI/AHA dened
F LL F LL

AAMI/AHA IEC
RL N

3-lead Placement 5-lead Placement

IEC Lead AAMI/AHA Electrode Placement AAMI/AHA

IEC Lead Electrode Placement
Lead Lead
R -Red RA - White Just below the right clavicle R - Red RA - White Just below the right clavicle
L - Yellow LA - Black Just below the let clavicle L - Yellow LA - Black Just below the let clavicle
F - Green LL - Red Lower left edge of the User User For the 5-lead placement,
rib cage dened dened place the precordial
electrode according to the
physicians preference
N - Black RL - Green Lower right edge of the
rib cage
F - Green LL - Red Lower left edge of the
rib cage

15
6-lead ECG Electrode Placement

IEC AAMI/AHA IEC AAMI/AHA

R RA L LA

IEC AAMI/AHA
Ca/C1 Va V1 IEC AAMI/AHA
Cb/CF Vb/V5

IEC AAMI/AHA IEC AAMI/AHA

N RL F LL

6-lead Placement

IEC Lead AAMI/AHA Lead Electrode Placement

R -Red RA - White Just below the right clavicle
L - Yellow LA - Black Just below the let clavicle
Ca/C1 - White Va/V1 - Brown 4th intercostal space, right sternal border
Cb/C5 - White Vb/V5 - Brown Let anterior axillary line at C4/V4 level
N - Black RL - Green Lower right edge of the rib cage
F -Green LL - Red Lower left edge of the rib cage

16
10-lead ECG Electrode Placement for Cardiac Monitoring

IEC AAMI/AHA
L LA

IEC AAMI/AHA
R RA IEC AAMI/AHA
C/C2 V/V2

IEC AAMI/AHA
IEC AAMI/AHA C3 V3
C/C1 V/ V1

IEC AAMI/AHA
C6 V6

IEC AAMI/AHA
C5 V5
IEC AAMI/AHA
N RL
IEC AAMI/AHA
F LL
10-lead Placement • Cardiac

IEC AAMI/AHA
C4 V4

IEC Lead AAMI/AHA Lead Electrode Placement

R -Red RA - White Just below the right clavicle
L - Yellow LA - Black Just below the let clavicle
N - Black RL - Green Lower right dege of the rib cage
F -Green LL - Red Lower left of the rib cage
C/C1 - White/Yellow V/V1 - Brown 4th intercostal space, right sternal border
C2 - White/Yellow V2 - Brown/Yellow 4th intercostal space, let sternal border
C3 - White/Green V3 - Brown/Green Midway between C2/V2 and C4 /4
C4 - White/Brown V4 - Brown/Blue 5th intercostal space, mid-clavicular line
C5 - White V5 - Brown/Orange Let anterior axillary line at C4/V4 level
C6 - White/Purple V6 - White/Purple Mid axillary line at C4/V4 and C5/V5 levels

17
Standard Resting 10-lead ECG Electrode Placement

IEC AAMI/AHA
C/C2 V/V2

IEC AAMI/AHA
C3 V3

IEC AAMI/AHA
R RA IEC AAMI/AHA
L LA

IEC AAMI/AHA IEC AAMI/AHA

C/C1 V/ V1 C6 V6

IEC AAMI/AHA
C5 V5
IEC AAMI/AHA
N RL
IEC AAMI/AHA
10-lead Placement • Standard F LL

IEC AAMI/AHA
C4 V4

IEC Lead AAMI/AHA Lead Electrode Placement

R -Red RA - White Right deltoid or wrist
L - Yellow LA - Black Left deltoid or wrist
N - Black RL - Green Right thigh or ankle
F - Green LL - Red Left thigh or ankle
C/C1 - White V/V1 - Brown 4th intercostal space, right border o sternum
C2 - White/Yellow V2 - Brown/Yellow 4th intercostal space, let border o sternum
C3 - White/Green V3 - Brown/Green Midway between C2/V2 and C4 /4
C4 - White/Brown V4 - Brown/Blue 5th intercostal space, mid-clavicular line
C5 - White/Black V5 - Brown/Orange Let anterior axillary line at C4/V4 level.
C6 - White/Purple V6 - Brown/Purple Mid axillary line at C4/V4 and C5/V5 levels

18
12 Lead Analysis
To access the 12 Lead Analysis Menu:
1 Select the HR parameter window >
ECG > Setup.
2 Select 12 Lead Analysis.

To access the 12 Lead Send to MUSE

Analysis Settings Menu: Print

1 Select the HR parameter window > MUSE + Print

ECG > Setup.

Delete
2 Select 12 Lead Analysis.
Stabilize

3 Select Settings. Baseline

Performing a 12 Lead
Analysis
1 Select the HR parameter window.
2 Select 12 Lead Analysis.
3 Enable Stabilize Baseline.

4 Select 12 Lead ECG Now.

All the waveorms in the 12 Lead Analysis View reeze during the analysis except or the ECG I waveorm. Analysis
takes less than one second to complete. At that time, the monitor generates a 12 Lead report, saves the report
locally, and displays the report on the screen.
The monitor can store up to teen 12 lead reports locally.

The 12 Lead Analysis Program

The 12 Lead ECG Analysis program assists the physician in interpreting and measuring the resting ten seconds of
ECG data. This program generates a diagnostic textual report on patient’s cardiovascular condition. This report can
be routed to the MUSE Cardiology Inormation System via the CARESCAPE Network.

a Patient inormation, including

patient Name, MRN, Date, and Time:
the report was generated. Under
Settings you can nd additional
details and options, such as: Tech ID,
reason or 12 lead, Order number,
Auto 12 leads, Diagnostic tools.
b Available values including
Ventricular Rate, PR Interval, QRS
Duration, QT/QTc, and P-R-T Axis.
c Diagnostic statements and/ or error
messages.
d Waveorm area.
Note! Complete analysis
requires a 10-leadwire cable.

19
Impedance Respiration

1 2 3
ECG Lead I for ECG Lead II for RL-LL for
upper chest breather upper abdominal breather upper abdominal breather

Respiration Lead Placement

1. Lead I: Provides good thoracic 2. Lead II: Provides good thoracic 3. RL-LL: Vector provides good
(upper chest) breath detection. breath detection and upper abdominal breath detection and
However, lead I is more abdominal (lower chest) breath is not as susceptible to
susceptible to cardiogenic detection. However, lead II is cardiogenic artifact or motion
artiact than the RL-LL vector. more susceptible to both artifact. When monitoring
cardiogenic and motion (head, respiration through the RL-LL
neck, or arm) artiact than the vector, use a standard
RL-LL vector. 5-leadwire electrode placement,
except place the RL electrode
on the th intercoastal space
on the right side of the chest.
This is also available or the 6-
and 10-leadwire sets. It is not
available with a 3-lead cable.
Note! RL-LL vector only
applies to PDM module.
It is also available with the
CS ONE.

20
Neonatal Impedance Respiration
Overview
Impedance respiration is measured across the thorax between ECG electrodes. The respiration signal is made by
supplying current between the electrodes and by measuring the dierential current rom the electrodes. The signal
measured is the impedance change caused by breathing.

Respiration Lead Placement

1 2 3
ECG Lead I for upper chest breather ECG Lead II for upper RL-LL or upper abdominal breather (or
abdominal breather 5-Lead placement)

1. Lead I: Provides good thoracic 2. Lead II: Provides good thoracic 3. RL-LL: Vector provides good
(upper chest) breath detection. breath detection and upper abdominal breath detection and
However, lead I is more abdominal (lower chest) breath is not as susceptible to
susceptible to cardiogenic detection. However, lead II is cardiogenic artifact or motion
artiact than the RL-LL vector. more susceptible to both artifact. When monitoring
cardiogenic and motion (head, respiration through the RL-LL
neck, or arm) artiact than the vector, use a standard
RL-LL vector. 5-leadwire electrode placement,
except place the RL electrode
on the th intercoastal space
on the right side of the chest.
This is also available or the 6-
and 10-leadwire sets. It is not
available with a 3-lead cable.
Note! RL-LL vector only
applies to PDM module.
It is also available with
the CS ONE.

21
Using Impedance Respiration
If the respiration measurement has not been
setup as a conguration setting, it can be
turned on.
1 Select the Impedance Respiration
parameter window.
2 Select the Setup tab.
3 Select Respiration Measurement > On.
Note! When the respiration
measurement is on, the message
Imped. on is displayed in the
ECG1 waveorm feld. You can
also perform the following tasks 40%
from the Impedance Respiration
Setup menu:
4 Enable Autosize Waveorm to
automatically size the current waveorm to
t the available space.
5 Adjust the respiration waveorm Size
(the greater the value, the larger the
waveorm size).
6 Adjust the respiration waveorm
Sensitivity (the lower the value, the
greater the sensitivity).
7 Select the Imped. Resp Smoothing check
box to enable smoothing (deselect it to
disable smoothing). When respiration
smoothing is enabled, 10 seconds o
respiration rate values are averaged.
8 Select the Insp./Exp. Markers check box
to turn the inspiration and expiration
waveorm markers on (deselect it to turn
them o).
9 Adjust the respiration waveorm Resp
Sweep Speed by selecting a value rom
the list (lower the value the slower the
sweep speed).
10 Select the respiration I,II or RL-LL from
the respiration lead list. Lead selections
are presented as graphical icons.
11 Select the Relearn Respiration to relearn
the respiration pattern (i the patient’s
breathing pattern changes after the initial
learning process has taken place).

22
03 NIBP
2 4
NIBP NIBP Auto
Stop Stop

1 3

Manual NIBP Measurement from the Main Menu

1 Start the measurement by selecting NIBP Start rom the Main Menu area. (Ater NIBP Start is selected the
menu tab becomes NIBP Stop.)
2 Stop the measurement by selecting NIBP Stop from the Main Menu area.

Automatic NIBP Measurement from the Main Menu

The NIBP Auto mode initiates repeated measurements for the selected Cycle Time. There will be at least a 30
second delay between two consecutive NIBP measurements during auto cycling.
3 Select NIBP Auto Start. (Ater NIBP Auto Start is selected the menu tab becomes NIBP Auto Stop.)
4 Stop the measurement by selecting NIBP Auto Stop.

23
The NIBP Setup Menu
To Access the NIBP Setup Menu:
1 Select the NIBP parameter window.
2 Select the Setup tab.

You can perform the following tasks

rom the NIBP Setup Menu:
3 Start automatic, manual or Stat NIBP
measurements.
Note! STAT NIBP Mode
initiates a continuous cycle of
measurement or fve minutes.
4 Change the cycle time for automatic
NIBP measurements.
5 Adjust the tone volume or a completed
NIBP measurement.
6 Select the display ormat (large
Systolic/Diastolic or large Mean values)
7 Select the cu size.
8 Select the initial NIBP cu ination
pressure automatically based on the
cu size.
9 Select the target NIBP ination pressure
or the rst NIBP measurement.

24
04 Pulse Oximetry

Overview
There are three supported pulse oximetry technologies:
1 Masimo SET
2 Nellcor OxiMax
3 GE TruSignal (CARESCAPE ONE)

SpO2 monitoring starts automatically when the monitor

detects an SpO2 signal.
It is possible to measure SpO2 rom two dierent
measurement sources simultaneously. The primary
SpO2 source is labeled SpO2 and the secondary SpO2
source is labeled SpO2(2).

GE oximeter

25
The SpO2 Setup Menu
To access the SpO2 Setup Menu:
1 Select the SpO2 parameter window.
2 Select the SpO2 or SpO2(2) tab.
3 Select Setup.

You may be able to perform the following tasks from the SpO2 Setup Menu:
Note! The selections available from the SpO2 menu will vary depending on the pulse oximetry technology
and acquisition module.

1 Adjust the SpO2 size from the

Scale list.
2 Change the SpO2 waveorm sweep speed
by selecting a numeric value rom the
Hemo Sweep Speed list. (The smaller the
value, the slower the sweep speed.) Note
that changing one parameter sweep speed
will change all parameter sweep speeds,
except for impedance respiration.
3 Select the heart rate source from the
Primary HR Source list (ECG, SpO2 or
Invasive Pressure).
4 Show the SpO2 pulse rate by checking
Show Pulse Rate.
5 Select the SpO2 Averaging time.
6 Adjust the SpO2 Beat Volume by using the
arrows.
7 Select the beat source from the Beat
Source list.

GE TruSignal technology and sensors

26
You may be able to perform the following tasks from the SpO2 Setup Menu for Masimo or Nellcor OxiMax
technology and sensors.

Masimo technology and sensors Nellcor OxiMax technology and sensors

1 Adjust the SpO2 size from the Size list. 1 Adjust the SpO2 size from the Size list.
2 Change the SpO2 waveorm sweep speed by 2 Change the SpO2 waveorm sweep speed by
selecting a numeric value rom the Hemo Sweep selecting a numeric value rom the Hemo Sweep
Speed list. (The smaller the value, the slower the Speed list. (The smaller the value, the slower the
sweep speed.) Note that changing one parameter sweep speed.) Note that changing one parameter
sweep speed will change all parameter sweep sweep speed will change all parameter sweep
speeds, except or impedance respiration. speeds, except or impedance respiration.
3 Select the heart rate source from the Primary HR 3 Select the heart rate source from the Primary HR
Source list (ECG, SpO2 or Invasive Pressure). Source list (ECG, SpO2 or Invasive Pressure).
4 Show the SpO2 pulse rate by checking Show Pulse 4 Show the SpO2 pulse rate by checking Show Pulse
Rate. Rate.
5 Select the SpO2 Averaging time. 5 Show the Saturation seconds in the SpO2 parameter
6 Select the SpO2 sensor Sensitivity level. window by checking Show Sat. Seconds.

7 Adjust the SpO2 Beat Volume by using the arrows. 6 Set the Saturations Seconds threshold.

8 Select the beat source from the Beat Source list. 7 Select the Response time to Normal or Fast.
8 Adjust the SpO2 Beat Volume by using the arrows.
9 Select the beat source from the Beat Source list.

27
05 Invasive Pressure Monitoring

Invasive Pressure Connections

Invasive Pressure equipment to patient connection with PDM
1 Module with invasive pressure measurement capability.
2 Fluid bag with pressure inusor.
3 Transducer setup.
4 Invasive blood pressure adapter cable; single or dual cable (optional).

MASlMO SET 3
!
Rx Only ECG Temp CO P1/P3 P2/P4 SPO2 NIBP Defib/sync
U.S.

28
The Invasive Pressure Setup Menu
1 To access the Invasive Pressure
Setup menu, select the Invasive
Pressure parameter window.
Select a slot or port (1-8) that
you will be monitoring, and then
select the Setup tab.
2 Select a channel label from the
Label list. 2 5
3 Set the waveorm scale with
the Scale arrows. The larger 3
the scale value, the smaller the
waveorm size.
4
4 Select Optimize Scale. The
Scale selection will now show
the automatic limit range.
5 Select the heart rate source
from the Primary HR Source
list (ECG, SpO2 or Invasive
Pressure).

30
06 Airway Gases

Airway Gas Modules and Connectors

CARESCAPE Respiratory Module
Note! E-sCOV is not suitable for use with patients weighing less
than 5 kg (11 lbs).
1
1 Patient Spirometry keys.
2 Water trap release/locking latch. 2
3 Gas sample, sampling line connector on the water trap. 3
4 Water trap container.
4
Make sure you use a water trap that is compatible with the module:
• CARESCAPE Respiratory Modules: D-Fend Pro or D-Fend Pro+
• E-miniC: Mini D-Fend
5
• In Anesthesia: Replace the D-Fend Pro or Mini D-Fend water trap
when the message Replace Water Trap appears. The maximum
lifetime of a water trap is two months.
6
• In Critical Care: It is recommended to replace the D-Fend Pro + or
Mini D-Fend water trap or each new patient, when the message
Replace Water Trap appears, or every 24 hours.
5 Connectors for Patient Spirometry tubes.
6 Gas exhaust, connector or the gas exhaust line.

1
E-miniC
Note! E-miniC is not suitable for use with patients weighing less 2
than 5 kg (11 lbs).

1 Water trap latch. 3

2 Sampling line connector.
3 Mini D-fend water trap with a washable container.
4
4 Sample gas outlet.
E-miniC

31
Airway Gas Setup

2
1 6
E-mimiC

Note! Check that the sample line is connected to the water trap before connecting the module to the
monitor or turning on the monitor.

1 Make sure that the water trap container is empty and properly attached.
2 Connect the gas sampling line to the sampling line connector on the water trap.
3 Connect the sample gas outlet to gas scavenging i N2O or volatile agents are used. This is done only when
anesthetic agents are used, typically in the OR. This not something that is done in the ICU.
4 Turn on the monitor or connect the module to the monitor. The monitor performs a self-check for the module
when the module is connected. Automatic agent identication is activated in those modules that have
this feature.
5 Wait until the message Calibrating disappears.
6 Connect the sampling line to the airway adapter or the airway adapter to the ventilator circuit. Position the
adapter with the sampling port upwards to minimize the amount of condensed water possibly entering the
sampling line.
7 Check that the airway adapter connections are tight and that the adapter is operating properly.
Note! To minimize the amount of dust drawn into the gas sampling system, always keep the water trap
connected to the module. See the Starting and Stopping the Pump section that follows.

33
Starting and Stopping the Pump
Note! Pertains to CARESCAPE respiratory modules only.

1 Select a gas related parameter window.

2 Select the CO2 tab > Setup > Measurement Source > Gas Module (Mod).
3 Start the pump by selecting Start Gas Module pump. The pump starts and the selection changes to
Stop Gas Module pump.
4 You can stop the pump by selecting Stop Gas Module pump.
The text Turning o Gas Module pump appears below the selection. Once the module has stopped the pump,
the selection changes back to Start Gas Module pump.

34
07 Alarms

Alarm Priority Levels

Alarm Priority Levels
Physiological and technical alarms are categorized by priority level:
1 High priority alarms require an
immediate response.
2 Medium priority alarms require
a prompt response.
3 Low priority alarms require you
to be aware of the condition. 1 2 3 4
4 Informational priority
messages provide inormation
you should know.

Pausing Alarms Audio Pause

key

Selecting the Pause Audio key results in dierent alarm behaviors depending on whether the alarms are active
and/or latched or not. Acknowledging or pausing audio alarms does not aect other alarm indicators. They will still
continue indicating alarms.
When the monitor is on the network, alarms can also be paused and acknowledged at the central station.
The ability to pause alarms rom the central station is dened by the unit and is a password protected unction.

35
Adjusting the Alarm Volume
The selections in the Alarm Setup menu vary according to what has been congured in the Care Unit Settings
(password protected).
1 Select Alarm Setup from the
2
main menu.
2 Select the Audible & Visual tab.
3 Adjust the volume according to
what is available in the menu:
3a
a Adjust the Alarm Volume
value. This is the volume
for all alarms.
b Adjust the Alarm Volume
for: separately for High 3b
& Medium Priority and
Low Priority.
The lower the number, the quieter the
alarm volume.
Note! That the minimum
allowed volume levels are set
in the Care Unit Settings.
Note! Pause All Audio or
5 min: The Pause All Audio
for 5 min selection includes
Alarm Breakthrough alarms.
This is intended to be used
when there are caregivers
present at the bedside for
emergency situations like
cardiac arrests.

36
Changing an Alarm Limit
Setting Parameter Alarm Limits
Parameter alarm limits may be set in the Alarms Setup menu, or in the parameter menu’s own Alarm tab. Alarm
limits should not be set beyond reasonable physiological boundaries for maintaining patient safety. Setting limits
outside o reasonable boundaries would cause the alarms to be ineective.
1 Select Alarm Setup from the
main menu.
2 Select the Alarm Limits table.
3 Select a parameter label.
4 That parameter menu’s Alarm
tab opens, where you can select
the alarms on or o, and set
their limits.

37
Critical Alarms for HR and SpO2

You can congure two dierent levels o alarms or HR and SpO2/SpO2(2) alarms: basic and critical. This enables
an alarm to start with the basic alarm value and priority level and it changes to a high alarm priority once the set
critical alarm value is breached. The critical alarm is always indicated as a high priority while the basic alarm priority
can be adjusted.
Always check that you are conguring the correct alarm. Parameter Limit alarm settings are available or the
ollowing settings: HR Tachy/Brady, Critical Tachy/Brady, SpO2 High/Low, Critical SpO2 High/Low.
You must always set the critical alarm level limits so that they are outside the basic alarm limits. I you try to set
them inside the basic alarm limits, the basic alarm limits will also change at the same time.

38
Breakthrough Alarms
Breakthrough alarms will break through (interrupt) an All Alarms Audio O or a 2 or 5 minute audio alarm
pause condition.
The FiO2 low, EtO2 low, FiN2O high, and Ppeak high alarms will always break through when escalated to or
activated at high priority alarm conditions regardless o the All Alarms Audio O selection or any alarm pausing.
The ollowing alarms will breakthrough when escalated to or activated at high priority alarm condition regardless o
the 2 to 5 minute audible alarm pause: Asystole, V Fib/V Tach, V Tach (in all sotware packages), and Brady (in the
NICU sotware packages only).

Setting Arrhythmia Alarm Priorities

1 Select Alarms Setup from the main menu.
2 Select the Arrhythmia tab.
3 Select Lethal, Ventricular or Atrial.
4 Select the Alarm Priority, Create Snapshot and/or
Print on alarm options per arrhythmia.
5 V Tach criteria can be congured i enabled in the
password protected prole settings.
a Minimum HR: Enables you to set the
minimum heart rate required for the set run
duration of the V Tach.
b Event Duration: Enables you to set the
minimum run duration/length of time
(seconds) required or a V Tach event to
alarm.
Note! Although the informational, low and
medium priority alarm settings may be allowed
for V Tach, the alarm will always be a high
priority if the V Tach duration is more than 30
seconds, the HR is higher than the set HR high
limit and the HR exceeds 150 beats/minute. In
the NICU software the high priority is enforced
at 180 beats/minute.

39
08 Trends

Viewing Numeric Trends

1 Select Trends from the main menu
area at the bottom of the display.
2 Select Numeric from the View list.
• To see other parameters,
select their tabs in the
Numeric trend view
• To see more numeric trend
data, use the cursor to
scroll the data in horizontal
direction
• To change the time internal,
select a new value rom the
Time Interval list

40
Viewing Graphic Trends
1. Select Trends from the main menu
area at the bottom of the display.
2. Select Graphic from the View list.
• To see more parameters,
select tabs 1 to 4
• To see numeric values o a
certain time, move the cursor
to that point of time. The
numeric values are displayed
next to the cursor
• To change the time scale,
select a new value rom the
Time Scales list
• To change the trend scale,
select Trend Scales and make
the appropriate adjustment

41
Managing Snapshots
A snapshot is a set o measured data saved rom a certain moment o time. Snapshots can contain waveorm clips
and graphic trends. You can take up to 400 snapshots.

Creating Manual Snapshots

You can create a snapshot manually by selecting Freeze/ Snapshot from the main menu area at the bottom
of the display.
The monitor saves the image o pre-congured waveorms or trends at that moment in time. When a snapshot is
taken manually, it is automatically numbered.

Creating Automatic Snapshots

You can select alarms that will automatically create a snapshot independent of their alarm priority.
1 Select Trends from the main menu
area at the bottom of the display.
2 Select Snapshot from the View list.
3 Select Snapshot Setup.
4 Select which alarms will
automatically create a snapshot.

Viewing Snapshots
1 Select Trends from the main menu
area at the bottom of the display.
2 Select Snapshot from the View list.
• To change the Snapshot time
scale, select a new value rom
the Time Scale list
• To change the trend scale,
select Trend Scales and make
the appropriate adjustment

42
Managing Events
Events are timestamps that are shown in their own list. An event is created automatically upon an alarm. An event
records the time o and reason or its creation. Some events may also record a snapshot. Manually created events
contain only the time and a manually added reason or the event. You cannot congure the Event trend pages.
An event is created automatically rom:
• Medium and high priority physiological or technical alarms
• Low priority alarms that have a snapshot
• Manually created snapshots or ST snapshots

Viewing Events
The Event trend view shows event data on horizontal axis and time on vertical axis. The top o the view shows the
highest priority realtime waveorm and the bottom o the view shows a sample waveorm i an event has
a snapshot.
1 Select Trends from the main menu
area at the bottom of the display.
2 Select Event from the View list.
• The Priority column shows
an alarm priority symbol for
events created automatically
from an alarm.
• The Event column shows the
reason the event was created
or. I the event was created
automatically, the alarm
message is shown. If the
event was created manually,
a possible manually added
text is shown.
• If there is a manual
annotation added to the
event, this text is shown in
quotation marks and also
includes the prex NOTE.
• The Snapshot column shows
a snapshot symbol if there is
a snapshot attached to
an event.

43
09 Troubleshooting

ECG Troubleshooting
ECG
Problem Solution
ECG signal is noisy or no QRS is detected • Ensure that the patient is not shivering.
• Select the correct lter by selecting the HR parameter window >
Advanced > Waveorm Filter.
• Check the electrode quality and positioning. Do not place
electrodes on body hair, bones close to skin, layers o at and
major muscles. Pre-gelled electrodes are recommended.
• Change the lead in ECG1 to the best available signal and
consider using the Single lead mode.
• Consider using ECG Size > 2x.
• Try an alternative location or the Va lead to improve signal
quality. In some cases, like i the patient has a signicant heart
ailure, changing or example rom V5 to V1 can result in a
considerable dierence in the signal amplitude.
• Remove the ECG cable rom the module and reinsert it.

44
Pacemaker

Problem Solution
How does activating pacemaker • Beats that would otherwise be classied as ventricular are instead
detection impact monitoring? classied as V-paced i a ventricular pacemaker event is detected.
• Residual pacemaker energy that might otherwise appear in the ECG is
removed, and a pacemaker enhanced spike is placed in
the ECG.
• On the ECG waveorm, pacemaker detection is indicated by uniorm,
upright pacemaker enhancement spikes in the ECG data, both
displayed and graphed.
How can pacemaker detection be Use additional alarms, including: Pause and HR low, Brady
improved? Possible problems include:
• Heart rate double counting.
• Inaccurate alarms for low heart rate or asystole.
• Pacemaker spikes not recognized by the software.
• False PVC detections and arrhythmia alarms.
• Possible solutions include:
• Relearn arrhythmia.
• Try an alternate electrode placement.
• Try single-lead analysis, i available.
• E-modules, CARESCAPE B Series Monitor, CARESCAPE ONE,
and Combination monitoring: Switch to another pacemaker
detection mode.
Why is the monitor double- The monitor is not detecting pacemaker activity.
counting the heart rate, alarming Causes may include:
for a low heart rate, or not • PDM, CARESCAPE B Series Monitor, CARESCAPE ONE, and
detecting pacemaker spikes? Combination monitoring: The pacemaker detection program is
turned o. Turn it on, reprep the skin and reposition the electrodes i
necessary. Relearn ECG.
• The pacemaker signal is too weak for the monitor to detect.
• The ECG signal is too weak for the monitor to detect.
• The monitor is detecting atrial pacemaker artiact or non-QRS eatures
as beats.
I the monitor is alarming or low heart rate or asystole, assess the QRS
amplitude:
• View all ECG leads to assess the amplitude o the QRS complexes. To
ensure correct HR readings, a 0.5 mV QRS amplitude is recommended
or a normal ECG signal. I the QRS amplitude drops below 0.5 mV or an
abnormal QRS width occurs (more than 120 ms), QRS detection may
be reduced, leading to alse asystole alarms.
• I necessary, reprep the skin and reposition the electrodes.
• Relearn ECG.

45
Arrhythmia

Problem Solution
Why is the monitor alarming for The monitor may not be detecting sufcient QRS amplitude in all analyzed
asystole, bradycardia, pause, leads. Multiple leads are used for arrhythmia processing.
or inaccurate heart rate when a 1 Assess the patient.
visible QRS waveform is present?
2 Check the ECG signal acquired from the patient.
3 View all ECG leads to assess the amplitude o the QRS complexes. To
ensure correct HR readings, a 0.5 mV QRS amplitude is recommended
or a normal ECG signal. I the QRS amplitude drops below 0.5 mV or
an abnormal QRS width occurs (more than 120 ms), QRS detection
may be reduced, leading to alse Asystole alarms.
4 Relearn arrhythmia. It is important to relearn the patient’s
ECG pattern any time the electrode conguration is adjusted.
I the problem continues, switch to the ECG lead with the greatest
amplitude, display that lead, then switch to single lead analysis so all
arrhythmia interpretations are based on this single ECG lead.
How does the IntelliRate Intellirate will report Asystole when the following conditions
algorithm impact an Asystole are met:
alarm with a QRS waveform? • The ECG HR has been valid and has changed by 1/min or less during
the previous 30 seconds .
• The invasive pressure pulse rate has been valid or the previous 60
seconds, and it has been 0/min during the previous 30 seconds.
• The mean arterial blood pressure o the invasive pressure pulse rate
source is below the userselected limit.
• The SpO2 parameter i available does not indicate beat detections in
the previous 30 seconds.
Why is the monitor calling V Tach The monitoring system may be detecting a wider QRS complex or artiact
when the patient is not in V Tach? in some o the analyzed ECG waveorms. In addition, the V leads may
be exhibiting polarity changes, which may occasionally cause an
inaccurate call.
1 Assess the patient.
2 Check the ECG signal acquired from the patient.
• View all ECG leads to assess the width o the QRS complexes in
the analyzed leads.
• I artiact exists in any o the analyzed leads, reprep the
patient’s skin, replace electrodes, and adjust the electrode
placement.
• It may be benecial to move V lead electrodes chest lead) to
alternate precordial electrode placements to improve detection.
3 Relearn arrhythmia. It is important to relearn the patient’s ECG
pattern any time the electrode conguration is adjusted. I the
problem continues, determine the lead with the narrowest QRS
complex, display that lead, then switch to single lead analysis so all
arrhythmia interpretations are based on this single ECG lead.

46
Respiration Troubleshooting
Problem Solution
What can I do if the respiration • Check electrode quality and positioning.
measurement fails? • Adjust the breath detection sensitivity. During ventilator-
supported breathing, the respiration calculation may count only
ventilator-produced inspirations and expirations.
• Other electrical devices may interere with the measurement.
Why does the waveform have a I the detection sensitivity threshold is set too high, shallow breaths
combination of shallow and deep will not be detected, as shown in the ollowing example o incorrect
breaths, but the monitor is not detection (1 = breath).
detecting the shallow breaths?
1
1 1 1 1

• Decrease the detection sensitivity percentage until the markers

correctly identify each inspiration and expiration or set to AUTO
(PSM). I the detection mode is AUTO, the grid lines represent the
minimum limits. The limits in use may be a larger range.
The following is an example of correct detection.

Respiration detection is not dependent on the size o the waveorm.

Size is or visual purposes only.

Why is the monitor detecting cardiac The breath detection threshold is too low (1 = breath, 2 = artiact).
artifact as breaths? The following is an example of incorrect detection.

1 1

2 2
2

• Increase the detection sensitivity percentage until the markers

correctly identify each inspiration and expiration. The following is
an example of correct detection.

47
SpO2 Troubleshooting
Problem Solution
SpO2 signal is poor • Check the sensor and sensor position.
• Make sure the patient is not shivering, moving, or does not have
tremors.
• The patient’s pulse may be too low to measure.

Unable to adjust alarm limits The alarm limits are not adjustable when the measurement source
is rom an external device connected to the Unity Network ID
connectivity device.
Deactivated SpO2 probe o alarm • Ensure that the sensor is protected from ambient light.
keeps alarming when the sensor is
disconnected from the patient
Why does the pulse oximeter Blood gas analyzers calculate the O2 saturation based on normal
sometimes read dierently than a values or pH, PaCO2, Hb, temperature, etc. (i.e., a normal
blood gas analyzer? oxyhemoglobin dissociation curve). Depending on the patient’s
physiologic and metabolic status, this curve and all values may be
shited away rom normal. Thus the oximeter, which measures O2
saturation, may not agree with the blood gas.

What eect can ambient light have on Light sources such as surgical lamps, biliubin lamps, uorescent
pulse oximetry monitoring? lights, inrared heating lamps, and sunlight can cause poor waveorm
quality and inaccurate readings. Error messages are possible.
Shielding the sensor with opaque tape, the posey wrap, or other
dark or opaque material can increase oximetry accuracy, veried by
good waveorms and signal strength.
What does motion artifact look like, Electrosurgical intererence is most obvious on the displayed
what problems can it cause and how waveorm. It is a very spiky, erratic looking waveorm caused
can it be corrected? by the electrosurgical unit’s overwhelming intererence. It can
result in grossly inaccurate pulse oximeter results. Electrosurgical
interference can be minimized by:
• Making sure the pulse oximeter sensor is as far away from the
return pad and operating site as possible.
• Making sure the sensor is not between the return pad and
operating site.
• Keeping the power cord and sensor cable away from the power
cord of the electrosurgical unit.
• Plugging the electrosurgery unit into a separate set of outlets
from the monitor.

48
NIBP Troubleshooting
Problem Solution
NIBP measurement does not work or • Check that the cu tubing is not bent, stretched, compressed,
the values seem unstable or loose.
• Check the cu position and cu tube connection.
• Prevent motion artiact.
• Use NIBP cus o correct size.

NIBP measurement does not start • Ensure that the cu size has been selected.

Why is the monitor re-infating the cu The cu target pressure must be higher than the patient’s systolic
automatically? pressure to obtain an accurate systolic and diastolic measurement.
I a systolic blood pressure cannot be ound, the monitor searches
or a systolic reading by re-inating the cu at a higher pressure.
This systolic search may occur once per NIBP determination cycle.
During a systolic search, the maximum cu ination pressure will not
exceed the normal pressure range o the cu. For more inormation,
reer to the technical specications.
A control measurement may be taking place. I the new value (the
control measurement) also exceeds the alarm limits the alarm
priority escalates to medium. In Manual mode and STAT mode
there are at least our seconds between the rst measurement
and the control measurement for Adult and Child cus, eight
seconds for Infant cus. In Auto mode there are at least 30 seconds
between the rst measurement and the control measurement.

49
10 CARESCAPE ONE

Overview

CARESCAPE ONE • Front View

The CARESCAPE ONE (CS ONE) can be used as an accessory to the B850/B650/B450 monitor with version 3.1
sotware, or as a standalone monitor. As a standalone monitor, the CS ONE provides ECG, ST segment, arrhythmia
detection, impedance respiration, SpO2, non-invasive blood pressure, invasive pressure, temperature, and CO2
airway gas parameter acquisition and monitoring.
The CS ONE includes an integrated display, touchscreen, alarm light, user input buttons, and an audio subsystem.
Realtime physiological parameter measurements and waveorms are displayed on the integrated display. Visual
alarms are conveyed using both the integrated display and alarm light. Audible alarms are conveyed using the
integrated audio subsystem. User input or conguration control and interaction is provided via the touchscreen.
In addition, both a power button and touchscreen lock button are provided.

50
CARESCAPE ONE Monitoring Basics
CARESCAPE ONE Main Screen Layout
The main screen displays alarms, inormation, waveorms, parameter windows, and the main menu in
pre-dened areas.
1 Alarm area
1 2
2 Information area
3 Waveorm area.
4 Upper parameter windows 3 4
5 Lower parameter windows
(optional).
6 Main menu area
5

Information Area
When the Information area o the screen is selected via touch, it opens the Admit/Discharge or Case Setup
menu and provides access to settings related to patient inormation, standby and prole selections.
The Information area of the screen
displays the following information:
• Patient name (i entered).
The patient name may be
covered by an alarm message
i there are three or more active
alarms.
• Prole name that is being used
for patient monitoring. The
prole name may be covered by
an alarm message if there are
three or more active alarms.
• Patient icon . You can
access the Admit/Discharge or
Case Setup menu by selecting
this icon.
• Battery icon . You can access
the Battery Status menu by
selecting this icon.
• Current time of day.

55
Main Menu Keys
Various functions of the monitor can be accessed through the main menu keys.

Key Function
Home Close all menus/applications displayed on the monitor.

Alarms Setup Allows access to alarm limits and priorities, arrhythmia alarm settings,
audible and visual alarm indicators.

Monitor Setup The Main Setup tab allows access to screen setup, colors, sound volumes,
parameter setup, battery status, brightness settings, admit/discharge (ICU,
ED, NICU sotware packages) or case setup (OR, PACU sotware packages).
The Deaults & Service tab allows access to deault setup, service
calibrations, and service, which are password protected.
The Monitor Info tab presents monitor hardware and software information.
Pt Data & Trends Allows access to numeric trends, trends time interval, and admit/discharge
(ICU, ED, NICU sotware packages) or case setup (OR, PACU sotware
packages).
NIBP Start or NIBP Cancel Start or stop a non-invasive blood pressure measurement. Ater selection,
the key toggles to NIBP Cancel.
Measurement does not start unless the cu size is dened.

NIBP Auto Start of NIBP Start or stop automatic non-invasive blood pressure measurements at timed
Auto Stop intervals. Ater selection, the button toggles to NIBP Auto Stop.
Measurement does not start unless the cu size is dened.

Zero All Pressures Zero all invasive pressure channels. This does not apply to ICP.

Pause audio alarm. Pauses active audio alarms or pre-pause audio or
incoming active alarms.

56
Menu Example
1 Menu title (or example, ECG).
1
2 Submenu tabs (or example,
2
Setup, ST).
3 Selection lists: when selecting 10
the arrow, a list o options 3 7
appear.
4. Arrow selector for increasing/
decreasing a value. 4 8
5 Radio button for selecting or
deselecting a feature from the 5 9
available options.
6 11
6 Help text area.
7 Further menu selections
8 Selector for increasing or
decreasing the volume.
9 Check box for selecting or
deselecting a feature.
10 Tabs to access additional pages
(or example, Page 1, Page 2).
Note! These tabs may
also be labeled with
feature names (for
example, HR, PVC/SVC
Arrhythmia).
11 Exit key (or example, Previous
Menu, Close).
Note! Not all menus
have these same
components.

Selecting Menu Options with a Touchscreen

In this guide, the term select means using the touchscreen display to select an item on the screen.
1 Touch the menu option with your nger.
2 The highlight on screen moves to this option.
3 Lit your nger o the screen, and the selected unction is perormed (or example, a list opens).

57
Proles
When you start monitoring a patient, you can use the startup prole or select another prole. According to the
conguration, your sotware may have up to eight proles to choose rom. Proles control many settings, including
parameter deaults, alarm detection limits, and alarm unctionality.
1 Select the patient information
area on the screen.
2 1
2 Select the Patient tab.
3 Select a prole rom the
Profle list.
I you make changes to a prole
while using it and need to return
to its previous settings, rst select
another prole and then re-select
the one you were using. If only one
prole has been enabled during
conguration, return to saved prole
settings through patient discharge/
case end or device reset.
I a prole other than the startup
menu has been selected during
the monitoring session, upon
3
discharge the CS ONE will return
to the startup prole or the next
monitoring session.

58
Starting Monitoring
A case automatically starts/a patient is admitted when the monitor detects any o the ollowing vital signs:
ECG, impedance respiration, Art, Fem, UAC, NIBP, SpO2, or CO2. Each vital sign has activation criteria that must be
met beore the vital sign is considered active. For more inormation about activation criteria, see the User Manual.
A case manually starts/a patient is admitted when any patient data is entered, such as the patient name or medical
record number.
Always observe the monitor and the patient careully during startup periods and when connecting CARESCAPE
Parameters.
Here are the basic steps or starting monitoring. Parameter-specic instructions are more detailed and should
always be followed.
1 Connect the patient to the CS ONE according to the measurement setup requirements in the parameter-
specic chapters o the User Manual. The alarms and parameter settings become active.
2 I the startup prole is not suitable, select another prole.
3 Enter patient demographics. Alarms will be activated based on the criteria, even i demographic inormation is
not entered. Demographic inormation can be entered at a later point, i needed.
4 Start the measurement.
5 Zero invasive pressure lines. Reer to the invasive pressures chapter in the User Manual.
6 I required, change the parameters displayed on the screen.
7 Check alarm limits and adjust, i necessary.

59
Entering Patient Data
The monitor automatically displays an on-screen keyboard for you to use for data entry.
1 Select the patient information
2 1
area on the screen.
2 Select the Patient tab.
3 Edit or enter patient data by
selecting the characters using
the touchscreen.
a Select MRN: Second
ID:, select the eld to
be edited, and enter
the [Link] the
Second ID: in addition
to the Medical Record
Number allows a exible
use of local patient
identication methods.
b Select Name:, select the
eld to be edited, and 3
enter the data.
c Select Date of Birth:
Age: to enter or edit the
patient’s date o birth or
age. If Day, Month, and
Year are entered, Age is
automatically calculated.
d Select the Height:
Weight: BSA: Gender:
Ethnicity: eld, then
select values or dierent
types of data. If height
and weight are entered,
the patient’s BSA
(body surace area) is
automatically calculated.

60
Resetting a Case / Discharging a Patient
Resetting a case/discharging a patient deletes all patient inormation and returns the monitor to the dened
startup prole.
All settings, including alarm limits return to their deault values. All patient data is removed rom the monitor.
The CS ONE may be congured in care unit settings with an automatic case reset/patient discharge timer. Care unit
settings are password protected. I an automatic case reset/patient discharge is congured and there are no active
parameters and no use o the touchscreen, monitoring will end automatically ater the congured time has elapsed.
1 Disconnect patient cables.
3 2
2 Select the patient information
area on the screen.
3 Select the Discharge / Reset
Case tab.
4 Select Confrm.

61
Standby
About Standby
When you remove the patient temporarily rom the monitor, you can use the standby option to put the monitor
on standby until the patient is reconnected to the monitor. You can also use the standby option before a patient
is admitted to the monitor/patient case is started. Congure the current patient settings or the incoming patient,
then put the monitor in standby to prevent nuisance alarms or automatic discharge due to monitor inactivity.

Starting Standby
1 Select the patient information
2 1
area on the screen.
2 Select the Standby tab.
3 I a patient is connected, select
Prepare or Standby to pause
audible alarms for two minutes.
This allows time to disconnect
patient cables.
I no patient is connected (no
CARESCAPE Parameters are
connected to the CS ONE),
select Standby from the
Standby tab, and the monitor
will immediately enter standby.
4 Disconnect the patient cables
and check that NIBP Auto is
turned o. 3
If patient cables are still
connected and the monitor
receives vital signs, a message End of Standby
indicating that audio alarms The monitor ends the standby
have been paused appears. automatically when any of the
following conditions occur:
If you do not disconnect the
cables and vital signs are still • The touchscreen is pressed.
present after the audio pause • At least one CARESCAPE
time expires, the standby Parameter is connected and active
is cancelled. You can also parameter data is detected.
cancel the standby before
the timer expires by selecting
Cancel [Link] monitor
will automatically enter
standby when all cables are
disconnected and NIBP Auto
is turned o. The screen goes
blank and the GE logo with the
message Standby appears.

62
Alarms
Alarm Priority Levels
Physiological and technical alarms
are categorized by priority level:
1 High priority alarms require an
immediate response.
2 Medium priority alarms
require a prompt response. 1 2 3 4
3 Low priority alarms require
you to be aware of the
condition.
4 Informational priority
messages provide inormation
you should know.

Pausing Alarms Pause Audio Key

Selecting the Pause Audio key results in dierent alarm behaviors depending on whether the alarms are active
and/or latched or not. The length o audio pause (2 min or 5 min) has been congured in Care Unit Settings > Alarms
(password protected). Acknowledging or pausing audio alarms does not aect the visual alarm indicators. They will
still continue indicating alarms.

Adjusting the Alarm Volume

The selections in the Alarms Setup menu vary according to what has been congured in the Care Unit Settings >
Alarms (password protected).
2
1 Select Alarms Setup from the
main menu.
2 Select the Audible & Visual tab.
3 Select the Volume & Light tab.
• Adjust the Alarm Volume
value. This is the volume or
all alarms.
• Adjust the Alarm Volume
separately for High &
Medium Priority and Low
Priority.
The lower the number, the quieter
the alarm volume. Note that the
minimum allowed alarm volume
levels are set in the Care Unit
Settings.
1 3
63
Changing an Alarm Limit
Setting Parameter Alarm Limits
Parameter alarm limits may be set in the Alarms Setup menu, or in the parameter menu’s own Alarm tab.
Alarm limits should not be set beyond reasonable physiological boundaries in to maintain patient safety.
Setting outside o reasonable boundaries would cause the alarms to be ineective.
1 Select Alarms Setup from the
2
main menu.
2 Select the Alarm Limits tab.
3 Select a parameter label.
That parameter menu’s Alarms
tab opens, where you can select
the alarms on or o, and set
their limits.

1 3

64
Trends
Viewing Numeric Trends
Numeric trends contain three pages with 24 hours of trend data. The lowest row shows the time indication and
the top o the view shows the highest priority realtime waveorm. You cannot congure the layout o the Numeric
Trend view.
1 Select Pt. Data & Trends.
2 Select Numeric Trends.
3 Select a parameter group tab to
view the trends.
• Vital: HR, SpO2, invasive
pressure 1, NIBP S/D(M),
RR(Imp), RR(CO2)
• Pressures: HR, invasive
pressure 1, invasive
pressure 2, NIBP S/D(M)
• Temp & Gases: T1, T2,
CO2 ET/FI
4 To see more numeric data, use
the scroll bar to scroll the data
in horizontal directions.
2 1
About Snapshots and 3
Graphic Trends
Snapshots: The CS ONE records
snapshots when it is operating as
a standalone monitor. However,
snapshots are only viewable on the
host monitor when the CS ONE is
connected to a host monitor as an
acquisition device.
Graphic Trends: Graphic trends are
only viewable on the host monitor
when the CS ONE is connected to
a host monitor as an acquisition
device. Only numeric trends are
available on the CS ONE when it is
operating as a standalone monitor.

65
Transport Use
You can use the CS ONE for uninterrupted monitoring when transferring a patient from one location to another.
When the CS ONE is used as an acquisition module, with a host monitor, you can disconnect it rom the host
monitor, retain the patient data in the CS ONE, and continue to monitor as you move the patient. Ater transport,
you can return to the CS ONE to the host monitor, reconnect it as an acquisition module, and resume monitoring
the patient on the host monitor.

Dual Monitoring and Transport

During normal monitoring when the CS ONE is connected to the host monitor as an acquisition device, the CS ONE
display is not active. A screen saver is displayed, and all parameter data and alarm signals are presented on the
host monitor.
You can activate the CS ONE display screen by touching it. When activated, the message Acquisition mode – view
only is displayed, indicating that only view is allowed.
Upon return rom transport when the CS ONE is reconnected to the host monitor, the CS ONE display remains
illuminated or two minutes so you can ensure the host monitor is displaying waveorms and parameter data.

Preparing to Transport a Patient

1 Place the host monitor into standby mode. Refer to the host monitor user manual for instructions.
2 Add parameters needed or transport to the CS ONE, or remove those not needed or transport.
3 Ensure that the parameters you need to monitor during transport are selected to display on the CS ONE screen.
4 Ensure that there is a charged battery installed in the CS ONE. Refer to the User Manual if the battery needs to
be charged or changed.
5 Disconnect the CS ONE rom the CARESCAPE Dock F0.
6 Place the CS ONE in the transport location. Use a Mini Dock and/or a Parameter Dock 1 or Parameter Dock 5 to
secure the CS ONE and CARESCAPE Parameters during transport.
7 Transport the patient.

66
Returning a Patient from Transport
Follow these steps to return the patient to the same host monitor ater transport, retaining the patient data.
1 Return the patient to the room.
2 Remove the CS ONE rom the Mini Dock.
3 Connect the CS ONE to the CARESCAPE Dock F0 at the host monitor.
Patient monitoring will automatically resume on the host monitor if the patient case matches. Patient data
acquired on the CS ONE during transport will be available on the host monitor.
I the patient case does not match between the host monitor and the CS ONE, then the Select Patient and Data
window will open on the host monitor. There are four possible options.
You can:
• Select the patient in the CS ONE to continue the CS ONE patient case. This option is shown as CS ONE, along
with the patient name and MRN number.
• Select the patient in the host monitor to continue the host monitor patient case. This option will only appear
if a patient is admitted to the host monitor. It is shown as the host monitor bed name plus the patient name
and MRN number.
• Merge the CS ONE patient case with the host monitor patient case. This option is shown as the host monitor
bed name + CS ONE.
• Select New Patient to discharge the patient rom the CS ONE, deleting all patient data and history, and start
monitoring a new patient/case at the host monitor.
4 I needed, reconnect any parameters that were disconnected during transport.

67
[Link]

GE Healthcare provides transormational medical technologies and services that are shaping a new age o
patient care.
Our broad expertise in medical imaging and inormation technologies, medical diagnostics, patient monitoring
systems, drug discovery, biopharmaceutical manuacturing technologies, perormance improvement and
perormance solutions services help our customers to deliver better care to more people around the world at a
lower cost.
In addition, we partner with healthcare leaders, striving to leverage the global policy change necessary to
implemental successful shift to sustainable healthcare systems.
imagination at work

Product may not be available in all countries and regions. Full product technical specication is available upon
request. Contact a GE Healthcare Representative or more inormation. Please visit
[Link]/promotional-locations.

© 2017 General Electric Company – All rights reserved.

General Electric Company reserves the right to make changes in specications and eatures shown herein, or
discontinue the product described at any time without notice or obligation.

GE, GE Monogram, and CARESCAPE are trademarks o General Electric Company.

Masimo SET is a trademark of Masimo Corporation.
Nellcor, and OxiMax are trademarks o a Medtronic company.
LoFlo is a trademark o Koninklijke Philips Electronics N.V.

Notice: The materials contained in this document are intended for educational purposes only. This document does
not establish specications, operating procedures or maintenance methods or any o the products reerenced.
Always reer to the ofcial written materials (labeling) provided with the product or specications, operating
procedures and maintenance requirements. Specications are subject to change.
All patient names or other protected health information or data contained in any image within this material is
ctitious. Any similarity to actual persons is coincidental.

DOC2068545