GE Medical Systems Dash 2000 Operator's Manual
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GE Medical Systems Dash 2000 Operator's Manual

Patient monitor
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Dash 2000 Patient Monitor
Software Version 3
Operator's Manual
2005873-001 ENG
Revision C

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Summary of Contents for GE Medical Systems Dash 2000

  • Page 1 Dash 2000 Patient Monitor Software Version 3 Operator's Manual 2005873-001 ENG Revision C...
  • Page 2 NOTE: The information in this manual only applies to Dash 2000 software version 3. Due to continuing product innovation, specifications in this manual are subject to change without notice. Trademarked names appear throughout this document. Rather than list Trademarks the names and entities that own the trademarks or insert a trademark...
  • Page 3 CE Marking Information The Dash 2000 patient monitor bears CE mark CE-0459 Compliance 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 radio-interference emitted by this device is within the limits specified in EN 55011, for class B equipment.
  • Page 4 UL and CSA requirements and AHA recommendations valid at the time of printing. • Information Technologies The GE Medical Systems quality management system complies with the international standards DIN/EN/ISO 9001 and EN 46001, and the Council Directive on Medical Devices 93/42/EEC. NOTICES-2 Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 5: Table Of Contents

    Other Questions or Problems............xii Monitor Defaults Worksheet............xiii THE BASICS ............... 1-1 Components..................1-2 The Monitoring System .............. 1-2 Dash 2000 Monitor ..............1-2 Optional Nurse Call..............1-3 Optional Centralscope Central Station........1-4 Optional Clinical Information Center ........1-5 Optional Laser Printer ............... 1-6 Optional Defibrillator and Pacer ..........
  • Page 6 You Must Admit to Activate Alarms ......... 3-2 Monitors are Used in Different Ways........3-2 Guidelines When Doing Combination Monitoring ....3-3 For Which Application is the Monitor Set?....... 3-3 Getting to the Admit Menu ............. 3-4 Dash 2000 Patient Monitor Revision C 2005873-001...
  • Page 7 Changing a Limit in the All Limits Screen......4-8 Alarm Graph ................4-9 Alarm Volume ................4-10 Parameter Alarm Level ............4-11 Arrhythmia Alarm Level............4-12 MONITOR SETUP............5-1 Monitor Setup Menu................ 5-2 Monitor Defaults................. 5-3 Monitor Defaults Menu .............. 5-3 Revision C Dash 2000 Patient Monitor 2005873-001...
  • Page 8 Time Period ................6-7 MAINTENANCE............7-1 Biocompatibility ................7-2 Inspection ..................7-3 General Cleaning ................7-4 Exterior Surface ................7-4 Display..................7-5 Cleaning Applied Parts ..............7-6 Cables and Leadwires..............7-6 Other.................... 7-6 Technical Maintenance..............7-7 Dash 2000 Patient Monitor Revision C 2005873-001...
  • Page 9 Monitoring Dash Responder Paced Patients ..... 8-21 QRS Width ................8-22 Changing QRS Width ............8-22 Arrhythmia ................8-23 Lethal ................... 8-23 Arrhythmia Conditions ............8-23 Troubleshooting ................8-25 Internal Pacemaker Troubleshooting........... 8-26 Revision C Dash 2000 Patient Monitor 2005873-001...
  • Page 10 NBP Stat.................. 10-11 Early Systolic Measurement..........10-11 NBP Limits................10-12 NBP Settings................10-13 Cuff Size ................10-14 Initial Cuff Pressure............10-14 Review NBPs................10-15 Clear NBP Reading..............10-15 Troubleshooting ................10-16 NBP Status Messages............. 10-16 Dash 2000 Patient Monitor Revision C 2005873-001...
  • Page 11 Respiration Limits ..............12-8 Sensitiv ..................12-9 Cardiac Artifact Alarm............12-10 Size...................12-11 Auto Size ................12-11 Manual Size ............... 12-11 Troubleshooting ................12-12 Respiratory Waveform............12-12 Cardiac Artifact ..............12-12 Varying Amplitudes............12-13 Messages.................. 12-13 Revision C Dash 2000 Patient Monitor 2005873-001...
  • Page 12 Pulse Oximetry (SpO2)............14-28 Non-invasive Blood Pressure (NBP)........14-28 Paper Recorder................14-30 Analog Output................. 14-30 Defibrillator Synchronization Pulse ........14-30 Environmental Specifications ..........14-31 Physical Specifications ............14-32 Certification ................14-32 Warranty ................. 14-32 viii Dash 2000 Patient Monitor Revision C 2005873-001...
  • Page 13 Intended Use This product is intended for use as a hospital patient monitor. It is NOT intended for home use. The Dash 2000 patient monitor is referred to in this manual as the Dash Product References monitor or simply the monitor.

  • Page 14: Revision History

    Revision Date Comments April 2001 This document corresponds with the Dash monitor software version 3. April 2002 ECO 070505 September 2002 ECO 072030 February 2004 ECO 075999 Updated addresses Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 15: How To Reach Us

    Order supplies (leadwires, electrode paste, thermal paper, etc.) or service Ordering Supplies & parts (manuals, circuit boards, cables, software, etc.) from: Service Parts Accessories GE Medical Systems Accessories and Supplies 2607 North Grandview Blvd. Mail Code: SN-471 Waukesha, WI 53188 Telephone: 800.558.5102 (US only)

  • Page 16: Other Questions Or Problems

    Asia; GE (China) Co., Ltd. 24th Floor, Shanghai MAXDO Center, 8 Xing Yi Road, Hong Qiao Development Zone Shanghai 200336, P.R. China Tel: + 86 21 5257 4650 Fax: + 86 21 5208 2008 Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 17: Monitor Defaults Worksheet

    Parameter Alarm Levels Arrhythmia Alarm Levels Crisis Warning Advisory Message Crisis Warning Advisory Message Asystole VFib/VTac VTach Brady (NEO mode) SPO2 ART Rate SPO2 Rate FEM Rate UAC Rate Resp Apnea Revision C Dash 2000 Patient Monitor xiii 2005873-001...
  • Page 18 Parameter Limits High NBP-S NBP-D NBP-M ART-S ART-D ART-M ART-R FEM-S FEM-D FEM-M FEM-R UAC-S UAC-D UAC-M UAC-R PA-S PA-D PA-M SpO2 SpO2-R RR-Apnea Dash 2000 Patient Monitor Revision C 2005873-001...
  • Page 19 * color display PRESSURE ** monochrome display PED CUFF *** not in NEO-ICU mode PRESSURE NEO CUFF PRESSURE NBP CUFF SIZE RR PARAMETER RR LEAD VIEW ON ALARM VOA BROADCAST REMOTE ALARM LEVEL Revision C Dash 2000 Patient Monitor 2005873-001...
  • Page 20 Parameter 1 Parameter 2 Parameter 3 Circle the other parameters you want to have priority after position 3. The software prevents you from selecting more parameters than allowable. SPO2 Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 21: The Basics

    1 THE BASICS Components..................1-2 The Monitoring System ............. 1-2 Dash 2000 Monitor ..............1-2 Optional Nurse Call..............1-3 Optional Centralscope Central Station........1-4 Optional Clinical Information Center ........1-5 Optional Laser Printer .............. 1-6 Optional Defibrillator and Pacer ..........1-7 Optional Dash Port Docking Station .........

  • Page 22: Components

    Components The Dash 2000 patient monitor can function by itself with a built-in writer The Monitoring (optional) or it can be cabled in with the Unity network via Ethernet. System Optional components are, if cabled to Ethernet, a Centralscope central station and the Clinical Information Center.

  • Page 23: Optional Nurse Call

    Optional Nurse Call according to IEC 60601 (4 kV voltage isolation) is required. Use parts set 2005693-001. Please note the information given in chapter 4, section "Alarm Structure", on the different categories of transferred alarms. Revision C Dash 2000 Patient Monitor 2005873-001...

  • Page 24: Optional Centralscope Central Station

    2-inch wide graph paper. 012A Centralscope Central Station The Centralscope Central Station is generically referred to as the central station throughout this manual. Refer to the Centralscope central station operator’s manual for instructions on operation. Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 25: Optional Clinical Information Center

    All devices must be connected to the network. Clinical Information Center The Clinical Information Center is generically referred to as the central station throughout this manual. Refer to the Clinical Information Center operator's manual for instructions on operation. Revision C Dash 2000 Patient Monitor 2005873-001...

  • Page 26: Optional Laser Printer

    When you choose the laser printer as the alarm graph location, it will provide 20 seconds of waveforms per page in a cascade format, but again, there will be a delay of one minute until the first page is printed. Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 27: Optional Defibrillator And Pacer

    Refer to the ECG chapter in this manual for notes on influences of the Dash Responder defibrillator and pacer. NOTE: Only versions 3 and higher of the Dash 2000 patient monitor are capable of communicating with the Dash Responder. Revision C...

  • Page 28: Optional Dash Port Docking Station

    Refer to the Dash Port Docking Station Operator's Manual for instructions on operation. NOTES: The Dash 2000 patient monitor can only be connected either to the Dash Responder or to the Dash Port Docking Station at a time. Only versions 3 and higher of the Dash 2000 patient monitor are compatible with the Dash Port Docking Station.

  • Page 29: Operation

    150/ Graph Go/Stop Go/Stop 105/ SPO2 NBP Go/Stop * * * SPO2 Go/Stop 200/ Function Function MORE Trim Knob MENUS Trim Knob Silence Alarm Control Silence Alarm Operating the Dash 2000 Patient Monitor Revision C Dash 2000 Patient Monitor 2005873-001...

  • Page 30: Trim Knob Control

    Remember, when using the Trim Knob control, rotate to highlight, then press to select. Battery Power Charging Status 150/ Graph Go/Stop 105/ NBP Go/Stop * * * 200/ Function Trim Knob Silence Alarm 003A Trim Knob Control 1-10 Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 31: Control Keys

    If a printable information window is displayed, press GRAPH GO/STOP to print a copy. If a nonprintable information window is displayed, pressing the GRAPH GO/STOP key prints patient data as if the information window was not displayed. Revision C Dash 2000 Patient Monitor 1-11 2005873-001...

  • Page 32: Nbp Go/Stop

    Press once (if an alarm is sounding you must press twice) to start a 5- minute alarm pause; • Press again to start a 15-minute alarm pause; • Press again to start a permanent alarm pause; • Press again to reactivate alarms. 1-12 Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 33: Turning Power On

    Turning Power On The Dash 2000 monitor will be powered at all times when using AC power AC Power (there is no AC power switch). The monitor is preset at the factory for a specific AC voltage. Before applying power, be sure the power requirements match your power supply.

  • Page 34: Battery Power

    • Check the battery status at least once every month and recharge the battery (see "Environmental Specifications --> Storage Conditions"). • Condition the battery every three months (see "Battery Conditioning" below). 1-14 Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 35: Power Indicator Lights

    The system message "COND IS RUNNING" is displayed. NOTE: If the Charging Status LED is blinking yellow, this indicates a malfunction in the battery management system. Please contact Service. Revision C Dash 2000 Patient Monitor 1-15 2005873-001...

  • Page 36: Battery Conditioning

    • In the user-controlled and manual modes, conditioning is started using this menu sequence: MONITOR SETUP > SERVICE MODE > BATTERY SERVICE > START CONDITION (notify service!). 1-16 Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 37: Battery

    Refer to the following examples: New battery, New battery, Old battery, Old battery, charged fully charged approximately fully charged to approximately 60% charged 75% of its current capacity (less than half of its new capacity) Revision C Dash 2000 Patient Monitor 1-17 2005873-001...

  • Page 38: Battery Service Information Window

    SERVICE MODE -> REVIEW ERRORS -> VIEW OUTPUT ERRORS). Notify Service. Information Technologies Environmental Issues: GE Medical Systems strives to produce products that are both user safe and environmentally friendly. We sincerely believe that our products and the production methods used to produce them, meet these goals.

  • Page 39: Software Features

    From the Main Menu, you access a parameter menu by selecting the appropriate parameter label, or you can access other menus (not related to a specific parameter) by selecting the MORE MENUS option. Revision C Dash 2000 Patient Monitor 1-19 2005873-001...

  • Page 40: Parameter Menus

    The service menu is accessed here also. Each of these options is covered in more detail in following chapters. 1-20 Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 41: Popup Menus

    Trim Knob control can be rotated to move the pointer to another selection. However, before the change is actually implemented, the Trim Knob control must be pressed. The popup menu closes and the change is in effect. Revision C Dash 2000 Patient Monitor 1-21 2005873-001...

  • Page 42: Numeric Popup

    Menu is replaced with the subordinate ANALYSIS SETTINGS Menu. LEAD DETECT MAIN FILTER ANALYSIS: PACE: MENU MONITORG MULTI PREV ARRHYTH WIDTH MENU NORMAL ANALYSIS SETTINGS Menu Select PREV MENU to redisplay the ECG Menu. 1-22 Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 43: Direct Action Menu Options

    ECG rhythm. You can’t stop these processes as they are short term and stop automatically; therefore, the words identifying the menu option do not change as in ON/OFF actions. Revision C Dash 2000 Patient Monitor 1-23 2005873-001...

  • Page 44: Parameter Windows

    Each parameter window has two parts—a parameter label and digital values. Depending on how you have set your defaults, limits and units of measure may be displayed under the parameter label. 200/ S mmHg 136/ ART Parameter Window 1-24 Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 45: Information Windows

    PARAM 117/ PREV SPECIFIC MENU TIME The Vital Signs Information Window If a popup menu is displayed with the window, you must turn the Trim Knob control to scroll to more information. Revision C Dash 2000 Patient Monitor 1-25 2005873-001...

  • Page 46: Trim Knob Control Operation When Setting Alarm Limits

    9. Press again and select RETURN with the Trim Knob control. The popup menu and information window close. The same principle applies when setting limits for other parameters. 1-26 Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 47: Graphing (Printing)

    This manual refers to a PRN 50 and direct digital writer (DDW) as a writer and to a laser printer as a printer. The writer may be the Dash 2000 monitor's built-in writer or a stand-alone writer connected to another monitor. Your system may include one or more central stations.

  • Page 48: Pressure Scales

    • arrhythmia call (if any and arrhythmia is on) • pace mode (if on) arrhythmia mode (off or lethal) • ECG filter (Hz range) • values for all other monitored parameters • 1-28 Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 49: Putting The Monitor Into Operation

    Technical Specifications chapter must be ensured at all times. • The Dash 2000 monitor is designed to comply with the requirements of IEC 60601/EN 60601. • Using the power cord supplied with the monitor, connect it to the power line (the illustration on page 1-3 shows the AC power connector).

  • Page 50: Performance Check

    • The monitor display appears after approximately 10 seconds. After power up and during operation the Dash 2000 runs automatic self- tests. When a malfunction is detected, the monitor displays a message and a prompt, asking whether the user wishes to continue operation.

  • Page 51: Safety

    Monitor Safety ................2-2 Dangers..................2-2 Warnings ..................2-3 Cautions ..................2-7 Notes ..................2-10 Reference Literature..............2-10 Classifications ................2-11 Underwriters Laboratories, Inc ..........2-11 Safe Operating and Handling Conditions....... 2-12 Equipment Symbols..............2-13 Revision C Dash 2000 Patient Monitor 2005873-001...

  • Page 52: For Your Safety

    The order in which safety statements are presented in no way implies order of importance. There are no dangers that refer to the equipment in general. Specific Dangers "Danger" statements may be given in the respective sections of this manual. Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 53: Warnings

    Such contact would bridge the patient's insulation and cancel the protection provided by the insulated input. In particular, there must be no contact of the neutral electrode and ground. Revision C Dash 2000 Patient Monitor 2005873-001...
  • Page 54 In all cases, safe and proper operation should be verified with the applicable manufacturer's instructions for use, and system standards IEC 60601-1-1/EN 60601-1-1 must be complied with. Dash 2000 Patient Monitor Revision C 2005873-001...
  • Page 55 Unprotected Leadwire Protected Leadwire 002A Revision C Dash 2000 Patient Monitor 2005873-001...
  • Page 56 Do not route cables in a way that they may present a stumbling hazard. For devices installed above the patient, adequate precautions must be taken to prevent them from dropping on the patient. Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 57: Cautions

    CF and BF symbols with paddles are protected against damage resulting from defibrillation voltages. To ensure proper defibrillator protection, only recommended cables and leadwires. Proper placement of defibrillator paddles in relation to the electrodes is required to ensure successful defibrillation. Revision C Dash 2000 Patient Monitor 2005873-001...
  • Page 58 If you have questions concerning disposal of products, please contact GE Medical Systems Information Technologies or its representatives.
  • Page 59 VENTILATION REQUIREMENTS—Set up the device in a location which affords sufficient ventilation. The ventilation openings of the device must not be obstructed. The ambient conditions specified in the technical specifications must be ensured at all times. Revision C Dash 2000 Patient Monitor 2005873-001...

  • Page 60: Notes

    General requirements for safety EN 60601-1-1/9.1994 + A1 12.95: General requirements for safety. Requirements for the safety of medical electrical systems. IEC Publication 513/1994: Fundamental aspects of safety standards for medical equipment. 2-10 Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 61: Classifications

    Classifications The Dash 2000 Patient Monitor is classified, according to IEC 60601-1 as: Type of protection against electric shock: Degree of protection against CF—ECG, Temp, Resp, BP electric shock: BF—NBP, SpO2 Degree of protection against Ordinary Equipment harmful ingress of water:...

  • Page 62: Safe Operating And Handling Conditions

    Defibrillation shocks The monitor specifications fulfill the requirements of EC13, IEC 60601-2-27, -30, 34 and prEN 865. Auxiliary outputs The system must fulfill the requirements of standard IEC 60601-1-1. 2-12 Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 63: Equipment Symbols

    Medical Standards to provide protection against electric shock, particularly regarding allowable leakage current. Fuse Equipotentiality Alternating current (AC) Power; I = ON; O = OFF Indicates where to press to open the door on the DDW. Revision C Dash 2000 Patient Monitor 2-13 2005873-001...
  • Page 64 For your notes 2-14 Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 65: Admit Discharge

    Set Bed Number................ 3-14 Set Graph Location ..............3-15 ECG Source ................3-15 About Discharging ................. 3-16 Discharge Patient ..............3-16 Standard and Rover Admit Menu ........3-16 Combo and Rover Combo ............ 3-17 New Case................3-17 Revision C Dash 2000 Patient Monitor 2005873-001...

  • Page 66: About Admitting

    The information that is necessary for successful admission to the monitor and the network is then provided in the Admit Menu. Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 67: Guidelines When Doing Combination Monitoring

    ADMIT MENU: STANDARD MONITOR TYPE: ADLT-ICU (C) COPYRIGHT 2000 - 2001 GE MEDICAL SYSTEMS INFORMATION TECHNOLOGIES GMBH MAIN MONITOR MENU DEFAULTS PREV. PARAM. SOFTWARE MENU ON / OFF SUMMARY SOFTWARE SUMMARY Information Window Revision C Dash 2000 Patient Monitor 2005873-001...

  • Page 68: Getting To The Admit Menu

    3. Select ADMIT MENU or NEW CASE SETUP to display the Admit Menu. The admit menu displayed depends on how your monitor has been set up. The following pages describe the various admit menus. Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 69: Standard Admit Menu

    (new admission). NOTE: This option is found in OR mode only. Refer to this chapter, Admit Menu Options, if you need more details on these menu options. Revision C Dash 2000 Patient Monitor 2005873-001...

  • Page 70: Rover Admit Menu

    (new admission). NOTE: This option is found in OR mode only. Refer to this chapter, Admit Menu Options, if you need more details on these menu options. Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 71: Combo Admit Menu

    ADMIT PATIENT–a direct action menu option that admits the patient. DISCHARG PATIENT—opens a popup menu to confirm the discharge of the patient. Refer to this chapter, Admit Menu Options, if you need more details on these menu options. Revision C Dash 2000 Patient Monitor 2005873-001...

  • Page 72: Rover Combo Admit Menu

    SET GRAPH LOCATION—display a new menu to select writers for manual and alarm graphs. Refer to this chapter, Admit Menu Options, if you need more details on these menu options. Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 73: Admit Menu Options

    The RETURN option appears after selecting CHANGE ADMIT INFO. Then two additional items, LOCATION ID and SITE NUMBER, are accessible when scrolling through the window (not functional in Dash 2000). Depending on the monitor setup, different Admit Info popup menus are...

  • Page 74: Change Admit Info

    (not used in current SW version). Site Number: if your institution has multiple buildings, a site number may be necessary. A Muse system may be used for site numbering (not used in current SW version). 3-10 Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 75: Request Admit Info

    WEIGHT and HEIGHT—these options change the units of measure for Weight and Height weight and height. AGE—this option only appears when the monitor is set for Neonatal-ICU mode. Select it to switch age between weeks, days, or years. Revision C Dash 2000 Patient Monitor 3-11 2005873-001...

  • Page 76: Admit Patient

    It is a direct action menu option which, when selected, does both a discharge and immediate admit. All patient data from the previous patient is erased, the screen blanks for a few seconds, and then the monitor is ready for the next patient. 3-12 Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 77: Set Unit Name

    3. Press the Trim Knob control. The information window closes and the new unit name appears at the top of the monitor. NOTE: If the monitor is not on the network, a text entry popup menu will open. Revision C Dash 2000 Patient Monitor 3-13 2005873-001...

  • Page 78: Set Bed Number

    3. If the bed number you need is not listed, select CREATE NEW BED. A text entry popup menu opens which works just like that for setting patient name. NOTE: If the monitor is not on the network, a text entry popup menu will open. 3-14 Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 79: Set Graph Location

    If you choose a transmitter number, that number (TTX) needs to be admitted before it will appear in the ECG parameter window. 4. Select ADMIT PATIENT to admit the transmitter. The TTX number now appears in the ECG parameter window. Revision C Dash 2000 Patient Monitor 3-15 2005873-001...

  • Page 80: About Discharging

    5. Rotate the Trim Knob control to move the pointer to DISCHARG. 6. Press the Trim Knob control. The message ”DISCHARGED” appears at the top of the display and all data is cleared from the system. 3-16 Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 81: Combo And Rover Combo

    5. Press the Trim Knob control. Patient information clears and the monitor is automatically put in the admit state, ready for the next patient. (You will never see the ”DISCHARGED” message displayed.) Revision C Dash 2000 Patient Monitor 3-17 2005873-001...
  • Page 82 For your notes 3-18 Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 83: Alarm Control

    Viewing an All Limits Screen ..........4-7 Changing a Limit in the All Limits Screen......4-8 Alarm Graph ................4-9 Alarm Volume ................4-10 Parameter Alarm Level ............4-11 Arrhythmia Alarm Level............4-12 Revision C Dash 2000 Patient Monitor 2005873-001...

  • Page 84: Smart Alarms

    After an interruption of the electric power supply (e.g. for an emergency power test) it is necessary to check whether the alarm processing is active again and whether asystole has occurred while the power supply was interrupted. Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 85: Alarm Structure

    Monitor Response: CRISIS* WARNING ADVISORY MESSAGE *Crisis Alarm must be silenced by the user Alarm Tone Flashing Visual Alert (3, 2, or 1 beep) (Text or Parameter Value) Automatic Graph Patient Status Alarms Chart Revision C Dash 2000 Patient Monitor 2005873-001...

  • Page 86: System Status Alarms

    Unlike patient status alarms, system status alarms cannot be moved from one level to another. NOTE: The nurse call system connected to the AUX port on the back of the monitor is activated when a WARNING System Status alarm occurs. Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 87: Controlling Audio Alarms

    Press the SILENCE ALARM key again to turn alarms back on. Refer to this chapter, Alarm Volume, for a procedure whereby you can Turning Alarm permanently turn the alarm volume off. Volume Off Permanently Revision C Dash 2000 Patient Monitor 2005873-001...

  • Page 88: Alarm Control Menu

    ALARM VOL—adjust the volume of the alarm tone. • PARAM. ALARM LEVEL—view parameter alarm levels. Can adjust parameter alarms to other alarm levels. • ARRHYTH ALARM LEVEL—view arrhythmia alarm levels. Can adjust arrhythmia alarms to other alarm levels. Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 89: All Limits

    ALL LIMITS Popup Menu and Information Window The information window shows a list of the patient parameters currently monitored, the units by which they are measured, and the high and low limits currently in effect. Revision C Dash 2000 Patient Monitor 2005873-001...

  • Page 90: Changing A Limit In The All Limits Screen

    You can now move to another parameter if you want. 7. When finished with all changes, move the pointer to RETURN, and press the Trim Knob control to close the All Limits information window. Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 91: Alarm Graph

    2. Pressing the Trim Knob control alternately changes the state to on or off; the actual setting is always displayed. Any change made with this menu option is only temporary and will revert to default upon discharge. Revision C Dash 2000 Patient Monitor 2005873-001...

  • Page 92: Alarm Volume

    4. When you are satisfied with the volume level, press the Trim Knob control to close the popup menu. Any change made with this menu option is only temporary and will revert to default upon discharge. 4-10 Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 93: Parameter Alarm Level

    The parameters listed are WARNING only those currently being SPO2 ADVISORY monitored. ADVISORY RR-APNEA ADVISORY SPO2-RATE MESSAGE MESSAGE MESSAGE MAIN MENU PARAM. PREV. ALARM MENU LEVEL PARAMETER ALARM LEVELS Popup Menu and Information Window Revision C Dash 2000 Patient Monitor 4-11 2005873-001...

  • Page 94: Arrhythmia Alarm Level

    NOTE: V TACH is only found in the Adult mode and Operating Room mode menu, BRADY is only found in the Neonatal mode menu. 4-12 Dash 2000 Patient Monitor Revision C 2005873-001...
  • Page 95 The information window remains open for you to make any other changes. 5. When you have completed all changes, move the pointer to RETURN and press the Trim Knob control to close the information window. Revision C Dash 2000 Patient Monitor 4-13 2005873-001...
  • Page 96 For your notes 4-14 Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 97: Monitor Setup

    Graph Location ..............5-18 Alarm Graph ................ 5-20 Speed ..................5-20 Timed Graph ................ 5-21 Parameters On / Off..............5-22 Software Summary ..............5-23 Service Mode ................5-24 Patient Monitor Type ............5-25 Admit Mode................5-25 Revision C Dash 2000 Patient Monitor 2005873-001...

  • Page 98: Monitor Setup Menu

    SOFTWARE SUMMARY—display a list of the software revisions currently installed for the various components of the monitor. • SERVICE MODE—access a service mode (for qualified service personnel). Detailed information on each option is found in this chapter. Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 99: Monitor Defaults

    DEFAULT LIMITS—set alarm limits for all parameters. • PARAM. ALARM LEVELS—adjust parameter alarm levels to other alarm levels. • ARRHYTH. ALARM LEVELS—adjust arrhythmia alarms to other alarm levels. • RECALL DEFAULT—recall Monitor Defaults without performing a discharge procedure. Revision C Dash 2000 Patient Monitor 2005873-001...

  • Page 100: Setup Default Arrhythmia Alarm Levels

    NOTE: VTACH is only found in the Adult ICU and Operating Room mode, BRADY is only found in the Neonatal ICU mode (see also page 4-6, Alarm Control Menu). Dash 2000 Patient Monitor Revision C 2005873-001...
  • Page 101 The information window remains open for you to make any other changes. 5. When you have completed all changes, move the pointer to RETURN and press the Trim Knob control to close the information window. Revision C Dash 2000 Patient Monitor 2005873-001...

  • Page 102: Setup Default Parameter Alarm Levels

    21-NOV-2000 16:27 DAK.BED 1 PARAMETER ALARM LEVELS > RETURN WARNING SPO2 ADVISORY ADVISORY RR-APNEA ADVISORY SPO2-RATE MESSAGE MESSAGE MESSAGE MAIN MENU PARAM. PREV. ALARM MENU LEVELS PARAM ALARM LEVELS Popup Menu and Information Window Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 103: Setup Default Limits

    Press the Trim Knob control to complete the change. 6. Rotate the Trim Knob control to highlight the parameter label and press to unhighlight. 7. Select RETURN when all changes are completed. The popup menu and information window close. Revision C Dash 2000 Patient Monitor 2005873-001...

  • Page 104: Setup Default Display

    2. Using the rotate and press technique with the Trim Knob control, select a display item and make the desired change. 3. Select RETURN when finished to close the popup menu and information window. Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 105: Setup Default Parameter Priority

    The system prioritizes these for you. See the next page for additional information which may be helpful to you when prioritizing parameters. Revision C Dash 2000 Patient Monitor 2005873-001...

  • Page 106: Recall Default

    Refer to your Defaults Worksheet at the front of this manual, or refer to the Appendix, Factory Defaults, to see the factory defaults. 5-10 Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 107: Display Setup Menu

    BACKGRND: MENU ON / OFF 30 % WHITE TIME PREV. MENU DATE 051A DISPLAY SETUP MENU (monochrome version) NOTE: The TIME AND DATE option is displayed only if no network is available. Revision C Dash 2000 Patient Monitor 5-11 2005873-001...

  • Page 108: Waveform On / Off

    Choose OFF if you want no waveform displayed in that position. 4. Press the Trim Knob control to complete the change and close the popup menu. Use this same procedure for the other waveform positions. 5-12 Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 109: Contrast

    2. Rotate the Trim Knob control to change the brightness of the display. The change takes place immediately so you can judge the appropriate percentage. 3. Press the Trim Knob control to close the popup menu. Revision C Dash 2000 Patient Monitor 5-13 2005873-001...

  • Page 110: Color

    Select TIME AND DATE to display the TIME AND DATE popup menu. MAIN MENU DATE TIME PREV. MENU 054A TIME AND DATE Popup Menu 5-14 Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 111: Set Date

    4. Rotate the Trim Knob control to select another item and proceed as in steps 2 and 3. 5. To complete the procedure, select the SET TIME option again and press the Trim Knob control. Revision C Dash 2000 Patient Monitor 5-15 2005873-001...

  • Page 112: Graph Setup

    • SPEED—choose a speed at which a graph strip is run. • TIMED GRAPH—control the duration of a manual graph. More details on the Graph Setup Menu options follow. 5-16 Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 113: Ecg 1, Waveform 2, Waveform 3

    2. Use the Trim Knob control to move the pointer in front of the waveform you want to be graphed. 3. Press the Trim Knob control to confirm the change and close the popup menu. Revision C Dash 2000 Patient Monitor 5-17 2005873-001...

  • Page 114: Graph Location

    Use the same procedure when selecting an alarm graph location and print window location. NOTE: The Graph Location Menu is also accessible via the Admit Patient Menu when the Rover or Rover/Combo application is selected. 5-18 Dash 2000 Patient Monitor Revision C 2005873-001...
  • Page 115 The third column shows the type of writer— WRITER means it is a Direct Digital Writer, LASER means it is a laser printer. Revision C Dash 2000 Patient Monitor 5-19 2005873-001...

  • Page 116: Alarm Graph

    3. Rotate the Trim Knob control so the pointer is in front of the speed you want. 4. Press the Trim Knob control to confirm the change and close the popup menu. 5-20 Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 117: Timed Graph

    TIMED GRAPH Popup Menu 3. Rotate the Trim Knob control so the pointer is in front of your choice. 4. Press the Trim Knob control to confirm the change and close the popup menu. Revision C Dash 2000 Patient Monitor 5-21 2005873-001...

  • Page 118: Parameters On / Off

    The information window remains open so you can select another parameter if desired. NOTE: ECG cannot be turned off. 4. When finished, select RETURN to close the information window and popup menu. 5-22 Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 119: Software Summary

    ON / OFF SUMMARY SOFTWARE SUMMARY Popup Menu and Information Window The information in the list is most useful to service personnel. 2. Select OK to close the popup menu and information window. Revision C Dash 2000 Patient Monitor 5-23 2005873-001...

  • Page 120: Service Mode

    The service mode is used by qualified field engineers, factory service personnel, and hospital biomedical engineers to set up, troubleshoot, and repair the monitor. If you want more details please refer to the appropriate product service manual. 5-24 Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 121: Patient Monitor Type

    Another option in the Service Menu which affects your monitor is the ADMIT MODE. The admit mode determines the menu options you will use when admitting a patient to the monitor. The admit modes are: Standard, Rover, Combo, and Rover Combo (ROV COM). Revision C Dash 2000 Patient Monitor 5-25 2005873-001...
  • Page 122 For your notes 5-26 Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 123: Patient Data

    Time Interval ................. 6-4 Specific Time ................6-4 Page Down and Page Up ............6-4 Graphic Trends ................6-5 Select Parameters..............6-6 View Older / View Newer ............6-7 Time Period ................6-7 Revision C Dash 2000 Patient Monitor 2005873-001...

  • Page 124: Patient Data Menu

    VITAL SIGNS (TABULAR TRENDS)—display the values for the patient’s monitored parameters over the last 24 hours. • GRAPHIC TRENDS—plot trends for selected parameters. Detailed information on each option is found in this chapter. Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 125: Vital Signs

    24 hours of NBP data is collected. 2. You cannot change any values in the Vital Signs but you can use the menu options to move through all the data collected. Refer to the following page for details. Revision C Dash 2000 Patient Monitor 2005873-001...

  • Page 126: View Older / View Newer

    These direct action menu options work just like VIEW OLDER and VIEW Page Down and Page NEWER but instead of moving the data in time, they display any additional data not displayed on the screen due to space restrictions. Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 127: Graphic Trends

    2. To select other parameters for trending follow the procedure on the following page. NOTE: All trend data that is available at the monitor can be requested by a network device viewing trends, e.g., central station. Revision C Dash 2000 Patient Monitor 2005873-001...

  • Page 128: Select Parameters

    3. When the parameters you want to plot as trends are highlighted, move the pointer to RETURN and press the Trim Knob control. The popup menu closes and the information window reconfigures to display the trends. Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 129: View Older / View Newer

    15, 30 MINS updates every minute 60 MINS, 90 MINS, 3 HRS updates every minute 6 HR updates every 2 minutes 12 HRS updates every 4 minutes 24 HRS updates every 8 minutes Revision C Dash 2000 Patient Monitor 2005873-001...
  • Page 130 For your notes Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 131: Maintenance

    Display..................7-5 Cleaning Applied Parts ..............7-6 Cables and Leadwires..............7-6 Other.................... 7-6 Technical Maintenance..............7-7 Technical Inspections ..............7-7 Changing Graph Paper..............7-8 Built-in Writer ................7-8 Thermal Paper Storage ..............7-9 Revision C Dash 2000 Patient Monitor 2005873-001...

  • Page 132: Biocompatibility

    If you have questions in this matter, please contact GE Medical Information Technologies Systems or its representatives. Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 133: Inspection

    • Inspect all cable insulation. Qualified service personnel should repair or replace damaged or deteriorated cables. In the United States, GE Medical Systems Information Technologies Service is available 24-hours a day by calling 800-558-7044. Outside the United States, please contact your sales/service office.

  • Page 134: General Cleaning

    • Never use these cleaning agents: abrasive cleaners or solvents of any kind, acetone ketone, alcohol based cleaning agents, or Betadine. Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 135: Display

    The streaks don’t mean that you need to clean the display. They’re caused by the circular polarization effect of the filter, and they are perfectly normal with this type of filter. Revision C Dash 2000 Patient Monitor 2005873-001...

  • Page 136: Cleaning Applied Parts

    For other applied parts such as temperature sensors, catheters, pulse oximetry probes, and NBP cuffs, refer to the documentation supplied with these parts for Other cleaning, sterilization, or disinfecting methods. Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 137: Technical Maintenance

    The relevant sections of the Field Service Manual describe the scope and nature of the technical inspections. The Dash 2000 patient monitor does not require other regular maintenance checks. Revision C Dash 2000 Patient Monitor...

  • Page 138: Changing Graph Paper

    NOTE: If the graph strip is blank, the paper is probably installed upside- down. Turn the spool over so the paper unwinds from the other direction. Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 139: Thermal Paper Storage

    Paper manufacturers advise us that these thermal products should retain their traces when properly imaged and stored for about 3-5 years. If your retention requirements exceed these guidelines, we recommend you consider alternate image storage techniques. Revision C Dash 2000 Patient Monitor 2005873-001...
  • Page 140 For your notes 7-10 Dash 2000 Patient Monitor Revision C 2005873-001...
  • Page 141 Monitoring Internal Pacemaker Patients ......8-20 Monitoring Dash Responder Paced Patient....... 8-21 QRS Width ................8-22 Changing QRS Width ............8-22 Arrhythmia ................8-23 Lethal ................... 8-23 Arrhythmia Conditions ............8-23 Troubleshooting ................8-25 Internal Pacemaker Troubleshooting........... 8-26 Revision C Dash 2000 Patient Monitor 2005873-001...

  • Page 142: Introduction

    Use only the electrodes listed in the enclosed publication "Accessories – Dash 2000/3000". Electrodes for diagnostic use may vastly compromize recovery time and stability after defibrillation. Do not connect any electrode to metal parts or ground.

  • Page 143: Skin Preparation

    3. Thoroughly clean the site with alcohol or a mild soap and water solution. Be sure to remove all oily residue, dead skin cells, and abrasives. Leftover abrasion particles can be a source of noise. 4. Dry the skin completely before applying the electrodes. Revision C Dash 2000 Patient Monitor 2005873-001...

  • Page 144: Electrode Placement

    Right leg and left leg electrodes should be placed on a non-muscular surface on the lower edge of the rib cage. The chest electrode should be placed according to the physician’s preference. Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 145: 3-Leadwire Electrode Placement

    • DISPLAY LEAD choices are limited to I, II, and III. • Any options usually allowing more than one ECG lead selection will be disallowed. A message line is displayed briefly, indicating such. Revision C Dash 2000 Patient Monitor 2005873-001...

  • Page 146: Electrode Placement For Neonates

    The third electrode (right leg) can be placed on either the right or left side of the abdomen. RA LA Lead II Lead I Lead II Lead I AHA Configuration IEC Configuration NOTE: Use the neonatal patient cable! Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 147: Electrode Placement For Pacemaker Patients

    5th intercostal space. NOTE: After all electrodes are in place, ensure minimum of 1/2 mV of signal is present on each lead (I, II, III, V). Revision C Dash 2000 Patient Monitor 2005873-001...

  • Page 148: Maintaining Quality Ecg Signal

    The Multi-Link ESU ECG patient cable is recommended when using the monitor in the presence of an electrosurgical unit. This cable, with a built-in ESU filter, helps reduce electrosurgical noise detected on the ECG signal. Electrosurgical Unit (ESU Cable) Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 149: Ecg Monitoring Features

    Also displayed are a QRS indicator (flashing heart) and a large, flashing asterisk for each detected pacemaker spike (when pacemaker detection is on). Use the ECG parameter menu to make changes during monitoring. Revision C Dash 2000 Patient Monitor 2005873-001...

  • Page 150: Getting To The Ecg Menu

    QRS VOLUME—turn the QRS tone on/off, and adjust volume when on. • ANALYSIS SETTINGS—displays a new menu to adjust single or multi- lead analysis, pace detection, and filter settings. Detailed information on each option is found in this chapter. 8-10 Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 151: Ecg Menu Options

    If the defibrillator is to be synchronized with the analog ECG signal, review the patient’s ECG leads and place the one with the greatest amplitude in the top position on the monitor. Revision C Dash 2000 Patient Monitor 8-11 2005873-001...

  • Page 152: Smart-Lead Fail

    In Adult-ICU and Neonatal-ICU modes this alarm defaults to a system WARNING alarm but can also be set to a CRISIS alarm. Refer to Setup Default Display section in Chapter 5, Monitor Setup. 8-12 Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 153: Ecg Size

    ECG waveforms. 3. When you are satisfied with your selection, press the Trim Knob control to close the popup menu. NOTE: For QRS complexes < 1 mV, use size 2x or 4x. Revision C Dash 2000 Patient Monitor 8-13 2005873-001...

  • Page 154: Ecg Limits

    Trim Knob control to complete the change. 5. Rotate the Trim Knob control to highlight the parameter label and press to unhighlight. 6. Select RETURN when all changes are completed. The popup menu and information window close. 8-14 Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 155: Relearn

    (Refer to SPO2 chapter.) When in OR mode, the 10% and 20% volume tone is slightly quieter than the 10% and 20% volume tone in Adult-ICU or Neonatal-ICU modes. Revision C Dash 2000 Patient Monitor 8-15 2005873-001...

  • Page 156: Analysis Settings

    LEAD ANALYSIS—choose single lead or multi-lead processing of ECG. • DETECT PACE—turn pacemaker detection on/off or access help. • QRS WIDTH—choose QRS width (normal or narrow) or access help. • ARRHYTH—turn arrhythmia detection on/off. 8-16 Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 157: Ecg Filter

    WARNING The MAXIMUM filter alters ECG morphology. Do not rely on ECG morphology for diagnostic purposes when this filter is selected. When selected, ”5 Hz” is displayed under the ECG parameter label. Revision C Dash 2000 Patient Monitor 8-17 2005873-001...

  • Page 158: Lead Analysis

    NOTE: Because of the lead configuration used when monitoring neonates, single-lead analysis defaults on with lead II in the top trace position when the monitor is set up for Neonatal-ICU monitoring mode. 8-18 Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 159: Detect Pace

    These precautions include disabling the rate responsive mode and enabling an alternate pace mode. For more information contact: Office of Surveillance and Biometrics, CDRH, FDA 1350 Piccard Drive, Mail Stop HFZ-510 Rockville, MD 20850 U.S.A. Revision C Dash 2000 Patient Monitor 8-19 2005873-001...

  • Page 160: Monitoring Internal Pacemaker Patients

    When either pace mode is enabled, the software places an artificial spike on the waveform, whenever the pacemaker triggers. When pacemaker detection is on, it is indicated by a “P” in the patient's ECG parameter window. 8-20 Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 161: Monitoring Dash Responder Paced Patients

    Closely monitor alternate parameters, especially Heart Rate in patients being externally paced. "ARR OFF" is displayed in the ECG parameter box during all external pacing applications. Arrhythmia processing resumed automatically when external pacing is discontinued. Revision C Dash 2000 Patient Monitor 8-21 2005873-001...

  • Page 162: Qrs Width

    The change will not take effect until the Trim Knob control is choice. pressed and the popup menu closed. 3. Press the Trim Knob control to confirm the change and close the popup menu. 8-22 Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 163: Arrhythmia

    How the monitor responds to each condition is determined by the alarm level to which the arrhythmia has been assigned. Refer to Alarm Control section, Arrhythmia Alarm Level, to view the alarm level settings for arrhythmias. Revision C Dash 2000 Patient Monitor 8-23 2005873-001...
  • Page 164 Closely monitor alternate parameters, especially Heart Rate in patients being externally paced. "ARR OFF" is displayed in the ECG parameter box during all external pacing applications. Arrhythmia processing resumed automatically when external pacing is discontinued. 8-24 Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 165: Troubleshooting

    5. Go to PREV MENU. 6. Select DISPLAY LEAD. 7. Assess all the ECG leads and change top ECG waveform to display lead with greatest amplitude. (At least 0.5 mV amplitude is required for QRS detection.) Revision C Dash 2000 Patient Monitor 8-25 2005873-001...

  • Page 166: Internal Pacemaker Troubleshooting

    The pacemaker signal is acquired from the displayed ECG lead (top trace). Two effective approaches for improving internal pacemaker detection are: • Change the displayed ECG trace to a different lead. • Move the electrodes associated with the displayed trace. 8-26 Dash 2000 Patient Monitor Revision C 2005873-001...
  • Page 167 Check ECG signal from patient: 1. Check/adjust lead placement; refer to the Electrode Placement for Pacemaker Patients section in this chapter. 2. Check/perform skin preparation. 3. Check/replace electrodes. Revision C Dash 2000 Patient Monitor 8-27 2005873-001...
  • Page 168 For your notes 8-28 Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 169: Pressures

    Clear Cursor................9-8 Limits................... 9-9 Change Name................9-10 Zero .................... 9-10 Settings..................9-11 BP Filter ................9-12 Calibrate Transducer ............9-12 Smart BP ................9-13 Pulse Rate ................9-13 Disconnect Alarm..............9-14 Troubleshooting ................9-15 Revision C Dash 2000 Patient Monitor 2005873-001...

  • Page 170: Introduction

    For acquisition of invasive blood pressure, a pressure transducer (see enclosed publication "Accessories – Dash 2000/3000") is connected to the BP connector on the monitor. In conformity to common practice, connection of the extracorporeal pressure transducer to the patient is accomplished by tubes with stopcocks located near the transducer dome.

  • Page 171: Assigned Bp Names

    Additional site names available in the Neonatal-ICU mode are: umbilical artery catheter (UAC)—systolic, diastolic and mean umbilical venous catheter (UVC)—mean For reference purposes in this manual, we refer to the connector as BP. Revision C Dash 2000 Patient Monitor 2005873-001...

  • Page 172: Zero Reference

    4. Any entrapped air is removed from the system. NOTE: Refer to the transducer manufacturer’s instructions for suggested means of removing entrapped air from the hydraulic system. 5. Pressure setup is adjusted, if necessary. Details are provided in this chapter. Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 173: Pressure Monitoring Features

    D=diastolic, M=mean). For sites labeled ART, FEM, and UAC, a pulse rate value can be turned on. The pressure monitoring features are found in the pressure menu. All pressure menus include scales, cursor, site name, limits, zero, and calibration. Revision C Dash 2000 Patient Monitor 2005873-001...

  • Page 174: Getting To The Pressure Menu

    These menu options are found in all pressure menus. The only difference is the site name, for example, CVP Cursor, PA Cursor, etc. More details on each option are found in this chapter. Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 175: Pressure Menu Options

    Pressing the Trim Knob control also closes the popup menu. Selecting AUTO will calculate a scale based on the patient's current blood pressure. NOTE: Auto scaled waveforms will graph on a slightly different scale than displayed. Revision C Dash 2000 Patient Monitor 2005873-001...

  • Page 176: Cursor

    4. Press the Trim Knob control to close the popup menu. The cursor remains on the waveform. To remove the cursor from the waveform, select CLEAR CURSOR option from Clear Cursor the previous menu. This is a direct action menu option. Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 177: Limits

    Trim Knob control to complete the change. 6. Rotate the Trim Knob control to highlight the parameter label and press to unhighlight. 7. Select RETURN when all changes are completed. The popup menu and information window close. Revision C Dash 2000 Patient Monitor 2005873-001...

  • Page 178: Change Name

    5. Verify that zero reference has been established. (Watch the pressure parameter window messages.) 6. Close the venting stopcock to air (atmosphere). 7. Open the transducer stopcock to the patient. Within seconds pressure numerics should be displayed in the pressure parameter window. 9-10 Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 179: Settings

    MENU BPSET2 BP Settings Menu for pressures sites ART, FEM, UAC (Neonatal ICU mode) CALIB MAIN FILTER: TRANSDUC MENU 12 Hz PREV. MENU BPSET3 BP Settings Menu for all other pressures sites Revision C Dash 2000 Patient Monitor 9-11 2005873-001...

  • Page 180: Bp Filter

    CAL# to the number displayed. You must close the popup menu before a change is displayed in the values window. • ADJUST TO MMHG—Open a popup menu to change the millimeters of mercury. 9-12 Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 181: Smart Bp

    200/ S mmHg 136/ Pulse Rate on Pulse Rate Displayed in ART Parameter Window To turn the pulse rate value on and off, simply select PULSE RATE in the applicable Settings menu. Revision C Dash 2000 Patient Monitor 9-13 2005873-001...

  • Page 182: Disconnect Alarm

    To turn this feature off and on, select DISCONN ALARM option from the appropriate Settings menu. This feature can be set off or on in Monitor Defaults. You cannot change the alarm level. It will always be a warning alarm. 9-14 Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 183: Troubleshooting

    Smart BP by turning it off for that pressure. or zero Use Alarm Pause feature prior to drawing blood to reduce unnecessary alarms if Smart BP is disabled. Revision C Dash 2000 Patient Monitor 9-15 2005873-001...
  • Page 184 For your notes 9-16 Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 185: 10 Nbp

    NBP Stat.................. 10-11 Early Systolic Measurement..........10-11 NBP Limits................10-12 NBP Settings................10-13 Cuff Size ................10-14 Initial Cuff Pressure............10-14 Review NBPs................10-15 Clear NBP Reading..............10-15 Troubleshooting ................10-16 NBP Status Messages............. 10-16 Revision C Dash 2000 Patient Monitor 10-1 2005873-001...

  • Page 186: Introduction

    Do not apply external pressure against cuff while monitoring. Doing so may cause inaccurate blood pressure values. Use care when placing cuff on extremity used to monitor other patient parameters. 10-2 Dash 2000 Patient Monitor Revision C 2005873-001...
  • Page 187 Simply stated, auscultation measures systolic and diastolic pressures and the mean pressure is calculated. The oscillometric method measures the mean pressure and determines the systolic and diastolic pressures. Revision C Dash 2000 Patient Monitor 10-3 2005873-001...
  • Page 188 NOTE: The NBP cable connector is insulated and it is defibrillator-proof ). Use only the BP cuffs listed in the enclosed publication "Accessories – Dash 2000/3000". These cuffs ensure patient safety and protect the device during defibrillation and electrosurgery. 10-4...

  • Page 189: Checklist

    WARNING The cuff size selected in the NBP menu and the cuff size used must be correct to obtain reliable NBP data and to prevent overpressure in neonatal or pediatric use. Revision C Dash 2000 Patient Monitor 10-5 2005873-001...

  • Page 190: Patient Preparation

    4. The air pad should be exactly over the brachial artery. Tubing is immediately to the right or left of the brachial artery to prevent kinking when elbow is bent. For further information on cuffs, please contact your sales/service representative. 10-6 Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 191: Nbp Monitoring Features

    A break in the integrity of the system (e.g. loose connections or leak). Be sure to perform a visual inspection to ensure system integrity. NOTE: If MAP is the only value displayed, X's will appear in place of systolic and diastolic values. Revision C Dash 2000 Patient Monitor 10-7 2005873-001...

  • Page 192: Systolic Search

    If you turn the power off with the POWER key on the front of the monitor, NBP is also turned off. This applies to both auto NBP (if running) and manual NBP. Turning the power on again enables manual NBP. It does not automatically restart auto NBP. 10-8 Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 193: Getting To The Nbp Menu

    • REVIEW NBPS—review previous NBP measurements in Vital Signs. • CLEAR NBP READING—remove the values from the NBP parameter window. Detailed information on each option is found in this chapter. Revision C Dash 2000 Patient Monitor 10-9 2005873-001...

  • Page 194: Nbp Menu Options

    60 minutes, the symbol AUT is shown instead. NOTE: Operating Room Mode—If an auto mode time is set in monitor defaults, pressing the NBP GO/STOP key starts the auto mode feature. 10-10 Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 195: Nbp Stat

    Thereafter, the Measurement systolic value will be displayed shortly after the measurement starts. When the measurement is complete the monitor will beep and the diastolic and mean values will be displayed. Revision C Dash 2000 Patient Monitor 10-11 2005873-001...

  • Page 196: Nbp Limits

    Trim Knob control to complete the change. 6. Rotate the Trim Knob control to highlight the parameter label and press to unhighlight. 7. Select RETURN when all changes are completed. The popup menu and information window close. 10-12 Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 197: Nbp Settings

    With the Trim Knob control, you can now select any of the displayed options. • CUFF SIZE—select the type of cuff being used (adult, pediatric, neonatal). • INIT. CUFF PRESSURE—determine the target inflation pressure for the first measurement. Revision C Dash 2000 Patient Monitor 10-13 2005873-001...

  • Page 198: Cuff Size

    3. Press the Trim Knob control to set the inflation pressure and close the popup menu. Cuff inflation thereafter is automatically determined by multiple factors including mode of operation, cuff size, and previous reading. 10-14 Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 199: Review Nbps

    If you want to remove the values displayed in the NBP parameter window, select this option. The values will be replaced with "X". This action also Clear NBP Reading removes those values from Vital Signs history. Revision C Dash 2000 Patient Monitor 10-15 2005873-001...

  • Page 200: Troubleshooting

    CLEAR NBP READING option in the NBP menu. An NBP status message will also be included in the graph header in an abbreviated form, when applicable. 10-16 Dash 2000 Patient Monitor Revision C 2005873-001...
  • Page 201 NBP value. 5. Minimize patient movement during measurement. 6. Watch for pulsus paradoxus. 7. Check for leak in cuff or tubing. 8. Patient may have a weak pulse. 9. Calibration may be necessary. Revision C Dash 2000 Patient Monitor 10-17 2005873-001...

  • Page 203: 11 Spo2

    SPO2 Information ..............11-8 Getting to the SPO2 Menu ............11-9 SPO2 Menu Options ..............11-10 Size...................11-10 SPO2 Limits ................11-11 Rate Volume ................11-12 Rate..................11-12 Probe Off Patient Condition............11-13 Troubleshooting ................11-14 SPO2 Messages ...............11-14 Revision C Dash 2000 Patient Monitor 11-1 2005873-001...

  • Page 204: Introduction

    This chapter provides guidelines for successful SPO2 monitoring. SPO2 Cable Connector SPO 2 Temp Dash 2000 Monitor—SPO2 Cable Connector NOTE: The signal input is insulated and it is defibrillator-proof ( The insulated input ensures patient safety and protects the device during defibrillation and electrosurgery.

  • Page 205: Neonates And Infants

    Procedures or devices previously applied in your facility for pulse oximetry monitoring should be used in the event that the pulse oximetry value from the Dash monitor cannot be validated by the above criteria. Revision C Dash 2000 Patient Monitor 11-3 2005873-001...

  • Page 206: Checklist

    1. SPO2 probe is correctly positioned on the patient. (Follow instructions provided with the probe of choice.) 2. Patient cable is connected to the monitor. 3. SPO2 setup is adjusted, if necessary. Follow detailed procedures within this chapter. 11-4 Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 207: Patient Preparation

    NOTE: Nellcor’s RS-10 reflective probe is not recommended for use. Use only the probes listed in the enclosed publication "Accessories – Dash 2000/3000". Contact your sales/service representative for other probe options. 2. Clean the surface of the probe before and after each patient use.

  • Page 208: Signal And Data Validity

    Motion at the probe site is indicated by noise spikes in the normal waveform. (See the figure below.) It has been noted that letting the patient view the SPO2 waveform enables them to assist in reducing motion artifact. SPO2 Waveform with Artifact 11-6 Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 209: Stability Of Spo2 Values

    In order to ensure reliable patient monitoring, the proper application of the probe and the signal quality must be checked at regular intervals. Revision C Dash 2000 Patient Monitor 11-7 2005873-001...

  • Page 210: Spo2 Monitoring Features

    The monitor display is updated every 2 seconds. The SPO2 monitoring features are found in the SPO2 menu. These features include waveform size, alarm limit adjustment, display of RATE, and RATE volume. 11-8 Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 211: Getting To The Spo2 Menu

    SPO2 percent and rate (beats per minute) alarm limits. • RATE VOL—turn the rate volume on/off; adjust the volume when on. • RATE—turn the displayed rate value off and on. Detailed information on each option is found in this chapter. Revision C Dash 2000 Patient Monitor 11-9 2005873-001...

  • Page 212: Spo2 Menu Options

    2. Rotate the Trim Knob control to change the size. The change occurs immediately on the screen. 3. When you are satisfied with your selection, press the Trim Knob control to close the popup menu. 11-10 Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 213: Spo2 Limits

    Trim Knob control to complete the change. 6. Rotate the Trim Knob control to highlight the parameter label and press to unhighlight. 7. Select RETURN when all changes are completed. The popup menu and information window close. Revision C Dash 2000 Patient Monitor 11-11 2005873-001...

  • Page 214: Rate Volume

    A pulse rate is derived from the SPO2 signal and is displayed in the parameter window. You can turn this displayed rate off and on. Simply select the RATE Rate option from the SPO2 Menu. This is a direct action menu option. 11-12 Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 215: Probe Off Patient Condition

    System Warning alarm. You can, however, set it as a System Advisory alarm in Monitor Defaults. Refer to Setup Default Display section in Chapter 5, Monitor Setup. It is identified as SPO2 PROBE OFF in the Setup Default Display information window. Revision C Dash 2000 Patient Monitor 11-13 2005873-001...

  • Page 216: Troubleshooting

    SPO2 Messages SPO2 parameter window during monitoring. SPO2 messages will appear in abbreviated form in graph headers. If you are unable to resume SPO2 monitoring, call GE Medical Systems Information Technologies service at 1-800-558-7044 (US only). Outside the United States, please contact your sales/service office.
  • Page 217 Error messages of PROBE IS OFF THE PATIENT or PULSE SEARCH, etc. oximetry monitoring? are possible. Shielding the probe with opaque tape, the posey wrap or other material can thus increase oximetry accuracy—verified by good waveform and signal strength. Revision C Dash 2000 Patient Monitor 11-15 2005873-001...
  • Page 218 Certain antibiotics, such as the Sulfas, can create high levels of methemoglobin. Methemoglobin is unable to bind O2 and will absorb light similarly to reduced hemoglobin, thus giving an artificially low SPO2. 11-16 Dash 2000 Patient Monitor Revision C 2005873-001...
  • Page 219 3. Keeping the power cord and probe cable away from the power cord of the electrosurgical unit. 4. Plugging the electrosurgery unit into a separate set of outlets from the monitor. Revision C Dash 2000 Patient Monitor 11-17 2005873-001...
  • Page 220 For your notes 11-18 Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 221: 12 Respiration

    Respiration Limits ..............12-8 Sensitiv ..................12-9 Cardiac Artifact Alarm............12-10 Size...................12-11 Auto Size ................12-11 Manual Size ............... 12-11 Troubleshooting ................12-12 Respiratory Waveform............12-12 Cardiac Artifact ..............12-12 Varying Amplitudes............12-13 Messages.................. 12-13 Revision C Dash 2000 Patient Monitor 12-1 2005873-001...

  • Page 222: Introduction

    SPO 2 Temp ECG/RESP Cable Connector Dash 2000 Monitor—ECG/Resp Cable Connector NOTE: The signal input is a high-insulation port and it is defibrillator- proof ( The insulated input ensures patient safety and protects the device during defibrillation and electrosurgery.

  • Page 223: General Information

    NOTE: The figures below are used to show the relationship between breathing and ECG lead. They do not represent an electrode configuration. ECG Lead I for ECG Lead II for Upper Chest Breather Abdominal Breather Revision C Dash 2000 Patient Monitor 12-3 2005873-001...

  • Page 224: Checklist

    2. Leadwires are attached to electrodes on the patient. 3. Leadwires are connected to patient cable and patient cable is connected to the monitor. 4. Respiration setup is adjusted, if necessary. Follow detailed procedures within this chapter. 12-4 Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 225: Respiration Monitoring Features

    Alarm limits may be displayed for respiration rate and apnea. The respiration monitoring features are found in the RR parameter menu. These features include lead, relearn, sensitivity, limits, size, and cardiac artifact alarm. Revision C Dash 2000 Patient Monitor 12-5 2005873-001...

  • Page 226: Getting To The Respiration Menu

    AUTO SIZE—automatically size the respiration waveform to fit in a predetermined area on the screen. • MANUAL SIZE—manually increase or decrease the size of the respiration waveform. Detailed information on each option is found in this chapter. 12-6 Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 227: Respiration Menu Options

    When learning is complete, the message will clear and the respiration rate will be displayed. NOTE: Sensitivity is reset at 40% and the waveform is automatically sized. Revision C Dash 2000 Patient Monitor 12-7 2005873-001...

  • Page 228: Respiration Limits

    Trim Knob control to complete the change. 6. Rotate the Trim Knob control to highlight the parameter label and press to unhighlight. 7. Select RETURN when all changes are completed. The popup men and information window close. 12-8 Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 229: Sensitiv

    2. As you change the sensitivity percentage, the markers will move on the waveform. This adjustment occurs immediately. When you are satisfied with the detection sensitivity, press the Trim Knob control to close the popup menu. Revision C Dash 2000 Patient Monitor 12-9 2005873-001...

  • Page 230: Cardiac Artifact Alarm

    If the cardiac artifact alarm is turned off, apnea events may not be detected. Select CARDIAC ARTIFACT option from the Respiration Menu to turn the alarm off and on. This is a direct action menu option. 12-10 Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 231: Size

    NOTE: The manual size you select will be cancelled if you change the lead from which respiration is derived. When you change leads, the learning process is started and the waveform is automatically sized. Revision C Dash 2000 Patient Monitor 12-11 2005873-001...

  • Page 232: Troubleshooting

    See the markers in the figures below. (A = artifact, B = breath) Incorrect Detection Correct Detection 12-12 Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 233: Varying Amplitudes

    The monitor is unable to successfully determine respiration. If it is determined that patient condition is not the cause, it may be necessary to reprep the patient’s skin and change the electrodes to resume monitoring of respiration. Revision C Dash 2000 Patient Monitor 12-13 2005873-001...
  • Page 234 LEADS FAIL (LDS FAIL) CHECK THE PATIENT. This is an alarm condition which requires action. It may be necessary to reprep the patient’s skin and change the electrodes. 12-14 Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 235: 13 Temperature

    Checklist..................13-2 Temperature Monitoring Features ..........13-3 Temperature Information ............13-3 Getting to the Temperature Menu .......... 13-4 Temperature Menu Options............13-5 Units ..................13-5 TP Limits................... 13-5 Troubleshooting ................13-6 Messages..................13-6 Revision C Dash 2000 Patient Monitor 13-1 2005873-001...

  • Page 236: Introduction

    NOTE: The TEMP cable connector is a high-insulation port and it is defibrillator-proof ( ). Use only the temperature probes listed in the enclosed publication "Accessories – Dash 2000/3000". These probes ensure patient safety and protect the device during defibrillation and electrosurgery.

  • Page 237: Temperature Monitoring Features

    The monitor is compatible with YSI series 400 probes listed in the enclosed publication "Accessories – Dash 2000/3000". The temperature cable is plugged into the TEMP cable connector on the monitor. The temperature monitoring features are found in the Temperature Parameter Menu.

  • Page 238: Getting To The Temperature Menu

    With the Trim Knob control, you now can select any of the displayed options: • UNITS—switch the units of measurement between Celsius and Fahrenheit. • TP LIMITS—display a new menu and an information window to adjust alarm limits for the temperature site. 13-4 Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 239: Temperature Menu Options

    Trim Knob control to complete the change. 6. Rotate the Trim Knob control to highlight the parameter label and press to unhighlight. 7. Select RETURN when all changes are completed. The popup men and information window close. Revision C Dash 2000 Patient Monitor 13-5 2005873-001...

  • Page 240: Troubleshooting

    There is a 1 o C deviation between the temperature value sensed and the internal calibration. No temperature value will be displayed. Service on the monitor is required. SENSOR The temperature sensor has failed. 13-6 Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 241: 14 Appendices

    Pulse Oximetry (SpO2)............14-28 Non-invasive Blood Pressure (NBP)........14-28 Paper Recorder................14-30 Analog Output................. 14-30 Defibrillator Synchronization Pulse ........14-30 Environmental Specifications ..........14-31 Physical Specifications ............14-32 Certification ................14-32 Warranty ................. 14-32 Revision C Dash 2000 Patient Monitor 14-1 2005873-001...

  • Page 242: Defib Sync/Analog Output

    2. In single lead mode, if the specified lead is not available, a buzz will be output. DIGITAL SYNCHRONIZATION OUTPUT: A digital sync output is available with a return marker. For the technical specifications refer to appendix Technical Specifications, section Analog Out and Defibrillator Synchronization Pulse. 14-2 Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 243: Abbreviations And Symbols

    BRAD bradycardia body surface area blood temperature Celsius calibration CALC calculation CALCS calculations CaO2 arterial oxygen content CARD cardiac computation constant cc, CC cubic centimeter critical care unit effective dynamic compliance channel Revision C Dash 2000 Patient Monitor 14-3 2005873-001...
  • Page 244 Esopho esophageal electrosurgical cautery unit et al and others EtCO2, ETCO2 end-tidal carbon dioxide Ethylene Oxide EX, Exp expired Fahrenheit femoral FiO2 fraction of inspired oxygen French (catheter size) 14-4 Dash 2000 Patient Monitor Revision C 2005873-001...
  • Page 245 KG kilogram kilopascal liter, left left arm, left atrial lateral pounds liquid crystal display lead light emitting diode left leg LVSWI left ventricular stroke work index Revision C Dash 2000 Patient Monitor 14-5 2005873-001...
  • Page 246 PaO2 partial pressure of oxygen in arterial blood PAO2 alveolar pressure PAUS pause pulmonary artery wedge pressure PBAR barometric pressure PCO2 partial pressure of arterial carbon dioxide PEAKP end inspiratory pressure pediatric 14-6 Dash 2000 Patient Monitor Revision C 2005873-001...
  • Page 247 SPEC spectrometer SpO2 arterial oxygen saturation from pulse oximetry summation stroke volume SvO2 mixed venous oxygen saturation systemic vascular resistance SVRI systemic vascular resistance index SYNC, Sync synchronization systolic Revision C Dash 2000 Patient Monitor 14-7 2005873-001...
  • Page 248 VTAC ventricular tachycardia V-Tach, V-TACH ventricular tachycardia volume weight multiplier when used with a number (2X) denotes invalid data when used in place of a value on the display 14-8 Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 249: Symbols

    12SL 12-lead ECG analysis Symbols & ° degree(s) > greater than < less than minus number percent ± plus or minus Revision C Dash 2000 Patient Monitor 14-9 2005873-001...

  • Page 250: Software Packages

    Software Packages There is an invasive pressure software package available for the Dash 2000 patient monitor. This package can be activated by entering a password in the service mode. 14-10 Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 251: Factory Defaults-Adult-Icu Mode

    Monitor Defaults feature. Monitor defaults are recalled upon discharge. Refer to the Monitor Setup chapter. Arrhythmia Alarm Levels Parameter Alarm Levels Crisis Warning Advisory Message Crisis Warning Advisory Message Asystole VFib/VTac V Tach SPO2 ART Rate Resp Apnea SPO2 Rate FEM Rate UAC Rate Revision C Dash 2000 Patient Monitor 14-11 2005873-001...
  • Page 252 Parameter Limits High NBP-S NBP-D NBP-M ART-S ART-D ART-M ART-R FEM-S FEM-D FEM-M FEM-R UAC-S UAC-D UAC-M UAC-R PA-S PA-D PA-M SpO2 SpO2-R RR-Apnea 30.0°C/86.0°F 42.0°C/107.6°F 14-12 Dash 2000 Patient Monitor Revision C 2005873-001...
  • Page 253 VOA Broadcast Remote Alarm Level Crisis Alarm Volume Silence Alarm Normal QRS Volume Rate Volume ECG Leads Fail Sys Warning SPO2 Probe Off Sys Warning Display Limits Display Units Units for Height Revision C Dash 2000 Patient Monitor 14-13 2005873-001...
  • Page 254 Parameter 1 Parameter 2 SPO2 Parameter 3 The highlighted parameters below appear in parameter windows at the bottom of the display only when there is no room at the side. SPO2 14-14 Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 255: Factory Defaults-Neonatal-Icu Mode

    Monitor Defaults feature. Monitor defaults are recalled upon discharge. Refer to the Monitor Setup chapter. Arrhythmia Alarm Levels Parameter Alarm Levels Crisis Warning Advisory Message Crisis Warning Advisory Message Asystole Resp Apnea VFib/VTac V Tach SPO2 UAC Rate SPO2 Rate ART Rate FEM Rate Revision C Dash 2000 Patient Monitor 14-15 2005873-001...
  • Page 256 Parameter Limits High NBP-S NBP-D NBP-M ART-S ART-D ART-M ART-R FEM-S FEM-D FEM-M FEM-R UAC-S UAC-D UAC-M UAC-R PA-S PA-D PA-M SpO2 SpO2-R RR-Apnea 30.0°C/86.0°F 42.0°C/107.6°F 14-16 Dash 2000 Patient Monitor Revision C 2005873-001...
  • Page 257 Alarm Volume Silence Alarm Normal QRS Volume Rate Volume ECG Leads Fail Sys Warning SPO2 Probe Off Sys Warning Display Limits Display Units Units for Height Units for Weight Temperature Units °C Revision C Dash 2000 Patient Monitor 14-17 2005873-001...
  • Page 258 Parameter 1 Parameter 2 SPO2 Parameter 3 The highlighted parameters below appear in parameter windows at the bottom of the display only when there is no room at the side. SPO2 14-18 Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 259: Factory Defaults-Operating Room Mode

    Monitor Defaults feature. Monitor defaults are recalled upon discharge. Refer to the Monitor Setup chapter. Arrhythmia Alarm Levels Parameter Alarm Levels Crisis Warning Advisory Message Crisis Warning Advisory Message Asystole VFib/VTac V Tach SPO2 ART Rate SPO2 Rate FEM Rate UAC Rate Resp Apnea Revision C Dash 2000 Patient Monitor 14-19 2005873-001...
  • Page 260 Parameter Limits High NBP-S NBP-D NBP-M ART-S ART-D ART-M ART-R FEM-S FEM-D FEM-M FEM-R UAC-S UAC-D UAC-M UAC-R PA-S PA-D PA-M SpO2 SpO2-R RR-Apnea 0.0°C/32.0°F 42.0°C/107.6°F 14-20 Dash 2000 Patient Monitor Revision C 2005873-001...
  • Page 261 VOA Broadcast Remote Alarm Level Crisis Alarm Volume Silence Alarm Normal QRS Volume Rate Volume ECG Leads Fail Sys Advisory SPO2 Probe Off Sys Warning Display Limits Display Units Units for Height Revision C Dash 2000 Patient Monitor 14-21 2005873-001...
  • Page 262 Parameter 1 Parameter 2 SPO2 Parameter 3 The highlighted parameters below appear in parameter windows at the bottom of the display only when there is no room at the side. SPO2 14-22 Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 263: Minimum And Maximum Limits (Default Mode)

    Low Limits High Limits NBP-S NBP-D NBP-M ART-S ART-D ART-M ART-R FEM-S FEM-D FEM-M FEM-R UAC-S UAC-D UAC-M UAC-R PA-S PA-D PA-M SpO2 SpO2-R RR-Apnea -1.0 °C/30.2 °F 46.9 °C/116.5 °F -0.9°C/30.3°F 47.0°C/116.6°F Revision C Dash 2000 Patient Monitor 14-23 2005873-001...

  • Page 264: Technical Specifications

    Due to continual product innovation, specifications are subject to change without notice. The following specifications are accurate as of the date of this publication, and pertain to the Dash 2000 patient monitor. Technical Specifications Display Size: 5.8-inch diagonal Type: Monochrome:...

  • Page 265: Alarms

    Tall T-wave rejection 1.2 mV max. amplitude: Output specifications: Frequency response: Display: Diagnostic: 0.05 to 120 Hz Monitoring: 0.05 to 40 Hz Moderate: 0.05 to 25 Hz Maximum: 5 to 25 Hz Revision C Dash 2000 Patient Monitor 14-25 2005873-001...

  • Page 266: Respiration

    0.4 to 10 Ohms variation Accuracy (respiration ± 1 BrPM rate): Waveform display 0.1 to 1.8 Hz (-3 dB) bandwidth: Alarms: User-selectable upper and lower respiration rate limits, and user- selectable apnea limit 14-26 Dash 2000 Patient Monitor Revision C 2005873-001...

  • Page 267: Temperature (Temp)

    50 Hz (+0/-3 dB) Gain stability: <±0.1%/°C, and <±0.1% over any 24 hour period Zero balance range: ±150 mmHg Zero balance accuracy: ±1 mmHg Zero balance drift: ±1 mmHg over 24 hours Revision C Dash 2000 Patient Monitor 14-27 2005873-001...

  • Page 268: Pulse Oximetry (Spo2)

    Manual, auto, and stat in Adult and OR modes; manual and auto in Neonatal mode NBP pressure range: Systolic pressure range: Adult: 30 to 275 mmHg Pediatric: 30 to 235 mmHg Neonatal: 30 to 135 mmHg 14-28 Dash 2000 Patient Monitor Revision C 2005873-001...
  • Page 269 Alarms: User-selectable upper and lower limits for systolic, diastolic, and mean pressures Pressure accuracy: Static: ±2% or ±3 mmHg, whichever is greater Clinical: ±5 mmHg average error 8 mmHg standard deviation Revision C Dash 2000 Patient Monitor 14-29 2005873-001...

  • Page 270: Paper Recorder

    35 ms (max), R-wave peak to leading edge of pulse. Amplitude selectable in Service Menu (for selection of the Service Menu and adjustments, reference the Dash 2000 Field Service Manual). +5 V selection: 3.5 V (min) at 1 mA sourcing; 0.5 V (max) at 5 mA sinking.

  • Page 271: Environmental Specifications

    2 months at 30 °C (86 °F) 1 month at 40 °C (104 °F) 2 weeks at 50 °C (122 °F) 1 week at 60 °C (140 °F) 4 days at 70 °C (158 °F) Revision C Dash 2000 Patient Monitor 14-31 2005873-001...

  • Page 272: Physical Specifications

    CE Marking for the 93/42/EEC Medical Device Directive UL 2601-1 classified. UL classified for CAN/CSA C22.2 No.601.1 Warranty Standard: One year Optional: Other options available. Contact the manufacturer sales representative for more information. 14-32 Dash 2000 Patient Monitor Revision C 2005873-001...

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