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GE B30 User Manual

GE B30 User Manual

Patient monitor
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GE Healthcare
B30 Patient Monitor
User's Guide
English
2039822-002 C (paper)
© 2009 General Electric Company.
All rights reserved.

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Summary of Contents for GE B30

  • Page 1 GE Healthcare B30 Patient Monitor User's Guide English 2039822-002 C (paper) © 2009 General Electric Company. All rights reserved.
  • Page 3 Related to software L-DICU08 0459 All specifications are subject to change without notice. Document no. 2039822-002 C 7th July 2009 GE Medical Systems Information Technologies, Inc. GE Healthcare 8200 West Tower Avenue 3F Building 1, GE Technology Park Milwaukee, WI USA...

  • Page 4: About This Guide

    Monitor Technical Reference Manual intended use. Keep it always close to the equipment. Observance of − Options and selections of the software: B30 Patient Monitor the manual is a prerequisite for proper product performance and Default Configuration Worksheet correct operation and ensures patient and operator safety.

  • Page 5: Responsibility Of The Manufacturer

    − Type BF or CF equipment. The degree of protection against The B30 monitor is intended for all hospital patients and all hospital electric shock is indicated by a symbol on each parameter departments including intra-hospital transport but excluding harsh module.

  • Page 6: Table Of Contents

    Contents Safety precautions ......1 Pulse oximetry ....... .63 Symbols .

  • Page 7: Safety Precautions

    Safety precautions These precautions refer to the entire system. Warnings and cautions specific to parts of the system can be found in the relevant section. • Do not touch the patient, table, instruments, modules or the Warnings monitor during defibrillation. •...
  • Page 8 • Do not autoclave any part of the system with steam or sterilize • The B30 is always energized by the internal batteries. A short with ethylene oxide. circuit may cause internal damage. Do not touch any exposed •...
  • Page 9 − • Do not store or transport the monitor outside the specified Class B equipment is suitable for use in domestic temperature, pressure and humidity ranges. establishments and in establishments directly connected to a low voltage power supply network which supplies buildings Disposal used for domestic purposes.
  • Page 10 For your notes:...

  • Page 11: Symbols

    Symbols − − Attention, consult accompanying documents. On the rear panel this symbol indicates the − following warnings and cautions: On the modules or frames indicates that − Electric shock hazard. Do not open the cover or modules with identical measurements should the back.
  • Page 12 When displayed in the upper left corner of the Battery (A) missing screen, indicates that the alarms are silenced. When displayed in the menu or digit fields, indicates that the alarm source has been turned off or alarm does not meet the alarm-specific activation criteria. In the front panel: mains/external DC power Equipotentiality.
  • Page 13 Date of manufacture This symbol indicates that the waste of electrical and electronic equipment must not be disposed as unsorted municipal waste and must be collected separately. Please, contact an authorized representative of the manufacturer for information concerning the decommissioning of your equipment.
  • Page 14 For your notes:...

  • Page 15: System Introduction

    Consult your local representative for the available components. Optional components Alarms Optional components for the B30 monitor are: If the monitor is connected to the network, the alarm limits can also • Patient Side Modules E-PSMW and E-PSMPW be changed using the Central if this feature has been enabled in the •...
  • Page 16 WARNING: Connect only one patient to the monitor at WARNING: Never install the monitor so that it is a time. above the patient. WARNING: After transferring or reinstalling the WARNING: Do not use the monitor without monitor, always check that it is properly connected manufacturer approved mounting attached.

  • Page 17: Monitor Introduction

    Monitor introduction (1) Battery compartment, see below (2) Transportation handle (3) Alarm light, see page (4) Alarm LEDs, see page (5) Side panel keys, see page (6) The ComWheel (7) Command Board keys, see page (8) Guide rail for GCX mounting (9) Mains power and battery LEDs, see page (10) ON/standby key (11) Defibrillator &...

  • Page 18: Rear Panel Connections

    Rear panel connections (1) Battery compartment (2) Slot for infusion pole mount (3) Module connector (marked with X4) (4) Guide rail for GCX mounting (5) Receptacle for power cord (6) Fuse holder (7) Serial port (marked with X9) (8) Network ID connector (marked with X8) (9) Connector for future use (marked with X7) (10) Accessory: multi I/O adapter (with connectors 7 - 9 above)

  • Page 19: Command Board Keys

    Command Board keys Pt.Data Admit/ Invasive Normal NIBP & Trends Discharge Pressures Screen Monitor Print/ Airway Others Setup Record (1) ON/standby key (6) For returning the Normal Screen view to the screen (2) Mains power ON (lit) or OFF (dark): indicates mains or external DC (7) For activating pulse oximetry, impedance respiration and power temperature setup menus...
  • Page 20 Side panel keys Alarm LED indicators: see page Silence Alarms For silencing the alarms, see page Alarms For activating the Alarms Setup menu Setup Invasive Pressures For zeroing the invasive pressure channels, see page Zero NOTE: Functional with the E-PSMPW module only. NIBP For starting the NIBP autocycling, see page Start...

  • Page 21: Battery Indicators

    Batteries The B30 monitor allow to use two lithium-ion batteries at most, Battery indicators located in the battery compartment. They can be charged Screen Explanation Front panel battery LEDs separately, and screen symbols and monitor frame LEDs indicate their charging level and possible failure, see table on the right. You...
  • Page 22 Checking the battery charge when the monitor is turned When the monitor is turned off, you can check the battery charging level by pressing the test button on the battery as indicated in the drawing. The charging indicator bar (1) lights up and the number of lit segments indicates the charging level.

  • Page 23: Replacing The Batteries

    Replacing the batteries Battery capacity indicators in the upper right corner of the screen CAUTION: After replacing a battery, always make sure tell you when you should replace a battery, and which one is out of to close the battery compartment by sliding the lid back charge, missing or not working, see above.
  • Page 24 For your notes:...
  • Page 25 You can use simultaneously either one E-PSM(P)W module or one Measurement modules N-Fx module or one of each. See the following pictures and There are five modules for the B30 monitor: hemodynamic Patient explanations for module features. Side Modules E-PSMW and E-PSMPW, and the B30 monitor specific Extension Modules N-FREC, N-FCREC and N-FC.

  • Page 26: Module Versions

    Module keys Module versions The Patient Side Modules have the following measurement capabilities: Auto Auto On/Off: for starting or stopping the On/Off E-PSMW: NIBP automatic cycling, see page − Non-invasive blood pressure − Temperatures Start Start Cancel : for starting or stopping the −...
  • Page 27 Extension Modules N-FREC, N-FCREC (in the drawing) and N-FC (1) Recorder, in N-FREC and N-FCREC (2) Paper compartment lever (3) CO measurement, in N-FCREC and N-FC (4) Water trap (5) Tab for removing the module (6) Sample gas inlet (7) Gas outlet Module versions The Extension Modules have the following measurement capabilities and features:...

  • Page 28: Inserting A Module

    Inserting a module Using two modules 1. Align the module with the insertion guides. E-PSM(P)W and N-Fx To install an E-PSM(P)W and an N-Fx module: modules are all inserted the same way. 1. Insert the N-Fx module first as explained in "Inserting a module."...

  • Page 29: Monitoring Basics

    Using modes A menu is a list of functions or commands. To display a menu, press The B30 monitor has six user modes. These user modes are one of the hard keys. Selections in the menus are made with the predefined combinations of settings.
  • Page 30 For your notes:...

  • Page 31: Setting Up The Monitor Before Use

    Setting up the monitor before use Before starting to use the monitor, check the monitor installation settings and what is configured in different user modes, and make the necessary changes. The user modes can be hospital-specific. Default modes are STEP-DOWN, ED, PACU, CCU, NEURO and PEDIATRIC.
  • Page 32 Changing the monitor installation settings The monitor installation settings are the same in all user modes. The Monitor Setup changes are preserved until changed again. Press enter the password and select Install/Service - Installation. Units Printer Change units for height, weight and blood pressure. ECG Printout Type: Select 2x6-25, 2x6-50 or 3x4-25.
  • Page 33 Changing the user modes Changing the startup mode NOTE: If you want to make changes in user modes, we recommend Monitor Setup 1. Select - Install/Service - Save Modes. you contact the person responsible for the configuration. When new 2. Select Startup Mode - 1, 2, 3, 4, 5 or 6. settings are saved, they should be marked in the "Default Configuration Worksheet", See below for instructions on how to Renaming a mode...
  • Page 34 Changing the waveform sweep speeds Changing the printer settings Monitor Setup Print/Record 1. Select - Sweep Speeds. 1. Press 2. Select the parameters and adjust the values. Slow waveforms 2. Select Print Graphical. show the amplitude changes better. 3. Select the pages to print and how many hours to print on one page.
  • Page 35 Setting the default trend Setting trend lengths and scales You can select graphical or numerical trends to be displayed by Press Pt.Data & Trends: default. • Select Trends - Graphical - Time Scale and select the trend Monitor Setup length. 1.
  • Page 36 For your notes:...

  • Page 37: Entering And Loading Patient Data

    Entering and loading patient data Entering patient data Saving data When you admit a patient, you must enter all relevant data: The monitor continuously saves patient data, such as trends. Saving Admit/Discharge is activated once the patient is admitted. The monitor saves 1.
  • Page 38 For your notes:...

  • Page 39: Starting And Ending

    Starting and ending Preparations Starting monitoring NOTE: Before using the monitor for the first time with batteries, 1. Prepare the patient connections according to the setup picture charge the batteries to their full capacity (charging time 2 hours per in the measurement section. Use only approved supplies and battery pack).

  • Page 40: Ending Monitoring

    Automatic discharge of the patient Ending monitoring The monitor discharges a patient automatically after 24 hours when Print/Record 1. Print necessary data: press the key. vital signs for some parameters (ECG, Art, NIBP, SpO , Resp and CO 2. Wait until the printing is finished. Then clear the patient data and (with N-FCREC and N-FC)) are not available.

  • Page 41: Screen Setup

    Screen setup Modifying the screen temporarily Changing the split screen contents Monitor Setup You can split the Normal Screen page into two parts. The other half • Press the key and select Screen Setup. of the split screen shows trend data. •...
  • Page 42 Note that: Changing waveform and digit fields − Waveforms are always evenly spread to fill the entire waveform Up to six waveforms and four digit fields can be displayed area. When 3 or fewer waveforms are configured on the screen, simultaneously.

  • Page 43: Alarms

    Alarms Enabling the alarms Alarm indications To enable the alarms, connect patient cables. If the alarm source is When the monitor is turned on, you will hear a beep: this tells you selected, the alarms are operative also when the measurement is that the alarm audio signal is working.
  • Page 44 Alarm categories The priority depends primarily on the cause and alarm duration. The priority increasing with the duration and according to the physiological significance. Visual Meaning Tone pattern (selected Side panel LED Alarm light (if when the system is indicators enabled) configured) For life threatening situations: HIGH...

  • Page 45: Alarm Light

    Alarm light Changing source The B30 monitor has an alarm light, located in the upper right corner For NIBP, P1 and P2 (with E-PSMPW), you can select which measured of the monitor frame, see page 11. The alarm light can be enabled values trigger the alarm.
  • Page 46 Silencing audible alarms temporarily Silencing audible alarms permanently Silence Alarms Alarms Setup To silence alarms for two minutes, press the side 1. Press the side panel key and select Audio ON/ panel key. To silence them for five minutes, press the key for more OFF.

  • Page 47: Printing And Recording

    Printing and recording You need Side panel key − Laser printer for printouts (PCL5 compatible, min. 2Mb memory) Use the side panel key to start and stop recording immediately. NOTE: Network printer only. − Optional N-FREC or N-FCREC module for recording −...

  • Page 48: Printing Currently Displayed Screen Contents

    Printing currently displayed screen contents Printing with a laser printer You can print currently displayed trend data. Selecting a printer To print trend data: Print/Record 1. Press the key. Pt.Data & Trends • Press the key and select: 2. Select Printer Connection. •...
  • Page 49 Recording graphical trends Recording with the recorder Print/Record 1. Press the key. NOTE: You need the N-FREC or N-FCREC module with the built-in 2. Select Record Trends - Record Graphical. recorder. 3. You can stop recording by selecting Stop Graphical. Recording numerical trends Trends are recorded for the time period that corresponds to the time You can record the current values of measured parameters.

  • Page 50: Recording On Alarms

    Recording on alarms Recording waveforms Print/Record You can record three waveforms to a local recorder, and two to four 1. Press the key. waveforms to a network recorder: 2. Select Record Waveforms. Print/Record 1. Press the key. 3. Select Start on Alarms - YES. 2.

  • Page 51: Trends

    Trends Symbols Trend bar: the gap shows the blood pressure mean value NIBP trend bar Indicator of change -for example, ST relearning or zeroing of an invasive blood pressure channel/ changing a label Trends view (1) Measurement trend field (2) Real time ECG (3) Numerical value of a measurement at the trend cursor point (4) Time and marker field (5) Trend page number...
  • Page 52 Viewing graphical trends Viewing numerical trends Pt.Data & Trends Pt.Data & Trends 1. Press the key. 1. Press the key. 2. Select Trends - Graphical. 2. Select Trends - Numerical. • To see more parameters, select Scroll Pages and scroll with •...

  • Page 53: Cleaning And Care

    Cleaning and care Daily and between patients Points to note: − • Wipe the monitor and module surfaces. Do not use hypochlorite, acetone-, phenol- or ammonia based • Wipe the ECG trunk cable, NIBP cuff and cables and SpO cleaners. −...
  • Page 54 Before cleaning Pulse oximetry sensors 1. Turn off the monitor from the ON/standby key. The GE Healthcare pulse oximetry sensors are latex-free. Take 2. Disconnect the power cord. possible patient allergies into account also when selecting the cleaning agent. After cleaning 1.

  • Page 55: Power Interruption

    Water trap in the N-FCREC and N-FC modules Conditioning the batteries • Empty the container whenever half full. Condition batteries regularly to maintain their useful life. This is best • Change the water trap every two months and when the text done on an external charger.

  • Page 56: Regular Checks

    Regular checks When you start monitoring, check that: NIBP • The module is firmly in place. • Ensure that you are using correct cuff size and have selected • Accessories are intact and properly connected. correct inflation limits. For children and when using hoses •...
  • Page 57 Functioning of the alarms Safety checks for software • Set a parameter value outside the alarm limits. For example, The GE Healthcare software design controls include performance of connect the SpO sensor and adjust the SpO High limit under a risk analysis using methods consistent with ISO 14971 Medical devices - Application of risk management to medical devices.

  • Page 58: Starting The Calibration

    2. Press the key and select Gas Calibration. NOTE: Use only specified GE Healthcare calibration gas sampling 3. Wait until the texts 'Zero OK' and then 'Feed gas' appear on the line; wrong line length or diameter can cause incorrect calibration.

  • Page 59: Ecg And St

    ECG and ST You need NOTE: For a comprehensive list of accessories, see the "Supplies and Accessories" catalog. (1) E-PSMW or E-PSMPW module with ECG measurement capability (2) Multi-Link 5-lead ECG trunk cable, or 3-lead ECG cable with NOTE: Keep the ECG cable, lead set and module connectors dry. integrated leadwires Avoid excessive use of liquids when cleaning cables and connectors.
  • Page 60 Preparing the patient and applying the electrodes WARNING: Vibrations during intrahospital transport 1. Prepare the skin properly to ensure optimal signal quality: may disturb ECG measurement. • Shave any hair from the electrode sites. • Gently rub the skin surface to increase capillary blood flow and remove dead skin cells and oil.
  • Page 61 Selecting the number of electrodes for 5-lead ECG Selecting how to view ECG waveforms • To set the number of ECG waveforms in Normal Screen, press 1. Press the key. Monitor Setup 2. Select ECG Setup. and select Screen Setup - Waveform Fields. 3.
  • Page 62 Beat sound volume WARNING: The impedance respiration measurement To adjust the beat sound volume of the monitor: may cause rate changes in Minute Ventilation Rate 1. Press the key. Responsive Pacemakers. Set the pacemaker rate 2. Select ECG Setup. responsive mode off or turn off the impedance 3.

  • Page 63: Arrhythmia Monitoring

    Arrhythmia monitoring NOTE: With the L-DICU08 software only severe analysis is available. Selecting leads for the arrhythmia analysis It detects asystole, bradycardia, tachycardia, ventricular fibrillation When measuring 5-lead ECG, you can affect the selection of the two and ventricular tachycardia. ECG leads used for detecting beats and ventricular fibrillation.

  • Page 64: Detecting Arrhythmia Alarms

    Detecting arrhythmia alarms NOTE: Arrhythmia alarms are just for reference, but not for diagnose. A physician must analyze the arrhythmia information in conjunction with other clinical findings. NOTE: Asystole alarm will sound when HR reaches zero. For details about detection performance and test results of the arrhythmia algorithm testing, please refer to "User's Reference Manual: ECG." Alarm Criteria Asystole...

  • Page 65: Impedance Respiration

    Impedance respiration You need Improving waveform readability Use the same setup as in the ECG measurement, see "ECG and ST." Others 1. Press the key and select Resp Setup. 2. Select Size and adjust the waveform size. Starting Correcting the respiration number 1.
  • Page 66 WARNING: The impedance respiration measurement WARNING: Vibrations during intrahospital transport may cause rate changes in Minute Ventilation Rate may disturb impedance respiration measurement. Responsive Pacemakers. Set the pacemaker rate responsive mode off or turn off the impedance WARNING: Make sure that the leadwire set clips or respiration measurement on the monitor.

  • Page 67: Temperature

    Temperature You need NOTE: Use only GE Healthcare temperature probes or defibrillator- proof YSI 400 series probes. (1) E-PSMW or E-PSMPW module (2) Adapter cable for temperature probes NOTE: For a comprehensive list of accessories, see the "Supplies and (3) Reusable temperature probe Accessories"...

  • Page 68: Changing Temperature Label

    Changing temperature label Combining different temperatures Others The monitor displays the difference between different temperatures 1. Press the key. if they are displayed in the same digit field. 2. Select Temp Setup - T1 Label or T2 Label. For example, to display T2 - T1: Monitor Setup Changing temperature units 1.

  • Page 69: Pulse Oximetry

    Pulse oximetry You need NOTE: For a comprehensive list of accessories, see the "Supplies and Accessories" catalog. (1) E-PSMW or E-PSMPW module (2) OxyTip+ interconnect cable NOTE: For each SpO accessory, refer to the instructions for use in the accessory package for patient weight limits. OXY-E-UN OXY-SE-3 OXY-F-UN...

  • Page 70: Applying Sensors

    3. Select Beat Sound Volume, Pleth Scale or SpO2 Response. cable and sensor from moving. NOTE: GE Healthcare sensors are latex-free. Refer to the introduction of each type of probes, to make sure the materials with which patient or any other person may come into contact.
  • Page 71 WARNING: Allow sensor and cable to dry completely WARNING: Inaccurate SpO data can result if a sensor after cleaning. Moisture and dirt on the connector is past its useful life. Therefore, re-evaluate the can affect the measurement accuracy. measurement periodically by performing additional assessment of the patient and equipment, including consideration of use of alternate monitoring methods WARNING: Vibrations during intrahospital transport...
  • Page 72 For your notes:...

  • Page 73: Non-Invasive Blood Pressure (Nibp)

    Non-invasive blood pressure (NIBP) You need NOTE: For a comprehensive list of accessories, see the "Supplies and Accessories" catalog. (1) E-PSMW or E-PSMPW module (2) Cuff hose WARNING: Vibrations during intrahospital transport (3) Cuff of correct size may disturb NIBP measurement. Place the arrow (4) over the brachial artery.
  • Page 74 To produce a single measurement Starting Start Cancel • Press the side panel or module key, or Note that the measurement unit may be mmHg or kPa. The unit is NIBP press the key and select Start Manual. Monitor Setup selected during configuration through - Install/ Service - Installation - Units.

  • Page 75: During Measurement

    During measurement Stopping • Observe the cuffed limb frequently. Measurement may impair To release the cuff pressure before the measurement is finished: Start Cancel blood circulation. Intervals below 10 minutes and STAT • Press the side panel or module key, or measurements are not recommended for extended periods of NIBP press the...
  • Page 76 Using NIBP cuff for venous stasis NIBP 1. Press the key. 2. Select Start Ven.Stasis. Inflation limit Maximum venous stasis inflation limit Venous stasis time Infant 150±5 mmHg (19.3 ±0.7 kPa) 40±5 mmHg (5.3 ±0.7 kPa) 1 minute Child 200±10 mmHg (26.7 ±1.3 kPa) 60±5 mmHg (8.0 ±0.7 kPa) 2 minutes Adult...

  • Page 77: Invasive Blood Pressure

    Invasive blood pressure You need .You can monitor up to two pressure channels with the E-PSMPW module by using a dual cable. Note that the measurement unit may (1) E-PSMPW module with InvBP measurement capability be mmHg or kPa. The unit is selected during configuration through (2) Heparinized fluid bag with pressure infusor Monitor Setup - Install/Service - Installation - Units.

  • Page 78: Labeling Channels

    Starting Labeling channels 1. For the setup, prepare the transducer kit according to the The label of the pressure channel sets its display scale, color, filter, manufacturer's instructions. alarm source and alarm limits. The label descriptions are 2. Ensure that there is no air in the line. preconfigured.
  • Page 79 Factory default descriptions The channels have the following factory default descriptions: LABEL P1, Art, ABP P2, CVP RAP, LAP Scale mmHg/kPa 200/30 20/4 20/4 20/4 60/8 60/8 Color Blue White White Yellow White Alarm source Digit format Mean Mean Filter (Hz) Response Normal Normal...
  • Page 80 WARNING: Vibrations during intrahospital transport WARNING: When using the electrosurgery unit, may disturb InvBP measurement. ensure proper contact of the ESU return electrode to the patient to avoid burns at monitor measurement sites. WARNING: All invasive procedures involve risks to the patient.

  • Page 81: Airway Gas (Co )

    Airway gas (CO You need You get − Carbon dioxide measurement: EtCO , FiCO , capnogram, respiratory N-FCREC or N-FC module with CO measurement capability − rate Gas sampling line − Airway adapter with sampling line connector NOTE: For a comprehensive list of accessories, see the "Supplies and −...

  • Page 82: During Monitoring

    Starting Waveform scaling • Make sure that the water trap container is empty and properly If EtCO is above 6% or the difference between FiO and EtO attached. above 6%, change the scale for capnogram: Airway Gas 1. Press the key.
  • Page 83 WARNING: Always test the airway adapter for a tight connection and proper operation before attaching it to the patient. CAUTION: Do not apply pressurized air to any outlet or tubing connected to the moniotr, Pressure may destroy sensitive elements. CAUTION: Remove the airway sampling line from the patient’s airway while nebulized medications are being delivered.
  • Page 84 For your notes:...

  • Page 85: Troubleshooting

    Troubleshooting NOTE: Always check the patient’s condition first in problematic situations or if an alarm is triggered. See also “Messages.” Also note that if the measurement or function does not appear on the screen, check module connections. Airway gases Values are too low: ECG signal is noisy or no QRS is detected: •...
  • Page 86 Monitor Non-invasive blood pressure The monitor does not start: Measurement does not work or values seem unstable: • Check that the batteries are inserted and sufficiently • Check that cuff tubings are not bent, stretched, compressed charged, see page or loose. •...

  • Page 87: Messages

    Messages Always check the patient first. If any problem or message persists, contact qualified service personnel. Messages are listed here in alphabetical order. • Air leakage • Artifacts − − NIBP: Check all connections and test tightness using Venous Calm the patient since patient movements, shivering, deep Stasis.
  • Page 88 • Check SpO2 probe • Identical modules − − : Check the sensor and connections. You are trying to use two or more E-PSM(P)W modules or two or more N-Fx modules at the same time. You can only use one E-PSM(P)W and/or one N-Fx module at a time. Remove •...
  • Page 89 • No battery backup • Recorder module removed − − Replace the batteries, see “Replacing the batteries.” Reconnect the N-FREC or N-FCREC module if you need a recorder. • Noise − • Replace Battery A, Replace Battery B ECG: Check the patient status. Check the electrodes. −...
  • Page 90 • Temperature error • Weak pulsation − − Contact authorized service personnel. Check the patient status. − Check the NIBP cuff position and attachment. • Unable to measure Dia − Check that the cuff is not damaged. − Check the patient status. −...

  • Page 91: Abbreviations

    Abbreviations /min beats per minute, breaths per minute BAEP brainstem auditory evoked potential °C Celsius degree balance gas °F Fahrenheit degree 1 atmosphere µg microgram Beta, BE beta frequency band Bigem. bigeminy alveolar bispectral index arm (describing location) Blad bladder temperature arterial Blood blood temperature (C.O.
  • Page 92 CMRR common mode rejection ratio energy expenditure (kcal/24h) carbon monoxide electroencephalogram carbon dioxide EEG1 first EEG waveform COHb carboxyhemoglobin EEG2 second EEG waveform Compl compliance EEG3 third EEG waveform Cont. continuous EEG4 fourth EEG waveform Contrl controlled ventilation EEMG evoked electromyogram Core core temperature EEtot...
  • Page 93 FiO2 fraction of inspired oxygen Infl. inflation (limit) Flow airway gas flow insp inspiratory Freq. frequent Inv. invasive foot, feet InvBP invasive blood pressure FVloop flow volume loop Irreg. irregular Industrial, Scientific and Medical Gauss International Standards Organisation gram isoflurane Graph.
  • Page 94 MetHb methemoglobin Oxy. Calcs oxygenation calculations median frequency milligram partial pressure minimum pressure minute P(BTPS) pressure in BTPS conditions milliliter P(g-a)CO2 difference between gastrointestinal carbon MLAEP middle-latency auditory evoked potential dioxide and arterial blood carbon dioxide mmHg millimeters of mercury concentration mole Monit...
  • Page 95 Pleth plethysmographic pulse waveform respiration rate (total) (measured) PM non-capt. pacemaker non-capturing rhythm PM non-funct. pacemaker non-functioning residual volume pacemaker RVEDV right ventricular end-diastolic volume Pmax maximum pressure RVESV right ventricular end-systolic volume Pmean mean pressure right ventricular pressure Pmin minimum pressure RVSW right ventricular stroke work...
  • Page 96 systemic vascular resistance V Fib ventricular fibrillation SVRI systemic vascular resistance index V Run ventricular run stroke volume variation V Tachy ventricular tachycardia systolic pressure venous ventricular tesla volume T corr. temperature correction ventilation/perfusion ratio T inj. injectate temperature V0.5 volume expired during the first 0.5 seconds temperature V1.0...

  • Page 97: Performance

    If the alarm mode is latched, the technical alarms are latched as clinicians. well. This does not comply with the NIBP (IEC 60601-2-30) and B30 Patient Monitor invasive pressure (IEC 60601-2-34) standard requirements. Silencing alarms for 5 minutes does not comply with the SpO...
  • Page 98 Defibrillator & IABP synchronization connector Hemodynamic modules E-PSMW, E-PSMPW Analog output Filter modes: ECG (Pin 8): With 50 Hz power supply frequency: From first user lead (ECG1) monitoring filter 0.5 to 30 Hz Gain: 1 V/mV ±10% ST filter 0.05 to 30Hz Delay: <...
  • Page 99 The heart rate calculation operates with irregular rhythms of IEC Direct cardiac application: 60601-2-27 6.8.2 bb 4 , the heart rate after a 20 second stabilization The display area reserved for the ECG measurement in the period is: monitoring system screen may not be adequate for displaying the Figure 101 A1): 80 bpm complete ECG amplitude when measuring ECG direct from the Figure 101 A2): 59 bpm...
  • Page 100 Typical measuring time: Digital display averaging: median of 5 samples adult Less than 30 s Probe type: Use only GE Healthcare temperature infant Less than 25 s probes or defibrillator-proof YSI 400 Overall system accuracy: Meets or exceeds SP10-2002 AAMI series probes.
  • Page 101 Airway gases, N-FCREC and N-FC Sampling rate: 150±25 ml/min (sampling line 2 to Automatic scaling of plethysmographic waveform. 3 m, normal conditions) Measurement and display range: 0 to 100% Maximum sampling Calibration range: 70 to 100% line length: Calibrated against functional oxygen saturation. Sampling delay: 2.1 s typical with a 3-m sampling line Measurement accuracy...
  • Page 102 Non-disturbing gases are those with a maximum effect on the CO Default alarm limits reading at 5.0 vol% < 0.2 vol%. The effect is valid for specific EtCO high 8%, low 3% concentrations shown in parentheses of the non-disturbing gas: FiCO high 3%, low Off Ethanol C...

  • Page 103: Electromagnetic Compatibility

    Electromagnetic Compatibility Changes or modifications to this system not expressly approved by GE can cause EMC issues with this or other equipment. This system is designed and tested to comply with applicable regulation regarding EMC and must be installed and put into service according to the EMC information stated in this section.

  • Page 104: Guidance And Manufacturer's Declaration - Electromagnetic Immunity

    Guidance and manufacturer’s declaration – electromagnetic immunity Guidance and manufacturer’s declaration – electromagnetic immunity The B30 monitor is intended for use in the electromagnetic environment specified below. The customer or the user of the B30 monitor should assure that it is used in such an environment.
  • Page 105 Voltage dips, short <5% U <5% U Mains power quality should be that of a interruptions and typical commercial or hospital environment. (>95% dip in U (>95% dip in U voltage variations on If user of the equipment requires continued for 0.5 cycle for 0.5 cycle power supply lines...
  • Page 106 Guidance and manufacturer’s declaration – electromagnetic immunity Guidance and manufacturer’s declaration – electromagnetic immunity The B30 monitor is intended for use in the electromagnetic environment specified below. The customer or the user of the B30 monitor should assure that it is used in such an environment.
  • Page 107 where P is the maximum output power rating of the transmitter in watts (W) according to the transmitter manufacturer and d is the recommended separation distance in metres (m). Field strengths from fixed RF transmitters, as determined by an electromagnetic site survey, should be less than the compliance level in each frequency range.

  • Page 108: Recommended Separation Distances

    The table below provides the recommended separation distances (in meters) between portable and mobile RF communications equipment and the B30 monitor . The B30 monitor is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled. The customer or the user of the equipment can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment (transmitters) and the equipment as recommended below, according to the maximum output power of the communications equipment.

  • Page 109: End User License Agreement

    GE. You may not rent, lease, sell, or forbidden. You may be held legally responsible for any copyright...
  • Page 110 Licensee shall (as adviced by GE) immediately destroy the Software information of the internal structure of the Software is necessary in and all copies thereof or return the same to GE and within two (2) order to obtain interoperability of the Software with other software business days thereafter certify to GE in writing that in accordance programs, Licensee shall immediately contact GE.

  • Page 111: Warranty

    Warranty This Product is sold by GE Medical Systems (China) Co., Ltd. under the GE's sole and exclusive obligation and Buyer's sole and exclusive warranty set forth in the following paragraphs. Such warranty is remedy under the above warranty is limited to repairing or...
  • Page 112 For your notes:...

  • Page 114: European Representative

    Fax:+ 1 414 355 3790 Fax: + 86 21 3877 7451 GE Medical Systems Information Technologies, Inc. 8200 West Tower Avenue Milwaukee, WI 53223 USA GE Medical Systems Information Technologies, a General Electric Company, going to market as GE Healthcare www.gehealthcare.com 0459...