ENG 2094813-001 BX50 UM-SIM Addendum 2-0-8

Addendum for CARESCAPE Modular Monitors
user documentation
Addendum for CARESCAPE Modular

Monitors user documentation
English
2068394-008 paper
© 2013-2016 General Electric Company.
All rights reserved.
Due to continuing product innovation, specifications in this manual are subject to change without notice.
For technical documentation purposes, the abbreviation GE is used for the legal entity names, GE Medical Systems Information Technologies,
Inc. and GE Healthcare Finland Oy.
2 Addendum for CARESCAPE Modular Monitors user documentation 2094813-001

2016-05-18
Contents
About this manual........................................................................................... 7
Intended use of this manual......................................................................... 7
Intended markets of this addendum ........................................................... 9
Changes to the User's Manual ....................................................................... 9
Third party trademarks ................................................................................. 9
B850 module frames F7 and F5 ................................................................... 9
D19KT VER01 display .................................................................................... 9
Acquisition modules.................................................................................... 10
Equipment symbols..................................................................................... 10
User interface symbols and alarm icons on screen.................................. 11
Combination monitoring and arrhythmia alarm categories .................... 12
Combination monitoring and Va/Vb lead selections with 6–lead
cable............................................................................................................. 12
Power failure alarm..................................................................................... 12
Physiological alarms and priority levels..................................................... 12
Selecting parameter alarm priority levels.................................................. 13
Informational message level in parameter alarm menus ........................ 14
Breakthrough alarms update ..................................................................... 14
ECG warning updates ................................................................................. 14
Intended use of 12RL™ Interpolated 12 lead ECG analysis....................... 14
Entering data for an ACI-TIPI 12 lead ECG analysis .................................. 15
Enabling and disabling the 12SL ACS......................................................... 15
Setting the 12 lead ECG analysis display format....................................... 16
Selecting the 12 lead waveform filter ........................................................ 16
Including or excluding 12SL statements in printed reports...................... 16
Viewing or printing saved 12 lead ECG reports ......................................... 17
Selecting the pacemaker detection ........................................................... 17
Arrhythmia alarm messages update ......................................................... 18
Respiration alarm priorities ........................................................................ 18
Nellcor OxiMax data averaging and updating .......................................... 18
Invasive pressure channel labels ............................................................... 18
2094813-001 Addendum for CARESCAPE Modular Monitors user documentation 3

Confirmation of C.O. measurements.......................................................... 19
CARESCAPE respiratory modules E-sCOVX and E-sCAiOVX...................... 19
CARESCAPE respiratory modules’ indications for use............................... 19
Airway gases measurement limitations .................................................... 19
Airway gases points to note ....................................................................... 20
Patient Spirometry limitations .................................................................... 20
Entropy warning .......................................................................................... 20
NMT module keys ........................................................................................ 20
Restarting the NMT measurement in OR after induction ......................... 20
Train of four (TOF) mode ............................................................................. 20
Graphic trend resolution and the high-resolution license ........................ 21
PRN 50–M+ recorder for B850 .................................................................... 21
About viewing other monitored patients................................................... 21
Permitted disinfectants............................................................................... 21
Battery recycling ......................................................................................... 22
New NIBP messages ................................................................................... 22
Messages related to various situations ..................................................... 22
Changes to the Supplemental Information Manual ................................... 22
CARESCAPE respiratory modules E-sCOVX and E-sCAiOVX...................... 22
Other E-module compatibility .................................................................... 23
PDM compatibility update .......................................................................... 23
Input devices ............................................................................................... 23
Printing device compatibility ...................................................................... 23
Display devices............................................................................................ 24
Miscellaneous network devices.................................................................. 24
Unity Network ID compatibility................................................................... 24
CARESCAPE Monitor B650 specifications................................................... 24
WLAN specifications, B650 ......................................................................... 24
WLAN specifications, B450 ......................................................................... 25
E-EEG module and N-EEG headbox specifications ................................... 25
PRN 50–M+ specifications .......................................................................... 25
CARESCAPE D19KT VER01 specifications................................................... 26
ECG standards compliance ........................................................................ 26
ECG performance specifications ................................................................ 26

SpO2 standards compliance ....................................................................... 27
Cardiac output (C.O.) performance specifications..................................... 27
Invasive pressure parameter specifications.............................................. 27
Invasive pressure channel labels ............................................................... 27
Airway gases standards compliance......................................................... 27
Gas exchange performance specifications............................................... 28
EEG standards compliance......................................................................... 28
EEG performance specifications ................................................................ 28
Hemodynamic calculations calculated parameter formulas................... 28
Ventilation calculations calculated parameter formulas ......................... 28
Licensed software options.......................................................................... 29
Configuring care unit settings .................................................................... 29
Admit/discharge settings............................................................................ 29
Parameter alarms settings ......................................................................... 30
Standby site name settings ........................................................................ 30
New NIBP messages ................................................................................... 31
Alarm priorities and escalation times for ECG........................................... 31
Alarm priorities and escalation times for impedance respiration............ 32
Alarm priorities and escalation times for temperature ............................ 33
Alarm priorities and escalation times for various situations .................... 33
Alarm priority settings for current patient ................................................. 33
Technical alarm delay specifications ......................................................... 33
ECG advanced default settings .................................................................. 34
CO2 default settings .................................................................................... 34
Anesthetic agent default settings .............................................................. 35
Patient Spirometry default settings ........................................................... 35
New default settings ................................................................................... 36
PRN 50–M+ recorder mounts ..................................................................... 37
Other mounts .............................................................................................. 38
Other accessories........................................................................................ 38

About this manual
Intended use of this manual
This addendum must be used in conjuction with the monitor’s user’s manual and
supplemental information manual for software version 2.
This addendum covers necessary updates to these two manuals.
The list below indicates the compatible products (brands, versions, models, and
descriptions as applicable) with which these manuals* are to be used. Supported
products are covered by the manuals that were delivered with those products.
● CARESCAPE Monitor B850 CPU-C1
● CARESCAPE Monitor B650
● CARESCAPE Monitor B450
● CARESCAPE Monitor B850–LI
● CARESCAPE 19 inch Display D19KT
● CARESCAPE D19KT VER01
● E-COP-01
● E-COPSv-01
● E-sCAiO-00
● E-sCAiOV-00
● E-sCAiOVX-00
● E-sCO-00
● E-sCOV-00
● E-sCOVX-00
● E-sCAiOE-00
● E-sCAiOVE-00
● E-miniC-00
● E-CAiO-00
● E-CAiOV-00
● E-CAiOVX-00
● E-CO-00
● E-COV-00
● E-COVX-00
● E-MASIMO-00
● E-NSATX-00
● E-P-00
● E-PP-00
● E-PT-00
● E-PSMP-01

● E-PSM-01
● E-PSMW-01
● E-PSMPW-01
● E-ENTROPY-01
● E-NMT-01
● E-EEG-00
● N-EEG-01
● E-BIS-01
● Patient Data Module
● Patient Data Module GS
● CapnoFlex LF CO2 Module
● CapnoFlex Adapter
● Tram-Rac 2 Housing
● PRN 50–M+
● Frame F5–01
● Frame F7–01
● 2069156–001 Bedrail Hook Unit, B450
● 2017098-001 E-PORT PDM to Host 5 ft
● USB Remote Control
● USB Remote Control GER
● USB Remote Control FRE
● USB Remote Control SWE
● USB Remote Control SPA
● USB Remote Control ITA
● USB Remote Control DUT
● USB Remote Control DAN
● USB Remote Control NOR
● USB Remote Control POR
● USB Remote Control POL
● USB Remote Control CZE
● USB Remote Control FIN
● 2040427-001 Cable Frame to CPU 0.6 m
● Remote Alarm Box
● M1043105 Monitor Quick Mount

● M1051025 PSM Module Bus Adapter
● M1049197 Short PSM Pole Mount
● M1051023 Long PSM Pole Mount
* CARESCAPE Modular Monitors User’s Manual, CARESCAPE Modular Monitors
Supplemental Information Manual, and Addendum for CARESCAPE Modular Monitors
user documentation.
Also note that E-PiCCO-00 has its own addendum and is not included in these manuals.
Intended markets of this addendum

This addendum is not intended for U.S. FDA-regulated markets because the modules
E-PSMW, E-PSMPW, E-sCAiOE, and E-sCAiOVE, and the Respiratory Module License
are not cleared for use by the U.S. FDA.
Changes to the User's Manual

Third party trademarks
The following trademark ownership has changed.
Covidien, BISx, Bispectral Index, BIS, and Nellcor are trademarks of a Medtronic
company.
B850 module frames F7 and F5

The following explanation has been modified:
1. Defibrillator (ECG) and IABP synchronization (E-modules only)
D19KT VER01 display

1. Alarm light
2. Trim Knob control
3. Standby button
The standby button does not turn off the USB connectors on
the back of the display. To completely turn off the display, turn
off the mains power switch on the back of the display.
The D19KT VER01 display provides a Trim Knob control and indicates a power failure alarm by a continuous
beep. The display integrates audible (B850 only) and visual alarms, and provides USB connectivity.
Acquisition modules
With software version 2.0.7 or later with the Respiratory Module License the following
statement applies:
● The module interface is disabled when the NICU software package is selected with
other E-modules than E-NSATX or E-MASIMO or CARESCAPE Respiratory Modules
(E-sCAiO, E-sCAiOV, E-sCAiOVX, E-sCAiOE, E-sCAiOVE, E-sCO, E-sCOV, and E-sCOVX).
Gas exchange measurement with CARESCAPE respiratory modules is not available
for neonatal patients.
For earlier software versions, or version 2.0.7 or later without the Respiratory Module
License the current manual statement applies:
● The module interface is disabled when the NICU software package is selected with
other E-modules than E-NSATX or E-MASIMO.
Equipment symbols
The following symbols have been added to the table or their explanations have changed.
Mass of typical portable RGM (respiratory gas monitor) configuration.

The indicated mass (12 kg in this example) varies per RGM configuration.
Eurasian Economic Union countries only. Eurasian conformity mark. Conformity to

applicable technical regulations of Customs Union.
Device hardware version.
Every device has a unique marking for identification (UDI). The UDI marking appears
on the device label.
Identifies the device type.
Date of manufacture. This symbol indicates the date of manufacture of this device.
The first four digits identify the year, the following two digits identify the month, and, if
indicated, the last two digits identify the day.

Manufacturer name and address and date of manufacture. The first four digits identify
the year, the following two digits identify the month, and the last two digits identify
the day.
CAUTION U.S. Federal law restricts this device to sale by or on the order
of a physician.
Unique Device Identifier. (UDI)

Every medical device has a unique marking for identification.
The UDI marking appears on the device labeling.
Note that this is only an example of a UDI marking. The
device may have a linear barcode as in this example, or a
DataMatrix code, or only alphanumeric identifiers with no
barcode. Also the identifiers vary per product.
The characters used in the UDI marking represent specific identifiers. In the example above:
Device identifier:
● (01) = GS1 global trade item number (GTIN) of the device.
● 1234567891234 = Global trade item number.
Production identifiers:
● (21) = GS1 application identifier for the serial number of the device.
● SJN14241237HA = Serial number.
● (11) = GS1 application identifier for the manufacturing date of the device.
● 150628= Manufacturing date: year-month-day (YYMMDD).
Note that for some product types the production identifier can have other elements instead of the ones
listed above:
● (10) = GS1 application identifier for the batch or lot number, followed by the batch or lot number.
● (17) = GS1 application identifier for the expiration date of the device, followed by the expiration date.
User interface symbols and alarm icons on screen

The following applies to software version 2.0.8 or later.
Symbol Explanation
This symbol has been replaced by the general warning sign in software version 2.0.8 or later.
General warning sign. Displays when the priority setting for Tachy/Brady PR High/Low or HR/PR
high/low, or SpO2 Low has been set to low.
Displays in the:
● Upper left corner of the screen
● Lower part of the parameter menus’ Alarms tab
● Priority column of the selected alarm in the Alarm Setup > Alarm Priorities.

Combination monitoring and arrhythmia alarm categories
The following note applies to the software version 2.0.4 or earlier only.
NOTE Always select Full or Lethal arrhythmia categories to alarm
in the combination monitoring mode. If you discharge a
telemetry patient on the monitor and then change their
arrhythmia alarm category at the central station, make sure
that the arrhythmia priorities are as clinically expected.
Combination monitoring and Va/Vb lead selections with

6–lead cable
NOTE It is recommended to use the default settings for the Va and
Vb lead position selections with a 6-lead cable in combination
monitoring mode. If you do not use the default settings,
make sure that you do not use the same settings for Va
Lead Position and Vb Lead Position. Otherwise the Va ST
measurement value will be measured from the Vb lead and
not from the Va lead as expected.
Power failure alarm

The following applies to the D19KT VER01 display only. For earlier versions the
information in the manual is still valid.
If there is a power failure (e.g., the supply mains is interrupted or the USB cable is
disconnected) during an active patient case, the CARESCAPE D19KT VER01 display
gives a continuous beeping alarm. This alarm remains active for as long as there is
some residual power left, or until it is silenced with the Trim Knob or the standby
button, or until the USB cable is reconnected or the supply mains is restored. A power
failure alarm is also indicated by the alarm light flashing yellow.
Physiological alarms and priority levels

The following warning statement has changed:
WARNING Reducing the physiological alarms’ priority levels lower than
the default level can lead to missed detection of critical events
and therefore to adverse patient outcome. Keep the patient
under close surveillance if you adjust the priority levels lower
than the default value for the folllowing physiological alarms:
● V Tach, Tachy, Brady
● HR high/low, PR high/low
● ST (individual or group) high/low
● SpO2 low
● RR(Impedance) high/low, RR(CO2) high/low
● Apnea (Impedance), Apnea (CO2)
● NIBP high/low
● IP, CPP high/low
● Temperature high/low

Selecting parameter alarm priority levels
The allowed priorities for different alarm groups are defined in the Care Unit Settings
and they are password protected.
1. Select Alarm Setup from the monitor’s main menu.
2. Select the Alarm Priorities tab.
3. Select the alarm group: ECG, Invasive Pressures, or Other Parameters.
4. Select the alarm and its priority from the list.
Selectable alarms are:
ECG Invasive pressures Other parameters
HR/PR high/low (TRAM, Art high/low SpO2 high
telemetry) or Tachy/Brady
PR high/low (PSM, PDM)
ST Segment high/low Fem high/low SpO2 low
Frequent PVCs CVP high/low SpO2 probe off
Frequent SVCs FemV high/low NIBP high/low
ECG lead off PA high/low CO2 high/low
ECG Leads Off RAP high/low FiAA high/low
Noisy ECG RVP high/low Apnea (CO2)
Arrhythmia paused LAP high/low Apnea (Impedance)
Change telemetry battery ICP high/low RR (CO2) high/low
V Tach CPP high/low RR (Impedance) high/low
Although the low and P1 high/low to P8 high/low TcCO2 high/low
medium priority settings are
allowed for V Tach, the alarm TcO2 high/low
will always be high priority if Temp high/low
the V Tach duration is more
than 30 seconds, the HR is CCO high/low
higher than the set HR high CCI high/low
limit, and the HR exceeds
150 beats/min. In the NICU
software package the high
priority is enforced at 180
beats/min.
According to what has been allowed in the Care Unit Settings, the selectable priorities
are:
● Escalating, High, Medium, Low, Informational, or
● Escalating, High, Medium, Low, or
● Escalating, High, Medium, or
● Escalating, High, or
● Escalating,Informational , or
● Low, Informational, or

● High, Medium, Low, Informational.
The possible selections in the Care Unit Settings vary per parameter, so not all
priorities are available for all of the alarms. The general warning sign displays when
the priority setting for HR/PR high/low, Tachy/Brady PR high/low, or SpO2 low has
been set to low.
If informational priority level has been selected at the bedside monitor for Frequent
PVCs, ST Segment high/low, and Temp high/low, you cannot activate them from the
iCentral.
Informational message level in parameter alarm menus

If Informational level is allowed and has been selected for a parameter alarm, Alarm
On and Alarm Off texts in the parameter alarm menu for that alarm are replaced by
Message On and Message Off. This applies to certain ECG, arrhythmia, impedance
respiration, and temperature alarms.
Breakthrough alarms update

The following part of the explanation has changed for software version 2.0.5 or later.
For software version 2.0.4 or earlier the explanation in the manual is still valid.
The following alarms will break through when escalated to or activated at high priority
alarm condition regardless of the 2 to 5 minute audible alarm pause: Asystole, V Fib/V
Tach, V Tach, and Brady (in the NICU software package only).
ECG warning updates

The following warning text has been updated.
WARNING — INACCURATE HEART RATE INDICATION — PDM — The
electrical and pulsatile heart rate values provided by the
various monitored parameters (ECG, SpO2, blood pressures)
may differ markedly. These differences may be due to
underlying physiologic conditions (e.g., electromechanical
dissociation, pulseless electrical activity, non-perfusing
rhythms) or to inaccuracies in the heart rate values caused
by artifact, poor signal quality, or arrhythmias. The user may
elect to turn the IntelliRate feature off for patients at risk of
these events, otherwise patient treatment may be delayed.
Such patients should always be kept under close observation.
Also the following pacemaker warning text has been updated.

WARNING — PATIENT HAZARD — A pacemaker pulse may be counted as
a QRS during Asystole. Keep pacemaker patients under close
observation.
Intended use of 12RL™ Interpolated 12 lead ECG analysis

The GE 12RL program generates a 12 lead ECG report from a subset of the electrodes
used to acquire a standard 12 lead ECG. Four of the precordial channels of the 12 lead
ECG (V2, V3, V4, V6) are not acquired from the patient; rather, they are reconstructed
from information that is directly recorded in the other channels of the 12 lead ECG.

The four signals generated by the GE 12RL program are similar but not identical to
the standard 12 lead ECG. All ECG data generated via 12RL are clearly identified as to
which channels have been synthesized.
The GE 12RL program is intended for use in a monitoring environment. Computerized
measurements may be generated from these data; however, a computerized
interpretation will not.
The product is intended for use in the general adult population ranging from healthy
subjects to patients with cardiac and/or non-cardiac abnormalities.
The product is to be used in conjunction with the patient's clinical history, symptoms,
and other diagnostic tests for final clinical judgment.
Entering data for an ACI-TIPI 12 lead ECG analysis

The following menu selections apply to software version 2.0.7 or later. For earlier
software versions the explanation in the manual is still valid.
NOTE The patient must be at least 16 years old for an ACI-TIPI 12
lead ECG analysis.
1. Select the HR parameter window.

2. Select 12 Lead Analysis.
3. Select Settings.
4. Select Diagnostic Tool > ACI-TIPI.
5. Select the patient’s gender from the Gender list.
This selection will also be updated to the patient demographics.
6. If the patient’s age has not been entered previously, select it now from the Age list.
7. Select the symptoms present from the Chest or Left Arm Pain list.
8. Select Cancel or Confirm.
Selecting Confirm is required before you can complete an ACI-TIPI 12 lead ECG
analysis.
Enabling and disabling the 12SL ACS

WARNING Acute Coronary Syndrome (ACS) feature must be used only
with patients to whom this measurement is suitable.
The following menu selections apply to software version 2.0.7 or later. For earlier
software versions the explanation in the manual is still valid.
12SL-ACS is an optional higher-sensitivity analysis for the detection of acute ischemia
and acute infarction designed for a higher risk population with a higher prior
probability of having these conditions. When this setting is enabled, you will get
ACS-specific statements in addition to the diagnostic statements.
3. Select Settings > Diagnostic Tool.
4. Select ACS or Off.

Setting the 12 lead ECG analysis display format

The following selections are available with software version 2.0.7 or later. For earlier
software versions the selections given in the manual are still valid.
This setting will change the 12 lead ECG waveform display format and the printed
12 lead ECG report waveform format.
3. Select Settings.
4. Select a format from the Display Format list:
● 4 x 2.5 - 1 Rhythm
● 4 x 2.5 - 3 Rhythms
● 12 Rhythms
● 2 x 6 Rhythms
● Cabrera
Selecting the 12 lead waveform filter

This feature is only available with software version 2.0.7 or later.
NOTE E-modules and PDM only.
You can select the waveform filter to best suit your needs. Filter selection will affect
the waveform view and the printouts of the selected report.
Select the upper limit for the filter band:
3. Select Filter.
4. Select a filter from the Low-pass list:
● 20 Hz
● 40 Hz
● 100 Hz
● 150 Hz.
Including or excluding 12SL statements in printed reports

This feature is only available with software version 2.0.7 or later.
You can select whether you want the 12SL diagnostic statements to be included in
printed reports or not.
3. Select Settings.

4. Select or deselect the checkbox Print Interpretations.
Viewing or printing saved 12 lead ECG reports

You can view and print 12 lead reports that are stored at the monitor (local), or if
available, stored at a MUSE database. The newest reports are displayed first.
To open a report that is stored at the MUSE database, a connection to the CARESCAPE
Network is required.
3. Select Saved Reports.
4. Select the desired 12 lead report from the list.
5. To view this report, select View.
A report that is stored locally at the monitor opens and displays in the 12 Lead
Analysis view. A report that is stored at the MUSE database opens and displays in
the MUSE Report view.
6. To send a locally saved 12 lead ECG report to the MUSE database, select Send
to MUSE.
You can only send the report to the MUSE database once.
7. To resize a report displayed in the MUSE Report view, select a value from the
Zoom list.
If you zoom in closer on the report, use the vertical scroll bar to view all parts
of the report.
8. To print a report displayed in the MUSE Report view, select Print.
NOTE Printing the MUSE report is not supported with all monitor
software languages.
9. To stop printing, select Stop Printing or Cancel Printing.
Selecting the pacemaker detection

The following PDM selections are available with monitor software version 2.0.7 or later
when used with PDM version 2.4 or later. For earlier versions the selections given in
the manual are still valid.
2. Select the Advanced tab.
3. Select a value from the Pacemaker Detection list.
List options are acquisition module dependent:
● PDM:
￭ Sensitive: Includes pacemaker marker pulses in the waveform with a more
sensitive lower threshold on the pace pulse amplitude.
￭ Normal: Detects and draws pacemaker marker pulses in the waveform.
The detection is less sensitive to electromagnetic interference. This option is

recommended when the interference level is high, for example due to an LVAD
device or infusion pumps.
￭ Off: Pacemaker pulses are not detected or marked with pacemaker marker
bars. Pacemaker pulses are shown as they appear in the waveform signal.
Arrhythmia alarm messages update

The following rows in the table have been modified.
Brady Lethal with NICU According to priority Displayed 8-beat average
software package, setting ECG heart rate falls
and in combination below the user-selected
monitoring with all common HR low limit or
software packages if age ECG HR low limit.
is 0–2 or 3–10
Full with all other
software packages
TRAM and combination
monitoring only
Tachy Full According to priority Occurs when four
Combination monitoring setting consecutive RR intervals
only. or the displayed 8-beat
average ECG heart
rate exceeds the
user-selected common
HR high limit or ECG HR
high limit.
Respiration alarm priorities

Note the following with software version 2.0.7 or later. With earlier software versions
this feature is not available.
NOTE If the RR (Impedance) high/low alarm delay has been enabled
in the Care Unit Settings (password protected) and you
select priorities High, Medium, or Low (or Informational with
software version 2.0.8 or later), a prompt text will appear on
screen indicating that alarm delay has been selected.
Nellcor OxiMax data averaging and updating

The following statement given in the manual is not valid:
If the resulting dynamic averaging time exceeds 20 seconds, the pulse search
condition will be set, while SpO2 and pulse rate values continue to be updated every
second.
Invasive pressure channel labels

The following changes in IP channel labeling apply to software version 2.0.8 or later.
For earlier software versions the information in the manual is still valid.

Label Change
Art Art labels can now be assigned to one or more channels simultaneously. .
If multiple Art labels are selected, the primary Art will be the one that is active and
zeroed and has the lowest channel number. If no Art-labeled channel is active and
zeroed, the primary Art will be the one with the lowest channel number.
The selections Primary HR Source, SPV Source, and Measure SPV are only available
for the primary Art.
ICP ICP labels can now be assigned to one or more channels simultaneously..
S/5 Network: If multiple ICP labels are selected, only the CPP measured by the lowest
channel number is sent to the network. Only this channel is mapped as ICP/CPP,
others are generic Px channels.
ABP The ABP label is no longer available.
UAC and UVC UAC and UVC are available with all software packages. All references to UAC or UVC
with NICU only are obsolete, and things like UAC and UVC default and alarm settings
now apply to all software packages.
Confirmation of C.O. measurements

The following applies to software v2.0.8 or later.
The 15–minute C.O. measurement confirmation time has changed to 30 minutes.
CARESCAPE respiratory modules E-sCOVX and E-sCAiOVX

Airway gases and Patient Spirometry can now also be measured with the modules
E-sCOVX and E-sCAiOVX. In addition, these two modules measure gas exchange with
B850 and B650.
CARESCAPE respiratory modules’ indications for use

The CARESCAPE Respiratory Modules (E-sCO, E-sCOV, E-COVX, E-sCAiO, E-sCAiOV,
E-sCAiOVX, E-sCAiOE, and E-sCAiOVE) are indicated for use with a host device for
monitoring respiratory parameters (CO2, O2, N2O, anesthetic agents, anesthetic agent
identification, and respiratory rate) and ventilatory parameters (airway pressure, flow
and volume) of adult, pediatric, and neonatal patients and gas exchange parameters
(VCO2, VO2) of adult and pediatric patients.
When monitoring neonatal or other patients that have high respiration rate or low
tidal volume these modules shall be used within the limits of respiration rates and tidal
volumes to ensure specified measurement accuracy.
These modules are intended for use by qualified medical personnel only.
Airway gases measurement limitations

The following limitations apply to software version 2.0.7 or later. For earlier software
versions the list in the manual is still valid.
● Compact airway modules and E-miniC can be used within their specified
performance range with OR, PACU, ICU, and ED software packages.
● CARESCAPE respiratory modules can also be used with the NICU software package
if the Respiratory Module License is in use. Gas exchange measurement is not
available for neonatal patients.
● E-miniC is not suitable for use with patients weighing less than 5 kg (11 lbs).

Airway gases points to note
The following applies to software version 2.0.7 or later only. For earlier software
versions the information in the manual is still valid.
● Compact airway modules and CARESCAPE respiratory modules: Anesthetic agent
identification, MAC or MACage, N2O and EtBal are available with the anesthetic
agent measurement license only. This license is available for OR, PACU, ICU, and
NICU software packages.
Patient Spirometry limitations

The following limitations apply to software version 2.0.7 or later. For earlier software
versions the list in the manual is still valid.
● With the NICU software package, all spirometry parameters are available with
the CARESCAPE respiratory modules E-sCOV, E-sCOVX, E-sCAiOV, E-sCAiOVX, and
E-sCAiOVE only with the Respiratory Module License. Otherwise, some parameters
are available through the Unity Network ID connectivity device.
● Compact airway modules can be used with their specified performance range with
OR, PACU, ICU, and ED software packages.
Entropy warning
The following warning has been updated.
WARNING E-ENTROPY module is defibrillation proof up to 3 kV. Ensure
that the sensor is placed on the patient’s forehead according
to the instructions. Placing the sensor in a way other than
instructed might result in risks during patient defibrillation.
NMT module keys

The following explanation has changed:
Stop Continue ● Interrupts monitoring.
● Restarts monitoring of the same patient. If the module has been disconnected,
but you wish to continue the previous NMT monitoring, select Recall reference.
Restarting the NMT measurement in OR after induction

When you move the patient with the module to the OR and want to continue the
measurement with the already found and determined current and reference values,
use the restart function. Connect the module to the monitor and:
1. Select the NMT parameter window > Setup.
2. Select Start with > Recall reference.
3. Select Restart.
Train of four (TOF) mode

The scale marker values have been updated:
Scale markers represent 0%, 30%, 60%, 90% and 120% reference values.

Graphic trend resolution and the high-resolution license
The following has changed for software version 2.0.8 or later.
High-resolution trends is a licensed graphic trend option that provides an increased
resolution of 2 seconds for the 2, 4, and 20 minute scales. The high resolution graphic
trend is updated every 10 seconds.
PRN 50–M+ recorder for B850
1. Paper out indicator: Illuminates when you need to replace the recorder paper.
2. Power on indicator: Illuminates when connected to power.
3. GRAPH STOP key: Press to stop printing.
4. M-port connector: Connect to the CARESCAPE Monitor B850.
5. Power switch: Press to turn on or turn off the recorder.
6. Power connector: Connect the recorder’s power cable.
About viewing other monitored patients

The following NOTE below the table has been modified.
NOTE When using the B650 or B450 with WLAN connection, the
maximum number of remote beds is ten.
Permitted disinfectants
● Ethanol max. 99.7% by volume for surfaces, excluding B850 CPU, USB remote,
M-port keypad surfaces.
● Ethanol max. 70% by volume for B850 CPU, USB remote, M-port keypad surfaces.
● Isopropyl alcohol (max. 60% by weight).
● Chloramine (max. 5% by volume).
● Glutaraldehyde (max. 2% by volume).
● Phenol (max. 2% by volume).
● Tartaric acid (75 mg per 100 ml solution).
● Sodium hypochlorite (max. 5.25% by volume mixed with H2O in ratio of 1:10). Do
not use this disinfectant for touch screen panels.

Battery recycling
This product contains Lithium-Ion batteries. At the end of their service life, batteries
in this product must be recycled or disposed in accordance with local or national
regulations. Do not dispose of batteries as trash or unsorted municipal waste.
Requirements and services for recycling of batteries vary between countries.
● USA: You may follow the battery manufacturers instructions on the battery
to recycle it. Alternatively, you may return GE product batteries to GE for
recycling. For information about returning batteries to GE, contact your authorized
GE Service representative or contact GE Equipment Services at 1-800-437-1171.
● Canada: Contact the approved battery stewardship program in your province for
information on recycling your batteries.
● Other countries: Recycle batteries through your local, regional or national collective
scheme in accordance with your local or national regulations.
New NIBP messages

The message NIBP manual has been replaced by the following new messages:
● NIBP auto stopped appears when the NIBP Auto mode is stopped
● NIBP STAT stopped appears when the STAT mode is stopped.
The broadcasted message NIBP MANUAL has been replaced by the message NIBP
STOPPED.
Messages related to various situations

The following message is only available with software version 2.0.7 or later.
Message Location Explanation What to do

● Reconnect PDM ● al. area Disconnecting and then ● Disconnect the PDM, wait
reconnecting the PDM a few seconds, and then
too quickly may cause a reconnect.
communication error between If the problem persists,
the module and the monitor, and contact authorized service
result in duplicate waveform personnel.
data.
Changes to the Supplemental Information

Manual
CARESCAPE respiratory modules E-sCOVX and E-sCAiOVX
Airway gases and Patient Spirometry can now also be measured with the modules
E-sCOVX and E-sCAiOVX. In addition, these two modules measure gas exchange with

B850 and B650. All lists referring to E-sCO, E-sCOV, E-CAiO, and E-sCAiOV should also
include E-sCOVX and E-sCAiOVX.
Other E-module compatibility

The monitor is compatible with the following modules:
● E-sCAiOVX-00
● E-sCOVX-00
PDM compatibility update

The monitor is compatible with PDM v2.4 (Masimo and Nellcor).
In addition, the following modules are supported: PDM v1.3, v1.4, v2.1, PDM v2.2, and PDM
v2.3 (Masimo and Nellcor).
Input devices
The list of compatible devices has been updated and a list of supported devices has been
added.
The monitor is compatible with the following devices:
● 2031239-001 USB Bar Code Scanner
● 2093421-001 USB Barcode Reader and Mount
● 2022144-002 USB Mouse
● 2077698–001 USB Mouse
● 2045488-0xx USB Washable Keyboard
● 2077699–0xx USB Washable Keyboard
● 2042854–001 M-Port Keypad (B850 only)
● CARESCAPE D19KT VER01 19-inch, medical-grade display touchscreen
● CARESCAPE D19KT 19-inch, medical-grade display touchscreen
● CARESCAPE D15K 15-inch, medical-grade display keyboard
● 2039040-0xx USB Remote Control (ENG, GER, FRE, SWE, SPA, ITA, DUT, DAN, NOR, POR,
POL, CZE, FIN)
The monitor supports the following devices:
● 2030126–001 GDS 15” Touchscreen (B850 only)
● 2028679–001 USEI/DIVA 15” Touchscreen (B850 only)
● 2025280–001 USEI/DIVA 19” Touchscreen (B850 only)
Printing device compatibility

In addition to the printers listed in the supplemental information manual, also the following
printer is compatible with the CARESCAPE Monitor B850:
● PRN 50-M+ Digital Writer (B850 only)

Display devices
The list of compatible devices has been updated and a list of supported devices has been
added.
NOTE Displays for B850 system: CARESCAPE D19KT and CARESCAPE D19KT
VER01, 19–inch, medical grade displays with touchscreen.

● CARESCAPE D19KT VER01 19–inch, medical grade display with touchscreen.
● CARESCAPE D19KT 19–inch, medical grade display with touchscreen.
● CARESCAPE D15K 15–inch, medical grade display.
The monitor supports the following devices:
● 2030126-001 GDS 15'' Touchscreen (B850 only)
● 2028679-001 USEI/DIVA 15'' Touchscreen (B850 only)
● 2028679-002 USEI/DIVA 15'' Non-Touch (B850 only)
● 2025280-001 USEI/DIVA 19'' Touchscreen (B850 only)
● 2025280-002 USEI/DIVA 19'' Non-Touch (B850 only)
Miscellaneous network devices

The following compatibility information regarding Citrix Server versions has changed.
● iPanel v2.1 software running on Citrix Server v4.0, v4.5, v5.0, v6.0, and v6.5 (B850 and
B450 only)
Unity Network ID compatibility

When a Unity Network Interface Device (ID) is connected to the CARESCAPE Network, the
monitor can interface with non-GE peripheral monitoring devices. For more information,
refer to the Unity Network Interface Device (ID) Operator’s Manual.
The monitor is compatible with the Unity Network ID v1A, v3B, v4A, v4B, v5A, v5B, v5C,
v5D, v6A, v6B, v6C, and v7A.
CARESCAPE Monitor B650 specifications

The specification information regarding the minimum viewing angle has been modified.
Minimum viewing angle of the display 115° vertical, 140° horizontal

panel
The specification information regarding the supported remote clients on the CARESCAPE
Network has been modified.
Supported remote clients on the Up to 40

CARESCAPE Network Up to 10 when WLAN radio enabled
WLAN specifications, B650

The WLAN specification information has been modified.

Bands 2.4 GHz: The available channels for 802.11b/g operation are
channels 1 to 14 (2.4 to 2.5 GHz).
5.1 GHZ: The available channels for 802.11a operation are
The range of 802.11b/g and 802.11a channels allowed for use in a
given country are limited by firmware.
Protocols Radio support 802.11 abg
WLAN specifications, B450

The WLAN specification information has been modified.
Bands 2.4 GHz: The available channels for 802.11b/g operation are
5.1 GHZ: The available channels for 802.11a operation are
The range of 802.11b/g and 802.11a channels allowed for use in a
given country are limited by firmware.
Protocols Radio support 802.11 abg
E-EEG module and N-EEG headbox specifications

Size (H x W x D), E-EEG 112 x 37 x 186 mm (4.4 x 1.5 x 7.3 in)
Weight, E-EEG 0.3 kg (0.66 lb)
Size (H x W x D), N-EEG 34 x 97 x 174 mm (1.3 x 3.8 x 6.7 in)
Weight, N-EEG 0.4 kg (0.97 lb)
Power consumption 3.1 W
Operating temperature range 10 to 40°C (50 to 104°F)
Non-operating temperature range -25 to 70°C (-13 to 158°F)
Operating humidity range 10 to 90% RH non-condensing
Non-operating humidity range 10 to 90% RH non-condensing
Operating altitude range 660 to 1060 mbar
PRN 50–M+ specifications

Size (H x W x D) 160 x 96 x 185 mm (6.3 x 3.8 x 7.3 in)
Weight 1.4 kg (3.1 lb)
Operating temperature range 0 to 40°C (32 to 104°F)
Non-operating temperature range -40 to 70°C (-40 to 158°F)
Operating humidity range 15 to 95% RH non-condensing
Non-operating humidity range 15 to 95% RH non-condensing

CARESCAPE D19KT VER01 specifications
The specifications given in the manual for D19KT (19 inch display) also apply to the
CARESCAPE D19KT VER01, except for the integrated keypad, which is only available in
the CARESCAPE D19KT.
ECG standards compliance

The following clauses have been modified:
When used to generate diagnostic ECG analysis reports, the system complies with IEC
60601–2–51:2003.
CARESCAPE modular monitors with ESP v2 software, and with PDM v2.1 or PSM-01 are
compliant with IEC 60601-2-27 except for QRS pulse with 0.5 mV amplitude and 120 ms
duration in Clause 50.102.14.
ECG performance specifications

The heart rate response time information has been modified.
ECG heart rate response time PDM, E-PSM, E-PSMW, E-PSMP, and E-PSMPW modules indicate a
new heart rate for a simulated step increase of 80 bpm to 120
bpm or decrease of 80 bpm to 40 bpm in < 10 s
The QT numeric accuracy information has been modified.
QT numeric accuracy PDM, E-PSM, E-PSMW, E-PSMP and E-PSMPW modules:

±30 ms in the range 250 ms to 750 ms, unspecified outside this
range
The ST tolerance information has been added to ST numeric accuracy for software version
2.0.5 or later.
ST numeric accuracy PDM, E-PSM, E-PSMW, E-PSMP and E-PSMPW modules per EC57
(ESC database):
● ST Mean Absolute Difference < 100 µV
● ST Mean Difference (Mean error) < 50 µV
● Correlation coefficient > 0.90
● ST tolerance ±0.4 mm or 20%, whichever is greater
The PDM specifications have been updated for PDM v2.4 when used with monitor software
version 2.0.7 or later. For earlier versions, the specifications in the manual are still valid.
Pacer pulse rejection of fast ECG signals (according to PDM modules:
the test defined in ANSI/AAMI EC13 section 4.1.4.3)
● 11.1 V/s with Sensitive pacemaker detection
● 23.3 V/s with Normal pacemaker detection
E-PSM, E-PSMW, E-PSMP, and E-PSMPW modules:
● 0.5 V/s with Sensitive pacemaker detection
● 1.2 V/s with other pacemaker detection options

SpO2 standards compliance
The note statement has changed:
When used with a compatible module, the system complies with ISO 9919:2005.
NOTE B850 with other displays than the CARESCAPE D19KT VER01:
The system does not comply with clause 49.101 when used
with any compatible SpO2 measurement module.
Cardiac output (C.O.) performance specifications

The C.O. measurement accuracy information has been modified, and is now only given for
the PDM:
C.O. measurement accuracy PDM modules: ±5%
Invasive pressure parameter specifications

The following invasive pressure specifications have been modified.
Invasive pressure measurement PDM, PSMP, E-PSMPW, E-P, E-PP, E-PT, E-COP, and E-COPSv
accuracy modules: ±4% or ±4 mmHg (±0.5 kPa)
Invasive pressure waveform display PDM, E-PSMP, E-PSMPW, E-P, E-PP, E-PT, E-COP, and E-COPSv
range modules: -30 to 300 mmHg (-4.0 to 40.0 kPa)
Invasive pressure channel labels

The following changes in IP channel labeling apply to software version 2.0.8 or later.
For earlier software versions the information in the manual is still valid.
Label Change
Art Art labels can now be assigned to one or more channels simultaneously. .
If multiple Art labels are selected, the primary Art will be the one that is active and
zeroed and has the lowest channel number. If no Art-labeled channel is active and
zeroed, the primary Art will be the one with the lowest channel number.
The selections Primary HR Source, SPV Source, and Measure SPV are only available
for the primary Art.
ICP ICP labels can now be assigned to one or more channels simultaneously..
S/5 Network: If multiple ICP labels are selected, only the CPP measured by the lowest
channel number is sent to the network. Only this channel is mapped as ICP/CPP,
others are generic Px channels.
ABP The ABP label is no longer available.
UAC and UVC UAC and UVC are available with all software packages. All references to UAC or UVC
with NICU only are obsolete, and things like UAC and UVC default and alarm settings
now apply to all software packages.
Airway gases standards compliance

The note statement has changed:
When used with a compatible module, the system complies with ISO 21647:2004.

NOTE B850 with other displays than the CARESCAPE D19KT VER01:
The system does not comply with clause 49.101 when used
with any compatible gas measurement module.
Gas exchange performance specifications

All gas exchange specifications given in the manual also apply to modules E-sCOVX
and E-sCAiOVX.
EEG standards compliance

The following clause has been modified:
When used with a compatible module, the system complies with IEC 60601-2-26:2002
Class CF for EEG measurement applied part, and Class BF for AEP stimulus output
applied part.
EEG performance specifications

The following EEG performance specifications have been modified.
EEG measurement display range ±500 µVpp

EEG measurement frequency range and 1.0 to 25 Hz, –3dB
bandwidth
EEG measurement input impedance > 80 kOhm @ 5 Hz
Hemodynamic calculations calculated parameter formulas

The following formulas apply to software version 2.0.8 or later.
● 0.0136 is the factor for converting mmHg*cm3 to g*m.
Calculated parameters Label Formula

Right Ventricular Stroke Work RVSW RVSW = (PA mean - CVP mean) * SV * 0.0136
Right Ventricular-Stroke Work Index RVSWI RVSWI = (PA mean - CVP mean) * SVI * 0.0136
Ventilation calculations calculated parameter formulas

NOTE This change applies to software version 2.0.5 or later. For software
version 2.0.4 or earlier the formulas given in the supplemental
information manual are correct.
The following formulas in the table have been modified.

Calculated Label Default Formula
parameters unit of
measure
Dead Space Vd/Vt % Calculated:
Ventilation Vd/Vt (%) = (PaCO2 (mmHg) – ExpCO2wet (mmHg))/(PaCO2
(mmHg) – FiCO2wet (mmHg)) * 100
ExpCO2wet (mmHg) = ExpCO2 (%)/100 * (ATMP (mmHg) – 47
(mmHg))
ExpCO2 (%) = ((VCO2 (ml/min)/1000)/MVexp(STPD) (l/min)) * 100
+ FiCO2 (%)
MVexp(STPD) (l/min) = MVexp (l/min) / 1.211
FiCO2wet (mmHg) = (FiCO2 (%)/100) * (ATMP (mmHg) – 47
(mmHg))
Dead Space Vd ml Vd (ml) = (Vd/Vt (%)/100 * TVexp (ml))
Alveolar Ventilation VA l/min Calculated:
VA (l/min) = (VCO2 (ml/min)/1000)/(PaCO2 (mmHg)/(ATMP
(mmHg) – 47(mmHg)))*1.211
Estimated:
VA (l/min) = (VCO2 (ml/min)/1000)/(EtCO2 (%)/100) * 1.211
Licensed software options

The following rows in the table have been modified or added.
Option ED ICU NICU OR PACU
Touch user interface Standard
CARESCAPE respiratory Not applicable Not applicable Optional Not applicable Not applicable
modules with NICU
Available with software
version 2.0.7 or later
only.
Configuring care unit settings

1. Select Monitor Setup > Default Setup.
2. Enter the Username: clinical.
3. Enter the Password: Change Me.
4. Select Care Unit Settings.
5. Change the settings as needed in Alarms, Screens (B850 only), Admit/Discharge,
Units, Parameters, Drug List, Standby Sites, Show in Screen Setup, Roving,
Telemetry, and Printer. All changes are automatically saved and applied.
● To revert to the factory default care unit settings, select Factory Default > Yes.
Admit/discharge settings
The following row in the table has been modified.

Setting Description ED ICU NICU OR PACU
Allow Remote Control whether Disabled Not Not
Discharge patients can applicable applicable
be discharged
remotely.
Parameter alarms settings

The following applies to software version 2.0.7.
Allowed Priorities default settings
Alarm Activation Select if the Immediate
for RR (Imped) alarm activation
Limit Alarms: is immediate
High/Medium/Lo- or delayed by
w/Info Priority approximately 15
seconds.

Allowed Priorities default settings
ST Alarms Select if the Disabled
Informational informational level
Allowed alarm setting is
allowed.
ECG lead off Select the allowed Low
alarm priority
levels.
Temperature Select if the Disabled
Informational informational level
Allowed alarm setting is
allowed.
Alarm Activation Select if the Immediate
for RR (Imped) alarm activation
Limit Alarms: is immediate
High/Medium/Lo- or delayed by
w/Info Priority approximately 15
seconds.
Standby site name settings

The following table has been modified.

1 Select a default standby Operating Room
site name.
2 Select a default standby MRI
site name.

3 Select a default standby CT Scan
site name.
4 Select or define a standby Physiotherapy
site name.
5 Select or define a standby Dialysis
site name.
6 Select or define a standby Radiology
site name.
Restore Change the custom NO
Default Sites standby site names to
the factory default settings.
New NIBP messages

The message NIBP manual has been replaced by the following new messages:
● NIBP auto stopped appears when the NIBP Auto mode is stopped
● NIBP STAT stopped appears when the STAT mode is stopped.
The broadcasted message NIBP MANUAL has been replaced by the message NIBP
STOPPED.
Alarm priorities and escalation times for ECG

MESSAGE NOTES LOCATION PRIORITIES AND ESCALATION TIMES

info low medium high
Frequent PVCs Alarm Priority = alarm 0s 13 s
Escalating
Frequent PVCs alarm 0 s, according to priority setting: high, medium, low,
informational
Frequent SVCs Alarm Priority = alarm 0s 13 s
Escalating
Frequent SVCs alarm 0 s, according to priority setting: high, medium, low,
informational
Lead off alarm 7s 7s

● LA/L lead off wavef. 0s 0s
● LL/F lead off
● RA/R lead off
● RL/N lead off
● V/C lead off
● Va/Ca lead off
● Vb/Cb lead off
● V2/C2 lead off
● V3/C3 lead off
● V4/C4 lead off
● V5/C5 lead off
● V6/C6 lead off
● ST Ant high / alarm 60 s, according to priority setting: high, medium, low,
ST Ant low informational.
● ST Inf high / ST
Inf low
● ST Lat high /
ST Lat low
ST XXX high / ST alarm 60 s, according to priority setting: high, medium, low,
XXX low where informational.
XXX = ECG lead
label
Alarm priorities and escalation times for impedance

respiration
The following applies to software version 2.0.7.

RR (Imped) High / Alarm priority set alarm High, medium, or low according
RR (Imped) Low to low, medium or to priority setting. 0 s with the
high alarm activation setting Immediate or
approximately 15 s with alarm activation
setting Delayed (Approx. 15s).

RR (Imped) High / Alarm priority set alarm High, medium, low, or informational according to
RR (Imped) Low to informational, priority setting. 0 s with the alarm activation setting
low, medium or Immediate or approximately 15 s with alarm activation
high setting Delayed (Approx. 15s).
RR (Imped) High / Alarm Priority = alarm 20 s 60 s
RR (Imped) Low Escalating
Alarm priorities and escalation times for temperature


T1 high / T1 low Alarm Priority = alarm 60 s 60 s 120 s
T2 high / T2 low Escalating
T3 high / T3 low
T4 high / T4 low
Tblood high /
Tblood low
T2-T1 high alarm 60 s 60 s 120 s
T4-T3 high
Tblood-T1 high
Tblood-T3 high
Alarm priorities and escalation times for various situations

The following alarm message is only available with software version 2.0.7 or later.

Reconnect PDM alarm 0s
Alarm priority settings for current patient

The following has been added to the table and the change applies to software version
2.0.8 or later.
Select Alarm Setup > Alarm Priorities to adjust the alarm priority settings for the current
patient. For more information, refer to the user’s manual. The following table lists the
factory default settings.
Setting ED ICU NICU OR PACU

Temp high/low Escalating
Technical alarm delay specifications

The following alarm message is only available with software version 2.0.7 or later.

Alarm Parameter Alarm delay
Reconnect PDM N/A PDM modules: <5 s
ECG advanced default settings

The following default settins apply to monitor software version 2.0.7 or later when used with
PDM version 2.4 or later. For earlier versions the defaults given in the manual still apply.
Select Monitor Setup > Parameter Setup > ECG > Advanced to adjust the following factory
default settings for the current patient.

Pacemaker Enable the Sensitive
Detection pacemaker
detection
program.
CO2 default settings

The following default settings apply to software version 2.0.7 or later with the Respiratory
Module License. The following factory default settings are for the default acquisition module
for this parameter.
Select Monitor Setup > Parameter Setup > Gases > CO2 > Setup to adjust the following
factory default settings for the current patient.

CO2 Average Select the time Not applicable
for averaging
values.
Pump Enable the Not applicable
pump when
the mainstream
sensor is used
in sidestream
setup.
Show with Select the FiCO2
EtCO2 options to
display.
FiO2 level % Select the Not applicable
level of FiO2
used to make
compensation
to measured
CO2 values.

N2O level % Select the Not applicable
level of N2O
used to make
compensation
to measured
CO2 values.
Apnea Limit Select medium Not applicable
Seconds elapsed time
limit.
Anesthetic agent default settings

With software version 2.0.7 or later with the Respiratory Module License all defaults
given in the manual for OR, PACU, and ICU software packages also apply to the NICU
software package. For earlier software versions and without the Respiratory Module
License the information given in the manual is still valid.
Patient Spirometry default settings

The following default settings apply to software version 2.0.7 or later with the Respiratory
Module License. The following factory default settings are for the default acquisition module
for this parameter.
Select Monitor Setup > Parameter Setup > Spirometry/Gas Exchange > Setup to adjust
the following factory default settings for the current patient.

Sensor Type Select the sensor Adult Pediatric Adult
type. (Pediatric and Infant (Pediatric and Infant
profiles: Pediatric) profiles: Pediatric)
Select Monitor Setup > Parameter Setup > Spirometry/Gas Exchange > Paw Alarms to
adjust the following factory default settings for the current patient.

Ppeak alarm Select the high/low 40/OFF 30/OFF 40/OFF
limits alarm limits (cmH2O). (Trauma, Neuro, (Trauma, Neuro,
Adolescent, Pediatric Adolescent, Pediatric
and Infant profiles: and Infant profiles:
30/OFF) 30/OFF)
PEEPe alarm Select the high/low 10/OFF 8/OFF Not applicable
limits alarm limits (cmH2O). (ED and ICU software
packages Trauma,
Neuro, Adolescent,
Pediatric and Infant
profiles: 8/OFF)
Select Monitor Setup > Parameter Setup > Spirometry/Gas Exchange > MV/Vent Alarms to
adjust the following factory default settings for the current patient.

MVexp alarm Select the high/low 10/OFF 2/OFF 10/OFF
limits alarm limits. (Adolescent profile: (Adolescent profile:
8/OFF; Pediatric profile: 8/OFF; Pediatric profile:
5/OFF; Infant profile: 5/OFF; Infant profile:
2/OFF. OR software 2/OFF. OR software
package Perfusion package Perfusion
profile: OFF/OFF) profile: OFF/OFF)
MVexp alarms Enable alarm when Not applicable
on/off limits are violated
from an interfaced
device.
TVexp alarms Enable alarm when Not applicable
on/off limits are violated
from an interfaced
device.
New default settings

Select Care Unit Settings > Parameters to define the parameter settings for the care unit.
The following table lists the factory default settings.

NIBP Cycle Time Select how the NIBP Graphical
Display cycle time is displayed.
Variable Beat Select which All beat sources
Tone parameters use the
variable beat tone.
Select Care Unit Settings > Telemetry to define the telemetry (combination monitoring)
settings for the care unit. The following table lists the factory default settings.

ECG Select available Monitor only
Measurement ECG measurement
Source: sources.
Select Care Unit Settings > Roving to define the roving settings for the care unit. The
following table lists the factory default settings.

Monitor Roving Select if monitor Not Allowed
roving is allowed.
Roving Between Select if roving Not Allowed
Units between units is
allowed.
Manual Bed Entry Select if bed names Not Allowed
can be entered
manually.

Select Care Unit Settings > Show in Screen Setup to define the parameters that will show in
the screen setup. The following table lists the factory default settings. Note that ECG1, ECG2,
NIBP, P1, P2, SpO2, Resp, CO2, T1, and T2 cannot be selected off the list.

Show in Screen Select if the parameter All available parameters are selected to be shown.
Setup will be shown in the
Screen Setup list.
Select Monitor Setup > Parameter Setup > ECG > Setup > 12 Lead Analysis > Settings to
adjust the following factory default settings for the current patient. The following settings
are only available with software version 2.0.7 or later.

Diagnostic Tool Select whether you ACI-TIPI
want to use ACI-TIPI or
ACS, or select OFF.
Print Select whether the Enabled
Interpretations diagnostic statements
will be included in the
printouts or not.
Select Monitor Setup > Parameter Setup > ECG > Setup > 12 Lead Analysis > Filter to adjust
the following factory default setting for the current patient. The following setting is only
available with software version 2.0.7 or later.

Low-pass Select the filter to be 150 Hz
used.
PDM and PSM only.
Select Monitor Setup > Parameter Setup > SpO2 > Setup or Monitor Setup > Parameter
Setup > ECG > Setup to adjust the following factory default settings for the current patient.

Beat Source Select what is used as Primary HR
the beat source.
PRN 50–M+ recorder mounts

For more details, refer to the mounting solutions guide.
Part Number Accessory Description Approved for use with

2086037-001 PRN 50-M+ F5 Bracket Mount PRN 50-M+, B850
2086038-001 PRN 50-M+ C-Clamp Mount PRN 50-M+, B850
2087403-001 PRN 50-M+ VHM Hanger Mount (variable height) PRN 50-M+, B850
2087404-001 PRN 50-M+ Rail/Pole Mount PRN 50-M+, B850

Other mounts
The following part number has been corrected:

2069156-001 CARESCAPE Monitor B450 Bedrail Hook B450
Other accessories
2009828–205 Thermal recorder paper, width 50 mm/2 in., pkg of 20 rolls PRN 50–M, PRN 50–M+,
B650, B450

content
Headquarters Asia Headquarters
GE Healthcare Finland Oy GE Medical Systems GE Medical Systems
Kuortaneenkatu 2 Information Technologies, Inc. Information Technologies Asia; GE (China) Co., Ltd.
FI-00510 Helsinki 8200 West Tower Avenue No1 Huatuo Road,
Finland Milwaukee, WI 53223 USA Zhangjiang Hi-tech Park Pudong
Tel: + 358 10 39411 Tel: + 1 414 355 5000 Shanghai P.R.China 201203
Fax: + 358 9 1463310 1 800 558 5120 (US only) Tel: + 86 21 5257 4650
www.gehealthcare.com Fax: + 1 414 355 3790 Fax: + 86 21 5208 2008
www.gehealthcare.com

ENG 2094813-001 BX50 UM-SIM Addendum 2-0-8

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Addendum for CARESCAPE Modular Monitors

Addendum for CARESCAPE Modular

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Intended markets of this addendum

Changes to the User's Manual

B850 module frames F7 and F5

1. Defibrillator (ECG) and IABP synchronization (E-modules only)

D19KT VER01 display

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Mass of typical portable RGM (respiratory gas monitor) configuration.

Eurasian Economic Union countries only. Eurasian conformity mark. Conformity to

Device hardware version.

Identifies the device type.

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Unique Device Identifier. (UDI)

User interface symbols and alarm icons on screen

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Combination monitoring and Va/Vb lead selections with

Power failure alarm

Physiological alarms and priority levels

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Informational message level in parameter alarm menus

Breakthrough alarms update

ECG warning updates

Also the following pacemaker warning text has been updated.

Intended use of 12RL™ Interpolated 12 lead ECG analysis

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Entering data for an ACI-TIPI 12 lead ECG analysis

1. Select the HR parameter window.

Enabling and disabling the 12SL ACS

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Setting the 12 lead ECG analysis display format

5. Select Cancel or Confirm.

Selecting the 12 lead waveform filter

Including or excluding 12SL statements in printed reports

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Viewing or printing saved 12 lead ECG reports

9. To stop printing, select Stop Printing or Cancel Printing.

Selecting the pacemaker detection

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Arrhythmia alarm messages update

Respiration alarm priorities

Nellcor OxiMax data averaging and updating

Invasive pressure channel labels

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Confirmation of C.O. measurements

CARESCAPE respiratory modules E-sCOVX and E-sCAiOVX

CARESCAPE respiratory modules’ indications for use

Airway gases measurement limitations

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Patient Spirometry limitations

NMT module keys

Restarting the NMT measurement in OR after induction

Train of four (TOF) mode

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PRN 50–M+ recorder for B850

About viewing other monitored patients