CARESCAPE Modular Monitors User Manual Addendum Jan 2015

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.

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Contents Intended use of this addendum ... 7 Intended markets of this addendum ... 7 Changes to the User's Manual ... 7 B850 module frames F7 and F5 ... 7 Acquisition modules... 7 Equipment symbols... 7 Combination monitoring and arrhythmia alarm categories ... 8 Combination monitoring and Va/Vb lead selections with 6–lead cable... 8 Breakthrough alarms update ... 8 ECG warning update ... 8 Intended use of 12RL™ Interpolated 12 lead ECG analysis... 9 Entering data for an ACI-TIPI 12 lead ECG analysis ... 9 Enabling and disabling the 12SL ACS... 9 Setting the 12 lead ECG analysis display format... 10 Selecting the 12 lead waveform filter ... 10 Including or excluding 12SL statements in printed reports... 11 Viewing or printing saved 12 lead ECG reports ... 11 Selecting the pacemaker detection ... 11 Arrhythmia alarm messages update ... 12 Respiration alarm priorities ... 12 Nellcor OxiMax data averaging and updating ... 12 CARESCAPE respiratory modules’ indications for use... 13 Airway gases measurement limitations ... 13 Airway gases points to note ... 13 Patient Spirometry limitations ... 13 NMT module keys ... 13 Restarting the NMT measurement in OR after induction ... 14 PRN 50–M+ recorder for B850 ... 14 About viewing other monitored patients... 14 Permitted disinfectants... 14

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Messages related to various situations ... 15 Changes to the Supplemental Information Manual ... 15 Other E-module compatibility ... 15 PDM compatibility update ... 15 Input devices ... 15 Printing device compatibility ... 16 Display devices... 16 Miscellaneous network devices... 16 Unity Network ID compatibility... 16 CARESCAPE Monitor B650 specifications... 16 WLAN specifications, B650 ... 17 WLAN specifications, B450 ... 17 PRN 50–M+ specifications ... 17 ECG standards compliance ... 17 ECG performance specifications ... 18 Cardiac output (C.O.) performance specifications... 18 Invasive pressure parameter specifications... 18 EEG standards compliance... 19 EEG performance specifications ... 19 Ventilation calculations calculated parameter formulas ... 19 Licensed software options... 20 Configuring care unit settings ... 20 Admit/discharge settings... 20 Parameter alarms settings ... 20 Standby site name settings ... 20 Alarm priorities and escalation times for impedance respiration... 21 Alarm priorities and escalation times for various situations ... 21 Technical alarm delay specifications ... 21 ECG advanced default settings ... 22 CO2 default settings ... 22 Anesthetic agent default settings ... 23 Patient Spirometry default settings ... 23 New default settings ... 24 PRN 50–M+ recorder mounts ... 25

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Other accessories... 25

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Intended use of this addendum This addendum must be used in conjunction with the monitors’ user’s manual and supplemental information manual for software version 2. This addendum covers necessary updates to these two 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 B850 module frames F7 and F5 The following explanation has been modified:

1.

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

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-sCAiOV, E-sCAiO, E-sCAiOVE, E-sCAiOE, E-sCOV, and E-sCO).

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.

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Mass of typical portable RGM (respiratory gas monitor) configuration. The indicated mass (12 kg in this example) varies per RGM configuration.

Russia, Belarus, and Kazakhstan only. Eurasian Conformity mark. Conformity to applicable technical regulations of Customs Union.

Device hardware version.

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.

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 update WARNING

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- 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

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these events, otherwise patient treatment may be delayed. Such patients should always be kept 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.

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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. 1.

Select the HR parameter window.

2.

Select 12 Lead Analysis.

3.

Select Settings > Diagnostic Tool.

4.

Select ACS or Off.

5.

Select Cancel or Confirm.

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. 1.

Select the HR parameter window.

2.

Select 12 Lead Analysis.

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

5.

Select Cancel or Confirm.

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:

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1.

Select the HR parameter window.

2.

Select 12 Lead Analysis.

3.

Select Filter.

4.

Select a filter from the Low-pass list: ● 20 Hz ● 40 Hz ● 100 Hz ● 150 Hz.

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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. 1.

Select the HR parameter window.

2.

Select 12 Lead Analysis.

3.

Select Settings.

4.

Select or deselect the checkbox Print Interpretations.

5.

Select Cancel or Confirm.

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. 1.

Select the HR parameter window.

2.

Select 12 Lead Analysis.

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

9.

Printing the MUSE report is not supported with all monitor software languages.

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. 1.

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Select the HR parameter window.

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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 software package, and in combination monitoring with all software packages if age is 0–2 or 3–10 Full with all other software packages TRAM and combination monitoring only

According to priority setting

Displayed 8-beat average ECG heart rate falls below the user-selected common HR low limit or ECG HR low limit.

Tachy

Full Combination monitoring only.

According to priority setting

Occurs when four consecutive RR intervals 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, 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.

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CARESCAPE respiratory modules’ indications for use The CARESCAPE Respiratory Modules (E-sCO, E-sCOV, E-sCAiO, 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. 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.

●

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-sCAiOV, 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.

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.

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Restarting the NMT measurement in OR after induction The following explanation has changed: 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.

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

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●

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).

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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.

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 reconnecting the PDM too quickly may cause a communication error between the module and the monitor, and result in duplicate waveform data.

● Disconnect the PDM, wait

a few seconds, and then reconnect. If the problem persists, contact authorized service personnel.

Changes to the Supplemental Information Manual Other E-module compatibility The following explanation has changed: 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 ● 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 D15K 15-inch, medical-grade display keyboard

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● CARESCAPE D19KT 19-inch, medical-grade display touchscreen ● 2039040-0xx USB Remote

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. The monitor is compatible with the following devices: ● CARESCAPE D15K 15–inch, medical grade display. ● CARESCAPE D19KT 19–inch, medical grade display with touchscreen.

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. The monitor is compatible with the following devices: ● 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.

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Minimum viewing angle of the display panel

115° vertical, 140° horizontal

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

Up to 40 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 channels 34 to 165 (5.15 to 5.85 GHz). 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 channels 1 to 14 (2.4 to 2.5 GHz). 5.1 GHZ: The available channels for 802.11a operation are channels 34 to 165 (5.15 to 5.85 GHz). 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

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

ECG standards compliance The following clauses have been modified:

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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

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.

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Invasive pressure measurement accuracy

PDM, PSMP, E-PSMPW, E-P, E-PP, E-PT, E-COP, and E-COPSv modules: ±4% or ±4 mmHg (±0.5 kPa)

Invasive pressure waveform display range

PDM, E-PSMP, E-PSMPW, E-P, E-PP, E-PT, E-COP, and E-COPSv modules: -30 to 300 mmHg (-4.0 to 40.0 kPa)

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 bandwidth

1.0 to 25 Hz, –3dB

EEG measurement input impedance

> 80 kOhm @ 5 Hz

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 parameters

Label

Default unit of measure

Formula

Dead Space Ventilation

Vd/Vt

%

Calculated: 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))

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

Alveolar Ventilation VA

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Licensed software options The following rows in the table have been modified or added. ED

Option

ICU

NICU

Touch user interface

OR

PACU

Not applicable

Not applicable

Standard

CARESCAPE respiratory modules with NICU Available with software version 2.0.7 or later only.

Not applicable

Not applicable

Optional

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

Allow Remote Discharge

Control whether patients can be discharged remotely.

ED

ICU

NICU

Disabled

OR

PACU

Not applicable

Not applicable

OR

PACU

Parameter alarms settings The following applies to software version 2.0.7 or later. Allowed Priorities default settings Setting

Description

Alarm Activation for RR (Imped) Limit Alarms: High/Medium/ Low Priority

Select if the alarm activation is immediate or delayed by approximately 15 seconds.

ED

ICU

NICU Immediate

Standby site name settings The following table has been modified.

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